COASTAL BEND MAGAZINE
CUTTING-EDGE CARE CHRISTUS SPOHN’S NEW ANEURYSM TREATMENT
RAISING THE BAR CORPUS CHRISTI REHABILITATION HOSPITAL EMPOWERING PATIENTS INSTITUTE OF PRECISION PAIN MEDICINE
SPIRIT OF SERVICE
DR. GREGG SILVERMAN JAN/FEB 2020 I N S P I R E C O A S TA L B E N D M A G . C O M
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Dr. Mathew Alexander
We passionately aim to raise the standard of care in Corpus Christi. Our goal is to offer an elevated level of service comparable to the world’s leading cancer centers by improving the quality of life of our patients right here in Corpus Christi.
Minimally invasive brain Minimally invasive spine Dr. Melissa Macias
Carpal tunnel Ulnar nerve Total disc replacement Deep brain stimulation (DBS)
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All-Star Neurology Specializing in: • Spine • Cranial • Peripheral Nerve • Surgical Plan Modalities
1227 3rd. Street, Corpus Christi, TX
www.southtexasbrainandspinecenter.com
361-883-4324
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CE TR RT OK IFI E ED
Rehabilitation and Alzheimer’s Disease Alzheimer’s is a progressive disease that causes problems with memory, thinking, and behavior. At Corpus Christi Rehabilitation Hospital, our specially-trained, interdisciplinary team works with Alzheimer’s patients and their families to help them maintain their abilities and independence for as long as possible. We create individualized treatment plans with patients and family members, offering: • Physical Therapy - Focuses on improving balance, muscle strength and mobility; fall prevention • Speech-Language Pathology - Focuses on cognitive and communication skills; swallowing difficulties • Occupational Therapy - Focuses on daily living activities such as eating, bathing, dressing, toileting • Neuropsychology Counseling - Helps patients and family members adjust to emotional and physical changes • Home Evaluations - Identifies necessary modifications to provide a safe home environment • Family/Caregiver Education - Teaches caregivers about disease process and how to best help • Community Resources - Provides patients and caregivers with educational resources, including respite care
For more information on Corpus Christi Rehabilitation Hospital’s Alzheimer’s services, call 361-906-3700.
CCRH.ERNESTHEALTH.COM 2
5726 Esplanade Drive • Corpus Christi, TX 78414 I N S P I R E C O A S TA L B E N D M A G . C O M
6002 S. Staples St. Corpus Christi, TX TreaTing all eye Care needs!
LASIK/PRK Cataract Eyelids Glaucoma Retina Diabetes Dry Eye What you need!
Highly experienced, specialty trained, dedicated to you treating all of your eye care needs!
Schedule your eye care to be seen same day, next day, or as you request
Call 361.334.2625 or schedule online www.TexasEye.care
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CONTENTS JANUARY/FEBRUARY 2020
18 PROFILE INSTITUTE OF PRECISION PAIN MEDICINE
COVER STORY
DR. GREGG SILVERMAN
This board-certified cardiologist puts heart and soul into his work with Coastal Cardiology Associates and in the South Texas community.
Led by Drs. Eric Liu and Mitch Engle, the institute focuses on helping patients improve their quality of life for the long term through specialty pain care.
22 PROFILE CORPUS CHRISTI REHABILITATION HOSPITAL Receiving the prestigious Gold Seal of Approval in Brain Injury, this practice helps patients regain their independence with its nationally recognized Brain Injury Rehabilitation Program.
26 PROFILE CHRISTUS SPOHN HEALTH SYSTEM The health system brings the cuttingedge endovascular coiling procedure to the Coastal Bend – the first of its kind for the region.
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FEATURE 10 3 Perspectives HEALTH AND WELLNESS 28 Caring for the Caregiver 30 It’s Never Too Late 32 Break for Benefits 34 More Than ‘Winter Blues’
COVER AND TABLE OF CONTENTS PHOTOS BY: TWINS MEDIA HEART IMAGE ON COVER: VADZIM HULEVICH/STOCK.ADOBE.COM
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MEET THE STAFF COASTAL BEND MAGAZINE
ADRIAN GARZA PUBLISHER adrian@inspirecoastalbendmag.com 361.548.1044
JANUARY/FEBRUARY 2020 PUBLISHER Adrian Garza
PUBLISHER & OPERATIONS Holly Lewis
EDITOR Erin O’Brien
DESIGN DIRECTOR
HOLLY LEWIS PUBLISHER & OPERATIONS holly@inspirecoastalbendmag.com 479.935.0868
Elisa Giordano
SOCIAL MEDIA Morgan Bartel
CONTRIBUTING WRITERS Steven Alford Amanda Cutbirth Kevin Dolliole Jessica Dusek Dr. John O. Lusins III Liza Rodriguez Erin Wilder Lisa G. Wright
ERIN O'BRIEN EDITOR erin.editorial@gmail.com
PHOTOGRAPHY TWINS Media
ELISA GIORDANO DESIGN DIRECTOR elisa@inspirecoastalbendmag.com 210.716.5320
www.inspirecoastalbendmag.com For advertising information or editorial comments, please call 479-935-0868 or email holly@inspirecoastalbendmag.com.
