Healthy Horizons Anniston/Gadsden 2015

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Healthy Horizons



Publisher

Mark Helms 256.235.1955 mhelms@cableone.net mark@readhealthyhorizons.com

Publisher/Events Coordinator

Health & Wellness Magazine

Welcome to the latest edition of Healthy Horizons Anniston/

Gadsden. We are pleased to announce that Healthy Horizons is now under the DAMARK, LLC umbrella. Thirteen years ago Mark Helms began this magazine with his wife Kimberly Helms, D.H. Ed., MSN, RN, with the hope of bringing much needed health education to the general public. With both having a passion for God, family and community, the magazine was a natural extension of their beliefs. The changes to come in the near future for Healthy Horizons will be exciting to see. The first of many of these changes came in the form of our main office, now located at 1322 Greenbrier Dear Road, Anniston, AL. We have added additional personnel to grow and expand our coverage area. You will also start to notice a new look and feel to the magazine layout. We look forward to bringing new and exciting health and wellness education to you.

Kimberly Helms, D.H.Ed., MSN, RN 256.310.6174 khelms@jsu.edu kim@readhealthyhorizons.com

Distribution Manager

Justin Minton 256.235.1957 jminton@cableone.net justin@readhealthyhorizons.com

Editor/Graphic Designer Gwen Bishop 256.307.8155 gwenbishop1@gmail.com gwen@readhealthyhorizons.com

Operations Manager

Kelley Bell 256.235.1955 gwenbishop1@gmail.com gwen@readhealthyhorizons.com

Circulation

DAMARK, LLC

Billie Joe Burns 256.235.1957 burns.billiejo@gmail.com

Contributing Writers Brian Morrison Osita A. Onyekwere Phronsie Owens Whitman Welch L. Don Wilson

Advertising sales or to request additional copies: Phone: 256.235.1955 Fax: 256.235.1935 www.readhealthyhorizons.com

Mark, Kim and the Helms gang enjoy a meal together during a recent trip.

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Healthy Horizons


24 HOUR PARAMEDIC SERVICE NON-EMERGENCY TRANSPORT LOCAL & LONG DISTANCE SERVICE WHEELCHAIR SERVICE AVAILABLE

.

Calhoun County’s Only Locally Owned Service 1501 Noble Street Anniston, AL 36201 256.237.8572 - Phone 256.241.3002 - Fax Insurance & Billing 256.237.6005 - Phone 256.241.0015- Fax

ALL TYPES INSURANCE FILED MEDICARE & MEDICAID APPROVED PROVIDER


inside

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CRUZ-ING TO NASCAR

THE PATIENT EXPERIENCE

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20 EVERY MINUTE COUNTS KEEPING THE FAITH

10 CCHRC

Ranking high in the nation

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. 6

Healthy Horizons

24 THE PROCESS

An extreme smile makeover

26 IMPROVED HEARING & WELLNESS

29 CELEBRATING 65 YEARS

12 ALL ABOUT COMMUNITY 30 SPORTS INJURIES & OVERUSE

14 DUGGAR MOUNTAIN 15 VALUE-BASED HEALTHCARE Why you should care

18 CARING FOR PATIENTS

36 HOPE IN A BOAT 38 RESOURCE GUIDE 42 FUN & GAMES


www.readhealthyhorizons.com

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wellness

the

Ken Butler and his family rely on their faith to pull through cancer together. Cancer at any age is scary. So what do you do when you’re diagnosed, under 40, with a wife and children? Keep your faith. At 36, Ken Butler was diagnosed with an aggressive B-Cell Lymphoma. From symptoms to diagnosis, it all happened quickly. “I had sudden, massive chest pains,” Ken said. “There was nothing wrong with me but I was in excruiating pain.” Ken quickly had some tests run and after his biopsy, he soon discovered he had cancer. His next step? Find a cancer treatment center. Immediately after diagnosis, Ken and his wife, Selena, paid their first visit to Cancer Treatment Centers of America at Southeastern Regional Medical Center in Newnan. “We could feel God’s presense as soon as we walked in the front door,” Ken said. “With the diagnosis we were terrified and didn’t know what to expect. But when we get there, everyone is smiling and happy.” Dr. Brion Randolph, Chief of Medical Oncology, Medical Oncologist & Hematologist at CTCA, led the team that treated not only Ken’s cancer, but also treated Ken and his family’s spirits. “At Cancer Treatment Center, we believe in the whole mind/body treatment,” Dr. Randolph said. “On a typical day, the entire team comes together to discuss our patients.

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Healthy Horizons


This includes the doctors, the dietician, the therapist, pastoral care, everybody.” Every team members discussed their portion of Ken’s care, whether he was eating well, or how his home life and marriage was going, or how his body reacted to treatment. At CTCA, the staff realizes that every part of a patient’s life is affected by cancer, so to help heal the patient, they need treatment in each part of their lives. Because of Ken’s age and type of cancer, Dr. Randolph opted for an agressive treatment which included eight rounds of chemotherapy, once every three weeks; a short break; followed by 25 rounds of radiation. During this entire time, Ken and his family took advantage of the entire mind/body treatment, keeping their faith and family strong. “I was absolutely amazed at the doctor and the staff,” Ken said. “They have this staff that treats everything your mind and body - there’s a therapist, nutritionist and all the people on your team to treat the actual disease. I was really amazed. “I know it sounds too good to be true, but it’s not. They genuinely cared for me and my family.” Although Ken and his family received tremendous help and support from Dr. Randolph and his entire team, they also had to stay positive. “All of their help kept us optimistic,” he said. “We put everything in God’s hands.” Dr. Randolph agreed Ken and his family’s optimism

helped get him through the treatments. “A positive attitude makes a huge difference,” Dr. Randolph said. “There are no studies on it, but in my experience, patients with a good attitude just fare

We could feel God’s presence as soon as we entered the front door. better. Everyone goes through highs and lows, but staying positive and having faith can get you through the low moments. “What’s important to Ken is his faith and at CTCA we embrace our patients’ religions,” he said. Through faith, proper medical care, and the all-around mind/ body treatment, Dr. Randolph believes this combination is the best treatment possible for those with any form of cancer. Although Ken is through with his treatments, he hasn’t dismissed CTCA. He is currently involved in their Survivorship Program. “Ken is an excellent example of someone who took advantage of our whole model of care,” Dr. Randolph said.Cancer Treatment Centers of America has five locations across the United States, including the Newnan location. For more information, find CTCA online at www.cancercenter.com.

