october is breast cancer awareness month be in the know ... · some risk factors for getting breast...

Breast cancer can be scary to think about and some women don’t like to talk about it. Many women ignore it completely because they fear the unknown or believe what will be will be. But it’s important that you take the time to learn about breast cancer.

Fa l l 2 0 1 1IN THIS ISSUE:Know Your Rights and Responsibilities | pg. 3

What is Managed Care? | pg. 4

How Long Should You Wait for an Appointment? | pg. 6

October is Breast Cancer Awareness Month Be in the Know About Breast Cancer

Here are the facts. Breast cancer is:• Themostcommoncancerinwomen.• ThemostcommoncauseofcancerdeathinHispanic

women.• The second most common cause of cancer death

among White, Black, Asian/Pacific Islander, andAmericanIndian/AlaskaNativewomen.

Someriskfactorsforgettingbreastcancerincludesmoking,drinking,beingoverweight,age,race,andfamilyhistory.Breastcancercanbefoundbyhavingamammogramtest.Themoreyouknowaboutitwilllessenanyfearsyoumayhave.AmammogramisanX-rayofthebreast,andisthebestmethodtodetectcancerearly.Duringthetest,youwillfeelsomepressureandmaybesomediscomfort,butitlastslessthanoneminute.Ifyouareage50andover,gettingamammogramevery2yearsisimportant.Talktoyourdoctoraboutwhenandwheretogetone.Also,routinecheckingofyourownbreastscanhelpcatchcancerearly.Youmaynoticechangesinyourbreaststhatcanalertyourdoctor.Learnhowtodobreastself-examsathttp://women.webmd.com/healthtool-self-breast-examoraskyourdoctor.

With healthy lifestyle changes, breast self-exams andregular screenings,breastcancercanbepreventedandfound early. Cervical cancer can also be found earlybygettingaPaptest.Askyourdoctoraboutyourriskfor breast and cervical cancer andways to detect andpreventthem.

Mammograms Save Lives! Herearesometipstohelpprepareyouforyourmammogram:

• Get your test done the week after yourperiod–yourbreastsarelesstenderduringthistime

• Wearatwo-pieceoutfit

• Donotwearlotionsorcreamsonyourchestbeforethetest

• Donotweardeodorants

• Take an over-the-counter pain killer one hourbeforethetesttoreduceanypainduringthetest

2 | MEMBER NEWS FALL 2011

What happens during a mammogram?YoustandinfrontofanX-raymachine.Oneatatimeyourbreastsareplacedbetweentwoplates.Theplatespressyourbreastflat.Twopicturesaretakenofeachbreast,onefromthesideandonefromabove.Thistakesabout15minutes.Mostmammogramsarenormal.Ifsomethingisfound,asecondmammogram is done. This secondmammogrammaytakelongerasmorepicturesofthebreastaredone.

Are some women more likely to get breast cancer?Yes.About1in8womenintheU.S.willgetbreastcancer.White women are more likely to get breast cancer, butAfrican Americanwomen aremore likely to die from it.AfricanAmericansarealsolesslikelytogetamammogramthanother ethnic groups. L.A.Carehasworkedhard toincreasethenumberofAfricanAmericanmemberswhogetamammogram. However, moreAfricanAmericans stillneedtogettested.Allwomenover50yearsoldneedtogetamammogram.AsanL.A.Caremember,youdonotneedadoctor’sreferraltogetamammogram.

Why should I get a Pap test?The Pap test or Papsmearlooksforcanceror other changes incells taken from thecervix (the lowestpart of the uterus).Findingthesechangesand treating them

lowersawoman’schanceofgettingordyingfromcervicalcancer. A Pap test can also find other problems such asinfectionsthatmayneedtobetreated.

When should I get a Pap test?GetregularPaptestsandpelvicexams.WomenshouldstartgettingPaptestswhentheybecomesexuallyactiveorbyage21,andthenevery1to3yearsasadvisedbytheirdoctor.

Ask the Doc: Women’s Health & Cancer Screenings

Elaine Batchlor, MD

Every woman is at risk for cancer. Cancer is easier to treat when found early. Screenings like mammograms and Pap tests help find breast and cervical cancer early and save lives.

Nurse Advice Line Can Help! Sore throat! Irritable! Crying! Stuffy nose! Watery eyes!