PELICAN
MORGAN BARTEL SOCIAL MEDIA morgan@inspirecoastalbendmag.com 620.417.5392
MEDIA GROUP
Copyright 2019 © Inspire Coastal Bend Magazine. All rights reserved. Reproduction without the expressed written permission of the publisher is prohibited. Printed in Mexico
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WE WILL PUT YOU BACK IN THE GAME OF LIFE
TREATMENTS AND PROGRAMS FOR: Musculoskeletal Injuries Pregnancy (Pre/Post Natal Care) Diabetes Fall Prevention Neuropathy Cardiovascular Therapy Osteoarthritis Vertigo (Dizziness) Osteoporosis Athletic Rehab (Sport Specific) Thoracic-Outlet Syndrome Orthotic Evaluation/Fabriation Pre-Op/Post-Operative Therapy
ALL 6 LOCATIONS OFFER CAREFULLY DESIGNED AND SUPERVISED EXERCISE PROGRAMS IN STATE OF THE ART GYMS AND LARGE INDOOR HEATED POOLS:
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CORPUS CHRISTI
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CALALLEN
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ALICE
5026 Deepwood Cir. • 361.854.2278 4040 Five Points Rd. • 361.241.7399 1302 E. 5th St. • 361.664.9675
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PORTLAND 114 Lang Rd. • 361.643.8243
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ARANSAS PASS 2150 W. Wheeler Ave. • 361.758.5199
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ROCKPORT 1811 Broadway (a.k.a. Fulton Beach Rd.) 361.729.8777
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COLD WEATHER WORKOUTS
DON'T LET THE COLD TURN YOU INTO A COUCH POTATO When winter blows in, you can pull the blankets over your head and go back to sleep—or you can suit up and head out for an outdoor winter adventure! There’s no reason you need to take a break from physical activity when the temperature drops. In fact, exercising in cooler weather has some distinct advantages over working out in warmer weather, including no heat or humidity to deal with, it's a great way to take in sunlight (which can improve mood and gets you vitamin D) and exercise helps boost your immunity during cold and flu season. Just a few minutes a day can help prevent simple bacterial and viral infections, according to the Centers for Disease Control and Prevention.
If the winter weather prevents you from getting outside, don’t just reach for the remote. Make your time inside count. There are many ways to get physical activity indoors—no gym required. Hand weights or resistance bands are a great addition, but not necessary. You can also wear a heavy backpack to add intensity to your workout.
Try these indoor activities: • Home workout circuit • Dancing • Active housework like vacuuming and sweeping • Mall walking • Bowling • Roller skating • Yoga or other fun group classes at your local gym, studio, or community center • Stair climbing
WINTER WEATHER IS NO MATCH FOR YOU GET MORE HEALTHY LIVING TIPS AT WWW.HEART.ORG/HEALTHYFORGOOD
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Celebrate getting younger. At CHRISTUS Spohn Health System, we believe the sooner you take care of your heart, the longer it will take care of you. Our free online heart age assessment measures your real heart age, so you’ll know where your heart health really stands, not to mention steps you can take to improve it. Try it today.
MyRealHeartAge.com
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FEATURE
3 PERSPECTIVES
The Nueces County Medical Society Alliance hosts speakers at Veterans Memorial High School, sharing the dangers of drugs and alcohol.
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ach year, more people lose their lives to drug overdose. It’s not a certain age or class of people; it’s every class, age and race. No one is immune to addiction. Nueces County was ranked No. 1 in recent years for being the highest death rate of overdose in the state of Texas. The Nueces County Medical Society Alliance saw the issues that were going on in our community and wanted to help bring more awareness and education to help save lives. Educating our parents and schools was a major area that the alliance wanted to target. Thanks to Dr. Roland Hernandez and CCISD, we were able to host three great speakers at Veterans Memorial High School Auditorium in the morning of Nov. 21, and then, Bil and Jessica Cornelius and the staff from Church Unlimited at Rodd Field Road hosted the speakers that evening. Both venues were open to the public and free of charge. The first speaker was Carlos Tirado, M.D., MPH, who is a clinical associate professor at the University of Texas at Austin Dell Medical School and works with CARMAhealth, providing primary care for addiction and related behavioral and medical disorders. He explained the physiological effects of drugs on the brain, allowing us to understand that this is a chronic disease, not an acute one. He gave the example of how addiction is a chronic disease like diabetes and has to be managed like one for a lifetime, since it is rarely cured. Tirado explained that as we use more drugs, our frontal lobe of the brain takes over and goes into a survival mode, causing us to do things we would never dream of doing to acquire more drugs. Susan Hoemke, an author, wife and mother of four, was our second speaker, sharing her personal story about her oldest son who became addicted and all the struggles they dealt with. He eventually lost his battle against the terrible disease of addiction.
Hoemke has written a book, Healing Scarred Hearts, about her firsthand experience dealing with a loved one and the challenges of this disease. She also shares her IMAP, which is a plan for each of us to have and share especially with children. The IMAP, or “I Make A Plan,” program helps parents, caregivers and educators spot the early stages and evidence of drug use, and helps them take a proactive role in preventing or addressing addiction issues. Hoemke continues to learn more and brings awareness so others will not go through the same things. Mark Kinzly has such an interesting story to tell. As our third speaker, he shared how his older brother was killed in front of him and no one helped him deal with the pain and loss. He turned to drugs and had overdosed when someone used Narcan to save his life and allow him another day and the opportunity to change. He co-founded the Texas Overdose Naloxone Initiative (TONI), which is dedicated to educating the public about overdose prevention and community support for the state of Texas. Kinzly describes his struggles with the disease and what it is like for him daily to make healthy choices. His mission is to make Narcan available to everyone at a low or at no cost so lives can be saved. After our guest speakers shared their stories, we had representatives from local organizations sit on a panel with our three guests and answer questions from the audience. The three special guests were Amy Granberry with Cenikor, also known as “Charlie’s Place”; Alison Johnson with Coastal Bend Wellness; and Melissa Sweeting from the Council of Alcohol and Drug Abuse. Each organization had tables set up with staff and information, and Alateen, Starlite Recovery Center and UT Health handed out free Narcan. The symposium shared three different perspectives on addiction, allowing the audience to walk away with a better understanding of the dangers of drugs and alcohol.
AMANDA CUTBIRTH is the president of the Nueces County Medical Society Alliance. For more information, contact her at 361-834-6726 or amandacutbirth@aol.com.
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AUTHOR NAME/STOCK.ADOBE.COM
By: AMANDA CUTBIRTH
“If you have a hearing problem, we have a hearing solution.”