From left to right: Tyler, Ken, Selena and Haley www.readhealthyhorizons.com

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As we age, our needs change, but our desire for the best in life does not. That’s why at Cherokee County Health & Rehabilitation we provide the best in care so you can continue to enjoy the things that make you happy, whether it’s singing in the church choir or keeping an eye on a flower garden. We provide the medical, physical and social support you need in a community of caring. “We put residents first. Our No. 1 concern is their quality of care and their quality of life,” Administrator Cindy Cline said.

CCHRC is one of the best long-term care facilities in the nation. We receive high ratings from the Centers for Medicare and Medicaid Services, which conducts independent evaluations. CCHRC is also one of the most progressive employers in our region, thanks to the leadership of the Cherokee Health Care Authority. “We understand the pressures working families deal with every day. That’s why we offer low-cost day care to our employees’ children and grandchildren,” Cline said. The Health Care Authority recently started construction on a new day care center on CCHRC’s 26acre complex. It will be named for Mr. William Thomas Harton in honor of his many years of service on the Health Care Authority, where he continues to serve. Our complex also includes a 52-bed assisted living facility, with 36 of its beds dedicated to specialty care for residents who require more memory support and help with daily activities. In addition to being a leading skilled-care facility, CCHRC is also a community resource for those who have questions about Medicare, Medicaid, long-term care insurance and financial planning for their senior years. “The choices in medical care can be overwhelming. We help families look at the options available for their loved ones,” Cline said. From short-term rehab to longterm care, Cherokee Health & Rehab takes a comprehensive, Cindy Cline 10

Healthy Horizons

resident-focused approach to care. As a non-profit, countyowned facility, its main goal is to provide residents with a variety of healthcare needs, she said. Each resident at CCHRC receives physician-guided care under the direction of Medical Director Dr. Byron Nelson.

CCHRC also has a wealth of nursing experience on its staff. Deb Littlejohn is the current Director of Nursing and Administrator Cline was a director of nursing, as were three other staff members. “Experience matters,” Cline said. “And we use that experience to improve the lives of our residents.” CCHRC has been quick to respond to healthcare needs in the community such as short-term rehab. The Rehab Center’s services include physical, occupational and speech therapy, and the staff is trained to help those who have been injured or are recovering from surgery or a serious medical problem. As many in our community struggled with Alzheimer’s and dementia, CCHRC built one of the top Alzheimer’s units in the state. Every detail, from the 28-foot vaulted ceilings to the circular floor design, was chosen to provide a safe and stimulating environment. Staff members are carefully selected and trained to care for individuals with memory problems. “We’re here when you need us,” Cline said.



All About Community Cherokee Emergency Medical Series, Inc. (CEMS), is

a non-profit corporation. Since 2000, CEMS has served the people of Cherokee County and surrounding areas by providing ambulance services, both emergency and non-emergency 24/7. CEMS employs 30 trained/certified and licensed EMS providers and currently have a fleet of ambulances that include five Advanced Life Support (ALS) Units, three Basic Life Support (BLS) Units and one NonEmergency Wheelchair Unit.

Dial

911

For Emergencies

They are active in the community, contributing through health fairs, job fairs, school programs and by providing education and training to other volunteer agencies. They provide ambulance coverage for all athletic events free of charge to the Cherokee County School system. CEMS takes pride in all services provided, emergency, non-emergency and all other medical transports. CEMS works very closely with the Cherokee Health & Rehab and Cherokee Medical Centre.

Call CEMS 256.927.2040 For Non-Emergencies 12

Healthy Horizons



DUGGER MOUNTAIN Assisted Living and Specialty Care Facility Nestled near the foot of the beautiful Dugger Mountain Wilderness Preserve in Piedmont, Alabama, you’ll find the answer to your healthcare questions. Dugger staffing as well as 24 hour access to Mountain Assisted Living and physicians assures the resident and “Where can I find a caring, Specialty Care Facility offers 16 large, their family that they have made the knowledgable staff in a comfortable rooms for your loved right decision in moving to Dugger homelike atmosphere for my one to settle into with beautiful Mountain Assisted Living and loved one?” views within a safe, tranquil and Specialty Care Facility. secure setting. Nine of these rooms The view of Dugger Mountain are reserved for specialty care where has been a favorite of some of our “Is there a facility where a staff member certified in dementia residents who grew up playing in my loved one can find the care is on duty 24 hours a day to the fields, streams and pastures of assistance they need while help monitor and manage residents this lovely area. still being as independent as in a safe, secure environment. Several rooms offer views of the possible?” Our assisted living facility offers mountains. A screened-in porch supervision by caring, licensed with rocking chairs and patio staff for the residents who require furniture is where residents and “My loved one needs some assistance with activities of visitors can relax and enjoy the assistance remembering to daily living, medication reminders, lush green trees during the summer dress appropriately and take cooking and cleaning. Three meals and the bright yellow, crimson red medicine. Who can help with and snacks are served daily in our and burnt orange leaves during memory problems?” spacious, well appointed dining the fall. The winter months offer room. Housekeeping and laundry a landscape with snow on the services are available. mountain tops seen from the For the resident who requires a higher level of comfort of your own warm, cozy room. Entering the supervision and assistance, we offer our specialty care front doors of the facility, visitors are often greeted unit. All private rooms with private bathrooms are with the appetizing aroma of made-from-scratch located on a secure unit with specially trained and desserts. licensed staff. Age appropriate activities are scheduled Residents enjoy three delicious meals daily (with daily to provide socialization and enjoyment. Staying snacks!) in a spacious, well appointed dining room. active is a big part of keeping healthy. Visitor trays are available. A variety of fun and Our facility offers levels of care appropriate for each interesting activities are available to keep everyone individual as dictated by their personal needs. 24 hour participating and socially engaged. 14

