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Dr. Thomas P. Olenginski, MD, Rheumatologist
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Dr. Thomas P. Olenginski, MD

Rheumatologist | Rheumatology

3/5(4)
100 N Academy Ave Danville PA, 17822
Rating

3/5

About

Dr. Thomas Olenginski is a rheumatologist practicing in Danville, PA. Dr. Olenginski specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Olenginski treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.

Education and Training

Penn State University BS Pre-Medicine 1980

Pa State Univ Coll Of Med- Hershey Pa 1984

Penn State

Pennsylvania State University College of Medicine 1984

Board Certification

American Board of Internal Medicine

Rheumatology (Internal Medicine)

ISCD-certified clinical densitometrist

Internal MedicineAmerican Board of Internal MedicineABIM- Rheumatology

Provider Details

Male English
Dr. Thomas P. Olenginski, MD
Dr. Thomas P. Olenginski, MD's Expert Contributions
  • What's the life expectancy of a child with lupus?

    Thank you very much for the question I would start off by saying that lupus is a very treatable illness and we treat it much better today than 20 to 30 years ago There have been a number of recent developments and discovery regarding new treatments I am an adult rheumatologist but most of the sources that I reviewed indicated that the life expectancy of a child with lupus is on the order of 85 to 90 percent. I would suggest that this be discussed with your granddaughters rheumatologist I hope this helps some and I wish your granddaughter excellent health and happiness Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • What medications can my daughter take for joint pain?

    thank you for the question If someone with juvenile inflammatory arthritis or JIA has symptoms and they are not controlled with anti-inflammatory medication, then the addition of a drug such as methotrexate or what we would term a biologic medication such as ENBREL or Humira should be considered I would highly recommend that your daughter sees a pediatric rheumatologist for a confirmatory diagnosis and more importantly a treatment plan to help her signs and symptoms and reduce the chance of the condition affecting her joints and causing joint damage over time Best wishes and I hope you daughter gets better Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • Is joint pain a sign of lupus?

    thank you for your question Muscle and joint pain particularly with morning stiffness can be a presenting sign of lupus Other potential manifestations include sun sensitivity, Raynaud's phenomenon - were fingers especially turn white and purple in response to the cold and then are able to be re warmed to the normal state. Patients with lupus can have inflammation of the heart and lung lining, conditions termed pericarditis and pleuritis. Fatigue and weight loss can occur. Involvement of the kidney can include what we term glomerulonephritis and blood pressure elevation and edema can be seen. Additionally, some patients with lupus can be predisposed to blood clotting because of phospholipid antibodies. Patients with rheumatoid arthritis can also present with wrist and ankle pain as well as other inflammatory arthritis conditions I would emphasize that there are many less serious causes of wrist and ankle pain. With your concern and with your family history, I would notify your primary care physician to have this investigated Wish you well and I hope you are feeling better Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • Anything I can do for ankylosing spondylitis?

    Thank you for your question. Ankylosing spondylitis is a condition that can cause inflammatory back pain because of inflammation involving the sacroiliac joints. Additionally, the condition condition can progress and involve the lower back, mid back, and sometimes the cervical spine. The condition can be associated with extra-articular manifestations, including anterior uveitis or eye inflammation. Patience with psoriasis or inflammatory bowel disease can develop enclosing spondylitis or certainly a condition mimicking that If the patient with ankylosing spondylitis does not respond to a trial of two non-steroid anti-inflammatory drugs, it is generally felt that the next step would be the addition of an anti-TNF biological therapy, these medicines include, Humira, Remicade, CIMZIA, and SIMPONI. Additionally, other medication can be considered for treatment, including drugs, like TALTZ, and COSENTYX as well as Jack inhibitors like XELJANZ and RINVOQ. I want to emphasize that we can treat this condition so much better because of these newer medications. Importantly, I would advise you to see your rheumatologist and ask about the medication's that I have listed Best wishes and I hope you feel better. READ MORE

  • Why does my son have sacroiliac joint pain?

    This is a very good question because on physical examination, we cannot feel the sacroiliac joint. We have indirect measures of assessing this on exam, but we really rely on imaging modalities to help determine if, in fact, the sacral iliac joint is involved. The most common disorders of the sacral iliac joints include a family of conditions called the spondyloarthropathy. This family includes conditions such as ankylosing, spondylitis, psoriatic, arthritis, reactive, arthritis, and arthritis related to underlying inflammatory bowel disease, such as Crohn's disease or ulcerative colitis. Importantly, there are pain, symptoms, and pain symptoms that do not directly relate to the sacral iliac joints. Therefore, my recommendation is for your son to have an evaluation to try to get to the bottom of this problem. READ MORE

  • How does juvenile arthritis affect bone development in children?