7602 S Staples Ste. 103 • Corpus Christi, TX 78413
(361) 288-3000 www.HoffmanHearing.com Services offered: • • • • • •
Full service audiology practice Over 17 years experience Latest in Bluetooth hearing technology 30 day trial Tinnitus Therapy Most insurances accepted
Carla S. Hoffman, BC-HIS
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COVER STORY
Caring Home FOR
Cardiologist, DR. GREGG SILVERMAN, gives back to South Texas By: Steven Alford Photos by: TWINS Media
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GROWING UP IN CORPUS CHRISTI,
DR. GREGG SILVERMAN
KNEW THERE WAS SOMETHING UNIQUE ABOUT THE PLACE HE CALLED HOME.
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DR. SILVERMAN IS ALWAYS BRINGING NEW IDEAS AND PUSHING US TO DELIVER THE HIGHESTQUALITY CARE ON A NATIONAL LEVEL.”
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He left to study medicine and see the world, but always knew he would return to help the people of the Coastal Bend. “There’s something special about the attitude and the lifestyle of the people of South Texas,” Silverman says. “You either get it, or you don’t – and I love it.” A longtime cardiologist and community supporter, he has touched countless lives through the years as a physician, board member, philanthropist and more. For Silverman, it’s all part of a journey and philosophy he has stuck by and continues to pass down to his own children. “I tell my kids to find something to do for a living that they enjoy every day, because then, it’s not really work,” Silverman says. And when you find that calling, He tells his children that when they find that calling, they need to share it. “It’s very important that you use whatever gifts or skills you have to try and give back to people,” Silverman said. “That’s the most rewarding thing to do.” It was that spirit of service that first ignited his spark to follow a career in medicine. Originally focusing on engineering during undergraduate studies at Tulane University in New Orleans, Silverman became deeply interested in the physiology of how the human body works. That curiosity sent him down a path that he’s followed ever since. He returned to his native Texas to attend medical school in Lubbock, and attended post-graduate studies and a medical residency in Dallas and Houston. The ability to have a direct and positive impact on someone’s life is what drew Silverman to a career in medicine, he says. “I enjoy the personal, one-on-one relationship you have with patients. You learn that every person is interesting in their own way and has their own story.” It’s an excitement that carried him to cardiology, where he now practices with Coastal Cardiology Associates in Corpus Christi at both CHRISTUS Spohn Hospital-Shoreline and Doctor’s Regional Medical Center. He currently serves as chair of the cardiology section at CHRISTUS Spohn,
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and has also served as a board member of the Nueces County Medical Society. “Dr. Silverman is always bringing new ideas and pushing us to deliver the highest-quality care on a national level,” says Dr. Osbert Blow, president and chief medical officer for CHRISTUS Spohn Health System. “He’s passionate about heart disease, his community, his family and friends.” Silverman is board certified in internal medicine and cardiology, with a keen interest in congestive heart failure, cardiac transplants, preventative cardiology and cardiac diseases in women. He says he still gets excited when the alarm goes off at 2 a.m. to go into work for a heart procedure. Silverman’s one of eight talented physicians at Coastal Cardiology, which prides itself on being an old-fashioned model for delivering medicine. Coastal Cardiology physicians follow their patients throughout their medical journey and hospitalization rather than handing them off to a new doctor at the hospital. The group prides itself on staying on the cutting edge of new cardiac procedures and drug therapies, while providing both inpatient and outpatient services, including state-of-theart diagnostic and intervention therapies. As passionate as Silverman is about medicine, he says family life and outdoor activities are just as important. He enjoys fly-fishing and bird hunting, gardening and the outdoor lifestyle that South Texas has to offer. He and wife, Nicole, who is a real estate agent in the Coastal Bend, share four children between them; three are in college in Texas and Georgia, while their youngest son attends King High School, where Silverman also attended. “She is a big supporter of everything I do,” Silverman says of his wife, Nicole. “She believes, as I do, that family is very important.” When he’s not caring for his patients or spending time with his family outdoors, Silverman finds time to give back in a variety of ways, having served as president of numerous civic boards. This year, the American Heart Association is honoring Silverman and his wife, Nicole, as this year’s medical honorees at the annual Heart Ball in February, recognizing their many years of dedicated service. We are proud to honor Dr. Silverman and his wife, Nicole, at our Heart Ball,” said Erin Wilder, executive director of the American Heart Association - Corpus Christi.
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I ENJOY THE PERSONAL, ONE-ONONE RELATIONSHIP YOU HAVE WITH PATIENTS.” “Dr. Silverman has been a longtime volunteer and supporter of AHA. This is an opportunity to recognize him for his dedication to cardiovascular care in our community. Silverman served as a past president of the AHA Board of Directors, and as a co-chair for the Go Red event. Silverman says he became involved with the organization because of his interest in women’s heart disease and how women handle cardiac events. “I couldn’t be more humbled that they asked me to do this,” Silverman says. “It is an honor to be associated with an organization which has such a profound impact on everyday lives and medical research.” In the past several years, he also has become the face of medicine in the Coastal Bend on the weekly segment, “The Doctor Is In,” on Channel 3 News. Silverman says it’s a great way to share the latest health advice with viewers. In his spare time, Silverman also serves as a ringside physician for the local chapter of USA Boxing, a sport he is passionate about. Looking ahead to the future, Silverman says he is looking forward to spending time with his family and keeping up with his kids. He plans to keep finding new avenues and new partnerships to continue making an impact on the community he is proud to call home. “There are some really passionate people in Corpus Christi who are motivated to help the community in a lot of different ways,” Silverman says. “Those are the people I’m most interested in.”
Dr. Gregg Silverman is a board-certified cardiologist at Coastal Cardiology PLLC. For more information, visit www.ccardiology.com.
