MEDICAL PROVIDERS Kaitlyn Bailey PA-C Family Medicine Read More Christopher Diamond MD Family Medicine Read More William J Kassler MD, MPH Internal Medicine, Public Health Read More Karen Mather PA - C Family Medicine Read More Gavin Muir MD Family Practice Read More Kristin Schmidt PA - C Family Medicine Read More Elizabeth Chang MSN, FNP-BC Family Medicine Read More Barry Alan Frank DPM Podiatry Read More Elizabeth Keane MD Pediatrics Read More Igbal Mohamed PA - C Family Medicine Read More Jeremy Olsson MS, FNP - C Nurse Practitioner Read More Amy Siemanowicz APRN Nurse Practitioner Read More Katherine Cherna-Kelleher RN, MSN, FNP - C Family Medicine Read More Katherine-Starr Goodwin PA Family Practice Read More Peter Kiprop MD Family Practice Read More Jessica Montemayor PA - C Family Medicine Read More Jillian Peabody OD Optometrist Read More Mary Cullen DO Family Practice Read More Nicolle Hyder FNP - C Nurse Practitioner Read More Kristin Logan PNP - BC Pediatrics Read More Maurene Mugariri APRN-BC Family Practice Read More Michelle Rey MSN, APRN, FNP-C, FNP-BC Family Medicine Read More

Explore valuable resources for parents and caregivers at Amoskeag Health. Find tools, support, and information to help you manage caregiving responsibilities and enhance the well-being of your family. LAUNCH Linking Actions for Unmet Needs in Children’s Health What is LAUNCH? LAUNCH is designed to connect you with resources and services to help support your child’s growth and development. This program is offered at no charge to all Amoskeag Health patients with children 0-8 years of age. LAUNCH is a clinic-based program, which means our "LAUNCH Navigators" work directly with parents and caregivers to discover and navigate local resources for childcare assistance, food access, housing assistance, and more. We provide referrals and set up ongoing support to make sure you have everything you need. Just a Few of the Many Reasons You Might Enroll in LAUNCH... 1 You want to access resources that are available to you and your family You have children 0 - 8 years of age 2 3 You are new to the community You want to connect with other families in Greater Manchester 4 No matter the reason, if you're seeking connection and support as a caregiver of children eight years old and under, we're here for you. Interested in more information? Email CommunityInitiatives@AmoskeagHealth.org ABOUT OUR ADDITIONAL PROGRAMS Ready, Set, LAUNCH! Our Ready Set LAUNCH program is for newborns and their families who live in Manchester and give birth at Elliot Hospital. Newborns and their families are eligible for this one-time home-visiting service! Learn More Free Developmental Screenings Completing the development screenings during your child's first year of life helps you understand your child's milestones, learn what they are focused on and what skills you will see developing soon. Screening can be completed in 30 minutes. Results over the phone or in person. Activity ideas provided to support your child's development. Want to learn more about helping your child reach age-appropriate milestones? Contact Amoskeag Health Navigators at (603)851-6845 to learn more and to schedule your child's first screening. ABOUT OUR COMMUNITY IMPACT Early Childhood Region 4 The Early Childhood Region 4 is led by the LAUNCH Region 4 Leadership Team who helps support initiatives addressing early childhood in Greater Manchester and Greater Derry. The team contributes to the development of a statewide comprehensive, coordinated, and sustainable early childhood system that prepares children for kindergarten and academic achievement; fosters safe, healthy, and engaged families; and promotes social and emotional health and well-being. Learn More About Region 4 Strategic Plan Manchester LAUNCH Family Wellness Collaborative (LFWC) To provide primary prevention events, the Manchester LAUNCH Family Wellness Collaborative (LFWC) brings together a multi-sector coalition of partners. LFWC partners promote cross-sector collaboration and communication to improve family wellness and resiliency. Manchester LFWC attends community-based events with information on child development, community resources, programs, and information in collaboration with partners The Early Learning Collaborative Early Learning Collaboratives offer a space for childcare centers and family-based center directors to convene. These collaborations offer chances to: Participate in monthly meetings for programs in Region 4 to support and discuss current trends related to childcare in NH. Learn about new resources for programs and children in their region. Receive support from likeminded individuals to discuss the challenges that early childhood development programs face. Interested in learning more about our programs or getting involved with our community impact? Email CommunityInitiatives@AmoskeagHealth.org

