PINE BELT area
Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
M A G A Z I N E
The Orthopedic Institute
New Facility to Offer Centralized Orthopedic Care page14
Skin Care 101 page 17 Graceful Aging and Pilates page 29 Ohhhh, My Back Hurts... page 32
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When you need a home away from home. Emeritus Senior Living Would a short-term stay be helpful to you? There are many families who provide up to 80% of the care for an elderly loved one at home, and who are on call 24 hours a day. Sometimes caring for a loved one makes it hard to take time off to go shopping, go to the movies, have lunch with friends, or even take a vacation. Maybe you or your loved one would like to try our community on a “trial basis” without making a major commitment. Or maybe the caregiver wants a break or needs to travel on business or vacation. Or it could be that extra personal care or assistance is required after surgery or illness for rehabilitation. Whatever the reason, our short-term respite program is the perfect solution.
Our Family is Committed to Yours.® Call today to learn more about our respite & short stay options! Don’t forget to ask about our special rates* & assistance programs!
(888) 776-6811 Emeritus at Forrest Park
Retirement, Assisted Living, Short Stay & Respite Care 103 Fox Chase Drive, Hattiesburg
(888) 348-4453 Emeritus at Pine Meadow
Alzheimer’s & Memory Care, Short Stay & Respite Care 107 Fox Chase Drive, Hattiesburg www.Emeritus.com
*Rates based on monthly rent & subject to change at anytime, based on availability. Does not included level of care costs and community fee.
September 2012 — Pine Belt — Healthy Cells Magazine — Page 3
...choose you this day whom you will serve,
...But as for me and my house, we will serve the LORD. Joshua24: 15, NKJV
Volume 3, Issue 9
This Month’s Cover Story:
Senior Living: The Most Wonderful Times of the Year
Physical: The Hearing Help-Seeking Process
Emotional: Less Than Loved Ones Hopes and Dreams
Nutritional: Take the Stress Out of Backyard Entertaining
Hearing Health: Untreated Hearing Problems
Protection: Skin Care 101
Local Awareness: Biggest Loser Coming to Town
Life Inspirations: Real Women
Sleep Health: Weight Loss and Sleep Apnea
Treatment Options: What is MOHS Surgery
Lifestyle Changes: Pre-diabetes
Crises Management: How Soon Do I Need to Think About Long-Term Care?
Community Growth: A New Retina Surgeon to the Pine Belt
Healthy Cells Magazine is available FREE in high traffic locations, including major grocery stores throughout the Pine Belt as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine is published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Pine Belt of Mississippi. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
Screenings: Your Health, Your Home, Your Life
Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Pine Belt.
Preventative Health: Boosters for Boomers
Restoring Symetry: Graceful Aging and Pilates
Modern Healthcare: The History of Blood Donation and Transfusion
Spine Support: Ohhhh, My Back Hurts…
Women’s Health: How Your Body Changes
The Orthopedic Institute New Facility to Offer Centralized Orthopedic Care pg. 14 Cover story photos by Forrest General Hospital
Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.
For information about this publication, contact Carolyn
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100 Days Until “The Most Wonderful Times of the Year” By Mark Francis, Vice President Sales and Marketing, Emeritus Senior Living.
he holidays, as the song says, “are the most wonderful times of the year.” But as we all know they can also be the most hectic time, and even more so if you are caring for or helping a parent or loved one with everyday tasks, personal care and an increased need for companionship. If you are starting to consider senior living options, be sure to check with all the resources and facilities available in the area. There are good facilities and then there are great facilities. Great facilities are communities that “are alive” with fun and stimulating activities, delicious dining experiences and personal care by warm, caring, and experienced staff. The holidays are the perfect time of year for you to get the extra support you need and for your loved one to meet new friends and enjoy the wonders of the season. Scheduling an appointment, taking a tour, and talking with other residents will give you a good feeling about the community you are considering for your loved one. Great senior living communities treat ‘your family’ like ‘their family.’ You might even consider a short stay in one of the private suites and see firsthand what a wonderful experience this can be. It gives you an idea of the type of options that are available to “make it just like home.” Independence is one of the most important thinks to consider in senior living communities. Great facilities offer the right amount of assistance needed to keep loved ones safe and happy, but not to the point they feel they are losing their right to choose. Entertainment, outings, and socializing with other residents helps to create their own independent community and having options available for socializing helps to foster “the home feeling.” It is also a fact that senior living communities cost money, so it is important to learn all the financial options and programs available to fit each individual situation. For example, did you know some facilities even offer assistance in obtaining Veteran’s benefits to candidates who qualify through some of our associated vendors?
While this is not an exhaustive list, it might help create some calm in your world as you head into “the most wonderful times of the year.” Emeritus Senior Living offers retirement, assisted living, and memory care services in Hattiesburg, Mississipi. Our Hattiesburg communities live up to the Emeritus promise that “Our Family is Committed to Yours.” It is a promise we take very seriously and strive to live up to each and every day. For more information, visit us at www.Emeritus.com visit us at www. Emeritus.com or call us directly at 888-776-6811, Emeritus at Forrest Park (Retirement, Assisted Living, Short Stay & Respite Care) or 888-348-4453, Emeritus at Pine Meadow (Alzheimer’s & Memory Care, Short Stay & Respite Care) 107 Fox Chase Drive, Hattiesburg
September 2012 — Pine Belt — Healthy Cells Magazine — Page 5
The Hearing Help-Seeking Process Submitted by HearingSolutions of The Pine Belt, LLC
wo psychological conditions must be met before people with hearing loss will adhere to a dispenser’s or audiologist’s recommendation for help: • Acceptance/Ownership of one’s problem • Willingness to make a change. Hearing care providers and significant others will usually be mistaken if these two conditions are not in place when the patient agrees to the initial appointment. Statistics have proven it takes the average hearing loss patient seven years from first knowledge of loss until they actually rehabilitate the loss. Seven years of constant erosion in the auditory pathway and reception stations in the brain, which always create more difficulty and expense when they do decide to rehabilitate. In order to live well with hearing loss, one must recognize and accept hearing loss. Specifically, many people must overcome the misplaced shame and poor self-esteem
Page 6 — Healthy Cells Magazine — Pine Belt — September 2012
they may experience. Only then is it possible to seek solutions to the difficulties attributable to their hearing loss experienced in everyday activities. In this article, we briefly describe the social phenomenon of Stigma and Self-Stigma. Then we describe the manifestation of Self-Stigma and how it constitutes a major impediment to seeking rehabilitation services, including the use of hearing instruments. Stigma has been defined as “the possession of, or the belief that one possesses, some attribute or characteristic that conveys a social identity that is de-valued in a particular social contest.” In most western societies, there is a stigma associated with hearing loss. The general population perceives individuals with hearing loss as being “old”, “cognitively diminished”, “poor communication partners”, and “generally uninteresting.” It has been noted by some researchers that hearing loss is often misunderstood as an intellectual challenge or a deficiency in personality and character. Stigma can also occur from the vantage point of insiders—people who possess a stigmatizing trait. An excellent example of this is people who wear hearing instruments. They hold (consciously or not) the same pre-judicial views about their hearing aids, as do the outsiders. For example, people with self–stigma will deny they have a hearing loss! Does this sound familiar? We hear this nearly every day in the clinic. This denial leads to statements such as, “I don’t have a hearing loss. It’s my wife (children) that mumble when talking!” Denial often continues even after evaluation confirms hearing loss. We continue to hear things like, “My hearing really isn’t that bad”, or “I’m not deaf”, or my favorite, “It’s bad, but not $5,000 bad!” How can you put a price on hearing and/or understanding? The question we have is, “How can you isolate yourself and deprive you family and friends from being socially, professionally, and personally involved with you?” In closing, we understand having a negative perception towards oneself due to a stigmatizing trait leads people to be ashamed of themselves and to have low self esteem. Because hearing loss is invisible, people that display self-stigma often deny, (or minimize) their impairment. Move over, because they do not want to be identified as someone with a stigmatizing trait, they are likely to avoid or reject treatment programs (especially including the use of hearing instruments) that may help overcome the activity limitations and participation restrictions they experience. It has been shown that counseling (to include the significant other) makes it more likely they will use hearing instruments and hearing assistive technologies to improve their hearing handicap. It is imperative this person begins the rehabilitation process with proper counseling, using state-of-the-art equipment and evaluation strategies. It is a valuable asset to this process if the practitioner wears hearing instruments. Do not allow stigma or self-stigma to prevent you or your loved one from seeking the professional counseling and rehabilitation they so desperately need. Contact a Nationally Board-Certified dispenser or audiologist immediately. Dr. Michael Hunt, PhD, ACA, AAS, who wears hearing instruments himself, is a Nationally Board-Certified Audioprosthologist with 26 years of functional rehabilitation experience. He limits his practice to educating patients about their hearing loss and the options they have about correcting that loss. For more information, or to schedule a complimentary consultation with Dr. Hunt, contact HearingSolutions of The Pine Belt at 601-450-0066.
ars of er 100 Ye
Hulett~Winstead Funeral Home, Inc.
