December 2018 MEDICAL | DENTAL | FITNESS | TIPS | EDUCATION | TRAINING
Health Southwest Georgia
ERIN CANNINGTON, MD Allergy & Asthma Clinics of Georgia
JINNÃ© RICHARDS, MD Medical Director Integrity Hospice
Cholesterol Guidelines High Blood Pressure Coffee Facts Lite Bites Health Tips
According to a Study by CNN, Greater consumption of Coffee could lead to a longer life
ANTHONY BURKE, DO Cardiology Affinity Clinic
KEISHA CALLINS, MD
Look inside for Dr. Oz
#1 Health Magazine In Southwest Georgia KELLY MILLER, FNP-BC Georgia Dermatology & Skin Cancer Center
TIFTON | ALBANY | AMERICUS | BAINBRIDGE | SYLVESTER | THOMASVILLE VALDOSTA | CORDELE | MOULTRIE AND SURROUNDING AREAS
Email Events to To Mail Upcoming upcoming events email@example.com firstname.lastname@example.org
This Thisisisthe the#1 #1Health Health Magazine MagazineCovering Covering Southwest SouthwestGeorgia Georgia
CONTENTS CONTENTS Support Groups
Breast Cancer Support Group A group for women with breast cancer. The group meets on the second Thursday of each month from 12:30 p.m. - 1:30 p.m. in the Radiation Oncology
guidelines offer a more
personalized Good Dentalapproach Care
4 4 Do’s and Don’ts for Eye Center managing high blood 5 South
pressure during cold and
flu season Annual Screenings 6 for High School Lite Bites for Healthier 5Athletes Holidays
Dr. Oz & Roizen 8 &Exploring dental crowns 6 Health Tip Dr. Oz & Roizen and 7 Identifying 9 Understanding What is quality? 8Dehydration Coffee Facts & Figures 9Take Charge of Your Thyroid 10 10 Weighing in on exercise
vs. dieting for better
weight lossWomen’s results Let’s Talk Health
11 11 LET’S TALK
CONTACTS CONTACTS CONTACTS CONTACTS Phil Cody Cody Phil Majors/National Majors/National Sales Sales Representative Representative 229-888-9304 229-888-9304
Heather Ashanti Harrison Smith Multi-Media Multi-Media Representative Representative 229-888-9370 229-888-9340
Calendar of Events Conference Room at Phoebe. Call 229-312-7161 for more information
Yoga for Cancer Survivors
Jingle Bell Jog
A gentle Hatha Yoga class for any survivor of cancer. Focuses on stretching and strengthening postures using all the yoga tools. Instructor covers relaxation and meditation techniques.
Dec 8, 2018 8:00AM-12:00PM
The traditional kick-off for family holiday fun! Jingle Bell Jog is the traditional kick-off for family holiday fun. This year (2017) marks our 29th anniversary for this fun, family event. The Jog consists of a 5K run and walk, a 10K run, MONDAYS AND WEDNESDAYS July 10-11, 2018, 9:00AM-4:00PM and a 1-mile fun walk. 1:00 pm - 2:00 pm | Cost: $5/class Join our safe sitter summer class! Designed to prepare students in grades 6-8 Register or learn more at jinglebelljog.org. For Location: Albany YMCA, 1701 to beGillionville safe whenRoad they’re home alone, watching younger siblings, or babysitting. questions, contact Becca Miller at 229-312-1491. For more information or to enroll, call 229-312-0042. Class location: Phoebe HealthWorks 311 Third Ave., Albany, GA 31701
Safe Sitter Classes
Community Heartsaver® CPR Classes Key Seminars
Tai Chi is a medically proven self-care practice that Dec 8, 2018 1:00PM-3:00PM Golden Key seminars take place in the conference rooms at effectively supports disease prevention, healing Phoebe Road East Conference Center, 2410 Sylvester Phoebeaccelerates Northwest, 2336 Dawson in Albany.Thursday, and decreases unnecessary mental It Road, Albany, Ga Julyand 19,physical 2018, 9suffering. a.m. - 2 p.m. is a carefully designed combination of gentle movements, Cardiac arrests can happen to anyone at any time and breathing practice, self-applied massage techniques, and knowing how to react can save lives. In the event of an meditation, that is easy to learn, fun, and beneficial from emergency, your CPR, AED and First Aid training could Safe Driving Class the very start. mean the difference between life and death. Saturday, July 14, 2018, 1 p.m. 4 p.m., Phoebe Northwest To register for either class, contact Network of Trust SATURDAYS Reservations are required foratAARP safe driving classes; 229-312-4620. Registration is due by the Thursday 8:00 am - 9:00 am | Cost: $5/class call 229-312-2418 before each scheduled class.
Be an AARP Smart Driver
Location: 229 Yoga, 2620 Dawson Road, Suite C Instructor: Larissa Steward | Seating Limited: 15
To enroll or for more information, call 229-565-9355 (WELL), follow the greeting’s instructions, and leave a message. Financial assistance may be available for your care.
December Blood Drive Dec 20, 2018 10:00AM-6:00PM
Donate blood and save lives Thursday, December 20, 2018. Join us anytime from 10 a.m. to 6 p.m. and help us save lives. The blood drive will be held at Phoebe Putney Memorial Hospital, Medical Tower 1 Rotunda (2nd floor next to Surgicare).
J U L Y DECEMBER
CALENDAR OFofEVENTS Calendar Events PREPARED CHILDBIRTH CLASS
Covers general topics related to labor, delivery and basic care for a baby. We request that mothers be at least 28 weeks, but it is not required. When: All sessions are held on Saturdays from 9 am-12 pm in the TRMC Meeting Rooms (first floor of TRMC), 901 East 18th Street, Tifton. To see dates this class is offered or to register please call 229-353-7605 or register on-line.
Covers breastfeeding decision-making, preparation, instruction and helpful tips. When: All sessions are held at 6 pm in the TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton. To see the dates this class is offered or to register please call 229-353-7605 or register on-line.
