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me m p h i s

A healthy lifestyle publication from Scripps Howard

Mission: Healing Young Hearts the children’s health issue

The International Children’s Heart Foundation

Happy Days

A unique ADHD day camp

july 2013

+ Protect Your Kids: vaccinate against cancer


LUNCH & LEARN SERIES Class start at 12:00 Noon

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

July 9 Your Checkup Check List July 16 Learn labels for health’s sake July 23 Caring for yourself inside and out July 30 Imaging. A look inside


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from the editor

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hildren are society’s most precious gift and most important resource. Whether or not you have kids of your own, ensuring the health and wellness of the children in the Mid-South is in the interest of the entire community. In the following pages, you’ll find stories about people who have taken this responsibility to heart by reaching out to kids in the Memphis area and beyond. A few years ago, I heard about the International Children’s Heart Foundation through a friend; it was so exciting to learn that such an incredible organization is based right here in Memphis. I was touched by their mission of traveling to the most underdeveloped nations to help kids with heart defects, and I wanted to include them in our all-about-kids issue in the hope that you would find their story as inspirational as I did. As we were putting this issue together, I visited the ICHF’s Facebook page and marveled over the countless photos of young patients (you’ll see one on the cover of this issue) and the status updates from across the globe. We have also put together some valuable children’s health information from other great local medical organizations, including The American Heart Association, The University of Tennessee Health Science Center, and St. Jude Children’s Research Hospital. For the grown-ups, we are continuing our series on exercises to strengthen the core (pg. 16) and a mini-guide to trying yoga (pgs. 12, 14). From adult fitness to ADHD to vaccines, we hope there’s something that parents, grandparents, aunts, uncles, and others who interact with children can use to support the youngest members of our community. Don’t forget, Good Health wants to hear about your health and wellness success stories, so share your experiences with me 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 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


july 2013

the children’s health issue

cover story

Where Hope Comes to Life 4

20

Cover photo by Matt Willingham, courtesy of The International Children’s Heart Foundation

Protect Your Children From Cancer 7 Happy Days A Unique ADHD Camp 18 departments

first class Stretch and Balance for Stress Relief 14 outfitter

Namaste Ensemble 12 work it out Get To The Core Pt. 2 16 good food Macaroni and Pureed Cauliflower Cheese Sauce 20

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special features

Eye Specialty Group Introduces Treatment for Keratoconus 15 Eye Speciality Group

New Options For Chronic Migraines 13

19

Memphis Neurology

You May Have Venous Insufficiency 8 Memphis Vein Center

Helping Children Understand Mental Illness 10 Saint Francis Hospital Memphis

In our June edition, we had a few errors. Dr. Deren Akins and Dr. Van Rushing of Cresthaven Internal Medicine were listed under the Dermatology category instead of the Internal Medicine category. Cresthaven Internal Medicine is located at 6799 Great Oaks Rd. in Germantown and can be reached at 901.821.8300 The correct address for Dr. Karen Berry’s, listed under the Psychiatry category, is 1068 Cresthaven Rd #110, Memphis, TN 38119. Dr. Berry can be reached at 901-405-6474. The Shea Ear Clinic was incorrectly listed under the Audiology category. Though readers who nominated The Shea Ear Clinic chose the Audiology category, the clinic should actually be listed under the Otolaryngology (ENT) category. We apologize for any confusion and wish to make the important distinction between otolaryngologists and audiologists.

12


Thanks to Campbell Clinic, it’s game on. After a back injury, I was in constant pain. I tried to tough it out with medications and heating pads. When I couldn’t play with my kids, I knew I had to do something. I figured the specialists who treat players for the Grizzlies, Redbirds, and Tigers would know what to do. So I went to Campbell Clinic Orthopaedics. With their care, I’m back to being an “All-Star” daddy. That’s why I trust the world’s best.

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Where

Hope Life Comes to

Information for this article provided by the International Children’s Heart Foundation.

I

n just the last few weeks, four pediatric surgery teams have been busy saving children’s lives in four different

nations: Iraq, Ecuador, the Republic of Macedonia, and Ukraine. These teams are made up mostly of volunteers-nurses, surgeons, and others who donate their time and expertise to join one or more of the 30-40 missions that the International Children’s Heart Foundation (ICHF) takes on each year. According to the ICHF website, “the U.S. and other developed countries have hundreds of medical centers with trained specialists to care for children with heart disease.

