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A healthy lifestyle publication from Scripps Howard

back on your

feet Documenting Orthopaedic Excellence in the Mid-South

august 2013

+ Breathing easy: an allergy success story


LUNCH & LEARN SERIES Class start at 12:00 Noon

Delta Medical Center Office Building (corner of Knight Arnold and Getwell)

August 6th Respiratory Diseases: Signs and Symptoms August 13th Coping With Anxiety August 20th Snake Bites/ Myths and Truths August 27th Youth Suicide.Idenitying Signs and Symptoms


from the editor

T

hough I played two sports and danced during my junior high and high school years, I managed to get away with only a few pulled muscles and a couple of jammed fingers. I’ve never sprained an ankle or broken an arm, so I can’t imagine the strength and patience it might take to recover from such injuries. Luckily, the Mid-South boasts some of the most talented and innovative orthopedic and rehabilitation medical professionals, so athletes of all ages can get back in the game. In this issue of Good Health, we’ll explore some of the unique options and expert information provided by our physicians who specialize in musculoskeletal and sports medicine. As always, we’ve included guides to great active gear, exercise, and healthy eating. Our Outfitter feature showcases aquatic accoutrements for swimming, boating, and other water sports that will keep you cool through the dog days of summer. Because strength and resistance training can help to maintain bone density and prevent bone loss, this issue’s Work it Out section includes strength exercises that are appropriate for all fitness levels. I personally can’t wait to try out the Vitamin D-rich salmon and kale salad in our Good Food department. Whether you’re a young athlete, a weekend warrior, or an active senior, I hope the August issueof Good Health proves to be a source of information and information for your healthy lifestyle. I’d love to hear about your own journey to wellness, your success stories, or your health questions. Just drop me a line at holly.whitfield@scripps.com.

Cheers to your Health!

Holly Whitfield, Good Health Editor

President and Publisher George Cogswell

Vice President of Advertising Stephanie Boggins

Editorial Director Holly Whitfield holly.whitfield@scripps.com

Good Health Magazine, a monthly publication from Scripps Howard, serves as the medical crossroads where top local physicians bring patients the latest news about treatment, technology, and medicine. All rights reserved. Reproduction in whole or part without written permission is prohibited. Copyright 2013.

Contributors Molly Fromkin Sarah Matheny Gordon Jason Prater Jason Terrell

For more information on advertising your medical practice in Good Health Magazine, contact Amy Mills at 901-529-6517 or e-mail amy. mills@scripps.com 495 Union Avenue, Memphis, TN 38103


august 2013

orthopaedics and rehab

6

cover story

Open Late: Orthopedic Care After Hours 4 Injury Interception 6 National Immunization Awareness Month 19

16

departments

Outfitter Make A Splash 14 Work it Out Going Strong 16 Success Story Breathing Easy 20 Good Food Honey-Ginger Glazed Salmon and Kale Salad

22

special features

Behind the Scenes with Your Medicare/Insurance Claim 8

20

CFI Prosthetics and Orthotics

Deep Venous Thrombosis 10 Memphis Vein Center

Robotic Knee Surgery for Osteoarthritis Sufferers 12 St. Francis Hospital Memphis

LISTEN UP! Hearing Loss & Your Quality of Life 15 Hearing and Balance Center

Introducing Treatment for Keratoconus 17 Eye Specialty Group

Medi Spa Treats a Variety of Skincare Needs 21

14

Advanced Dermatology and Skin Cancer Associates

33


Quality vision care close to home in the heart of Midtown. Providing a full range of eye health and vision services,

our reputation for excellence is unparalleled. Call 722-3250 today, and see why so many downtown and midtown residents choose our doctors at The Eye Center.

1225 Madison Ave., in the Midtown Medical District

901-722-3250

www.eyecentermemphis.com


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Orthopedic Care After Hours Photos by Brandon Dill

O

n a recent Thursday evening, while traditional clinics were finishing

muscle, ligament) injuries an alternative to the emergency room through after

up for the day, Joley Gonzalez and her

hours care. Dr. James Beaty, a pediatric

three children walked into Campbell

orthopedic surgeon who has been with

Clinic’s Germantown location. Her son,

Campbell Clinic since 1982, recalls the

Jarad Jirari, 17, had been leading a

inception of the program. “We knew

group of children in recreation activities

that a lot of people have orthopedic

earlier that day at Calvary Chapel Bartlett

injuries that happen after hours, and

church when he injured his arm. As an

they have a choice to make. They can

active teen, he’s been to the After Hours

go to the emergency room, or they can

Clinic a few times before for similar

wait until the next day and hope to get

minor injuries. “I called my doctor’s office

an appointment. That’s the way it was

and they said that this was an option,”

in the past.” Now, patients can not only

Gonzalez shares. “As soon as they said

avoid the inconvenience and exposure

that, I said ‘good, you don’t have to give

to illness that comes with an emergency

me any more options.’ Our experience

room visit, but they can also be seen

here has been excellent, we love being

by an orthopedic surgeon or other

able to come here.”

orthopedic specialist right away.

