Wellness For Life
Skin Cancer Detection and Prevention: A Discussion with Drs. Chappell and Rosso pg. 14
Changing the Experience of Surgery When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. With the da Vinci Robotic Surgical System, Dr. Van Riper operates through just a few small incisions. The da Vinci System features a magnified 3D highdefinition vision system and tiny-wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables Dr. Van Riper to operate with enhanced vision, precision, dexterity and control.
Dr. Van Riper has extensive experience using the da Vinci Surgical System. He is your trusted expert for minimally invasive surgery with a faster recovery time.
Pregnancy—Including High Risk • 3D Sonograms • Gynecology • Urogynecology Urinary Incontinence • Bladder Problems • Pap Smears/Physicals Menopausal Treatment • Tubal Ligation • Contraception Laproscopic Surgeries • da Vinci Robotic Surgical System Minimally Invasive Surgeries • Outpatient Hysterectomies
James Van Riper, D.O., FACOG Board Certified OB-GYN
Jackie Lehr, MSN, RNC Board Certified Nurse Practitioner
Accepting New Patients 410 N. Hancock • Odessa, TX 79761 432–337–4782
Because of the generous donations from the community, the Permian Basin Rehab Center has completed construction on our new pediatric therapy gym. The pediatric gym is used with children who are on the autism spectrum, children with cerebral palsy, traumatic brain injury, developmental delay, spinal bifida, and any other physical or cognitive challenges. The pediatric gym is designed to help a child gain coordination, increase gross motor skills, improve motor planning, develop core strength, and acquire confidence in their achievements.
620 N. Alleghaney Odessa, TX 79761 432–332–8244 fax 432–580–7428 connectedtoyou.org
The new pediatric gym is a wonderful childfriendly environment that will make a patient comfortable while working on therapy goals to learn skills lost to an accident or achieve goals that once seemed impossible. Our therapists and their patients thank the community for making their dream become a reality.
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James Van Riper, D.O., FACOG PBRC Midland Memorial Hospital Occasions Fine Jewelry The Springboard Center Furst Plastic & Reconstructive Surgery ORMC MCH ProCare Orthopedics & Rehabilitation Center The Odessa Family YMCA Dr. Robert L. Chappell, Jr., M.D., PA Legacy Ranch Other Remedies Stephanie Beidler, MD Midland Dermatology & Skin Cancer Center Cooking with Kim MCH Sports Physicals Hunt Advertising National Cooling, Heating & Plumbing Freedom Buick GMC Truck
To advertise, contact Mary at 432–550–7339 Publisher Mary Hunt, Ha! Publishing Editor Evangeline Ehl Publication Manager Mary Hunt Sales Mary Hunt Writers Kim Clinkenbeard, CPT, FNS; Joy Harriman; Wendy Hilliard; Ben McCampbell; Holly McElyea; Keliree Mitchell Photography Laser & Aesthetic Center of the Permian Basin, The Odessa Family YMCA, Studio 1401, Mark Swindler Design Sarah Fleck, Chantel Miller
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Wellness For Life
7 4 Straighten Up! 7 A Better Night’s Sleep–Naturally 8 My Doctor Visit From Hell 13 Update: The YMCA Aquatic Center 14
Skin Cancer Detection and Prevention: A Discussion with Drs. Chappell and Russo
23 Get Fit With Kim: Dog Days 24 Woof Woof! The Dog Blog by Mindy 27 Health & Beauty: Are You Allergic to the Nickel in Your Accessories? 28 Recipe: Buffalo Chicken Dip
ON THE COVER Dr. Robert L. Chappell and Dr. Ritchie O. Rosso discuss how to prevent and detect skin cancer and the different procedures and methods they use to treat skin cancer.
READ MORE ON PAGE 14 an apple a day may 2014
STRAIGHTEN UP! by Joy Harriman
’d rather not become one of those old ladies who is hunched over, walks slowly, and has chronic joint pain. Knowing that, I will have to start standing up straight. More specifically I’m going to have to start working on posture. Keeping a body in proper alignment, improving your balance, and maintaining that alignment as you move are all part of what is called “good posture.” When those things are out of whack the health risks are high: back pain, neck tension, decreased focus, and even problems with digestion, to name a few. Weak posture can cause breathing problems, joint pain, difficulty walking, and may contribute to falls experienced by the elderly. If posture is misaligned, then joints may become misaligned, and that may cause pain.
Straightening up posture habits could actually help make you longer, leaner, and slimmer—all within just a few seconds.
So how do we improve it? Work at it a little at a time.
We have four basic “posture zones:” head, torso, pelvis, and legs, and our posture is dictated by how they are balanced. Think of blocks that are balanced one on top of the other. Ideally, when facing front, you should be able to draw a straight line from between your feet to your bellybutton, and through your nose. From the side, this line goes through your ankle, hip, shoulder, and ear.
4 may 2014 an apple a day
You want to be able to draw a line straight through your body: no body part is leaning forward, hunching back, or out of line with the others. Good posture is as close to this ideal standard as possible, but most people are out of whack in one zone or another due to sedentary jobs, repetitive motions, and other lifestyle-related issues. Also, body features like a large chest, a potbelly, or a big bottom can pull your zones out of line, causing you to balance differently. FEEL AND LOOK BETTER Straightening up posture habits could actually help make you longer, leaner, and slimmer—all within just a few seconds. Shoulders rounded forward and a tilted pelvis gives a pot belly, spreads the back and gives the look of being top-heavy; the torso is also shortened, creating a roll of skin in the midsection that wouldn’t naturally be there if you were standing properly. Once you’re upright you’ll not only look better visually, but you’ll also work better inside, improving digestion and increasing breathing capacity. HOW TO IMPROVE POSTURE It turns out we are not born with poor posture. We train ourselves to have it. Sitting hunched over a desk or slumping in a recliner doesn’t do a body good. Posture can be improved in as little as a couple of weeks with practice: Start with your desk. For many people, bad posture is increased by long days at the office. Improve your posture at your desk by pressing your back firmly
against the back of your chair and keeping your feet planted on the ground. If you have to look up or down to see your computer screen, adjust it until it’s in the center of your field of vision. Try an exercise. Simple exercises can loosen the tension in your back and shoulders that causes bad posture. Do some shoulder rolls or extend your arms out to the sides and rotate your wrists to encourage a straight, relaxed back. Take photos. Have a trusted friend take a photo of you standing comfortably (and be honest!). Think you’ve got good posture? Here’s an idea: • Stand in bare feet with what you consider to be your very best posture in front of a clean wall. • Recruit a friend to take four pictures of you: front, back, and both sides. • Print the pictures out, one to a sheet. • Put dots on the pictures like this: front side— between your feet and on your nose; backside—between your feet and shoulder blades; side views—on your ankle bone and ear. • Fold each paper in half along those dots. • Analyze your photos: are the two halves of your
body the same? Do you lean forward or backward or to one side? Does your head jut forward like a turtle? Does your pelvis tilt forward or back? • Make note of your imbalances and adjust your stance so your body is more in line—head over neck over torso over pelvis over legs. Work on balance. Posture has a lot to do with balance. Stand in a doorway. Adjust your posture. Then raise one leg, bending at the knee so that your thigh is parallel to the floor. Hold that position for 20 seconds. Repeat on the other side. Do not flail your arms or twist and splay your body in an effort to stay balanced. If you feel that you cannot hold the pose then reach out to the doorway to steady yourself. Over time you’ll be able to hold the pose without gripping the wall. Work on alignment. Put your heels against the wall, and then step out about the length of your foot away from the wall. Now lean back until your buttocks and back touch the wall. Push your head Continued on page 20
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Take the time to take care of yourself At ODESSA REGIONAL MEDICAL CENTER, we know you are focused on your loved ones’ health, but we also know that you may not always take time for yourself. We offer a warm, inviting setting to take care of your healthcare needs. Take care of yourself so that you can continue to enjoy life’s special moments. For the month of May, ORMC is offering a special price for you to have three very important tests. For a one time fee of $150, you will receive a mammogram, bone density test and a heartview scan. Take care of yourself — start today. Saturday appointments available. For more information, call 582-8677 or visit our website at odessaregional.com.
