Medical Directory 2017

Medical Directory

2017

Gazette New Albany

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Union County Medical Directory 2017

Union County Medical Directory 2017

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Union County Medical Directory 2017

FROM THE PUBLISHER

W

elcome to the 2017 Medical Directory filled with information about medical issues and a guide to the vast medical community in New Albany and Union County.

Inside you will find a collection of informative articles on how to stay healthy, have a better quality of life and signs to recognize a potential problem.

We have included a quick reference with a Medical Directory listing the physicians and clinics by specialty from Baptist Memorial Union County group. We also have an additional directory of your Assisted Living Homes, Nursing Homes Chiropractic, Dentists, Eye Clinics, Pharmacies,

Emergency Numbers, and NonEmergency Numbers and more.

We publish the Medical Directory each year Lisa Bryant to keep the most upto-date information available to you.

We hope you will keep this informative directory for reference throughout the year.

For additional copies, stop by our office.

New Albany Gazette BUILDING COMMUNITY AND QUALITY OF LIFE IN UNION COUNTY

General Manager LISA BRYANT Editor J. LYNN WEST Managing Editor DAVID JOHNSON Contributing Writers and Photographers BENJAMIN BERNSTEIN, M.D. MATTHEW RHINEWALT, M.D. ROBERT BARNETT, M.D. JUDY BOOKMAN Advertising DENNIS CLAYTON Graphic Artist SONNY HARRISON Office Manager TAMMY HILL Published by

130 West Bankhead Street New Albany, Mississippi 38652 662-534-6321 newalbanygazette.com A Journal Publishing Company product

Index Of Advertisers Internal Medicine & Pediatric Clinic Baptist Memorial Hospital Union County Advanced OB/GYN MegMed Health Mission Rehab Mitias Orthopaedics & Sports Medicine Oxford Urology Associates Northeast Mississippi Community College Creekmore Clinic John Stroud Agency Rowan Family Dentistry New Albany Surgical Association - BMG

2 3 5 7 7 9 10 10 11 11 13 14

New Albany Medical Clinic - NMMC New Albany OB/GYN Clinic, P.C. Mercier Dental New Albany Medical Group The Women’s Clinic of New Albany, P.C. Perkins Dental New Albany Vision Clinic Medlin Chiropractic Walton Family Care Clinic First Choice Center Homecare Hospice Friendship Medical Clinic Baptist Cancer Center

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Union County Medical Directory 2017

Runners do better on variety of surfaces Running on a variety of surfaces instead of sticking to just one surface may help runners reduce their risk of injury.

Officials with the USA Track and Field’s Sports Medicine and Science Committee recommend that runners vary their runs so they run on pavement, trails and

tracks. While it helps to run on various surfaces, researchers do not believe one particular surface is better than another.

In fact, while running on asphalt has long been assumed to increase injury risk because of the presumption that harder surfaces produce greater impact forces on

the body, a 2008 study from researchers at the Hannover Medical School Department of Plastic, Hand and Reconstructive Surgery in Germany found that running on asphalt surfaces decreased mid-portion tendinopathy risk while running on sand surfaces increased that risk tenfold.

Some carbs’ bad reputation undeserved Carbohydrates are seen as the enemy by many people looking to lose weight, but that reputation is ill-deserved for certain types of carbs. Carbohydrates referred to as “smart carbs” can boost energy and mood and help people, even dieters, maintain healthy weights.

Smart carbs, which can be found in fruits, vegetables, minimally processed whole grain products such as brown rice and quinoa, and whole wheat bread among other foods, contain vital nutrients and fiber. The body takes longer to absorb whole grains than it does

processed carbohydrates, stabilizing blood sugar and energy levels as a result. Because the body takes longer to absorb whole grains, feelings of satiety and fullness are extended. That reduces the likelihood of being hungry again shortly after eating.

Advanced Obstetrics and Gynecology Complete Prenatal Care • Contraception • Family Planning 4D Ultrasound • Gynecology Surgery • Caring Staff Where Patients Come First

236 Starlyn Ave • New Albany MS • 662-534-4121

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Mississippi Homes

Union County Medical Directory 2017

Make men’s health a priority Benjamin Bernstein, M.D., New Albany Urology

Special to the Gazette

There’s never been a better time to turn over a healthy new leaf by beginning an exercise regime, improving eating habits, stop smoking, and scheduling a check-up.

