Healthy Horizons
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the gang
Publisher
Mark Helms 256.235.1955 mhelms@cableone.net
Publisher/Events Coordinator
Kimberly Helms, D.H.Ed., MSN, RN 256.310.6174 khelms@jsu.edu
Editor/Graphic Designer Gwen Bishop 256.307.8155 gwenbishop1@gmail.com
Operations Manager Justin Minton 256.235.1957 jminton@cableone.net
Mark, Kim and the Helms gang enjoy a meal together during a recent trip.
Hello Readers! Welcome to another edition of Healthy Horizons Montgomery. We’ve had a great time exploring the area and finding lots of health and wellness tidbits for you. Check out Pike Road’s old-fashioned community The Waters on page 6. And if you need a boost to get your fitness regime started, Auburn University’s Bryan Karkoska has some pointers on stretching. As always, please contact me or any of our team with questions, comments or suggestions. Be sure to check out our advertisers first for your healthcare needs - without them Healthy Horizons wouldn’t be possible!
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Contributing Writers Ross Barnett David Gay Carl Schmidt Merrill South Jonalan Wright
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Healthy Horizons PO Box 81 Choccolocco, AL 36254 www.readhealthyhorizons.com
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Healthy Horizons
Copyright 2015 by Healthy Horizons Magazine. All rights reserved. Although some parts of this publication may be reprinted and reproduced, we require that prior permission be obtained in writing. Healthy Horizons is a free publication distributed locally and is supported by our advertisers. It is available in selected stores, physician offices, wellness centers, assisted living centers, hospitals and rehab centers. Please call for a location near you or if you would like copies placed at your business.
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family
20 wellness the cover The new
Sports injuries.........................................10 Fire safety in the home...........................11
Cancer’s warnings12
Although Lake Guntersville is picturesque day or night, this particular sunset is most stunning. Be sure to visit the lake and make your own memories!
inside. 18
Mayberry 6
Act FAST...................................................13 Why take the BTA?..................................14 What is your health care?.......................14. CRNAs: Always there...............................15 Getting you where you need to go..........16
health
Stretch it out 18
Calling the shots......................................23 A New Year, a new you!...........................24 Heart matters..........................................26 Going green.............................................30 Caring for open wounds..........................32 Healing from the inside out....................34 Here we grow again.................................36
Resource Guide.............................................38 Fun & Games.................................................42
the cover
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Healthy Horizons
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family
modern day
mayberry
Fishing. Swimming. Running. Canoeing and kayaking. If being outdoors, enjoying nature, yet being close to modern conveniences is on your to-do list, then The Waters may be the place for you and your family. Not only is The Waters, located near Montgomery in Pike Road, all inclusive but the overall plan of the community has an old-fashioned feel that’s hard to find unless you’re willing to move out into either the boondocks or a tiny town far away from an urban area. If you choose either of those options, you won’t be able to match the quiet life of The Waters and still enjoy all the amenities of modern life. Jennifer Atkins, Vice President and Broker of The Waters, said one of the things they always tell people is that a home in The Waters “is not a vacation home, it just feels like one.” “It’s so unique in the life if offers because of the amenities, green space and the lake - the green space is about 60 percent of the community,” she said. The “Mayberry” feel comes from several things unique to The Waters. “We call ourselves front-porch friendly,” Jennifer said, referring to the fact that every home is built with a front porch - and the porches are actually used by everyone in the community. “We have porches and rocking chairs, you will see people using their golf carts to visit with their neighbors. People call it Mayberry because it is slower paced inside the neighborhood. People will get in their golf carts and go to the restaurant,” she said.
By Gwen Bishop Editor 6
Healthy Horizons
It’s not just golf carts and porch swings. All of the streets were purposely designed with sidewalks to encourage walking and biking. “One of my favorite things is the early morning walks. You are so in touch with nature, you get to see nature come alive. We have blue herons, egrets and two bald eagles that live at the lake,” Jennifer said. “You can watch them swoop down and get a fish and I love watching the fog lift in the morning.” The Waters hosts many events throughout the year to take
advantage of the outdoors and to promote community among its residents. Some of the outdoor amenities include a gazebo-style building for entertaining with a pool, soccer field, basketball court and tennis courts. Jennifer said The Waters is currently in the process of building a second pool, which her twin 14-year-old children are excited about. Another thing her children and many residents of the area are excited about is the brand new school being built in Pike Road.
Residents and guests at The Waters can enjoy year round fun and entertainment with family and friends. From the annual July 4th fireworks to the Porchapalooza, The Waters’ events and gatherings are meant to bring people and nature together.
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The large, modern building is scheduled to open the 201516 school year. As well as the outdoor amenities, The Waters has several top-of-the-line businesses already open to complete the small town vibe. Life Spring Fitness, Pike Road’s most elite fitness center, recently opened and includes personal training, machines, classes and a nutritional coach. They provide a unique experience featuring brand new Cybex equipment combined with innovative and exciting personal services such as personal training and nutritional consultations. Life Spring Fitness is a welcoming establishment where people can come pursue a healthy, happy lifestyle in a positive environment surrounded by friends and neighbors. Membership options range from basic gym use all the way to the all inclusive package including group classes, such as circuit and yoga classes, and personal training sessions. Key card access between 5 a.m. - 11 p.m. is included with all memberships. “We are beyond grateful to be given this opportunity and we are excited to grow with the area and become the Montgomery area’s premier health club,” Owner/trainer Josh Langham said. “Here at Life Spring Fitness, we offer a three-tier membership system so you only pay for the services that you will actually use,” Josh said. “There are a variety of membership options for each category such as a monthly automatic bank draft, six-month paid in full and 12-month paid in full. We also break each tier into single, couple and family memberships so that everyone can have the opportunity to join our pursuit of a happy, healthy life.” Basic membership includes gym access only. If you are not a big class taker and/or only interested in using our weight room, this is the tier for you. The Champion membership includes gym access as well as unlimited group fitness classes per month. This tier is designed to facilitate the gym-goer who will not only utilize the main facility, but will be involved in the group fitness community. Finally, the Elite membership is the deluxe package. If you are looking for an all-inclusive approach to your membership, this is the tier for you. This membership includes gym access, unlimited group fitness classes, two half sessions with a personal trainer per month and a free T-shirt. Also located in the “town center” building is H2O Cafe, Market & General Store. Not only does H2O offer tasty and healthy breakfast and lunch six days a week, but they also have a market that provides customers with the highest quality natural, organic ingredients and staples for cooking fabulous meals at home. The market also stocks fresh, seasonal items as they are available. Cafe goers can enjoy their from-scratch meals sitting outside on nice days, adding to the allure of The Waters 8
Healthy Horizons
Both Life Spring Fitness and H2O Cafe are located in Town Center at The Waters being a “front porch� neighborhood. The General Store has those little items residents might need for any occasion, as well as small gift items. For simplicity and convenience H2O Cafe, Market & General Store makes eating, cooking and last minute household supplies simple and quick. No matter what your idea of a simple life spent with family and friends enjoying nature and the outdoors, there is something for everyone at The Waters. From the fish-filled lake, front-porch swings, sidewalks, neighbors and shopping, The Waters will be the first and last place you truly call home. For more information, visit them online at www.thewatersal.com or call 334.272.3200.