Join Amoskeag Health's Morning Matters 2026, an annual breakfast fundraiser supporting the Dr. Selma Deitch Center for Children & Teens. Learn more about our event, aimed at raising funds to benefit our youngest patients. 19th ANNUAL MORNING MATTERS Morning Matters is our annual breakfast fundraiser benefiting the operations of the Dr. Selma Deitch Center for Children & Teens. Please join us for an informative and uplifting morning as we celebrate and honor more than three decades of providing quality, patient-centered care and supportive services to children across the community. What is Morning Matters? Wednesday, June 3, 2026 7:30 - 8:45 AM The Derryfield, 625 Mammoth Road, Manchester, NH 7:00 – 7:30 AM: Registration, coffee, networking 7:30 – 8:45 AM: Program Register Here Event Details 2026 PROGRAM SPONSORS John Sigel and Sally Reid Elliot Health System NH Healthy Families Sarah and Rich Sigel WellSense Health Plan 2026 ADVOCATE SPONSORS Associated Grocers of New England BerryDunn Community College System of New Hampshire Granite State Credit Union Harvey Construction Corporation Lindner Dental Manchester Community College Northeast Delta Dental Primary Bank Sheehan Phinney Solvere Health 2026 TABLE SPONSORS THANK YOU to ALL 2026 Sponsors whose generosity makes health care accessible for ALL CHILDREN

By: Laura Fry, MD January is Cervical Cancer Awareness Month! Many of you know me as the “queen of everything cervical,” so with that title, let’s dive into some information that might help all of us work together to prevent and treat this disease. Why Does Cervical Cancer Awareness Matter? Cervical cancer is a type of cancer that begins in the cells of the cervix, which is the lower part of the uterus that connects to the vagina. On a global scale, cervical cancer is the fourth most common cancer in women, with 604,000 new cases leading to 342,000 deaths annually. However, cervical cancer affects people around the world very differently. In 2020, almost 90% of the deaths occurred in countries with lower incomes due to delays in getting vaccines, screenings, and treatment. In the United States, there are about 11,500 new cervical cancer cases per year and 4,000 deaths linked to this cancer. Cervical cancer usually develops slowly over many years. Early signs of cervical cancer include abnormal changes in the cells of the cervix, which is not noticeable from the outside. However, these changes can be detected through tests at your doctor’s office. If abnormal cells are left untreated, they can progress to become cancerous. So, it’s important to be seen regularly by someone like me! What Causes Cervical Cancer? Nearly 100% of cervical cancer cases are caused by the Human Papilloma Virus (HPV), mostly through sexual intercourse. HPV has many subtypes, and over 11 of them are considered “high risk” types. Globally, about 40% of women were unaware that HPV causes most cervical cancers. Can Cervical Cancer Be Prevented? YES! Primary prevention (preventing a disease before it occurs) can be done through HPV vaccines. These vaccines are given in the US to girls and boys preferably before the age of 15. Two doses are recommended. Secondary Prevention (identifying disease at its earlies stages) is done through a pap test and HPV testing. Testing should start at age 21 and be done every three years, with HPV added at age 30 and repeated every 5 years for women who do not test positive. Paps and HPV testing can detect pre-cancerous conditions, which can often be treated easily and can prevent progression to invasive cervical cancer. WHO’s Global Efforts to Reduce Cervical Cancer There is a global campaign from the World Health Organization (WHO) called “90-70-90” by the year 2030. This campaign has three goals: 90% of girls worldwide will be vaccinated against HPV by age 15. 70% of women will have been screened by a high-quality screening method at age 35 and 45. 90% of women with invasive or pre-invasive disease will receive treatment. Now, What Can You Do to Protect Yourself and Your Family from Cervical Cancer? If you have not been vaccinated and are below the age of 24 – GET IT DONE! There are some situations in which you can be vaccinated later than age 24. Talk to your provider at your next appointment about your options. Make sure your children are vaccinated. There are lots of parents who don’t think it’s needed, or they think that giving the vaccine will give their children permission to start having sex younger. This has been proven NOT to be the case! Get screening done for yourself if you’re assigned female at birth. Talk to any of the providers or nurses here at Amoskeag Health if you have questions. Spread the news and help us dispel myths and misinformation about vaccines, screenings, and treatment. Think about it this way: we have a cancer that is very effectively prevented through a vaccine! How cool is that? Let’s eliminate cancer one cervix at a time! If you’re interested in the HPV vaccine or are overdue for a screening, we can help! To schedule an appointment with an Amoskeag Health provider, please call 603-626-9500.