Healthy Horizons


Value-Based Healthcare Why You Should Care By Dr. Osita A. Onyekwere MD, MBA, FACC, FSCAI Interventional Cardiologist

When shopping for value, you

aim to get the most products or services for a fixed amount of money that you spend. Value implies not just the sheer quantity, but also the useful quality in that quantity. If you were to purchase a great quantity of items, but they had spoiled, or if you got really fast service, but only partially completed work, you would feel that you had not gotten good value for the products or services purchased. Healthcare delivery is like that. Who defines healthcare value? It depends on who the stakeholders are. Presently the drivers of this definition are the payors, your insurance company. They are looking at how frequently the patient goes to the provider, how much money is being paid to the providers, what routine checkups and tests are being performed. They also follow which medications are being prescribed for certain conditions, the level of patient satisfaction, and other care and outcome measures of quality, as well as the required amount of documentation. For the patient as stakeholder, the road to achieving quality and value may be slow, bumpy and frustrating. This is not because providers are taking their time and delaying patients deliberately, but

because they must perform within a complex system of healthcare delivery that is striving to achieve the highest level of quality and value. A provider may see many patients in one hour and is paid for each patient seen. This is an example of volume-based care delivery. Another provider may see fewer patients in this one hour period and be able to address more problems with each patient, but because the provider has seen fewer patients he or she is paid less money. This is also a volumebased care delivery. In these examples the second provider has delivered more service for each patient by addressing more issues at each patient visit, but ends up generating less revenue and most likely more patient complaints for long wait times or being kept too long. But in the second part of this example, each patient leaves feeling that he or she has received more from their visit and obtained greater value. Which of the two providers has provided the better service? It depends on who you ask. The patient, as the major stakeholder, might be concerned about the time spent waiting to see the provider, and in that case would prefer a faster provider, but might complain that he or she did not have their concerns sufficiently

addressed. The provider as the stakeholder may prefer the faster service because more patients seen in a day translates into more revenue generated for their practice, while the provider who routinely gives detailed evaluations of each patient would be disappointed by the meager revenue generated at the end of the day. The insurance company or payor as the stakeholder is in the business of making money. The fewer times a patient goes for care, the less money gets paid out by the insurance companies. They pay as little as possible to the providers and keep the difference between what they collect from the insured and what they pay to the providers. Value in healthcare is complex and seeks to address the quality and quantity of care delivered to the patient for the amount of money paid. A patient can find value when seeking care, once they understand what true value means. www.readhealthyhorizons.com

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Caring for patients close to home Family. From the moment a patient steps into Cancer Care Center of Anniston, that’s exactly how it feels - like a member of a caring, nurturing and protective family. The doctors and staff take a personal approach to care by treating patients as individuals and learning about each family and their special situations. And it’s not only the individual care the patients receive. Everything about each location, including Cancer Care Center of Anniston, Coosa Valley Regional Cancer Center in Sylacauga and Cancer Care Center of DeKalb in Ft. Payne, is designed to make not only the patient comfortable, but their family as well. Each center is designed to be comforting, positive and moodimproving, especially the upbeat attitude of every staff member. Families are welcomed and encouraged to come with their loved one, even during treatment time. The Cancer Centers of Anniston, Ft. Payne 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 - all while treating each patient like a member of their family. Northeast Alabama Surgical Associates, which is located at McClellan Medical Mall adjacent to Cancer Care Center of Anniston, often refers its patients to the center. Dr. DeWayne Clark, a surgeon with Surgical Associates, often refers patients to the Cancer Center. He truly believes that physicians working together benefits the patient. “We frequently assist each other in cases, collaborating with each other on difficult cases to get a variety of opinions to come

Cancer Center of Anniston

McClellan Medical Mall 171 Town Center Dr, Ste 6, Anniston

256.847.3369

Cancer Care Center of DeKalb 1608 Glenn Blvd SW, Ft. Payne

256.845.3500

................................................... By Gwen Bishop Editor

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Healthy Horizons


.................................................... up with a consensus to best manage an individual patient’s care,” Dr. Clark said. “They all have special circumstances surrounding their medical conditions that deserve to be treated individually.” Each treatment center in the Southeast Cancer Network has access to all of the partnerships formed by the network’s central office, such as home health clinics, hospice agencies and other health care providers. Because of its centralized design, the network’s local treatment facilities, including Anniston, Ft. Payne and Sylacauga, are able to offer the most modern, multi-disciplinary cancer treatment

Southeast Cancer Network is located near you when you need it most and with a staff that treats you like family.

Coosa Valley Regional Cancer Center

291 James Payton Blvd, Sylacauga

256.245.0297

techniques, thereby providing a continuity of care and service that is convenient and affordable. Once a treatment plan has been established, the patient and his family only have to visit one location, lessening the expected stress and anxiety. “We want our patients to be able to receive care close to their home, their families and their support systems,” Keith Whitley, CEO of Southeast Cancer Network, said, “while also receiving premium treatment by the finest professionals at our facilities.” Another reason to choose one of the Cancer Care Centers is the size of the facilities. Although the centers offer everything a patient and their family need to get through the challenges facing them, and because each center caters to specific towns, it’s much easier to get an appointment. After arrival, there is a very short wait time for treatment. At such an uncertain time, whichever local Cancer Care Center you choose, you are certain to not only receive topquality care from a highly skilled and trained staff, but the entire family will feel comforted knowing they consider you a part of their family. And that’s what it’s really all about family.

................................................... southeastcancer.com

www.readhealthyhorizons.com

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Every minute counts During a stroke, every minute counts! Fast treatment can reduce the brain damage that stroke can cause. By knowing the signs and symptoms of stroke, you can be prepared to take quick action and perhaps save a life— maybe even your own. Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body. Sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance, or lack of coordination. Sudden severe headache with no known cause. Call 9-1-1 immediately if you or someone else has any of these symptoms.

