Fall Guide to Good Health

goodhealth GUIDE TO

FALL 201 1

WHAT DOES “GOOD HEALTH” REALLY MEAN?

AM I EATING THE CORRECT PORTION OF FOOD?

HEALTH as a Core Value WHAT ARE THE RECOMMENDED HEALTH EXAMS FOR A WOMAN MY AGE?

WHAT STEPS DO I TAKE WHEN FINDING A NEW DOCTOR?

2   Guide to Good Health Fall 2011

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Co-Founder and Publisher Melinda Maine Garvey Vice President + Co-Publisher christopher Garvey Co-Founder Samantha Stevens Executive Editor deborah hamilton-lynne Guide to Good Health Editor Darline Turner-Lee austinwoman Art Director victoria millner Guide to Good Health Art Director/Ad Designer ADRIENNE ROSALES Account Executives Katie Lesnick kimberly sanderson rachel willey Marketing + Events Manager katy mcintosh Office Manager marjorie Lee garretson The austinwoman Guide to Good Health is a free, special publication of AW Media, Inc. and is available across Austin and in Lakeway, Cedar Park, Round Rock and Pflugerville.

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contents 8

Health as a Core Value What Does “Good Health” Mean to You?

9

QUIZ: Health as a Core Value Test Your Health IQ

30

10 I Need a New Doctor Three simple steps to ease the process of

finding a new doctor 12 7 Common Mental Health

Disorders in Women Women are affected by mental health disorders

about twice as frequently as men. Learn more

about the most common mental health disorders

in women and some of the gender disparities

driving them.

16 Moment by Moment As Founder and Publisher of AW Media, Inc.,

Melinda Garvey integrates healthy habits into her

life moment by moment.

18 Model Behavior to Change

the Culture Principle Jeanne Goka wants to teach girls at the

Ann Richards School to value themselves, to take

care of themselves and to make time for themselves.

What better way to teach this than to model it!

20 “TAKE BACK THE TRAIL” Terri Givens is on a quest to inspire African

American Woman to utilize Austin’s Hike and

Bike Trails as a way to take steps toward a

healthier lifestyle.

22 Consistency & Moderation Coach Bev Kearney approaches healthy living

with consistency and moderation.

18 10 24 In The Zone Marilyn Pattillo: “If we want to operate at our

highest level, all our “balls” have to operate in sync.”

26 Increase your life Expectancy Preventive health screening recommendations

for women from age 20 to 65 and beyond 30 Portion Distortion: Is your vision affected?

With nearly 67% of American Adults overweight

or clinically obese, it’s patently clear that we’re

eating too much. Look at the US Dietary Guidelines

or portions below and see if your eyes truly are

bigger than your belly!

31 Travis County Medical Society

Physicians are Health Care Heroes 32 Profiles

33 Resource Guide

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Good Health

w

Health as a Core Value What Does “Good Health” Mean to You? What does “Good Health” mean? Does it mean that you are disease free? Does it mean that you have no worries, that everything in your world is a-okay? The state of being in “Good Health” has many different domains and it is only when most of these domains are functioning well, at or near their optimum capacity, can one say that they are in “Good Health”.

In this guide, you will learn more about the different domains of health. You will also learn how some austin women create a working balance with these domains to maintain their own health and to promote health amongst others. In this guide we’ve also provided you with many tools for you to refer to as you work to balance the many domains of your life and health.

But before you dive into this guide, let’s just see where you are right now. How would you assess your health and how well does your assessment compare to the information provided in the guide? We’ve created a short survey of six questions whose answers can all be found within the articles in this guide. If you are able to answer all of the survey questions easily and correctly, you are probably pretty “healthy”, i.e. managing all the various aspects of your life such that you are able to function at a fairly high level. If you miss a few, many or

So sit back and enjoy this Guide to Good Health. We

all the questions don’t worry, all of the correct answers

had a fun time creating it and hope that it will be a

are easily found within the articles, but more importantly,

resource that you refer to and share often.

you may want to consider making a few changes to

improve your health.

8 Guide to Good Health Fall 2011

Darline Turner-Lee Editor, Guide to Good Health

X

QUIZ: Health as a Core Value TEST YOUR HEALTH IQ

1. Health is often divided into 5 (five) specific

4. Young girls who practice Yoga are more self

areas which are:

conscious, more competitive and less in tune

a. Faith, Hope, Love, Joy and peace

with their bodies.

b. Physical, Mental, Emotional, Spiritual and Social Health

a. True

c. Height, Weight, Strength, Flexibility and Endurance

b. False

2. One out of eight women will suffer some sort

5. When selecting a new physician, you can

of mental health disorder in her life time

a. Do a specific Google Search to find physicians

a. True b. False

who specialize in your area of need and who practice in your area. b. Search the American Medical Association and

3. The recommended Pap smear screening

Texas Medical Association Websites to learn more

interval for women in their 30’s, without cervical

about him/her

disease is:

c. Request a “Get to know you” consultation

a. Annually

d. All of the above

b. Every 2 years c. Every 3 years

6. A serving of pasta, ½ cup cooked, is equal to: a. A Softball b. A Golf ball c. Baseball

R HOW DID YOU DO? I SCORED A PERFECT 6 OUT OF 6: GREAT JOB! NOW LET US EXPAND YOUR KNOWLEDGE EVEN MORE. I SCORED A 3 OUT OF 6: YOU’RE OFF TO A GREAT START!

READ ON...R Answer Key: 1. b 2.a 3.c 4.b 5.d 6.c

I DIDN’T GET ANY CORRECT: NO WORRIES...THAT’S WHY WE’RE HERE TO HELP.

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Good Health

I Need a New Doctor

i

1

Three simple steps to ease the process of finding a new doctor It’s stressful whenever you have to find a new doctor.

Just when you’ve found someone that you like and with whom you connect, you move or they move or

they no longer take your insurance. So how do you go about finding a “good” physician? What do you look

for and how do you find out about a doctor’s creden-

tials? These three simple tips will help ease the process.

10 Guide to Good Health Fall 2011

What type of doctor do you need?

The first step is to know what type of doctor you need. With all of the specialties and now subspecialties, it can be hard to know exactly what doctor does what. A simple Google search on a broad topic can generate thousands of responses. If you put in “diabetes” you are going to get a huge list of responses. But you can narrow your search. Instead of diabetes, type “doctor who specializes in diabetic foot care, Austin.” That dramatically narrows your search and even helps you to pinpoint a doctor in your area. Be as specific as you can to get the best results.

2

Qualifications?

Once you find doctors that serve your specific need, the next thing is to see if they are on your insurance plan. Most insurance companies list participating physicians on their websites. Again, a few minutes on the web and you’ll find doctors who not only treat your condition, in your area, and who also take your insurance.

It’s recommended that you choose physicians who are board certified in their specialties. Board certification indicates that your doctor has met a national standard for skills and education, continues to maintain their skills and keeps abreast of new information and technologies by meeting requirements for continuing medical education and re-examination at periodic intervals.

You can find out if a doctor is board certified on the Texas Medical Association (TMA) website. You can also learn where they went to school, how long they have been in practice, any advanced training or qualifications and if they have (or had) any malpractice suits against them. The American Medical Association (AMA), the national physician professional organization, also keeps such information on its members.

Can’t find the physician you are considering on either the state or national website? This is a red flag as most physicians are at least members of the AMA and well as their state medical boards and have their professional information available on file for public viewing. While not being listed is not a flat out contraindication to working with a certain physician, do the extra leg work to be sure that they have proper certification, licensure and practice status prior to entrusting them with your care. At the very least, this will avoid a potential need to change a provider midstream. At the worst, you avoid working with someone who may not be qualified to take care of you.

3

The Nuts and Bolts of the Relationship You’ve found qualified doctors in your area on your insurance plan. Now how do you pick one? This is where personal preference kicks in. Most all doctors look great on paper. They’ve got great educations and have worked long and hard in their disciplines. So how can you know that your needs will be met from a long list of educational credentials and a brief bio that says, “Dr. X is married to his college sweetheart and they like to camp and fish with their 3 children on the weekends?” You have to determine what personality traits and office attributes are most important to you.

If you are switching because your current physician no longer takes your insurance, you may ask your current physician to recommend another physician. A good question to ask is, “If you had my condition what doctor would you see?” This is very useful information.