    Thank you for the question and I hope your daughter does well In some patients with juvenile arthritis, we can see leg length discrepancy or joint contracture Additionally, we may also see the development of micrognathia, or under growth of the lower jaw Today, we feel that if juvenile inflammatory arthritis is effectively controlled then we should not see the complications of Bone development that you asked about Again, I think the best solution is that everyone has access to pediatric rheumatology for accurate diagnosis and defective therapies and long-term follow up Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • What are the symptoms of psoriatic arthritis in kids?

    thank you for the question Children can develop inflammatory arthritis, much of which is termed juvenile inflammatory arthritis or JIA and with in the subtypes of inflammatory arthritis is a psoriatic arthritis or spondyloarthritis category It is also important to know that if someone has a definite diagnosis of psoriasis that perhaps 25 percent of them over their lifetime will develop psoriatic arthritis Psoriatic arthritis has subtypes: There is a subtype that involves 4 or fewer joints and we call that pauci articular; there is a polyarticular form that for all intents and purposes can be considered to be juvenile inflammatory arthritis or RA like; there is a form that is extremely unusual and that is fortunate because it is a very active and destructive arthritis that is called mutilans; there is a form that can cause inflammation in the sacroiliac joints and this can mimic a condition called ankylosing spondylitis; and there is a form that can involve the end knuckle what we call the D IP or end knuckle joint Patients with psoriasis can have abnormal fingernails and abnormal toenails There symptoms will typically include pain, stiffness, particularly morning stiffness, and inflammatory swelling of the joints and or marked stiffness of the low back Pediatric rheumatologists are incredibly skilled at trying to determine the cause of musculoskeletal symptoms in children Again thank you for the question Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • I have a lot of pain in my joints. Could it be rheumatoid arthritis?

    Rheumatoid Arthritis is a condition that tends to cause a symmetric polyarthritis - typically that means what happens on 1 side happens on the other and polyarthritis means many joints that are involved Morning stiffness is a characteristic symptom of rheumatoid arthritis were it may take a patient 1 or 2 hours to limber up in the morning and be able to get on with their day. Also squeeze tenderness of the knuckles of the hands and the metatarsal regions of the feet is common When we evaluate someone who has pain swelling and or stiffness of many joints we consider rheumatoid arthritis, psoriatic arthritis, or conditions termed spondyloarthropathy Characteristic lab abnormalities in rheumatoid will include an elevation of the sedimentation rate and C-reactive protein, which are inflammation indicators. About (3/4) patients with rheumatoid arthritis produce a rheumatoid factor antibody and there is a newer more specific antibody called an anti CCP that can assist in the diagnosis My advice would be to get your symptoms checked so that a diagnosis and treatment plan can be initiated Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

  • Is it safe to massage a patient who is suffering from arthritis?

    I am sorry to hear that your father is having this difficulty Yes, it is permissible to massage if the correct technique is used If someone nor to have acute swelling and pain, then I might consider using ice as an adjunctive therapy Heat tends to be more effective for chronic pain There are topical anti-inflammatory medications that can be applied to the skin such as diclofenac gel Acetaminophen taken on a regular basis can also be effective In general, we avoid using nonsteroidal anti-inflammatory drugs in elderly patients with knee arthritis because of the risks of side effects At times, cortisone injections can be helpful I hope this is of some benefit to you and I hope your father is feeling better READ MORE

  • Are there foods that can improve my arthritis?

    The most important thing in giving treatment recommendations for arthritis is to know what specific form of arthritis we are dealing with The most common arthritis that affects the knees is osteoarthritis That is a condition where the cartilage which cushions the joint space slowly wears down And in doing so, the joint space narrows, and patients experience pain and difficulty walking etcetera The treatment of arthritis suffers from lack of understanding of some of the reasons and mechanisms behind arthritis, whether it is osteoarthritis or rheumatoid arthritis or psoriatic arthritis etcetera I am not aware of any clear study that shows that a medical food or specific diet and or dietary changes clearly effects the progression of a patient's arthritis The most important thing in osteoarthritis is weight management and weight loss if necessary as well as an exercise program I have many patients who follow an anti inflammatory diet and they seem to be helped by this There was no good evidence however to show that 1 diet is better than another in a rigorous scientific way So my patients that they can follow choose or learn about an anti-inflammatory diet Patients who have gout, they develop problems because of the accumulation of excess amounts of uric acid Patient is can follow a low purine diet and help lower being of your to some degree, although in almost all patients with recurrent gout, a uric acid lowering medicine is necessary Again I would advise anyone with questions about arthritis to be sure that they know exactly what type of arthritis they have I hope your pain improves and I hope you have a good day. READ MORE

  • Is there a prescription medication that will help ease the pain of my arthritis?