Yourchildhasoneorallofthesesymptoms.Itislateatnightandyouknowyourdoctor’sofficeisclosed.Whatshouldyoudo?

Did you know that besides calling your doctor, you cancalltheNurseAdviceLine?Yourplan’sNurseAdviceLinenumbersareonthebackofyourmemberIDcard!

• The Nurse Advice Line is a FREE phone service24hoursaday,7daysaweek.Youcanuseitwheneveryouhaveaquestionaboutyourhealth.

• Yourcallwillbeansweredin1minuteorless.Anursewillaskquestionsaboutyourconcernsandgiveadviceonwhatyoucando.

• NursesintheU.S.arehighlytrained.Theymustpassa test toget their license.They teachpeoplehow tostayhealthyandhowtohandlesomeillnesses.

• NurseAdviceLinesareaneasywaytogetyourhealthquestionsanswered.Thinkaboutitbeforeyougototheemergencyroomandwaitalongtimetoseeadoctor.

CalltheNurseAdviceLineonyourIDcardandyoucouldhave the answer to yourquestionbefore you evenfindaparkingspotattheemergencyroom.


Anthem Blue Cross 1-800-224-0336

Care1st Health Plan 1-800-605-2556

Community Health Plan 1-800-475-5550

Kaiser Permanente 1-888-576-6225

L.A. Care Health Plan 1-800-249-3619

Nurse Advice Line Numbers

FALL 2011 MEMBER NEWS | 3

Know Your Rights and Responsibilities

As a member of L.A. Care, you have the responsibility to…

Act courteously and respectfully. You areresponsiblefortreatingyourdoctorandall providers and staffwith courtesyand respect. You are responsible forbeingontimeforyourvisitsorcallingyourdoctor’sofficeat least24hoursbeforethevisittocancelorreschedule.

Give up-to-date, accurate and complete information. You are responsible forgiving correct information and asmuchinformationasyoucantoallofyourprovidersandL.A.Care.Youareresponsibleforgettingregularcheck-ups and telling your doctor abouthealth problems before they becomeserious.

Follow your doctor’s advice and take part in your care. You are responsible fortalking over your health care needswith your doctor, developing andagreeing on goals, doing your bestto understand your health problems,andfollowingthetreatmentplansandinstructionsyoubothagreeon.

Use the Emergency Room only in an emergency. Youareresponsibleforusingthe emergency room in cases of anemergencyorasdirectedbyyourdoctor.

Report wrongdoing.Youareresponsiblefor reporting health care fraud orwrongdoing to L.A. Care. You candothiswithoutgivingyournamebycalling the L.A. Care ComplianceHelplinetoll-freeat1-800-400-4889.

Respectful and courteous treatment. Youhavetherighttobetreatedwithrespect,dignityandcourtesyfromyourhealthplan’sprovidersandstaff.Youhavetherighttobefreefromretaliationorforceof any kind when making decisionsaboutyourcare.

Privacy and confidentiality. You havetherighttohaveaprivaterelationshipwith your provider and to have yourmedicalrecordkeptconfidential.Youalsohavetherighttoreceiveacopyof,amend,andrequestcorrectionstoyourmedicalrecord.Ifyouareaminor,youhavetherighttocertainservicesthatdonotneedyourparent’sokay.

Choice and involvement in your care. Youhave the right to receive informationaboutyourhealthplan,itsservices,itsdoctorsandotherproviders.YouhavetherighttochooseyourPrimaryCarePhysician (doctor) from the doctorsandclinicslistedinyourhealthplan’sprovider directory. You also have theright to get appointments within areasonableamountof time.Youhavethe right to talk with your doctorabout any care your doctor providesorrecommends,discussall treatmentoptions, and participate in makingdecisions about your care. You havethe right to a second opinion. Youhavetherighttotalkcandidlytoyourdoctoraboutappropriateormedicallynecessary treatment options for yourcondition, regardless of the cost orwhat your benefits are. You have aright to information about treatmentregardless of the cost or what yourbenefitsare.Youhavetherighttosay“no”totreatment.Youhavetheright

todecideinadvancehowyouwanttobe cared for in case you have a life-threateningillnessorinjury.

Receive timely customer service. Youhavetherighttowaitnomorethan10minutestospeaktoacustomerservicerepresentativeduringL.A.Care’snormalbusinesshours.