Many physicians will allow a brief “get to know you” visit, about 15-30 minutes. While you can’t always glean a lot of information, you can get a

sense of how the office runs, and you can meet the physician and see if you feel comfortable moving forward.

Whenever possible, ask other people for their input and about their experiences. Is the prospective doctor open to you asking questions? Are they willing to let you be an active participant in your care? Do they belong to a practice that has doctors who speak other languages? Do their patients wait a long time to be seen? These nuts and bolts are what make or break the doctor/patient relationship.

In our culture, we do more research on the cars we buy than the people we entrust with our health care.

The time to do your fact finding is now-not when something has gone wrong.

If you don’t know anyone to ask, called the office and speak with some of the office staff. Now granted, this isn’t always the most objective response, but you can get some good information.

If you want more information and feel bold, go to hospitals and ask nurses on the wards about the doctors. If you want to know how an obstetrician is and how patients fare, ask the labor and delivery floor nurses! Getting a hip replaced? Ask the nurses on the surgery floor whose patients need more pain meds or have post operative problems. Sounds too sneaky and mistrustful?

Your health depends on it. Ask questions and get answers that satisfy you!

In our culture, we do more research on the cars we buy than the people we entrust with our health care. The time to do your fact finding is now-not when something has gone wrong. It’s critical that you like and trust your health care provider. You’re entrusting them with your most valuable assetYOU! Take the time to carefully research your prospective physicians and use these three simple steps to help find a physician with whom you can build a longstanding relationship of trust and good health.

Resources Find a Physician, Texas Medical Association www.texmed.org/Search/Query.aspx Find a Physican, American Medical Association www.extapps.ama-assn.org/doctorfinder/recaptcha.jsp

www.awGuideToGoodHealth.com 11

Good Health

7 Common Mental Health Disorders in Women Women are affected by mental health disorders about twice as frequently as men. Learn more about the most common mental health disorders in women and some of the gender disparities driving them.

12   Guide to Good Health Fall 2011

a

a

Austin women, like our counterparts nationwide, live in a high stress society far different from the world in which our mothers and grandmothers lived.

Women today frequently juggle the demands of home, childrearing and family management while also pursuing careers. While many of our mothers may have worked outside of the home “to earn a little extra money”, many of us are actually the principle wage earners in our households and provide the financial security for our families. Added to all that, many of us are cardcarrying members of “the sandwich generation”; caring for and raising the families of our creation while also caring for the family which created us.

So it should come as no real surprise to learn that more and more women are stricken with mood disorders. The National Institutes of Mental Health report that approximately 26% of American adults are affected with mental health disorders and women are twice as likely to suffer from mental health disorders as men. One out of eight women will suffer some sort of mental health disorder in her lifetime, and the most likely time will be between the ages of 25 and 44.

According to the World Health Organization (WHO), mental health disorders are associated with “a significant burden of morbidity and disability”.

WHO found that prevalence rates of mental health disorders in the general population are much higher than currently reported. WHO also notes that diagnoses and requests for and administration of treatments are significantly lower than expected.

WHO has noted a striking difference in patterns of mental health disorders in men and women.

“Gender determines the differential power and control men and women have over the socioeconomic determinants of their mental health and lives, their social position, status and treatment in society and their susceptibility and exposure to specific mental health risks.”

“Depression, anxiety, psychological distress, sexual violence, domestic violence and escalating rates of substance use affect women to a greater extent than men across different countries and different settings. Pressures created by their multiple roles, gender discrimination and associated factors of poverty, hunger, malnutrition, overwork, domestic violence and sexual abuse, combine to account for women’s poor mental health. There is a positive relationship between the frequency and severity of such social factors and the frequency and severity of mental health problems in women. Severe life events that cause a sense of loss, inferiority, humiliation or entrapment can predict depression.”

WHO researchers have identified three main factors which are highly protective against the development of mental problems especially depression.

These are: • Having sufficient autonomy to exercise some control in response to severe events.

• Access to some material resources that allow the possibility of making choices in the face of severe events.

• Psychological support from family, friends, or health providers is powerfully protective.

One out of eight women will•suffer some sort of mental health disorder in her lifetime, and the most likely time will be between the ages of 25 and 44.

Based on these findings, WHO is focusing on increasing awareness of the gender differences between men and women in mental health disorders.

Working with international organizations, they are creating and implementing policies that will assist in improving the health and welfare of women across cultures. WHO is also working to raise awareness of mental health disparities to health care providers. Their goal is to increase the skills and competencies of health care providers to better identify, intervene and treat mental health disorders in women.

The following chart lists common mental health disorders that disproportionately affect women. Ladies, you aren’t crazy, nor are you a whiner or ungrateful. What you are feeling is real and there is help. Read on!

R

Resources “Gender Disparities and Mental Health: The Facts”.

The World Health Organization www.who.int/mental_health/prevention/genderwomen/en/ The National Institutes of Mental Health (Statistics) www.nimh.nih.gov/statistics/1ANYDIS_ADULT.shtml The Mental Health Foundation www.mentalhealth.org.uk/help-information/an-introduction-to-mental-health/ PsychCentral www.psychcentral.com/ The Mayo Clinic www.mayoclinic.com/health-information/ Post Partum Support International www.postpartum.net/Get-the-Facts.aspx

www.awGuideToGoodHealth.com 13

Unipolar Depression Also known as classical depression or “The Blues” is what people commonly think of when they think of depression. It is characterized by feeling sad and depressed for weeks or months at time. It is often brought on by major life events but sometimes there is no defined etiology.

Signs & Symptoms Unipolar depression is often accompanied by feelings of hopelessness, marked sadness with or without crying, lack of energy, taking little or no pleasure in things that gave you joy in the past, fatigue, changes in eating and sleeping patterns and physical aches and pains.

A person who’s depressed just “can’t get moving” and feels completely unmotivated to do anything. Even simple things -- like getting dressed in the morning or eating – become monumental tasks.

Treatment Unipolar depression is readily treated with modern antidepressant medications and short-term, goal-oriented psychotherapy.

Bipolar Depression Bipolar disorder, also known as “manic depression,” is a mental disorder characterized by alternating moods of extreme “highs” and equally extreme “lows”. Episodes of mania and depression can be as brief as a few hours or last days, weeks, months or loner. Bipolar disorder is recurrent, meaning that more than 90% of the individuals who have a single manic episode will go on to experience future episodes. The causes of Biopolar disorder are unknown, but it has been shown to be familial and there seems to be a genetic predisposition. There also seems to be a neurochemical component in which altered levels of certain brain chemical can trigger episodes. Likewise, life events have been known to trigger episodes. Some individuals have also experienced episodes following treatment with certain medications. But to date, there is not a specific cause of Bipolar disorder.

Signs & Symptoms Manic Phase • Heightened sense of self-importance • Exaggerated positive outlook • Significantly decreased need for sleep • Poor appetite and weight loss • Racing speech, flight of ideas, impulsiveness • Ideas that move quickly from one subject to the next • Poor concentration, easy distractibility • Increased activity level • Excessive involvement in pleasurable activities • Poor financial choices, rash spending sprees • Excessive irritability, aggressive behavior Depressed phase: • Feelings of sadness or hopelessness • Loss of interest in pleasurable or usual activities • Difficulty sleeping; early-morning awakening • Loss of energy and constant lethargy • Sense of guilt or low self-esteem • Difficulty concentrating • Negative thoughts about the future • Weight gain or weight loss • Talk of suicide or death

Treatment Medication is almost always a major part of treatment for bipolar disorder. Medications include: Antidepressants, Antipsychotics and Mood stabilizers. Psychotherapy with a skilled psychiatrist who can also help identify self care behaviors is essentials. It is very helpful with individuals with bipolar disorder have a support network of family and friends who can help the individual identify the phases and intervene and get the individual help if necessary.

Post Partum Depression Post partum depression affects some 15-20% of women.

Frequently after the birth of a child, a woman will experience “the blues”. However, the blues are typically short-lived and resolve within 1-2 weeks. If a woman continues to feel blue, feels unable to care for or bond with her baby, has anxiety or panic attacks, irritability, crying, fatigue, lack of energy or confusion, she may be suffering from post partum depression.

Post partum depression is thought to be the result of the hormonal fluctuations that occur during pregnancy, labor and delivery. This may in part be true, but physical changes, lifestyle changes and adapting to the role of a mother and emotional changes all factor into post partum depression.