205 Bay Street Hattiesburg, MS 39401
September Specials: Through the month of September, take 15% off of any Youngblood® Mineral Cosmetics purchase and receive a free makeup consultation from our licensed aesthetician. Dermatology – South carries a variety of Youngblood® products including: • Loose powder • Blush • Foundation • Lipstick • Mascara • Bronzer 1 Lincoln Pkwy., Ste. 103., Hattiesburg, MS 39402 // 601.579.3130 www.hattiesburgclinic.com
September 2012 — Pine Belt — Healthy Cells Magazine — Page 7
“Less Than Loved Ones Hopes and Dreams” Submitted by Hulett Winstead Funeral Home
ast month we talked about grieving and completing our relationships with loved ones who have died. While the death of a loved one is painful, we are often complete with loved ones. That is to say that we have communicated our feelings about them, to them. We believe that they knew how we felt and that we were understood. When a loved one dies we may be overwhelmed with conflicting feelings, we may feel disoriented and confused, and we may feel robbed of one last chance to say I love you and goodbye. Even though we are often essentially complete when a loved one dies, after the death we usually remember some things that we wish we’d had a chance to say. We need to discover those unsaid things and say them. The appropriate methods for communicating the unsaid things are detailed in The Grief ❣ Recovery® Handbook. What happens when a “less than loved one” dies — perhaps a parent or a sibling, someone with whom we should have had a more loving relationship? We are almost always incomplete when a less than loved one dies. Almost always we are left with the awareness that our hopes and dreams of someday having the relationship become pleasant and happy have ended. Even if our hope is simply not to be tormented anymore, the death often exaggerates the torment rather than diminishing it. That is when many of us report being “ruled from the grave.” Many people labor under the misapprehension that once someone has died there is no way they can complete any unfinished emotional business. Gladly, this is not true, or they would have to stay incomplete forever. The process of Grief ❣ Recovery® helps grievers identify and complete the undelivered emotional communications that keep them tied to past painful experiences with people who have died or with relationships that have ended or changed. This process obviously does not require that the person we are incomplete with be a living or willing participant. Often our attempts to communicate with our “less than loved ones” failed, not because of our unwillingness, but because the other person was unable to listen to or talk about the things that we wanted and needed to talk about. Quite often our attempts to communicate started new and larger battles which may have been added to our list of unfinished or incomplete emotional events with them. Even after they have died, as we replay the events, we keep winding up hurt and helpless. We do not know how to end the vicious cycle. We may attempt to NOT think about them, but then a reminder will appear, outside of our control. We may see someone in the mall who looks like them, or a car similar to the one they drove. These reminders will often send us back into the pain caused by the incomplete emotional relationship. Most of you will realize that it is not possible to eliminate someone from your memory. You most assuredly cannot Page 8 — Healthy Cells Magazine — Pine Belt — September 2012
control the stimuli that cause you to remember a less than loved one. Even attempts at total isolation rarely work, as even dreams can rekindle painful memories. When a “less than loved one” dies we are often left with an extremely lopsided memory picture, almost exclusively negative. It seems as if we have become the victim of these painful, negative memory pictures. We are also confused by our relationship to the painful memories that keep recurring. We must grieve and complete our relationship to the person as well as to our relationship with the pain we generate when we think about or are reminded of the person. And, we must grieve and complete our unmet hopes and dreams and expectations. You must become willing to re-experience some of the painful events, and finally communicate what you would have said had you been allowed to, or if you had known how. It may seem frightening to root around where there has been so much pain. Perhaps it would be more helpful to be frightened of the alternative, a life of restriction and limitation caused by staying incomplete. The alternative is to keep the pain forever, by trying NOT to remember, and by trying to avoid any circumstances or events that remind you of that person. Many people today talk of giving away their power. There is no clearer or more painful example of that then to have your life’s actions and reactions ruled by the painful memories of someone who is no longer here. Question: The above article relates to a less than loved one who has died. What about less than loved ones who are still living? Answer: The exact same principles apply when the “less than loved one” is still living. In fact, it is probably even more essential that you complete your part of that relationship as soon as you can. If not, you
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“Many people labor under the misapprehension that once someone has died there is no way they can complete any unfinished emotional business.” may live in constant fear of any kind of interaction with or reminders of that living person. Completion of your part of a relationship with a living person does not imply that the other person will or should change. Most likely they will continue to be just who and how they are. The difference is that you will be able to live a life of meaning and value, not limited by painful reminders that a relationship did not live up to hopes, promises, dreams or expectations. Next: “Am I Equipped For Happiness?” For additional information you may contact Hulett Winstead Funeral Home at 601-582-1571. Source: Written by Russell P. Friedman, Executive Director and John W. James, Founder, The Grief Recovery Institute, www.griefrecoverymethod.com.
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Take the Stress Out of Backyard Entertaining W
arm weather provides the perfect excuse to gather all your loved ones together for good food and fun. And while people relish the idea of catching up with family and friends, planning and preparing for these festivities may be daunting, as well as timeconsuming. A few tips, however, can help make sure you aren’t tied to your kitchen—and help turn your traditional recipes into fabulous fare. Plan Early Consider the location, timing, guest list, budget, and any other factors relevant to your gathering. These details will help you shape a menu that doesn’t break your back or the bank. Remember that simple entertaining can be just as fun—if not more—than fine dining. Keep the Menu Simple Delicious and memorable don’t have to mean complicated and expensive. Choose recipes that are simple to prepare, require only a
Page 10 — Healthy Cells Magazine — Pine Belt — September 2012
few ingredients and are well-suited to outdoor dining. Remember, less is more when it comes to the number of dishes you serve. Line Up Help Enlist your family and friends to help with grocery shopping, prep work, cooking and, most importantly, cleanup. By dividing the tasks, you won’t feel overwhelmed or overburdened plus you will have plenty of time to mingle with guests. Wow ’em with Great Food Shake up your standard fare by incorporating the savory flavors of quality cheeses. Versatile and nutritious, cheese can add zest to your favorite standbys. With the broad array of appetizing flavors available, such as Gouda, Provolone, and Pepper Jack, the possibilities are endless. Look for quality products that also benefit the community. For example, when you purchase Borden Cheese, 100 percent of the proceeds go back to hardworking American dairy farmers and their families—making it the perfect addition to your next gathering of family and friends.
Texas BBQ Chopped Salad Prep Time: 15 minutes Cook Time: 3 minutes Total Time: 18 minutes 2 cups (16 ounces) prepared barbecue shredded chicken 1 package (12 ounces) chopped iceberg lettuce ½ cup prepared ranch dressing 1 package (8 ounces) Borden 2% Sharp Cheddar Chunk Cheese, divided ½ cup sliced black olives ½ cup chopped tomatoes Place barbecue chicken in microwave-safe bowl. Microwave on high (100 percent power) for 3 minutes. Arrange chopped iceberg lettuce on platter. Layer warm chicken over salad. Drizzle ranch dressing over chicken. Top with cheese, black olives and tomatoes.
For more information or to check out some cheesy recipes, visit www.FriendsOfElsie.com.
Super Easy Twice-Baked Potatoes with Bacon & Chives Servings: 8 Cook Time: 20 minutes 4 Russet potatoes (10 to 12 ounces), scrubbed and pierced with a fork ¼ cup milk ¼ cup butter 8 slices Borden Smoked Cheddar Natural Slices, torn into pieces ¼ cup chopped chives Preheat oven to 400°F. Bake potatoes in microwave on high (100 percent power) until tender, about 9 to 10 minutes per side. Cut potatoes in half; scoop cooked potato flesh into mixing bowl, leaving 1/4-inch thick “potato boat.” Add milk, butter, four slices of smoked cheddar and chives in mixing bowl; mix well with potatoes. Season with salt and pepper. Spoon mixture into “potato boats.” Cut remaining four smoked cheddar slices into strips; place over tops of potatoes. Place potatoes on sheet pan. Bake until potatoes are heated through and skins are crisp, about 20 minutes.