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PROFILE
REDUCING PAIN, INCREASING FUNCTION The Institute of Precision Pain Medicine empowers patients to improve their quality of life. By: JESSICA DUSEK Photos by: TWINS MEDIA
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ife happens – and with it, we can encounter many different types of pain. Emotional. Physical. Spiritual. Yet, seeking integrative care and a proper support team is critical to achieving effective pain management and improved quality of life. At the Institute of Precision Pain Medicine, physicians look beyond symptoms and create a comprehensive care plan for each patient. “A doctor needs to teach. That is our first step: educating,” explains Dr. Eric Liu, founder of the Institute of Precision Pain Medicine, of their approach to pain management. Joined by Dr. Mitch Engle in 2017, their team continues to advance their approach and expertise. With his time at M.D Anderson, Engle contributes a background in anesthesiology and research. Holistic in nature, the co-founding doctors studied together at the University of Alabama in Birmingham, while interning and completing their residency. With a second clinic location in Calallen, they now serve expanding populations throughout the area.
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The opioid crisis is alive – and not well. Although pain medications are intended to help patients with surgery and recovery, overuse and dependency continue to add to the epidemic of medication abuse. After practicing for several years, Engle recognized that “one of the main problems with utilizing pain medications is that they rarely lead to functional improvements for patients.” This is compounded by the fact that, with long-term use, “pain medications change the experience of pain over time. This occurs by increasing the baseline level of pain, acting the opposite of what is expected.” Lifestyle changes and medication modification are key to redirecting and benefiting the patient. “All good pain programs should start with range of motion: stretching, physical activity, improved diet and reducing smoking,” Engle explains. “These are the fundamentals everyone has to have.” The Institute of Precision Pain Medicine takes this approach to decrease medication dependency and empower the patient. “We don’t just focus on injectional therapies, but rather, we focus on how we can improve their quality of life,” Liu notes passionately. “The majority of pain doctors review MRIs and only offer injectional therapies. This just provides short-term fixes. We focus on the long-term improvement of the patient.” “We’ve got to change the way we think – give them alternatives,” reinforces Engle of the approach of their practice. He encourages daily doses of physical activity. “If you look at high-functioning CEOs, they all have some dedicated time to do physical activity. Although these individuals do not have extra time for such activities, they make the time because it gives them cognitive and physical advantages.” To that point, the practice encourages patients to decrease pain by implementing lifestyle changes such as: • Exercise: Yoga, swimming, hiking, cycling, running, lifting weights or even walking will improve endorphins naturally. • Healthy diet: Decrease foods that affect blood sugar and mood, change eating habits and portion control or add more “greens” to improve minerals and nutrition. • Incorporating alternative health care: Chiropractic, massage therapy and acupuncture improve the mind-body connection and overall health. “How can we use non-pill techniques to help you achieve this?” reflects Engle when working with patients. “When you take more [addictive medications], you get more tolerant to them,” he continues. “One major issue of opioid addiction is accidental overdose. The reality is, 70,000 people died last year from over doses. A significant portion of those came from pills.”
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WE FOCUS ON THE LONG-TERM IMPROVEMENT OF THE PATIENT.” To learn more, please visit www.ippmcc.com.
PHOTOS BY INSPIRE COASTAL BEND MAGAZINE
ADDRESSING AND AIDING THE OPIOID CRISIS
BECOMING PAIN MANAGEMENT SPECIALISTS
A Taiwan native, Liu began thinking about pain from an early age, watching family members struggle with illness in a country that, at the time, didn’t have pain management specialists. “In Taiwan, there is no such thing as pain management,” he recalls. “That’s what got me started thinking about medicine.” After graduating from the University of North Carolina – Chapel Hill in 2001, Liu went on to complete medical school at Wake Forrest, in North Carolina. Attending the University of Birmingham, he and Engle crossed paths. “We met each other the first day of our internships,” Liu recalls. After completing their respective programs, they parted ways, yet Liu recalls saying, “Our paths will cross again.” Engle continued on at M.D. Anderson and became an assistant professor. After one year, he became fellowship director, a tremendous accomplishment and honor early into his career. Engle knew he would be a doctor early on. Yet in college, a trip to Africa on a three-month medical mission assignment impacted him profoundly. Helping people with debilitating pain, he knew it was the right path. “When it came time to choose what specialty to go into, it was an easy choice for me,” Engle says. “It’s technically difficult. It is never a simple problem when someone has severe chronic pain.” He later completed his M.D. and Ph.D. in pain research at the University of Iowa College of Medicine. “He is one of the most intelligent people I’ve ever met,” says Liu of Engle with an appreciation and admiration for his colleague. Together, they carry their passion into their line of work. Recently completing construction of a new clinic on the south side, the Institute of Precision Pain Medicine has much to look forward to in the coming years. As the practice offers more geographic locations and state-of-the-art equipment, Coastal Bend residents have more access to advanced technologies and specialty pain care. Accepting an extensive variety of health insurances, their goal is to help all patients in need by reducing pain and increasing function.
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PROFILE
GET BACK TO LIFE
Corpus Christi Rehabilitation Hospital elevates the level of care for Coastal Bend patients living with brain injuries.