Signs & Symptoms • Feeling sad or depressed?

• Irritable or angry with those around you?

• Having difficulty bonding with your baby?

• Anxiety or panic?

• Problems with eating or sleeping?

• Having upsetting thoughts that you can’t get out of your mind?

• Feeling as if you are “out of control” or “going crazy”?

• Feeling like you never should have become a mother?

• Worried that you might hurt your baby or yourself?

Treatment • Counseling • Antidepressants or antianxiety medications as needed • Hormone Therapy to help offset the hormonal imbalances • Enlisting the help and support of friends and loved ones to help care for you and your baby.

Note: We can all recall the tragedy of Andrea Yates, the Houston mother who murdered her five children. What Andrea had was post partum psychosis, a very severe post partum mood disorder. Post partum psychosis is a medical emergency as mother is a danger to herself and her children. It is characterized by highly irrational thinking, paranoia, feelings of being overwhelmed, hopeless and helpless. Many mothers are unable to care for their babies and neglect them. Others may actually speak of harming the baby. If you suspect post partum psychosis, get immediate, safe care for the baby and get mother help immediately.

Anxiety Disorders

Post Traumatic Stress Disorder (PTSD)

We all experience stress and anxiety, but when the stress and anxiety become chronic and interfere with activities of daily living and ability to function, one may be diagnosed with an anxiety disorder. Common anxiety disorders include generalized anxiety, panic disorder (characterized by recurrent “attacks” in which the person is filled with overwhelming terror and inability to function), and obsessive compulsive disorder (characterized by distressing or frightening repetitive thoughts which come to mind automatically, however irrational they may seem and however much you try to resist or ignore them. Compulsions are actions which people feel they must repeat to feel less anxious or stop their obsessive thoughts.)

PTSD is a debilitating mental health disorder that occurs after a person witnesses or experiences a horrifying, extremely violent, tragic or traumatic event.

PTSD was once thought only to affect war veterans, but it is now recognized that it can affect anyone who has lived through or witnessed a traumatic event. In women, PTSD is often the result of sexual abuse, rape and/or domestic violence.

Signs & Symptoms • Muscle tension • Physical weakness • Poor memory • Sweaty hands • Fear or confusion • Inability to relax • Constant worry • Shortness of breath • Palpitations • Upset stomach • Poor concentration

Individuals with PTSD keep reliving the events of the trauma either as nightmares or intrusive daytime thoughts. Seeing things that remind them of the incident may be very distressing, which could lead them to avoid certain places or situations that bring back those memories. Anniversaries of the event are often very difficult.

Signs & Symptoms People with PTSD may have their memories triggered by sounds, touch or even the sight of an object. They may: • React violently • Withdraw in fear • Experience sleep problems • Depression • Feeling detached or numb • Being easily startled.

• Lose interest in things they used to enjoy • Have trouble feeling affectionate.

• They may feel irritable, more aggressive than before, or even violent.

Eating Disorders Eating disorders are a group of disorders characterized by heightened awareness and regulation of one’s eating, including starving one’s self and voluntarily purging. The disorder primarily affects young girls who are trying to attain an often unrealistic body image. This disorder is particularly prevalent among young gymnasts, dancers, models and other young women who feel it imperative to maintain a slender body image.

The disorder arises when affected individuals diet excessively despite often being under weight and emaciated and yet still perceiving themselves as “fat and overweight”. The two main eating disorders are : Anorexia (also known as anorexia nervosa) characterized by voluntary starvation while being convinced one is overweight Bulimia (also known as bulimia nervosa) is characterized by excessive eating, “purging” by vomiting, excessive laxative or diuretic use, taking enemas, or exercising obsessively.

Signs & Symptoms • Excessive preoccupation with food and weight loss • Weighing less than 85% of your expected body weight • A distorted body image such that a young woman sees herself as overweight despite being underweight.

• Excessive Exercise • Broken or missing tooth enamel • Constipation and/or slow stomach emptying • Laxative use (in later stages, needed just to have a bowel movement)

Treatment • Anti-anxiety medications • Counseling

Treatment • Counseling • Anti-anxiety and anti-depressants medications are frequently used alone or in combination. Sometimes anti-psychotic medications are necessary.

• Thinning hair • Dry skin • Brittle Nails • Sunken Breasts • Amenorrhea (absence of menstrual cycles) • Very low blood pressure • Food rituals (Elaborate preparation of meals, specific placement of food on plates, etc...)

Treatment Treatments always consist of counseling and behavior modification therapy. Medications may be used but are not typically first line for therapy. Hospital admission may be necessary in extreme cases when individuals have reached dangerously low bodyweights.

Alzheimers/Dementia Dementia is a decline in mental function which affects memory, thinking, problem-solving, concentration and perception. Dementia occurs as brain cells in the area of thought and reasoning becoming damaged or dying. Alzheimer’s disease is a degenerative form of dementia, i.e. it gets progressively worse over time. The primary cause of Alzheimer’s disease and the dementia that occurs is aging. Rates of Alzheimer’s vary between with men being more affected early on and by the seventh decade, women being more likely to suffer with the disease.

Signs & Symptoms The primary signs of Alzheimer’s disease are memory loss and loss of “executive” functions such as reasoning, calculation, and high order functions such as problem solving. Initially, Alzheimer’s patients will lose only short term memory and cognitive functions may remain somewhat intact. But as the disease progresses, all memory becomes lost. Individuals may become disoriented, fearful, wander (if they are still ambulatory), irrational and even combative. Depression often exists along with Alzheimer’s as individuals, in their more lucid moments, come to terms with their declining health status. In the later stages, individuals may lose the ability to communicate or even to move on their own. Many become bed ridden.

Treatment While there are treatments to help delay the onset and slow the progression of memory loss and loss of cognitive function, there is no cure for Alzheimer’s. Treatment consists primarily of helping individuals remain functional and independent for as long as possible. As memory begins to fade and is replaced with disorientation, fearfulness, paranoia and even irritable/ combative behavior, the focus of care becomes keeping the individuals calm, comfortable and safe. Care of Alzheimer’s patients can be very difficult (for both patients and loved ones) and in the later stages is a full time commitment.

While many family members attempt to care for their loved ones at home, providing care can be a daunting task without the assistance of trained professional caregivers. Ultimately for many families, the best solution for the patient and the family is continuous care in an assisted living/skilled nursing facility.

Good Health

Melinda Garvey, Co-Founder & Publisher AW Media, Inc.

Moment by Moment As Founder and Publisher of AW Media, Inc., Melinda Garvey integrates healthy habits into her life moment by moment.

Melinda Garvey is an extremely busy woman. As founder and publisher of AW Media, Inc., she lives her life by deadlines. She is the last word on every issue of austinwoman Magazine as well as the new ATX Man Magazine. She is involved in every aspect of each magazine’s development as well as the many community and philanthropic activities with which AW Media, Inc. is associated. And while most of her days are scheduled, she often has to shift and change course at a moment’s notice.

“I don’t use the word balance,” says Garvey. “To achieve balance in my life seems overwhelming. For me, healthy living is about integration; integrating healthy habits into my life on a moment by moment basis, fluidly changing what’s important moment by moment as life dictates.”

Garvey makes small consistent steps daily to exhibit health as her core value. “I exercise but I am far from a hardcore exercise-aholic,” admits Garvey.

“Honestly, I exercise so that I can eat and enjoy what I want. I’m no 40 year old marathoner or tri-athlete. ” In addition to running a multimedia company, Garvey is also mother to a four year old son. “I had my son two days before my fortieth birthday,” says Garvey.

16 Guide to Good Health Fall 2011

“When my son goes to college, I’ll be in my 60’s. I have to take care of myself if I want to fully participate in my son’s life.”

For this very reason, Garvey knows she needs to take it up a notch and take care of herself. She is very aware of when she is on overload and ensures that she takes downtime. She is very thoughtful to make energy shifts when needed. Garvey also has two excellent role models in her parents. Both in their early 70’s, Garvey’s parents are very young at heart and living vibrant active lives.

“My parents work out, they eat healthily...From what I can tell, it’s a mindset.

They are very happy and relish in life. That’s how I want to be. I want to be in my 70’s and able to run after my grandkids.”

Garvey strives to keep her very busy and somewhat complicated life simple.