For children born in developing nations, this is not the case.” To correct the most common birth defect, heart disease, usually just one surgery is required, but sometimes follow-up procedures are necessary. Thirty-five percent of children born with these kinds of heart problems require surgery within the first month of their lives in order to survive. Dr. William Novick of Memphis always had a passion for pediatric cardiac surgery, but it wasn’t until a solo mission to Colombia in 1991 that he had a realization. “I couldn’t wear all the hats; I just couldn’t do it alone. To maximize the impact, I needed a team,” he says. The first group of volunteers traveled to Croatia in 1993. “The difference in how those children did, and how many kids we were able to help as compared to my previous solo trips was so significant,” Dr. Novick recalls. “I decided, ‘this is how we should do it.’” Since then, the ICHF has operated on 6,000 children in 31 countries on every continent except Australia and Antarctica. Most importantly, part of the ICHF’s mission is to improve the overall state of international children’s health. Foreign pediatric health care providers receive training from experienced ICHF physicians, who have developed best practices and insights into the care of children in locations where resources are limited. “We train physicians in the countries we visit,” says Dr. Novick. “We want them to sustain care for the children long after we leave.” Dr. William M. Novick (pictured on the cover) is the founder and medical director of the International Children’s Heart Foundation and a professor of surgery and international child health at the University of Tennessee Health Science Center. In April, he was one of nine Americans honored with a REAL Award, created by Save the Children and the Frontline Health Workers Coalition to

ICHF has over 1200 medical professionals who are registered and certified to travel and teach with our medical staff.

develop greater respect and appreciation for health workers around the world.


Top: Dr. Novick and the Prime Minister Nikola Gruevski being interviewed on Macedonian TV regarding the ICHF’s work in the Republic of Macedonia. Left: ICHF team members in Ecuador after a successful arterial switch for a patient. Above: Dr. Ali Dodge-Khatami, representing the ICHF’s mission to “go where the kids need us.”


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ICHF team members in Libya with a young patient.

A patient recovers successfully after heart surgery in mid-May 2013.

f l p h o a a t t p

The 9th annual Taste of Caribe fundraiser for the G International Children’s Heart Foundation will be on t Saturday, June 29th, 2013, 7 – 11pm at ANF Architects at i 1500 Union Ave (Map). This year’s funds will go towards a Babyheart medical mission in Latin America. D Come check out a sampling of top brand cigars i a provided by ProCigar such as Montecristo, La Aurora, a Macanudo, Davidoff, and Leon Jimenez to name a few. f Memphis’ best Latin band, Los Cantadores will put everyone in a festive mood and you can join professional i salsa dancers from the Rumba Room! Feast on Caribbean n a cuisine and there will be a rum & mohito bar. There will be fantastic auction items you can only get here you don’t G want to miss! t Tickets are $50 each, $100 VIP. Come enjoy a Taste of v Caribe and be a part of one of the best parties in Memphis!

FOR TICKETS, VISIT http://babyheart.org/campaigns-and-events/fundraising-campaigns/fundraising-events/


Protect Your Children

From Cancer ith the proliferation of questionable W medical information available online, it’s important for parents to go right to the

source when making decisions for their children’s health. Good Health spoke with James L. Klosky, PhD, Director of Psychological Services in Cancer Survivorship at St. Jude Children’s Research Hospital. His research focuses on behavior-based cancer prevention and control. He helped to clear up some of the confusion about the HPV (human papillomavirus) vaccination that the CDC now recommends

GH: What is the HPV vaccine and why is it important? Dr. Klosky: It’s designed to protect kids

from specific types of HPV that have been linked to certain cancers; for females, it’s primarily cervical cancer, but these strains have also been implicated in the development of other types of cancer that affect males as well. The most important thing to note about HPV is that it is transmitted by skinto skin contact, unlike some other sexually transmitted diseases that are transmitted primarily through fluid.

GH: Why should we talk about this vaccine in a Children’s Health issue? Dr. Klosky: The HPV vaccine is now

included as part of the vaccine schedule, and the CDC recommends that it first be administered between the ages of 11-12 for females and males. Though the indication is anywhere from ages 9 to 26, the vaccine needs to be administered before sexual activity begins.