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&
Sports injuries overuse For a child, there’s nothing like the lessons learned from being on the field and having an opportunity to make a game winning run or the sportsmanship gained from playing together as a team and coming up short with a loss. Childhood sports are part of our lives. They bring joy to children and their families. Not only that, being involved in athletics can be beneficial to a child’s development. But as any parent knows, there is always the risk of injury. By knowing the causes of sports injuries, and how to prevent them, you can make involvement in sports a more positive experience. Drew Ferguson, Director of UAB Sports Medicine at Children’s of Alabama, points out that age can be a factor in many injuries. “The younger kids don’t have the body control, the neck coordination to play a lot of these sports,” he said. “It’s important to try to teach the basics, the fundamentals, because developing bodies and awkwardness can lead to injuries that you don’t see in older more developed children.” On the other hand, Ferguson points out, as a child grows and develops, injuries can take place due to the force of physical contact between bigger, stronger kids. There are things you can do to help prevent your kids from being injured.
Maintenance and Appropriateness of Playing Surfaces Coaches and parents should ensure that playing fields are in good condition. Holes and ruts could cause children to fall and get hurt. For sports like running and basketball, surfaces should be more forgiving like a track and wooden courts over concrete surfaces.
Adequate Adult Supervision and Commitment to Safety
Any team sport or activity that kids participate in should be supervised by qualified adults. The team coach should have training in first aid and CPR, and the coach’s philosophy should promote players’ well-being, not a “win at all costs” approach. Additionally, make sure your kids are matched for sports according to their skill level, size, and physical and emotional maturity.
Proper Preparation
A child should always be taught how to play the sport before going out on the field. The child should be adequately prepared with warm-ups and training sessions before practices and games. In addition, kids should drink plenty of fluids and be allowed to rest during practices and games.
Types of Injuries Preventing Sports Injuries Use of Proper Equipment
Children should always use the proper equipment and appropriate safety gear for each sport. That gear should always be the correct size and fit well. Ask your child’s coach about the appropriate helmets, shoes, mouth guards, athletic cups and padding. Shatterproof goggles should be considered as well. Protective equipment should be approved by the organizations that govern each of the sports. Protective gear should be properly maintained to ensure effectiveness. 10
Healthy Horizons
Sports injuries are usually divided into three categories. Acute injuries, overuse injuries and reinjury.
Acute
Acute injuries occur suddenly and are usually the result of some trauma. They could range from sprains or strains to the more serious concussions.
Overuse
Another common source of injury is overuse. This is seen in sports with the For more information on this or other health and safety topics, visit www.childrensal.org.
same, repetitive motions. One example is “Little League Elbow,” which is pain and tenderness in the elbow due to repetitive throwing.
Reinjury
Reinjury often happens when a player returns to the game before he or she is properly healed from a previous injury. A player should wait for their doctor’s approval before re-entering the sport, and even still, should start back gradually to prevent getting hurt again.
What to Do If your child is injured, they should stop playing immediately. Ferguson said whether or not to call the doctor may depend on how much pain they are feeling. “On a pain scale from one to 10, if they are below a five you may want to wait,” he said, “but if it gets more painful over time you may want to have them seen for treatment.” You may also consider taking them to a doctor if the area is swollen, they are limping or have limited range of motion, or if the pain continues for more than a week. Once the child has been treated by a doctor, remember to follow the doctor’s orders! Avoid activity and wait on the doctor’s approval before playing again to avoid reinjury. By keeping these tips in mind children and their families can do their part to avoid injury and enjoy many years of athletics.
By Jonalan Wright Maxwell-Gunter AFB Fire safety in the home is a topic that we often overlook as adults, but we teach our kids that it has a fundamental place in our lives. The way we teach our kids often is just as good a reminder for us adults of what we need to know to keep them safe. Just a simple chat with our
of danger in the home. First and foremost is to instill in your children that we do not play with fire. This includes both indoors and outdoors. Often cited as a cause of fire, this type of hazard can be prevented by simply talking to your children. Another way to reduce risks is to
kids can remind us to stay diligent in safeguarding our families and ourselves. All homes need an escape plan and everyone needs to practice regularly in case of a fire. Practicing regularly makes our actions instinct not just learning experiences. Emergencies happen suddenly and with no warning. A simple drill with the family on a Saturday morning or evening to go to their predetermined spot and meet up is a great starting point. Remember not to open a hot door! That means fire is out side that door and the passage is blocked. Like the NFPA (National Fire Protection Association) award winning presentation states, we all need to “Be rabbit ready” in the event of a fire. What does that mean? Rabbits always have two ways out of their borough or home to keep them safe. The same should go for us.* Everyone knowing where to go means that if someone is trapped during a fire emergency you can let the fire crews know where they are. Some very simple steps can be taken to safe guard the most common forms
never leave any cooking unattended or over cooking. It is easy to do when the kids are screaming and chasing each other, the phone is ringing and a spouse is asking questions about the bills. Then all of a sudden, dinner is now on fire because it was forgotten. Do you know how to handle a grease fire? Having a fire extinguisher in the kitchen is an excellent idea, but you never put water on a kitchen fire, it only intensifies the problem. Safely place a lid over it to smother the fire, and if it is out of your control, CALL 911 and get out of the house. Also, don’t place anything combustible around the stove top. This is an accident waiting to happen. If something falls onto a burner and catches fire, you risk a serious burn injury or could lose everything. Electrical fires represent a large number of fires every year. In 2011, an estimated 47,700 home structure fires reported to U.S. fire departments involved some type of electrical failure or malfunction as a factor contributing to ignition. These fires resulted in 418 civilian deaths, 1,570 civilian injuries, and $1.4 billion in direct
property damage. The source of these statistics are from the NFPA report Electrical Fires by John R. Hall Jr dated April 2013.** These occur from overloaded circuits (that includes surge protectors), incorrect home repairs and a host of other actions. If you have noticed lights flickering or you have bad outlets in your home, call an electrician before the problem turns catastrophic. It is much simpler and less expensive to repair a problem than to replace a home. Another very common way to increase fire safety in the home is to change your smoke detector batteries when you change the air filter in your home. On normal conditions this should be done once a month. If you change your smoke detector batteries and test each month, you will know when one has gone bad and it can be replaced. In many houses this is never accomplished or the beeping from a low battery becomes obnoxious and the battery is removed and it is often too late when the alarm does not sound. Roughly three out of five fire deaths occur in homes with no alarms or alarms that are not working.*** Don’t sell your family short on the price of a battery. They are worth more than that. The simplest way to staying fire safe is to realize that no plans will work without practice. Our favorite ball team does not just walk out on the field at game time and play to peak levels; the same applies for an escape plan for the home and making sound decisions on keeping the home safe. Please visit http://www.nfpa.org/ safety-information/for-consumers for more detailed information. Jonalan Wright is a 15 year veteran firefighter for Maxwell-Gunter AFB. Sources * http://youtu.be/XAsjE2dh-4A **http://www.nfpa.org/research/ reports-and-statistics/fire-causes/ electrical *** Source NFPA
The conclusions and opinions expressed in this document are those of the author. They do not reflect the official position of the US Government, Department of Defense, or the United States Air Force.