After a few minutes, the receptionist

The program has been so successful

called Jarad back into the clinic, where

that Campbell Clinic extended hours

he received an x-ray. Since 2009,

at its Southaven location as well. From

Campbell Clinic’s Germantown location

5pm-8pm, Monday-Thursday, the clinic

has provided people with minor and

accepts walk-ins at the Germantown and

acute musculoskeletal (bone, joint,

Southaven locations, and on Saturday morning, the Germantown After Hours clinic is open from 8am-11am. “The most common injuries we see are foot, ankle, hand, and spine, mostly minor injuries from sports or trauma,” Beaty says. “But sometimes we have an issue that does need acute care that we can manage here.” He stresses that in a true emergency, a patient should go directly to the E.R., and that in some cases, Campbell Clinic will make the call to send someone to the hospital. “We want to evaluate the problem and do whatever is best for the patient,” Beaty says. “We want the patient to get back to doing the activities that they want to do.” Another walk-in visitor to the clinic that day was Kevin Crosby, who had been experiencing elbow pain for a few days. This was his first time coming to the after hours clinic, and he was grateful for the program, which was


more convenient to his schedule. Dr. Beaty explains that the range of patients who visit After Hours can be anyone from early grade school children who play recreational sports to adult “weekend warriors” to active baby boomers. “Whoever said that sixty is the new forty is right,” he says. “The older generation wants to be active at a much higher level than we would have thought thirty years ago, and that’s going to continue. We want people to have mobility and be pain-free from issues that affect bone and joints and the spine. If they can do those things, then they’ve really accomplished a lot for their lifestyles.”

Jarad Jirari, 17, (left) walks with clinic assistant Yesenia Romero to the x-ray room at Campbell Clinic during after hours care at the practice. Jirari visited the clinic late Thursday afternoon after injuring his arm.

“We want the patient to get back to doing the activities that they want to do.” Kim Phan (far left) leads Jarad Jirari, 17, out of the x-ray room while family members Drake Gonzalez, 7, (from left) Kayden Gonzalez, 3, and Joley Gonzalez wait for him at Campbell Clinic. Jirari visited the clinic late Thursday afternoon after injuring his arm.


“We want people to have mobility and be pain-free from issues that affect bone and joints and the spine. If they can do those things, then they’ve really accomplished a lot for their lifestyles.”

The Campbell Clinic Germantown and Southaven locations offer after hours care from 5pm-8pm Monday through Thursday. The Germantown location is also open Saturday mornings 8am-11am. The service is part of a growing trend among physicians to attract patients who would otherwise visit the emergency room.


Eye Specialty Group introduces treatment for keratoconus Keratoconus (kehr-uh-toh-KOH-nus) is a serious eye condition resulting from gradual deterioration of the front of the eye, or cornea. With keratoconus, the normally round, domeshaped cornea thins, becoming distorted and irregularly shaped. Depending on the severity of the condition, Keratoconus can cause blurred vision or cause multiple images to appear. In severe cases, it may cause sensitivity to light, which can be painful, and vision may deteriorate to the point that normal activities such as driving and reading must be abandoned. This unpredictable, progressive eye condition can be caused by trauma to the eye, or it may be genetic; in some cases, the cause may never be determined. Keratoconus is generally first diagnosed in young people, relegating them to a lifetime of increasingly complicated treatments ranging from specialized contact lenses to corneal transplants. In a corneal transplant the patient’s cornea is removed and replaced by donor tissue, similar to a kidney, liver or heart transplant. It is not a commonly known eye disorder; however, it is by no means rare and is definitely serious. Today’s modern diagnostic equipment enables eye doctors to identify Keratoconus sooner.