    Thank you for your question The most important thing in determining what the best treatment rests on determining what specific form of arthritis you have Patients with rheumatoid arthritis or psoriatic arthritis can be treated with very specific disease-modifying medications and or water-termed biological medications Alternatively if you have osteoarthritis, which is the most common arthritis in the world, then our treatments become symptom-based treatments would include acetaminophen/Tylenol; Advil or Aleve, 2 over-the-counter nonsteroid anti-inflammatory drugs; prescription anti-inflammatory medications such as naproxen, Voltaren, Celebrex, meloxicam, etcetera; we typically, we do not use strong pain relievers for arthritis pain. That is because of the risks of side effects, including lightheadedness, dizziness, sedation, and dependence. A topical anti-inflammatory cream such as diclofenac or Voltaren gel can be considered Sometimes physical therapy and or occupational therapy or a hand therapy evaluation can be helpful Finally, pain modulators such as duloxetine can be considered Again, the best treatment plan is based on a specific diagnosis Best wishes and good luck. READ MORE

  • Autoimmune

    I am going to answer question really addressing how we evaluate a patient with Raynaud's Raynaud's can be primary, where a patient starts to have signs and symptoms of Raynaud's at a relatively young age We will say primary when we see no signs or symptoms of any other condition Secondary Raynaud's is a condition linked to an underlying autoimmune or immunologic condition The most common condition associated with secondary Raynaud's is scleroderma and there are different forms of scleroderma, the most common form being what we call limited scleroderma and the other form being called diffuse scleroderma Additionally, we can see Raynaud's in patients with lupus or a condition we call mixed connective tissue disease or an overlap condition, really meeting that we see signs and symptoms of more than 1 condition but we can not diagnose the patient as lupus or scleroderma or Sjogren's Finally, patients with an inflammatory muscle condition called dermatomyositis can also have Raynaud's From a clinical standpoint, if I do not see any signs or symptoms of Raynaud's that is very reassuring Typically, when we do laboratory tests to evaluate the most important test is the antinuclear antibody The ANA test is a test that can be performed by different methods and there are more specific methods that can be used Nonetheless, when there is an apparent abnormality in the ANA screening test, we do more specific autoantibodies to better define the ANA Those antibodies are typically anti DNA, anti SSA SSB, anti-SM/RNP The ANA test will often return with a titer, example 1 to 160, and with a pattern, example homogeneous or speckled When the ANA pattern is centromere, that indicates that there is a centromere antibody in the patient's system and that antibody is most typically seen in patients with limited scleroderma An antibody called anti Scl 70 can be detected in patients with diffuse scleroderma So, from what I think I understand in your situation, the additional testing and the interpretation of that will be very important I wish you well and thank you for your question READ MORE

  • My immunoglobulin G subclass 4 level was high at 148 - what does this mean?

    The first question I would want to know is what was the reason for the test. One could order IgG subclasses in the evaluation of a suspected immune deficiency state. The most common thing for rheumatologists to order this test would be in the evaluation of suspected IgG for related disease. It is important to know that a small percentage of the otherwise normal population will have an elevated test. Additionally, this test can be elevated in many inflammatory and infectious and allergic disorders. So again, I would want to know why your doctor ordered this test. And then based on the test results and his or her suspicions, further testing may be necessary. The most important point is that many conditions can cause an elevation of this specific test Best wishes READ MORE

  • Fibromyalgia rheumatica

    I am sorry that you are having difficulties I presume that the prednisone and methotrexate have been used to treat polymyalgia rheumatica or what we call PMR This is an inflammatory syndrome of the elderly that is very responsive to prednisone, usually On occasions, we will encounter patients who have difficulty getting to lower doses of prednisone The big concern with chronic prednisone therapy, even at low dose, our side effects including osteoporosis, muscle weakness, bruising of the skin, cataracts, etcetera There is a new medication that is recently approved for the treatment of polymyalgia rheumatica when the patient has trouble tapering off or to lower doses of prednisone That medication is Kevzara or Sarilumab This is a medication in the category of Biologic and it is similar to a medication called Actemra, which is used to treat rheumatoid arthritis and giant cell arteritis In general, medications such as methotrexate and Plaquenil are not as reliably effective in trying to bring the dose of prednisone down in somebody with PMR From what I see here, you may very well be a candidate for Kevzara and I would encourage you to talk to your rheumatologist about that Best wishes to you READ MORE

  • I have severe pain in my joints when I stand. Could it be arthritis?