PHOTOS BY INSPIRE COASTAL BEND MAGAZINE
By: Steven Alford
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CORPUS CHRISTI REHABILITATION HOSPITAL (CCRH) is proud to share it has received the Gold Seal of Approval in Brain Injury. Brain Injuries are more common than you think. They can result from trauma such as falls or car accidents, but also can be caused by infections such as encephalitis, meningitis, abscess or sepsis. Loss of motor skills, memory and the ability to perform daily activities are common hurdles to living with a brain injury and returning to a normal routine. It takes the right kind of team and commitment to help brain injury patients regain their independence and get back to the life they knew before. The Brain Injury Rehabilitation Program at CCRH is elevating care for those in the Coastal Bend living with a range of brain injuries. Staff at the inpatient rehabilitation hospital, which has served the South Texas community for nearly a decade, celebrated as The Joint Commission recently awarded CCRH a Disease Specific Certification in Brain Injury following a successful survey at the facility – a first for the region. With the new certification, the elite health care accrediting agency recognizes CCRH’s ability to rehabilitate patients with a range of brain conditions and injuries, offering nationally recognized care for South Texas patients and families. “We are very proud and excited to have this seal of approval from The Joint Commission for our program,” says Leticia Morales, director of therapy operations at CCRH. “Our goal is to help as many brain injury patients as we can, and get them home and back to their daily life.” The rehabilitation program is based on the recognized brain injury program from Ernest Health, the parent company of CCRH. Goals include creating an environment of recovery for brain injury patients throughout the rehabilitation process, and addressing and treating existing impairments, as well as preventing future complications. The program’s care plan works with patients and their families to provide education about risk factors, lifestyle changes, safety and more. Most traumatic injuries Corpus Christi staff see are falls from elderly patients who strike their head in the process. This can lead to not only physical impairments, but also cognitive impairments, which can affect a patient’s thinking and motor skill functions. That’s where the experienced team at CCRH bring their years of knowledge and training to guide patients and help them regain the life they knew before their injury. “We just want to get people back to their normal as fast as possible – get them back to their everyday life so they can live safely,” Morales says. Brain rehabilitation includes regaining occupational motor skills such as brushing teeth, tying shoes and getting out of bed. But treatment also includes a focus on speech therapy, which Morales says is essentially exercise for your brain – like a day in the gym, only for your mind. “We focus on ways to communicate effectively, problem solve, manage daily life – functional tasks that ability to process cognitively,” Morales says. “Those daily tasks that most of us take for granted.” The CCRH Brain Injury Rehabilitation Program provides a continuum of care for patients, which is possible thanks to a large team of dedicated and experienced health care professionals. The brain rehabilitation team includes board-certified physical medicine and rehabilitation physicians; attending and specialty physicians, psychologists, nursing, physical, occupational and speech therapy; respiratory therapy; dieticians and pharmacists; family support; counseling; and more. CCRH says the ultimate goal of the Brain Injury Rehabilitation Program is to enable each patient the ability to attain his or her highest level of mobility and independence, self-care, communication,
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WE WANT TO GET PEOPLE BACK TO THEIR NORMAL AS FAST AS POSSIBLE.””
cognition and psychological adjustment following a brain injury or illness. The process can be remarkable, as patients re-learn how to live their daily lives and take control of their everyday routine. Morales says it makes everything worthwhile when the rehabilitation team gets to see a real impact on patients through their commitment to high-quality care. “We try our best with every patient, and we treat them like family, and seeing the outcomes and the gains they make is amazing,” Morales says. “It’s something that makes the team at CCRH proud of the real
impact their hard work has on real people. To see someone go from not being able to effectively communicate to being independent again – it’s just wonderful to be a part of.” The CCRH Brain Injury Rehabilitation Program treats patients through physician referrals, though some patients also arrive through home health care. The center is located at 5726 Esplanade Drive. If you, your patients or loved ones need a comprehensive approach to regaining functional mobility and independence, contact the CCRH referral line at 361-906-3700.
For more information about Corpus Christi Rehabilitation Hospital, please visit www.ccrh.ernesthealth.com.
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PROFILE
ON THE CUTTING EDGE CHRISTUS Spohn debuts less-invasive aneurysm treatment in the Coastal Bend. By: Kevin Dolliole
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COILING IS LESS STRESSFUL ON THE BODY FOR PATIENTS WITH ANEURYSMS.
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PHOTOS COURTESY OF CHRISTUS SPOHN
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edical advances in the treatment of brain aneurysms and patient convenience recently converged, when a first-of-its-kind procedure for the Coastal Bend took place at CHRISTUS Spohn Hospital – Shoreline. Paul Schmitt, M.D., M.S., a vascular and endovascular neurosurgeon at CHRISTUS Spohn, performed the area’s first endovascular coiling for a brain aneurysm. The procedure is a less invasive alternative to microsurgical clipping. Where the clipping technique involves an incision in the scalp, drilling out a window in the skull and the use of a titanium clip to block blood supply to the aneurysm, endovascular coiling uses a catheter that is inserted into the patient’s groin or wrist to reach the aneurysm in the brain. Once the catheter has reached the artery containing the aneurysm, small, soft-platinum coils are released, causing the aneurysm to clot. “Coiling is less stressful on the body for patients with aneurysms,” Schmitt explains. Schmitt does note that coiling is a treatment approach that is taken on a case-by-case basis, as the size, morphology and location of an aneurysm may make microsurgical clipping more ideal. But, given a case in which either method is a viable treatment option, Schmitt says, “In general, I think most dual-trained neurosurgeons, when presented with the options of coiling or clipping, will chose endovascular coiling. We really need to have a reason not to coil.” Once the procedure is performed, the coil remains in place permanently. Schmitt says he will then follow-up with the patient once a year. As for the first patient to undergo endovascular coiling of a ruptured aneurysm in the Coastal Bend, Schmitt says he will return for an angiogram in six months before moving to non-invasive imaging in the years to follow. The immediate prognosis has been positive. “He looks great,” Schmitt says. “He’s out of the hospital now, but before he left, he
was up and walking around and very optimistic about the outcome and happy with the care he received.” With the first endovascular coiling procedure completed and the promising results that have followed, Schmitt sees long-term benefits for a community where, sadly, brain aneurysms are fairly common. Previously, patients would have needed to undergo treatment and subsequent follow-ups in places such as San Antonio and Houston. Schmitt explains that having this treatment option available in the Coastal Bend region makes it easier for patients to receive
immediate help in case of complications. He also points out the convenience factor of having this treatment option available in patients’ backyards. “A lot of people simply can’t afford to take the time out of their lives to travel several hours for treatment in other cities,” Schmitt explains. “This is a common health concern for the Coastal Bend community, so there was a need here for this type of procedure that we are eager to meet.” For additional information, visit www.christusspohn.org.