SUPPORT GROUPS NEW PARENTS BREAKFAST CLUB
Providing a networking and support group opportunity for all expectant and new parents. When: Every Monday at 10 am Where: TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton How: No registration necessary. Call 229-353-7605 for more information
BREAST CANCER SUPPORT
Daulton HeatherLuttrell Harrison
Facilitated by the TRMC Women’s Health Navigator, this support group is open to breast cancer patients and survivors as well as their caregivers. When: First Tuesday of each month, 6 pm Where: First Baptist Church Family Life Center, 404 Love Avenue, Tifton How: Call 229-353-6325 to register or for more information
CANCER SUPPORT GROUP
Multi-Media Multi-Media Representative Representative 229-888-9340
Multi-Media Matt Behrens Representative Multi-Media 229-434-8737
Open to any cancer patient or person providing care to a cancer patient When: Every fourth Tuesday of the month at 5:30 pm Where: TRMC Oncology Center, 1623 Madison Avenue, Tifton How: Call 229-386-1300 to register or for more information
Southwest Georgia Health Beat has over 300,000 print-online monthly readers Southwest Georgia Health Beat and has distributes over 300,000 monthly to prime locations. print-online monthly readers and distributes monthly to prime locations.
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LOCATIONS TO PICK UP YOUR COPY ARE: Hospitals, Medical Offices, Stores, Grocery LOCATIONS TO PICK UPDrug YOUR COPY ARE:
Stores, DentalMedical Offices,Offices, FitnessDrug Centers, Colleges, Tech Hospitals, Stores, Grocery Schools and Industry Break Rooms Stores, Dental Offices, Fitness Centers, Colleges, Tech Schools and Industry Break Rooms
offer a more personalized approach By Jessica Ravitz, CNN (CNN) New cholesterol guidelines recommend a more personalized approach in risk assessments, a returned focus on LDL target levels and new drug options for those at highest risk for cardiovascular disease. The guidelines were announced Saturday during the American Heart Association’s annual scientific conference. The recommendations, set out by the American Heart Association and the American College of Cardiology, also discussed the value of using coronary artery calcium scores for some patients and expanded the age range for treatment. ”High cholesterol treatment is not one size fits all, and this guideline strongly establishes the importance of personalized care,” Dr. Michael Valentine, president of the American College of Cardiology, said in a press release.
“Over the past five years, we’ve learned even more about new treatment options and which patients may benefit from them,” he said. “By providing a treatment roadmap for clinicians, we are giving them the tools to help their patients understand and manage their risk and live longer, healthier lives.” Criticism of previous guidelines
The new recommendations address many of the concerns raised when the guidelines were last updated five years ago.
Those 2013 guidelines were troublesome for a number of reasons, explained Dr. Steven Nissen, chairman of cardiovascular medicine at the Cleveland Clinic: The previous guidelines used a risk calculator that left out crucial components such as family history; they didn’t address the issue of people older than 75 or younger than 40; they overhyped the risks many patients faced while lowering the threshold needed to warrant statin drug therapy; and they did away with the use of LDL (bad) cholesterol target levels, which helped patients set meaningful goals. People with LDL levels of 100 or lower, “tend to have lower rates of heart disease and stroke, supporting a ‘lower is better’ philosophy,” according to a statement from the medical organizations about the new guidelines.
A level of above 160 is considered “very high,” according to a release from Johns Hopkins Medicine, which also
New cholesterol guidelines recommend a more personalized approach in risk assessments, a returned focus on LDL target levels and new drug options for those at highest risk for cardiovascular disease.
outlined the new guidelines. For high risk patients, the recommendation is to lower “bad” cholesterol to levels below 70.
If statin therapy fails to lower LDL levels adequately, in patients who’ve already had a heart attack or stroke, the new guidelines suggest adding other drugs -- ezetimibe, which is available as a generic -- to the regimen. If that combination doesn’t work sufficiently for patients who are at a very high risk, a PCSK9 inhibitor can be added. The new approach encourages increased collaboration between doctors and their patients. Doctors are encouraged to discuss a broad range of factors that may increase risks, such as family history and ethnicity, as well as other conditions including metabolic syndrome, premature menopause and chronic kidney disease. Impact of high cholesterol on all age groups
Doctors are also being urged to look at the lifetime of patients and how high cholesterol takes a toll. Children born to especially high-risk families can be tested when they are as young as 2. For most children, though, the recommendation is to have an initial test between ages 9 and 11, and then a follow-up test between the ages of 17 and 21.
And just as cholesterol levels in younger people shouldn’t be ignored, the same goes for those over 75, the new recommendations say. “They now acknowledge that it might be appropriate to treat older people,” something they didn’t do in 2013, said Nissen, who was highly critical of the last round of guidelines. “Today’s
75-year-old can live a long time.”
All of these developments are good signs, “a step forward,” Nissen said. “It took five years to fix the problems with the last set of guidelines, but I’m glad they’ve been addressed.”
Nissen offered just one criticism of the new recommendations: the suggestion that coronary artery calcium scores be used to help determine the need for cholesterol-lowering treatments in patients for whom the need isn’t clear. This score shows plaque buildup in arteries and is determined through a CT scan, which can cost between $800 and $1,000, he said. “You’re radiating somebody in order to decide whether to use a drug that costs as little as $3 a month, and you’re spending a lot of money to do it,” he said. “I just don’t think it’s prudent.” But other than that issue, Nissen is pleased. “The big picture is this is a reasonable set of guidelines,” he said. Heart disease is the leading cause of death in the US, according to the US Centers for Disease Control and Prevention. Cardiovascular disease, which includes conditions that cause heart attacks and strokes, account for more than 836,000 deaths a year, according to the American Heart Association and the American Stroke Association.
“Having high cholesterol at any age increases that risk significantly,” Dr. Ivor Benjamin, president of the American Heart Association, said in a written statement. “That’s why it’s so important that even at a young age, people follow a heart-healthy lifestyle and understand and maintain healthy cholesterol levels.”
