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We Are Here to Serve Everyone – Seek Health Care When You Need It

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The Charles B. Wang Community Health Center has been serving the Asian American community for more than 45 years. We want our patients and community members to know that they should not be afraid to visit their doctors. We will do our best to make sure that you have good health care, and care for you with respect and compassion.  We will never release your personal information unless we have your written approval or we are required to do so by law. Our staff is trained to keep your information private and confidential. We will not turn you away because you do not speak English, do not have a social security number, or do not have health insurance.

The Charles B. Wang Community Health Center is here to serve all New Yorkers regardless of your immigration history or ability to pay. We believe that health care is a basic right and everyone should receive care when they are in need.

Our health centers in Lower Manhattan and in Flushing, Queens are open seven days a week. Our doctors, nurses and staff care about you.  Many of them are immigrants or children of immigrants.  We speak Chinese, Korean and Vietnamese and will provide translation in other languages to make sure that we understand  your needs.  You have a right to interpretation at no cost to you.

There are other services in New York City to help you if you need health care.  These services are available to everyone:

  • Emergency room care.
  • Public and safety net hospitals (NYC HHC hospitals).
  • Public health services such as immunizations, mental health, screening and treatment for communicable diseases such as HIV, STD and tuberculosis.
  • Programs providing health services necessary to protect life and safety such as emergency medical, food or shelter, domestic violence, crime victim assistance, disaster relief.
  • Emergency Medicaid including labor and delivery for pregnancy.
  • Charity care at hospitals and sliding fee scale services at community health centers.
  • Children’s Health Insurance Program (CHIP) coverage for children and youth.

Many services do not cost a lot of money. To learn more, please call 311 which provides information about New York City government services.  You can also ask one of our social workers.  Our staff are available to answer any questions you have and help you find the services that meet your needs.

We want to help everyone in the community to live the healthiest life possible.

Learn more about the Charles B. Wang Community Health Center at http://www.cbwchc.org.


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Immigrants are America’s Past, Present, and Future

CYCWritten by Jane Eng, CEO

I grew up in an immigrant family.  My parents operated a hand laundry in Poughkeepsie, New York.  Sadly, my father passed away when I was in high school.  My mother was left with the responsibility to raise four children.  Despite the challenging circumstances, she made sure that all of her children went to college and beyond.  Today, my siblings and I are contributing members of our communities.

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Jane Eng’s brother in front of Eng’s Hand Laundry.

My family’s immigration history is not unique.  People from around the world have come to this country seeking freedoms and opportunities woven into the American dream.  The first generation works hard, and many make great sacrifices to secure a better future for their children.  In doing so, immigrants contribute to the rich diversity of cultures, backgrounds, skills and experiences that makes this nation great.

In New York City, immigrants have helped revitalize neighborhoods such as Coney Island, Jackson Heights, Flushing and Sunset Park, and account for about $250 billion of economic activity annually.  About 20% of Fortune 500 companies in the United States are founded by immigrants.  Many of these firms have a strong presence in this city.

Immigrants are also playing an important role in helping New York meet its healthcare workforce gaps.  One in three physicians in New York graduated from a foreign medical school, a sign that they were born outside the United States.

Immigrants are bringing vibrancy to the cultural life of this city through food, songs, dance, music, and other performing arts.  Their economic and cultural contributions have made New York a truly international city.

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Jane Eng with her mother and brother inside Eng’s Hand Laundry.

Today, I am proud to give back to immigrant communities by working at the Charles B. Wang Community Health Center.  The Health Center provides high quality primary health care to all patients regardless of language, culture, age, disability, gender, sexual orientation, immigration history, or ability to pay.  More than 85% of our patients prefer to be served in a language other than English.  I truly believe that the Health Center’s success is due to our staff’s unwavering commitment to excellence and our ability to deliver linguistically accessible and culturally effective services.