Men in the U.S. often come up short when it comes to their personal health. More than half (55 percent) of all men surveyed by the American Academy of Family Physicians had not seen their primary care physician for a physical exam in the past year. More than one in four said they “wait as long as possible” before seeking help from a doctor when they are in pain, ill or concerned about their health.

Good health requires a genuine partnership with a trusted medical professional.

A physician can determine the connections between certain ailments, for example, and either prescribe the correct medications to help or assist in a lifestyle change.

“A lot of men come see me for erectile dysfunction, commonly known as ED,” says Dr. Ben Bernstein, a practicing urologist. “This can also indicate cardiovascular disease. Both of these conditions are about the arteries.

It’s important for a physician to

determine whether one issue is pointing to another.”

According to Dr. Bernstein, there are a number of reasons that men should regularly visit a licensed physician, including prostate cancer screenings, type 2 diabetes, depression, effects from certain medications, diet, smoking, obesity, and cardiovascular health. The American Cancer Society and the American Urological Association recommend yearly PSA tests for all men over the age of 50, and by age 45 for African-American men.

“Regular exams by an urologist are recommended for prevention and early detection of prostate and urinary disorders,” says Dr. Bernstein. “Many routine screenings can detect health

Dr. Benjamin Bernstein

“I think it’s very important to know your medical history,” he said. “For example, if someone in the family had prostate cancer at a very early age, it can point to genetic issues. And to know about early onset cardiac disease is crucial, as well.”

Though there is no substitute for a healthy lifestyle, Dr. Bernstein is optimistic about controlling certain diseases in years to come.

“New drugs are available constantly, and we’re introducing new kinds of treatment, such as immunotherapy and genetically mapping tumors for targeting cancer,” he said. “Technology marches forward.”

“More than one in four said they ‘wait as long as possible’ before seeking help from a doctor when they are in pain, ill or concerned about their health.” issues before signs and symptoms present.”

Dr. Bernstein also advises men to take a good look at their family’s health history and find out what types of cancers, heart issues and other illnesses have plagued the generations beforehand.

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Union County Medical Directory 2017

Recognize potentially dangerous household chemicals Homes are safe havens that people retreat to in an effort to relax and unwind. However, homes may be harboring some hazards that put their inhabitants at risk.

Cleaning products and chemicals can be found in every home, but some may be putting people in jeopardy. Even seemingly safe items can prove dangerous when they are used and/or stored incorrectly.

The following are some commonly used products that may prove dangerous or irritating with prolonged use.

Air fresheners These seemingly innocuous products may be doing more harm

than good. Information published in a 2015 issue of The Journal of Toxicological Sciences linked air fresheners to volatile organic compounds, or VOCs. They also may contain ultra-fine particles of formaldehyde and phenol. In addition, National Geographic’s The Green Guide states that many air fresheners contain nerve-deadening chemicals that coat nasal passages and temporarily block one’s sense of smell. Many widely available air fresheners use phthalates, which are linked to hormonal and reproductive issues, birth defects and developmental disorders. In lieu of chemical air fresheners, spray diluted essential oils around the house.

Get in. Get out.

Get better.

Come see us for all your primary and urgent care needs. Our goal is to get you in and out in less than an hour, because we know your time is valuable.

Now offering x-ray and more lab services.

Megan Hooker, CFNP

210 Hwy 30 W New Albany, MS 662-539-7014

Mon-Thur: 7 a.m. - 4 p.m.

Friday: 7 a.m. - 1 p.m.

Saturday: 8 a.m. - 3 p.m.

Sunday: 1 p.m. - 4 p.m.

All-purpose cleaners Many cleaners list bleach and ammonia among their ingredients.

Bleach may be listed as sodium hypochlorite. When used as directed in a well-ventilated space, bleach and ammonia can be relatively safe. However, fumes from bleach or ammonia can cause rashes and skin irritation and irritate the eyes and respiratory tract. Bleach and ammonia should never be mixed because mixing the two can produce a deadly chloramine gas.

Vinegar and baking soda can be used as a replacement for many household cleaning products, and these alternatives have virtually no dangerous side effects.