GH: What are some of the concerns that parents may have about this vaccine?

Dr. Klosky: Gardasil® stands up just as well or better than other vaccines in terms of safety and efficacy. I think that the discussions about how HPV is transmitted are uncomfortable to many people. There might be parents who think that it will increase sexual activity among their children, but that’s unsubstantiated by the research. This has nothing to do with moral choices and character values; this is just about keeping kids healthy. GH: How can parents get access to these vaccines? Dr. Klosky: Working with your pediatrician is the best place to start, and the vaccine is covered by many insurance companies. It’s also important to know that if you’re uninsured or underinsured, that you can also get the vaccine at the Health Department. If the patient is under 18, this vaccine can be

* Merck, producer of Gardasil, provides the vaccine for research.

obtained at a very low cost. The vaccine is 3 shots; it’s given on Day 1, and then Month 2 and Month 6. The most common vaccine that we see is Gardasil*, which protects against 2 HPV types that are responsible for 70% of cervical cancers and 2 HPV types that protect against 90% of genital warts. Up to 80% of people who are sexually active are going to contract HPV at some point in their lives. If their immune systems are strong, then they probably won’t even know that they’ve been exposed, and the virus will clear their system within 2 years. Those with compromised immune systems-like many childhood cancer survivors--can have the potential for additional HPV-related complications, which is why St. Jude is involved in this research. The mission of St. Jude Children’s Research Hospital is to not only to advance cures, but to prevent pediatric catastrophic illness, as well. The public health significance of this vaccine is enormous.


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cramps due to vein problems and varicose veins. Many people think that varicose veins are considered cosmetic, but in all actuality it is a medical condition when associated with venous reflux /venous insufficiency. these conditions range from varicose veins to blocked arteries and veins in the lower extremities causing pain, swelling of the ankles, cramps, itching, and discoloration. In extreme cases ulcers may develop and walking becomes limited. In the past, these problems in the veins were treated with surgery. At Memphis Vein center patients are treated with non-surgical laser ablation for varicose vein disorders, which is done BEFORE as an out patient.

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How does endovenous laser ablation work? A laser fiber is inserted into the varicose vein through a tiny puncture in the skin. the laser energy creates heat which seals the vein closed, stopping reverse blood flow and effectively eliminating the varicose vein. Is the laser procedure painful? the procedure is painless. Afterwards, patients may AFTER experience mild discomfort in the thigh of the affected leg which can last about a week. An anti-inflammatory is prescribed to minimize the discomfort. Most patients require no more than this medication and tylenol for pain.

our very best to comply with the guidelines given by the insurance carriers. How are spider veins treated? spider veins are tiny purple or red blood vessels located in the skin of the leg near the surface. they appear as tiny branching lines that, at times, can resemble a spider’s web, thus the name. spider veins are not varicose veins and one does not lead to the other. they are treated with a liquid “scerolsing agent” is injected into the small varicose or spider vein. It irritates the vein wall causing it to close. At MVc, we use sotradecol® and polidocinol, these are FdA-approved drugs for sclerotherapy. Endovenous Laser Procedure

What is the recovery time? patients can resume normal activity in 24 hours. Vigorous exercise should be avoided for 1-2 weeks. Will there be scars on my legs? Most patients do not require incisions, A few patients with large varicose veins may require micro incisions, no stitches are required and the bleeding is minimal. Does insurance cover varicose vein treatment like the laser procedure? Most insurance plans require conservative treatment for a period of time. At MVc, we do

Kishore K. Arcot MD, FACC, FSCAI, RPVI

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

Helping Children Understand Mental Illness

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ccording to the National Institute of Mental Health, approximately one in four American adults suffers from a diagnosable mental disorder in a given year1. These mental illnesses include different mood disorders, such as major depressive disorder, dysthymic disorder (chronic, mild depression) and bipolar disorder, as well as schizophrenia, anxiety disorders, panic disorder, obsessivecompulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, social phobias, eating disorders, attention deficit hyperactivity disorder, autism and personality disorders. When talking with children about mental illness it may help to make a comparison with