Advanced treatment options enable earlier intervention to improve the prognosis for saving vision or visual rehabilitation. One such advanced treatment is Corneal Collagen Cross-Linking (CXL). Thousands of people around the world have already enjoyed the benefits of this procedure since it was first introduced 13 years ago. However, at this time, the procedure is not approved by the FDA for use in the United States. Due to the universal acceptance of CXL’s benefits among international ophthalmologists and recent advances in diagnostic technology, the annual number of cross-linking procedures is expected to increase substantially. CXL was fully approved for use in the European Union in January 2007 and almost all other countries have approved its general use to treat Keratoconus. Eye doctors across the United States have begun CXL trials and Eye Specialty Group is proud to announce an IRB* approved study open to patients in the Mid-South.

exposure during a cross-linking procedure is comparable to, or even less than, the exposure of the eye to the ultraviolet light in skylight for a full day outdoors in summer. The riboflavin drops are simply vitamin B2, commonly used in foods such as your breakfast cereal. The procedure is very safe.

Cross-linking is a medical procedure that combines the use of ultra-violet light and riboflavin eye drops. As a first-line treatment, the aim of CXL is to reduce and stop Keratoconus from worsening in the early phase of the condition. The goal is to eliminate the need for corneal transplantation. The ultraviolet light

* Information regarding the Investigational Review Board-approved study is available upon request.

With today’s improved technology, the vast majority of people suffering from Keratoconus and other corneal ectasia may safely undergo CXL. However, there are exclusion criteria, so consult your eye doctor to determine if you are a candidate. As the only group in the MidSouth providing this new treatment for Keratoconus, the physicians at Eye Specialty Group will be happy to evaluate you, answer any questions, and help you decide if this exciting new treatment is right for you. Call the Eye Specialty Group at 901-685-2200 for a consultation.

** Thanks to the Global Keratoconus Foundation for providing some of the information above.

Where Leading-Edge Eye Care Helps Patients Every Single Day • Advanced treatments, such as the brand new CXL procedure

(Corneal Collagen Cross-Linking).

• World’s most sophisticated equipment, including the state-

of-the-art CatalysTM Precision Laser for cataract surgery.

• Highly-trained specialists in diseases of the eye.

Eye Specialty Group | 825 Ridge Lake Blvd. | Memphis, TN 38120 | 901.685.2200 | www.esg.md


Injury

Interception OrthoMemphis provides expert care for local athletes Even the strongest and most talented athletes can experience an occasional injury. As Mid-South athletes of all ages finish up summer activities and prepare for fall sports, it’s good to know that the Memphis area has plenty of resources for orthopedic care in case injuries occur. OrthoMemphis’ team of 17 doctors provides surgical and non-surgical treatment in general orthopaedic and several subspecialty areas, including sports medicine. During football season, OrthoMemphis offers a Friday Night Football Clinic from 9pm-11pm for nonemergency injuries occurring during games from August 23 – November 8. Here, several physicians from OrthoMemphis share their expertise on some of the most common sport injuries.

Tennis Elbow (lateral epicondylitis)

Tennis Elbow is a common cause of pain on the outside of the elbow where the tendon

attaches to the bone. Anyone exposed to repetitive trauma or overuse of the elbow can develop lateral epicondylitis. Typical sportsrelated causes include repetitive motions like swinging a tennis racquet, golf club, or flyfishing rod. Treatment options for tennis elbow: Rest and Activity Modification – Rest and limit activities that cause pain, or modify the technique or grip used during the activity. Medication – Anti-inflammatory medications may help alleviate the pain. Brace – A tennis elbow brace (band worn over the muscle of the forearm and just below the elbow) can reduce the tension on the tendon and allow it to heal. Physical Therapy - Stretching and/or strengthening exercises may help restore your range of motion and reduce the pain. Modalities such as ultrasound or heat treatments may be helpful.

Steroid injections – A steroid is a strong antiinflammatory medication that can be injected into the area to manage the pain and swelling. Surgical Procedure - Surgery is only considered when the pain is incapacitating and has not responded to conservative care, and symptoms have lasted several months. -- Jeffrey Cole, M.D.