Garvey has this self assessment. “At the end of the day I ask myself, did I integrate all that is important into my day? Did I talk with a friend who needed me?

Did I remember to eat healthily? Did I play with my son and give him lots of love? Did I connect with my husband? If I can answer yes to these questions, then I feel pretty good that I am living out health as my core value.”

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Good Health

Model Behavior to Change the Culture Principle Jeanne Goka wants to teach girls at the Ann Richards School to value themselves, to take care of themselves and to make time for themselves. What better way to teach this than to model it!

At the Ann Richards School for Young Women Leaders, yoga is part of the curriculum. Integrated into the daily schedule, each grade level practices yoga three to four times a week. In an effort to spend time with the girls, accentuate the importance of self care and to model self care behavior, Principle Jeanne Goka practices yoga with the girls two to three times a week.

“Research shows that yoga allows adolescent girls to become comfortable with their bodies. During yoga, they are in their bodies, no competition, no comparisons. Our hope is that each girl will make yoga a lifelong practice.”

“Here at Ann Richards, we believe that health and wellness is a grassroots movement,” says Goka. “We believe that if we give the girls the tools at school, the girls will take wellness home.”

As the principle of the Ann Richards School, Goka and her staff have worked hard to improve the nutrition standards for the girls. While AISD took sodas out of the vending machines and replaced them with juice, Goka removed vending machines from the campus entirely.

“Every one shares responsibility for making changes and healthy choices,” explains Goka. “Teachers who come to Ann Richards give up drinking sodas. Girls stop drinking sodas and as a result, whole families stop drinking sodas. When the girls go to UT events where there is free soda, they refuse and choose water because they understand the negative impact that soda has on their bodies.”

To ensure that the Ann Richards School is in fact serving nutritionally balanced food, the school had a focus group which included student representatives.

“The girls are very conscious of nutritional contents of foods,” says Goka. When the cafeteria manager announced no more juice would be served at the school due to the sugar content, the girls agreed. The girls were also excited to learn that the Ann Richards School serves the most fruit of any school in AISD.

18 Guide to Good Health Fall 2011

Jeanne Goka, Principle

Ann Richards School for Young Women Leade

At Ann Richards, wellness is part of the curriculum. Nutrition and fitness are integrated right into the hours of the school day. Every Friday there is “Friday Fitness” in which there is a school wide 30 minute fitness event. There is a cross country team that runs each morning. Several teachers who are runners help out and coach the girls. The School participates in three runs per year, the Dell, the Capital 10K and Austin Run for Shoes. The school provides open gym days, offers cooking classes and open gym nights for families including nutritionists and dieticians.

The Ann Richards School is committed to making their wellness curriculum more girl-centered. They are adding programs in martial arts (to address dating violence issues), eating disorders, self injurious behaviors, and techniques for taking care of self and others. When asked if she thinks the wellness curriculum it too ambitious, Goka answers, “I have the ideas, the teachers and girls do all the work.” With Goka as their model, the girls will surely make the skills learned at the Ann Richards school life long practices.

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Good Health

Terri Givens, PhD

Associate Professor in the Government Department and Director of the Texas Language Roadmap The University of Texas at Austin

“TAKE BACK THE TRAIL” Terri Givens is on a quest to inspire African American Woman to utilize Austin’s Hike and Bike Trails as a way to take steps toward a healthier lifestyle.

Terri Givens has been an athlete all of her life. Maintaining a healthy lifestyle that includes nutrition and fitness is not only a necessity for her life, but something that she wants to do.

20 Guide to Good Health Fall 2011

The youngest of seven children, Givens has seen first hand what forsaking a healthy lifestyle and ignoring the warning signs of disease can do. Her father died at 73 from a heart attack and her mother died at 79 after having a stroke five years earlier. Following the deaths of her parents, Givens began researching heart disease and reviewing her family history. “With my dad especially, there were several warning signs which he ignored,” says Givens.

“Now several of my siblings are on antihypertensive and/or anticholesterol medications. I feel an extra obligation to take care of myself.”

But Givens, a political scientists, has not only been impacted by her own family history. The more she researched her own health, the more she learned about health disparities for African Americans, African American women in particular.

“When I saw the rates of obesity amongst African American women I was horrified,” says Givens. “I kept asking myself, what are women doing to improve their circumstances? I saw all these programs addressing obesity in children but nothing addressing obesity in African American women, a group at particular risk for multiple diseases and premature death.”

Givens’ concern has inspired her to initiate the “Take Back the Trail” program. “The goal of the program is to inspire African American women to be more proactive about their health and to get more involved in health and fitness, namely, utilizing the hike and bike trails around Austin to take steps towards living a healthy lifestyle.”

Givens hopes to inspire African American women to ask questions and to seek second, third or even fourth opinions when considering their health care options. She also hopes that she can encourage African American families to work together to make healthy choices. Givens, who herself is very attentive to her diet, gets help and support from her husband who encourage fruits and vegetables to Givens and her boys and helps plan and prepare the family meals.

As Givens steps into her role as health care advocate for African American women, her mantra is becoming, “Don’t let others change your narrative.”

Now that Givens is well aware of the adversities facing African American women as it pertains to healthcare, she hopes to educate women in the African American community to take a stand for themselves and their community and not be defined by the trends and statistics.

“I kept looking to see who was taking on this challenge and I finally realized that perhaps, rather than waiting for someone else to take the lead, I should get out there and see what I can do to make a difference since this is a matter that is important to me.”

The trail that Givens is blazing for African American women is no different than the one she hopes individual African American women will makeconscious choices for health and fitness, regular steps toward improvement in lifestyle that will benefit not only African American women, but also their families and their communities.

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Good Health

Consistency & Moderation Coach Bev Kearney approaches healthy living with consistency and moderation.

University of Texas women’s track and field coach Beverly Kearney is a legend in her own time. As the coach of the University of Texas Austin Women’s Track and Field and Cross Country Coach, She has coached the women’s track teams to six NCAA National Championships, 22 league titles and coached12 Olympic athletes, seven of whom are medalists. On Dec. 17, 2007, Kearney was inducted into the U.S. Track and Field and Cross Country Coaches Association (USTFCCCA) Hall of Fame.

In 2002, Kearney was involved in a fatal automobile accident. Two passengers were killed, three others survived and Kearney has been left with permanent physical disabilities. But this hasn’t stopped Kearney. She continues to coach the winning UT Women’s Track and Field and Cross Country teams.

Off the field, Kearney’s lifestyle coaching is more basic.

“As an athlete, you can lose perspective regarding healthy living because of the extreme eating habits and training schedules you keep. It’s important to remember in everyday life, avoid extremes. Just maintain consistency and moderation.”

Kearney held onto this mantra before and after her accident and has been able to maintain a high level of fitness despite her disability.

“I had to make peace with the fact that I won’t have a six pack. But that doesn’t mean that I can’t be fit and healthy. I won’t give up chips and French fries. But I can make sure that I can see my feet. When I eat chips, I eat the bag over a week. Be consistent with physical activity. You can do 10-15 minutes of cardio. If you can do more, than do it. But do those 10-15 minutes two to three times a week. Keep it small and manageable.”

Kearney had great role models for consistency and moderation. Growing up, her parents would remind her that “You are the remote control. Get up and do.”

Their words have been the words that Kearney has lived by all her life.

“People think that healthy living involves dieting and extreme fitness,” says Kearney. Extremes aren’t needed. Just eat less healthy things in smaller portions and less often. Exercise. It needn’t be a lot, just do it consistently.”

“My rules of thumb are simple,” adds Kearney. “If you are going to have a burger, enjoy it! Then don’t have one for the rest of the week. Don’t supersize the meal no matter what the monetary value.”

Kearney drinks eight ounces of water before every meal. “It’s so important to stay hydrated. Dehydration brings about many serious health issues.”

“Finally and most importantly, live happily and be healthy. Be able to do the things you like as well as the things you need to do. If you can do that, then you are a health success.”