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wellness his story
For most cancer survivors, the disease is an ongoing battle, many times they are fighting it years before they even know what it is. This is true for Staff Sergeant E6 Nicholas Bogan of Montgomery. Although he was only diagnosed early last year with stomach cancer, Nicholas said he had been fighting the symptoms for 10-15 years before he discovered what was the core of his problems. Much of that time he was on active duty, serving in the Army as a Computer Systems Engineer. “I knew something was really wrong,” he said. “I was losing weight fast and my diet was limited
Signs and symptoms are signals of injury, illness, disease – signals that something is not right in the body. A sign can be seen by someone else – maybe a loved one or a health care professional. A symptom is a signal that’s felt or noticed by the person who has it, but may not be easily seen by anyone else. Having one sign or symptom may not be enough to figure out what’s causing it. For example, a rash in a child could be a sign
s Fever s Fatigue s Pain s Skin changes s Darker looking skin s Yellowish skin and eyes (jaundice) s Reddened skin (erythema) s Itching (pruritis) s Excessive hair growth s Change in bowel habits or bladder function s Sores that do not heal s White patches inside the mouth or white spots on the
more and more. I even had problems holding water down.” Nicholas had been diagnosed with a variety of stomach problems including acid reflux, but no matter what treatment he was on, he never found relief. “I was always in constant pain,” he said. “On a scale of one to 10, I was about a seven. After it had been going on for such a long time, I thought I would just have to deal with it.” Luckily, a nurse agreed with Nicholas and after treatment and surgery, he is enjoying eating again. “Listen to your body,” he said. “If your pain is uncomfortable, don’t let anybody tell you it’s all in your mind. “Demand to get checked out, do your research and be positive about it,” Nicholas said. - GB
of a number of things. But if the child has the rash along with other signs and symptoms like a high fever, chills, achiness and a sore throat, then a doctor can get a better picture of the illness. Sometimes, a patient’s signs and symptoms still don’t offer enough clues so medical tests may be needed. Cancer is a group of diseases that can cause almost any sign or symptom. The signs and symptoms will depend on where the cancer is, how big it is, and how much it affects the organs or tissues. You should know some of the general signs and symptoms of cancer. If you have any of these and they last for a long time or get worse, please see a doctor to find out what’s going on. s Unexplained weight loss
tongue s Unusual bleeding or discharge s Thickening or lump in the breast or other parts of the body s Indigestion or trouble swallowing s Recent change in a wart or mole or any new skin change s Nagging cough or hoarseness Sometimes, it’s possible to find cancer before having symptoms. The American Cancer Society and other health groups recommend cancer-related check-ups and certain tests for people even though they have no symptoms. For more information, visit the American Cancer Society’s website at www.cancer.org. For quicker assistance on understanding signs and symptoms, schedule a visit with your doctor. Information taken from cancer.org
&FAST
know the signs of a act When a loved one has a stroke, turn to Jackson Hospital, a Primary Stroke Center in the River Region. In 2013, Jackson Hospital received Advanced Certification from The Joint Commission as a Primary Stroke Center, an accolade given to signify an organization’s dedication to fostering better outcomes for patients. Jackson Hospital’s Primary Stroke Center certification has demonstrated that the hospital’s program meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients. Stroke is the third leading cause of
stroke
death in the United States and a leading cause of serious disability. That is why it is so important to reduce risk factors, know the warning signs, and know how to respond quickly and properly if warning signs do occur. Remember FAST to assist with quick stroke recognition.
Submitted by Jackson Hospital
Arm weakness
Is one arm or one side of the person’s body suddenly numb or weak? Ask them to raise both arms. Does one arm drift downward?
Speech difficulty
Is the person’s speech suddenly slurred or garbled? Can they repeat a sentence?
Time to go seek medical care by Face drooping
Ask the person to smile. Is one side of their face suddenly numb or weak?
calling 911. Treatment within the first three hours of signs of a stroke is critical!
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why take the
?
Biological Terrain Assessment When we feel a little out of “whack”, our bodies might be giving us signals that everything isn’t going just right. Even though we may get regular physician check-ups, eat healthy and exercise, our body’s chemistry can still become off-kilter and give us problems - sometimes problems that even our physician may not be able to pinpoint. The Biological Terrain Assessment (BTA) test may be a useful test in our healthy-living arsenal. BTA uses urine and saliva to identify pH, oxidative stress and resistivity. While this may sound like a mouthful, two simple tests can identify when the chemistry of these three major areas can keep us from feeling 100 percent. Here’s a brief explanation of the three things the BTA will identify: s Potential Hydrogen (pH) is an indicator of hydrogen ions. The more hydrogen the lower the pH will be (acidic) and the lower the hydrogen ion count, the higher the pH (alkaline) will be. s Oxidative stress (or oxidation reduction potential or redox) is the measurement of cellular energy production which provides cellular energy from the mitochondria. This energy also “burns up” invading micro-organisms. s Resistivity is the concentration or dilution of minerals and their ability to function properly. Because these are at the cellular level, there are two important things to consider: 1) your physician won’t test for these things; 2) they affect many systems in our bodies. There are several reasons why saliva and urine are the two best body fluids to check when looking for cellular imbalances. Saliva contains three primary secretions: A serous protein, which contains ptyalin and alpha amylase; a mucin protein, which contains mucous needed for lubrication; and interstitial fluid. Interstitial fluid is a warehouse of information and is actually what the BTA test checks. Interstitial fluid continuously 14
Healthy Horizons
bathes every cell in the body and is like a rich “nutritious soup” for all of the cells. Therefore, the health and vitality of every cell is dependent upon the health, vitality and movement of the interstitial fluid. Because of the amount of interstitial fluid in the saliva, it is an excellent indicator of the lymphatic and digestive systems, the pancreas, our body’s hydration and lubrication, and amount of electrolytes. Because urine is waste that our body doesn’t need, it’s the best way to
determine what excesses our body may contain. Urine is formed as a product of kidney function. Each kidney is composed of over 2 million nephrons that serve as filters to clean the blood plasma as well as indirectly from the lymphatic system. It’s important to know chemical levels in the lymphatic system because it is derived from interstitial fluid; aids in nourishing the cell and removing waste from the body; both saliva and plasma are formed from lymphatic fluid; and it is an essential part of the immune and oxidative stress systems.
What is your health care? To many people health care is an emergency room, to others it’s the doctor they see every year or so who renews their prescriptions, and to others it’s the hope a cure will be found. There is no doubt that medical
advancements have saved many lives, such as the discovery of antibiotics, and other life saving drugs and procedures. But most of today’s health problems, at least here in America, are due more to lifestyle choices. Diabetes, heart disease, obesity and even cancers are now proven to be directly associated to the things people eat, drink and do. You see, if you just medicate each condition as they occur and never look at the causes, you will be on a lot of drugs and never have addressed the underlying issue. Did you know that the typical
medical evaluation defines or identifies a symptom and matches it up to a medication? If that particular symptom is decreased the therapy is considered successful. However, most people are not aware of the trade off or side effects of the medications. The average doctor’s understanding of nutrition is usually very limited, often influenced by the concern for how supplements can interact with prescription medications rather than how nutrition can improve one’s health. Even though there are many
herbal and vitamin therapies that effectively and often immediately relieve symptoms we, as a culture, have lost touch with our herbal roots and replaced them with quick-fix medical therapies. Herbal remedies have a very effective approach for countless symptoms, and routine supplementation enables to body to be better fortified to stay healthy. Often people ask if a supplement is FDA approved. When you think about a single symptom to a single drug and then think where in nature is there any naturally occurring food, plant or animal with only one specific chemical in it, there’s not. Most research for over-thecounter and prescription drugs is rooted in plant science. For example, aspirin comes from willow bark, and the blood pressure drug Digitalis which is from the herb foxglove. The more diverse the supplementation the better off we are. This is a different approach than conventional medical treatment, where each drug is designed to control or suppress a single specific condition, irrespective of the damage or
side effects. Throughout history plants have been used to relieve many aliments. It is in reflection of the long history of the healing properties of plants and herbs that The Herb Shop gained its name. The staff at The Herb Shop offers a variety of testing and wellness screening that better determines what areas or body functions need nutritional support. And it gives a great way to monitor progress. For more information on testing, herbs, supplements and nutrition, visit The Herb Shop at 8151 Vaughn Rd. in the Pepper Tree Shopping Center. Or give them a call at 334.271.2882.