By: Katherine-Starr Goodwin Managing blood sugar levels is very important for overall health, especially for those with diabetes. The Glycemic Index (GI) is a valuable tool that helps us choose foods wisely to keep blood sugar stable. Here’s how you can use the Glycemic Index, along with portion control, to make healthier choices. What is the Glycemic Index (GI)? The Glycemic Index ranks foods based on how quickly they raise blood sugar levels. Foods with a high GI (70 or more) cause a rapid spike in blood sugar, while those with a low GI (55 or less) cause a slower, more gradual rise. Using the Glycemic Index to Make Better Choices: Green (Go): Choose low GI foods (55 or less) most often. These include items like whole grains, legumes, and many fruits. See a list of low Glycemic Index foods here. Yellow (Caution): Moderate GI foods (56 to 69) should be eaten less frequently. These include some fruits, whole wheat products, and couscous. See a list of moderate Glycemic Index foods here. Red (Stop and think): High GI foods (70 or more) should be limited. These include white bread, sugary cereals, and some types of potatoes. See a list of high Glycemic Index foods here. By opting for more foods with a lower GI, you can help manage blood sugar levels more effectively, reducing the risk of complications from diabetes and promoting better weight management. Portion Control and Diabetes Management Watching portion sizes can help manage diabetes. We suggest a balanced approach to portioning meals: Fill half your plate with vegetables and fruits: Choose more vegetables than fruits, as most vegetables have less sugar. This helps control calorie intake and provides essential nutrients. Divide the other half of your plate: Distribute this portion between protein-rich foods and whole grains. Examples include lean meats, fish, beans, whole wheat pasta, and brown rice. Combining GI and Portion Control Understanding the Glycemic Index and practicing portion control can significantly impact your health outcomes, particularly if you have diabetes or are aiming for better overall well-being. By choosing low GI foods and controlling portion sizes, you can better manage blood sugar levels, support weight loss efforts, and improve your overall health. Remember, consult with a healthcare professional or Registered Dietitian to tailor these principles to your individual needs and health goals. Each small step towards healthier eating habits contributes to a more balanced and fulfilling lifestyle. Low Glycemic Index (55 or less) Foods. Choose these most often! Grains and Starches Breads: Heavy Mixed Grain Breads Spelt Bread Sourdough Bread Tortilla (Whole Grain) Cereal: All-Bran™ Cereal Oat Bran Oats (Steel Cut) Grains: Barley Bulgur Mung Bean Noodles Pasta (Al Dente, Firm) Pulse Flours Quinoa Rice (Converted, Parboiled) Other: Peas* Popcorn Sweet Potato* Winter Squash* *Most starchy/sweet vegetables (e.g. peas, parsnip, winter squash) provide 15 g or more carbohydrate per 1 cup serving Fruits Apple Apricot (Fresh, Dried) Banana (Green, Unripe) Berries Cantaloupe Grapefruit Honeydew Melon Mango Orange Peach Pear Plum Pomegranate Prunes Milk and Milk Alternatives Almond Milk Cow Milk (Skim, 1%, 2%, Whole) Frozen Yogurt (An occasional food) Greek Yogurt Soy Milk Yogurt (Skim, 1%, 2%, Whole) * Milk, alternatives, and other beverages listed include flavored (e.g. chocolate), sweetened and unsweetened varieties Meat and Alternatives Baked Beans Chickpeas Kidney Beans Lentils Mung Beans Romano Beans Soybeans/Edamame Split Peas * Poultry and fish do not have a GI because they do not contain carbohydrates Moderate Glycemic Index (56 to 