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by Ben McCampbell
hen you can’t get to sleep, do you resort to the age-old practice of counting sheep? Do you take a warm bath? Do you start reading a dull book and find it open on your stomach in the morning? Do you still wake up tired? Persistent lack of quality sleep can have serious consequences. Insomniacs are four times more likely to be diagnosed with depression and more likely to have a serious illness. They are also more prone to accidents at home, on the job, and on the road. And they’re more likely to miss work and be less productive when they are at work. People have had trouble sleeping for thousands of years. The ancient Greeks and Romans came up with some interesting sleep aids, including mixing the bark of the mandrake plant with wine; an ancient physician named Dioscorides called it anesthesia. You probably don’t want to sleep that soundly. The seeds of the henbane plant also produced a deep, coma-like sleep. And you think getting up in the morning nowadays is hard! The Greeks also used opium, which despite its addictive nature, is a very effective sleep aid. In fact, the Greek god of sleep, Hypnos (no kidding), was usually shown holding a poppy flower. Ancient peoples also drank lettuce juice, and when all else failed in their quest for sweet slumber, they found that enough wine could send the most hopeless insomniac off to bed. Some things just don’t ever change.
The trouble with chloral hydrate is that some insomniacs would combine it with alcohol and never wake up. Sir Charles Locock was trying to come up with a drug to treat epilepsy in 1857, but instead got bromide, a sedative which was widely prescribed in the 19th and 20th centuries. The epileptics weren’t helped much, but the sleep-deprived rejoiced, even though bromides come with a variety of side effects, including clonic seizures (wild involuntary movements), loss of reflexes, loss of voluntary movement and muscle coordination, and delirium, to name a few. Not a pleasant state in which to wake up, no matter how well you slept. Barbiturates came next; they were the mostprescribed sleep aid in the early 20th century. Besides being dangerously addictive, barbiturates could be deadly when combined with alcohol, which enhanced their effects. Marilyn Monroe and Continued on page 18
Other herbal sleep aids include…the very popular chamomile tea, which will also calm an upset stomach and boost your immune system.
In 1832 a German chemist named Justus von Liebig created chloral hydrate, which induces sleep quickly. It became known as “knockout drops” or “Mickeys.” (Remember in the old crime movies the bad guy was always “slipping a Mickey” into someone’s drink? Now you know what it was.)
an apple a day may 2014
by Holly McElyea
Thump! Thump! Thump! My heart is pounding out of my chest. Sweat beads are developing on my forehead. My hands are clammy. “Ms. McElyea. Come with me. The doctor will see you now.”
eakness and vulnerability plague my body and I clumsily make my way to the awaiting nurse. She greets me with a friendly, reassuring smile, but hearing Debussy on San Antonio’s Medical Arts and Research Clinic’s radio, I’m praying I will be swept away into his dream-like melodies. I’m taken back into the procedural room. There it is…the vinyl turquoise torture chair. It’s surrounded by different scopes that look like long black elephant trunks with a firm handle. The longer, flimsier part is no bigger than the width of a pencil and gradually decreases to the size of a pin. They have tiny cameras at the end, complete with lighting, so the doctors can project what the camera captures of your ears, nose, or throat onto two different flat screen TVs as they creep down into these crevasses. To me they resemble whips. More devices of torture. Sighing loudly, I sit in the chair. The nurse introduces herself as Tiffany. The clinical procedure I’m here for today is a steroid injection given directly into my vocal cords. I’ve had this done umpteen times in the last 7 1/2 years I’ve battled chronic cough and laryngitis caused by a case of viral laryngitis that contaminated my body. The virus partially paralyzed my vocal cords and most likely awoke 8 may 2014 an apple a day
a monster inside me. The monster being an unknown autoimmune disorder that causes my own blood cells to attack my larynx and trachea. These injections are corticosteroids, which reduce inflammation, but are never pleasant and I downright dread them. I have to travel to San Antonio to have them administered, paying quite a great deal in medical bills, gas, and hotel lodgings. And taking days off from work can be disheartening to the teacher I am, who wants to be there with my students, instead of traveling for 5 hours in a car. Why do I travel so far, you might ask? Odessa doesn’t have doctors knowledgeable or skilled enough to treat my complex illness. The last ENT I visited referred me to an otolaryngologist in San Antonio that specializes in voice disorders and he’s the only doctor in Texas who can perform a steroid injection into the vocal cords and trachea, which is what my partially-paralyzed, highly-inflamed cords need. These injections can give me relief anywhere from three to six months. You mean I get to keep my voice and be cough-free for a few months? I can get a good night’s sleep for once and converse with my family, friends, and students orally again? Sign me up repeatedly, please! “Think happy thoughts,” I remind myself. Unicorns. Rainbows. Mario Kart. After draining the numbing liquid into a single syringe, Tiffany starts, “I’m going to scope you and Dr.—,” but I cut her off with “Drip
“Hopefully, after I see your larynx and trachea, and the medication onto my vocal cords and down when we get your blood work back, we can have a in my trachea. Yeah, I know. I also know I’m not better picture of what is going on in your body. What going to like you much during this process.” Tiffany I can guarantee is that you will have a better start chuckles, “Your experience and attitude about this to your school year after this injection.” A positive procedure are noted and understandable. I’d hate energy stirs in me and me, too. Let’s get this I begin to think of my done and over with, so The virus partially paralyzed my sweet students that you can have amiable vocal cords and most likely awoke I’m eager to meet. thoughts of me again.” I a monster inside me. The monster The scent of freshly smirk and reply, “I’m no being an unknown autoimmune sharpened pencils picnic either.” disorder that causes my own blood fills my senses for cells to attack my larynx a moment. Slowly and gently, the nurse places the scope and trachea. It’s a fleeting moment into my left nostril. though. Another otoFurther and further, I laryngologist from the clinic enters the room and can feel the plastic scope slithering its way down greets me with a firm handshake. “I’m the resident into my larynx like a snake. Tiffany will begin doctor in training and I will be helping out today. the slow process of dripping the liquid onto my Two sets of eyes and hands are needed for this cords. You know that sensation you get when you procedure.” Nodding my head and smiling I whisaccidentally drink something and it goes down the per, “I know. You get to steer the scope to get good wrong pipe and you start into a fit