22 Guide to Good Health Fall 2011

Beverly Kearney, Head Coach, Women’s Track and Field and Cross Country The University of Texas at Austin

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P A I D

A D V E R T I S E M E N T

What you can expect from Dr. Tyson • Treatment in a pleasant, nurturing and professional environment • Comprehensive assessments with detailed explanations of findings and plans for treatment • Consultation, referral, and coordination with other professionals, such as dietitians, therapists, other medical specialists as needed • Close supervision throughout the entire treatment • Assistance with higher level of care decisions when needed

Signs and symptoms and when to consider Dr. Tyson’s services Individuals with eating disorders may present in a variety of different ways.The following are potential

Helping you put YOURSELF together again!

signs of an eating disorder and indications of special-

Care for all individuals (males & females of all ages) struggling with Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and similar problems

• Over-concern with body shape/weight/food

ized care. However, an eating disorder can exist without obvious physical signs or complaints.

• Marked weight change or absence of weight gain in children/young adolescents • Marked increase of or excess exercise • Weakness, fatigue, or lethargy

Why a specialist in Eating Disorders (EDs) may be needed?

• Dizziness or fainting • Cold intolerance

A

lthough physicians who specialize in EDs are uncommon, eating disorders are not, affecting up to 10 million people in the U.S. and 20% in certain groups of people. ED’s are the 3rd most common chronic illness of adolescent females. In certain groups, such as elite athletes, up to 20% or more may have an eating disorder.

ED’s are among the most complex illnesses in medicine, with both serious physical and psychological issues. ED’s and malnutrition affect every organ system; therefore, the assessment and management of Eating Disorders needs to be comprehensive and incisive.

Eating Disorders are not discriminatorythey may affect the young and old, males

and females, rich and poor and all races.

EDs have the highest death rate of any psychiatric illness; women from 15-24 with anorexia have death rate 12 times that of all other causes; the most common cause of death is from cardiac complications, then suicide.

Many medical problems often occur, including heart failure, electrolyte and fluid abnormalities, gastrointestinal and endocrine problems, osteoporosis, dental decay and others.

To best address all issues, a collaborative team of ED professionals is preferred, including a physician, dietitian, therapist, and others as needed. Dr. Tyson will recommend and coordinate with all specialists involved.

• Chest pain,heart palpitations,shortness of breath • Abdominal Pain, Constipation • Infertility,loss of menstrual periods (amenorrhea) • Seizures, memory loss/poor concentration, insomnia • Depression/anxiety/obsessiveness, self-harm, suicide attempt or ideation • Edema/swelling, stress fractures, hair loss

Edward P. Tyson, MD Specializing in Eating Disorders

512.380.9999 3811 Bee Caves Rd, Ste 200 Austin, TX 78746

info@eatingdisordersdoc.com

www.EatingDisordersDoc.com

Good Health

Marilyn Pattillo, PhD, RN, APRN, BC.

Associate Professor of Nursing, The University of Texas at Austin Private Practice Nurse Practitioner, Geriatric Nursing

In The Zone Marilyn Pattillo: “If we want to operate at our highest level, all our “balls” have to operate in sync.”

24 Guide to Good Health Fall 2011

Marilyn Pattillo is an associate professor of nursing at the University of Texas School of Nursing and a private practice nurse practitioner specializing in Geriatric nursing. When asked how she views Health as a Core Value, she had this to say.

Health is comprised of many domains and I break them down into five specific areas: • Physical Health – Nutrition, exercise and good health enhancing habits such as good sleep habits • Mental Health – Thinking good thoughts and surrounding yourself with positive people. Stress management • Emotional Health – Establishing boundaries, realizing that you can’t do everything, and learning to do those things that truly make you happy. (You can’t function at your highest level if you aren’t happy!)

• Spiritual Health – Knowing your place in the world, believing in a divine order, that everything has its place. Understanding that you can’t control everything and knowing when to surrender • Social Health – Having a social support system and engaging in social activities that bring you joy and enhance your interpersonal relationships.

The state of “health” occurs when we have all of these domains, all of our balls, in sync or in balance. A good example of this is the elite athlete who is competiting at the highest level of their sport and at their optimum output. Their bodies are well trained, their minds are focused, they have faith in themselves and their abilities, they are fully enjoying what they are doing and they have the support of family, friends and training staff. They are in the zone.

So often we hear, “live healthy” or “be healthy”. If I say, “Live Healthy” to my patients, they often become overwhelmed with all that they need to do. Unlike the elite athlete who has a physical coach, an emotional coach, a sports psychologist and other staff, most people don’t have such support to live a healthy life. In fact, most people need help with concept analysis, understanding how to organize the domains of health and “balance the balls”. My job as their health care provider is to break “healthy living” into small bits or into the individual domains so that my patients can address the domains of health one area at a time and successfully make changes. Often, once one area becomes organized, other areas spontaneously become organized, and patients are better able to balance their balls, “be in the zone” and live healthier.

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Good Health

Increase your life Expectancy

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Preventive health screening recommendations for women from age 20 to 65 and beyond

“It was the best of times, it was the worst of times.”

The opening of the Dickens’ classic, “A Tale of Two Cities”, very aptly describes our current healthcare climate in America. On the one hand, Congress passed and President Obama signed into law the Affordable Care Act in 2010 making health care more accessible to more Americans. Still an unprecedented number of Americans remain uninsured or underinsured and as a result, we as a nation remain at great risk for untoward or even catastrophic health events and/or epidemics.

The scary reality is that women and children fare worse whenever catastrophic health events occur. As our nation struggles to get a handle on healthcare, data from a study conducted by The Institute for Health Metrics and Evaluation (IHME), an independent global health research center at the University of Washington, and researchers at the Imperial College London showed that for the first time the life expectancy for women has dropped between 2000 and 2007 to 81 years.

26 Guide to Good Health Fall 2011

The study looked at counties throughout the US and compared life expectancies in order to compile an average for men and women. The researchers found a wide range of life expectancy amongst counties in the US, and that life expectancies vary racially. When compared to the international frontier, the 10 nations with the best life expectancies in the world, US counties range from being 16 calendar years ahead to more than 50 behind for women. For men, the range is from 15 calendar years ahead to more than 50 calendar years behind. This means that some counties have a life expectancy today that nations with the best health outcomes had in 1957. And while there were racial and some socioeconomic disparities, the researchers found high rates of obesity, tobacco use, and other preventable risk factors are mostly to blame.

So with this knowledge what can women do to take care of themselves and to live not only as long as possible, but as independently and as ably (able to do those enjoyable activities) as possible?

As always, the best defense is a strong offense. It is far easier to prevent illness and disease than to try to treat and manage it once it manifests. So Austin women, go on the offensive! Have regular physical examinations and the recommended screening examinations for your age and health status. Don’t know what you need? The following chart, compiled using information from The Office on Women’s Health, The American Congress of Obstetricians and Gynecologists (ACOG) and HealthyWomen.org lists the recommended health screenings and schedules for women aged 20 to 65 and beyond. This is a general chart. Of course, every austinwoman should consult with her health care provider as to what she needs according to her health history.

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References Kulkarni SC, Levin-Rector A, Ezzati M, Murray CJL. “Falling behind: life expectancy in US counties from 2000 to 2007 in an international context.”

Population Health Metrics. 2011; 9:16. www.healthmetricsandevaluation.org/ news-events/news-release/life-expectancy-in-us-counties-2011 “A Lifetime of Good Health-Your Guide to Staying Healthy” Womenshealth.gov www.womenshealth.gov/publications/our-publications/lifetime-good-health/ LifetimeGoodHealth-English.pdf American Congress of Obstetricians and Gynecologists www.acog.org “Preventive Health Screenings for Women” www.HealthyWomen.org

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THE TWENTIES All twenty something women should have a full physical examination every two to three years. A complete physical examination should include a health history (including family health history and social/behavioral history including smoking, alcohol consumption and recreational substance abuse), vital signs (height, weight, blood pressure, temperature and pulse) and full examination of the entire body. Be sure to ask your provider to carefully examine your skin for new sores or irregular marks that could indicate precancerous lesions.

Pap smear and Pelvic examination every two years (if they have had consecutive negative examinations previously). ACOG and the office on Women’s Health also recommend: Annual breast examinations – Women should have a breast examination by a trained clinician annually. Women should perform Breast Self Examinations monthly.

Annual testing for Chlamydia and gonorrhea for all sexually active adolescents and young women.

Routine HIV testing is recommended for all sexually active adolescents and women beginning at age 19 until age 64.

If a twenty something woman is on hormonal birth control, she may need to see her health care provider more frequently to screen for blood pressure abnormalities that could lead to stroke and blood clots in the legs.