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People with high blood pressure should consult a doctor before taking any cold medicine.
Do’s and Don’ts for managing high blood pressure during cold and flu Season (NAPSI) —Colds and flu bring special considerations for people with high blood pressure, especially those on blood pressure medication. Here’s how to keep your blood pressure stable: DO: Keep track of medication. The American Heart Association’s online tools at www.heart.org/hbp include a downloadable chart to manage medications and a tracker that lets people set up text message reminders, text in their readings, track their blood pressure and connect with providers.
Check with your doctor before taking these medicines. A decongestant should be used for only the shortest amount of time possible-and never by someone with severe or uncontrolled high blood pressure.
DON’T: Try to replace your prescriptions with supplements. There are no special pills, vitamins or drinks that can substitute for prescription medications and lifestyle modifications. Talk to your health care provider before taking any over-the-counter drug or DON’T: Miss your flu shot. People who supplement that claims to lower blood pressure. “Your doctor and other health get a flu shot may reduce their risk of care providers should know which overheart attack or stroke. Stay away from the-counter medicines or supplements people who are sick and wash your you are taking,” said Willie E. hands regularly. Lawrence, M.D., chief of cardiology at DO: Read labels on over-the-counter Research Medical Center, Kansas City, (OTC) cold and flu medicines. Look Mo. “If something claims to be ‘natural’ for warnings to those with high blood or you don’t need a prescription, it’s not pressure and who take blood pressure necessarily benign. It’s still a substance medications. Some ingredients in cold that has an effect on your body.” and flu medicines can affect blood DO: Work with your health care pressure. Decongestants, used for a practitioner. “If you have high blood stuffy nose or congestion, and some pain relievers, such as nonsteroidal anti- pressure, it’s important to know that some medicines, even supplements, will inflammatory drugs (NSAIDs), are affect you differently,” Dr. Lawrence known to raise blood pressure. adds. “If you’re struggling to keep Decongestants include: your pressure controlled, review your routines—including over-the-counter • Oxymetazoline medicines and supplements—and talk • Phenylephrine with your doctor about changes you can make. You should never be too busy to • Pseudoephedrine. manage your blood pressure.” NSAIDs include: Learn more at www.heart.org/hbp. • ibuprofen • Coricidin HBP, product of Bayer Consumer • naproxen sodium Health, is a sponsor of the AHA Hypertension • celecoxib. Web content area. 4 | A (SCNI) Southern Community Newspaper Product | December 2018
Coconut Muesli Clusters
Recipe courtesy of “Atkins: Eat Right, Not Less” Active time: 10 minutes Total time: 20 minutes Servings: 8
or those who are always on the go leading up to the holidays, the season can feel more like madness than merrymaking. From planning gettogethers to building out a perfect menu for the events, there can be difficulties for hosts and guests alike to ensure proper nutrition is still top of mind. Instead of sacrificing taste or eating less, aim for simple changes that give you the energy to power through the busy season. For example, instead of opting for a carb-loaded breakfast in the
morning, try a low-carb Milk Chocolate Protein Muffin, which takes just a few minutes of prep and microwave time. The quick cook time leaves you with ample opportunities to run errands or divvy up precious seconds toward other activities, while the protein can fuel you for the day ahead. Almost nothing beats warm soup on a chilly day, and this Butternut Squash and Pear Soup provides feelgood flavor without weighing you down. Finally, when snacks are on the mind – as it tends to happen when constantly on the go – Coconut Muesli Clusters are simple to make and won’t
undo the nutritious efforts you’ve made throughout the day. This full menu of tasty recipes is part of the Atkins low-carb lifestyle, a longterm, healthy eating approach focused on high-fiber carbohydrates, optimal protein and healthy fats. The plan also aims to reduce levels of refined carbohydrates, added sugars and the “hidden sugar effect,” – when carbohydrates convert to sugar when digested. You don’t see the sugar, but your body does. Find more ways to live healthier during the holidays and learn more about the benefits of a balanced, lowcarb lifestyle at Atkins.com.
Olive oil spray 1 cup plain protein powder 1/2 cup unsalted sunflower or pumpkin seeds 1 cup whole raw pecans 1 cup unsweetened whole flake shredded coconut 1/2 cup chia seeds or ground flaxseeds 1 tablespoon stevia 2 teaspoons cinnamon 1/2 teaspoon ground turmeric 1 tablespoon coconut oil 1 tablespoon peanut butter
1 teaspoon vanilla extract 2 large eggs 1/4 cup water Heat oven to 350 F. Line large baking sheet with parchment paper, coat with olive oil spray and set aside. In large bowl, mix together protein powder, sunflower or pumpkin seeds, pecans, coconut, chia seeds or flaxseeds, stevia, cinnamon and turmeric. In large skillet, combine coconut oil, peanut butter and vanilla extract; melt completely then stir in nut mixture. Turn heat off and add eggs and water, tossing well. Transfer to prepared baking sheet and spread mixture in layer about 1/2-inch thick. Bake 10-15 minutes until mixture starts to brown and clumps together to make clusters. Cool completely on baking sheet then store in airtight container, refrigerated, up to 1 week.
Milk Chocolate Protein Muffin Recipe courtesy of Atkins Prep time: 5 minutes Cook time: 1 minute Servings: 1
2 tablespoons full-fat cream cheese 1 egg 3 tablespoons Atkins Milk Chocolate Protein Powder 1/4 teaspoon baking powder 1/2 teaspoon ground cinnamon 1 dash salt In microwave-safe mug, heat cream cheese 10-15 seconds to soften. Add egg and blend briskly using fork. Add protein powder, baking powder, cinnamon and salt; blend until smooth. Microwave on high 1 minute; muffin will puff up then deflate slightly once done. Remove from mug and enjoy warm. Photo courtesy of Getty Images
An On-the-Go Energy Boost As a hectic holiday season unfolds, it can be difficult to maintain energy while making dishes for get-togethers and keeping up with the festivities. To stay fueled and energized throughout the season, try incorporating Atkins Plus Protein and Fiber Shakes. Sweet and creamy, they make for ideal snacks, containing 30 grams of high-quality dairy
protein and 7 grams of fiber. To help ensure steady blood sugar levels, the shakes also have a low glycemic impact and are made with 20 vitamins and minerals. Available in Creamy Milk Chocolate and Creamy Vanilla flavors, the ready-todrink shakes provide hunger satisfaction for those who are on the go and seeking to maximize production with a busy schedule.