of uncontrollable, camera angles, and the other gets to puncture me violent coughing? Bingo! Drip, drip drip, was what with a needle.” I close my eyes as the scope is I imagined, but viewing the TV monitor in front of pushed into my nostril until it’s in my larynx but this me, hung on the wall, I can see it’s really more like time, I know there’s a needle inside that scope, and the super soaker water gun and she’s in a fight to in the vial, a steroid. soak my cords and win the competition that I was unaware we were having. Coooooooouuuuuugh! Once the perfect angle has been discovered, my Haaaaaaaaaack! Coooooooooooouuuuuugh! doctor states, “Okay. I’m about to stick your cord. Haaaaaaaack! Tears swell up in my eyes and I’m so sorry, this is going to hurt.” Yes, it does! begin to run down my cheeks, leaving marks in Yes, my cords are numbed, but the pain can still my makeup like the branches of a tree. Why on be felt. It feels as though I have something stuck earth did I bother wearing mascara? My tormenter in my throat and desperately want to cough it continues this for about eight minutes until she’s out of there but I can’t. This is a needle and the satisfied her work is done. “Can you talk?” she asks slightest movement could cause major problems. me. I can only answer in a whisper, “No and does During this procedure, it’s all about mind power. it look like I really want to?” She offers sympathy I try to find my happy place. Debussy’s melodic by handing me a tissue. “The doctor will be seeing tones are playing in my head, and I pretend I’m you to conduct the injection momentarily. First, back in Germany…watching the ducks swim in you need to sit and rest, and let the medicine the pond, people walking their dogs, and children take effect.” I really just want to put a bag over my frolicking about. head to hide my shame and embarrassment, and to protect myself from any further harm. Knock. The injection begins. Pain! A burning pain. Like I’ve Knock. Knock. Should I answer? been injected with acid. I slow my breathing and focus on the park. I’m jolted out of my daydream, “Well, hi there Ms. Holly! It’s been a long time since “One cord is all done! You took that like a champ! I’ve seen you.” Being unable to talk very well, I Now let’s get the other one,” the doctor says. I close answer, “It has. No offense, but I’ve really enjoyed my eyes to daydream yet again, but suddenly, the not seeing you and not having to endure this urge to cough comes. I gag, followed by a violent treatment. Alas, here I am, so let’s do this.” Sadness cough. I feel as though I’m drowning in a sea of overcomes his demeanor. His eyes especially. an apple a day may 2014
a few short moments, with the needle in my neck saliva and blood. Nothing can be done at this time. and thyroid gland, he finds the other cord. A lone The bubbly formations have obstructed the camera tear streams down the corner of my eye as I feel on the scope, so no second injection can be made the familiar prick on the needle and burn of the until this ceases. Yet it doesn’t cease. “I’m so steroid swelling in my cord. The needle is removed, sorry Holly, I know this is a painful, uncomfortable as is the scope and I hear the words I’ve been procedure, but it’s going to be even more so now. longing to hear, “You’re all done! Didn’t even cry! We can’t give you the last injection through your Take it easy, rest, and nasal passage, we’re don’t talk, okay?” They going to go through It feels as though I have something all pat me on the back, your neck.“ Shocked stuck in my throat and desperately shake my hand and and frightened doesn’t want to cough it out of there but leave the room. even begin to describe I can’t. This is a needle and the the reaction on my slightest movement could cause I’m so thankful for this face. This place really is major problems. During this moment of silence a torture chamber. procedure, it’s all about mind power. and reflection. I sigh again. Only, this is one Another syringe is I try to find my happy place. of relief. Composing filled with the numbing myself, I stand slowly agent. Gently, the and turn to look at the chair. It seems so harmless resident doctor positions the needle in the center now. I look in the mirror above the cabinets. of my neck and sticks me many times to numb the Mascara lines my cheeks like a highway map. My entire area. Pain! swollen eyes find it hard to open. Red eyes stare back at me. I wonder if I should clean my face. Get A lover’s kiss. Dancing. Laughing. German beer. I try the blood out of my nostril. I decide against it. A desperately to think happy thoughts again, but it’s of battle was fought in this operating room today. And no use. Stab. Puncture. Pain. Burn. Butcher. That’s I won! A sense of pride washes over me as I stare all I can think of at the moment. All this woman was at my haggard appearance in the mirror. I’m one doing was numbing my neck, cords, and trachea tough cookie. This was one more battle I’ve fought again! This isn’t even the steroid injection! “Okay. in an ongoing war, and I know I will win the next You’re all numbed. I whisper, “Bring it on.” Closing one, too. I smile and leave the room with grace. my eyes again, Clair de Lune plays in my head and I think of dancing with my sweetheart, looking into his eyes and feeling enamored by them. After just 10 may 2014 an apple a day
The Upper Hand
in Orthopedic Care Gerald L. Farber, M.D. Fellowship Trained in Hand Surgery MCH ProCare is proud to welcome Dr. Gerald Farber to the Orthopedics & Rehabilitation Center family. A decorated military veteran, Dr. Farber is the only fellowship trained hand surgeon in Odessa specializing in treating a wide range of orthopedic conditions affecting the upper extremities, including: • • • • • • • •
Carpal tunnel release Trigger finger release Wrist arthroscopic procedures Wrist and elbow joint replacement Fracture fixation and bone grafting Stiffness, contractures and deformities Athletic injuries Arthritic conditions
Call (432) 640-6446 and schedule your appointment today. ProCare Orthopedics & Rehabilitation Center 519 North Lincoln Avenue Odessa, Texas 79761 (432) 640-6446 Office (432) 640-6491 Fax www.ProCareOdessa.com
for youth development for healthy living for social responsibility
experience fitness at the odessa family ymca • Latest equipment and technology • Nursery care for members • Certified instructors and personal trainers • Fun classes to fit your schedule • No initiation fees or contracts 3001 e. university odessa, tx 79762 432–362–4301 • www.odessaymca.org
Welcome Dr. Ritchie O. Rosso Jr. Dr. Robert L. Chappell Jr. welcomes Dr. Ritchie O. Rosso Jr. as his new associate. Dr. Rosso is originally from Virginia and received his M.D. with distinction from the University of Virginia. He then completed a clinical research fellowship at the National Institutes of Health, followed by an internship in Internal Medicine at St. Lukes-Roosevelt Hospital Center in New York City. He completed his dermatology residency with a focus in dermatological surgery at the University of Miami in Miami, FL. Dr. Rosso specializes in the diagnosis and treatment of skin cancer, including Mohs surgery. He also has a focus in cosmetic dermatology including laser resurfacing, fillers, and other specialized procedures. Dr. Robert L. Chappell, Jr., M.D., PA
Ritchie O. Rosso Jr., M.D.