69) Foods. Choose LESS often! Grains and Starches Breads: Chapati (White, Whole Wheat) Flaxseed/Linseed Bread Pita Bread (White, Whole Wheat) Pumpernickel Bread Roti (White, Whole Wheat) Rye Bread (Light, Dark, Whole Grain) Stone Ground Whole Wheat Bread Whole Grain Wheat Bread Cereal: Cream of Wheat™ (Regular) Oats (Instant) Oats (Large Flake) Oats (Quick) Grains: Basmati Rice Brown Rice Cornmeal Couscous (Regular, Whole Wheat) Rice Noodles White Rice (Short, Long Grain) Wild Rice Other: Beets Corn French Fries (An occasional food) Parsnip Potato (Red, White, Cooled) Rye Crisp Crackers Fruits Banana (Ripe, Yellow) Cherries (Bottled) Cherries (Fresh) Cranberries (Dried) Figs (Fresh, Dried) Grapes Kiwi Lychee Pineapple Raisins Meat and Alternatives Lentil Soup (ready-made) Split Pea Soup (ready-made) *Poultry and fish do not have a GI because they do not contain carbohydrates High Glycemic Index (70 or more) Foods. Choose LEAST often! Grains and Starches Breads: Bread (White, Whole Wheat) Naan (White, Whole Wheat) Cereal: All-Bran Flakes™ Cereal Corn Flakes™ Cereal Cream of Wheat™ (Instant) Puffed Wheat Cereal Rice Krispies™ Cereal Special K™ Cereal Grains: Jasmine Rice Millet Sticky Rice White Rice (Instant) Other: Carrots Potato (Instant Mashed) Potato (Red, White, Hot) Pretzels Rice Cakes Soda Crackers Fruits Banana (Brown, Overripe) Watermelon Milk and Milk Alternatives Rice Milk *Milk, alternatives, and other beverages listed include flavored (e.g. chocolate), sweetened and unsweetened varieties Want to learn more to help manage your blood sugar and feel your best? Schedule an appointment with an Amoskeag Health provider today by calling 603-626-9500.

Colorectal cancer is the second most common cancer that affects both men and women. With routine screening and early detection, we are able to significantly reduce the risk that you might develop colorectal cancer in the future. New Recommendations for Screening New guidelines recommend starting colorectal cancer screening at 45 years old. If you’re 45 or older and have not been screened or referred for screening, talk to your healthcare provider about one of several screening options. Screening Options There are several screening tests available, a couple of which are painless and non-invasive. Depending on your insurance status, family history or other risk factors, one of these tests may be appropriate for you. Fecal Immunochemical Test (FIT): Collect a stool sample at home and it will be evaluated for blood which could be indicative of cancer. This test is good for a year. Cologuard® Multi-Targeted Stool DNA Test: Collect a stool sample at home to check for cancer-related DNA changes and blood. This test is good for three years. Colonoscopy: A gastroenterologist uses a camera to examine the colon and rectum for polyps and cancer and is able to biopsy any polyps or changes that are found during the procedure. If normal, this may be sufficient for ten years. Symptoms to Watch For Be aware of these potential symptoms of colorectal cancer: Unexplained abdominal pains Blood in your stool Changes in bowel habits Unexplained weight loss If you are currently experiencing any of these symptoms, please contact your healthcare provider immediately. Don’t Wait for Symptoms Don’t wait for symptoms before getting screened. By the time symptoms appear, cancer may be more advanced and harder to treat. Routine screening can catch problems early, potentially preventing cancer and if found it may be more treatable. Take Action Don't wait, get screened! Is it time to schedule your colorectal screening? Schedule an appointment with an Amoskeag Health provider by calling 603-626-9500.