The information here is not intended to diagnose, prescribe or treat any medical condition.
By David Gay CRNA Certified registered nurse anesthetists (CRNAs) are advanced practice nurses who specialize in the administration of anesthesia. There are more than 1,500 CRNAs in Alabama, and CRNAs are the sole providers or primary providers in 41 percent of Alabama counties. This allows patients to receive surgical, obstetrical, pain management, and trauma stabilization services in these areas. Alabama CRNAs work in all settings in which anesthesia is delivered: traditional hospital surgical suites and obstetrical delivery rooms; ambulatory surgical centers and physician offices. Nurses first provided anesthesia to wounded soldiers during the Civil War, and CRNAs have been the main providers of anesthesia care to U.S. military personnel on the front lines since WWI. The website, www.future-of-anesthesia-care-today.com, provides a wealth of information for patients, hospital administrators, policymakers and others who have an interest in ensuring patient access to safe, cost-effective anesthesia care. For more information on Alabama CRNAs, please visit www.alabamacrna.org. www.readhealthyhorizons.com
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By Gwen Bishop Editor
getting you where you need to go 16
M
ark and Peggy Porterfield believe in customer service. That’s why when they decided it was time to start a transport company in Montgomery they chose Caliber Patient Care as their partner. “There are so many reasons why Caliber makes the best, most sensible choice for patient transportation. When you raise the bar, you get a higher standard of care. We’re out to prove a lot of things, and take care very seriously,” Kyle Calvert, CEO of Caliber Patient Care, said. Both Mark and Peggy have spent years in customer service and Peggy has been a nurse for 19 years, making them a perfect match for Caliber’s quality service and top-notch care. The Porterfield’s franchise located in Montgomery will provide residents with nonemergency transport. This can include trips to the doctor, shopping, family visits and more. There were two important events in the Porterfields’ lives that helped them decide to open Caliber Patient Care in Montgomery - caring for Peggy’s parents and transportation issues her friend was having with her mom. “While looking at a job site online, I came across a company called Caliber Patient Care,” Peggy said. “The next day I got an email from a friend. Her mom lived in an assisted
Healthy Horizons
living facility here in town. She needed to get to a doctor’s appointment across town and, in her condition, needed to go in her wheelchair. I didn’t have an answer for her. Her only outlet was ambulance service which ended up costing her hundreds of dollars. I knew right then that the need for Caliber was what I had been looking for.” Caliber (formerly Medex) was founded in 2009 and has specialized in safe, sensitive and secure transportation ever since. They offer a complete line of transportation services. All of their services come with our standard “Bedside-to-Doctorside” level of care. “I like meeting people, educating people and most of all, solving problems in a caring manner,” Peggy said. “Caliber is more then just transporting patients to and from doctor appointments. It is a way of getting them out into the community whether it be for an appointment or just meeting with some friends for lunch or dinner. A lack of transportation shouldn’t be the reason for living a solitary life.” Call 334-440-8073 for more information.
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health
Bryan Karkoska knows a thing or two about exercise and conditioning. Bryan, Head Strengthening Coach for Olympic Sports at Auburn University, has spent 20 years helping young athletes reach their potential in their sporting specialty. Using this knowledge, Bryan said there are many things the general public can do to increase their fitness level. Bryan said the current minimum guidelines for exercise is an adequate place to start. Exercising three to five times a week for 30-60 minutes per routine will help keep the body fit. “The idea is to exercise more frequently, not necessarily longer,” he said. “Frequency is more beneficial.” He said there are two types of stretching and a person just beginning to exercise can start with the simpler exercising and move forward as their body allows. Static stretching, which more people are familiar with, includes those exercises where a position is held, such as touching your toes or stretching from side-to-side, bending at the waist. From left to right: Recent graduate Sammie Coates, receiver; Head Coach Gus Malzahn an Dynamic stretching involves more intern, on the sidelines during last season’s game against Lo movement and would include leg lunges and squats. Dynamic stretchcontinually give muscles a new workout. can be added as the basic exercises ing gets muscles lose and get the body Focus areas can be arms; back and become easier and a healthy workout can going better than static exercises and stomach (the core area); or legs. For still be achieved in the same amount of should be done before a more physical those with limited range of motion, ustime. workout such as weight training or joging only static exercises is the best option Before beginning any training or ging, Bryan said. for these target areas. exercise program, Bryan said nutrition Static stretching is still more beneficial Also choose your routine based on should be top priority. to the general population, Bryan said, what is available, including space, he “The biggest thing we’ve truly missed followed by dynamic stretching for a said. Step exercises would not be a good in America is the fact we don’t identify general workout. choice if there is no space or the person’s what we put into our bodies. People are Bryan suggests identifying problem balance is bad. “Move into those things suffering from weight issues and chronic areas and focusing on that first. There as availability allows,” Bryan said. injuries without looking at the root causare many stretches to choose from to Adding weights to lunges, push ups, es,” he said. “We should be attacking our help make the routine more enjoyable etc., “makes that movement much more diet first, then moving to exercise.” by incorporating a variety of exercises, as of a challenge,” he said. Light weights Whatever current health issues an well as changing the exercises regularly to
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Healthy Horizons
By Gwen Bishop Editor
online resources n bodybuilding.com - customize your workout routine using the site’s user-friendly tools. Choose the areas you want to target and the site will provide a list of exercises with instructions and well as difficulty level. www.bodybuilding.com/exercises/ finder n mayoclinic.org - basic static stretches easy enough for most beginners. Written instructions for each stretch. www.mayoclinic.org/healthy-living/ fitness/multimedia/stretching
Start workout routines with static stretches, such as the two shown above.
n nihseniorhealth.gov - flexibility exercises with time suggestions, written instructions, photos and some video. The site also has instructions for strength and balance exercises, all targeted toward seniors. nihseniorhealth.gov/exerciseandphysicalactivityexercisestotry
nd Anthony Kincy, strength and conditioning ouisiana Tech.
n livestrong.com - explanation of dynamic stretching plus written instructions for several basic exercises. http://www.livestrong.com/article/503162
individual currently has, any place is a good starting place. Taking small steps towards better health and fitness and In another article on staying the course is more beneficial livestrong.com, find basic than trying to do everything at once, information on light weight burning out and then ceasing to do training and written anything. Starting with something small instructions for a few exercises. such as eliminating or reducing soda www.livestrong.com/article/107255 and drinking more water helps many get motivated for the next step. n Other reliable sites: “The first step is one of 1000 miles,” health.com Bryan said. “You have to take full aarp.com acceptance of who you are no matter cooperinstitute.org where you’re starting.” everydayhealth.com healthline.com
Add weights to dynamic stretching as needed to get a better workout.