About CHRISTUS Spohn CHRISTUS Spohn Health System is the region’s largest hospital system in South Texas, consisting of six hospital campuses throughout the Coastal Bend, a cancer center and the new Dr. Hector P. Garcia Memorial Family Health Center. The health system is consistently ranked a health care leader in the area, and it has received national recognition for several pioneering programs, including trauma, cardiac care, clinical excellence and oncology. For more than 100 years, CHRISTUS Spohn has been distinguished by its high-caliber staff and affiliated physicians, its comprehensive and innovative services and its long history of responding to the needs of the community it serves.
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HEALTH & WELLNESS
CARING FOR THE CAREGIVER How to avoid burnout By: LIZA RODRIGUEZ
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Caregiver burnout signs may include: • You no longer find pleasure in things you once found enjoyable, or you have no motivation to participate in previously enjoyed activities • Friends and family have expressed concerns about your well-being • You’re getting negative feedback at work • You’re having problems with your spouse • You experience intense and recurrent feelings of anger, sadness, worry or fear • You have difficulty concentrating or trouble sleeping, you notice drastic weight changes (significant gain or loss) or you have unexplained health problems • You find yourself using a substance to cope with, manage or suppress uncomfortable or painful feelings If you notice these signs in your own life, it’s time to take action. Having a supportive community also helps. Making a connection, such as with friends, family or support groups, where you can freely share your thoughts and feelings, can be exceptionally important. While there is not necessarily a right or wrong way to get the help you need, it is important to acknowledge when you do need help.
AS MANY AS 70 PERCENT OF FAMILY CAREGIVERS SHOW SIGNS OF DEPRESSION.
ROBERT KNESCHKE/STOCK.ADOBE.COM
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aregiver burnout is mental, emotional and physical exhaustion that may develop through the responsibilities of supporting and caring for another individual. Caregivers often focus so intently on the needs of the individual receiving care that they neglect their own health and wellness. As this lack of self-care persists, along with the ongoing obligations of providing care for a loved one, caregivers’ exhaustion often intensifies, impacting different aspects of their lives, as well as their effectiveness and compassion as caregivers. Burnout should not be confused with feeling fatigued. Unfortunately, while being tired can often be resolved by taking a break, getting a little more sleep or actively trying to relax, burnout is less easily relieved. Individuals who experience caregiver burnout tend to face an all-encompassing fatigue that impacts multiple areas of their lives. Anyone who is providing care for another person, whether it’s hands-on care, occasional or from a distance, can experience caregiver burnout. It happens when you feel that the experience of caregiving is overwhelming, and that you do not have the physical, mental, emotional and financial support you need in order to successfully care for the person and yourself adequately at the same time. Caregivers are among the three most stressed groups in the country, according to the 2012 Stress in America Report by the American Psychological Association. Some researchers call the unique stress experienced by family caregivers a form of post-traumatic stress disorder. As many as 70 percent of family caregivers show signs of depression, a far higher rate than for peers who aren’t in a caregiver role. According to a 2015 report by the AARP, caregivers who are caring for a close relative like a spouse or parent are at much greater risk of declining health as a result of caregiving, and people caring for relatives are at greater risk than those caring for non-relatives.
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Here are some other strategies to help you cope with caregiver burnout: • EMBRACE GRATITUDE: Make a daily gratitude list by writing down 10 things you’re grateful for. This could include anything from your family or legs to walk on to a TV show you find entertaining. Focusing on what is good in your life, as opposed to what is going wrong with your loved one’s health, helps relieve stress. • READ AFFIRMATIONS EVERY MORNING: Starting your day with a positivity kick gets you going on the right foot. • START THE DAY WITH YOU: Having a morning routine with time to yourself (going to the gym, having your daily coffee while reading the newspaper or stretching for 10 minutes) is crucial to fending off mental stress and fatigue. • PRACTICE ACCEPTANCE: Make a list of what you can control in the situation (getting enough sleep, eating well) and what you can’t control (your loved one’s health). Focus on what you can control to make changes where needed, and try to accept the things that are out of your control. Self-care needs to be a top priority when caring for another person; if it isn’t, neither the caregiver nor the one receiving care will thrive.
LIZA RODRIGUEZ is the hospice care manager at AAdi Home Health & Hospice. You may contact her at lrodriguez@aadihh.com. For more information about AAdi’s services, call 361-452-3384.
It's all we do! 7245 McArdle Road, Corpus Christi, TX 78412 (361) 288-4695 I N S P I R E C O A S TA L B E N D M A G . C O M
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HEALTH & WELLNESS
IT’S NEVER TOO LATE How many more good years do you need? By: LISA G. WRIGHT
UNLIKE THE NUMBER OF YEARS WE HAVE LEFT, THE QUALITY OF THOSE YEARS IS SOMETHING WE HAVE SOME CONTROL OVER.
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s the years march on, many of us may find ourselves wondering how many years we might have left. We may try to avoid these thoughts, but who hasn’t – at some point – speculated about “what percent” of their life they’ve lived? The truth is, there are no guarantees, and we never really know how many years are still ahead. But instead of focusing on how much time we hope to have left, what if we put our energy into what kind of time we’d like to have with what’s left? Unlike the number of years, the quality of those years is something we have some control over. And the best part? It’s never too late to get started. We’re never too old or too young to start an exercise program! Age is more than a number Consider Cathy and Diane, looking at life from ages 53 and 78. Each of these women resolved to take action when they started noticing changes they didn’t like.