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2016 Grand Opening of CBWCHC 45th Ave site in Flushing, Queens. CEO Jane Eng is 8th from left.

The Charles B. Wang Community Health Center has served a vital role in meeting the health care needs of Asian Americans and other immigrant communities for more than 45 years.  My hope is that we will continue to be a vital force in building healthy immigrant communities for many more decades to come.

Written by Jane T. Eng, Esq. Jane Eng is the chief executive officer of the Charles B. Wang Community Health Center. A graduate of Harvard Law School, Jane has been involved with the Health Center since 1975. She is a board member of the Association of Asian Pacific Community Health Organizations (AAPCHO) and Community Health Care Association of New York State (CHCANYS).


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Talk to Your Doctor about Colorectal Cancer

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Colorectal cancer affects men and women equally, regardless of race and ethnicity. It is most often found in people who are 50 years old or older. However, there is an increasing rate of colorectal cancer in those who are under 50, because of physical inactivity and an unhealthy diet. It is important for younger adults to start paying attention to their colorectal health.

According to Dr. Robert Andrew Heyding, a physician at the Charles B. Wang Community Health Center, “Colorectal cancer causes almost one out of every ten cancer deaths in the United States. Fortunately it can be prevented. You can lower your risk by choosing healthy habits and getting regular screening”.

It’s never too early to start living healthy. Here are some good health habits to lower the risk of developing colorectal cancer:

  • Do not smoke – quit smoking and try avoid second hand smoke. Talk to your doctor about smoking cessation resources. Charles B. Wang Community Health Center has bilingual quit smoking resources, you can view those here.
  • Reduce alcoholic drinks – limit to one drink a day or less.
  • Eat a healthy diet – limit high fat or sugary foods, preserved foods, and red meat. Add more fruits and vegetables to your plate.
  • Exercise regularly – walk, jog, swim, or dance. Strive to be active for at least 30 minutes a day, 5 days a week.
  • Keep a healthy weight – talk to your family doctor about what is a healthy weight for you.

Other than having healthy habits, getting screened is very important to prevent cancer. When detected early, there are more treatment options and fewer complications. The most commonly used screening methods include:

  • A Fecal Occult Blood Test (FBOT) checks for blood in stool. Blood in stool may indicate presence of diseases and a colonoscopy may be needed for a diagnosis.
  • A colonoscopy is a thin, flexible tube with a small camera and light on the end is used to examine the colon. It may also have a tool to remove abnormal tissue to be checked under a microscope for signs of disease.

In general, it is recommended that men and women of average risk levels begin screening at age 50. However, some individuals may need to begin screening earlier, such as those who have family or personal history of colorectal cancer or chronic colorectal diseases, and those who are experiencing symptoms of colorectal diseases, such as persistent abdominal pain or changes in bowel habits for at least two weeks.

Discuss with your primary care doctor about when to start screening, which screening method to use, and how often you should get screened. Also speak to your doctor regarding your risk factors or anything unusual in your body. You can make an appointment to see a primary care provider here at Charles B. Wang Community Health Center by calling (212) 379-6998 for Manhattan, and (718) 886-1200 (37th Ave) or (929) 362-3006 (45th Ave) for Queens.


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Repeal of the Affordable Care Act and Impact on Our Patients

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The Charles B. Wang Community Health Center knows firsthand that this country has come a long way in in expanding health insurance coverage for millions of uninsured Americans. About 20 million Americans have gained health insurance as a result of the Affordable Care Act (Obamacare) since it became law in 2010. Congress is now vowing to repeal the Affordable Care Act, which puts this advancement in danger if an appropriate replacement is not in place.

Lanying Lee was one of the first people we assisted to enroll for health insurance through the New York State of Health exchange in 2013. The exchange was set up by New York State to meet the requirements of Obamacare and help consumers shop for health insurance and apply for government subsidies.