a physical illness. For example, when people have a cold, they usually can still do their normal activities and don’t get sicker with a more serious condition such as pneumonia. But if people do develop pneumonia, they may have to take medication or go to the hospital. Mental illnesses are like this too. Many people experience feelings of sadness, anxiety or irritability that don’t interfere with day-to-day responsibilities. But sometimes, these feelings can intensify and may be a sign of a mental illness that needs treatment. Discussions about mental illness should take into account the child’s age, maturity level, concerns and needs. Adults need to communicate in a straightforward manner, make sure the child feels safe and secure, and be aware of the child’s reactions during the conversation. Pre-school age children usually need less information and fewer details because their ability to understand tends to be more limited. They often focus on visual signs, such as changes in appearance or behavior. School-age children may ask more straightforward questions and want more specific answers. They could be concerned about their safety and that of their family and friends. Teenagers can handle more information and ask even more direct questions. They may be able to better

1 http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-inamerica/index.shtml Mental Disorders in America – first paragraph 2 http://www.asmfmh.org/html/english/articles/childrenwithillparent.html Problems that children may develop – first paragraph

understand mental illness when encouraged to participate in the discussion rather than be lectured. It is important for children to understand that a mental illness is not due to one specific thing. Rather, mental illnesses could be caused by a chemical imbalance in the brain, too much stress, the brain working in a different way, or being upset for an extended period of time resulting in the inability to cope. Children also should know that they did not cause the illness, nor is it the fault of the person with the mental illness. Like many physical illnesses, mental illnesses also take time to get better. Children of parents with mental illnesses are at risk for developing mental illnesses themselves2. To help reduce these risks, a family member or adult friend can encourage the child to learn about the illness, provide a stable environment, seek psychotherapy for the child, foster a positive relationship with the parent, and promote healthy peer relationships. The child also can take part in interests outside the home, such as sporting events or cultural activities that can help them develop personal interests and develop a strong sense of identity and self-worth. For more information about helping children understand mental illness, talk with your doctor or visit the American Academy of Child & Adolescent Psychiatry website at www.aacap.org.

General References http://www.aacap.org/cs/root/facts_for_families/talking_to_kids_about_mental_illnesses http://www.itsallright.org/factsheets_detail.php?id=21 http://www.copmi.net.au/kids-teens-young-adults/teens/about-mental-illness.html http://www.copmi.net.au/kids-teens-young-adults/kids/about-mental-illness.html http://www.copmi.net.au/kids-teens-young-adults/kids/what-you-need-to-know.html


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SponSoReD conTenT

New Options For Chronic Migraines here are more than 30 million Americans T suffering from chronic migraine headaches. The symptoms include pounding or throbbing headache with nausea, vomiting and light sensitivity. Depending on the frequency, it can rob you of your quality of life. Traditionally, migraine has been treated with preventive and abortive drugs. Recently, Botox was approved by the Food and Drug Administration (FDA) for the treatment of chronic migraine headaches in adults. This is the same Botox famous for smoothing out your wrinkles of the face. The effects of a single Botox treatment can last up to three months and at times longer. The whole procedure takes five to 10 minutes with minimal discomfort. Side effects are infrequent and rare--mild drooping of the eyelids which is temporary. Depending on the clinical scenario, most insurance companies

will approve to cover Botox injections. Apart from chronic migraine, the chronic tension type headaches also respond to Botox.

If you are suffering from chronic migraine or tension headaches and have failed most of the conventional treatment options available, then you may be a candidate for the Botox injections. The pain of migraine occurs when excited brain cells trigger the trigeminal nerve to release chemicals causing swelling of blood vessels in the surface of the brain. These swollen blood vessels send pain signals to the brain stem and the area of the brain that processes pain information. There is currently no test to confirm the diagnosis of migraine. It is a purely clinical diagnosis. If you have been suffering from intractable headaches that have not been responding to conventional medications, maybe you need to consider talking to your primary care physician or neurologist to see if you are a candidate for Botox.

Shiva S. Natarajan, MD

Shiva S. Natarajan, MD is a Board Certified Neurologist and Neurophysiologist practicing adult and child neurology at Memphis Neurology, PLLC. He graduated from Nilratan Sircar Medical College, Calcutta, India and performed his residency in Internal Medicine and Neurology at the University of Pittsburgh. He specializes in the field of Epilepsy, Migraine and Neuromuscular Disease.