ACL Tear (anterior cruciate ligament)

Of all major injuries to the knee, ACL tears are the most common. With all of the cutting, twisting, and pivoting required by sports like football and soccer, we see more injuries to the knee as the fall sports season progresses. The ACL is a strong fibrous tissue that connects the shin bone (tibia) to the thigh bone (femur) and helps to stabilize the knee. When the forces applied to the knee are


greater than the forces that the ligament can handle, the ligament tears. The patient will typically feel a giving way, shifting, or buckling type of sensation. This shifting sensation is not only felt, but many times is also heard as a loud pop. Other symptoms include pain with standing or walking, swelling, decreased range of motion, and a feeling of looseness about the knee. Conservative treatment includes rehab, bracing, and activity modification to avoid cutting type activities. Operative treatment involves anatomic reconstruction of the ACL. An extensive rehab program follows surgery. Typical time to return to activity is six to nine months. Reconstruction does not guarantee returning to sport at the same level, but in general gives you your best chance to return to your sport. -- David Deneka, M.D.

Shoulder Dislocation

and Separation During football season, you may often hear

his shoulder, the junction of the collar bone and shoulder blade is disrupted, but the ball

about a football player “dislocating” his shoulder

and socket of the shoulder joint remain in

or “separating” his shoulder following a diving

place. It usually occurs after a direct fall onto

catch or an aggressive tackle. Contrary to

the shoulder and does not need to be put back

popular belief, these terms do not mean the

in place on the field or in the emergency room.

same thing. They are different and distinct

Usually, a shoulder separation can be treated

injuries.

non-operatively with an arm sling and proper

When a player “dislocates” his shoulder, the head of the humerus (upper arm bone) comes out of its normal socket in the shoulder. It is exceedingly painful and often requires a trained medical professional to put the shoulder back in place. Once stabilized, treatment for the shoulder ranges from conservative measures

physical therapy. However, when the injury is severe and multiple ligaments are torn, a surgical reconstruction is required. -- David Brown, M.D. These excerpts are selected portions of articles provided by OrthoMemphis that have

such as an arm sling, physical therapy, and

been edited with permission by Good Health

activity modification, or in some cases, operative

editorial staff. For full texts, contact holly.

treatment.

whitfield@scripps.com, or for more information,

On the other hand, when a player “separates”

visit orthomemphis.com.


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SPOnSOrED COnTEnT

Behind the Scenes with Your Medicare/Insurance Claim bet if you are reading I tthis,wouldthatbeyoua good started working at an early age and worked for most of your life. You

paid your taxes, Social Security, employer sponsored health insurance and Medicare out of each paycheck. You did your part, so why isn’t it a

Q. Why do you need to see my insurance card every year?

Q. Why am I being asked to go back to my doctor for a new prescription for my diabetic shoes and inserts, when I

A. Employers can change insurance

have worn the same type for years?

companies, they can change what benefits or levels of benefits are covered, and your

A. Once again, those are the rules if you

deductible can change. We have to stay on

simple matter when you need to access

have Medicare coverage. Also, Medicare

top of any changes to ensure that you are

your Medicare/Insurance coverage in order

allows for 2 pairs of diabetic shoes and

getting what your plan allows for with your

to receive diabetic shoes and inserts, or prosthetics? Does it seem like yourBEFORE provider

care.

inserts, per year.

puts you through all kinds of “hoops” when you present your card? That is because most of us don’t

Q. I have my Medicare card and a prescription from my doctor, what else could you need?

know how insurance or Medicare claims are processed and paid. Here are some

A. If you are being seen for prosthetic

questions and answers that might help solve

care, Medicare has a new set of very complex

the puzzle:

rules that require a lot of documentation from your physician and possibly other providers.

Q. I have insurance, what do you

We have to gather that information, which can

mean “check benefits and get pre-

be very time consuming, before we can legally

authorization”?

provide your device.

A. Just like every person is different, each

Q. I am obviously an amputee, and

plan is different. One plan may cover certain

have worn a prosthesis for years, why do

treatments to the extent that your out-of-

I have to see my doctor in order to get a

pocket is minimal, while others may not cover

new prosthesis?

affect your O&P and pedorthic care. At CFI, we have specialists who are extensively trained to get over these hurdles and many more. Each day our billing and administrative staff spend hours tracking down paperwork from other providers on our patients’ behalf, advocating with insurance companies and government programs and negotiating with these organizations to minimize your out of pocket costs or to plead for exceptions. In today’s world, the fitting, fabrication and delivery of your device are only half the battle. CFI is a full service prosthetics, orthotics and pedorthics practice, serving Memphis and the Mid-South for over 30 years. Owned

or only provide minimal coverage of a broad range of services/treatments. Checking your

These are just a few of the issues that

A. Again, new rules from the Federal

and operated by the Snell family, we have

benefits and getting a prior authorization

government require that each time you get a

5 generations and 102 years of experience

protects you and your providers from

new device, you must have the same level of

to bring to our patients. Learn more: www.

unpleasant surprises.

documentation by your other providers before

cfipando.com.

treatment.