2487 E. 11th Street Odessa, TX 79761 432–580–6605
by Wendy Hilliard
he long-awaited grand opening of the Odessa Family YMCA’s Aquatic Center is slated for the first of July. Subsequent inconveniences from the Basin’s economic boom, combined with locating the perfect contractor, contributed to delayed construction. “Contractors were hard to get a hold of and every bid was 20 percent higher than we had the budget for. Another difficulty we encountered is the design. It’s not common to build a pool inside another pool,” said Odessa Family YMCA CEO Edward Moreno. Pool architect Richard Scott created the unique renovation. His blueprint includes lap lanes, water slides, and an area specifically for water aerobics.
“Since Richard’s name was stamped on the design, he wanted contractors he was comfortable with. He solicited the bids. We started to believe there were no commercial pool builders in our area,” Moreno said. Then, in a casual conversation with a friend, Moreno shared his frustration with the lack of pool contractors and increasing costs. “He looked at me and said he had a buddy that could possibly help. He told me to check with Leo at Aranda Pools. I called and Leo offered the lowest bid. It’s nice to have someone local.” Some things seem predestined. Leo Aranda has been building pools since 1979. In high school, Aranda participated in a work study program. Half the day he spent in class, the other half building pools with his father. “In high school my teacher was Wayne Young. He’s the dad of Y Board Member Lane Young,” said Aranda. Having secured the right contractor, attention went to creating Scott’s unique design. But building a pool within a pool wasn’t the main obstacle the contractor faced.
The biggest difficulty Aranda has encountered during the renovations is purchasing materials and scheduling concrete pours. “Material stocks are stretched to the limits. Rebar is often out completely. There is no picking up materials Mitchell believes the new at will. It’s difficult to water amenities will offer schedule concrete; something for everyone. sometimes it’s three “The pool floor will be weeks out before they level and more conducive can come out and pour. It’s become a major for classes, no more problem for everyone,” sliding down into the Aranda said. deep end.” High-mineral water corroded the 45-year-old metal pipes, resulting in the pool’s closure last year. Now re-piped with PVC, Aranda found no other structural problems with the pool. “I was surprised how well-constructed the old shell of the pool was. It’s a 100 percent sound structure, almost flawless.” Mention the grand opening of the YMCA’s new pool and you will hear Odessa Family YMCA Aquatics Director Susan Mitchell exclaim an enthusiastic “Whoop, whoop!” “I’m very excited for our new aquatic center to open!” said Mitchell. “I’m excited because the pool will offer a more kid-friendly environment.” Mitchell believes the new water amenities will offer something for everyone. “I know the seniors will enjoy the depth change for both the arthritis and aqua aerobics classes. The pool floor will be level and more conducive for classes, no more sliding down into the deep end.” Continued on page 21
an apple a day may 2014 13
Skin Cancer Detection and Prevention: A Discussion with Drs. Chappell and Rosso by Ben McCampbell
o you have a sore on your skin that just won’t heal, or a mole that has changed color or shape? It’s best not to ignore these, because they could be the beginnings of skin cancer. And skin cancer can be serious, even deadly. May is Melanoma/Skin Cancer Detection and Prevention Month, so let’s take a look at this disease—what causes it, what it looks like, and how to prevent it. We’ll also introduce you to some Odessa physicians who treat it, dermatologists Robert L. Chappell, Jr., M.D., and Ritchie O. Rosso, Jr., M.D. They’re good people to know in an area that has 256 sunny days a year and not very many shade trees. Skin cancer is by far the most common cancer in the world, accounting for about 75% of all cancer diagnoses. It’s the most prevalent form of cancer in the U.S. Each year more than 3.5 million skin cancers are diagnosed, which is more than breast, prostate, lung, and colon cancers combined. The incidence of skin cancer is increasing—between 1992 and 2006, treatment of nonmelanoma skin cancers increased by almost 77%! One in five Americans will develop some form of skin cancer over the course of a lifetime. The most common type of skin cancer, accounting for nearly three out of four cases (2.8 million annually in the U.S.), is basal cell carcinoma. Fortunately, it’s also the slowest growing. Basal cell carcinoma may appear as a flat, firm, pale area or small, raised, pink or red, translucent, shiny, pearly bumps that may bleed after a minor injury. There may be one or more abnormal blood vessels visible, a lower area in the center, and blue, brown, or black areas. Large ones may have oozing or crusted areas. Squamous cell carcinoma is somewhat more aggressive and is more likely to spread. It may show up as growing lumps, often with a rough, scaly, or crusted surface. Or it may manifest itself as a flat, reddish patch on the skin that grows slowly. Both types, basal and squamous, may first appear as a flat area showing only slight changes from normal skin. Of the 700,000 squamous cell carcinoma cases diagnosed annually, about 2% are fatal. 14 may 2014 an apple a day
Basal cell and squamous cell cancers occur most often (about 90%) in areas of the body that are regularly exposed to the sun, such as the head, ears, neck, arms, and hands, but they can appear anywhere on the body. Other warning signs include a sore that doesn’t heal, any change on the skin, such as the size or color of a mole, a change in the surface of a mole such as scaliness, oozing, bleeding, or other change in appearance, the spread of color beyond the border of a mole, a change in sensation, itchiness, tenderness, or pain, or simply a new growth on the skin that you haven’t noticed before. Virtually every malignant skin cancer becomes visible on the skin’s surface, making it the only type of cancer that is almost always detectable in the early—and most curable—stages. The most serious of the three skins cancers is melanoma. It’s in a different league than the other two because it is very aggressive and has the potential to spread quickly to key areas of the body, such as lymph nodes, bones, and major organs, including the brain. As with all cancers, early detection and treatment is the key to beating it. If melanoma is detected before it spreads to nearby lymph nodes or other organs, the 5-year survival rate is about 98%. The rate falls to 62% if the disease reaches the lymph nodes and plummets to 15% if the melanoma metastasizes to distant organs. Currently, almost 77,000 new melanoma cases are diagnosed annually in the U.S., and of these, about 9,500 (12%) will be fatal. Signs to watch for on the skin include a large brownish spot with darker speckles, a mole that bleeds or changes color or size, a small lesion with an irregular border and portions that appear red, white, blue or blue-black, and dark lesions on the palms, soles, fingertips or toes, or on mucous membranes lining the mouth, nose, vagina, or anus. Melanoma is scary, but the good
Skin cancer is by far the most common cancer in the world, accounting for about 75% of all cancer diagnoses. It’s the most prevalent form of cancer in the U.S.