Voice your concerns. Youhavetherighttocomplain about L.A. Care, the healthplans and providers we work with, orthecareyougetwithout fearof losingyour benefits. L.A.Carewill help youwith the process. If you don’t agreewith a decision, you have the right toappeal,whichistoaskforareviewofthedecision.Youhavetherighttodisenrollfrom your health plan whenever youwant.AsaMedi-Calmember,youhavetherighttorequestaStateFairHearing.

Service outside of your health plan’s provider network. Youhave the right toreceiveemergencyorurgentservicesaswell as family planning and sexuallytransmitted disease services outside ofyour health plan’s network. You havetherighttoreceiveemergencytreatmentwheneverandwhereveryouneedit.

Service and information in your language. You have the right to request aninterpreteratnochargeandnotuseafamilymemberorafriendtointerpretforyou.YouhavetherighttogettheMember Handbookandotherinforma-tioninanotherlanguageorformat.

Know your rights. Youhavetherighttoreceive informationaboutyourrightsandresponsibilities.Youhavetherighttomakerecommendationsabouttheserightsandresponsibilities.

As a member of L.A. Care, you have the right to…



No need to strain your eyes to read the health plan information you get

from us. If the words are too small, call L.A. Care and ask for your member materials in large

print. We also offer them in Braille and on audio cassette or CD. To get information in a way you can read or understand,

call L.A. Care at 1-888-839-9909 or TTY 1-866-522-2731.

Do you have questions about your health plan or your benefits? Call your health plan directly or call L.A. Care Health Plan.

Important Phone Numbers

You Read This?

What is Managed Care?InL.A.County, thereare two typesofMedi-Cal: fee-for-service, alsocalledregularMedi-Cal,ormanagedcare.Yourbasicbenefitsstaythesamewithboth.Most peoplewho getMedi-Cal in L.A.Countymust join amanaged carehealthplan.Somecanstillchoosebetweenfee-for-serviceormanagedcare.

TheStateofCalifornianowrequiresmostpeopleonMedi-CalwhoaregettingSupplemental Security Income (SSI) or are over 65 to join amanaged carehealthplan.

Managed Care Medi-Cal Fee-for-Service Medi-CalYou chose a plan and a primary care physician (PCP). The health plan coordinates your care with your PCP, specialist, and hospital.

You have to find a PCP that accepts Medi-Cal and make all the arrangements on your own.

L.A.Careisamanagedcarehealthplan.AsamemberofL.A.Care,yougetextraservicessuchas:

• Freeadvicefromanurseatanytime• Helpmakinghealthcareappointments• FreeinterpreterstohelpyouduringofficevisitswithyourPCP• Materialsin10languagesandotherformatssuchaslargeprint,Braille,and

audio• Informationaboutdoctors’offices,suchaswheelchairaccessandelevators• Helpfulcustomerservice24hoursaday,7daysaweek

Forhelp,callL.A.CareHealthPlanat1-888-4LA-CARE(1-888-452-2273)ortheCaliforniaDepartmentofManagedCareServicesat1-888-466-2219.

Can

So You Know: We’ve Moved L.A. Care Health Plan’s head office has moved to a new address in Downtown Los Angeles:

L.A. Care Health Plan1055 West 7th Street, 10th FloorLos Angeles, CA 90017

All phone numbers are the same as before.

Member Services: 1-888-839-9909

Medi-Cal MembersAnthem Blue Cross1-888-285-7801

Care1st Health Plan 1-800-605-2556

Community Health Plan 1-800-475-5550

Kaiser Permanente 1-800-464-4000

L.A. Care Health Plan 1-888-839-9909

L.A. Care Health Plan Medicare Advantage (HMO SNP)1-888-522-1298

L.A. Care Healthy Families Program and Healthy Kids Members1-888-839-9909

L.A. Care Compliance Helpline1-800-400-4889

L.A. Care Family Resource CentersInglewood1-888-213-9374

Lynwood1-888-525-9693

Visit us online• Find a doctor, hospital or pharmacy

• Find out about your benefits

• Learn about health topics

• Register for L.A. Care events

These are just some of the things you can find on our Web site. Take a minute to visit www.lacare.org today!