September 2012 — Pine Belt — Healthy Cells Magazine — Page 11
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Page 12 — Healthy Cells Magazine — Pine Belt — September 2012
Untreated Hearing Problems May Result in Atrophy of Brain Auditory Function Submitted by Audibel Hearing Healthcare
n much the same way that glaucoma can permanently damage vision, a condition known as late-onset auditory deprivation may permanently erase hearing acuity. The term “auditory deprivation” refers to a decrease over time in auditory performance associated with the reduced availability of acoustic information. The human hearing system is uniquely designed to hear from both sides, and if the brain doesn’t receive stimulation from both ears, it can atrophy. Just like a muscle, you must use it or lose it. A study by the Center for Molecular and Behavioral Neuroscience on the campus of Rutgers University measured brain listening speed in milliseconds, underscoring the importance of keeping the brain’s auditory cortex active. When you have normal hearing, your brain is continuously stimulated by sounds in your environment. With an untreated hearing loss, the auditory cortex lacks the stimulation it requires to prevent atrophy. As we age, hearing on both sides keeps our brain keen. There are other benefits to hearing with both ears instead of just one: sound localization, audibility, and hearing in noise will be enhanced. Landmark research published in the Journal of American Academy of Audiology (JAAA) concluded that adults with nerve-type hearing loss with two aidable ears who use only a single hearing aid, exhibit late-onset auditory deprivation in the unaided ear. The unaided
ear’s ability to understand speech clearly was permanently lost in many cases after just two years of not being aided. Following the release of these findings, most United States clinics began providing “informed consent” to patients refusing binaural amplification as a standard practice. A second JAAA-published study concluded that the lack of amplification leads to a decline in word recognition performance over time in patients with hearing loss in only one ear. Therefore, patients with a hearing loss in one or both ears can be affected by auditory deprivation. Simply put, if a hearing loss goes untreated for too long, the neural system where hearing occurs can atrophy resulting in a permanent decline in word recognition. The long-term effects might not be reversible, and it is impossible to predict who will suffer from late-onset auditory deprivation and who will recover from it after addressing the problem with hearing aids. The risk is too great to take a gamble. There is no better way to guard against auditory deprivation than to make a complete hearing evaluation part of your annual health check-up routine. Audibel Hearing Healthcare has the staff, diagnostics, and experience to help you evaluate your hearing needs. Call Audibel at 601-620-4454 or visit www.AudibelMS.com. September 2012 — Pine Belt — Healthy Cells Magazine — Page 13
The Orthopedic Institute
New Facility to Offer Centralized Orthopedic Care Submitted by Healthy Cells Magazine
Steve Jackson, Administrator of The Orthopedic Institute and Doug Jones, Forrest Health COO, look over plans for The Orthopedic Institute.
pproximately 18 years ago, a meeting between orthopedic physicians, Doug Rouse, MD and Richard Conn, MD, and Forrest General’s administrator, Lowery Woodall, led to a vision to create the perfect model for orthopedic care, right here in the Pine Belt. Their vision led to a dream of building an orthopedic hospital that specialized in nothing else. Today, that project is finally nearing completion. Once The Orthopedic Institute opens its doors this fall, residents in south Mississippi will be able to take advantage of a facility that is unmatched in our area. This new, centralized facility will offer outpatient and inpatient orthopedic care in one location, making it Page 14 — Healthy Cells Magazine — Pine Belt — September 2012
easier for patients and their family members to get the care they need. For many orthopedic patients needing a joint replacement, such as a hip, knee, or shoulder replacement; surgery on their hand, foot, ankle, or spine; or treatment for a sports injury; The Orthopedic Institute will be the one-stop location. Those patients who have experienced a traumatic injury or have complex medical problems, which require the care of multiple specialists, will continue to receive their care and surgery at Forrest General. Patients of The Orthopedic Institute will have the opportunity to recover in a facility equipped especially to care for orthopedic patients and their unique needs. The Orthopedic Institute will combine the lat-
est technology with expert, caring physicians and staff to offer services that match the highest levels of orthopedic care delivered across the country. “Our goal is to provide an orthopedic inpatient surgical experience far beyond anything you can find elsewhere,” said Doug Rouse, MD. He adds that all patients will be cared for in speciallydesigned rooms with larger doors, larger bathrooms, and assistive devices to meet an orthopedic patient’s special needs. “Everyone working at the hospital will be trained to focus on orthopedic patients and their particular problems, and their skills and special knowledge should lead to superior patient care. We believe this will result in increased safety, quicker recoveries, and enhanced patient satisfaction.” The Orthopedic Institute will relocate 30 existing orthopedic beds from Forrest General’s main campus to the new site on the campus of Southern Bone and Joint Specialists, located at 27 Southern Pointe Parkway on Veterans Memorial Drive in Hattiesburg. The new location is part of a complex that includes offices for orthopedic surgeons, MRI Imaging, and Southern Surgery Center. The goal of this project has not changed over the years. The original dream, that is now becoming a reality, is to provide the most technologically-advanced facility in the region specifically tailored and dedicated to orthopedic care. “Forrest General will lead this region with constant advancements in facilities and technology while also providing comfort and convenience for our patients,” said Evan Dillard, President and CEO of Forrest Health. “I am excited about the opportunity to offer this new facility that will accomplish both of those goals. The Orthopedic Institute will be a great asset to Hattiesburg, our state, and the southeast in offering outstanding orthopedic care.” The Institute includes more than 74,000 square feet of new construction at a cost in excess of $30 million. In addition to the 30 licensed orthopedic beds, the facility features orthopedic operating rooms, pre-operative, and recovery rooms, as well as support services such as physical therapy, laboratory, and diagnostic imaging services. With all of these services housed under one roof, The Orthopedic Institute will truly be a one-stop location for orthopedic care for south Mississippi. “We are committed to advancing the quality of orthopedic healthcare for our region,” said Southern Bone and Joint President Robert Dewes, MD. “This new facility will offer a personalized
The main lobby of The Orthopedic Institute features ample sunlight from a wall of windows, providing a beautiful entry for patients and visitors. patient-focused environment and will add to Hattiesburg’s reputation as a regional referral center in orthopedics and other medical specialties.” In designing the facility, administrators, architects, and physicians came together to create customized patient rooms, work areas, and operating rooms that would offer spaces tailor-made to fit the demands of orthopedic care. “We designed this facility by thinking about processes and spaces—spaces for patients, their family members and physicians and staff,” said Doug Jones, Chief Operating Officer of Forrest Health. “Every area is designed for optimal traffic flow so that everyone can move around the patient to offer the best possible care.” Rooms are grouped in pods of four with supply closets and mobile care carts for each pod. The final patient room design, voted on by physicians, is centered around the patient’s bed, allowing staff to move freely and carry out their duties, while giving family members space to stay with their loved
The Orthopedic Institute is scheduled to open in October 2012. September 2012 — Pine Belt — Healthy Cells Magazine — Page 15
feature story continued
The Orthopedic Institute will feature the services of experienced orthopedic physicians. Some of these physicians are pictured here, including (from left) Lance Line, M.D.; Neal Gregg, D.O.; Robert Dews, M.D. and Doug Rouse, M.D. ones. The rooms also accommodate the special equipment that orthopedic patients need, such as walkers and other assistance devices, as well as special “joint chairs” that are used to move patients from one area to another during their recovery. One such journey that all orthopedic patients take is to Joint Camp—a mustdo for all joint replacement patients that provides individualized and group therapy sessions to get them on the road to recovery. The new Joint Camp location at The Orthopedic Institute offers
Patient rooms offer details and layouts designed for orthopedic patients and their specific needs.
Page 16 — Healthy Cells Magazine — Pine Belt — September 2012
expanded space, easy access to staff members, and small details that make recovery easier, such as individual power plugs for each patient’s chair around the room for IV poles or other medical equipment. In addition to the custom-designed patient rooms, other areas of the facility received equal customization and planning to optimize patient care, including the 10-bed Post Anesthesia Care Unit (PACU) and the six 625-square-foot Operating Rooms. Each of these areas offers state-of-the-art equipment and technology. However, the latest and greatest technology is only enhanced by the outstanding physicians who will provide care at The Orthopedic Institute and the staff members who will create positive patient experiences each day. “I am most excited about the people who want to join us in this new and innovative hospital,” said Rouse. “I am looking forward to the opinions of our first group of patients and their families as we now have a unique opportunity to change and improve the care of our patients. It obviously has taken many years to make this a reality, but I think the orthopedic care and services in Hattiesburg and surrounding areas will benefit greatly from this long after we’re gone.” The facility was designed and is being constructed by Davis Stokes Collaborative, P.C. This well-known architectural firm is responsible for many outstanding orthopedic facilities across the country, including Las Vegas, Nevada; Los Angeles, California; San Antonio, Texas and facilities across Georgia, Tennessee, Florida, Ohio and New Mexico.