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Union County Medical Directory 2017

Mississippi Homes

Heart disease in women: It’s more common than you think Matthew Rhinewalt, M. D., Internal Medicine/Pediatric Clinic Special to the Gazette

Southern women may be good at getting to the heart of the matter, but research shows they are not good at matters of the heart—heart health, that is. Females tend to underestimate the seriousness of heart disease, despite the facts that suggest otherwise. Although heart disease death rates among men have declined steadily over the last 25 years, rates among women have fallen at a slower rate.

In fact, heart disease is the No. 1 killer of women and combined with stroke, claims the life of one in every three women, according to the American Heart Association. Tennessee joins a handful of Southern states as having some of the highest rates of cardiovascular and stroke-related deaths in the United States, according to the American Hospital Association.

Diseases of the heart and blood vessels are usually a result of atherosclerosis, a gradual buildup of plaque (fat, cholesterol and other substances) inside the arteries that begins in childhood. Ruptured plaque can cause blood clots to form, creating vessel blockages.

Signs of a Heart Attack Data show women tend to wait too long before seeking help with a heart emergency. Heart attack symptoms include pain or discomfort in the center of the chest for more than 20 minutes; pain or discomfort lasting more than 20 minutes in other parts of the upper body, including the arms, back, neck, jaw or stomach; or other symptoms like shortness of breath, breaking out in a cold sweat, dizziness, weakness, nausea or feeling faint. Women’s heart attack symptoms can differ from men’s and are not always Dr. Matthew Rhinewalt as dramatic. Females may experience unusual tiredness, trouble and blood sugar. sleeping, problems breathing, Another way to slash risks indigestion and anxiety. Most is to change eating habits. A heart attacks start slowly, with heart-healthy diet includes eatmild pain or discomfort. ing more fish, vegetables, fruits, whole grains and legumes. It Controlling Risk Factors also means choosing fat caloTo decrease the risk of de- ries wisely. Limiting total fat veloping heart disease, women grams and eating a bare minishould stop smoking, eat a heart- mum of saturated fats and trans healthy diet, exercise regularly fats, which are found in butter, (such as brisk walking 30 min- margarine, salad dressing, fried utes five or more times a week), foods, snack foods, sweets and reduce stress, control high blood desserts, is best. Reducing salt pressure, keep cholesterol in and cholesterol will also help recheck and maintain a healthy duce risks. weight. At least yearly, women should ask their doctors to check For more information, please their blood pressure, cholester- visit the American Heart Assool (including total cholesterol, ciation at heart.org.

HDL, LDL and triglycerides)

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Union County Medical Directory 2017

How to improve alertness during the workday A long workday can be both mentally and physically draining.

As a result, office workers and professionals whose jobs are more physically demanding than office work may find themselves less alert at the end of the workday than at the beginning.

A loss of alertness as the workday draws to a close might be unavoidable. But professionals whose sense of alertness begins to dwindle in the thick of the workday might need to take steps to improve their alertness to protect themselves from injury and to ensure the quality of their work does not suffer.

• Avoid caffeine in the late after-

noon. Some professionals rely on caffeinated beverages such as coffee or energy drinks to combat afternoon drowsiness. While that afternoon caffeine fix might provide an immediate, if temporary, jolt of energy, it might also affect a person’s energy levels the following day. A 2013 study published in the Journal of Clinical Sleep Medicine found that caffeine consumed as early as six hours before bedtime can significantly disrupt sleep.

• Avoid high-fat foods at lunchtime. Such foods also negatively affect energy levels when consumed in the middle of the day. The University of Rochester Medical Center notes that the body digests and

absorbs high-fat foods very slowly.

That means workers who eat highfat foods for lunch won’t get the afternoon energy boost that low-fat, healthy lunches will provide.

• Snack healthy. Professionals who find themselves needing a snack in the mid- to late-afternoon can sate their hunger and give themselves an energy boost by snacking healthy. Avoid snacks like potato chips that tend to be high in fat and low in nutrition. Foods that are high in fiber and/or protein can provide a longer energy boost and quell the afternoon hunger pangs at the same time. Fresh fruit and Greek yogurt fit the bill.

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Mississippi Homes

Opioid addiction remains a major Addictions to opioids such as heroin, morphine and prescription pain relievers continues to affect people from all demographics.

According to the World Drug Report 2012 from the National Institute on Drug Abuse and United National Office on Drugs and Crime, between 26 and 36 million people abuse opioids worldwide.