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esthetic, is relatively painless. After the procedure, After patients can walk right out of the office. They wear a support stocking for at least two weeks and follow up in a week. If symptoms are not relieved with conservative medical treatment, most insurance plans cover the endovenous laser treatment. Kishore K. Arcot, M.D., F.A.C.C., established Memphis Vein Center with the goal of providing quality vascular care in a relaxed and convenient environment. Dr. Arcot is a board-certified interventional cardiologist with 15 years experience in interventional cardiology and management of peripheral vascular diseases. He received his cardiovascular training at the University of California, San Francisco.

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Deep venous thrombosis and pulmonary embolism is a frequent medical problem that is seen everyday life. It affects about million patients every year in United States. venous thrombosis is a formation of D eep a blood clot most commonly in the leg and pelvic veins.

Causes of deep venous thrombosis • sitting or inactivity for a long time • Long plane flights or long car trips • extra weight • current use of birth control pills or patches • smoking • pregnancy • Inherited clotting disorders • Varicose veins (varicose veins can form after a deep venous thrombosis)BEFORE Symptoms of deep venous thrombosis only about half of the people who have dVt have signs or symptoms. these signs and symptoms occur in the leg affected by the deep vein clot. they include: • swelling of the leg or along a vein in the leg • pain or tenderness in the leg, which you may feel only when standing or walking • Increased warmth in the area of the leg that’s swollen or in pain • red or discolored skin on the leg DVT causes damage to the patient in 2 different ways the clot can dislodge from the legs and move to the lungs and this is called pulmonary embolism and this disorder kills 100-300,000 patient’s every year. the second most common complication his the clot remains in the vein and causes the permanent damage to

Blood clot in right leg the vein thus causing problems to the chronic drainage from leg to the heart making the leg swell and creating a venous stasis ultimately forming venous ulcer and disabling the patient from being active throughout their life. this is called post phlebitic syndrome. the current treatment for deep venous thrombosis include in his tissue and of blood thinners including Warfarin and Xaralto. these drugs are very effective in preventing propagation of clot and sometimes preventing this clot to dislodge from the leg to the lungs, however this treatment is fundamentally flawed as it does not dissolve the clot. AFTER the trellis procedure done as an outpatient, is a clot busting treatment that is used to actually remove the clot immediately after the deep venous thrombosis is diagnosed by removing the blood clots and opening the veins so patients will not suffer the long-term complications including the post phlebitic syndrome and the circulation is reestablished the way that treatment is performed a catheter is inserted inside the vein and the clot busting agent is given and clot is dissolved locally and the entire clot can be aspirated out. However, if the patient has a chronic dVt the vein is completely blocked. We reopen the vein through an interventional technique and dilate the vein and insert a stent so we can reestablish the circulation. the trellis procedure (clot busting therapy) is for acute dVt and vein stenting (reopening the vein) for chronic dVt with leg swelling and ulceration is performed by dr. Arcot as an out patient at the hospital.

Kishore K. Arcot MD, FACC, FSCAI, RPVI

Complications From Blood Clot

Kishore K. Arcot MD, FACC, FSCAI, RPVI is board certified in interventional cardiology, endovascular medicine and phlebology with 20 years of experience in management of peripheral vascular diseases. He has received cardiovascular training at the University of San Francisco and has trained several cardiologists in performing laser/RF procedures for varicose vein treatment. He received most compassionate doctor award for year 2010, 2011 and 2012.


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SPONSORED CONTENT

Saint Francis Offers Robotic Knee Surgery for Osteoarthritis Sufferers then appears on a monitor -- again in three-dimension -- so the orthopedic surgeon can see the work in progress. “An incision less than 3 inches is made,” Dr. Apurva R. Dalal, an orthopedic surgeon at Saint Francis, explained.“The robot goes in and takes out the diseased portion of the knee and puts in this artificial surface … an implant that works like a natural knee.” The robotic armmaneuvers inside the knee, said Dalal, and mirrors the image on the monitorto preserve natural bone and cartilage. “It is minimally invasive. It mimics the natural knee. And we can recreate John Lefever, regional MAKOplasty specialist, demonstrates the MAKO Robot at Saint Francis Hospital. The surgeon controlled robotic arm will be used to treat adults with early to mid-stage osteoarthritis. (Photo by Wiley Henry/The Carter Malone Group)