Cathy was shocked when, shortly after her 53rd birthday, she attended her 35th high school reunion. The transformation of some of her classmates was hard to believe. She’d been watching their steady decline every five years, but this time, it was dramatic – many looked old beyond their years. Cathy didn’t like what she saw. The majority of her peers seemed to be on a downhill slide, and maybe she was starting to slide, as well. At that moment, Cathy knew she had a choice to make. She could continue as she was and accept the inevitable – or she could decide to do whatever was necessary to slow her decline. The first thing she did when she got home was make a list of all the things she still wanted to do and see. Next, she got the name of a certified functional fitness specialized trainer in her area and set up an appointment. Her trainer created a training plan that targeted her specific needs from a holistic approach. Six months later, she was able to cross the first place off her list when she returned from hiking the Big Bend area of West Texas. For this ascent, she was only breathless from the view – not the steep climb!
Diane takes the trip Diane didn’t have her “aha” moment until she was 78. On the fourhour drive home from visiting her family, Diane noted how quickly the teenage grandkids were growing up. She knew she was lucky compared to many of her friends. She could still drive distances to see family, and at her annual checkups, the doctor commented on how great her “numbers” were for “someone her age.” Many of her friend’s lives consisted of juggling doctor appointments, therapy sessions and keeping track of their many meds. Diane knew that her luck was just that – luck – and despite some pretty good genes, that luck wouldn’t last forever. During this most recent visit, Diane noticed it wasn’t as easy for her to get around as she used to. She found it uncomfortable navigating grassy situations, bleachers and the stairs in her family’s three-story house. She avoided unnecessary trips. With a granddaughter traveling abroad, her family invited her to go to England in a couple of years. She would be nearly 80, and having the ability to make this trip “at her age” got her attention. It was this desire that got her remembering the advertisements she’d seen about functional fitness and the different emphasis of our
Find a certified FAS near you at https://functionalaginginstitute.com/find-a-registered-professional/. For more information, you may also contact Lisa Wright, FAS, at Your Personal Best Training Studio. Call 361-857-5087, or visit www.ypbtrainingstudio.com. Her full “How do We Ensure Functional Longevity” presentation is now available to watch online at https://youtu.be/Alnz1SaXv5M.
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PHOTOS COURTESY OF LISA WRIGHT
Cathy and her high school reunion
type of training that started to make a lot more sense (her “aha” moment). Functional fitness isn’t completely focused on just looking good, like every other trainer in our market thinks. Diane called the next day to set an appointment. Diane just returned from England and already has another trip planned. Her trainer has promised to give her workouts to do while away, so she doesn’t lose any of her hard-earned progress. She’s got too many things to do and see to slow down now!
CAROLINA PRADERIO M.D., P.L.L.C. Gynecology & Women’s Health
Planning for your future In the chart below from the Functional Aging Institute, the top line reflects the capabilities of someone consciously investing in their health and fitness. The bottom line is the trajectory of someone who becomes increasingly sedentary as they age (often believing this is just what old age looks like). Do you know where you are on this chart? This depiction is based not so much on numerical age as it is on the lifestyle choices we made in the past and are still making now. The “right” personal trainer and program will help keep our abilities on the top line of this chart so that we can continue to do the things we love and want to do into our 80s, 90s and beyond!
Like Cathy and Diane, it’s not too late to turn things around. The first step is to make the call and join us for our 21-day offer to give us a try. At Your Personal Best Training Studio, we will work with you to begin the journey to a lifetime of health and fitness.
Providing Personal and Comprehensive Care Woman to Woman • Board Certified OB/GYN • Specializing in Menopause • Bio-identical Hormone Pellet Therapy (BHRT) • Performing minimally invasive gynecological surgeries & procedures • Medically Supervised Weight Loss
MEET LISA Lisa Grace Wright, CFT, FAS, is the CEO of L.G.W. Fitness Inc., a published author, a functional aging specialist and a business coach for the Functional Aging Institute. Through strategic planning and marketing consulting, she helps fitness business owners, from small studios to big-box gyms, create a compelling and effective business plan to inspire an aging population to take action toward their health. Over the last 20 years, Wright has built her brand, Your Personal Best, in Corpus Christi, Texas. She has expanded her influence across the country, equipping others like herself who want to change lives and promote aging actively.
Corpus Christi Spohn South 5920 Saratoga Blvd., Suite 110
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www.DrPraderio.com Accepting New Patients I N S P I R E C O A S TA L B E N D M A G . C O M
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BREAK FOR BENEFITS
Combining morning exercise with short walking breaks helps control blood pressure in older overweight adults. By: ERIN WILDER
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hirty minutes of morning exercise lowers blood pressure for the rest of the day among older men and women who are overweight or obese. And women who take brief, frequent breaks from sitting throughout the day can enhance the blood pressure benefits of morning exercise even more, according to new research published in the American Heart Association’s journal, Hypertension. In a study of men and women, age 55 to 80, all of whom were overweight or obese, researchers wanted to find out whether the beneficial effect of morning exercise on blood pressure was negated by long periods of sitting throughout the rest of the day. They also wanted to learn whether the benefit of morning exercise would be enhanced by taking frequent, short breaks from sitting. “Traditionally, the health effects of exercise and sedentary behavior have been studied separately. We conducted this study because we wanted to know whether there is a combined effect of these behaviors on blood pressure,” said Michael Wheeler, B.Sc., lead author of the study who is a Ph.D. candidate at the University of Western Australia in Perth and works at the Baker Heart and Diabetes Institute in Melbourne, Australia. To conduct the study, the researchers had 67 participants (35 of whom were women) take part in three different scenarios, in a random order, separated by at least six days: • Uninterrupted sitting for eight hours • One hour of sitting prior to 30 minutes of exercise, followed by six-and-a-half hours of prolonged sitting (exercise consisted of walking on a treadmill at moderate intensity) • One hour of sitting prior to 30 minutes of exercise, followed by sitting interrupted every 30 minutes with three minutes of light-intensity walking for six-and-a-half hours. The study was conducted in a controlled laboratory environment, and the participants ate the same standardized meals the night before and during the study. Blood pressure and adrenaline levels were measured repeatedly during each eight-hour condition. The researchers found that average blood pressure, especially systolic blood pressure, was reduced among both men and women who took part in morning exercise, compared to when they did not exercise. There was further benefit – a significant reduction in average systolic blood pressure – for women when they combined morning exercise with frequent breaks from sitting throughout the day. For men, there was no additional blood pressure benefit to taking frequent breaks from sitting. Systolic blood pressure is the first of two numbers when blood pressure is taken. It measures pressure in blood vessels when your heart beats. Diastolic blood pressure is the second number, which measures pressure between beats. Wheeler says that over age 50, higher systolic blood pressure is more predictive of cardiovascular events than diastolic