Help Kids Learn EarlyLearningduringthefirstfewyearsoflifemakesachildreadytobeasuccessinschoolandlaterinlife.L.A.Care’sFamilyResourceCentershelpchildrenstartlearningatanearlyagebyofferingafreeearlyeducationprogramforallchildrenages0-5.

“Lap Read” Wednesdays,10:30-11:30a.m.LynwoodFamilyResourceCenter1-888-525-9693

“Reading Time”Tuesdays,10:30a.m.-noonInglewoodFamilyResourceCenter1-888-213-9374

The children get involved with reading, singing, numbers, arts and crafts. Aparentoradultfamilymembermuststaywiththechild.Theroomischeerfulandpleasant.Parentsareencouragedtohelptheirkidsathomesotheycanbereadyfortheirfirstdayinschool.Formoreclasses,callorseeourcalendarofeventsatwww.lacare.org.

What is a Formulary? L.A.Careusesalistofapprovedmedicinescalled a “formulary.” A committee ofdoctors andpharmacists review this listevery three months to add or removemedications from this list. They makesurethedrugsonthelistare:

• Approved by the U.S. Food andDrugAdministration(FDA)

• Generallyacceptedtobesafeandhelpful

• NottoocostlyYour doctor usually prescribes drugsfrom the formulary based on yourhealth status. Just because a drug ison the list does not mean a doctorwillprescribe it.Yourdoctormaynotbelieveyouneedit.Sometimes,yourdoctorwantsyoutotakeamedicinethatisnotontheformulary.Your doctormust call L.A. Care to getan okay for coverage.Within 24hours,L.A. Care will tell your doctor orpharmacistifitwillbecovered,andtheywillletyouknow,too.Ifthedrugisapproved,youcangetitatapharmacythatworkswithL.A.Care.Ifitisnotapproved,youhavetherighttoappeal.Anappealiswhenyouwanta decision to be reviewed. You cancontactL.A.Care’sMemberServicesat1-888-839-9909torequestanappeal.

When Somebody Cheats, Everybody LosesDidyouknowthateveryyeartheMedi-Calprogramlosesmillionsofdollarstofraudorabuse?Thisismoneythatcouldbeusedtohelppeoplelikeyouandyourfamilywhoneedhealthcareandcannotaffordtopayforit.

Weneedyourhelpinkeepingthismoneyavailableforthosewhoreallyneedit.Herearesomeexamplesoffraudandhowyoucanhelptostopit:

1. YourMedi-CalIDcardisforyouruseonly.Itcannotbeusedbyanyotherpersontogotoadoctor,pharmacy,orhospitalortogetotherhealthservices.IfyouletafriendorafamilymemberuseyourIDcard,youarebreakingthelaw.YoucouldloseyourMedi-Calcoverage,befined,ormaybeevengotojail.Thepersonusingyourcardcouldalsobefinedorgotojail.IfyouknowsomeonewholetsothersusetheirIDcard,pleasereportitbycallingoneofthenumberslistedbelow.

2. NevergiveyourIDcardnumbertoanyone.If someoneoffersyoumoneytogotoacertaindoctorortogivethemyourIDCardnumber,don’tdoit.Instead,reportit.

Whenyoureportanyofthesethings,youdonothavetogiveyourname.However,ifyoudo,itwillhelp.

Remember: When Somebody Cheats, Everybody Loses! HelpusbyreportingsuspectedfraudorabusebycallingtheL.A.CareComplianceHelplineat1-800-400-4889,ortheMedi-CalFraudHotlineat1-800-822-6222.


Protect yourself from the flu!It’s that time of year again. To stay healthy this flu season, ask your doctor about the flu shot. Remember that antibiotics don’t work against the flu. Protect yourself by getting a flu shot and washing your hands often.


You Can Ask for a Free Interpreter As an L.A. Care member, you can ask for a free interpreter to help you talk to your doctor in your language. This includes helping you when you talk on the phone and when you visit the doctor’s office.

L.A. Care interpreters speak many languages, including American Sign Language, so be sure to:

• Tell your doctor what language you prefer to speak and read.

• Ask for an interpreter when you schedule an appointment.

You can also ask for member materials in your language or in another format, such as audio cassette or CD, Braille, and large print. If you feel your language needs are not being met, you have the right to file a complaint with L.A. Care.

To find out more, ask your doctor or call L.A. Care at 1-888-839-9909. Help is available 24 hours a day, 7 days a week.