Acting F.A.S.T. Is Key for Stroke

Acting F.A.S.T. can help stroke patients get the treatments they 20

Healthy Horizons

desperately need. The most effective stroke treatments are only available if the stroke is recognized and diagnosed within 3 hours of the first symptoms. Stroke patients may not be eligible for the most effective treatments if they don’t arrive at the hospital in time. If you think someone may be having a stroke, act F.A.S.T. and do the following simple test: F—Face: Ask the person to smile. Does one side of the face droop? A—Arms: Ask the person to raise both arms. Does one arm drift downward? S—Speech: Ask the person to repeat a simple phrase. Is their speech slurred or strange? T—Time: If you observe any of these signs, call 9-1-1 immediately. Note the time when any symptoms first appear. Some treatments for stroke only work if given in the first 3 hours after symptoms appear. Do not drive to the hospital or let someone else drive you. Call an ambulance so that medical personnel can begin life-saving treatment on the way to the emergency room.

Treating a Transient Ischemic Attack

If your symptoms go away after a few minutes, you may have had a transient ischemic attack (TIA). Although brief, a TIA is a sign of a serious condition that will not go away without medical help. Tell your health care team about your symptoms right away. Unfortunately, because TIAs clear up, many people ignore them. Don’t be one of those people. Paying attention to a TIA can save your life.

You Have a Choice! Did you know that you have the right to choose which ambulance service you use regardless of where you live, work, or play?

In an emergency, such as stroke, always call 9-1-1 and the closest ambulance crew will respond. However, if you have a nonemergency need – like transport to and from a hospital, nursing home, dialysis or a medical appointment, a school function, special event coverage, an EMS demonstration, etc., you should always call Piedmont Rescue and EMS. Call 256-447-3089 or visit us at www.PiedmontRescue.org today and let us show you why 50 years of dedication has made Piedmont Rescue and EMS the best.





The process

... an Extreme Smile Makeover

By Dr. L. Don Wilson Signature Smile I proudly admit I am an avid Alabama fan and season ticket holder. I also have the utmost respect for Coach Saban and his leadership philosophies. I even have a football Coach Saban autographed for me one evening in his living room. Coach Saban often talks about “The Process,” or the stages you have to go through to be successful. He is quoted as saying, “People who don’t understand ‘The Process’ of hard work are like little kids in the back seat asking, ‘Are we there yet?’ You get where you are going one mile-marker at a time.” I think this quote sums it up perfectly, “You can’t get from A to Z by passing up B.” In our office when we build beautiful smiles and give patients the “smile of their dreams,” we also go through “The Process.” We strive to give each of our cosmetic patients a smile to which we are proudly willing to sign our name. Our goal is not to meet our patients’ expectations but to exceed them! Our cosmetic patients don’t just walk in one day and tell us they want a smile makeover, and we get started the next day. We invite prospective smile makeover patients to visit our office for a Free Smile Evaluation. We are so confident in our ability to give patients the smile of their dreams that we encourage patients to visit other dental offices before they select us to do their work. At Signature Smile we pay attention to every detail in the development of the perfect smile to fit each patient individually. At the Smile Evaluation Appointment we look at the color, shape, length, proportion, symmetry, and alignment of the teeth. Today everyone wants “white teeth,” and I mean “WHITE!” But they also want a natural look. We can provide both! Did you know that the shape of a person’s teeth should match the shape of their face? The length of the teeth 24

Healthy Horizons

can make a smile look “goofy” if too long and “gummy” if too short. Teeth should also appear in “Golden Proportions.” This is a height to width ratio that is naturally very pleasing to the eye. Ideally, teeth should be perfectly symmetrical on both the right and left side. And, of course, we want to make the alignment be as close to perfect as possible. In many cases this eliminates the need to wear braces for two years. A beautiful smile is not just about the “White” (teeth), it is also about the Pink (gums). A beautiful smile can be ruined if the gums are puffy, red, infected, or too long. If a patient has a “gummy smile,” we can do a “gum lift” with the laser in just a matter of minutes to dramatically improve the looks of a smile. We also look at the relationship of the lips to the teeth. Do the lips completely cover the teeth when the lip is relaxed? If so we can lengthen the teeth to allow just a little edge of tooth to show. We also look at the Vertical Dimension. Vertical Dimension is the distance from a point on the nose to a point on the chin. If those points are too close together the lips pooch out too much and allow the face to collapse, thus making the person look much older. By opening up or increasing the Vertical Dimension we can in essence do a “mini facelift.” And, lastly, we look at the width of the Buccal Corridor. The Buccal Corridor refers to the width across the arch from the bicuspids on one side to the bicuspids on the other. In other words, a wide Buccal Corridor can give the patient a wide beautiful smile, which we refer to as the “Julia Roberts Smile.” Signature Smile provides a Free Smile Evaluation Guide for our patients to allow them to go home and evaluate their own smile by standing in front of their bathroom mirror. The second step in “The Process” is to make lots of photos of the patient, giving us a close-up and full face view of their smile. We send these photos to daVinci Dental Studio, our cosmetic dental lab in Hollywood. DaVinci does the dental work you see on TV shows such as “Extreme Makeovers,” “The Swan,” and “The Doctors.” Angie, the graphic artist at daVinci, images the photos of our patients to show them exactly how they are going to look when we complete “The Process.” We also make models of their teeth and send those to Craig, the master lab technician at daVinci, who