blood pressure. The American Heart Association and American College of Cardiology hypertension guidelines define high blood pressure as 130/80 and above. “For both men and women, the magnitude of reduction in average systolic blood pressure following exercise and breaks in sitting approached what might be expected from antihypertensive medication in this population to reduce the risk of death from heart disease and stroke,” Wheeler said. “However, this reduction was greater for women.” The researchers do not know why there was a gender difference, but they think it may be a combination of factors, including varying adrenaline responses to exercise and the fact that all women in the study were post-menopausal – a time when women are at increased risk for cardiovascular disease. Breaks in sitting have been shown in other studies to have a greater beneficial effect on blood pressure among groups with higher risk of cardiovascular disease, according to Wheeler. The researchers conclude that the benefits of exercise on lowering blood pressure can be enhanced by avoiding prolonged periods of sitting and add that future studies should specifically test for gender differences in blood pressure with breaks in sitting alone. “Having the study participants begin with exercise was intentional,” according to Wheeler, “because we wanted to focus on the novel aspect of combining exercise with breaks in sitting. However, it means that we cannot say for sure that breaks in sitting alone had no blood pressure lowering effect in men, as any effect could have been masked by the preceding effect of exercise.” Future studies would be needed to see if the same benefits would apply to younger people and those who are not overweight. But, according to Wheeler, “as the proportion of those who are overweight with higher blood pressure increases with age, adopting a strategy of combining exercise with breaks in sitting may be important to control and prevent the development of high blood pressure.”
ERIN WILDER is the executive director of the Corpus Christi American Heart and Stroke Association. To learn more, visit the American Heart Association online at www.heart.org.
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HEALTH & WELLNESS
AAdi Home Health & Hospice Services AAdi Home Health and Hospice is a full service home health and hospice agency. We provide quality nursing services and outstanding support services. The staff at AAdi has the experience, dedication and compassion needed to provide care in a home environment without sacrificing quality or safety.
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HEALTH & WELLNESS
MORE THAN ‘WINTER BLUES’ Know the signs and symptoms of seasonal affective disorder.
much sleep, and weight gain associated with overeating and carbohydrate cravings. SAD symptoms can vary from mild to severe, and can include many symptoms similar to major depression, such as: • Feeling of sadness or depressed mood • Marked loss of interest or pleasure in activities once enjoyed • Changes in appetite; usually eating more, craving carbohydrates • Change in sleep; usually sleeping too much • Loss of energy or increased fatigue despite increased sleep hours • Increase in restless activity (e.g., hand-wringing or pacing) or slowed movements and speech • Feeling worthless or guilty • Trouble concentrating or making decisions • Thoughts of death or suicide, or attempts at suicide SAD may begin at any age, but it typically starts when a person is between ages 18 and 30. SAD can be effectively treated in a number of ways, including light therapy, antidepressant medications, talk therapy or some combination of these. While symptoms will generally improve on their own with the change of season, symptoms can improve more quickly with treatment. Light therapy involves sitting in front of a light therapy box
that emits very bright light (and filters out harmful ultraviolet, or UV, rays). It usually requires 20 minutes or more a day, typically first thing in the morning, during the winter. Most people see some improvements from light therapy within one or two weeks of beginning treatment. To maintain the benefits and prevent relapse, treatment is usually continued through the winter. Because of the anticipated return of symptoms in late fall, some people may begin light therapy in early fall to prevent symptoms. Talk therapy, particularly cognitive behavior therapy, can effectively treat SAD. Selective serotonin reuptake inhibitors (SSRIs) are the type of antidepressant most commonly used to treat SAD. For some people, increased exposure to sunlight can help improve symptoms of SAD – for example, spending time outside or arranging your home or office so that you are exposed to a window during the day. (However,
For more information, visit www.stmha.com.
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exposure to UV light from the sun can increase your risk of skin cancer. Talk with your doctor about risks and benefits.) Taking care of your general health and wellness can also help – getting regular exercise and enough sleep, eating healthy and staying active and connected (such as volunteering, participating in group activities and getting together with friends and family) can help. If you feel you have symptoms of SAD, seek the help of a trained medical professional. Just as with other forms of depression, it is important to make sure there is no other medical condition causing symptoms. SAD can be misdiagnosed as hypothyroidism, hypoglycemia, infectious mononucleosis and other viral infections, so proper evaluation is key. A mental health professional can diagnose the condition and discuss therapy options. With the right treatment, SAD can be a manageable condition.
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easonal affective disorder is a form of depression also known as SAD, seasonal depression or winter depression. People with SAD experience mood changes and symptoms similar to depression. The symptoms usually occur during the fall and winter months, when there is less sunlight, and usually improve with the arrival of spring. The most difficult months for people with SAD in the United States tend to be January and February. While it is much less common, some people experience SAD in the summer. SAD is more than just “winter blues.” The symptoms can be distressing and overwhelming, and can interfere with daily functioning. However, it can be treated. About 5 percent of adults in the United States experience SAD, and it typically lasts about 40 percent of the year. It is more common among women than men. SAD has been linked to a biochemical imbalance in the brain prompted by shorter daylight hours and less sunlight in winter. As seasons change, people experience a shift in their biological internal clock or circadian rhythm that can cause them to be out of step with their daily schedule. SAD is more common in people living far from the equator, where there are fewer daylight hours in the winter. Common symptoms of SAD include fatigue, even with too
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