Photo courtesy of Getty Images
Butternut Squash and Pear Soup
Recipe courtesy of Atkins Prep time: 20 minutes Cook time: 30 minutes Servings: 6 1 tablespoon unsalted butter 1 medium (2 1/2-inch diameter) onion, chopped 2 pounds butternut winter squash, cubed 1 medium pear, sliced, plus additional, for garnish (optional) 1 teaspoon curry powder 1/2 teaspoon salt 1/4 teaspoon ground white pepper 5 cups chicken broth
1 teaspoon fresh lemon juice 1/2 cup heavy cream nutmeg (optional) In large pot over medium heat, melt butter. Add onions and saute until translucent, about 6 minutes. Add squash, pear, curry powder, salt and white pepper; saute 3 minutes. Increase heat to high and add chicken broth. Bring to boil then reduce heat to low; simmer 20-25 minutes, uncovered, until cubed squash is very tender. Allow to cool about 10-15 minutes. In blender or food processor, puree soup in batches until smooth. Return pureed soup to pot and add lemon juice and heavy cream. Stir soup over low heat until hot. Garnish with additional sliced pears and sprinkle of nutmeg, if desired. Recipes courtesy of Atkins
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Exploring dental crowns (MCC) Many people visit their dentists and learn they have a tooth that requires a crown. In many instances, dental crowns are necessary for proper tooth care. Crowns were once widely referred to as “caps.” A crown is a permanent cover for a tooth that would otherwise require a very large filling after dental decay has been removed. Crowns also may be used to repair cracked or broken teeth so that extraction is not necessary. Sometimes crowns are used for cosmetic modifications or to hold a dental bridge in place. The crown itself can be made from different materials, like stainless steel, gold or metallic alloy, porcelain, porcelain fused to metal, and resin. A dentist will determine which material will work best depending on the application and tooth location. Understanding your appointment(s) Crowns are typically installed in two appointments. The first appointment requires prep work so the tooth can hold the crown. This is typically a painless procedure, and one in which the dentist will anesthetize the tooth and gum tissue and then file down the tooth along the chewing surface and sides to make room for the crown covering. If the tooth
was decayed or insubstantial, the dentist may have to “build up” the tooth instead of filing it down. Again, these determinations are made by the dentist who has the expertise to gauge how much workable tooth is left. Once the tooth has been prepared, an impression will be made of the bite area. That’s because the permanent crown will be fabricated in a laboratory and the fit/color will need to be exact for comfort — and also to ensure that bacteria and food debris do not get caught between the crown and tooth. The final component is a temporary cap that will keep the prepared tooth clean. This is molded in the office and will be worn only until the custom-made crown is ready. When the permanent crown is delivered, the patient will return to the office to have it checked for fit and then cemented into place. Full and partial crowns A partial crown may be used if only a portion of the tooth needs to be covered. Dentists will often rely on full crowns to get maximum coverage and strength. Cost factor Crowns can be expensive. According to the resource CostHelper, crowns can range from $500 to $3,000 depending on the material used and the patient’s insurance coverage. Dental insurance may cover a predetermined percentage of the cost when the crown is medically necessary, but insurance may not cover anything if the procedure is only cosmetic. It’s always a good idea for patients to express their concerns and ask questions about crowns prior to starting the procedure. Understanding the potential out-of-pocket costs is essential as well. Dental crowns can last several years and represent the best way to salvage a tooth that is cracked or damaged.
GET YOUR GREENS WITH OUR FRESHLY-PREPARED
SALADS Crisp and full of flavor. Enjoy a variety of mixed green salads prepared with ribbon-cut carrots and fresh lettuce like crisp chopped romaine, baby spinach, baby kale and red leaf lettuce. And loaded with toppings.
Dr. Jinne’ Richards, MD, Medical Director
1216 Dawson Rd, Ste 113 Albany GA 31707-3867
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(229) 349 6390
THESE ARE SOME GREAT GREENS!
Noise pollution; is organic a must to reduce cancer risk? BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.