Patient, before and after

provides the patient with a 3-D wax-up of exactly what their teeth will look like after we finish. And all of this occurs before we even start the work. Now our patient and my team know exactly what we are going to do to give this person “the smile of their dreams.” The third step in “The Process” is to actually prepare the teeth for the veneers or crowns as we planned, make an impression, and then construct a beautiful temporary for our patient to wear while their permanent crowns or veneers are being made at daVinci Dental Studio. Our temporaries are prepared according to the daVinci wax-up. Thus, they look like the finished crowns. Some dental offices boast about the fact they can prepare crowns in the office on the same day and that the patient does not have to wear a temporary. This is true. However, you cannot construct a crown in the office on the same day that will even remotely compare to the beauty and quality of the crowns and veneers carefully

constructed at daVinci by their master ceramists. Our crowns and veneers are designed to last the patient for many years, so wearing beautiful temporaries for two to three weeks is not a big deal. Some patients are concerned that their teeth will have to be ground down to little nubs in order to do crowns or veneers. We only have to remove about 0.3 mm to 0.5 mm of tooth structure to do a veneer, and in some cases we do not have to remove any tooth structure at all. The fourth step in “The Process” is to remove the temporary and cement the permanent crowns or veneers. We painstakingly bond our crowns or veneers in place with the best material on the market. The cement comes in various colors to influence the final internal shade of the crowns or veneers. This, coupled with the many layers of porcelain and translucency applied at daVinci, gives us the beautiful and natural results our patients want to achieve. The fifth and final step in “The Process” is to have the patient back in about a week to check their bite, do any final touchups, and make those beautiful “After” photos. As Coach Saban says, “It doesn’t matter what you are ranked until the end.” We believe the cosmetic results we achieve for our patients speak through the beautiful smiles of our patients. We don’t just do dentistry, we change lives! “What happened yesterday is history. What happens tomorrow is a mystery. What we do today makes a difference – the precious present moment.” – Nick Saban You can begin your journey today toward a life-changing, beautiful smile. All you have to do is call for a Free Smile Evaluation, because that is the first step in “The Process.”

Dr. L. Don Wilson is a 1978 graduate of the University of Alabama School of Dentistry where he received the Operative Dentistry Award. Dr. Wilson has served as one of the featured speakers for laser training at the renowned Las Vegas Institute (LVI) and the acclaimed Nash Institute. Dr. Wilson has authored numerous articles for such noted magazines as Dental Economics, LVI Visions, Ortho Tribune, Dental Products, and The Incisal Edge. Dr. Kristen R. Bentley attended dental school at University of Alabama Birmingham, and received a 1st place preclinical award in research at UAB’s annual Scholar’s Symposium. After graduation, Dr. Bentley attended a 12-month advanced education in general dentistry residency where she learned advanced dental techniques. www.readhealthyhorizons.com

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health

Improved Hearing Contributes to Wellness

Annual hearing screenings recommended for adults 55+

A regular hearing test can open the doors not only to better hearing, but to better overall health and quality of life. According to Healthy People 2020, a wellness agenda from the U.S. Department of Health and Human Services, preventive services should be part of your regular checkups. There are strong ties between healthy aging and hearing health, but regular hearing tests for people over 55 are not yet a routine screening. Older adults can be screened for hearing loss using simple methods. Hearing loss often occurs so gradually over time that it remains unnoticed, but there are some key indicators: Do you feel like people are mumbling? Do you have trouble hearing people when you’re in a noisy place? Does your hearing problem lead you to feel frustrated when talking to friends and family? If you answered yes to any of these questions, you are not alone. It is estimated that 30 million Americans have hearing loss in both ears. In fact, according to a Scientific Review 26

Healthy Horizons

in the Journal of the American Medical Association, hearing loss is the third most prevalent chronic condition in older adults. It’s important for your physical and mental health to act early if you suspect that you may have hearing loss. According to experts, delaying treatment may worsen the impact. The brain loses its capacity to understand sounds when there is little to no auditory stimulation. Patients with long-term hearing loss have to re-learn how to listen and understand. A National Institute on Aging study found that people with mild hearing loss had nearly twice the chance of developing dementia. The American Diabetes Association found that hearing loss is twice as common in people with diabetes as it is in those who don’t have the condition. Furthermore, a study from The Journal of the American Geriatric Society reported the impact of hearing loss on social isolation and poor self-esteem. While the effects of hearing loss can be frustrating, many people

can be helped. Your hearing care provider will work with you to identify your best options. Hearing aids provide benefits and improvements in communication that can improve hearing, listening abilities and quality of life. Take action and educate yourself about your choices, as there are differences between devices that simply amplify and those that provide balanced, synthesized sound. Today’s hearing devices aren’t like those that your grandparents wore. With digital technology and advanced design, hearing aids are much smaller now and provide exceptional sound quality. Additionally, Bluetooth™ technology now enables you to stream sound wirelessly from your TV, mobile phone and digital audio player with select hearing aids. There’s never been a better time to include a hearing screening as part of your overall health and wellness program. Take action early if you are experiencing hearing loss, ultimately putting yourself on the path to a healthier life.


www.readhealthyhorizons.com

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The Patient Experience By Whitman Welch DMD

Oxford Dental Care

“No offense, but I hate the

dentist!” We hear that all the time at Oxford Dental Care. Many dental offices would be discouraged to hear such a comment. However, we see it as a challenge to show every patient a completely different dental experience than any they have received in the past. At Oxford Dental Care, we are keenly aware of patients’ primary concerns. Typically these boil down to three things: how much will it cost; how long will it take; and how much will it hurt? In the end,

We want to make sure patients feel welcome when entering our office, so all patients are greeted warmly and checked in promptly. all patients want a solution to their problem at an affordable cost. A patient’s first experience with our office will usually start 28

Healthy Horizons

with a phone call. Our friendly front office team will schedule the patient within a day or so and address any general questions they have. They are equipped to handle most all insurance issues on the patient’s behalf. We find out the patient’s

Our ultimate goal is that you have total trust in the doctors and staff in our office ...

primary concerns or reasons for seeking dental care and make a customized treatment plan based on their needs. We offer sedation services in office so patients can have a more positive experience during treatment. We also offer payment plans to make treatment more affordable. All financial arrangements are discussed and put in writing before a patient proceeds with treatment. Ultimately, we want patients to enter treatment with the least

amount of anxiety possible. On the day of treatment, we will bring the patient to the treatment room soon after arrival. If they are receiving sedation, medications are given at that time. We set up the patient so they can be as comfortable as possible, whether that be neck pillows, headphones, laughing gas, a blanket or whatever they may need. All the doctors here are trained in painless injection techniques which are the key to a positive dental treatment experience. During treatment, we are solely focused on the treatment at hand and believe an efficient and shorter treatment time will allow for the best experience and recovery for our patients. Please call our office at 256.831.3432 if you would like to make an appointment or have any questions we can answer for you. Our office is located at 420 Snow St., in downtown Oxford, AL. Dr’s. Donald King, Marvin Poland and Whitman Welch are here to serve the community for all dental needs.