Most of all, remember to have fun! www.readhealthyhorizons.com
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Krishna Basarakodu, MD Montgomery East and Jackson
Tom Beatrous, MD Montgomery East
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Sri Valasareddi, MD Montgomery East and Jackson
Georges Hobeika, MD Sylacauga
Southeast Cancer Network is located near you when you need it most and with a staff that treats you like family.
Caring for patients close to home
Family. of being cured,” Dr. Beatrous said. From the moment a patient steps into Cancer Care Many referring physicians depend on Cancer Care Center of Montgomery East, that’s exactly how he feels Center to give their patients excellent care and treatment, like a member of a caring, nurturing and protective family. including Dr. Wesley Barry, General Surgeon at Advanced Montgomery East patient Tinita Ford said getting her Surgical Associates. treatments there is nothing like most doctors’ offices. “I have found them to be professional. They will call “It’s calm, peaceful and friendly,” Tiabout the patient, get the correct nita said. “It’s like visiting family instead information, let me know what they’re of a clinic. Everyone knows who you are planning for treatment and coordinate here. the patient’s care,” Dr. Barry said. “There’s no anxiety for me on chemo Urologist Dr. D.P. Bhuta, a local docday. I look forward to seeing everyone tor who has been practicing for 30 years, and I don’t dread the treatment,” she also sends patients to Cancer Care said. Center. Although Tinita still has a ways to go “I just prefer the Cancer Care Centin her treatment, Medical Oncologist er,” Dr. Bhuta said. “I’ve been working Krishna Basarakodu said that the treatwith them more than 10 years - as soon Cancer Care Center ment is only 10 percent of the cure. as Dr. Beatrous started there. He knows of Montgomery East “Ninety percent of the cure comes what he’s talking about and he can help 300 St. Luke’s Drive, Montgomery from trust and attitude. If the patient the referring doctor decide what to do 334.273.8877 doesn’t trust me, the treatment is not for his patient.” Cancer Care Center going to help,” Dr. Basarakodu said. “I have been very pleased with them,” of Montgomery Jackson “Attitude makes a difference. A positive Dr. Barry said. “They have excellent phyattitude can take you a long distance. It 1725 Pine St, 5th Floor, Montgomery sicians and are a great addition to the 334.261.3148 can also help you live a long life even if River Region.” you’re not curable.” It’s not only the individual care the Radiation Oncologist Tom Beatrous patients receive. Everything about each had originally chosen to work in a lab location, including Cancer Care Center to help find a cure for cancer. Quickly, of Montgomery East and Montgomery he learned he had gift for taking care Jackson, and Coosa Valley Regional of patients and for the past 25 years has Cancer Center in Sylacauga, is designed dedicated himself to helping his patients to make not only the patient comfortCoosa Valley Regional through this difficult time in their lives. able, but their family as well. Cancer Center “At the Cancer Center our patients “Everything about these centers are 291 James Payton Blvd, Sylacauga designed to be uplifting, comforting and feel like they are a part of the family. That goes a long way to improve chances to improve their mood,” Dr. Georges 256.245.0297 20
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Hobeika, Sylacauga’s Radiation Oncologist, said. “Families di said that she and Dr. Basarakodu are able to bounce are welcomed to come with the patients even for treatment ideas off each other. and everything here accommodates them.” “Everybody is different in how to they respond to treatDr. Hobeika also credits every member of the staff for ment,” Dr. Valasareddi said, so with the doctors at the the overall uplifting mood of the center. same location, they can change the course of treatment to “We have exemplary employees in all positions - from get a better overall outcome. the therapists to nurses to our receptionists,” he said. “I joined Cancer Care Center 15 years ago because I like This idea of “family” is even carried over into many of the company idea that patients can receive quality care in a staffs’ personal lives. smaller community instead of travelling to Birmingham or Montgomery East Office Manager Daphne Guy just Huntsville,” Dr. Beatrous said. “It’s not one week of treathappens to be a neighbor of one of Tinita’s daughters, ment - it’s six to eight weeks - and they can get care close to Brittany. Daphne made it a point to tell Brittany to come see her if she ever needed her for anything. The Cancer Centers of Montgomery and Sylacauga provide a one-stop location for patients to receive care by highlyskilled and trained doctors and staff members; they offer support group meetings; and provide cancer education for patients. “When patients first come in, they are terrorized not knowing what is going to happen to them,” Dr. Hobeika said. The relaxed atmosphere and skilled staff go a long way to relieve any Patient Tinita Ford, center, with her daughter Tiffany on the left and Dr. Krishna on the right. fears or stress a patient home.” or family might have about the disease. “We want our patients to be able to receive care close Each treatment center in the Southeast Cancer Network to their home, their families and their support systems,” has access to all of the partnerships formed by the netKeith Whitley, CEO of Southeast Cancer Network, said, work’s central office, such as home health clinics, hospice “while also receiving premium treatment by the finest agencies and other health care providers. And because of professionals at our facilities.” its centralized design, the network’s local treatment faciliDr. Beatrous feels like one of his main jobs is to make ties are able to offer the most modern, multi-disciplinary sure the patient understands everything their body is going cancer treatment techniques, thereby providing a continuity of care and service that is convenient and affordable. through. “I’ve been told ‘This is the first time I’ve understood my Once a treatment plan has been established, the patient and his family only have to visit one location, lessening the cancer.’ When they have a fuller understanding of what they’re dealing with they will come back and tell me ‘It’s expected stress and anxiety. not as bad as a I thought it was,’” Dr. Beatrous said. “Our The combined knowledge of having both medical oncologists and radiation oncologists on staff under the same patients feel more empowered, more satisfied and their anxiety goes way down.” roof is an added benefit to each location. Montgomery East and Jackson Oncologist Sri Valasared-
By Gwen Bishop Editor
southeastcancer.com www.readhealthyhorizons.com
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Calling the The concept of vaccination has been around since the 18th century. With vaccines, we try to artificially induce immunity in a person without exposure to natural infection. Some common questions regarding vaccination: “Can I get a vaccine if I have fever?” You should let your physician know if you are not feeling well or if you are running a fever, but for the most part, if the infection is mild, vaccination is safe and well tolerated. “If I missed the last dose of my vaccination series, should I start over?” This is another common problem that should be discussed with your physician, but most of the time interruption of the recommended schedule does not require starting the series over. According to the Recommendations of the Advisory Committee on Immunization Practices (ACIP) from January of 2011, the CDC recommends routine vaccinations to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents, or adults. A complete list of the vaccines can be found at http://www. cdc.gov/vaccines. Here are some of the most commonly used in adults:
Influenza
Annual vaccination against influenza is recommended for all persons 6 months of age or older, including all adults.
Tetanus, Diphtheria and a Cellular Pertussis (TD/TDAP)
Td boosters are indicated every 10 years. A Tdap booster can replace one of the Td boosters and should be given once. The Tdap should be given as soon as feasible to close contacts of infants younger than 12 months (i.e. grandparents or child-care providers).