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work it out

step-by-step moves for a healthy body

Going Strong Photos by Jason Terrell

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o need to worry about sticks and stones with these simple strengthening exercises from Nanette Farris, a licensed physical therapist, personal trainer, and owner of Fundamental Fitness studio in Memphis. “Strengthening muscles means strengthening bones,” she says. “These exercises can increase bone density and prevent bone loss.” The American Academy of Sports Medicine recommends that resistance training be performed three times a week, with at least a day of rest in between. Start with 3 lb or 5 lb hand weights; two sets of twelve reps for each exercise. Unless otherwise noted, begin by standing with feet together, knees slightly bent, and tight abs.

1. Anterior Deltoid*Hold

3. Posterior Deltoid* Hold

weights down at front of thighs. Lift arms forward to 90 degrees (palms down) then lower.

weights down at your sides. Carefully reach arms back, then lower.

2. Middle Deltoid*

* These exercises can be made more difficult by changing your base of support - half kneeling, kneeling, or standing on one leg.

Hold weights down at your sides. Lift arms out to the side to 90 degrees (palms down) then lower.

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4. External Rotation

Campbell Clinic Orthopaedics is my team’s MVP.

Lie on one side, knees bent, with torso supported by one elbw. Bend other arm by side at 90 degrees, holding weight toward the floor. Rotate arm upwards to 90 degrees, My then team lower. includes three boys, and a husband who still thinks he’s 18.

I rely on Campbell Clinic to treat breaks, sprains, and all sorts of pains. 5. Supraspinatus Campbelldown Clinic’s moreLift than 40 of the world’s best Hold weights atteam frontfeatures of thighs. orthopaedic specialists, so good they actually wrote the book on arms up at a 45 degrees angle from your orthopaedic care. body (palms facing in), then lower. That’s why I picked the world’s best for my team.

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4. External Rotation

6. Rhomboids

8. Lower Trapezius

Lie on one side, knees bent, with torso supported by one elbw. Bend other arm by side at 90 degrees, holding weight toward the floor. Rotate arm upwards to 90 degrees, then lower.

Bend slightly forward, holding weights in front with slightly bent elbows. Open both arms out, then lower.

Balance core on an exercise ball with arms straight at a downward angle. Extend arms up and out, then lower. Begin without weights and progress to 3 lbs weights.

5. Supraspinatus Hold weights down at front of thighs. Lift arms up at a 45 degrees angle from your body (palms facing in), then lower.

7. Mid-Trapezius (row) Bend slightly forward, holding weights in front with slightly bent elbows. Open both arms out, then lower. Pull back both elbows until weights are at chest level, then straighten arms. For an extra challenge, balance core on an exercise ball (shown here). Begin without weights and progress to 3 lb weights.

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NEW PHySiCiAN ANNOUNCEMENT Memphis Gastroenterology Group, P.C. & Memphis Gastroenterology Endoscopy Center East Proudly announce the addition of

Joseph G. Baltz, Jr., MD to their practice

Dr. Baltz was born in Memphis and raised inPocahontas, Arkansas. He received his undergraduate education at Duke University, where he graduated with distinction with a BS in biomedical engineering. He earned his medical degree and completed internal medicine residency training at the University of Virginia School of Medicine. Dr. Baltz completed his gastroenterology fellowship at the Medical University of South Carolina, where he also received advanced training in Endoscopic Ultrasound, ablation of Barrett’s Esophagus, and Endoscopic Mucosal Resection. He is a member of the American Society for Gastrointestinal Endoscopy, American Gastroenterological Association, and American College of Gastroenterology.

Memphis Gastroenterology Group, P.C.