Celebrating 65 Years By Brian Morrison Discovery Senior Living

Please join the residents and team members of Regency Pointe senior living in congratulating Tom and Charlotte McKenzie on their 65th wedding anniversary! The McKenzie’s moved into Regency Pointe in April of 2013. Mrs. McKenzie was against leaving their home and moving to Regency Pointe at first, but was having health problems at the time and needed more personalized care. Regency Pointe’s professional health and wellness team members are actively involved in residents’ well-being with health screens and wellness checks, therapy visits, exercise programs and mentally stimulating activities that keep seniors happy, healthy, and active. Mrs. McKenzie quickly fell in love with the lifestyle at Regency Pointe and now enjoys not having to cook and clean! Located near the banks of the Coosa River, Regency Pointe is nestled among rolling hills, scenic forests, and natural wild flowers. Affordable comfort and classic charm make it an easy choice for seniors, such as the McKenzie’s. One of their favorite things about Regency Pointe? “The landscaping! They do a beautiful job at landscaping; the bushes and plantings are really great and they are always cutting the grass and replanting the flowers,” Mr. McKenzie said. The McKenzie’s are a very active couple. Mr. McKenzie plays golf with friends, driving himself to the local golf courses. Mrs. McKenzie enjoys the many activities happening at Regency Pointe. When we spoke to the McKenzie’s, they had just returned from a performance at the community. A group of young adults, in high school and college, were involved in a summer program with the Gadsden Methodist Church. The group performed songs from The Beatles and Elvis for Regency Pointe residents. The week prior, the McKenzie’s went on a community outing to The Cupboard for lunch and also went on a winery tour. These types of activities happen all the time at Regency Pointe. The McKenzie’s also mentioned they really enjoy the food at the community. Residents at Regency Pointe enjoy fine dining in two dining rooms, served restaurant style, with a full menu changing daily. The executive chef is a master at preparing mouthwatering Southern meals and delectable desserts from scratch using the freshest ingredients available. Add

to that linen tablecloths and napkins, and a hearty helping of attentive service from the friendly food service team! Regency Pointe has other great amenities available for residents including complimentary transportation to medical appointments, shopping, dining or just a daytime trip out on-the-town. Multiple lifestyle options are available including independent living, assisted living and memory care, each providing the appropriate care and services to match residents’ capabilities and needs. There are no large upfront fees or endowments and no long-term commitments. Plus, Regency Pointe also offers a three year rent lock program guaranteeing no increases in rent for 36 months for independent living apartment homes! Model homes are open daily. Please stop by 510 E. Grand Avenue, Rainbow City, AL 35906 to experience the community for yourself. Or call 256.456.0016 to schedule your tour and receive a complimentary lunch. For more information please visit www.DiscoverRegencyPointe.com. www.readhealthyhorizons.com

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Sports injuries and 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. 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. 30

Healthy Horizons

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 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.

Ask your child’s coach about the appropriate helmets, shoes, mouth guards, athletic cups and padding. Protective equipment should be approved by the organizations that govern each of the sports. Protective gear should be properly maintained to ensure effectiveness. Maintenance, Appropriateness of 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 What to Do surfaces. If your child is injured, they should Adequate Supervision, Safety Commitment stop playing immediately. Ferguson Any team sport or activity that said whether or not to call the doctor kids participate in should be may depend on how much pain they supervised by qualified adults. The are feeling. team coach should have training in “On a pain scale from one to 10, first aid and CPR, and the coach’s if they are below a five you may want philosophy should promote to wait,” he said, “but if it gets more players’ well-being, not a “win at painful over time you may want to all costs” approach. Additionally, have them seen for treatment.” make sure your kids are matched You may also consider taking them for sports according to their to a doctor if the area is swollen, they skill level, size, and physical and are limping or have limited range of emotional maturity. motion, or if the pain continues for Proper Preparation more than a week. A child should always be taught Once the child has been treated how to play the sport before going by a doctor, remember to follow the out on the field. The child should doctor’s orders! Avoid activity and be adequately prepared with warm- wait on the doctor’s approval before ups and training sessions before playing again to avoid reinjury. practices and games. Kids should By keeping these tips in mind drink plenty of fluids and be children and their families can do allowed to rest as necessary. their part to avoid injury and enjoy Types of Injuries many years of athletics. Sports injuries are usually divided into three categories. For more information on this or other health Acute injuries, overuse injuries and safety topics, visit www.childrensal.org. and reinjury. Acute Acute injuries occur suddenly and are usually the result of some


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community

My grandpa took me to the track and my passion for the sport just grew and grew.

By Gwen Bishop Editor Photos by Pam McKenzie 32

Healthy Horizons

It’s not everyday a person runs across a teen with their head planted so firm and straight on their shoulders that you are certain the teen is destined for great things. Cruz Skinner, a 13-year-old racer from Oxford, AL has been professionally racing since he was five. For five years, Cruz was a successful go-kart racer, moving up to a full-size car at the early age of 10. “I was even younger than five when I became interestested in racing,” Cruz said. “My grandpa took me to the track and my passion for the sport just grew and grew.” No matter how much passion for racing he has, Cruz by no means puts racing first. “School is first,” he said. “Before I go to the shop (Skinner Motorsports) or racing, I do my homework and studying.” Cruz is also currently learning all he can about his car. “I do as much as I can. I’m down at the shop everyday working and learning so I can do everything on my car,” he said. Although his main sponsor is Skinner Motorsports, owned by his dad Greg, he already understands the importance of sponsors and works towards gaining more through his work. “I do a lot of ‘talking’ on the track,” Cruz said. “I just show them what I can do. I show them instead of begging them.” Cruz is currently competing in the NeSmith Weekly Racing Series (Crate Late Model 604) and in the NeSmith Touring Series (Super Late Model 525), both on dirt tracks. For practice, his favorite track is the Talladega Short continued on page 34



continued from page 32

Cruz is the current spokesperson for Click It or Ticket Alabama Track, which is only a half hour from home, he said. With his birthday just around the corner, Cruz may not have to wait too long to make huge strides toward his ultimate goal of racing in the NASCAR Sprint Cup Series. In 2009, NASCAR lowered the official entry age for regional racing to 14. And with nine years of experience under his belt, including more than 300 wins in go-kart racing, and his first win in Crate Late Model at the age of 12, Cruz has a bright future in racing. Like any other 13-year-old, Cruz spends a lot of time goofing off with his friends, but his hard work and dedication to his sport is what sets him apart from the crowd.