Varicella
All adults without evidence of immunity to varicella should receive 2 doses of this vaccine if not previously vaccinated or a second dose if they have received only 1 dose, unless they have a medical contraindication (discuss contraindications with your doctor).
Human Papillomavirus (HPV)
Recommended for females 9 to 26 years of age.
Herpes Zoster
A single dose of zoster vaccine is recommended for adults aged 60 years and older regardless of whether they report a previous episode of herpes zoster.
Measles, Mumps, Rubella (MMR)
Current adults who were born before 1957 are considered immune to measles and mumps because of the prevalence of natural disease during their childhood; adults born after 1957 should have been immunized with 2 doses during childhood. If there is no documentation of childhood immunization, or antibody titers are inadequate, MMR should be administered.
Pneumococcal
Indicated for all adults 65 years or older. Some patients younger than 65 years of age with medical conditions including but not limited to diabetes, heart and lung disease should also be vaccinated. In general, people associate vaccines with childhood or adolescence, but it is important to remember that adults also have a vaccination schedule according to age and medical condition. Doing this consistently, in addition to proper diet, exercise, and rest, will insure your best chance at good health.
Vaccination Recommendations AGE RANGE 18 to 49 • Influenza annually • Td every 10 years (Tdap once in adult life) • MMR and varicella (unless evidence of immunity) • Pneumococcal, hepatitis A, hepatitis B, and meningococcal vaccine for those at risk • Repeat meningococcal vaccine every 5 years for those at risk • HPV vaccine for individuals aged 9-26 AGE RANGE 50 to 64 • Influenza annually • Td every 10 years (Tdap once in adult life) • Varicella (unless evidence of immunity) • Pneumococcal, hepatitis A, hepatitis B, and meningococcal vaccine for those at risk • Repeat meningococcal vaccine every 5 years for those at risk • Zoster vaccine for all persons over 60 AGE RANGE 65 and above • Influenza annually • Td every 10 years • Pneumococcal vaccine once • Hepatitis A, hepatitis B and meningococcal vaccine for those at risk • Zoster vaccine (age 60 and older)
Information provided by UAB Health Center Montgomery
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“The signs were everywhere. Every magazine, billboard, newspaper. I saw them everywhere. It was like divine intervention,” Sue Spencer said of the constant reminder provided by the advertisements of Baptist Health’s advanced heart check. “I knew I wasn’t the one that could possibly have a heart problem. But I told my husband I would be tested so that he would, as well,” she said. “One hundred ninety-nine dollars is nothing to spend for peace of mind or, in my case, save your life.” To Sue’s dismay, the test performed at Baptist Medical Center East found more than an 80 percent blockage in one of her arteries. She was scheduled for open heart surgery two short days later.
a medical summary will be mailed to the primary care physician to review with the patient. “Baptist Health’s advanced heart check is a state of the art testing mechanism that allows patients who do not have any cardiac-related symptoms to know the status of their cardiac health. Some patients may have a family history, may have been a smoker or may experience other contributing factors that could lead to heart problems. Others may not. Just like Sue,” Jeff Hicks, vice-president of ancillary services at Baptist Medical Center South, said. According to the American Heart Association, an estimated 83.6 million adults have some form of cardiovascular disease. That is more than one in every three Americans that suffer from heart problems.
So what exactly does the advanced heart check entail? The advanced heart check begins with a 64-slice CT scan, which provides enhanced three dimensional views of the inner workings of your heart. The exceptional image quality and capability to view inside your heart provides Baptist Health’s cardiologists and radiologists with the best means to diagnose areas of concern. After the CT scan, a complete cholesterol work-up is done to reveal problem areas of calcification or blockage. The Advanced Heart Check is quick and easy, so you can schedule a normal day of activity around the procedure. Following the test, the patient receives a CD to view the images of his/her heart on their home computer and
“The advanced heart check gives anyone the opportunity to know the status of their coronary arteries. The exam itself includes a heart CT scan along with an EKG, lung scan and cholesterol check. It is read by a cardiologist and a radiologist, making the advanced heart check a significant tool to help fight cardiac disease,” Hicks said. Never has it been easier to rule out normal aches and pains and to fully understand if your heart is healthy. If you or someone you love have known risk factors for heart disease such as family history, obesity, stressed lifestyle, history of smoking or diabetes, the Advanced Heart Check is for you. To learn more about or to schedule your Baptist Health’s Advanced Heart Check, please call 273-4450.
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recipes going green It has been said there is healing power in foods, but as we all know, it depends on what foods you are putting into your body. Greens (the darker the better) are some of the most nutrient-dense foods you can consume. Long-time favorite spinach which is rich in Vitamins A and C and has some amount of iron, Vitamin B6, magnesium and potassium. A new popular “health” food is kale. Although harder to find in grocery stores, kale is a perennial and hardy enough for most anyone with space to grow it. Kale has almost a full-day’s supply of Vitamins A and C in one serving, more Vitamin K than you’ll ever need, and a healthy amount of manganese, copper, Vitamin B6 and fiber. Swiss chard is another up-and-coming health food. With almost a full-day’s supply of Vitamins A and K, plenty of Vitamins C and E, potassium and iron, it’s easy to see why Swiss chard is appearing in more recipes. As with all fruits and vegetables, the most nutrition is gained from eating raw. If raw greens make you squeamish, you can steam them for about five minutes with little nutritional loss. If you’re just getting started with the superfoods, try out one of these tasty recipes.
to pan; bring to a boil. Partially mash beans with potato masher. Stir in kale and 1/2 teaspoon pepper; cook over medium heat 6 minutes. Sprinkle with cracked pepper, if desired. cookinglight.com
Lentil and Swiss Chard Soup with Lemon 3 tablespoons olive oil 1/2 large yellow onion, finely chopped 1 clove garlic, minced Pinch of crushed red pepper 1/4 cup chopped cilantro Kosher salt and freshly ground black pepper 1 cup firm dark lentils, such as beluga 2 1/2 cups chicken broth or chicken stock
Spinach/Strawberry Salad
4 cups torn spinach 2 cups sliced strawberries 1/2 cup sliced green onions 3 tablespoons fresh orange juice 2 tablespoons balsamic vinegar 1 teaspoon olive oil 1 tablespoon sesame seeds, toasted (nuts may be substituted) Combine first 3 ingredients in a large bowl; toss gently. Combine juice, vinegar, and oil in a small bowl; stir with a wire whisk until blended. Drizzle over spinach mixture, and toss well. Sprinkle with sesame seeds.