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first class

find new ways to get fit

Stretch & Balance for Stress Relief

photos by jason terrell

R

ecently, two Good Health team members enjoyed a mid-morning work break when they tried out the Alignment yoga class at Midtown Yoga. The poses, or asanas, called for concentration, strength, and balance, and were led by veteran instructor Shantih Smythe. Here are some thoughts from after class:

Shantih: I’ve seen yoga do more to transform a person’s body composition than running or weight lifting. I have known people who suffer from rheumatoid arthritis who find relief from the movement. I even had a friend who had a horrible back issue, and her doctor said he thought the yoga may have done more good than surgery.

Sean: The class was harder than I expected. I had never done a yoga class before and I had always thought of yoga as something people do to relax. It was a good workout.

Shantih: A lot of health issues stem from chronic stress, and that stress manifests itself physically. Often times just by stepping away

from that and focusing on something other than those stressful issues can make them lose some of their power. You kind of retrain your mind to focus on something else.

feel totally different. Your body acclimates so easily. I always tell people to try three classes before they decide if it’s for them.

Sean: Normally I just lift weights and conHolly: I have practiced yoga occasionally over centrate on a certain muscle group. Yoga was the last few years, so I was familiar with some parts of the class and other parts were new and a challenge (I only fell over once.) I liked how Shantih showed variations within different poses for those who were beginning, intermediate, or advanced.

Shantih: For someone who is going to their first class, I’d like for them to remember that everyone had their first class at one point. They may feel a step behind and a little confused, but it shouldn’t be painful. By the third class, it can

a total body workout with a lot of concentration on core strength and balance. Shantih was great. She really knew how to work with people of all different levels and would offer slight variations to make certain poses easier for the less experienced people like me.

Holly: It made me wish that I did yoga more regularly, to balance out those workdays I spend at the computer. After class, I felt relaxed but also energized.

Holly Whitfield (Good Health Editor), Sean McQueen (Commercial Appeal Advertising Analyst) and Shantih Smythe (Yoga Teacher)


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


work it out

step-by-step moves for a healthy body

Get to the... “B

efore we can move on to tighten and tone the rest of our body, we first must learn to stabilize our core,� explains Nanette Farris, a licensed physical therapist, personal trainer, and owner of Fundamental Fitness studio in Memphis. From professional athletes, to those just starting an exercise routine, to senior adults, core stability benefits everyone. Part two of a two-part series. For each of the following exercises, hold the position for 15 seconds, rest, and then repeat two more times. Work your way up to holding the position for one minute. PHOTOS BY JASON TERRELL

Wall Squats

Quadruped

1 Stand with your back against a

4A Beginner: On hands and knees,

wall and knees bent less than 45 degrees (knees should not be over toes). Tighten abs.

maintain tight abs and alternate raising one leg at a time. (Hold for the 15 seconds on each side) 4B Advanced: On hands and knees, maintain tight abs and raise one leg and the opposite arm, then return to starting position.

Side Plank 2 A Beginner: Lie on your side with knees and elbows bent, raise your hips and maintain tight abs. 2B Advanced: Lie on your side with knees straight and elbows bent, raise your hips and maintain tight abs.

2A

2B

1

Prone Plank 3A Beginner: Lie on your stomach with knees bent and elbows bent, raise your hips and maintain tight abs. 3B Advanced: Lie on your stomach with knees straight, toes on floor, elbows bent, then raise your hips and maintain tight abs.

Supine Ab Crunch 5 With arms behind head and abs tight, raise shoulders and head from floor (do not hold your breath or strain your neck).


3A

3B

4A

5

. 4B

CORE part two

The exercises provided are general and may be difficult for some individuals. If any difficulty or pain occurs with the performance of these exercises, it is recommended that an evaluation by a physical therapist be performed to modify and correct according to the individual’s specific mobility needs.