The public is invited to attend a community Open House for The Orthopedic Institute on Sunday, September 23 from 2 – 4 pm to take a tour of the facility.
SKIN CARE 101 By William L. Waller, III, MD, FAAD
kin, the largest human organ, is chronically exposed to damaging radiation from the sun called UV rays. These rays can be divided into the UVA and UVB spectrum. UVA rays cause deeper damage and contribute to photoaging, which involves the loss of collagen and damage to pigment producing cells, leading to increased wrinkling and discoloration of the skin. UVB rays cause sunburn and are thought to contribute most to the development of sun-induced skin cancers such a melanoma, basal cell, and squamous cell. Overtime, excessive exposure will increase your chance of developing unnecessary aging and skin cancers. Prevention of many of these deleterious effects involves simple sun protection such as sunscreens, hats, and clothing. Sunscreens are rated by a scale called the sun protection factor, or SPF. SPF is a measure of the effectiveness of protection from UVB rays. “To ensure complete protection from a sunscreen, look for a label indicating ‘broad spectrum’ and an SPF of at least 30,” says dermatologist William Waller, III, MD, FAAD. “Alternatively, you can examine the ingredients to identify specific chemical compounds.” According to Dr. Waller, common UVA sunscreen blocking agents include oxybenzone, meradmiate, and avobenzone. Common UVB blocking agents include padimate O or PABA, octinoxate, octisalate, octocrylene, and ensulizole. Inorganic agents such as zinc oxide and titanium dioxide are broad spectrum and filter both UVA and UVB rays.
Dr. Waller explains that the most important time of the day for protection is from 10 a.m. to 4 p.m. Remember to reapply sunscreen every two hours, or even more frequently if swimming or sweating. Application is important even on cloudy days, since up to 80 percent of UV rays can still be transmitted through cloud cover. Protective clothing should also be utilized; garments are rated on a UV protection factor or UPF scale. A UPF of 40 to 50 is recommended by most dermatologists, as it transmits less than 2.6 percent of UV rays. If sun damage has already occurred, it is possible to halt the progression and even reverse some damage through application of products containing retinoids and antioxidants. Dermatologists are able to perform procedures such as chemical peels and recommend prescription strength topical products, in addition to screening and treating pre-cancers and cancers of the skin. Plus, it is never too late to reap significant benefits by wearing sunscreen and using sun protection! For more information or to make an appointment, call 601-579-3130 or visit Hattiesburg Clinic’s Dermatology – South at 1 Lincoln Parkway in Hattiesburg.
September 2012 — Pine Belt — Healthy Cells Magazine — Page 17
Biggest Loser Hopes To Help Hattiesburg be Biggest Winner! By Jean Claire Monroe and Barbara Lofton
hat would possess 650 people to gather at the Wesley Medical Center walking track on a fall day in 2011? A commitment to conquer Alzheimer’s disease - that’s what. Ask anyone you know or anyone you meet. There is probably not a single person who has not been affected by this disease. Everyone has a family member or friend who has been robbed of precious memories and daily function by a disease that knows no bounds. It can strike as early as age 40 and the youngest person ever diagnosed was 27. No one is immune – Alzheimer’s victims can be anyone from the founder of Bedford Care Centers to a homeless person on the street to a person with Down’s Syndrome. Read or listen to news reports – our government finances are strained. We do not believe that government funding alone will ever conquer this tragic disease. But government funding combined with community efforts has a better chance. Last year’s Hattiesburg Walk was the Mississippi winner. We had 650 participants, 33 teams, and raised over $51,000 for Alzheimer’s care, support, and research. Schools brought teen teams to walk and raise funds. Last year we welcomed Oak Grove Middle School and Forrest County AHS. Some teams were from Beta Clubs, athletic clubs, or seniors meeting community service requirements.
“There has never been a greater need for the citizens of Hattiesburg to join in the fight against Alzheimer’s disease by participating in the Walk to End Alzheimer’s,” said Jean Claire Monroe, director of the Hattiesburg walk. “Funds raised will provide care and support services to the 55,000 residents of Mississippi living with Alzheimer’s, while also contributing to advancing critically needed research.” The Alzheimer’s Association Walk to End Alzheimer’s is the nation’s largest event to raise awareness and funds for Alzheimer’s care, support, and research. Since 1989 the Alzheimer’s Association mobilized millions of Americans in the Alzheimer’s Association Memory Walk; now the Alzheimer’s Association is continuing to lead the way with the Walk to End Alzheimer’s. These walks are held throughout the country and raise millions of dollars. Together, we can end Alzheimer’s. The Alzheimer’s Association is the world’s leading voluntary health organization in Alzheimer’s care, support and research. Our mission is to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. Mark your calendar and plan to join us Sat., October 6, at 9:00 a.m. at the Wesley Medical Center walking track. Start or join a team today at www.alz.org/walk.
So what is this about the Biggest Loser? The winner of NBC’s “The Biggest Loser,” Olivia Ward, is hoping to join walkers. She is committed to help Hattiesburg be the biggest winner in MS again this year. We hope to have a chance to meet her and join together to walk, enjoy food, entertainment, win prizes, and be a part of a special tribute to those whom have experienced or are experiencing this disease.
Jean Claire Monroe is the Community Relations Director for Emeritus Senior Living at Pine Meadow. She can be reached at 601-2718480 or by e-mail at PineMeadow-CRD@emeritus.com.
Page 18 — Healthy Cells Magazine — Pine Belt — September 2012
Barbara Lofton is the Resident Benefits Specialist at Bedford Care Centers. She can be reached at 601-264-3709 or by e-mail at firstname.lastname@example.org.
Real Women By Jayne Richards
’m not inspired by the media’s idea of what a woman looks like. That over processed, photo-shopped to within an inch of her life, impossibly thin, perfectly proportioned, flat bellied, no pored woman only inspires me to roll my eyes and give a very unladylike snort of impatience and disgust. What inspires me? Real women. Here’s my definition: A real woman: • Eats well, choosing nutrition over starvation. She makes good food choices, and stands up to the temptations of red velvet cake and heavily buttered bread. • Doesn’t beat herself up when she yields to those temptations. She simply puts it behind her and moves forward. • Applauds her women friends when they have a 22 pound weight loss in one month, even when her own scale says the same thing it has always said, even after months of working out and eating right. • Is happy in her own skin. The skin, which is not quite as tight as it used to be, droops a little here and there, but still wears well. • Rises early, slaps on her running shoes, and heads out the door, even when she doesn’t want to, doesn’t feel like it, and sees no discernible change on the scale, in the way her clothes fit, or in the mirror. • Encourages her friends and family when she knows they’re facing the same lack of motivation. • Looks at images in the media and realizes that no one really looks like that, not even the one in the picture. • Doesn’t care what she looks like when she’s in the middle of a run and doesn’t mind being off balance in yoga class or being the one who dances off beat at Zumba. She celebrates her ability to do those things with enthusiasm and joy. • Never looks at other women in judgment, offering only prayers and encouragement for those who may not be at the same place on their fitness journeys. • Rejoices in the victories of her friends, even the small ones. • Grieves with and consoles her friends when they are facing weight issues. • Only offers advice and help when asked. • Makes taking care of herself a priority. She knows that she can’t take care of her family if she’s not at her best.
• Learns to love the face she sees in the mirror and accept its changes as God’s way of showing the life she’s led. Good and bad. • Accepts herself exactly as she is, while always striving to be the best she can be. • Knows her limitations, but constantly toes the line in an attempt to exceed and surpass those same limitations. • Knows that teaching by example is the most effective way to teach. I’m blessed to know, love, and admire many of these women. I strive to be that woman. I am in some ways, fail miserably in others. The important thing is to keep on trying. Never give up, never give in. Know that learning to be a real woman isn’t just important, it’s life altering. Jayne Richards is a professional photographer and running enthusiast. She lives and runs in the Hattiesburg/Petal area. You can follow her journey to fitness on her blog at www.faithandfitnessat50.wordpress.com.