Lanying is a petite Chinese woman who lives in Flushing, Queens with her small family. She had been a manicurist in New York City for ten years. Her husband owns a small shop that sharpens tools used in nail salons and does odd part-time work for added income. While their modest income made them ineligible for government funded health insurance, they did not earn enough to pay the high cost of private health insurance. “I read about Obamacare,” says Lee. “We were hearing a lot about it. I thought, ‘I need this.’”

According to the Department of Health and Mental Hygiene, two in ten Asian American residents of New York City were uninsured prior to the implementation of the New York State of Health initiative under the Affordable Care Act. For Lanying Lee, Obamacare could not have arrived soon enough. “We did not have health insurance for three years. We are getting older, and we want to take care of our health. We have specialist doctors to go to and general check-ups that we should have regularly. We were not going to the doctors because we could not pay. Having insurance has made such a difference for us. We are going to the doctors on schedule, and we are staying healthy. Obamacare is what we needed. It has been a bumpy ride to enroll, but it was worth it. We are very happy.”

Since the NY State of Health exchange was implemented, the percentage of uninsured New Yorkers was reduced by half. Having health insurance means that patients are able to maintain regular check-ups and preventative care, where they otherwise might forgo care or resort to going to an emergency room.  Many plans under the Obamacare provide free preventative care and well-woman visits, and reduced costs on prescription drugs.

On January 4th, 2017, NY Governor Cuomo stated his concern for the repeal of the Affordable Care Act without a replacement in place. The repeal of the Affordable Care Act may result in over 2.7 million New Yorkers losing their health coverage.  “Since its implementation, the Affordable Care Act has become a powerful tool to lower the cost of health insurance for local governments and New Yorkers, and it is essential that the federal government does not jeopardize the health and livelihoods of millions of working families,” Governor Cuomo said.

We believe that patients like Lanying Lee may suffer great harm if they lose their health insurance. We implore our members of congress to not repeal the Affordable Care Act without a replacement in place.

*Name of client has been changed

Read our thoughts on the Repeal of the Affordable Care Act and Impact on Community Health Centers


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Recycle the Old and Welcome the New – Happy Lunar New Year!

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Written by Larissa Ho, GrowNYC Recycling Outreach Coordinator

Many Chinese families will begin sweeping the floors and clearing the house of old items a week before Lunar New Year. Known as, “年廿八,洗邋遢 ” or Spring Cleaning, this custom is symbolic for getting rid of bad luck that happened in the previous year, and making room for good luck in the New Year. While it is common and easy to put things in the trash bin, consider recycling and repurposing old items as you clean. Recycling not only protects the environment, but also transforms old items into new items, and reduces the amount of materials (trees, oil, etc.) needed to make those new things. Make Lunar New Year extra special by cleaning your home and your Earth in an eco-friendly way.

Here are seven common items that you can recycle and repurpose for the New Year:

Clothes and Jackets

Need more space in your closet? Consider donating your clothes and jackets to those in need of one. Organizations like Bowery Mission takes gently worn clothes (including socks and gloves) and coats for the homeless. You can also recycle your old clothes, bags, belts, and paired shoes by bringing them to certain GrowNYC Greenmarkets, which accept these items to be sorted for reuse or recycling. Usable clothes will be distributed to local and international second-hand markets while clothes not fit for reuse will be recycled as wiping rags or shredded and repurposed for insulation and other uses. By recycling unwanted clothes you help prevent sending unnecessary waste to landfills.

Electronics

If you have old phones lying around, take them back to any mobile service provider to recycle. They are required to accept cell phones at no cost. Other electronics (computers and TVs) can be dropped off at collection events organized by the Lower East Side Ecology Center.  Since e-waste is highly toxic to the environment, it is banned from curbside disposal.  Learn how to avoid fines and dispose of electronics responsibly at NYC Zero Waste.

Plastic Bags

Have mounds of plastic bags at home? You can save space by shopping with a reusable bag. Be mindful about your use of disposal plastic bags, which cannot be recycled at home. Clean plastic bags can be returned to large supermarkets and other select stores.