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Healthy Horizons



ENTER TO WIN A DAY ON THE WATER!

FOR WOUNDED WARRIORS SPONSORED BY: Healthy Horizons CustomBilt Pondtoons Rugged Ridge Hughes Paint & Body Red Dirt Road Revo BB Wheels Abu Garcia Berkley Ducket Fishing

AMW Trailers

We believe that the outdoor

life, especially fishing and boating should be easily accessible for everyone. However, when people with disabilities think of spending a day on the water, they often decide the challenges of getting on a boat is a hurdle not worth the effort. This is not the way Healthy Horizons and the sponsors of the HOPE IN A BOAT contest think it should be. Our HOPE IN A BOAT fishing pondtoon is specially designed by the owner of CustomBilt Pondtoons to accommodate easy wheelchair access and wheelchair locking once loaded. We are looking to show our gratitude to one of America’s truly brave - a Wounded Warrior. If you or someone you know is a Wounded Warrior and have been 36

Healthy Horizons

unable to participate in outdoor activities, this contest is for you! We are offering a fun day on the water, fishing one of Alabama’s many private, biologically managed lakes, where you are guaranteed to make the memories of a lifetime! The winner along with two guests of their choice are guaranteed a fishing experience like no other. They can relax for the day, forgetting the challenges they are facing, while enjoying HOPE IN A BOAT! Please fill in the form to the right and mail to: Healthy Horizons 1322 Greenbrier Dear Road Anniston, AL 36207

Yes I want to the win HOPE in a BOAT contest! Name: Address: City:

State:

Phone: Accommodations Required:

Entries must be postmarked by Dec.31, 2015 Healthy Horizons Reserves the Right to Choose a Winner at Random, transportation to and from lake are the sole responsibility of the winner selected.


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resource guide AMBULANCE SERVICE ................... Anniston Emergency Medical Services (256) 237-8572 Cherokee Emergency Medical Service (256) 927-2040

NHC Place (256) 835-3959

Flannagan Dental (256) 238-8881

McClellan Assisted Living 256-403-6808

Jacksonville Comprehensive Dentistry (256) 435-2007

The Meadows of Jacksonville (256) 782-2801

Piedmont EMS (256) 447-3089

Regency Pointe (256) 456.0016

Rural Metro (256) 546-1631

Signature In-Home Care, Inc. (256) 831-3250

ARTIFICIAL LIMBS ....................... Artificial Limb and Brace Center (256) 236-2562

AUTOMOBILES .......................... Sunny King Toyota (256) 835-0800

Hanger Clinic (256) 235-5664

Hughes Paint & Body Shop (256) 835-1170

ASSISTED LIVING ........................ Autumn Cove (256) 831-7474

COUNSELING ........................... Bodenheimer Psychological & Counseling Center (256) 236-0070

Cherokee County Health and Rehab (256)927-5778

Couch Counseling PC (256) 235-3799

Sarrell Regional Dental Center for Public Health (256) 741-7340 Timothy A. Kerper DMD, P.C. (256) 237-8174 EAR, NOSE & THROAT SERVICES .......... Northeast Alabama Audiology (256) 543-8899 EMERGENCY RESPONSE ................. Home Helpers of Jacksonville (256) 776-7769 EYE CARE SERVICES ..................... Anniston Eye Clinic (256) 236-0300

Love Talk’s Healthy Relationships (256) 417-7817 DAY SPA ................................ Monet Salon and Day Spa (256) 237-1107

Home at Heart, LLC (256) 770-9777 38

Healthy Horizons

FAMILY ACTIVITIES ...................... Banning Mills (770) 834-9149 CustomBilt Pondtoons (334) 470-0077 Mt Cheaha Harley Davidson (256) 832-8888

DENTAL CARE ........................... Dr. Bruce Young, DMD (256) 435-4464

FARM SUPPLIES ......................... Miller Sand & Landscape Supply (256) 237-5352

Dr. David Cummings (256) 237-2851

Snead Agriculture (256) 832-1335


FUNERAL HOMES ........................ Chapel Hill Funeral Home (256) 820-5151 Goodson Funeral Home (256) 237-9771

Quality of Life Health Services (256) 236-0221 - Anniston

Legacy Village of Jacksonville (256) 782-0960

HEALTH CARE CENTERS ..................

HEARING CENTER ....................... Hearing Life (888) 659-3779 - Gadsden

Gray Brown Service (256) 236-3441

Hearing Life (888) 544-9465 - Oxford

Miller Funeral Home and Crematory (256) 831-4611

HOME CARE MEDICAL EQUIPMENT ..... Alamed Health Care Services, Inc. (256) 238-1444

HEALTH & WELLNESS .................... Casey Family Chiropractic (256) 405-9332 Dr. Snouffer’s & The Carlton Clinic (256) 403-5652 Sivley’s All Natural Nutrition (256) 624-0140 Therapeutic Health Services (256) 237-1747 HEALTH CARE ........................... Amedisys Home Health Services (256) 820-2503

HOME HEALTH CARE ..................... Gentiva Home Health (256) 835-7101 Home at Heart, LLC (256) 770-9777 Signature In-Home Care, Inc. (256) 831-3250 Staff Medical Service HH (256) 405-4022 HOSPICE ............................... Comfort Care Hospice (256) 547-3050

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Gentiva Hospice (256) 831-2964 New Beacon Hospice (256) 236-5334 SolAmor/ Countryside Hospice (256) 782-3560 HOSPITALS .............................