September 2012 — Pine Belt — Healthy Cells Magazine — Page 19
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Page 20 — Healthy Cells Magazine — Pine Belt — September 2012
Weight Loss and Sleep Apnea
Dr. Sivarama Kotikalapudi
Submitted by Southern Star Medical Group
bstructive sleep apnea is a condition in which the flow of air pauses or decreases during breathing while you are asleep because the airway has become narrowed, blocked, or floppy. A pause in breathing is called an apnea episode. A decrease in airflow during breathing is called a hypopnea episode. Almost everyone has brief apnea episodes while they sleep. A person with obstructive sleep apnea is usually unaware of the apnea. They begin snoring heavily soon after falling asleep. Often the snoring gets louder. The snoring is then interrupted by a long silent period during which there is no breathing. This is followed by a loud snort and gasp, as the person attempts to breathe. This pattern repeats. Many people wake up unrefreshed in the morning and feel sleepy or drowsy throughout the day. People with sleep apnea may: • Act grumpy, impatient, or irritable • Be forgetful • Fall asleep while working, reading, or watching TV • Feel sleepy while driving, or even fall asleep while driving • Have hard to treat headaches The health care provider will perform a complete history and physical exam and usually a sleep study is used to confirm obstructive sleep apnea. The following lifestyle changes may relieve symptoms of sleep apnea in some people: • Avoiding alcohol or sedatives at bedtime, which can make symptoms worse • Avoiding sleeping on the back may help with mild sleep apnea • Losing weight may decrease the number of apnea spells during the night
Treatment plans and solutions may go in several different directions, but losing weight is a great place to start. Reaching and maintaining a healthy weight is important for overall health and can help you prevent and control many diseases and conditions including sleep apnea. Maintaining a healthy weight helps you lower your risk for developing these problems, helps you feel good about yourself, and gives you more energy to enjoy life. Many factors can contribute to a person’s weight. These factors include environment, family history and genetics, metabolism (the way your body changes food and oxygen into energy), and behavior or habits.
To maintain a healthy weight, your energy INs and OUTs don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight. You can reach and maintain a healthy weight by following a healthy diet and if you are overweight or obese, reduce your daily intake by 500 calories for weight loss. Get active and stay active. There are tremendous amounts of information and healthy living plans available, but it all starts with you. Take the first step to eating better, you just might sleep better too. For more information on Diabetes and Diet or other health related concerns, contact Southern Star Medical Group at 601-450-2034. They are located at 4 Willow Point, Hattiesburg, MS. Source: http://usa.gov/MT1Xw
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Weight Loss and Sleep Apnea Energy balance is important for maintaining a healthy weight. The amount of energy or calories you get from food and drinks (energy IN) is balanced with the energy your body uses for things like breathing, digesting, and being physically active (energy OUT): • The same amount of energy IN and energy OUT over time = weight stays the same (energy balance) • More energy IN than OUT over time = weight gain • More energy OUT than IN over time = weight loss
*Under New Management* September 2012 — Pine Belt — Healthy Cells Magazine — Page 21
treatment options What is MOHS Surgery? Submitted by South Central Dermatology Clinic
Amy Adams, D.O.
David Roy, D.O.
OHS micrographic surgery is a surgical technique used for removing many types of skin cancers. This technique is often mentioned as having the highest cure rate for basal cell carcinoma, known as the most common type of skin cancer. MOHS surgery differs from other treatments in that it allows the immediate and complete microscopic examination of the removed cancerous tissue. South Central dermatologists David Roy, DO, and Amy Adams, DO, are pleased to provide MOHS surgery to the residents of South Central Mississippi. Dr. Frederic E. Mohs created MOHS surgery to be used as a microscopically controlled procedure for treating common types of skin cancer. During the surgery, skin layers that contain cancer are removed and studied until only tissue that is free of cancer remains. Dr. David Roy further explains the process associated with MOHS surgery. “With this procedure we do not use general anesthesia, so it is much safer. We treat the cleansed area and use a local anesthetic. We examine not just sections of the tissue, but 100 percent of the margin, edge, and bottom of the tissue. This gives you a higher cure rate and allows us to remove less tissue. By using this technique, we can be very conservative with the cut, but still know we removed all of the cancer.” MOHS surgery provides an exact result while studying the layer of tissue. If cancerous cells are detected, the process is duplicated until all tissues are free of cancer. Although MOHS surgery provides the smallest cut and highest cure rate, not all patients are candidates for the procedure. “If a patient is not a candidate for MOHS surgery, there are other treatment options that are offered,” states Dr. Roy. “Radiation therapy, watchful waiting on non-aggressive tumors, and many other options are available. We can provide a lot of choices for our patients.” South Central Dermatology has recently opened a new clinic at 1410 Jefferson Street, located behind South Central Urgent Care in Laurel. The new clinic offers state-of-the-art technology and allows Dr. Roy and Dr. Adams to perform procedures and testing at the clinic. “At our new clinic, we have four surgical suites with a dedicated suite for MOHS procedures, an onsite laboratory and the newest technology to provide the most effective care to our patients,” says Dr. Adams. South Central Dermatology in Laurel offers MOHS surgery, along with treatment of skin cancer, skin infections, and all conditions related to hair, skin and nails. The clinic is open to new patients and accepts Medicare, Medicaid and most commercial insurance plans. For more information about MOHS surgery or to schedule an appointment, please call South Central Dermatology Clinic at 601-425-4860 or visit scrmc.com. Page 22 — Healthy Cells Magazine — Pine Belt — September 2012
Pre-diabetes: The Pine Belt’s Hidden Health Challenge
he Family YMCA wants residents of Hattiesburg, Petal and the surrounding areas to be aware of their risk for pre-diabetes and type 2 diabetes—and preventative steps they can take today to reduce that risk. Currently, nearly 26 million Americans have diabetes and a staggering 79 million people have prediabetes, a condition where blood glucose is elevated, but not high enough to be diagnosed with diabetes. While the nation’s struggle with obesity and type 2 diabetes is well-chronicled, the amount of people with prediabetes is a growing and often underreported issue that can be prevented with changes in eating and physical activity habits. People with prediabetes are at risk for not only developing type 2 diabetes, but cardiovascular diseases, stroke, and other conditions. “Learning that you have prediabetes does not necessarily mean you will develop type 2 diabetes. In fact it may be the first step in preventing type 2 diabetes through changes in healthier eating and regular physical activity,” said Nan Bryant, RN, BSN, Director of Health and Wellness for The Family Y. “You don’t have to make the changes alone. The Family Y can help through our Group Lifestyle Balance Program.” GLB is a special program, developed by the University of Pittsburgh Diabetes Prevention Support Center and research team, which is geared specifically for those diagnosed with prediabetes or the metabolic syndrome. The Family Y will begin two new sessions of the GLB program in September; a morning group at the Hattiesburg location and an evening group at the Petal Y. Registration deadline is August 31. This year long program teaches individuals how to lose weight through lifestyle changes targeting diet and activity levels. The program is free with your doctor or nurse practitioner referral.” As one of the nation’s leading nonprofits dedicated to strengthening community through healthy living, The Family Y is urging residents of Hattiesburg, Petal and the surrounding areas, to assess their risk for prediabetes and type 2 diabetes by visiting www.YMCA.net/diabetesprevention. Individuals can learn how background and lifestyle choices help determine the ultimate risk for prediabetes and type 2 diabetes. Several factors that could put a person at risk for type 2 diabetes include family history, age, weight, and activity level, among others. Some basic lifestyle changes that contribute to weight loss and healthy living can decrease the risk for type 2 diabetes. Among these are: • Eat fruits and vegetables every day • Choose fish, lean meats, and poultry without skin • Aim for whole grains with every meal • Be moderately active at least 30 minutes per day five days a week • Choose water to drink instead of beverages with added sugar • Speak to your doctor about your diabetes risk factors, especially if you have a family history or are overweight To learn more about The Family Y’s “Group Lifestyle Balance Program”, please contact Nan Bryant at The Family Y, 601-583-4000 or online at email@example.com.
How Soon Do I Need to Think About Long-Term Care? By Barbara Lofton
ruth is—no one ever wants to think about long-term care. Truth also is that at some point everyone who is aging needs to give this some thought. In a perfect world, everyone would have a plan for aging. It would include plans for finances, instructions for care in case of incompetence, and specific instructions for how we want end of life decisions made. Guess what? We do not live in a perfect world. Many times families are faced with crisis management. Mom or Dad had a stroke or fell and broke a hip. The day of crisis has arrived and this is when a family may be faced with overwhelm-decisions. What if you are in a motor vehicle accident or have a stroke or other event and are unable to communicate for an extended period of time: • Will someone know what bills must be paid and when to pay them? • Will someone know what insurances are in place and how the premiums are paid? • Will someone be able to manage your bank accounts and withdraw monies if needed for your care or to cover expenses? • Does your General Durable Power of Attorney grant the appointed person specific authorities and will your bank honor it? • Will loved ones be required to go to court to be appointed guardian if you have not made a plan?