White Bean Soup with Kale and Chorizo
2 ounces Spanish chorizo sausage, finely chopped 1 cup prechopped onion 3 garlic cloves, minced 3 cups chicken broth 2 (15-ounce) cans organic cannellini beans, rinsed and drained 4 cups prechopped kale 1/2 teaspoon freshly ground black pepper Cracked black pepper (optional) Heat a large saucepan over medium-high heat. Add chorizo to pan; sauté 1 minute. Add onion and garlic to pan; sauté 5 minutes or until tender. While onions cook, pour broth into a microwave-safe bowl; microwave at HIGH for 3 minutes. Add hot broth and beans 30
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1 small yellow squash, cut into 1/2-inch cubes 1/2 bunch Swiss chard (about 3/4 lb.), ribs removed and discarded and leaves coarsely chopped 2 tablespoons lemon juice In a large pot, heat oil over medium heat. Add onion, garlic, crushed red pepper and cilantro, along with a large pinch of salt, and cook, stirring, until onions are softened and just barely beginning to brown, about 10 minutes. Add lentils and broth to pot, plus 2 1/2 cups water. Raise heat to high and bring mixture to a boil. Lower heat and simmer until lentils are just tender, about 30 minutes longer. Add yellow squash and Swiss chard and cook, stirring occasionally, until vegetables are softened but still bright in color, about 5 minutes. If you would prefer a thinner soup, add more broth or water 1/2 cup at a time. When soup is the consistency you like, stir in lemon juice and season to taste with salt and pepper. Ladle soup into bowls and serve immediately. health.com
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Don’t let an open wound get the best of you Submitted by Jackson Hospital Our skin isn’t resilient to every cut, scrape or puncture. Sometimes wounds can be pesky and hard to heal. It’s important to seek medical attention when wounds show sure signs that they are not healing. This may include pain, swelling, heat or blistering. Chronic wounds affect more than 8 million people in the U.S. and the incidence is rising fueled by an aging population and increasing rates of diseases and conditions such as diabetes, obesity and the late effects of radiation therapy.
Treatment Options
There are many methods for the treatment of chronic wounds. Compression pump therapy and gradient stockings to reduce fluid buildup are among the most important long-term treatments. Physical therapy such as deep neuromuscular stimulation, ultrasound, and whirlpool therapy are also often recommended for cleaning the wound and removing dead tissue. Aggressive wound treatment including the removal of nonviable tissue through topical medication, bedside treatment or even surgical excision, can be most beneficial in stimulating improvement in a chronic wound.
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Hyperbaric Oxygen Therapy
One of the unique therapies available to patients at the Jackson Hospital Wound & Hyperbaric Medicine Center is Hyperbaric Oxygen Therapy. The only center in Central Alabama to offer this option, oxygen therapy can be used to manage problem wounds caused by diabetes, circulatory problems, and other conditions. During hyperbaric oxygen therapy a patient breathes 100 percent oxygen while relaxing in a pressurized chamber. This delivers high concentrations of oxygen to the blood stream and the wound bed, which rapidly accelerates the healing process. Dr. Randy Cook, medical director of the Jackson Hospital Wound & Hyperbaric Medicine Center confirmed the life-changing nature of advanced wound healing therapies, which is exciting news for wound patients. “We are able to offer something not previously available. Being able to save a patient’s limb is unquestionably the most rewarding thing that we experience with hyperbaric oxygen and we see it a lot.” For more information about hard to heal wounds, contact the Jackson Hospital Wound & Hyperbaric Medicine Center at (334) 293-8138.
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Healing from the inside out A recovery that’s as speedy and pain-free as possible—this is a key goal of endovascular surgery, a minimally invasive treatment for blood vessel problems, which are often serious. There are many types of vascular disease that can be treated with endovascular surgery, including Peripheral Arterial Disease (PAD), aneurysms and varicose veins. “If you develop crampy pain in your calves when you walk or develop foot wounds that are difficult to heal, you may suffer from PAD or inadequate blood supply to your legs due to blockages in the arteries,” says Brian Sellers, DO, a vascular surgeon with the Jackson Clinic. “This can be treated now with angioplasty, and stenting or arthrectomy which excise the built-up plaque. This is all done through a groin stick slightly bigger than an IV catheter.” Endovascular surgery is also used to repair aneurysms— weak spots in blood vessels that bulge and could burst and cause deadly bleeding. Often the surgery treats aneurysms that form in the aorta, the body’s largest artery. A surgeon makes small incisions in the groin so that a tiny tube called a stent graft can be guided through blood vessels to the aneurysm. The stent graft is then expanded and
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Submitted by Jackson Hospital
anchored in place inside the aorta. It reinforces the weakened section of the vessel, helping to keep the artery from bursting. In contrast, conventional aneurysm surgery requires a major incision. Doctors cut into either the chest or the abdomen, depending on where the aneurysm is located. Next, they remove the fragile section of the aorta and replace it with synthetic material. Varicose veins are another common type of vascular disease, and physicians use endovenous ablation for treatment. During this procedure, radiofrequency or laser energy is used to cauterize the lining within the vein, damaging it and causing it to collapse, shrink, and eventually disappear. This technique typically takes less than 30 minutes to perform, and is done on an outpatient basis. In the past, varicose veins were typically treated by painful stripping procedures in which the damaged vein section was cut and then removed from the leg. If you have symptoms that may indicate a problem with your blood vessels, talk to your physician about it and about minimally invasive treatment options through endovascular surgery.
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By Merrill South Baptist Health
Baptist Medical Center East is growing. In January 2015, construction will begin on a new wing of the currently 150bed facility to grow the women’s services department and add an intensive care step
down unit. “We are expanding and upgrading to better serve our patients,” Jeff Rains, Chief Executive Officer of Baptist Medical Center East, said. The $5.5 million project will add 26 patient rooms to the postpartum area of women’s services and a new four-bed intensive care step down unit. The new wing, to be called Two East, will allow for improved patient and staff flow to and from labor and delivery as well as to the nursery, neonatal intensive care unit, pediatrics and the postpartum areas. “These rooms will be twice the size of our current postpartum rooms, providing much more room to our new families and their visitors. They will be appointed with high quality amenities for comfort of mom and baby,” Rains said. “Two new waiting areas will also be added to accommodate 36
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those waiting for baby’s big arrival. Additionally, our staff will be able to float back and forth with much more ease to better care for our patients. “Quite honestly, our facility is at capacity and we just can’t handle the amount of volume, so to meet the community need and the demand for those services, this project is going to be a great opportunity for us to do that,” he said. “At Baptist East, we know that it is a blessing for us to share in the family’s joy as they welcome a new baby into the world. This addition to our hospital will not only enhance the patient’s delivery experience but also better meet the needs of our patients and families,” Paula Brennan, RN, Director of Women’s Services at Baptist Medical Center East, said. There will be some rooms that will need to be closed during construction. Only two to three rooms at a time will be closed, Rains said, “We’re taking every opportunity we can to try to minimize the disruption we have to our current patients and the flow that will be needed throughout the facility.” The ICU step down unit will be used for patients that have either been discharged from the critical care areas or need a higher level of care than a general medical/ surgical floor. These patients usually require a high level of monitoring. The step down unit will provide a higher nurse to patient ratio, offering one nurse to every four patients. It will be located adjacent to the current intensive care unit. Local contractor Bear Brothers Construction, Inc. will build the addition. The project is scheduled to be completed by November 2015.