Vaccinations: twenty something’s should be counseled regarding the flu shot (annually), Hepatitis A and B vaccines, Human Papilloma virus (HPV) and vaccine, Tetanus booster (every 10 years), chicken pox (if you’ve not had the disease or only had one shot), meningococcal and measles vaccination (if you’ve not had the disease or only had one shot). Although pneumococcal vaccines are recommended for the elderly, in young women with chronic diseases who may be at risk for pneumonia, the vaccine may be indicated. Discuss with your doctor.

Laboratory blood tests: Fasting blood tests for cholesterol. Basic chemistries to check electrolytes, liver and kidney function and complete blood cell counts to assess for anemia or bleeding disorders should also be performed. Specialized tests are ordered as the examination indicates.

Dental Examination. Have a dental exam and cleaning at least once a year, although most dentists recommend every six months.

Vision screening as indicated Hearing Screening: once during the 20’s and every 10 years.

Mental Health Screening: The Office on Women’s health also recommends screening young women for mental health disorders such as depression, anxiety, and eating disorders which disproportionally affect young women. They also suggest routine screening of lifestyle habits such as smoking, drinking and recreational drug use and counseling as necessary.

30

THE THIRTIES

In the early thirties, the physical examination parameters are much the same for the twenty year olds provided thirty something women have no major medical problems.

For women without cervical problems, Pap smears can be extended to every three years.

Since many women in their thirties begin child bearing or at least contemplate having children, ACOG recommends having a preconception examination to rule out any anatomical abnormalities, to assess ovulatory function and to assess and treat for any problems that may hinder conception, pregnancy, labor and delivery.

Vaccinations: Women should discuss which vaccinations they may need with their physicians.

Laboratory tests: In addition to the previously listed laboratory test, Thyroid function studies should be initiated at age 35 if they have not already been assessed and checked every five years.

40

THE FORTIES

We’re building on the examination recommendations of the previous decades. Here are the modifications for women in their 40’s: Most women in their forties have completed childbearing, but births among women aged 40-44 are rising so examinations and evaluations for safe and problem free conception and pregnancy are performed as needed.

50 60+ THE FIFTIES

Full physical examination every one to two years. Blood work should also be performed annually to check for cholesterol, diabetes, liver and kidney disease, thyroid function and anemia.

Pap smear every 3 years if no cervical pathology.

THE SIXTIES & BEYOND Annual physical examination with complete blood work as listed above.

Pap smear every 3 years or as your physician indicates.

Pelvic examination annually.

Breast exam annually.

Annual pelvic examination.

Mammogram annually.

Annual Mammogram.

At age 40 women should have their first screening mammogram.

Mammograms can be repeated every one to two years as your health history indicates. Note: women with a family history of breast cancer may need to start screening mammography earlier than age 40 and should discuss this with their doctors.

Women who have not yet been screened, they should have a fasting blood glucose test to assess for Type II diabetes on or around age 45. The follow up will depend on the test results and doctor’s recommendation.

Vaccinations: Women should discuss which vaccinations they may need with their physicians.

Women in their 40’s should have a baseline vision exam if they have not already had vision screening. Follow up will depend on the exam results.

Screening Colonoscopy at age 45 for African Americans and individuals at risk for colon cancer.

Follow up colonoscopies as indicated.

EKG and/or Stress Echocardiogram to assess heart function.

Screening Colonoscopy or other colon screening test. Discuss with your doctor which test is best for you. Digital Rectal examinations should be performed at each physical examination.

Vision exam every two to four years or as indicated.

Hearing screening every 3 years.

Vaccines: Annual Flu Shot, Pneumococcal vaccine if you have a chronic medical condition. Tetanus booster every 10 years. Other vaccines listed only if you are at risk and have not previously had the diseases or been vaccinated.

There is some variation in the screening age for Bone Mass Density. Some say between 50 and 65. Others say 65.

Discuss your situation with you doctor to determine the best screening time for you.

Vision screening every 1-3 years or as indicated.

Hearing exam every 3 years.

Annual flu shot.

Pneumococcal vaccine if not previously administered. Discuss with your doctor if you need a booster.

Tetanus every 10 years.

Herpes Zoster Vaccine at age 60 to help protect against shingles.

Most other vaccines are not needed but discuss your vaccine history with your doctor.

Good Health

Portion Distortion: Is your vision affected?

With nearly 67% of American Adults overweight or clinically obese, it’s patently clear that we’re eating too much. Look at the US Dietary Guidelines or portions below and see if your eyes truly are bigger than your belly!

We were all stunned in 2007 when the US Centers for Disease Control and Prevention released data that stated that a full 67% of American Adults are overweight and approximately one third of those individuals meet the criteria for clinical obesity. Goals for “Healthy People 2000” aimed for US states to have an obesity rate of no more than 15%, yet not one of the 50 United States meets this criteria. Between 2007 and 2009, rates of obesity in America actually increased. What are we doing wrong?

We live in a society where food is readily available in great quantities. There was a time when food was scarce and it took a lot to acquire and prepare

food. Not any more. Today, food is easily accessible on almost any street corner and in mass quantities for relatively low prices. We don’t even have to get up to get it, we merely drive through and at the end of the drive food is placed in our hands.

But the real issue is the amount of food which we are now consuming.

Portion sizes have increased as much as 300% in the last 20 to 30 years.

We’ve come to expect a lot of food for our money and are upset when restaurants deign to give us a true portion for an entrée. Do you know what a true portion is? Here are the US Dietary recommended portions.

A serving size Baked Potato should be the size of a computer mouse.

A serving of Pasta, ½ cup cooked, is equal to ½ of a baseball.

One Portion of Pancake or Waffle is the size of a CD. (Ouch Kerby Lane!)

One muffin should be the size of a tennis ball

A bagel should be the size of a Hockey Puck

A portion of Cheese cubed is equal to 4 dice

A 3 oz portion of meat protein is the same size as a deck of cards.

One portion of peanut butter, 2 tablespoons, is equal to a golf ball.

References The US Centers for Disease Control and Prevention www.cdc.gov/obesity/data/trends.html | www.cdc.gov/obesity/ WebMD’s Slide Show: Secrets for Healthy Eating and portion control www.webmd.com/food-recipes/nutrition-labels-10/serving-sizes-slideshow Divine Caroline’s Portion Sizes: Then vs Now www.divinecaroline.com/22177/49492-

30 Guide to Good Health Fall 2011

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Good Health

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Travis County Medical Society Physicians are Health Care Heroes Recently, the Austin Business Journal presented awards to “Health Care Heroes.” The nominees included individuals and organizations recognized for their contributions to a healthier Central Texas.

The Travis County Medical Society would like to recognize those members honored as health care heroes: Phillip Church, MD of Cardiothoracic and Vascular Surgeons; John Doty, MD of Austin Samaritans; Roger Gammon, MD of Austin Heart; Renee Lockey, MD of Austin Regional Clinic; Bruce Malone, MD of Austin Bone & Joint Clinic; John “Chip” Oswalt, MD of Cardiothoracic and Vascular Surgeons; Audelio Rivera, MD of Pediatrix Medical Group; Ghassan Salman, MD of Austin Diagnostic Clinic; Aravind Sankar, MD of Surgical Associates of Austin; William Streusand, MD of Texas Child Study Center; and Christopher Ziebell, MD of Emergency Service Partners.

The Society was recognized for its community service/volunteerism. For more than 13 years, the Society has partnered with Austin Independent School District to provide free athletic physicals and immunizations to uninsured students or those who do not have affordable access to health care. Since the inception of the program, more than 1,000 physicians have provided free athletic physicals to over 10,000 students. This is the only well check up some students will receive.

In addition, Tom Coopwood, Sr, MD, received the “Health Care Special Achievement Award” for his tireless work in health care for more than 30 years. A retired surgeon, Dr. Coopwood is now board chairperson of Central Health, formerly known as the Travis County Hospital District.

Congratulations to these health care heroes!

The Travis County Medical Society (TCMS) is a component society of the Texas Medical Association, a statewide professional organization of licensed physicians. Its more than 3,200 members include approximately 90 percent of all practicing physicians in the Greater Austin area. In addition to activities promoting high standards of medical practice, the Society provides representation and advocacy for patients and physicians at all levels of government and medicine.