Opioids can lead to physical dependence and possible addiction, which is why legal versions of opioids are carefully monitored and prescribed. Opioid addiction can cause long-term changes to the biological structures of the brain and affect brain function,

according to the Association of American Physicians.

Opioid abuse is on the rise.

A 2013 study titled “Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: A systematic analysis for the Global Burden of Disease Study 2013” and published in the Lancet found that use disorders resulted in 51,000 deaths worldwide in 2013, up from 18,000 deaths in 1990. While there’s no single underlying cause for this increase in opioid abuse, some say the greater number of prescriptions written for medications

Now in New Albany

Oxford Urology Associates New patients are welcomed with wait times less than one week.

Call our ofÀce at

662-234-1448 for an appointment.

Brent M. Hardin, MD Oxford Urology Associates would like to announce our permanent satellite location in New Albany, MS at Baptist Union County’s 5th Floor Multi-Specialty Clinic. Dr. Hardin is a board certiÀed urologist with expertise in robotic and minimally invasive urologic cancer and reconstructive surgery, in addition to general urology, kidney stones, incontinence and andrology.

such as codeine, oxycodone and similar pain relief pills, and greater social acceptability of these drugs have contributed to the spike in opioid-related deaths.

Data from IMS Health’s National Prescription Audit indicates that, in the United States, the number of prescriptions for opioids like hydrocodone and oxycodone escalated from around 76 million in 1991 to nearly 207 million in 2013.

Opioids are highly addictive because they can produce a sense of well-being and euphoria in addition to the pain-blocking benefits for which they are designed.

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Union County Medical Directory 2017

health threat to general public The National Institutes of Health says opioids act by attaching to specific proteins called opioid receptors, which are found on nerve cells in the brain, spinal cord, gastrointestinal tract, and other organs in the body. When these drugs attach to their receptors, they reduce the perception of pain; however, they can also produce drowsiness, mental confusion and nausea.

Many opioid abusers develop a tolerance over time, requiring them to use more and more of the medication to reach the same level of efficacy.

When individuals addicted to

opioids can no longer gain access to prescription pills, many turn to illegal means to satisfy their addictions and cravings. Many

simply segue to heroin, which is cheaper and, in some communities, easier to obtain than prescrip-

J Sam m Creekmore, Creekmore M.D. MD Correal Garrison, FNP-C LaShundra Hall, FNP-C Brad Scott, D.O. Hours: Mon. - Thurs. 8-5 • Friday 8-4 216 Oxford Rd. • New Albany, MS 38652 662-534-9042 • www.creekmoreclinic.com

tion opioids. Many communities have seen heroin use spike considerably in recent years. Heroin is even more dangerous because of the transmission of other diseases through the sharing of intravenous syringes.

Opioid abuse is a problem affecting communities across North America. Shedding light on the epidemic can inspire people to support legislation designed to combat opioid abuse and addiction and prevent future generations from succumbing to opioid addiction.

John Stroud S Agency

Are you paying too much for health insurance?

213 Highway 30 West New Albany, MS 38652 Phone 662-538-0634 Fax 662-534-0590 Email: john@johnstroudagency.com ALSO ASK US ABOUT Medical • Individual & Group Insurance Medicare Supplements • Part D Drugs

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Union County Medical Directory 2017

Overcome heavy menstruation and be able to live a better life Robert Barnett, M. D., OB/GYN, WomenĘźs Clinic

Special to the Gazette

Heavy or irregular bleeding can be a burden on every part of your life. Having to be constantly prepared with pads or tampons, frequently limiting your normal activities and the worry that the bleeding stems from a serious problem all are good reasons to seek the advice of an OB/GYN. Many women fail to have abnormal bleeding assessed for fear that they would need some type of major surgery.

Fortunately, that is usually far from the truth. There are many good options available to give you back control over your periods.

Normal menstruation lasts from two to eight days and usually happens about every four weeks--although the amount of flow varies greatly from woman to woman.

This bleeding comes from the breakdown of lining within the uterus that is built up in hormones produced in the ovaries. Abnormal patterns of bleeding include very heavy or long periods, very irregular periods, mid-cycle spotting, bleeding after intercourse or going longer than six months without a period after normal puberty. One reason to see an OBGYN immediately is any spotting or bleeding after menopause.