901-333-MyGi(6944) Lawrence D. Wruble, M.D. Myron Lewis, M.D. Michael J. Levinson, M.D. Edward L. Cattau, Jr., M.D. Richard S. Aycock, M.D. Randall C. Frederick, M.D. Conar P. Fitton, MD

T. Carter Towne, M.D. Gary A. Wruble, M.D. Terrence L. Jackson, Jr., M.D. Bryan F. Thompson, M.D. Alex E. Baum, M.D. Christopher D. Miller, M.D. Joseph G. Baltz, Jr., MD

8000 Wolf River Blvd., #200 Germantown, TN 38138

w w w. M e m p h i s G a s t r o . c o m

Recognizing

National Immunization Awareness Month

I

mmunizations have had an enormous impact on improving the health of children in the United States. Most parents today have never seen first-hand the devastating consequences that vaccinepreventable diseases have on a family or community. While these diseases are not common in the U.S., they persist around the world. It is important that we continue to protect our children with vaccines because outbreaks of vaccine-preventable diseases can and do occasionally occur in this country. Vaccination is one of the best ways parents can protect infants, children, and teens from 16 potentially harmful diseases like measles, diphtheria, and rubella. Vaccine-preventable diseases can be very

serious, may require hospitalization, or even be deadly – especially in infants and young children.* It’s important to know which shots you need and when to get them. Everyone age 6 months and older needs a seasonal flu shot every year. Other shots work best when they are given at certain ages. Vaccines are for all of us, from babies to older adults. For example, the Center for Disease Control recommends that all adults need a Td (tetanus-diphtheria) booster shot every ten years, and adults age 65 and older need a pneumonia shot to protect their health. Everyone age 6 months and older needs a seasonal flu shot every year. Other shots work best when they are given at certain ages. Talk to your doctor or nurse to make sure that everyone in the family gets the shots they need. To see childhood, adolescent, and adult immunization schedules, visit: www.cdc.gov/vaccines/schedules/index.html www.cdc.gov/vaccines/parents/index.html Additional information from: http://healthfinder.gov/nho/ PDFs/AugustNHOtoolkit.pdf


success story

A

t just eighteen months old, Bryce Calabria abruptly began to have difficulty breathing. His parents, Shawn and Shari Calabria, whisked him off to the pediatrician, who recommended an immediate transfer to the Pittsburgh Children’s Hospital. “As first-time parents, it was terrifying. We didn’t know medical lingo, only that he couldn’t breathe and his oxygen levels were very low.” The Children’s Hospital doctors treated him with nebulizer treatments, antibiotics, and steroids. After three days, Bryce was able to go home, but his experience with asthma and allergies was just beginning. Many people suffer from allergies that follow a cyclical pattern due to pollen and weather, but as the Calabrias would soon learn, Bryce’s allergies were severe enough to trigger asthma attacks and lead to other illnesses like strep throat and respiratory infections. Unlike Bryce, his younger brother, Garrett, does not suffer from any allergies or asthma. In 2001, when Bryce was five, the family moved to Germantown. “He immediately took a turn for the worse,” Shari recalls. “It started out with excessive allergic reactions to mosquito bites, and then breathing complications started.” There was not much improvement over the next several years, as visits to primary care physicians and allergists didn’t seem to help. When he was in fourth grade, Shawn and Shari heard about Dr. Christie Michael, a specialist in the allergy and immunology division of University of Tennessee’s Le Bonheur Pediatrics program. They made their first appointment, and Bryce tested

inspiring true accounts of health victories

positive for 9 different allergens, including grasses, ragweed, and very severe reactions to mold. Dr. Michael started Bryce on progressive allergy shots. “She explained that it was a way of changing my immune system so that my body eventually wouldn’t react like it did,” Bryce recalls. Three years later, he was retested and showed incredible improvement in all categories. Now, Bryce is entering his junior year at Houston High School and has put most of his severe asthma and allergy problems behind him. His last major respiratory illness was in 2009; he has not had a hospital visit since beginning allergy shots. His last hospital visit was back in 2009. Dr. Michael has enthusiastically supported Bryce’s musical endeavors playing, of all things, the trumpet. “Dr. Michael has helped us create a goal that by the time Bryce graduates, he won’t need allergy shots. It would be wonderful for him not to have to do that in college.” Right now, Bryce takes biweekly shots, and just one daily medication along with an inhaler as needed. “If I could reach the point where I didn’t have to carry around an inhaler, that would be great,” he says. “That’s the point I’m trying to reach.” He’s looking into West Point and Temple University for college, with plans to study history and attend law school, and with the help of Dr. Christie at the Le Bonheur Pediatric Specialist clinic, he’s right on track. “I would tell others with asthma and severe allergies to find a great doctor, make a plan and stick to it,” he shares. “Just don’t give up.”

easy Breathing

Since the improvement in his symptoms, Bryce has excelled as a member of The Houston Band, and made the Senior High All-West Blue Band last year. pHoTo By nATHAn Berry


Heart Disease is the

#1 Killer of All Men And WoMen! • Are you at risk for a heart • Do you have blockage in attack? your legs? • Are you at risk for a stroke?