Oxford Primary Care & Weight Loss Center (256) 832-8802 TMS Wellness Institute, Inc. (256) 434-1867 MEDICAL SERVICES ..................... Alternative Health & Wellness (256) 454-2214 Crawford Clinic (256) 240-7272

NHC HealthCare (256) 831-5730 OCCUPATIONAL MEDICINE ............... EMSI/Occupational Safety Services, Inc. (256) 835-6090 OccMed South LLC (256) 236-9400 ONCOLOGY ............................. Anniston Oncology P.C. (256) 238-1011

Noland Hospital of Anniston (256) 741-6141 Regional Medical Center (256) 741-6464 Cancer Care Center of Anniston (256) 847-3369

Riverview Regional Medical Center (256) 543-5200

Cancer Care Center of DeKalb (256) 845-3500

Stringfellow Memorial Hospital (256) 235-8900

Coosa Valley Regional Cancer Center (256) 245-0297

HYPERTENSION SPECIALISTS ............. The Landmark Nephrology & Hypertension Clinic, P.C. (256) 236-0994 IN HOME HEALTH ........................ Always There Inc. (205) 824-0224

OPTOMETRISTS ......................... America’s Best Contacts & Eyeglasses (256) 419-2002

Signature In-Home Care, Inc. (256) 831-3250

Anniston Eye Clinic (256) 236-0300

INDEPENDENT SENIOR LIVING ............ Autumn Cove (256) 831-7474

MEDICAL SPA ........................... Prestige Medical Spa (256) 241-6772

MEDICAL IMAGING SERVICES ............ Advanced Imaging (256) 835-0835

NURSING HOMES ....................... Golden Living (256) 831-0481

MEDICAL OFFICES ....................... Clinton M. Ray M.D. Orthopaedics & Sports Medicine (256) 241-4842

Jacksonville Health & Rehabilitation, LLC (256) 435-7704

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Healthy Horizons

Murrell, Svensen & Ellis (256) 236-7516 PHARMACIES ........................... CVS Pharmacy (256) 832-0046 Martin’s Pharmacy (256) 831-6116 Physicians Home Health Superstore (256) 546-8820


Walgreens (256) 782-1502

Cardiac and Vascular Consultants (256) 237-0025

The Surgery Center (256) 241-2230

PHYSICAL THERAPY ...................... Champion Sports Medicine (256) 832-1988

C.A.R.E.S. of Anniston (256) 741-1339 - Anniston (256) 835-0076 - Oxford

TRANSPORTATION ..........................

Clinton M. Ray M.D. Orthopaedics & Sports Medicine (256) 241-4842

Dr. Charlie Williams (256) 835-8885 Dr. Keel & Associates Healthcare (256) 835-4756 Dr. Roland Cook (256) 235-5006 Dr. Wyndol Hamer (256) 644-0040 Joseph B. Howell, Ph. D. (256) 238-8113

WEDDINGS/SPECIAL EVENTS ......... Alexander’s Great Events (256) 831-8050

Mohammad F. Ismail (256) 236-0397

Fiddler’s Green (256) 435-6055

Oxford Family Practice (256) 831-7100

Top Notch Events (256) 239-4950

Piedmont Family Medical Center (256) 792-9322 Staff Of Life Medical Corp., P.C. (256) 236-0397

Rehab Partners P.C. (256) 820-8555 Wilhoite & Associates of Oxford (256) 241-7500 Wilhoite & Associates, P.C. (256) 237-7500 PHYSICIANS ............................ Alabama Allergy and Skin Cancer Care- Dr. Charles Brentnall (256) 238-0808 Allergy and Asthma Center (256) 835-1909

Masumi Yamamuro (256) 741-6109 SENIOR SERVICES ....................... Area Agency on Aging (800) 243-5463 Alzheimer’s Association (256) 880-1575 SURGEONS ............................. Anniston General Surgery Center, PC (256) 240-9660

References: Revised June 23, 2015, from www.yp.com. 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.

Anniston Orthopaedic Associates, PA (256) 236-4121

Anniston Family Practice PC (256) 237-8527

Clinton M. Ray Orthopaedics & Sports Medicine (256) 241-4842

Anniston Radiology Group, P.C. (256) 236-3485

Northeast AL Surgical Associates (256) 237-1624 www.readhealthyhorizons.com

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fun & games

Word Search Adult Health ACUTE ANOREXIA COMMUNICATION CONSTIPATION CULTURE DEHYDRATION DEMENTIA DIARRHEA DISPARITIES DIVERSITY DIZZINESS DYSRHYTHMIAS EDEMA ETHNOPHARMACOLOGY FAMILY FATIGUE GERIATRIC HEALTH HOSPITAL HYPOTENSION IMPACTION LIST MEDICATIONS NUTRITION PUZZLE SEARCH SPIRITUALITY SYNCOPE URINARY RETENTION WEAKNESS

easy

hard

Sudoku

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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.

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Tell us how we’re doing! Enter to win a $50 gift card just by filling out this form. All participants will receive a FREE t-shirt 1. Where did you find our magazine?____________________ _________________________________________________ 2. Do you currently use any business listed in this publication? Which one(s)?__________________________ _________________________________________________ 3. Would you or have you used any of our advertisers after seeing them here? Which one(s)? _____________________ _________________________________________________ 4. What topics would you like to see covered? Is there anything you would change in Healthy Horizons? ______ _________________________________________________ _________________________________________________ Mail form to: Healthy Horizons, PO Box 81, Choccolocco, AL 36254

Name____________________________________________ Address__________________________________________ City_______________________ State____ Zip__________ Phone______________ Email _______________________ Shirt size _________________ All participants who send in the survey by 12/31/15 will be entered into a drawing to win a $50 gift card. All participants who send in the survey by 2/28/16 will receive a free t-shirt. Healthy Horizons reserves the right to substitute sizes based on availability. Allow six to eight weeks for your t-shirt to arrive. One per household.

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