Toothbrushes, Brooms, and Mops

After all the cleaning, treat yourselves to new toothbrushes and cleaning tools! You can recycle the old ones in the metal, glass, and plastic recycling bin (usually blue bin or has blue label) if they are mainly plastic.

Party Utensils, Trays, and Plastic Food Containers

After the Lunar New Year potluck has finished, separate and recycle party utensils, trays and food containers! The majority of the items such as aluminum trays, aluminum foil, plastic utensils, and rigid plastic food containers go into the metal, glass, and plastic recycling bin (usually blue bin or has a blue label). Be sure to empty and rinse food containers before recycling.

Bottles and Cans

When you have finished with the celebratory drinks, recycle plastic bottles, glass bottles and cans in the metal, glass, and plastic recycling bin (usually blue bin or has blue label). Be sure to empty and rinse containers before recycling.

Red Envelopes, Calendars, and Lucky Signage

You can also recycle red envelopes, greeting signs and old calendars. Simply put them in the paper and cardboard bin (usually green bin or has green label). Other paper materials include magazines, wrapping paper, paper egg cartons, cardboard boxes and clean paper cups.

As a New Year is soon approaching, start fresh by tidying up in eco-friendly and responsible ways. Happy Cleaning and Happy Lunar New Year!

For more information on what you can recycle, type your item under “How to Get Rid Of…” section in the NYC Department of Sanitation website: http://www.nyc.gov/zerowaste

 

Larissa Ho is a Recycling Outreach Coordinator at GrowNYC, where she provides education and resources to NYC residents on how to recycle. She is passionate about sustainability and taking care of the environment. She formerly worked as a Teen Health Educator with the Charles B. Wang Community Health Center.

GrowNYC’s zero waste programs are funded by the NYC Department of Sanitation. 

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Protect Yourself from the Silent Killer – Ovarian Cancer

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Ovarian cancer can happen in one or both of a woman’s ovaries.  It is also known as the “silent killer” because it usually does not cause substantial signs or symptoms until it is too late. Although rare, ovarian cancer causes more deaths than any other cancer of the female reproductive system since it is usually diagnosed at a late stage.

There is currently no recommended screening test to detect ovarian cancer in women of average risk level. Nevertheless, there are things we can do to protect ourselves from this silent killer.

Know your risks.

Age is a common risk factor for all cancers. Most cases of ovarian cancer happen in women after menopause.  Several other factors can also increase a woman’s risk for the cancer:

  • Family history of ovarian cancer and breast cancer
  • Genetic mutation (abnormality) related to ovarian cancer/breast cancer/colon cancer/uterine cancer
  • Personal history of breast,colorectal (colon), or cervical cancer, or
  • Obesity
  • Having never given birth or have had trouble getting pregnant.
  • Endometriosis (a condition where tissue from the lining of the uterus grows elsewhere in the body).
  • Hormone replacement therapy

Pay attention to the changes in your body.

Many symptoms of ovarian cancer can also be caused by other less serious conditions. “If you have any of these symptoms almost daily for more than a few weeks, and they can’t be explained by other more common conditions, talk to your doctor right away,” said Dr. Gail Bauchman, Family Medicine Physician at the OB/GYN department of the Charles B. Wang Community Health Center:

  • Bloating or abdominal swelling
  • Abdominal or pelvic pain
  • Back pain
  • Changes in menstrual pattern
  • Pain during sexual intercourse
  • Increase urinary urgency and frequency
  • Feeling full quickly during meals
  • Indigestion or constipation

Take preventive measures.

Although routine screening of ovarian cancer is not recommended for the general public, diagnostic tests are available for women who are experiencing symptoms of ovarian cancer or those who are at a higher risk. Inform your doctor if you have any of the risk factors mentioned above.