• Do you want to know if you have an abdominal aneurysm?

Stern Cardiovascular Foundation’s screening tests will help answer these questions, determine your risk of stroke or heart attack and possibly save your life. • Abdominal Ultrasound • Carotid Ultrasound • ABI-Ankle-Brachial Index (marker indicating peripheral vascular disease) These special screening tests will be interpreted by our Board Certified Cardiologists in our accredited labs for only

$199

• Blood Pressure Screening

The Medi Spa treats a variety of skincare needs

W

ho knows your skin better than you and your dermatologist? no one. don’t trust your cosmetic care to someone else! Advanced dermatology & skin cancer Associates recently introduced a newly designed state-of-the-art medical spa in olive Branch, Miss. the spa offers the most effective, cutting-edge skin care treatments in a relaxing environment that truly captures the essence of what a medi spa should be. What is a medi spa? AdscA’s medi spa provides the best available treatments for a variety of skin care needs under the supervision of a board-certified dermatologist. From cosmetic treatments to relaxation, the medi spa has it all. experiencing excessively dry skin or stubborn signs of aging? For a safe but more aggressive method of exfoliating and rejuvenating skin, try a laser treatment like IpL, co2 Fraxel or Ultherapy. chemical peels and dermaplaning are also safe and effective. Interested in maintaining healthy glowing skin or spending a relaxing day at the spa? try a facial, skin oxygen treatment, makeup application or eyelash extensions. For more information, visit advanceddermatologymemphis.com

• Lipid Profile • hsCRP (marker indicating coronary risk) • EKG-Rhythm Strip Coronary Calcium Scan, which helps tell if you currently have coronary artery disease, also offered for additional

$49

Call 901-271-4087 to schedule your Heart Health Check-Up! 8060 Wolf River Boulevard Germantown, TN 7362 Southcrest Parkway Southaven, MS

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good food

wholesome recipes and nutrition tips

Honey-Ginger

Glazed Salmon

and Sesame Kale Salad by Sarah Matheny Gordon

If your kids shy away from vegetables, con-

sider making smart substitutions to familiar foods. Pureed cooked vegetables are easy to incorporate into your family’s favorite recipes, and add essential vitamins and nutrients.

ingredients 1 ½ pounds raw salmon Glaze ¼ cup honey 3 teaspoons soy sauce 2 teaspoons sesame oil 1 ½ teaspoons fresh ginger, grated 1 teaspoon sesame seeds

Vinaigrette dressing 1 tablespoon sesame seeds 2 teaspoons honey 4 tablespoons rice wine vinegar 1 ½ tablespoons sesame oil 2 teaspoons fresh ginger, grated

2 teaspoons garlic, minced 1 ½ tablespoons soy sauce ½ teaspoon crushed red pepper flakes

Salad 1 large head curly green kale, stems removed, cut or torn into bite-sized pieces, thoroughly washed and dried 1 yellow bell pepper, thinly sliced (approximately 1 cup) 4 green onions, thinly sliced ¼ cup seedless cucumber, thinly sliced ¼ cup matchstick-cut carrots ¼ cup roasted salted cashews, roughly chopped

directions For the glaze, combine all ingredients and set aside. Preheat broiler. Whisk together all ingredients for the vinaigrette dressing in a small bowl. In a large bowl, toss to combine salad ingredients. Drizzle half of the dressing over the salad and toss, adding more dressing as necessary. Cover a cookie sheet with aluminum foil and spray lightly with cooking oil. Place salmon on cooking sheet and place on the top rack. Cook 7-10 minutes per inch of thickness until fish flakes easily with a fork, checking frequently! Remove from oven and brush with glaze. Re-toss salad and serve on individual plates. Serve salmon alongside salad, garnished with green onions and sriracha sauce.


Mays& Schnapp PAIN CLINIC AND REHABILITATION CENTER

Still the one. Period.

The only *accredited outpatient Pain Clinic in the Mid-South.

Mays & Schnapp

PAIN CLINIC AND REHABILITATION CENTER

Kit S. Mays, MD & Moacir Schnapp, MD

55 Humphreys Center Drive • Suite 200 • Memphis, TN • 901-747-0040 • maysandschnapp.com *Commission on Accreditation of Rehabilitation Facilities



Good Health August 2013