Your visit will begin with taking a history of your pattern of bleeding and questions about any other

medical conditions or medications.

You may be checked for pregnancy or ask about your desires for being pregnant. A thorough examination will be performed which may involve an ultrasound or sonogram which takes an image of your pelvic organs. Samples may be taken of cells from the cervix or uterine lining to check for infection or cancer or to assess your hormone levels. Some hormones can be evaluated by blood testing.

Perhaps the first medical decision is whether the bleeding is coming from a hormone abnormality or from a problem with the organs themselves. The most common explanation for abnormal bleeding is the inconsistent or poor egg production by the ovaries (ovulation).

The good news is that usually this can be treated medically. There are fertility medications useful for establishing regular and consistent cycles, if pregnancy is desired. If not, any of a variety of birth control pills can be prescribed to provide the missing hormone drive to the uterus and control irregular bleeding. Other medications or hormones can also be of use for these problems.

Other common reasons for bleeding problems include tumors or polyps which are growths (usually not cancerous) within the uterus. These conditions may be able to be managed with minor outpatient surgical procedures, such as a

Dr. Robert Barnett

D&C. A new and popular procedure for managing abnormal periods is called endometrial ablation.

During this outpatient procedure, a device is placed within the uterus that produces heat and destroys the lining within the uterine cavity and essentially stops menstrual periods by removing the need for menstruation. Of course, if absolutely necessary, removing the uterus (hysterectomy) remains the most permanent and complete answer to bleeding problems.

Regardless of the nature of the problem, abnormal uterine bleeding does not have to be a burden on your life. You can take back control.

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Union County Medical Directory 2017

Four foods that can boost energy levels Diet can go a long way toward increasing or lowering energy levels. No one wants to consume foods that will make it harder for them to get through the day, so the following are a handful of foods that pack an energetic punch.

1. Cashews: Cashews, which are high in magnesium, help to convert sugar into energy. Magnesium deficiency can lead to low energy levels, so nuts that are high in magnesium, including cashews, can provide that mid-afternoon jolt that some people are seeking. Cashews are high in calories, so it’s best for those looking to lose weight or maintain healthy weights to adhere to serving suggestion guidelines.

2. Skinless chicken: A study

from researcher Judith Wurtman of the Massachusetts Institute of Technology Clinical Research Center found that alertness tends to increase when the brain produces the neurotransmitter dopamine and the hormone norepinephrine. Skinless chicken contains an amino acid known as tyrosine that helps in the production of both dopamine and norepinephrine. If skinless chicken is not available, other foods that may provide this same effect include fish, lean beef and eggs. In addition, lean meats like skinless chicken contain enough vitamin B to help ease insomnia.

3. Salmon: Omega-3 fatty acids can help the body fight inflammation, which has been linked to a

host of ailments, including chronic fatigue. Salmon is also high in protein, which can eliminate the midto late-afternoon hunger pangs that can derail healthy diets and contribute to weight gain.

4. Beans: Beans are loaded with fiber, and that’s a good thing for energy levels. Like magnesium, which can also be found in beans, fiber takes awhile to digest, extending the energy-boosting properties of foods loaded with fiber. In spite of the growing movement to eat and live healthier, many adults still do not include enough fiber in their diets. Men and women can consult with their physicians to determine how to make that happen, but eating more beans is a good start.

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The hidden benefits of water...and the Dehydration is a dangerous condition that can cause a host of complications and even prove fatal in severe cases. But as dangerous as dehydration can be, many cases are entirely preventable.

The best way to prevent dehydration is to drink enough water.

When the body does not take in as much water as it puts out, it can become dehydrated. People who live in warm climates or in elevated altitudes may lose more water than those who do not. In addition, water loss is accelerated during strenuous exercise, highlighting the emphasis men and women must place on drinking enough water during their workouts.

But water does more for the

body than prevent dehydration.

The following are a handful of lesser known ways that water benefits the body. • Water can help people maintain healthy weights. Dieting fads come and go, but water is a mainstay for people who want to control their caloric intake in an effort to maintain healthy weights. Water has zero calories, so reaching for a bottle or glass of water instead of a soda, lemonade or another caloric beverage can help people keep the pounds off.