Do you know when you need to inform your children or other family members of assets, liabilities, and legal documents? Home Instead Senior Care (www.homeinstead.com), has an excellent resource called the 40-70 Rule. Their thought is that when your children are 40 and you are 70, give or take a few years, the conversation needs to take place. They have excellent suggestions for adult children who do not know how to broach the subject with Mom and Dad. If a loved one has been diagnosed with Alzheimer's check out www. nih.gov. There you will find "Legal and Financial Issues for People with Alzheimer's Disease: A Resource List." This site provides excellent resources to help you know what is needed and where to begin. These resources can also be helpful for issues of aging other than Alzheimer's. For everyone, young or old, healthy or ill, www.fdic.gov will give you a "Checklist of Important Legal Documents and Financial Statements." The fact is, even young healthy people can suffer an event such as a stroke, heart attack, or accident. At that time, someone will need this checklist to see what you have in place. I see and deal with many families in crisis every day. Many of the crisis situations could be better dealt with if each of us would give some time to thought and planning. Thinking about the need for long-term care is never pleasant. But spending some time on this might save your family time and money if the need ever arises.
The good news is that, in our world, answers and assistance are at our fingertips. All you need to do is "Google" your topic or question and multiple websites will be available.
Barbara Lofton is the Resident Benefits Specialist at Bedford Care Centers. She can be reached at 601-264-3709 or by e-mail at firstname.lastname@example.org. September 2012 — Pine Belt — Healthy Cells Magazine — Page 23
SOUTHERN STAR MEDICAL GROUP
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Of Mendenhall, LLC Quality of Life Services Including: Bedford Care Center Physician – Each Facility has a Medical Director 925 W. Mangum Ave. Nursing – Rehabilitative Services – Psychiatry – Dietary – Pharmacy • Social workers on staff Mendenhall , MS 39114 • Recreational activities 601 .847.1311 www.be dfordcare centers .com • Medicaid/ VA Counseling services Bedford Care Center offers a skilled staff to meet the physical, emotional and rehabilitation needs of residents needing short-term or long-term care. Our rehabilitative care includes aggressive therapy service with consistent nursing care. BCC-Hattiesburg 10 Medical Blvd Hattiesburg, MS 39401 601 .264.3709
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Page 24 — Healthy Cells Magazine — Pine Belt — September 2012
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A New Retina Surgeon In the Pine Belt
he physicians of Southern Eye Center are proud to welcome Abumere Akinwale, MD as the newest member of their team. Dr. Akinwale joins Dr. Jiménez at Southern Eye Center as a Retina Surgeon. Dr Akinwale comes highly qualified to be a part of the SEC team. She received her medical degree from the University of Mississippi, completed her residency at Boston University Medical Center, and completed a fellowship in vitreo-retinal diseases at Harvard Medical School. Together, Dr. Akinwale and Dr. Jiménez will treat patients with vitreo-retinal disorders such as diabetic eye disease, macular degeneration, vascular disorders, and retinal detachments. Amy Herrin, Practice Development Director for Southern Eye Center says “Our mission statement reads, ‘Southern Eye Center, A Center of Excellence-A dedicated team, committed to providing quality, service and efficiency in a caring and professional manner…an unbroken circle of reliability.’ With the addition of another highly trained surgeon, Southern Eye Center remains one of the largest ophthalmic sub-specialty practices in the Pine Belt area. We are pleased to be in our 35th year of helping patients pre-
serve and restore sight. We strive to meet the community’s medical needs, and as the community grows, so will our dedication to serving their sight needs.” For more information about Southern Eye Center, please visit us on the web at www.SouthernEyeCenter.com.
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September 2012 — Pine Belt — Healthy Cells Magazine — Page 25
Your Health, Your Home, Your Life
Dr. James Griffin
By Dr. James Griffin, Chief Medical Officer, Southeast Mississippi Rural Health Initiative, Inc.
ost adults have a full week of continuous activity followed by two days when they play catch-up on the rest that was missed during the week. Seldom do individuals realize the ramifications this type of routine has on their bodies. Everyone can relate to an unending cycle of needs and wants whether they are work-related, family emergencies, or a friend in need. More often than not, your health ends up at the bottom of the list. It is easy to find yourself making more lists and resolutions to remedy the problems caused by ignoring your health. Along the continuum of primary care and overall wellness are popular things such as frequent exercise regimes and diet plans, but seldom do people realize the importance of preventive health. Preventive health is most effective when accompanied by lifestyle changes. Annual check-ups and wellness examinations play a vital role in preventing many chronic illnesses such as cancer, diabetes, and cardiovascular disease. Wellness exams serve as tune-ups to ensure that everything with your body is going as it should. Just as you would have your oil changed after a certain mileage, you should also schedule routine check-ups with your primary care provider. There are a multitude of agencies within your community waiting to provide preventive care. Community health centers are a great example because they were specifically created to meet the healthcare needs of any individual seeking care. However, one of the biggest problems that most people face is finding the time amid their schedules to take advantage of preventive screenings. In addition, with pending health care legislation, many individuals find themselves uninsured or underinsured, and both groups assume that primary care is unavailable at a price that fits their budget. Community health centers make numerous accommodations for both groups, making access to care simple. Some of the accommodations community health centers make include income-based discounts, extended hours, and specialty service referrals.
“Just as you would have your oil changed after a certain mileage, you should also schedule routine check-ups with your primary care provider.” A balanced approach to wellness requires personal accountability along with an awareness of resources. It is of the utmost importance that every individual has a usual source of care to aid them in staying healthy. To help with wellness, Southeast Mississippi Rural Health Initiative, Inc. (SeMRHI) offers screenings at each community health center. Several times a year, there are special events where some screenings are completely free. There are 14 health centers within the SeMRHI network located in Hattiesburg, Seminary, Brooklyn, Lumberton, Sumrall, New Augusta, Beaumont, and Picayune. Remember, the benefits of preventive care far exceed the drawbacks of sickness. Take responsibility for your well-being and encourage those around you. Wellness is a choice that begins with correct knowledge. Dr. James Griffin is the Chief Medical Officer of Southeast Mississippi Rural Health Initiative, Inc. (SeMRHI), a network of 14 community health centers located in eight cities. SeMRHI accepts all patients with special emphasis on the uninsured and underinsured. For more information or to locate a health center in your community, call 601-545-8700.
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Page 26 — Healthy Cells Magazine — Pine Belt — September 2012
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September 2012 — Pine Belt — Healthy Cells Magazine — Page 27
Boosters for Boomers By Benjamin R. Burkett, MD
mericans are constantly redefining what is considered “old.” Sixty is the new 50, 70 is the new 60, and we all live longer than ever before. However, as we age, we become more susceptible to illness and disease. For adults over the age of 60, these illnesses can be very serious. The good news is that many illnesses can be prevented through proper immunization. In fact, adults over the age of 60 can lower their risk of developing influenza, pneumonia, shingles, and tetanus through a simple injection. For older adults, vaccines are a preventable measure towards a healthier future. Influenza When flu season nears, it is important for older adults to make getting the flu vaccine a top priority. A flu shot is the best prevention against contracting the flu. According to the National Institute on Aging, the flu vaccine reduces hospitalizations by about 70 percent and death by about 85 percent among older adults. The flu vaccine is recommended for adults,w age 65 and older, as well as persons
“Vaccinations are the best defense against illness.” of any age with chronic medical conditions, such as chronic heart, lung, and kidney diseases. Pneumonia Pneumonia is a severe infection or inflammation of the lungs that, when combined with the flu, is the seventh leading cause of death in our country. Many pneumonias are caused by bacteria and a vaccine is available that prevents pneumonia from 23 types of pneumococcus bacteria. According to the National Foundation of Infectious Diseases, more than half of pneumococcal cases and nearly all deaths in adults could have been prevented with the vaccine. The shot can also prevent some of the serious complications of pneumonia, such as infection in the bloodstream and throughout the body. The pneumococcal vaccine is usually given only once in a person’s lifetime and can be administered at the same time as the flu shot. Shingles Shingles is a painful skin rash caused by the varicella-zoster virus, the same virus that causes chickenpox. For people who have had chickenpox, the virus remains dormant in the nerve tissues and reactivates when the body’s immune system is weakened by age or physical or emotional stress. The shingles vaccine, which was approved in 2006, is recommended for anyone over the age of 60 and for patients who have had shingles in the past.
