me m p h i s
A healthy lifestyle publication from Scripps Howard
back on your
feet Documenting Orthopaedic Excellence in the Mid-South
+ 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
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 firstname.lastname@example.org.
Cheers to your Health!
Holly Whitfield, Good Health Editor
President and Publisher George Cogswell
Vice President of Advertising Stephanie Boggins
Editorial Director Holly Whitfield email@example.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. firstname.lastname@example.org 495 Union Avenue, Memphis, TN 38103
orthopaedics and rehab
Open Late: Orthopedic Care After Hours 4 Injury Interception 6 National Immunization Awareness Month 19
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
Behind the Scenes with Your Medicare/Insurance Claim 8
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
Advanced Dermatology and Skin Cancer Associates
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
pen Late 10
Orthopedic Care After Hours Photos by Brandon Dill
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
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.
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
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.
email@example.com, or for more information,
On the other hand, when a player “separates”
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
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
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
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
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.
documentation by your other providers before
people in the United States do
cur olow ing hat e is uses led omely
egs. to in our to me the ure the the as
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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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C • • • •
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m e p c t
Deep Venous Thrombosis
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.
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)
your knee and resurface it.” Dalal said the robot can achieve greater accuracy in partial knee
t looks like something from sci-fi upon first glance– a droid, perhaps, with the
capabilities of performing intricate tasks with
30 surgeries. The robot was on display last November during an Open House at Saint Francis Hospital.
pin-point precision. But without this advanced
The $1 million medical device, referred to
technology in robotic engineering, the intricate
as the MAKO Robot,is a surgeon-interactive
tasks would have to be performed entirely by
robotic arm and visualization technology first
developed in 2007 and didn’t hit the market
That’s no longer the case at Saint Francis
until 2009. Saint Francis is the first and only
Hospital – Memphis, where orthopedic
hospital in Memphis to acquire this highly
surgeons perform MAKOplasty partial knee
resurfacing on adults with early to mid-stage
Here’s how the MAKO Robot works:
osteoarthritis using RIO® ,a highly advanced
Before the patient goes to surgery, a CT scan
surgeon controlled robotic arm system in
is taken to get a clear three-dimensional,
November. To date they have performed over
virtualview of the diseased knee. The image
replacement. Orthopedic surgeon Dr. Peter Lindy also performs the procedure at the hospital. “MAKOplasty allows us to treat patients with knee osteoarthritis at earlier stages and with greater precision. Because it is less invasive and preserves more of the patient’s natural knee, the goal is for patients to have relief from their pain, gain back their knee motion, and return to their daily activities,” said David Archer, CEO.
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The single most important sponsored enhancement to hearing is vision. Thus, you want content to ensure that the visual component of speech is available and utilized to enhance hearing. The following suggestions will help maximize the use of your hearing:
1. Always look at the person to whom you are talking or listening. 2. As the speaker, get the listener’s attention before you speak.
Hearing Loss & As the speaker, pause between words to allow the listener to absorb Your Quality of Life what is said.
3. As the listener, focus your attention and gaze on the speaker.
4. As the speaker, identify the subject of your comment before the onset. 5.
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6. As the speaker, do not obscure your face, do not chew, and do not look away while speaking. It would seem that hearing is a second-rate sense when 7. compared Reduce the theoriented speakermodern and listener. todistance vision in between our visually society. people with hearing loss delay a decision to get hearing help because they 8. Reduce the level of noise in the room during a conversation. are unaware of the fact that receiving early treatment for hearing 9. While driving, the listener cannot utilize the visual components of speech. loss has the potential to literally transform their lives. research by Important conversations should precede or follow driving. the national council on the Aging on more than 2,000 people with In summary, it is important understand a person with a hearing hearing loss, as well asto their significantthat others, demonstrated that loss is always in a difficult listening situation. Hearing aids are helpful devices and hearing aids clearly are associated with impressive improvements when used in combination with listening strategies, effective communication in the social, emotional, psychological, and physical well-being of will people occur. with For hearing more information or to schedule an appointment fortoa FREE loss in all hearing loss categories from mild HEARING SCREENING, contact Hearing and Balance Centers severe. specifically, hearing aid usage is positively related to the of West Tennessee at quality 901-842-4327. following of life issues.
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work it out
step-by-step moves for a healthy body
Going Strong Photos by Jason Terrell
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.
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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CAMP-0015 MVP GOOD HEALTH.indd 1
2/28/13 12:11 PM
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the Easy Way. EBT CARDS
4. External Rotation
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.
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
National Immunization Awareness Month
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
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.”
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
• Blood Pressure Screening
The Medi Spa treats a variety of skincare needs
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
Call 901-271-4087 to schedule your Heart Health Check-Up! 8060 Wolf River Boulevard Germantown, TN 7362 Southcrest Parkway Southaven, MS
Advanced Dermatology & Skin CanCer aSSoCiateS, PLLC
“We are your skin experts” Purvisha Patel, M.D., Natalie Morgan, PA-C, Melanie Hamilton, PA-C, Shelley Mulrooney, PA-C BOARD-CERTIFIED AND FELLOWSHIP-TRAINED COSMETIC & MOHS SURGEON
7658 Poplar Pike, across from Germantown High School 7203 Goodman Road, Olive Branch, MS 38654
advanceddermatology.blogspot.com AdvancedDermatologyMemphis ADSCAMemphis
wholesome recipes and nutrition tips
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
Published on Jul 25, 2013
Published on Jul 25, 2013
The August edition of Good Health magazine focuses on Orthopaedics and Rehab, including Campbell Clinic's After Hours program, OrthoMemphis'...