A study from researchers at the University of Texas Health Science Center found that even diet soda enhances weight gain by as

much as 41 percent. In addition, soda has been linked to conditions such as obesity, diabetes and tooth decay. No such association exists with water. • Water helps to fight fatigue.

The fatigue-fighting properties of water are another of its lesser known benefits. When the body is not adequately hydrated, it can experience muscle soreness. And fitness enthusiasts who do not drink enough water may notice their bodies require extensive recovery time after working out. Each of those consequences can be prevented by drinking enough water, and doing so can even improve performance, as studies have

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Union County Medical Directory 2017

dangers of dehydration to humans shown that just a 3 percent loss of body weight due to dehydration can cause as much as a 10 percent drop in performance level.

• Water can improve the appearance of the skin. Skin that does not get enough water can turn dry and flaky and feel tight.

In addition, dry skin is more likely to wrinkle than adequately hydrated skin. Getting water to the skin can be tricky, as the University of Wisconsin-Madison School of Medicine and Public Health notes that water will reach all the other organs of the body before it reaches the skin. But the school recommends applying a hydrating moisturizer within two minutes

of leaving the bath or shower and drinking at least eight glasses of

water a day to ensure the skin is getting enough water.

• Water helps the gastrointestinal tract. Water can help maintain normal bowel function. When the body lacks sufficient fluid, the colon will pull water from stools in an effort to stay hydrated. That can lead to constipation, a condition in which people experience difficulty emptying their bowels.

By drinking enough water, people can ensure their colon will not have to pull water from stools to stay hydrated, thereby helping them stay regular.

Water helps the body in myriad ways, many of which might surprise people unaware of just how valuable water can be to the body.

Precious moments start with us!

New Albany

OB/GYN

CLINIC, P.C. 117 FairÀeld Drive • New Albany, MS 38652 • 662.534.0029

Greg Mitchell, M.D. | Amy Blossom, M.D. Katy Rose Blassingame, FNP-C

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Union County Medical Directory 2017

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Additional Medical Services Directory Abortion Alternatives First Choice Center for Women 725 Coulter Dr., New Albany.........................534-7061 Ambulance Services Baptist Memorial Hospital-Union County.....534-9595 Assisted Living Homes

GSV Care Medical Clinic 670 Highway 178, Sherman...................662-269-2129 Non-emergency Numbers Union County Sheriff’s Department.............534-1943 New Albany Police Department...................534-2222 New Albany Fire Department.......................534-4711 MS Highway Patrol Department...................534-8619 Natchez Trace Ranger........................1-800-300-PARK

Dogwood Plantation of New Albany 250 Fairfield Dr., New Albany........................534-7331 Magnolia Place 1515 Munsford Dr., New Albany....................534-0046 Sunshine Inn Assisted Living 1645 State Highway 178 W., Myrtle..............988-3959

Nursing Homes

Chiropractic Physicians

Eye Clinics

Goodwin Chiropractic 503 Hwy. 15 South…………………………………489-5366 Living Proof Chiropractic, PLLC 218 Highway 30 West………………………………489-5366 Martin Chiropractic Clinic 512 E. Main St., New Albany.........................534-6330 Medlin Chiropractic Clinic 132 B West Bankhead St., New Albany.........534-6636

Joslin Eye Clinic 103 E. Bankhead St., New Albany.................534-5861 New Albany Vision Clinic Robin Bennett, O.D. Ashley Helton, O.D. 484 W. Bankhead St., New Albany................534-0101 Presley Eye Care PLLC M. Lance Presley, O.D. 202 Park Plaza, New Albany.........................534-4217

Dentists Perkins Dental Clinic 218-A Oxford Rd., New Albany......................534-8597 Mercier Dental Clinic Marc Mercier, D.M.D. 230 Starlyn Ave., New Albany.......................534-5252 Rossetti Dental Association Donald Rossetti, Dr. Ronald Rossetti, Dr. 110 N. Camp Ave., New Albany.....................534-5826 Rowan Family Dentistry Kevin Rowan, Dr. Matthew Chow Conner Bills 717 Coulter Dr., New Albany.........................534-4397 The Griffin Dental Group Chris Griffin, Dr. 415 East Walnut St., Ripley...................662-837-8141 Emergency Numbers Ambulance, Police, Fire.........................................911 Family Practice/Medical Clinics Acute Care Family Clinic 608 Highway 178, Sherman...................662-840-3577