Women’s Therapy Center
North Lake Serene Office Park 7 Willow Bend Drive Hattiesburg, MS 39402 Office 601-336-8287 Fax 1-800-324-1856 www.womenstherapycenter-sm.com email@example.com Page 28 — Healthy Cells Magazine — Pine Belt — September 2012
Tetanus When we think of tetanus, we often think of rusty nails. However, tetanus is much more than that. Tetanus is caused by bacteria that enter the body through wounds or cuts exposed to soil. Most people who develop tetanus infections are over the age of 65. It is recommended that children and adults receive the tetanus vaccine every 10 years. Vaccinations are the best defense against illness. Talk to your doctor about which vaccinations you should consider or to schedule an appointment to update your immunizations. Dr. Benjamin Burkett is a Family Practice physician at Wesley Medical Group in Petal. He is a graduate of Mississippi College and earned his medical degree from the University of Mississippi Medical Center. He completed his residency in both Internal Medicine and Pediatrics. Wesley Medical Group’s Petal office is located at 425 Highway 42 and can be reached by phone at 601-584-4309.
Aging and Pilates By Dawn Rinkle Martin
ne of the most beneficial acts we can do to improve our quality of life as we age is to take measures to practice correct posture. Imbalanced postural habits brought on by repetitive movements or inattention to posture can develop early in life and be the root cause of pain, injury, and degenerative conditions. These habits can lead to changes in our spinal alignment laying the foundation for conditions often regarded as permanent such as some forms of scoliosis, which can be seen even in children, and thoracic kyphosis better known as the “humped over” associated with osteoporosis and “old age.” Imbalanced posture can have a dramatic affect on our quality of life contributing to a decline in work performance, sports, and activities of daily living, even our height. The entire body functions better when the spine is in correct alignment, strong, and flexible. Our musculoskeletal system and our organs are able to operate more. I was inspired to study pilates and posture by my aunt who had severe thoracic kyphosis which is painful and restricts pulmonary functions such as the ability of the lungs to fully expand and to expel phlegm, which can lead to death. These postural changes drastically affect the elderly’s ability to overcome respiratory diseases and quality of life. Kyphosis doesn’t happen overnight, so paying attention to your posture and taking steps to improve the strength and flexibility of your spine is very beneficial for preventing or slowing it down. Ultimately, spinal alignment affects our bodies energy systems. Modern medicine is starting to recognize the existence of our bodies energy systems addressed for centuries by Chinese and Ayurvedic practitioners. The Chakra and meridian systems of the body as well as our lymph and circulatory systems thrive when the body is aligned properly. The energy flow is especially affected by alterations and compression of the spine. All of our body systems function best when our energy can flow uninhibited.
Poor posture, body misalignment and muscle imbalances, poor performance technique, or repetitive motion “wear and tear” put excess stress on our ligaments, tendons, muscles, and bones causing pain and setting the stage for injuries. Many injuries can be prevented by developing proper biomechanics, muscle balance, muscle recruitment, core strength, and stability. Practicing proper posture and form is important as we move through every day, especially when performing strength training exercises, walking, or any other regularly performed activity intended to enhance our fitness. As we strengthen our bodies, we will become aware of our posture and make efforts to maintain and correct it. The Pilates method works by identifying imbalances and restoring symmetry to the body by using strengthening and stretching to restore and correct posture and muscular balance. This mindful exercise program is an incredible tool for maintaining movement performance, helping prevent injuries, and minimizing the progression of degenerative conditions. Pilates improves balance and develops coordination, increases bone density, enhances joint stability, and mobility, strengthens deep abdominal and back muscles to support back and spinal health, alleviates pain, relieves stress and increases energy and circulation. The method is gentle, progressive, dynamic, holistic, and can help in injury prevention and performance enhancing program for all ages and fitness levels. Dawn Rinkle Martin, RN, BSN, is a BASI certified Pilates instructor who works with individuals of all ages and abilities to improve their quality of life. She is currently studying various holistic health modalities and logging hours leading to examination and certification as a Holistic Nurse Specialist. She may be reached through her website at www.pilatesnurse.com. September 2012 — Pine Belt — Healthy Cells Magazine — Page 29
modern healthcare The History of Blood Donation and Transfusion:
A Legacy of Heroes By Christina Ghents, MSAS, MT (ASCP)
e think of blood donation and transfusion as modern processes, and integral parts of modern healthcare. Actually, blood transfusion had its modern beginnings in the mid-17th century, and has built upon this knowledge to become the specialized science that it is today. Let’s take a look back and see how far the science has come! The first recorded successful blood transfusion was a direct transfusion between two dogs in 1665 in Oxford, England. A mere two years later, King Louis XIV’s personal physician transfused sheep blood to a teenaged boy who survived the procedure. From 1873 to 1880, there are records from physicians in the United States detailing transfusions with milk from cows or goats. There is no documentation as to the success of these transfusions, but in 1884, saline replaced milk as a “blood substitute.” It wasn’t until 1881, in England, that we see the first successful human-to-human blood transfusion, from a husband to his wife to treat a post-partum hemorrhage. In all cases of early blood transfusions, there was no way to keep the blood from
coagulating or clotting once it left the donor’s body. Therefore blood transfusions were direct, requiring both donor and recipient in the same place at the same time. The first use of an anticoagulant (substance that will keep the blood from clotting) was in 1915, which allowed blood donation and blood transfusion to be separate events! In 1900, Dr. Karl Landsteiner from Austria discovered the first three human blood groups (A, B and O), and group AB was discovered two years later. The Rhesus group (the “positive” or “negative” in your blood type) was discovered in 1939 by Dr. Landsteiner and Dr. Levine. Since then scientists have determined which blood groups are compatible and who can receive blood from whom. Since type O negative blood is compatible with all blood types, donors with this type are the “Universal” donor. In an emergency, type O negative blood can be given to all patients until further testing can be done to determine their blood type. The phrase “blood bank” was first used at Cook County Hospital in Chicago in 1937, and widespread use of plastic blood bags instead of glass bottles did not start until the 1950s. The history of blood donation and transfusion is a long one, with contributions by many scientists from all over the world. Each new discovery built on the work of previous scientists, forming a legacy of Heroes. But, one thing has never changed; blood donation is the first step in providing a lifesaving transfusion. There is no substitute for human blood, and no substitute for a donor who is willing to give this precious gift to save a life. If you are at least 16 years old, weigh at least 110 lbs and are in good health, we need you! Find the Hero in You, Donate Blood!
Medical Treatment From Hometown Providers
fusion Therapy • Home Medical Equipment ail Pharmacy • Pharmaceutical Compounders For more information, contact Christina Ghents, Center Director of
Home Medical Treatm
United Blood Services at 601-264-0743.
r healthcare provider recommends home infusion therapy or medical equipment, Infusion Therapy • en a choice. Choose the people who aren’t just the best at what they do, but Home Medical Treatment FromRetail Hometown Providers Pharmacy • Ph also your neighbors. Advantage Medical & Pharmacy is one of the only infusion ompanies based right here in Hattiesburg. We may not beInfusion the best-known your healthcare provider recom Therapy • Home When Medical Equipment you’re given a choice. Choose the p pany, but that makes us work even harder when we work for you. The choice Retail Pharmacy • Pharmaceutical who are alsoCompounders your neighbors. Advan Choose the infusion company that has the hometown advantage. Choose therapy companies based right here When your healthcare provider recommends home infusion therapy or medical equipment e Medical & Pharmacy. little company, but that makes us wo you’re given a choice. Choose the people who aren’t just the best at what they do, bu
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is yours. Choose the infusion com
who are also your neighbors. Advantage Medical & Pharmacy is one of the only infusion Advantage Medical & Pharmacy. therapy companies based right here in Hattiesburg. We may not be the best-known little company, but that makes us work even harder when we work for you. The choice is yours. Choose the infusion company that has the hometown advantage. Choose Advantage Medical & Pharmacy.