Dr. Robert L. Chappell and Staff (photo courtesy of Studio 1401) news is that the overall survival rate has increased from 49% to 92% in the last 60 years. Odessa is fortunate to have dermatologists who specialize in diagnosing and treating diseases of the skin and skin cancer. Dr. Robert L. Chappell, Jr., has been practicing dermatology in the Permian Basin since 1978. He was born in Fort Worth but was raised in Odessa. After graduating from Austin College in Sherman, Texas, he attended Baylor College of Medicine, earning his M.D. degree with honors in 1974. He stayed at Baylor for his internship and dermatology residency and was named Chief Resident of Dermatology his final year. After earning Board Certification in Dermatology, Dr. Chappell established his practice in 1978. He began his photo therapy center in 1983 and was instrumental in forming the Laser & Aesthetic Center in 1999, the first such facility in the Permian Basin. Dr. Chappell and his wife, Barbara, have four children, two girls and two boys. They enjoy their three grandchildren, and that joy will increase soon with the arrival of two more grandkids, expected to arrive a month apart. Dr. Chappell was an avid fitness bicycle rider until recently; he says that it’s not as safe to ride now with all the recent traffic increase in Odessa. The Chappells also love to travel. Dr. Chappell specializes in medical dermatology— diseases of the skin, such as psoriasis, acne, an apple a day may 2014 15
Dr. Ritchie O. Rosso, Jr., to his practice. Dr. Rosso, a native of Virginia Beach, graduated from the University of Virginia and remained there to earn his M.D. degree (with distinction) from the UVA Medical School. Before he interned at St. Luke’s-Roosevelt Hospital Center in New York City, Dr. Rosso spent a year at the National Institutes of Health in Bethesda, Maryland, in a clinical dermatological research fellowship. His residency was at the University of Miami (FL) with a focus on dermatological surgery. He is Board Certified. Dr. Rosso has been a soccer player most of his life, and he also enjoys swimming and golf, plus he loves to travel. He and his fiancée Allyse are planning an early spring wedding in Charleston, SC, next year. Giving back to his specialty is important to Dr. Rosso; he was involved in teaching residents in training while he was in private practice in Florida, and he enjoys attending educational conferences in dermatology whenever he gets the opportunity. Dr. Ritchie O. Rosso rosacea, hidradenitis suppurativa, skin cancer, and other skin disorders. Among other treatments, he utilizes Narrow-Band UVB therapy for the treatment of psoriasis, vitiligo, eczema, cutaneous lymphoma, and other skin conditions. Instead of applying the full spectrum of UVB light, researchers found the most effective wavelength of light in the UVB spectrum, thus the term narrow-band. It’s a safer replacement for some previous therapies, and it’s more likely to clear the skin condition faster and for a longer period of time. The Laser & Aesthetic Center offers a variety of skin and complexion improvement solutions, some of which remove frown lines and wrinkles and others which eliminate old and damaged skin cells. The center also offers both laser and non-laser light therapies which help reduce sun damage and lessen the effects of rosacea. There are also various injectable treatments available to smooth out skin contours. Microdermabrasion and radiofrequency (RF) technology are used to promote new collagen growth. The center also performs spider vein removal and laser treatments to remove unwanted hair. A few months ago, with his workload becoming increasingly busier, Dr. Chappell welcomed 16 may 2014 an apple a day
Skin cancer is Dr. Rosso’s specialty. His preferred surgical technique for treating the more high-risk skin cancers is called Mohs surgery, which was developed in the 1930s and has been refined through the ensuing decades. It’s actually a rather simple idea, but its success rate of more than 98% is the best among basal and squamous cell skin cancer surgery techniques. Instead of taking biopsies and sending them off to the lab for results, with the Mohs method the tissue is removed a thin layer at a time, then immediately examined under the microscope to see if the cells are cancerous. If so, then another thin layer is removed and the procedure is repeated until no cancer cells are seen. This method spares the greatest amount of healthy tissue while ridding the site of cancer.
Lots of West Texans work outside, so taking precautions against sun exposure is vital. If you work outside, cover up—the more the better.
Photodynamic Therapy is another procedure which Dr. Rosso uses in his treatment of skin cancer and precancerous areas (actinic keratoses). In this therapy a photosensitizing drug (one that becomes activated by light exposure) is applied to the affected area, left to be absorbed for a time,
then exposed to a specific wavelength of light for treatment. The Permian Basin is fortunate to have such qualified dermatologists as Drs. Chappell and Rosso. Residents in the southern regions of the United States are 50% more likely to have a basal cell carcinoma than those in the northern U.S., and the risk to southern residents for squamous cell cancer is four times greater! The risk for skin cancer is also increased with exposure to intense sun year after year, and the overall incidence of skin cancer is increasing. Lots of West Texans work outside, so taking precautions against sun exposure is vital. If you work outside, cover up—the more the better. Wear long sleeves and long pants whenever possible; you can even buy clothing that has sun protection built in (get a UPF rating of 30 of higher). Wide brim hats protect your neck, face, and ears better than caps, and wraparound sunglasses that block the sun’s UV rays protect the eyes and surrounding skin. If you can’t avoid being out in the sun, use a broad spectrum sunscreen of at least 30 SPF. If possible, seek the shade between 10 am and 4 pm. And don’t use tanning booths. Some of the new sunlamps emit UV rays doses that are as much as 12 times stronger than that of the sun. Tanning booths increase the risk of all three skin cancers. Check your skin in front of a full-length mirror, head to toe, monthly. Skin cancer is preventable, and it is curable in most cases if detected early. Summer’s coming, so slather on the high-SPF, cover up, and enjoy the sunny days.