How Long Should You Wait for an Appointment?Needtoseeadoctor?Californialawhasstandardsfor appointment wait times. How long you waitmay depend on why you are visiting the doctor.HereareCalifornia’sguidelines:

• Urgent care:Lessthan48hours• Non-urgent primary care:Lessthan10businessdays• Specialty care:Lessthan15businessdays• Mental health (non-physician) care:Lessthan10businessdays• Ancillary care (such as lab work or home health): Lessthan15businessdays

Ifyouarenotsurewhatkindofcareyouneed,wantinformationaboutahealthissue,orneedtoknowwhattodoifyouneedcareandyourdoctor’sofficeisclosed,youcanreachyourplan’sNurseAdviceLinenumberlocatedonthebackofyourmemberIDcard.Whenyoucall,alicensednursecanhelpyoucareforyourselfathomeordirectyoutotheproperplacetogetthecareyouneed.

Andasalways,youcancontactL.A.Careforhelpat1-888-839-9909.Wheneveryoucallduringnormalbusinesshours(MondaythroughFriday,8a.m.to5p.m.),CalifornialawrequiresthatyouspeaktoaMemberServicesRepresentativewithin10minutes.

Partnerwithyourdoctortogetcarewhenyouneedit.BeawareofCalifornia’snewstandards.Keepyourdoctor’sappointments.Letyourdoctor’sofficeknowassoonaspossibleifyoucan’tmakeanappointment.

Are You Pregnant or a New Mom?

Get free messages and tips on your cell phone to help you through your pregnancy and your baby’s first year. To sign

up, text the word BABY to 511411. Enter your baby’s due date or birthday and your zip code. You may opt out at any time by texting STOP to 511411. Learn more at www.text4baby.org.

Stay Healthy All Year! Herearesomeofthebestwaystokeepyou feelinggreatnomatterwhat timeofyear:

• Seeyourdoctorforwellvisits• Takeyourmedicinetherightway• Get your immunizations (shots),

including an annual flu shot ifadvisedbyyourdoctor

L.A. Care’s new, easy to read guide“HowtoStayHealthy”helpsyouknowwhentogotothedoctor. Italsotellsyou what health tests and shots youneed. There isoneguide foryouandoneguideforyourchildren.

TheseguidesareonL.A.Care’sWebsite.• Visitwww.lacare.org

• ClickI Am A Member

• On the left, click Medi-Cal orHealthy FamiliesorHealthy Kids,then

• On the left, click HealthTopics,scrolldowntoStaying Healthy,

• Select“How to Keep Your Child or Teen Healthy” (pdf ) for yourchild;or

•Select “How to Keep Yourself Healthy” (pdf )foryou

Or go to www.lacare.org/members/medi-cal/healthtopics.YoucanalsocallL.A.Caretogettheseat1-888-839-9909.



New My Plate Food Guide The U.S. Department of Agriculturehas a new My Plate guide for eatinghealthy instead of the old foodpyramid.Itshowstheportionstoeatofvariousfoods.

Make half your plate fruits andvegetables.Makeatleasthalfyourgrainswholegrains.Switchtofat-freeorlow-fat(1%)milk.Compare sodium (salt) in foodslikesoup,bread,andfrozenmeals,and choose the foods with lowernumbers.Drinkwaterinsteadofsugarydrinks.

Learnmoreatwww.choosemyplate.gov.

What a Pain! Achesandpainsarenofun.Theyfollowyoualldayandcanpreventagoodnight’ssleep.Here are someways tomanageyourpain:

• Followtheadviceofyourdoctorandpharmacistfortakingpainpills.

• Trynottomissanydosesthatyourdoctorsaysshouldbetakenatsettimes.Ifyoumissadose,takeitassoonasyouremember,butdonottakemorethanonedoseatatime.

• Takepainpillsatbedtimetohelpyousleepandgetenoughrestbutnotjusttofallasleep.

• Learnboththegenericandbrandnames of each medicine youaretaking.

• Take other medications only ifprescribed by or discussed withyourdoctor.Someover-the-counter(OTC)drugsorherbalsupplementscanreactandcauseproblems.

• Acetaminophen (like Tylenol) isbestforsimpleshort-termpain.

• Askyourpharmacisttohelpyouread thedrug label and explainyourmedicine.