Happy Days A unique ADHD day camp phrase “lazy days of summer” hardly T heseems applicable anymore, especially for parents whose children are accustomed to a school year jam-packed with academic and extracurricular activities. While down time is important for kids (really, it’s important for everyone), building a routine can help maintain the learning and structure that accumulate during the school year. In the Mid-South there are innumerable summer activities and camps for school children of all ages, with emphases that range from academics to athletics to the arts. Until several years ago, however, there weren’t any day-camp resources for children with ADHD.

participate in an educational curriculum where

are designed to enhance team building and

In 2002, Dr. David Kube, MD, and a team of

they learn about ADHD,” he continues. “This

socialization skills,” Dr. Kube shares. The

other healthcare professionals saw the need

is the STAR curriculum: Stop Think And

counselors team up campers with other

for a specialized camp. The “All Days Are

React.”

campers who are experiencing similar issues

Happy Days” camp is the only resource of its

The 2013 camp was held in early June

related to ADHD. Increased self-esteem and

kind in the area and is now in its 11th year.

at the Lichterman Nature Center, a great

friendships developed during the All Days Are

“A typical day at the All Days Are Happy

location for many of the outdoor activities

Happy Days Summer Camp can carry on into

Days summer camp includes activities

that the campers enjoy. For children between

the next school year and for years to come.

such as arts and crafts, swimming, music,

six and eleven years old, the weeklong camp

The camp is administered by The

Taekwando, and wild life and nature

is a way for them and their parents to better

University of Tennessee Health Science

studies,” Dr. Kube explains. He is associate

understand ADHD and learn ways to cope

Center Boling Center for Developmental

professor of Pediatrics at the Boling Center

with the disorder.

Disabilities, which provided the information

A camp director, physician, social worker,

for this article. For more information on the UT

University of Tennessee Health Science

nurse, and other educators provide a one-to-

Health Science Center and next year’s camp,

Center College of Medicine. “Campers also

three camper/counselor ratio. “The activities

please visit www.uthsc.edu/bcdd

for Developmental Disabilities, part of The


Beware of Sodium in Toddler Snacks early 75 percent of commercial preN packaged meals and savory snacks for toddlers are high in sodium, according to research presented at the American Heart Association’s Epidemiology and Prevention/ Nutrition, Physical Activity and Metabolism 2013 Scientific Sessions.

In the first study to look at the sodium content in U.S. baby and toddler foods, researchers compared the sodium content per serving of 1,115 products for babies and toddlers using data on major and private label brands. A product was defined as high in sodium if it had more than 210 mg of sodium per serving. Toddler meals had significantly higher amounts of sodium than baby meals, with levels as high as 630 mg per serving – about 40 percent of the 1,500 mg daily limit recommended by the American Heart Association. The foods with the most sodium were savory snacks and meals for toddlers.

“High blood pressure, as well as a preference for salty foods may develop early in life. The less sodium in an infant’s or toddler’s diet, the less he or she may want it when older,” said Joyce Maalouf, M.S., M.P.H., ORISE, lead author and Fellow at the National Center for Chronic Disease Prevention and Health Promotion at the Centers for Disease Control and Prevention in Atlanta, Ga. - American Heart Association, www.heart.org

Share Your Success Tired of hearing all the negative stats about the Mid-South’s health? So are we! Good Health wants to share your health and wellness success stories. If you’ve lost weight, recovered from an injury, learned to manage diabetes with diet and exercise, or beaten an illness, we want to hear about it. Send a brief email sharing your story to holly.whitfield@scripps.com and you could be an inspiration to other Good Health readers!

lly Locarown G

Locally Produced

Good Health...

the Easy Way. EBT CARDS


good food

wholesome recipes and nutrition tips

Macaroni &

Pureed Cauliflower Cheese Sauce by Sarah Matheny Gordon

If your kids shy away from vegetables, consider 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 ½ pound whole-wheat elbow macaroni

2 ½ tablespoons Parmesan cheese, grated

1 ½ cups cauliflower florets (fresh or frozen)*

½ cup 1% or 2% milk

8 ounces sharp Cheddar cheese, shredded

Salt and freshly ground black pepper to taste 2 teaspoons chopped fresh flat-leaf parsley (optional)

directions 1. In salted water, cook the pasta according to the package directions until al dente. Drain and set aside. 2. While pasta is cooking, bring a medium pot of salted water to a boil. Add cauliflower florets and cook for 5 to 7 minutes, or until soft. Drain and place in a blender. Purée until smooth and return to pot. 3. Add pasta, cheeses, milk, salt and pepper to the cauliflower puree. Over medium heat, stir gently to combine ingredients. Stir until the cheese is melted.

4. Garnish with chopped parsley and serve immediately. *carrots and butternut squash can also be used

Good Health Memphis July 2013  

Memphis' healthy lifestyle magazine's July 2013 edition is the Children's Health Issue. It features the International Children's Heart Found...

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