2489 E. 11th Street Odessa, TX 79761 432–580–8060 firstname.lastname@example.org www.lacpb.net an apple a day may 2014 17
Continued from page 7 Judy Garland died of barbiturate overdoses, and barbiturates contributed to Elvis Presley’s death. As a result of the government paying closer attention to the sleeping pill industry in the 1970s, a safer family of sedatives emerged, called benzodiazepines. Valium and Xanax are examples. Benzodiazepines are safer than their predecessors, but they also can be addictive and have harsh side effects. They act quickly and therefore are also used as recreational drugs, commonly known as “bennys.”
Committed to being the leader in providing quality personal services for our residents, while honoring the experience of aging. 4800 Briarwood Ave. Midland, TX 79707 • 432-694-5600
Many insomniacs have begun questioning the wisdom of using drugs with known side effects to help them sleep, and things are turning full circle with the resurgence of natural sleep aids, including some foods. The tech industry is also playing a huge part in helping people sleep. We’ll look at that in another article soon. After 2,400 years of use, St. John’s Wort still works, not only to treat depression, but to help you sleep. Other herbal sleep aids include vitex agnus castus (chaste tree), valerian (which was used in ancient Greece), lemon balm, and the very popular chamomile tea, which will also calm an upset stomach and boost your immune system. Melatonin is a naturally-occurring hormone that regulates the sleep-wake cycle in the brain.
Melatonin supplements may improve sleep quality in certain people and may help mitigate the effects of jet lag. A really good thing about these sleep aids is that they produce little side effects, if any.
helps you sleep is yoga, a system of relaxation, breathing, exercise, and healing, with origins in Indian philosophy. Adherents describe it as the union of mind, body, and spirit, and if all three of those can become calm, sleep is sure to follow.
Did you know that you There’s a relaxation can improve the quality Interestingly enough, aromatherapy technique that is of your sleep by eating seems to work best with women, somewhat similar to certain foods? Try foods possibly because women tend to meditation, but the that contain tryptophan, have a more acute sense of smell. focus is on one’s own like turkey, the napmuscles, which naturally inducing Thanksgiving slip into a relaxed state when we fall asleep. You staple, or walnuts. Or go exotic and feast on elk, simply focus on relaxing all your muscles—one which actually contains almost twice as much at a time—either starting from the top of your tryptophan as turkey. Magnesium is a natural head and working down to the tips of your toes, sedative; foods rich in it are legumes and seeds, or vice-versa. The key is to allow the muscle that dark green leafy vegetables, almonds and cashews, you just concentrated on to remain relaxed while whole grains, and wheat bran. Maybe that’s why you’re focusing on the next one. It actually works a bowl of cereal before bed just fits. Vitamin B6 pretty well if you can focus your concentration well enhances the body’s conversion of tryptophan, so enough to keep all your muscles relaxed. Once that any food rich in this vitamin can help make the happens, chances are that you’ll drift off soon. eyelids heavy. Pistachio nuts, sunflower seeds, and bananas are good sources, as are salmon and tuna. Some people use aromatherapy to help them In some ways the ancients were pretty smart, so sleep. English lavender seems to be the favorite; let’s not forget that old sleep-aid staple, lettuce some add a few drops of lavender oil to a prejuice! Just simmer several large leaves in water bedtime bath, others like to put a lavender sachet for 15 minutes—and add just a hint of mint for under the pillow. Chamomile (You sipped the tea flavor. Yum. earlier, right?) is another pleasing scent that eases tension, as do jasmine and vanilla. There are more, There are some foods to avoid before bedtime. You but these four are good for starters. Experts stress already know to limit your intake of caffeine to the that natural oils are much more effective than earlier hours of the day, but you may not know that synthetic scents because the complex chemistry of avoiding sugar in the evening will help you sleep the plants’ proteins is believed to be the therapeutic better. Sugar causes uneven blood sugar levels, and agent. Interestingly enough, aromatherapy seems to that can disrupt sleep during the night. work best with women, possibly because women tend to have a more acute sense of smell. Okay, you’ve eaten all these goodies to help you sleep, but your eyes are still wide open and your Acupuncture has been shown to help with insomnia mind is racing, thinking about all the things you also. Some believe that hypnosis can be of value, won’t accomplish tomorrow because you’ll be though I wonder how the nightly process would too tired. Try meditating; some people swear by work. Would you be hypnotizing yourself? How do it. Simply put, meditation is a relaxation technique you snap out of it in the morning? that involves consciously directing one’s attention to an object of focus, such as one’s breathing or Now that I think about it, reading this article has a word or a mind’s picture of a peaceful scene, probably been just as effective in putting you to in order to increase awareness of the present. sleep as any of the methods mentioned in it. Meditation takes a lot of practice, but it relaxes the Sweet dreams. body, reduces stress hormone levels, and calms the mind. A related discipline which some say an apple a day may 2014 19
Continued from page 5 back, keeping it level until it touches the wall. Most people will have to tilt their chin up in order to get the back of their head against the wall. That is not the kind of posture you Posture can be improved want. If you cannot get your head back without in as little as a couple of tilting it, push it back as far weeks with practice. as it will go while staying level. Hold it there for 20 seconds. In time, you will improve your alignment enough so your head will reach the wall.
Extra baggage. Use these tips when carrying a heavy purse, gym bag, etc.: • Choose a lightweight bag, made of durable material with padded straps. • A loaded backpack or bag should not exceed 15 percent of your body weight so leave all unnecessary items at home. • If you’re using a bag with one shoulder strap, alternate carrying sides. • Distribute the weight evenly throughout the bag or backpack for better balance.
Work on movement. Using a balance ball (those large inflatable “anti-bust” balls often found in gyms), sit down with your knees at a 90-degree angle. Sitting in your best strong posture, and keeping your knees, torso, and head still, use your pelvis to move the ball in circles. First try three circles toward the left and then three circles to the right. Do the circles slowly: move slowly and smoothly.
It’s never too late to start straightening up. Better posture can not only save your body from some nasty conditions but it can also help you breathe better, feel better, be more energetic, feel more powerful, and look younger than ever before!
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Continued from page 13 A wall separates the children’s pool area from two designated lap lanes. Additionally, two overhead doors installed on the east wall will allow sunlight and better air circulation. Mitchell said the doors are part of another future renovation that will include an area for pool parties. Swim lessons, a staple of YMCAs across the nation will resume in July. With the pool closed over a year, Mitchell is in the process of staffing the new aquatic center. “We welcome both lifeguards and swim instructors to come in and apply,” the Aquatic Director said.