    Pain, swelling, stiffness, deformity, or difficulty using your joints are all potential signs of arthritis. Having said that, there are many different forms of arthritis and it is very important to know what type of arthritis affects you so that the best treatment can be recommended. Best wishes to you and I hope you feel better READ MORE

  • I have a dull feeling and pain in my wrist. Is it the start of arthritis?

    This symptom could potentially be the start of arthritis. However, I would look at the symptoms as a reason to be evaluated to know specifically what is going on. Arthritis of the wrist is not as common as arthritis of the hips or knees or back or some other joints. Wrist pain can be the sign of what we will term an overuse injury, perhaps a tendonitis, perhaps a prior injury that may lead to a post traumatic arthritis. While numbness in the 1st 3 fingers is often related to carpal tunnel syndrome, wrist pain can be a sign as well. Additionally, chronic infections can present as wrist pain and wrist arthritis and wrist arthritis can be a consequence of an earlier inflammatory condition such as juvenile arthritis or Still's disease. Again, I would recommend evaluation so that you will have peace of mind and a treatment plan READ MORE

  • I had a pain in my calf muscles last night. Could it be rheumatic pain?

    It sounds to me like you had a cramp or other muscular pain There are many potential causes for calf pain Should this continue and/or worsen, then I would get checked by your primary care doctor Best wishes READ MORE

  • Can hot oil massage help in managing my mother's knee pain better?

    Thank you for this question I appreciate the question and from what I read you indicate that your mother has very severe knee arthritis, most likely osteoarthritis Osteoarthritis is a condition where the cartilage breaks down and over a long period of time there can be the development of joint deformity and or severe pain and or difficulty walking We indicate that treatment for osteoarthritis is symptom based, meaning that we unfortunately do not have a way to stop the arthritis Traditional recommendations include acetaminophen, physical therapy, topical diclofenac which can be rubbed into the knee regions 3 times daily, steroid injections, and possibly water called intra-articular hyaluronic acid injections Anything applied locally to a painful region may be of benefit, whether hot or cold Hot oil massage is a treatment that does not have any clear-cut scientific evidence From my standpoint, massage may be helpful to the muscles above the knee as these muscles are very important to getting up and down, especially in someone with knee arthritis I hope this helps and I wish your mother well Dr O READ MORE

  • Is there a diet recommended for arthritis patients?

    This is a very common question that we get, but unfortunately I can not say that there is strong evidence supporting any specific diet However, if one suffers from gout we recommend a diet low in purines My colleagues and I typically recommend a Mediterranean diet to someone who is motivated to try to help themselves Probably the best dietary advice for anyone with arthritis is to maintain an ideal body weight as patients with obesity commonly have low back and knee pain Best wishes to you READ MORE

  • How is rheumatoid arthritis diagnosed?

    One of the most underrated aspects of what a rheumatologist does is to take a history, and to do physical examination. The rheumatologist will thoughtfully listen to your signs and symptoms and concerns, and will ask additional questions to help get to the bottom of the matter. likewise, the rheumatologist will skillfullyand carefully order tests that will help determine the cause of your signs and symptoms in an error where medical care is being pressured to be too fast and too quick, trust your rheumatologist to take his or her time to help you Get Outlook for iOSREAD MORE

Areas of expertise and specialization

General Rheumatology, especially Diagnosis and Treatment of Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematosus, Vasculitis, and other Connective Tissue DiseasesDiagnosis and Treatment of Osteoporosis, Glucocorticoid-Induced Osteoporosis, Secondary Fracture PreventionCertified Clinical Densitometrist, CCD - Bone Density Test (DXA) InterpretationUse of Polarized Microscopy Examination in the Diagnosis of GOUT and PSEUDOGOUTSkillful use of Biological Treatments for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing SpondylitisSkillful use of Immunosuppressive Treatments for Systemic Lupus Erythematosus and Vasculitis and MyositisDiagnostic and Therapeutic Arthrocentesis and Joint InjectionsMusculoskeletal Radiography and collaboration with Musculoskeletal Radiologists to enhance carerheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and gout/pseudogout

Faculty Titles & Positions

  • Assistant Professor of Medicine Lewis Katz School of Medicine - Temple University 2010 - 2018
  • Assistant Professor of Medicine Geisinger Commonwealth School of Medicine 2018 - Present
  • Attending Physician Geisinger Rheumatology - Danville 2001 - Present
  • Attending Physician Guthrie Clinic Rheumatology - Sayre 1998 - 2001
  • Rheumatologist Arthritis Center, Susquehanna Health System - Williamsport 1991 - 1998