ALSO:

• Trytoloseweighttoreducestrainonthebody.

• Useiceand/orheatforjointpain.• Massageisalsogreat.• Avoid alcohol while taking pain

pills.• Giveyourdoctorandpharmacist

a complete list of all the drugs,herbs, and supplements you takebeforegettinganyprescription.

Word SearchHint: Check across, down, backward and on angles!

Sometimes it is hard to know what food labels really mean. Sugar comes in many forms. See if you can find these 7 other words for sugar.

• CORNSYRUP• FRUCTOSE• FRUITJUICE• HONEY• MALTSYRUP• MOLASSES• SUCROSE

Some other words for sugar are corn sweetener, dextrose, high-fructose corn syrup and xylose. For better health, try not to eat sugar every day.

P P M T E R W M G E

S U V O L O W U S Q

U R R K L N L O R H

C Y E Y N A T U O F

R S F R S C S N N G

O T M A U N E S N R

S L L R X Y R B E V

E A F C A R J O L S

H M C N X G J K C G

E C I U J T I U R F


Fall 2011

PRSRT STDU.S. POSTAGE

PAIDORANGE, CA

PERMIT NO. 646

www.lacare.org

Անվճար թարգմանչական ծառայություններ խնդրելու կամ այլլեզվով, խոշոր գրվածքով, ձայնագրությամբ կամ Բրայլի տպագրով տեղեկություն ստանալու համար, զանգահարեք L.A. Care ՝1-888-839-9909 կամ TTY 1-866-522-2731 հեռախոսահամարներով:

如果您需要免費口譯服務，或需要其他語言版本、大型字體、音訊或盲文版本的資訊請致電 L.A. Care的電話1-888-839-9909或 TTY 專用電話1-866-522-2731。

To request free interpreting services or for information in another language,large print, audio or Braille, call L.A. Care at 1-888-839-9909 or TTY 1-866-522-2731.

edImºIes~IsuMesvabkE¨bPasaeday²tKit«fÂ É sMrab’BtámanCaPasamYyep§geTot Gk§reVHBumõx~atFM sMeLg É Gk§rsMrab’mnus§xÃak’ sUmTUrs&Bæmk L.A Care elx 1-888-839-9909 É TTY 1-866-522-2731 .

무료 통역 또는 다른 언어나 큰 글씨, 음성녹음, 혹은 브라유 점자로 된 자료가 필요하신 분은 L.A. Care, 1-888-839-9909 혹은 TTY 1-866-522-2731로 전화 주십시오.

Чтобы запросить о предоставлении бесплатных услуг переводчика или о получении информации на другом языке, напечатанной крупным шрифтом, записанной в аудио формате или шрифтом Брайля, звоните в L.A. Care по телефону 1-888-839-9909 или по телетайпу TTY 1-866-522-2731.

Para solicitar servicios de interpretación o pedir información en otro idioma,letra grande, audio o Braille, llame a L.A. Care al 1-888-839-9909 o TTY 1-866-522-2731.

Upang humiling ng libreng serbisyo ng pagsasalin o para sa impormasyon sa ibang wika, malalaking titik, audio o Braille, tumawag sa L.A. Care sa1-888-839-9909 o TTY 1-866-522-2731.

Để yêu cầu dịch vụ thông dịch hoặc nhận tin tức bằng ngôn ngữ khác, bản in khổ lớn, băng âm thanh hoặc chữ nổi Braille, xin gọi L.A. Care tại số 1-888-839-9909 hoặc TTY 1-866-522-2731.

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Health or wellness or prevention information

©2011 L.A. Care Health Plan. All rights reserved.

Member News is a publication for members of L.A. Care Health Plan. Published two times a year by L.A. Care, Member News goes to members in Medi-Cal, L.A. Care Health Plan Medicare Advantage (HMO SNP), Healthy Kids and Healthy Families Programs.

If you want the information contained in this newsletter in another language or in large print, Braille, or audio (cassette or CD) call L.A. Care at 1-888-839-9909 or TTY 1-866-LA-CARE1 (1-866-522-2731).

IN THIS ISSUE:Know Your Rights and Responsibilities | pg.3

What is Managed Care? | pg.4

How Long Should You Wait for an Appointment? | pg.6

october is breast cancer awareness month be in the know ... · some risk factors for getting breast...

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