With a strong commitment to community – close to home and far away – TCMS physicians donate their time, medical supplies and financial contributions to assist with volunteer disaster relief efforts such as staffing medical shelters for hurricane evacuees and providing aid in Haiti after the 2010 earthquake.

Under the auspices of the TCMS Foundation, Project Access has created a coordinated system of volunteer physician care, hospital care, diagnostic services and medications assistance for the low-income, uninsured of Travis County. A highly visible

Did you know that you can search for a doctor in the greater Austin area? Over 2,600 active TCMS physicians are listed in the physician search engine at www.tcms.com. Search by name, specialty and/or zip.

example of physician leadership in action,

In addition to finding a physician, you can also find a job, a new career, or an employee in healthcare through a new Society service. TCMS Healthcare Staffing provides a resource pool of qualified professional staff to fill short-term needs or full-time openings. To take advantage of this new service, call 512-321-8100 or vist www.brightmed.com.

inception in 2003.

Project Access has enrolled over 2,856 patients and provided over 18,800 patient encounters with physicians, resulting in over $17.3 million in donated care since its TCMS is a strong, diverse, progressive and engaged professional association.

Thanks to the physicians of TCMS, one will see a very active organization on a mission – to serve and represent the medical profession in matters of importance to the membership and the community it serves.

Profiles

Allison Anderson, MD

Austin Area Obstetrics, Gynecology & Fertility – A Care Center of Central Texas OB/GYN Associates

Christopher W. Brennig, M.D. Austin Vein Institute

Christy Capet, MD

Austin Area Obstetrics, Gynecology & Fertility – A Care Center of Central Texas OB/GYN Associates

Amy Myers, M.D. Austin UltraHealth 32 Guide to Good Health Fall 2011

Dr. Anderson is a board certified OB/GYN with Austin Area OB/GYN – A Care Center of Central Texas OB/GYN Associates. She is native of Baton Rouge, Louisiana.

Her OB/GYN training was done in Dallas at the University of Texas Southwestern, where she received numerous honors and awards. Dr. Allison practiced as an Assistant Professor of Obstetrics & Gynecology at the University of Texas Southwestern Medical Center, prior to moving to Austin.

Dr. Anderson is extremely personable, outgoing, and is fluent in Spanish.

Her focus is on her patients as individuals, bringing a fresh perspective and an unparalleled level of patient care.

EDUCATION: · University of Texas Southwestern Obstetrics and Gynecology Residency · University of Texas Southwestern School of Medicine

Dr. Brennig is board certified in both General Surgery and Vascular Surgery.

Dr. Brennig’s interest in vascular surgery led him to Boston and the Tufts University Medical Center Vascular Surgery Fellowship, where he trained for two years with an emphasis on minimally invasive vascular therapies and treating complex venous disorders. His breadth of experience and success treating the most complex venous disorders has allowed him to develop a uniquely qualified approach to help his patients. Dr. Brennig has presented multiple research papers, published articles and continues to train others in emerging vascular and vein therapies. He is the founder of The Austin Vascular Institute and its affiliate, Austin Vein Institute.

EDUCATION: · University of Texas at Austin, B.A., Biological Sciences · Doctorate of Medicine, Baylor University Medical Center Dallas

Dr. Capet is a board certified OB/GYN with Austin Area OB/GYN – A Care Center of Central Texas OB/GYN Associates. She spent her childhood in Tyler, TX before moving to Dallas to attend college where she graduated Cum Laude. She went on to obtain her medical degree, then her fellowship training in Obstetrics and Gynecology in Dallas. To further her experience, Dr. Capet spent two years specializing in gynecologic surgery and Advanced Pelvic Surgery.

Her outside interests include community outreach programs, a love of the outdoors, and running half marathons. She is outgoing and passionate about providing patients with the very latest in treatment options.

Dr. Myers is medical doctor with extensive training in functional Medicine, Integrative Medicine and Nutrition. She has trained with Dr. Andrew Weil and Dr. Mark Hyman, the leading experts in these fields.

Dr. Myers founded Austin Ultrahealth to blend her experience in Allopathic Medicine, Functional Medicine, Integrative Medicine and Nutrition in order to help individuals achieve optimal health.

Dr. Myers' main goal is to get to the root cause of illness and imbalances in the body rather than treating your symptoms with a pill. By uncovering the cause she is able to eliminate your conditions rather than just treating the symptoms.

Specialties: Routine & High Risk OB, Well Woman (GYN) exams, Minimally Invasive Surgery, Pelvic Surgery, Fertility Consultation and Basic Treatment

512.451.8211 www.aaobgyn.com

Specialties: Minimally invasive vascular therapies and treating complex venous disorders

512.346.2727 www.veinaustin.com EDUCATION: · Susan B. Frank Advanced Pelvic Surgery Fellowship with Texas Health Resources · University of Texas Southwestern, Residency in Obstetrics and Gynecology Specialties: Routine & High Risk OB, Well Woman (GYN) exams, Minimally Invasive Surgery, Robotic Surgery (Da Vinci), Advanced Pelvic Surgery, Fertility Consultation and Basic Treatment

512.451.8211 www.aaobgyn.com

EDUCATION: · Institute of Functional Medicine: Post-Doctorate Training · Emergency Medicine Residency: University of Maryland/ Shock Trauma · Medical School: LSU New Orleans Specialties: Functional Medicine, Integrative Medicine, Nutrition and Getting to the Root of Illness

512.383.5343 www.dramymyers.com

Katerina Sheffield, D.C.,R.Ph. Sheffield Wellness Group

Dr. Katerina Sheffield earned her Doctor of Chiropractic from Parker University, Dallas and her BS in Pharmacy from the University of Texas at Austin. As both a board certified chiropractor and a pharmacist, Dr. Sheffield possesses a unique understanding of both the eastern and western healthcare models. Combining a unique blend of specific and gentle chiropractic adjustments and neuromuscular re-education, Dr. Sheffield emphasizes a personalized and caring approach to patient care. Her success treating neck and back pain, migraines and sciatica and her unique healthcare perspective are making her one of the most sought-after chiropractors in Austin.

EDUCATION: · The University of Texas at Austin, B.S., Pharmacy · Doctor of Chiropractic, Parker University, Dallas, Texas · Titleist Performance Institute Certified Golf Fitness Instructor.

Specialties: Upper cervical orthogonal based chiropractic and gentle full spine and extremity adjusting.

Golf Fitness and performance

512.306.1625 www.drsheffield.com EDUCATION:

Edward P. Tyson, M.D. Edward P. Tyson, M.D., P.A.

· University of Texas; Houston, TX Dr. Tyson is a member of the Task Force on Medical Standards for the Doctor of Medicine Degree Academy for Eating Disorders (EDs) and co-author of its eating disorder · University of Texas; Austin, TX care guidelines that will be distributed around the world to encourage Bachelor of Arts in Biology improved treatment of those with EDs. He also wrote the chapter on Specialties: Specializing in the evaluation and medical assessment for the recent text, “Eating Disorders—Bridging the treatment of eating disorders Research-Practice Gap.” He presents nationally and internationally on EDs and teaches physicians and medical students as well as undergraduate and graduate classes at the University of Texas about eating disorders and is a consultant to a number of eating disorder treatment facilities.

512.380.9999 512.380.9999 www.EatingDisordersDoc.com www.EatingDisordersDoc.com

Resource Guide cardiovascular care Seton Heart Institute Leaders At Heart Providing comprehensive and advanced heart care at locations throughout Central Texas. www.SetonHeart.com

Matthew Horne Family and Cosmetic Dentistry We are a family friendly practice, and offer the latest technologies in Sedation, Cosmetic, Preventive and Restorative Dentistry.

3345 Bee Cave Rd., 102B Austin, TX 78745 512.329.5250 www.theaustindentist.com

DENTISTRY

Dermatology

Ann Marie Olson, DDS, PA

Steven E. Rasmussen, M.D., F.A.A.D.

Quality, individualized care with an emphasis on your smile. Porcelain Veneers, Zoom™ Whitening, Invisalign® and Sedation Dentistry. appointments@annmarieolsondds.com 11623 Angus Rd., Ste 23 Austin, TX 78759 512.345.9973 • f.512.345.9664 www.austincosmeticexcellence.com

Dermatology and med spa services from a name you trust. eOs Dermatology by Austin Regional Clinic 1717 W. 6th Street, Suite 120R Austin, TX 78703 512.482.9344 www.eOsDermatology.com

eating disorders Edward P. Tyson, M.D. Dr. Tyson specializes in the treatment of all individuals (males & females of all ages) who are struggling with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder and similar problems.