Q: We live in New York City, and the traffic noise has gotten so bad that it keeps us up at night. Sometimes you can’t even hear “The Doctor Oz Show” on TV if the windows are open. This can’t be good for us or the kids. What can we do? -Lucy G., New York A: You are right to be concerned, and you’re not alone. These days, more than 11 million people in the U.S. live within 492 feet of a major highway -- bombarding them with stress-provoking, healthdamaging levels of traffic noise. Regular city streets and high-volume roadways, especially in dense urban areas like where you live, Lucy, also deliver dangerous levels of din that trigger premature aging. In the 1980s, 100 million people in the United States were exposed to noise sources from traffic near their homes. These days it’s millions more. Chronic traffic noise causes anxiety; provokes stress, sleep disturbances and depression; and impairs memory and motor coordination, while reducing neural density in some parts of the brain! It also increases your risk for Type 2 diabetes, high blood pressure, obesity, arthritis and cardiovascular disease. Studies have also shown that constant noise produces cognitive problems in schoolchildren. So what can you do to protect your health if you live in a noisy place? -- Make sure your windows close tightly; use weatherstripping if needed; hang heavy drapes. -- Exercise in quiet zones, surrounded by nature. -- Practice de-stressing routines such as deep breathing, mindfulness or yoga. -- Check out “Pink Noise for Better Sleep” at DoctorOz.com to download apps that 75 percent of folks say help them sleep better. -- And for a journey into 15 minutes of total silence, visit One Square Inch’s Breathing Space in Olympic National Park at http://onesquareinch.org/breathingspace. Q: I read that eating organic can lower the risk for cancer. Do I really have to spend all that money to lower my cancer risk? What if I can
even find organic produce at my local grocery? -- Jill B., Pierre, South Dakota A: The news you’re referring to is the new French study that found that eating organic lowered cancer rates significantly, especially for lymphatic cancers. We know eating organic is important for three months prior to conception, and for women during pregnancy and while breastfeeding. But this study looked at cancer and organic food consumption in adults over age 40. Almost 60,000 participants offered a one-time report on their consumption of 16 organic foods in terms of whether they ate them never, occasionally or most of the time. Over five years, those eating the most organic foods had a 20 percent lower rate of cancer than the other groups, while the risk for non-Hodgkin’s and other lymphomas decreased by almost 70 percent. But this study did not control for the benefits of a healthy lifestyle, something people who eat organic foods are known for. So we say: 1. To stave off chronic diseases, from cancer to diabetes, Alzheimer’s disease and heart disease, eat seven to nine servings of produce a day, organic or not! A five-year study in the International Journal of Cancer found that eating lots of cruciferous veggies and red and yellow fruits and veggies (no mention of organic) reduces cancer risk, especially for the most aggressive kinds! And a U.K. study of more than 600,000 women found no correlation between eating organic foods and reducing cancer risk, except perhaps for non-Hodgkin’s and other lymphomas. 2. Become physically active. According to the Fred Hutchinson Cancer Research Center, more than two dozen studies have shown that women who exercise regularly have a 30 to 40 percent lower risk of breast cancer than those who are sedentary, and three dozen studies show that exercisers reduce colon cancer risk by 20 percent or more compared with sedentary people. So don’t worry if you’re not eating organic. Just make sure you wash your fruits and veggies well. It’s more important to eat a plant-based diet, sleep well and exercise (aerobics and strength-building) for 60 minutes most days.
* * *Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. Email your health and wellness questions to Dr. Oz and Dr. Roizen at email@example.com. © 2018 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.
Skin CanCer TreaTmenT ~ Skin examS mohS Surgery ~ mole removal
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What is quality?
ast Spring, I was appointed to the new position of Chief Quality Officer for Phoebe Putney Health System. Since that time, I have frequently been asked, “What is quality?” The question often arises while discussing national reporting agencies that grade hospitals. Sometimes, the question arises during a discussion of our Phoebe’s quality teams. We have a quality department, nursing quality coordinators, a system continuous improvement team and a data analytics team. Do those teams define quality for Phoebe? My answer is that the definition has not changed since the last time I picked up a hardcover dictionary. Quality is the degree of excellence of something. That dictionary definition certainly applies to healthcare. Our “products” in healthcare include healing the sick and promoting wellness, yet for many years the healthcare system in the United States was not as effective as it could or should have been. A landmark study on hospital quality published in 1999 showed our nation’s hospitals had significant opportunity for improvement. Phoebe is committed to being a leader in quality improvement and to keeping our definition of quality simple. Quality is how well we do what we do, and it is crucial that everyone at Phoebe own that definition and be dedicated to quality improvement. Phoebe has a long track record of excellence. Recent efforts to improve patient safety are examples. Our Patient Safety Index (PSI) is made up of multiple quality metrics such central line-associated blood stream infections, catheter-associated urinary tract infections and patient falls. Under the leadership of Chief Medical Officer Steven Kitchen, MD, and Chief Nursing Officer Evelyn Olenick, DNP, Phoebe Putney Memorial Hospital improved our PSI by nearly 24% in one year. After initiating a system-wide sepsis protocol, we dramatically improved our mortality rate from that life-threatening illness which is a result of your body’s reaction to an infection. The next phase is to transition the sepsis quality initiative to a system mortality team that addresses not only sepsis but congestive heart failure, chronic obstructive pulmonary disease, pneumonia, acute myocardial infarction, coronary artery bypass surgery, and complex general surgical procedures. The number of Phoebe physicians and advanced practice providers who have stepped forward to lead these quality efforts has truly been amazing, and quality support teams are mobilized to support these clinicianled teams.
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Dr. Jack Owens
Chief Quality Officer, Phoebe Putney Health System & Medical Director of Neonatology, Phoebe Putney Memorial Hospital
We plan to embed care pathways in the Phoebe system by engaging the frontline teams in the improvement process. That means any patient who comes into our hospitals suffering from one of the above common conditions can be assured we will follow a strict protocol of best practices throughout their hospitalization and beyond. The goal of clinical quality is to ensure the right care is given to the right patient at the right time. To achieve this goal for every patient we serve at Phoebe, quality needs to be “the way we do things here” because after all, quality is owned and operated at the local level by the folks that are actually delivering the care. It is a privilege for those of us who work at Phoebe to serve the people of southwest Georgia. We want our patients and their families to understand our commitment to quality improvement and to trust that we are working hard every day to ensure we offer you the best possible care every time you choose us as your healthcare provider.