New Albany Health and Rehab 115 South Glenfield Rd., New Albany............534-9506 Union County Health Care Center, Inc. 1111 Bratton Rd., New Albany......................539-0502

Pharmacies Fred’s Discount Pharmacy 126 W. Main St., New Albany........................534-4731 Hospital Pharmacy 212 Highway 30 W., New Albany...................534-9036 Medical Center Pharmacy Oxford Rd., New Albany................................534-2101 Rite Aid Pharmacies 205 State Highway 30 W., New Albany..........534-8181 Super Saver Drugs 498 W. Bankhead, New Albany......................534-4774 Walgreens Drug Stores 225 State Highway 30 W., New Albany..........534-8044 Walmart Pharmacy 202 Park Plaza Dr., New Albany....................534-1859 Physical Therapists Crossroads Rehabilitation Services, Inc. 104 Chrystal Plaza Dr., New Albany..............534-4445 Mission Rehab 11a Main Street, New Albany........................538-8258

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Union County Medical Directory 2017

Dented food cans may harbor toxins, so beware Dented cans have long been a source of confusion and concern for shoppers. They may be discounted and seem like a good deal, but some of those dented cans may not be safe to eat.

Damaged cans may be harboring food that contains botulism and other toxins. According to the United States Department of Ag-

riculture Food Safety and Inspection Services, if a can of food has a small dent but is otherwise in good shape, the food should be safe to eat.

However, deeply dented cans should be discarded. Dented cans of food that are safe will have smooth dents or dents that are not on the seams of the can. A person

should avoid sharp dents, dents in the seam and dents where the seam and the can meet. In addition, if the can is bulging or swollen, it should be avoided. Dents in a seam can let in air and bacteria. Deep dents may have left pinholes, again where bacteria can enter. When in doubt, avoid dented cans.

Heart disease can affect just about anyone While it was once widely and mistakenly considered a man’s disease, since 1984, more women than men have died each year from heart disease. According to the Harvard Medical School, heart disease is the leading cause of death in women over age 65, just as it’s the

leading killer of men.

Myths abound with regard to heart disease and heart attack risk.

One is that a person who has heart disease should avoid all exercise.

However, cardiologists advise that physical activity can help to strengthen the heart, which will

improve blood flow to the brain and internal organs. Those who want to exercise should speak with their doctors about which types of exercise are right for them. Begin with some low-intensity walking, as this is usually a safe, low-impact way to improve personal health.

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Union County Medical Directory 2017

Understanding dementia key to compassionate Alzheimer’s disease is one of the more prominent forms of dementia, but there are many additional types of dementia that also can cause both physical and cognitive alterations. Understanding the complexity of dementia can be beneficial to both dementia sufferers and their caregivers.

Dementia is a general term used to define a decline in mental ability severe enough that it can interfere with daily life, offers the Alzheimer’s Association.

Alzheimer’s disease is the most common type of dementia.

Dementia is not a disease but a term used to describe a wide range of symptoms. The words “senil-

ity” and “dementia” often are incorrectly used interchangeably.

However, serious mental decline is not a normal part of aging.

Dementia presents itself through various symptoms, and memory loss alone is not enough to lead to a dementia diagnosis.

Dementia can affect thinking and social abilities, but the Mayo Clinic notes that some dementias may be reversible. The following are some common symptoms of dementia: • Trouble communicating or finding words.

• Difficulty completing complex tasks.

• Challenges with planning and

organization.

• Episodes of confusion and disorientation.

• Memory loss, which is often noticed by a third party.

• Personality changes that can include agitation, anxiety, inappropriate behavior and even hallucinations.

Apart from Alzheimer’s disease, which is a progressive disorder most common in people age 65 and older, there are other types of dementia. The second most common is called “vascular dementia.” This results from damage to vessels that supply blood to the brain. This damage can be the result of stroke, smoking and

New Albany Medical Group 300 Oxford Road, New Albany, Ms. 38652

Monday - Thursday: 8:00 A.M. - 4:30 P.M. Friday: 8:00 A.M. - 12:00 P.M.

662-534-8166

“No matter where you need us, a member of our team is here for you!”