Several lifestyle factors have been shown to reduce the risk of ovarian cancer including

  • Maintaining a healthy weight
  • Using birth control pills – the longer the use the greater the risk reduction
  • Breastfeeding
  • Some at higher risk women have chosen to have their fallopian tubes tied and ovaries removed after they are done having children

Regardless of your risk level, see a gynecologist for routine check ups. Talk to your doctor about any abnormal changes you have experienced and what preventive measures are suitable for you. You can make an appointment at our OB/GYN Department by calling (212) 966-0228 for Manhattan or (718) 886-1287 for Queens, or by visiting our OB/GYN webpage.

This post is made possible with funding from the NYC Council.


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How to Have a Happy Holiday Without Stress or Smoke

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Holidays are supposed to be an enjoyable time when family and friends gather together with food and drinks, but it can also be stressful as people rush from place to place. A cigarette can sound like the perfect way to de-stress, especially during a busy holiday season, but cessation coaches at the Asian Smokers’ Quitline have tips and encouragement for people attempting to quit, or want to stay quit through the season.

“Holidays are fun but they can also be stressful, so it’s important to be aware of triggers and to get extra support,” said Dr. Caroline Chen, project manager of the Asian Smokers’ Quitline. “Let family and friends know that you’re trying to quit, and ask for their support in helping you lead a healthier life.”

Here are some other general tips from cessation coaches on ways to avoid triggers and stay quit during the holidays:

  1. In the midst of holiday busyness, get adequate rest.
  2. Avoid spicy and sugary foods, and alcohol. Holidays are often all about the eating and feasting, but avoid foods that will make you crave cigarettes even more. Eat fruit or less sugary dessert on the menu. As for alcohol, put it away, and instead, reach for a sugar-free seltzer, club soda, or apple cider.
  3. If weather allows, go for a walk. To prevent taking up a new bad habit such as eating whatever you can find to avoid having a cigarette, stay active and exercise.
  4. Spend time with non-smokers. If all your friends are smokers, it may be time to make some new friends. Keep some distance from smokers, and create a community of people who are ex-smokers or non-smokers to help you keep busy and away from smoking.
  5. Having a supportive community is important on this journey. Call the Quitline! Call the Asian Smokers’ Quitline, a free nationwide telephone program for Chinese-, Korean-, and Vietnamese-speakers who want to quit. When you call, a friendly staff person will offer various services: self-help materials, a referral list of other programs, one-on-one counseling over the phone, and a free two-week starter kit of nicotine patches.
  6. Lastly, don’t give up on quitting. You can do it!

About the Asian Smokers’ Quitline:

The Asia Smokers’ Quitline (ASQ) provides FREE, accessible, evidence-based smoking cessation services in Cantonese, Mandarin, Korean and Vietnamese to Asian communities in the U.S. ASQ has been shown to double their chances of quitting successfully. Services are provided by native speakers trained in smoking cessation. Eligible callers receive a free two-week starter kit of nicotine patches.

Health care providers and others in the community are encouraged to refer Asian language speaking smokers to ASQ. To learn more about referring, email asq@ucsd.edu or see the web referral link at www.asiansmokersquitline.org. Smokers can also call ASQ directly or enroll themselves online at www.asq-chinese.org, www.asq-korean.org, or www.asq-viet.org.

ASQ is funded by the U.S. Centers of Disease Control and Prevention (CDC), and has served over 8,000 callers since it was established in 2012.

ASQ is open Monday through Friday, 7am to 9pm Pacific Time

Asian Smokers’ Quitline
1-800-838-8917 (Chinese)
1-800-556-5564 (Korean)
1-800-778-8440 (Vietnamese)

To learn more about ASQ (in English), visit: www.asiansmokersquitline.org.

At the Health Center, we can help patients quit or cut back on smoking.

Charles B. Wang Community Health Center
(212) 966-0461

This post was created by the Asian Smokers’ Quitline (ASQ) of University of California, San Diego