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6614 Highway 9 6 When your healthcare provider recommends home infusion therapy or medical equipment, you’re given a choice. Choose the people 6614Medical Highway 98 • Hattiesburg, MSonly 3940 6614 Hattiesburg, MS who aren’tHighway just the best at98 what•they do, but who are also your 3940 neighbors. Advantage & Pharmacy is one of the infusion 601-268-1422 therapy companies based right here in Hattiesburg. We may not be the best known little company, but that makes us work even 601-268-1422 harder when we work for you. The choice is yours. Choose the infusion company that has the hometown advantage. Choose Advantage Medical & Pharmacy.
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Page 30 — Healthy Cells Magazine — Pine Belt — September 2012
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For more information on the products or becoming an Independent Consultant, contact Karen Wilkens-601.520.2794 kwilkins.myrandf.com email: Klwilkins@bellsouth.net September 2012 — Pine Belt — Healthy Cells Magazine — Page 31
Ohhhh, My Back Hurts…
By Robert Donnell, RPh
ack pain is one of the most common ailments in our country today. Almost everyone will experience this malady during their lifetime to some extent. For many patients, shoulder and back pain are chronic conditions. Chronic pain is discomfort that last longer than 3 months in a row. Work loss from pain is a problem in our country and low back pain and shoulder pain are the main culprits. We can assume that acute pain has many causes and is often due to mechanical issues, such as injury from accidents, athletics, and just common housework. Hopefully, this pain is of short duration and is treated properly. Experts agree that poor posture is a cause of chronic pain. The spine has the support of hundreds of muscles not only in the back but side and tummy. Increasing the strength of these core muscles can improve posture and relieve pain caused by weak support muscles. Of course, accidents and injuries can cause herniated discs, sliding vertebrae that pinch nerves, and vertebral fractures are causes of major pain in many patients. Other conditions such as osteoporosis, stenosis, and scoliosis are problems that can best be identified by testing in your physician’s office or medical facility. That word that our mom used to encourage us to slow down— stress—can be a cause of muscle spasms that cause major pain for the patients. This usually occurs when an event is looming such as a wedding, work events, and other stressful events. Consulting your physician about muscle relaxants usually works when this is a problem. Pain can manifest in bundles of nerves called trigger points. Patients will complain of knots of nerves or muscle spasms in one particular place. This can decrease the range of motion in movement and can affect sleep and certainly quality of life. Some research may indicate that some of the pain perception is genetic and this back pain may run in families. Other professionals indicate that increased hydration may improve certain conditions and certainly back pain may be one of these most helped by increasing fluid intake. Many patients report that massage therapy increases relief from the pain but this is short-lived. This may interrupt the chronic pain patterns and thus give relief, if three or more massages are given in a week. Physical therapy can give dramatic relief and often combined with braces and anion drug therapy. They have the ability to drive in medications that reduce inflammation and give relief from pain. We as compounding pharmacists have the ability to visit with patients and determine their past medical history, the medications that they are currently taking, and the symptoms that they are having, and possibly suggest a therapy that may improve quality of life. We have developed hundreds of formulas for topical use that relieve pain and reduce inflammation and thus give comfort and improve quality of life for these patients. We have many bases or cream type vehicles that are available and we have the ability to select just the right base that may cause the medication to be absorbed and thus give medicinal benefit. Since these are prescription medications, we work directly with your physician to determine just which array of medications that may be beneficial to you or your loved one. Once the approval is received from the physician, we Page 32 — Healthy Cells Magazine — Pine Belt — September 2012
can often furnish the medication in a few hours. Why the delay?—This medication is made just for your and your condition. We have also selected an array of pharmaceutical grade supplements that may be beneficial in this therapy. Tumeric (curcumin phytosome), a natural pain reliever and anti-inflammatory, has been beneficial to many of your patients. Some products can be combined with phytosome to improve absorption. Another use of omega-3 fatty acids is pain relief. A main component is DHA has been shown to have a dose-dependant pain relief affect also. So, see your physician, do your exercises, try massage and physical therapy, and select pharmaceutical grade supplements to get some relief from that pain and maybe you will not be saying… Ohhhh, my aching back… For professionally compounded prescriptions and pharmaceutical grade supplements mentioned in this article, please refer to Vital Care Compounder, 115 South 40th Ave Hattiesburg, MS, near Home Depot. Call 601-261-0503.
How Your Body Changes Part 1: Pregnancy and Postpartum Posture By Jan Tregre, DPT, Women’s Therapy Center
here are so many changes that occur in a woman’s body during and after pregnancy. Besides the obvious—a protruding abdomen and difficulty getting out of a chair during the last few months—there are some not so obvious changes that can affect your body for years even after the baby is born. During pregnancy, a whole host of hormonal changes occur that regulate metabolism and maternal glucose, immunological states, growth progression of the fetus, joint and muscle laxity, uterine contractions and lactation. Physiologically, cardiovascular and respiratory changes occur to increase blood volume and heart rate, improving oxygen exchange. Anatomically, the diaphragm elevates and ribs and pelvic joints spread out to allow space for the growing fetus in the abdomen. Other changes include weight gain, fluid retention, and changes in breast tissue. Because of pregnancy hormones and changes in the distribution of weight in the body, postural changes can occur that can cause pain and later dysfunction as well. The most common postural change in pregnancy includes a forward weight shift as the fetus grows and the abdomen expands. In compensation, the thoracic spine shifts backwards and lumbar lordosis increases. It is also a common compensation for the pelvis to be tilted backwards, or tucked in, to decrease the arch in the low back in order to take the strain off of lengthened abdominal muscles. In addition, leg cramping and pain in the feet occur with excessive work in the calf muscles to compensate for the postural shift, putting more weight on the balls of the feet rather than the heels. Along with decreased lung capacity and increased heart rate, a pregnant woman can easily be exhausted just with standing! Changes in posture with additional weight can also alter walking patterns and cause mechanical strain on pelvic joints, resulting in inflammation and pain. SI joint pain in pregnant women is associated with nearly 90 percent of all complaints of prenatal back pain, mostly due to joint laxity and postural changes. Because of the pregnancy hormones relaxin and estrogen, the joints and muscles in the pelvis lengthen and relax to accommodate the fetus and prepare for delivery. Without joint stability, the two surfaces of a joint can move excessively, pushing on ligaments and nerves and even coming out of alignment. Pelvic joints, especially, are at risk for pain since the pubic and sacroiliac joints are symphysis joints, which are normally tightly joined with very little movement. After delivery, pregnancy hormones decrease, and changes that occurred in joints and muscles gradually go back to normal. If joint pain during pregnancy becomes chronic in postpartum, physical therapy is often the primary treatment. SI joint dysfunction can be treated with exercises focusing on core stability in the pelvis and trunk. Mobilization of joints and other manual techniques as well as thermal and electrical modalities can address muscular and joint pain along with postural abnormalities that cause movement dysfunctions. Postural education and strengthening of the abdomi-
nal and low back muscles can also return the spine to its normal position. It is important to recognize the chronic changes in your body after pregnancy in order to prevent abnormal joint use and degeneration, which can cause pain and even the possible need for surgery in the future. Jan Tregre is a Doctor of Physical Therapy who specializes in Women’s Health, Pregnancy and Postpartum Rehabilitation and Pelvic Rehabilitation. For more information on improving pelvic health and posture during or after pregnancy, contact Women’s Therapy Center at 601-336-8287 or visit womenstherapycenter-sm. com. Women’s Therapy Center is located in West Hattiesburg at 7 Willow Bend Drive (39402) in the North Lake Serene Office Park off of Hwy 98 W.
September 2012 — Pine Belt — Healthy Cells Magazine — Page 33
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Page 34 — Healthy Cells Magazine — Pine Belt — September 2012
HERE TO HELP YOU HEAR… Do You Have Difficulty Understanding Conversations? Do You Have Trouble Hearing on the Telephone? Does Your Family Complain About the TV Being Too Loud? WE CAN HELP. If you have ever considered new hearing aids, you need to call TODAY. The ALL-NEW Digital Hearing Aids are built with NEW Bluetooth Technology which gives you a much clearer, more precise sound. The NEWER Digital Buetooth Technology allows you to understand better in noisy environments, on the telephone and most importantly, the voices of your family and friends! Remember, there is no cost for your hearing evaluation. Dr. Michael Hunt, Ph.D., A.C.A., who is a nationally Board Certified Audioprosthologist, has been rehabilitating hearing for over 26 years and wears hearing instruments. Dr. Hunt and his staff are dedicated to providing the best possible hearing healthcare to the Pine Belt. Reconnect with the voices, music and sounds that enrich your life. Please contact our office TODAY to make an appointment.
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