Mitchell invites everyone in Odessa to come out and see the pool, especially families with young children. “I’m looking forward to seeing the kid’s faces when they first see all the new water features.” For more information about the Odessa Family YMCA’s multi-purpose Aquatic Center, memberships, or employment opportunities, contact the Odessa Family YMCA at 432–362–4301.
The Odessa Family YMCA is hosting a grand opening of the new multi-purpose Aquatic Center July 1, 2014.
an apple a day may 2014 21
Is your Mohs Surgeon Fellowship Trained? Mohs micrographic surgery has set a new standard in skin cancer treatment. An increasing number of physicians are performing Mohs surgery, which is now widely accepted as the most effective treatment for most types of skin cancer. Not all Mohs surgeons receive the same level of training as Russell Akin M.D., a fellowship trained Mohs surgeon. When it comes to skin cancer treatment, West Texas patients deserve no less than the best. Russell Akin, M.D. has completed an American College of Mohs Surgery credentialed fellowship. This means peace of mind for his patients, as well as an optimal outcome. If you have been diagnosed with skin cancer, ask your dermatologist if Mohs surgery is right for you. MDSCC also has the capability to perform immunostains for more difficult to treat skin cancers.
Dr. Akin (432) 689-2512 www.midlanddermatology.com • email@example.com Dr. Chandler & Dr. Close (432) 689-2491 Midland Memorial Hospital West Campus • 4214 Andrews Hwy., Midland
Cooking With Kim In celebration of May, I’m offering three different Mexican food cooking classes! Learn to cook healthier, low-calorie Mexican food you can enjoy any time without wrecking your diet. It’s so quick, easy and flavorful; you’ll never have to eat out again. May 8th & 9th - Part 1 May 15th - Part 2 May 29th & 30th - Part 3 Each class will feature different foods, cooking techniques, and recipes for all your favorites: tacos, enchiladas, all the sides, the grill, and NEW: desserts! Each class is $25 (payment and registration required prior to class). To register and pay, or ask questions, contact me at 432–557–5001 or firstname.lastname@example.org. Classes are filling up quickly! Classes for private groups and parties are also available–choose your own menu and class date! You can also prepay and register for every scheduled class and you are guaranteed the recipes for those classes whether you can attend or not. Contact me for details!
get fit with kim DOG DAYS
ake some life lessons from your dog and look at the world through a simpler perspective. You may just get some insight on how to lead a much more balanced life. Eat when you’re hungry. Stop when you’re full. Drink when you’re thirsty. Sleep when you’re tired. Get dirty! Being out in nature and getting sunshine daily will add years to your life. Studies show that a daily dose of sunshine gives your body the vitamin D it needs, helps you sleep better at night, eases stress, and makes you feel more at peace in general. Learn to play again. And play hard! Skip, jump, run, bound, leap, go swimming, roll around, walk, play ball or Frisbee—and grab a friend to do it with you. Playing with others keeps you motivated, connected, accountable, and it’s more fun!
Be happy to see people who come to visit. Greet them warmly and practice hospitality. Share your stuff. Trust. Drive with the windows rolled down, and let the wind blow your hair back—if you have hair. Be grateful. Say thank you. And mean it. A dog’s way to say thanks is with a big slobbery “kiss.” I don’t recommend that unless you’re married. A verbal “thank you” or even handwritten note will suffice. Get groomed. Treat yourself once in a while to a mani-pedi, a massage, or get your hair done. We all feel better—canines and humans alike—when we’ve taken special care of ourselves.
Love deeply and honestly. Protect and fight for those you love…to the death if necessary. Give of yourself. And expect nothing in return. You will be surprised what you will gain. Be a best friend and a loyal companion. Comfort those who are hurting. I don’t recommend licking anyone in the face, but a hug or a friendly phone call will do the trick. Be friendly. If you want friends, be a friend. People who are outwardly friendly to others are generally happier and more successful. Correct those who overstep their boundaries— sometimes gently and sometimes hard. But forgive completely.
Dance, jump up, and spin around if you’re happy. Get the whole family involved. In case you haven’t heard; happiness is contagious. Don’t chase your tail or you will just get dizzy, sick, tired and go nowhere. Most dogs, like people, figure this out fairly quickly. Although there are always a few who just don’t ever seem to get it. Don’t be one of those few. Don’t take yourself or life too seriously. Enjoy every moment. Life is short, so make every moment count!
Special thanks to this month’s contributor: Kim Clinkenbeard, CPT, FNS email@example.com
an apple a day may 2014 23
the dog blog by mindy
Keliree Mitchell founded Petspotters, a Facebook site dedicated to connecting lost pets with their owners after losing her own pet Chihuahua, Mindy. Woof, Woof! represents stories related to this site and is dedicated to Mindy.
e have a new bundle of joy in our lives—our new granddaughter. Her name is Ra’gan and she is amazing. Those corny old sayings about grandbabies being more fun are true. I don’t really know why it’s true, maybe it’s because we are more stressed out when we are the parents. Either way, I’m glad because I love having a beautiful granddaughter. I usually only see her about once a week and she changes and grows so much each week, it’s truly remarkable. Every week she is doing something new, different, and adorable. I was holding her in the backyard the other evening, on the patio and we were playing with the dogs. She was completely fascinated. Then the next door neighbor’s dogs began to bark and bark. They have three German Shepherds and when they start barking it’s very loud and very annoying. It often sounds like a dog fight is going on and I can see they tear up everything in their path. One is a few years old and fairly big. He is deaf so he barks for no reason. The other two are puppies that the owner adopted from a litter. As they are carrying on with the barking and fighting, it became more difficult to play with Ra’gan. Since she was curious and distracted by all the noise, I decided I would
24 may 2014 an apple a day
walk to the fence and we would look over at the loud puppies so she could see who was making all the noise. Just as I was getting close to the fence, I saw this huge German shepherd, barking and charging directly across the yard towards us. He jumped on the brick fence and sprang off and ran around in circles barking like a wild dog. I know he could have jumped the fence if he wanted to. The look on his face scared me to death. I turned and ran into the house and closed the door. I was shaking. I was so upset that I could have gotten Ra’gan hurt by this dog. I hadn’t seen the puppies in a while and they had grown so much. They are huge dogs and the play fighting and growling they do was cute when they were puppies, but they aren’t puppies anymore. They are big scary dogs to me. They changed. They used to be approachable and friendly dogs, but just as Ra’gan grows and changes every week, they did too. It was a good lesson for me. A reminder of how dogs can change as they grow and that I should always be cautious when meeting or seeing new dogs, especially with my granddaughter around. From what I can tell, she is already an animal lover and I certainly don’t want her to end up afraid of dogs. Take this as great advice from a wise ol’ grandmother. Yes, if I known how wonderful it would be to have grandchildren, I would have had them first. –Unknown Special thanks to this month’s contributor: Keliree Mitchell Founder, Petspotters www.facebook.com/petspotters
Medical Center Health System wants to help you get your sports physical early so youâ€™re prepared for the 2014-2015 school year. Visit one of our five convenient locations across Odessa.