Coffee Facts & Figures Drink To Your Health (NAPSI)—If you’re like 64 percent of Americans, you drink a cup of coffee every day. While many coffee drinkers still prefer their coffee black in its most natural form, coffee tastes have evolved over the years. Today, the market offers many caffeinated beverages formulated with sugar and fat that add calories and can offset the inherent benefits of caffeine, such as alertness and a feeling of increased energy. Health-conscious consumers, however, are making dramatic changes to their diet and choosing food and beverages that not only taste good but offer nutritional benefits as well. There is an almost endless number of new drink products that provide more than great taste—they help people reduce calorie intake and fuel their day. Recently, the coffee category has started growing with novel alternatives to sugary coffeehouse beverages with healthy ways to start the day or provide an afternoon pickme-up. While people drink coffee throughout the day, they are, increasingly, seeking something more than a caffeine pickme-up. Alternatives are available that are great tasting, low fat, packed with protein and deliver a feeling of energy all in one. Coffee drinkers who want alternatives to sugary drinks, as well as something that offers nutritional benefits, are turning to Herbalife Nutrition High Protein Iced Coffee. It contains two grams of sugar and no artificial flavors or added colors. The 100-calorie drink mix is big on taste and provides 15 grams of protein and
80 mg of caffeine per serving. “Everyone loves the refreshing taste of iced coffee but not the calories and sugar that come with many coffeehouse options,” said Susan Bowerman, MS, RD, CSSD, CSOWM, FAND, Senior Director of Worldwide Nutrition Education and Training at Herbalife Nutrition. “Our high-protein iced coffee is the perfect healthy snack and is a great alternative that can be enjoyed at home or on the go.” Bowerman offered some additional delicious and nutritious beverage suggestions: Digestive Health Gut health is a hot topic as people try to find new ways to keep the body in balance by consuming foods and beverages that support a healthy digestive system. Kombucha, vinegar and probiotic-enhanced drinks continue to garner a lot of interest to support a healthy gut. However, many probiotic drinks are filled with sugar to counter the taste of yogurt. A healthy, old-fashioned option to aid digestion is to keep hydrated by drinking a lot of water. Drinking too little water slows down the digestive system. Perhaps best of all—water has zero calories. Sugar Reduction Obesity rates in the U.S. continue to soar. Fortunately, it can be easy to cut sugary drinks out of the diet and swap with lower-calorie options. Instead of hitting the juice bar, consider replacing juice with fruit. Learn More
You can enjoy a refreshing pick-me-up without drinking something loaded with fat and sugar.
For more facts and tips, go to www. herbalife.com.
How to be certain you’re buying safe toys this
(MCC) Few things compare to seeing the joy on a child’s face upon opening a holiday gift. Many adults remember holiday gifts they received as children, and holiday shoppers often try to look for gifts that will be just as memorable to the special youngsters in their lives. Shoppers might have kids’ smiles on their minds when holiday shopping, but it’s just as important to focus on safety when buying gifts for children. Prevent Blindness®, an organization devoted to ensuring everyone enjoys healthy vision from infancy through adulthood, offers the following tips to toy buyers who want to make sure they give safe gifts to kids this holiday season. • Read all warnings and instructions on the box. Before taking a toy to the check out line, give the packaging a thorough read-through,
paying particular attention to product warnings and instructions. Such warnings are designed to keep kids safe. When buying toys online, only purchase toys that include the warnings within the product description. • Purchase age-appropriate toys. Kids’ toys come with age recommendations, which are typically listed on the front of the packaging. Stick to these recommendations. Kids might not have the ability to use toys designed for older children, and such toys might not be safe for them to use, so it’s always best to stick to the age guidelines. • Avoid certain toys. Toys with sharp or rigid points, spikes, rods, or dangerous edges can pose a threat to youngsters. Avoid such toys, opting for toys with rounded and/or dull edges instead.
• Purchase toys with the ASTM designation. ASTM International is an international standards organization that develops and publishes voluntary consensus technical standards for a wide range of products, including toys. Prevent Blindness notes that toys with the letters ASTM on the packaging have been tested and met the toy standards set for by ASTM. • Avoid toys with parts that shoot or fly off. These types of toys can damage the eyes and lead to other accidents or injuries. When shopping for toys for children this holiday season, shoppers must consider safety first.
• Stick to sturdy toys. Kids do not often treat their toys delicately. Toys will be dropped or thrown, so choose sturdy toys that can withstand being dropped or thrown without breaking into tiny pieces. Tiny shards can pose a choking hazard to curious youngsters. December 2018 | A (SCNI) Southern Community Newspaper Product | 9
Weighing in on exercise vs. dieting for better weight loss results (MCC) Statistics indicate more and more men, women and children are overweight or obese. The National Institutes of Health state that more than 35 percent of adults in the United States are obese and more than 34 percent are overweight, while 17 percent of children and adolescents in the United States are obese. Obesity rates are three times as high among today’s children than they were among youngsters just one generation ago. As individuals attempt to lose weight, they may wonder what is the most effective way to accomplish that objective. Some argue that the secret to weight loss is lots of exercise, while others insist that calorie control is the key. When it comes to slimming down, some may be surprised by what the experts have to say. The Mayo Clinic advises that cutting calories through dietary changes appears to promote weight loss more effectively than physical exercise alone. According to Shawn M. Talbott, Ph.D., a nutritional biochemist and former director of the University of Utah Nutrition Clinic, weight loss is about 75 percent diet and 25 percent exercise. People generally see the largest shortterm results when they eat healthy foods and healthy portions. Poor diets can be difficult to overcome, as it takes a lot of exercise to spur dramatic weight loss, whereas a low-calorie, healthy diet can be a simple and effective means to losing weight. Nutritionists often point to a balanced diet that focuses on fruits and vegetables, lean proteins and wholegrain carbohydrates over fad diets or ones that require the adherence to strict guidelines that are difficult to follow for lengthy periods of time. But exercise should not be abandoned in favor of a low-calorie
diet. Dr. Yoni Freedhoff, who runs one of the largest obesity clinics in Canada, says that weight loss occurs from what’s created in the kitchen, but health is gained in the gym. Dr. Freedhoff often advises his clients to make smart changes to the foods they eat to spur weight loss, and then incorporate exercise into their lifestyles as a way to keep the body in top form. Regular physical exercise is necessary to maintain strong bones, build muscle, improve flexibility, and keep the cardiovascular system working efficiently. Exercise also releases endorphins, which can improve mental alertness and feelings of well-being. The Mayo Clinic notes that studies have shown that people who lose weight and keep it off over the long haul are those who get regular physical activity. When it comes to losing weight, the foods a person eats play a bigger role than exercise. But it is the combination of both diet and exercise that can lead to greater overall health and sustained weight loss.