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resources ADULT DAY CARE
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CANCER CARE CENTERS
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Alzheimer’s and Dementia Day Care 334-272-8622
Esco & Benson, LLC 334-832-4529
Eastside Adult Day Care Center 334-261-1975
EYE CARE
GENERAL/FAMILY PHYSICIANS
Successful Living Center 334-264-1790
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ACLS Advanced Air Ambulance 1-800-633-3590
River Region Health Care 334-420-5002
CHIROPRACTORS
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Alabama Back Pain Clinic 334-265-4800
Haynes Ambulance 334-265-1208
Back to Health Chiropractic 334-514-4977
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Central Alabama Veterans Health Care System 334-272-4670 Country Cottage 334-260-8373 Elmcroft Assisted Living 334-396-1111
Golden Living Center – Skilled Nursing Facility 334-263-1643 BEHAVIORAL SERVICES
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DENTAL CENTERS
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Dunn & Schreiber Orthodontics 334-270-1044
HEARING CENTERS
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Healthy Smiles Dental Center 334-223-4776
DeRamus Hearing Aid Centers 334-543-0034
Montgomery Dentistry 334-694-1073
Doctors Hearing Clinic Montgomery 334-610-0321 Opelika 334-245-8896
EAR, NOSE & THROAT
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All Ears Hearing Center 334-281-6327
Miracle-Ear Hearing Aid Center 866-478-6497
Troy Ear, Nose & Throat LLC 334-807-8448
Montgomery Hearing Services 334-263-2150
ELDER LAW
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Pattillo Balance And Hearing Center 334-277-9480 HEART CENTERS
Baptist Health 334-273-4555
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Cardiology Associates 334-264-9191 River Region Health Care 334-420-5002 38
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Montgomery Cancer Center 334-872-2336
Care Ambulance Services 334-262-2550
ASSISTED LIVING FACILITIES
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River Region Health Care 334-420-5002
Parkview Adult Day Care Health Services 334-262-4111
AMBULANCE SERVICES
Davis & Neal Attorneys at Law 334-244-2097
Jackson Hospital 334-293-8138
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Montgomery Cardiovascular Associates 334-280-1500 River Region Cardiology 334-387-0948 Southeastern Cardiology Consultants 334-613-0807 HERBS & SUPPLEMENTS
The Herb Shop 334-271-2882 HOME HEALTH SERVICES
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Angels for the Elderly and Home Care 334-530-8892
Central Alabama Veterans Health Care System 334-272-4670
Prattville Health & Rehabilitation LLC 334-365-2241
Jackson Hospital 334-293-8138
South Haven Health and Rehabilitation 334-288-0122
Prattville Baptist Hospital 334-365-0651 NUTRITION
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Central Alabama Food Services 334-262-5416 – Maxwell AFB 334-395-7864 - Montgomery
Right at Home 334-517-1045
At Home Medical 888-267-5454
Amedisys Hospice of Montgomery 334-395-7789 Baptist Hospice 334-395-5000 Hospice of Montgomery 334-279-6677 Southeast Hospice Network 334-260-2916 HOSPITALS
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Baptist Health 334-273-4555
MEDICAL EQUIPMENT & SUPPLIES
Custom Medical Solutions 334-273-9993 334-271-3818 Medical Place Inc. 334-262-4283 Midstate Medical Services Inc. 334-263-6034 Precision CPAP Prattville 334-285-6120 Montgomery 334-396-4110 Prehab Diabetes Services 334-270-1630
Superior Medical Systems 334-265-4707 Turene PharMed Co. 334-244-0200 NURSING HOMES
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Rehab First & Capitol Hill Healthcare Center 334-837-2920 Healthy Horizons
Advanced Orthopedic Surgical Specialist PC 334-262-0523
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Secure Health 334-270-1342
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Giles Food Service 800-554-4537 Nellie Burge Community Center 334-264-4108
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ORTHOPEDICS
East Montgomery Orthopedics 334-260-2288
Freedom Home Care 334-262-8156 Home Instead Senior Care 334-215-9577
HOSPICE
Hillview Terrace Nursing Home 334-272-0171
Montgomery Spine Center 334-396-1886 Southern Orthopaedic Surgeons 334-613-9000 PHARMACIES
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Adams Drugs Copperfield Dr. 334-386-9370 Vaughn Road 334-277-4800 Prattville 334-358-5353 Wetumpka 334-567-5136 Baptist Tower Pharmacy 334-286-3200 Richardson’s Pharmacy 334-262-5775 The Medicine Shoppe Montgomery 334-264-1110 Prattville 334-358-1630 River Region Health Care 334-420-5001
RADIOLOGY& IMAGING SERVICES
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East Montgomery Imaging Center 334-277-1210
Integrated Magnetic Imaging 334-271-1345
Montgomery Area Council - Aging 334-263-0532 Parkview Adult Day Health Services 334-262-4111 Retired Senior Volunteer Program 334-265-9204 South Central Alabama Development Commission 334-244-6903 SLEEP DISORDER CENTERS
REHABILITATION CENTERS
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Excel Rehabilitation LLC 334-532-0220
HealthSouth Rehabilitation Hospital of Montgomery 334-284-7700 King Rehabilitation 334-270-4111
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Central Alabama Sleep Center 334-514-5515 SURGERY
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Baptist Health 334-273-4444
Jackson Hospital 334-293-8138 TRANSPORTATION
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Phase III Mobility (Handicapped & Wheelchair Vans) 334-281-2160 The Scooter Store 334-984-0169 WOUND CARE CENTERS Institute for Advanced Wound Care 334-286-3444
Rehab Associates 334-244-4098 334-272-8255
Jackson Hospital 334-293-8138
South Haven Health & Rehabilitation 334-288-0122 Tallassee Health & Rehabilitation 334-283-3975
URGENT CARE CENTERS
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Alabama Department of Public Health 334-206-3336 Archibald Senior Center 334-240-6767 Area Agency On Aging Central Alabama 334-240-4666 Crump Community Center 334-240-4547 MACOA 334-263-0532
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Central Alabama Mobility, Inc. 334-514-6590
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Montgomery East Physical Therapy PC 334-244-5892
SENIOR SERVICES
WHEEL CHAIRS & LIFTS
River Region Health Care 334-420-5001 Tri County Industrial Medicine 334-260-8565
References: www.yellowpages.com February 3, 2015. The Real Yellow Pages (June 2013-2014) September 2, 2014; www.411.com, September 2, 2014 and www.yellowpages.com, September 2, 2014. The Real Yellow Pages (June 2012-2013) September 19, 2013; www.411.com September 19, 2013 and www.yellowpages.com September 19, 2013 The Real Yellow Pages (June 2011-2012) October 15, 2012; www.411.com October 17, 2012 The Real Yellow Pages, (June 2009-2010) June 25, 2010 Disclaimer: Healthy Horizons provides this resource directory free of charge. Healthy Horizons strives to assure that the information contained in this directory is accurate and up to date. However, the user is advised that Healthy Horizons does not endorse the organizations listed in this directory, nor does exclusion in this directory signify disapproval. The consumer is strongly encouraged to seek information from the organization and assess if this organization meets your particular needs. www.readhealthyhorizons.com
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T E O R F H N Q S X T C L R P U D H
L D R C I A O H T Y A U T Q H X M G
A I T S W R L E R P T L H A Y R U Z
E C Y E J M V E Y P I A G L S Q H G
H I C R M A W Z G T O R I L I D N D
Fill in the grid so that every row, every column, and every 3x3 box contains the numbers 1 through 9. There is only one solution to each puzzle.
hard
Sudoku
U Y Q H H E A R T M J C N G E Z C S
T N W P B C K T O Q N Q E E C B W H
U E Q G S Y B C Z Q S G W R I Y U V
V C I R T A I D E P T D Q G A Y Q T
S M V C H L A M H T S A U Y N X O Q
www.readhealthyhorizons.com
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Healthy Horizons
www.readhealthyhorizons.com
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