Clinic at Walmart East 4210 JBS Parkway (432) 362-2685 Clinic at Walmart West 2450 West Loop 338 (432) 332-2695 Urgent Care - MCH Campus 315 North Golder, Suite B (432) 640-1963 Urgent Care - Center for Health & Wellness 8050 East Highway 191, Suite 104 (432) 640-2749 Ronald McDonald Care Mobile Call (432) 640-5437 for dates, times and locations. No appointment necessary. Walk-ins seen on a first-come, first-served basis.
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health & beauty ARE YOU ALLERGIC TO THE NICKEL IN YOUR ACCESSORIES?
f you have problems with a skin rash, redness, swelling, itching or burning in areas where you are wearing jewelry, you may have a nickel allergy. Nickel is commonly used in most jewelry, since it’s cheap and strong, but around 15% of the population is allergic to nickel. If you’ve recently gotten your ears or body pierced and are experiencing allergic symptoms, you may have become sensitized to the metal your jewelry contains. White gold and other gold that is less that 14 karat can bring on a reaction, since white gold is made with nickel and other forms of gold contain some amount of nickel as a hardening agent. Sterling silver is plated with nickel, which stays shiny and bright when silver might tarnish, and so is frequently used in silver jewelry. CAUSES AND SYMPTOMS OF NICKEL ALLERGIES If you’re wondering about the cause of nickel allergies, keep on wondering. Some people never develop sensitivity, but those who do may find symptoms appearing up to ten days after their exposure to the allergen. After you’ve experienced your first reaction, you will have become sensitized to the nickel and will react to it in 24–48 hours forever after. If you have an especially ferocious reaction, you may find yourself at the dermatologist: some doctors prescribe cortisone cream to alleviate skin-related allergy symptoms. But once you’ve determined that it’s the nickel that’s causing problems, it’s better not to get prescription creams; they have side effects. Just stop wearing the offending jewelry. HOW TO AVOID NICKEL ALLERGIC REACTIONS What to do? There aren’t any vaccinations. Your best
bet is to avoid nickel. If you have a recent piercing, making sure to use only stainless steel posts, and once the symptoms are gone, pay strict attention to the kind of jewelry you’re buying. Replace your jewelry with pieces guaranteed to be nickel-free; remember, you can suffer allergy symptoms from rings, necklaces, bracelets, earrings, belts, or body jewelry. Eighteen karat gold should be all right; platinum is also known as hypoallergenic. Nickelfree or alloy-free white gold is made with palladium, a type of platinum, which costs more that the white gold made with nickel. NICKEL-FREE JEWELRY DOES EXIST FOR ALLERGY SUFFERERS The down side of having a nickel allergy is that nickel-free jewelry often costs more, making you more difficult to shop for. If you usually shop in fine jewelry stores, you probably won’t have a problem, but if like many of us, you buy your earrings in drugstores or kiosks, you have to pay special attention to make sure you get items labeled as hypoallergenic or nickel free. Stainless steel earrings and other piercing items are available in a wide range of styles, and they’re inexpensive. If you have a piece of jewelry that causes you allergy problems but you can’t bear to part with it, you can try coating the whole piece in a couple of coats clear fingernail polish. Some people find that the polish prevents contact to the extent that they don’t suffer the allergy. Others have to give up the jewelry or endure swelling, itching, and burning—all of which make wearing jewelry somewhat pointless, since your skin will look so awful that people won’t be able to truly admire the sexy new studs in your ears, lips, belly, or tongue.
This month's article courtesy of www.freebeautytips.org
an apple a day may 2014 27
Buffalo Chicken Dip by Kim Clinkenbeard, CPT, FNS
1 cup cooked rotisserie chicken (or as much as you like) 4 oz. plain nonfat Bulgarian yogurt 4 oz. ranch dressing 8 oz. fat free cream cheese 3 oz. crumbled blue cheese 1 cup sharp cheddar cheese 3 oz. queso fresco Frank’s Red Hot Sauce or buffalo wing hot sauce, to taste
Combine all ingredients in a 4 qt. crock pot. Prepare on low heat until melted (stirring every 10 minutes or so). Serve with celery, pita bread, or crackers.
distribution points MIDLAND Albertsons Pharmacy 1002 Andrews Hwy. 4706 N. Midkiff Rd. 3317 N. Midland Dr.
Midland Memorial Hospital Scharbauer Patient Tower 400 Rosalind Redfern Grover Parkway
First Baptist Church 709 N. Lee
Mission Fitness 8050 Hwy. 191
Furr’s Music City Mall
The Odessa Family Y 3001 E. University
Fit Family Fitness 3404 N. Midland Dr.
Midland Memorial Hospital West Campus 4214 Andrews Hwy.
Harmony Health Food Shoppe 3110 E. University Blvd., Ste. A
Odessa Regional Medical Center 520 E. 6th St.
Heaven Bound Daycare 507 Elliot
Permian Basin Rehab Center 620 N. Alleghaney
Flat Belly Organics 3326 N. Midkiff Rd. Graham Pharmacy 1601 W. Wall St. HealthSouth 1800 Heritage Blvd. HEB Pharmacy 3325 W. Wadley Ave. Midland Memorial Hospital 2200 W. Illinois Ave.
28 may 2014 an apple a day
St. Joseph’s Home Health 24 Smith Rd., Ste. 500 Walgreens Drug Store 3221 W. Wadley Ave. 215 Andrews Hwy. 4313 Andrews Hwy. 3201 N. Big Spring St. ODESSA Albertsons Pharmacy 1350 E. 8th St. 4950 E. 42nd St. 2751 N. County Road W.
HEB Pharmacy 3801 E. 42nd St. Hunt Advertising 3527 Billy Hext Rd. Medical Center Hospital 500 W. 4th St.
River of Life Health Food Shop 2601 N. Grandview Ave. Smith’s Shoes 5101 Twin Towers Super Shapes 5000 E. University Blvd.
University Pharmacy and Medical Supplies 4850 E. University Blvd. Walgreens Drug Store 801 Maple Ave. 2161 E. 42nd St. 1305 W. University Blvd. 1707 W. 8th St. Walmart Clinic 4210 JBS Parkway 2450 West Loop 338 Wendover Family Medicine 4222 Wendover, Ste. 600 Westview Medical Clinic 1220 W. University Blvd. Wheatley Stewart Medical Pavilion 574 W. 5th St.
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