Methods to treating arthritic knees (MCC) Osteoarthritis of the joints can affect people of all ages, but is one of the leading causes of disability in the aged population in the United States. A study published in the Caspian Journal of Internal Medicine found incidence of knee OA is rising by increasing average age of the general population. Age, weight, trauma, and repetitive movements are common risk factors for the condition. According to Dr. Scott Paris of Central Jersey Spine and Wellness, more than 27 million people in the country suffer from knee arthritis. An estimated 37 percent of Canadians aged 20 or older who had been diagnosed with arthritis reported osteoarthritis, with 29 percent occurring in the knees, states Statistics Canada. Knee arthritis occurs when there is a degeneration of articular cartilage that covers and protects the patella (knee cap) at the knee joint, offers the online resource Arthritis-Health. Since this cartilage has no nerve endings, some people can experience arthritis but feel no pain. However, pain may occur when doing specific activities that cause impact between bones, like jumping, walking up stairs or certain sports. Over time, knee arthritis may become worse, and pain can be accompanied by stiffness and loss of mobility. This may be accompanied by knee locking or buckling. Those who suffer from knee OA may seek treatment. In 2014, the Osteoarthritis Research Society International, a nonprofit organization dedicated to promoting osteoarthritis research and treatment, updated its recommendations for the treatment of osteoarthritis targeted to different patient characteristics. The main categories of treatment include non-drug treatments, medication, injections, and surgery. 10 | A (SCNI) Southern Community Newspaper Product | December 2018
• Non-drug treatments: Examples of nondrug treatments include exercise, stretching and range-of-movement strategies. Weight loss can alleviate excess strain placed on the hips and knees and reduce pain. Braces, sleeves and orthotics may help reduce pain and joint stiffness when directed properly through a specialist. • Medications: Many medications are geared around reducing inflammation and pain and include over-the-counter pain relievers and NSAIDs, such as acetaminophen, ibuprofen and naproxen sodium. Topical NSAIDs may be tried, and these can reduce the risk of gastrointestinal side effects from oral medications. OARSI also found that the antidepressant duloxetine may help with chronic knee pain. • Injections: The Arthritis Foundation says that some doctors can inject corticosteroid compounds directly into affected joints. Use of hyaluronic acid injections can supplement the natural substance that gives joint fluid its lubrication and viscosity. These injections may help relieve pain and improve mobility. • Surgery: In cases when the aforementioned treatments are unsuccessful, doctors may suggest surgery. The Arthritis Foundation says joint lavage and arthroscopic debridement, which involve flushing the joint with a sterile saline solution and the surgical removal of tissue fragments from the joint, are controversial but may help some people achieve short-term relief. Partial knee replacement may be another option that offers a similar improvement in function, but fewer complications than a total knee replacement. Osteoarthritis in the knee can be painful and restrictive. Working with a qualified doctor, individuals can develop a treatment plan that works for their specific conditions.
Keisha R. Callins, MD. MPH ERCER UNIVERSITY
SCHOOL OF MEDICINE
Step It Up: Self-Care Suggestions for Success in 2019 Don’t Huff and Puff Your Health –––– Keisha R. Callins, MD, MPH –––– Away: Developing Your Action Enlightenment puzzles (hide your electronic devices motivation and desire to improve your For a variety of Plan reasons, women often under the mattress and give your brain balance. It’s time to thrive, not to Defeat Smoking life find it difficult to balance the care a workout);; 2) eat more brain foods just survive. Start by writing down
in nicotine patches to help during the transition, and “healthy” of ENLIGHTENMENT the “whole” body,cause mind, and (increase nuts, berries, andyouantioxitheyourthings Smoking is the mostself: preventable of death in the US, and snacks to manage the urge to have something in mouth that are most important to spirit. than ideal can dants); 3) sleep (yes, sleep is a who it can A be less especially harmful for balance women at all stages of life. You (carrots, you. celery, gum).beauty Join forces with someone alsoThese plans are the things that deserve are probablytoaware that smoking exposes the body to real harmfulthing!); to quit. 4) Increase your exercise and change your eating habits to contribute illness, stress, poor job volunteer (giving from your attention and the framework for chemicals, but smoking can cause unique challenges to a manage the possible initial weight gain associated with giving up performance, difficulty sleeping, andcan affect thethe heart helps you remain humble), 6) woman’s health, and second-hand smoke your new adjustments. Yes, it will take cigarettes. Last but not least, make it count. Open an account or health of loved ones. Women Women whomay smokeadhave an increased poor eating habits. try something sport, buy a piggy new bank to(new save the money new that you wouldsome normallyextra use effort to transform the life risk of many different problems: cancer of the cervix, breast and on cigarettes, then plan a reward. dress of their self-care, but it food, you have into the life you want, but vulva;one lungpart diseases and cancer or vascular complications such read a book, learn a language, takes constant, purposeful effort tomay ad-have difficulty learn anEMPOWERMENT instrument, or travel); and as heart disease, blood clots, and stroke. They I am certain that it will be more than of the most helpful things that you can do to help support becoming pregnant, andimportant when pregnant, have. Ian increased dress all three very areas 7) makeOnemeaningful memories and it for you and the important chance of miscarriage, preterm delivery, preterm loss of fluids, the decision to change your smoking behavior worth is to channel strongly believe that your life satisfacfamily (how and abnormal location of the placenta. Because toxins cherish can be the supportand of thefriends people and places around people you. Tell your in your life . You can bring to the baby, significantly newborns of mothers who smoke can have unexpected friends, family and co-workers holdneed you accountable – no tionpassed willonimprove when many funerals do toyou your dreams to life despite the weight at birth, a greater chance of problems such as colds, exceptions. Limit the use or change the locations where you usually youlow make time to create a genuine acto attend to realize how short life can earaches, lung problems, increasing visits to the pediatrician, and buy cigarettes because the staff knows your preferences challenges you may encounter. You and are tioneven plan toPelvic “Step It Up”menstrual in 2019. be?). death. infections, cycleYou issues, onset and used to accommodating you. You can also engage your usual staff may need to take a break from some