Awards

  • Phi Beta Kappa 1980 Penn State University Chapter 
  • Nathan Sussmann Medical Professional Award 2007 Arthritis Foundation - PA 
  • Laureate Award 2019 American College of Physicians - PA Eastern Region 
  • Community Service Award 2009 Bucknell University 

Treatments

  • Psoriasis
  • Osteoporosis
  • Arthritis
  • Fibromyalgia
  • Osteoarthritis
  • Lupus
  • Pain

Professional Memberships

  • American College of Rheumatology  
  • International Society of Clinical Densitometry  
  • Bone Health and Osteoporosis Foundation  
  • American Society of Osteoporosis Providers  
  • Member American College of Physicians 
  • Fellow American College of Rheumatology 
  • Member International Society of Clinical Densitometry 

Fellowships

  • Geisinger Medical Center , Rheumatology    1991

Charities and Philanthropic Endeavors

  • Lewisburg Youth Basketball League 2004-2014
  • Vice President Lewisburg Youth Basketball League 2004-2006
  • Supervisor of Officiating, Lewisburg Youth Basketball League 2004-2014
  • Member St. Paul's United Methodist Church - Lewisburg 2022 - present
  • PIAA Basketball Official x 16 years, retired 2021

Fellowships

  • Rheumatology Fellowship - Geisinger Medical Center - 1989-1991

Professional Society Memberships

  • ACR, Bone Health & Osteoporosis Foundation, Int\'l Society of Clinical Densitometry, American Association of Osteoporosis Providers, where he is also on the Board of Directors

Articles and Publications

  • published over 50 publications Lectures: Public speaking locally, invited speaker at ACR Nat\'l meetingMeet the Professor for a 3 year period, related to OsteoporosisInvited speaker at Nat\'l Osteoporosis Foundation MeetingsLecture responsibilities at Geisinger to Internal Medicine Residents and Medical Students, teaching responsibilities to Fellows at Geisinger as well.Honors/Awards:ACR

What do you attribute your success to?

  • People that supported him/family/wife/2 boys

Areas of research

General Rheumatology: especially RA

Rheumatology Fellowship Education

Osteoporosis

Glucocorticoid-Induced Osteoporosis

Bone Denisty Testing / DXA

Vertebral Fracture Assessment

Fracture Lisison Service (FLS) and High-Risk Osteoporosis Clinic (HiROC)

Dr. Thomas P. Olenginski, MD's Practice location

Geisinger Medical Center

100 N Academy Ave -
Danville, PA 17822
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New patients: 570-271-6211, 570-271-6416, 570-271-6002, 570-271-5845
Fax: 570-271-5845

Dr. Thomas P. Olenginski, MD's reviews

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Patient Experience with Dr. Olenginski


3.0

Based on 4 reviews

Dr. Thomas P. Olenginski, MD has a rating of 3 out of 5 stars based on the reviews from 4 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Rheumatologist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

Media Releases

Get to know Rheumatologist Dr. Thomas P. Olenginski, who serves patients in Pennsylvania.

A board-certified and fellowship-trained rheumatologist, Dr. Olenginski has consistently demonstrated a commitment to improving the lives of those facing a range of rheumatic conditions. His clinical interests encompass a wide spectrum of conditions, including rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and gout/pseudogout. One area of particular focus for him is osteoporosis, especially secondary fracture prevention.

Back in the early days of his academic career, he earned his medical degree from The Penn State College of Medicine, showcasing his early commitment to healthcare. Subsequently, he completed his residency and a fellowship in rheumatology at Geisinger Medical Center, where he honed his clinical skills and gained invaluable experience in the specialized field of rheumatology. Furthermore, his status as an ISCD-certified clinical densitometrist highlights his expertise in the assessment of bone health, particularly in the context of osteoporosis and glucocorticoid-induced osteoporosis.

An expert in his field, the doctor is board-certified in rheumatology and internal medicine by the American Board of Internal Medicine (ABIM). The ABIM is a physician-led, non-profit, independent evaluation organization driven by doctors who want to achieve higher standards for better care in a rapidly changing world.

Rheumatology is a branch of medicine devoted to the diagnosis and treatment of rheumatic diseases. Physicians who have undergone formal training in rheumatology are called rheumatologists. Rheumatologists treat arthritis, autoimmune diseases and osteoporosis.

Outside of practicing medicine,  Dr. Olenginski enjoys golfing and traveling and spending time with family and friends. He and his wife Jessica have twin sons and 2 grandchildren.  He loves to follow Penn State sports and was PIAA basketball official for 16 years and spent 10 years as a volunteer in Lewisburg Youth Basketball League.

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