3811 Bee Caves Rd, #200 Austin, TX 78746 512.380.9999 www.EatingDisordersDoc.com

elderly services Austin Groups for Ederly Caregiver Resource Center, Adult Day Health Centers, Health Equipment Lending, Computer Classes.

3701 Cedar Street Austin, TX 78705 512.451.4611 www.ageofaustin.org

Resource Guide healthcare Austin CyberKnife Austin CyberKnife offers a revolutionary new way to treat tumors and lesions throughout the body.

There are no scalpels. No anesthesia. No blood loss. No recovery time.

1400 N IH-35 Austin, TX 78701 512.324.8060 • f.512.324.8055 www.austincyberknife.com

Austin Affiliate of Susan G. Komen for the Cure® Did you know that 75 percent of what we raise LOCALLY stays LOCAL? Through community grants, the Komen Austin Affiliate provides funding to LOCAL non-profit healthcare organizations for FREE breast cancer screening, treatment and education programs for the women and men in Travis, Bastrop, Hays, Williamson and Caldwell counties. We live here. We race here.

We save lives here.

P.O. Box 2164 Austin, TX 78768 512.473.0900 • f.512.473.0999 www.komenaustin.org info@komenaustin.org

HOLISTIC HEALTH/FUNCTIONAL & NUTRITIONAL MEDICINE Amy Myers, MD Austin UltraHealth Dr. Myers gets to the root cause of your condition instead of treating your symptoms with a prescription pill.

806 West 10th Street, Ste A Austin, TX 78701 512.383.5343 • f 512.473.4114 www.dramymyers.com info@dramymyers.com

Medical liability Insurance Advocate, MD Comprehensive medical liability insurance with the best protection and defense for physicians.

811 Barton Springs Road Ste. 800 Austin, TX 78701 512.275.1830 www.AdvocateMD.com 34 Guide to Good Health Fall 2011

OB/GYN

Women Partners In Health

Austin Area Obstetrics, Gynecology and Fertility A Care Center of Central Texas OB/GYN Associates Specialists in full service OB/GYN care, Fertility Treatment, Minimally Invasive Surgery (Robotics), & Digital Mammography.

12200 Renfert Way #100 Austin, TX 78758 512.451.8211 www.aaobgyn.com

Oakwood Women’s Centre A Care Center of Central Texas OB/GYN Associates Specialists in complete care for Women, including full OB/GYN services, Minimally Invasive Surgery, & Digital Mammography.

511 Oakwood Boulevard #301 Round Rock, TX 78681 512.244.3698 www.oakwoodwomens.com

A Care Center of Central Texas OB/GYN Associates Specialists in complete care for women, including full OB/GYN services, Minimally Invasive Surgery, & Digital Mammography.

1305 W 34th, Suite 308 Austin, TX 78705 512.459.8082 www.wpih.net

Pain management Headache & Pain Center Whether you suffer from headaches, spine pain, or another chronic pain disorder, our practice is here to help you feel better, improve the quality of your life, and increase your level of functioning.

4407 Bee Caves Rd, Ste 211 Austin, TX 78746 512.330.0961

Plastic Surgery Lauren Crawford, MD

The OB/GYN Group of Austin A Care Center of Central Texas OB/GYN Associates Comprehensive OB/GYN services, including Minimally Invasive Surgery, Digital Mammography and much more.

1201 W. 38th Street #300 Austin, TX 78705 512.454.5721 www.obgyngroupofaustin.com

Renaissance Women’s Group A Care Center of Central Texas OB/GYN Associates Specialists in Routine & High Risk OB/GYN services, Minimally Invasive Surgery (Robotics) & Digital Mammography.

12201 Renfert Way #340 Austin, TX 78758 512.339.6626 www.rwgdocs.com

Plastic surgery care with a female perspective.

3003 Bee Cave Road, Ste. 203 Austin, TX 78746 512.732.3006 f.512.329.0420 www.drlaurencrawford.com

RADIOLOGY Austin Radiological Association Austin Radiological Association (ARA) is a specialty healthcare organization dedicated to providing quality imaging services in Central Texas.

Diagnostic Imaging, Healthcare, Radiology 15 Locations in Central Texas Scheduling Services 512.458.9098 www.ausrad.com

Varicose Veins Austin Vein Institute Christopher W. Brennig, MD The Austin Vein Institute provides an exceptionally high level of care, utilizing the latest technology to treat your varicose veins. With proven, safe procedures, performed in the security of our comfortable office, we can quickly make your varicose and spider veins a thing of the past.

7000 N Mopac, Ste 320 Austin, TX 78731 512.346.2727 • f.512.346.2728 www.veinaustin.com

Urgent CARE NextCare Urgent Care 1.888.306.5316 Convenient, affordable medical care by friendly, qualified providers - walk in TODAY! Most insurances accepted.

GEORGETOWN 900 N Austin Ave, Ste 105 WILLIAM CANNON 6001 W William Cannon, Ste 302 PECAN PARK 12701 FM 620 ROUND ROCK 1240 E Palm Valley Blvd www.nextcare.com/Austin wecare@nextcare.com

weight loss Guaranteed Weight Loss Clinic Do you want to live longer, look younger, feel stronger and improve the overall quality of your life? If your answer is yes, then Guaranteed Weight Loss Center is the right place to be.

7950 Anderson Square, Ste. 108 Austin, TX 78757 512.296.2170 www.guaranteedwlc.com

NBH Lifetime Health Our medical clinics offer personalized bioidentical hormone and weight loss programs for Men and Women. We help you achieve optimal health and optimal body weight.

211 RR 620 South, Ste 120 Austin, TX 512.266.6713 www.NBHLifetimeHealth.com info@nbhlifetimehealth.com

schedule an appointment with any one of our five renowned locations.

Austin Area OB/GYN & Fertility

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Central Texas OB/GYN Associates

www.centexobgyn.com

CARING FOR THE HEART OF TEXAS For more than 25 years, the Seton Healthcare Family has been a regional leader in advanced care for heart failure. Now the Seton Heart Institute offers you convenient access to top cardiovascular specialists close to home. From prevention and diagnosis to treatment and follow-up care, we’re caring for hearts all across Central Texas.

For appointments, please call the clinic nearest you. Chances are, we’re just around the corner.

L E A D E R S AT H E A R T SetonHeart.com

AUSTIN ARC Far West Medical Tower 6811 Austin Center Blvd., Suite 410 Austin, TX 78731 Phone: 512.324.2705 ARC South 3828 South 1st St. Austin, TX 78704 Phone: 512.324.2705 Ladera Park 11673 Jollyville Rd., Suite 205-B Austin, TX 78759 Phone: 512.345.8888 Medical Park Tower 1301 West 38th St., Suite 400 Austin, TX 78705 Phone: 512.324.3440

Southwest Health Plaza I 7900 FM 1826, Suite 170 Austin, TX 78737 Phone: 512.324.9250 BASTROP Seton Bastrop Health Plaza 441 Hwy 71 W., Suite C Bastrop, TX 78602 Phone: 512.324.3440 BURNET Seton Burnet Specialty Clinic 200 CR 340A, Bldg. 2, Suite A Burnet, TX 78611 Phone: 512.715.3032 GIDDINGS Giddings Professional Crossing 219 A. East Railroad Giddings, TX 78942 Phone: 979.542.9000

KYLE Seton Family of Doctors at Hays 5103 Kyle Center Drive, Suite 108 Kyle, TX 78640 Phone: 512.504.0860 LOCKHART Seton Family of Doctors at Lockhart 209 Church Street, Suite A Lockhart, TX 78644 Phone: 512.504.0860 LULING Seton Family of Doctors at Luling 711 Hackberry Street Luling, TX 78644 Phone: 512.504.0860

PFLUGERVILLE Seton Family of Doctors at Stone Hill 1512 Town Center Drive, Suite 100 Pflugerville, TX 78660 Phone: 512.324.4812 ROUND ROCK ARC Round Rock 940 Hesters Crossing Round Rock, TX 78681 Phone: 512.324.2705 Seton Williamson Medical Plaza 1 301 Seton Parkway, Suite 302 Round Rock, TX 78665 Phone: 512.324.4812