menopause, and even health can be impacted by to promise not to sell you cigarettes, even if you demand them. If canseverity giveofthe best care tobone your family things or people. You may even need the dangers of smoking. you are used to SPIRIT: smoking after1) eating, you may need to change and friends when you put yourself BETTER YOUR take to permanently give up some behavlocations; and if you are used to smoking with certain friends, you onEDUCATION your to-do list. time for yourself every day (your friends.things, or people hindering your The decision to stop smoking is one of the best gifts you can may have to change what activities you do with youriors, age = minimum number of minutes give to your health, your family, and your bank account. Once ENCOURAGEMENT enhancement plan. You may need Education give yourself each day);challenge,life you decide to stop smoking, your success requires a strongyou desireshould If by chance, smoking is not a personal I am certain to set boundaries for the help that you to quit and YOUR a strategic plan: 1) Ask1) yourself why you smoke – open-minded BETTER BODY: get 2) be (take a moment that you know someone who needs your help and support to is it anxiety, boredom, depression or stress? Seek help for new change this harmful behavior, so use this information give to others or limit the number of to help active 2)benefit control cholesto and/ consider other options) 3) practice coping(every behaviors.day); You may from talking to a therapist someone you care about. If you are a smoker who is quitting, to which you commit yourself. or taking new hobby3) or eat activity to occupy your terol (saymedication, “no” tofinding the achips); forgiveness (treat others as you would things as vaping, are time; 2) Advise yourself about why you need to quit – is it for keep in mind that medication and alternatives, such Save some of yourself for you. better (fruits, vegetables, and nuts are about liketheto be treated) 5)transition pray (you meant to help your but not have as a permanent substitute for your health or your kids? Make a contract with yourself cigarettes. As with most other things in life, persistence is one of your friends, your enemies ); 4) data plan concerning reason for your not decision; 3) Assess yourself for the best an timeunlimited to the keys to success. So, if by chance, it takes you longer than you Encouragement quit. Pick blood a date – pressure your birthday, (don’t birthday ofignore a loved one, your or after communication manage with God); 6) don’t stop an upcoming holiday! 4) Assist yourself – Call 1-800-QUIT-NOW expected or more than one attempt to shake this habit, Astoyou prepare for the joys and chalsymptoms); loseprovider weight choose trying to live joyfully to quit smoking.(happiness Developing anisaction plan remove or talk to your 5) medical about(which available help with medical lenges of cigarettes from your life and the lives of your loved ones, is2019, please consider a new therapy. dress Download QuitGuide app,must text START to 47848, favorite inthe your closet bothora feeling and a choice); and 7) quit cold turkey! Finally, 5) Arrange yourself accordingly – invest one of the wisest decisions that you will ever make. and improved approach to achieving you get back into?); 6) reduce blood ask for and accept help (no woman better balance in the self-care of your sugar (step away from the sweets); should be an island!). QUOTE OF THE MONTH: body, mind, and spirit. Select your and 7) stop smoking (save money, “AS YOU GROW OLDER, YOU WILL DISCOVER THAT YOU HAVE TWO HANDS, strategies…Step into action…Stick to smell better, find a new hobby). Empowerment ONE FOR HELPING YOURSELF, THE OTHER FOR HELPING OTHERS.” It may seem that the suggestions above your plan… Step it up and Succeed! ANGELOU ~ You’ve got this and You’ve got to do BETTER YOUR MIND: 1) play ~ MAYA are just more things to add to your brain games, board game and to-do list, but the difference is your this!!
Quote Of The Month: “If you must look back, do so forgivingly. If you must look forward, do so prayerfully. However, the wisest thing you can do is be present in the present…gratefully.”
~ Maya Angelou ~
You harp on the kids about the importance of a good night’s sleep, but when it comes to your own sleep, it’s often the first thing that’s sacrificed. Sleep deprivation is common among moms for a variety of reasons. Make it a priority to get 7 or 8 hours of quality rest each night. Keeping the bedroom quiet, cool, dark and free from the distractions of devices such as cell phones and tablets can help you relax and sleep.
Simple health tips for busy moms
(BPT) - Mothers are the CEO of the home. Organizing schedules, paying the bills, doing food shopping, managing pick-ups and drop-offs, and making sure everyone is healthy is just part of the job. Unfortunately, because they are so busy taking care of others, many moms often put off taking care of themselves or scheduling their own health appointments. Making your health a priority can help you stay healthy and keep illnesses at bay. Here are a few tips to help: Sleep consistency
not insured, or if your health insurance plan doesn’t cover the medication you were prescribed, you can check a free prescription savings program called Inside Rx which can help save an average of 40 percent off brand-name and 80 percent off retail on generic medications. Eligibility requirements and a complete list of the medications offered through the program can be found at InsideRx.com. Boost nutrition
You meticulously pack your kids’ Just like with your kids, proactively lunches, but when it comes to your own, seeing a doctor every year can help you sometimes you eat whatever you can tackle health issues head on rather than grab. Eating well helps fuel the body putting them off until they become a and mind, so skip the junk and instead bigger problem. During wellness visits, eat wholesome meals three times a day your doctor will use indicators like July health 2018 | A (SCNI) Southern Community Newspaper Product | 11 with healthy snacks in between. Stock weight, blood pressure and heart rate to the fridge and pantry with healthy foods screen for common conditions such as that are easy to eat on the go and always diabetes and heart disease. Doctors can have nutrient-packed snacks, such as then recommend treatments to help you dried fruit or nuts. Meal planning can help stay healthy and feel your best. everyone enjoy healthy homemade foods Fill prescriptions
throughout the week.
Your doctor’s treatment plan may include a prescription medication. Doctors advise that it’s important to fill and use the medication as prescribed. If you are
These simple tips will help you prioritize health as you take care of your family, so you can feel your best today and in the future!
December 2018 | A (SCNI) Southern Community Newspaper Product | 11
Robert S. Pilcher, MD, PhD
HUGHSTON CLINIC AT ALBANY 117 Oakland Parkway Leesburg, GA 31763
12 | A (SCNI) Southern Community Newspaper Product | December 2018
• Total Hip Arthroplasty • Total Knee Arthroplasty • Total Joint Revisions • Trauma - Hip fractures - Femur fractures - Wrist fractures -Pelvic fractures -Acetabular fractures
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