ACCEPTING

NEW

PATIENTS

Thomas A. Shands, MD • Thomas Barkley, MD Al Prater, MD • Troy Ostrander, DO • Chris Park, DO Bonnie Baggett, CNFP • Meghan Foley, CNFP • Sandra Durrett, CNFP

Medicare, Medicaid, MS Can, and most commercial insurances accepted www.newalbanymedicalgroup.com

DAVID J. WILLIAMS, M.D., R. PH., F.A.C.O.G.

ROBERT E. BARNETT, M.D., F.A.C.O.G.

We offer the following services: Obstetrics • Gynecology • 3D and 4D ultrasonography

Comprehensive treatments of female problems ranging from puberty to geriatrics.

Call for an appointment 460 W. Bankhead Street, New Albany, MS 38652

662-534-4783

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Union County Medical Directory 2017

care of family other blood vessel conditions. Brain imaging can often detect blood vessel problems implicated in vascular dementia.

Dementia with Lewy bodies, or DLB, is another dementia that laymen may mistake for Alzheimer’s disease. The Alzheimer’s Association notes that people with DLB often have not only memory loss and cognitive problems common in Alzheimer’s, but they also display initial or early symptoms such as sleep disturbances, well-formed visual hallucinations, slowness, gait imbalance or other Parkinsonian movement features, which can lead to misdiagnosis.

If physicians suspect dementia was caused by various factors, a person may be diagnosed with mixed dementia.

Unfortunately, there are no cures for progressive dementias that are linked to plaque tangles in the brain and changes in the way the brain processes the protein alpha-synuclein.

Patience and various medications may be needed to help those with dementia live fuller lives. Cholinesterase inhibitors are mainstays in dementia treatment.

These medications prevent the breakdown of acetylcholine, a chemical messenger important for learning and memory. Acetylcholine supports communication among nerve cells by keeping acetylcholine levels high. Physical therapy and cognitive therapy may be used in conjunction with medication to assist those with various dementias.

Helping individuals with dementia remain comfortable is a priority for caregivers, and understanding the symptoms and treatments can help caregivers make patients and loved ones as comfortable as possible.

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Union County Medical Directory 2017

The importance of annual health exams Annual health exams are a key component of maintaining a healthy lifestyle. A person may not see the need to visit the doctor if he or she is feeling well, but not every disease or condition manifests itself in a way that men and women can detect. According the Unity Point Clinic, nearly one-third of the 133 million Americans living with a chronic disease are unaware of the presence of their conditions.

Routine physical exams can detect serious illnesses before they do much damage.

No two physical exams will be exactly alike, but many will share some general features.

Health history A crucial element of a physical exam will include a thorough health history if the physician doesn’t already have one on file.

The doctor will take time to ask questions about family history of illness, health habits, any vices (smoking, drinking alcohol, etc.), exercise schedule, and diet. If there is a possible hereditary health condition running through your family, the doctor may suggest certain testing and make note of potential signs to look for in the future.

Current ailments After discussing a patient’s history, the doctor may ask if they are having any problems they cannot explain. These can include changes in eating or sleeping patterns; aches and pains; lumps or bumps

and other abnormalities. Again, the presence of symptoms may be indicative of illness or physical changes, but not all diseases produce obvious symptoms.

Vital signs A doctor will check a patient’s vital signs during the physical. Areas the doctor will look at include but are not limited to: • Heart rate: This measures the speed at which the heart is pumping. Normal resting heart rate values range from 60 to 100 beats per minute.

• Blood pressure: A blood pressure cuff (sphygmomanometer) will measure systolic and diastolic pressure. Systolic pressure measures the force with which the blood is pushing through the arteries.

The diastolic blood pressure is the pressure in the arteries between beats, when the heart rests. The systolic (top number) should be below 120, while the bottom should be less than 80, according to the Mayo Clinic.

• Respiration rate: The doctor will measure the number of breaths taken in a minute. WebMD says between 12 and 16 breaths per minute is normal for a healthy adult.

Breathing more than 20 times per minute can suggest heart or lung problems.

• Pulse oximetry: Johns Hop-

kins School of Medicine says pulse oximetry is a test used to measure the oxygen level (oxygen saturation) of the blood. It is a measure of how well oxygen is being sent to the parts of your body furthest from your heart. Normal pulse oximeter readings usually range from 95 to 100 percent. Values under 90 percent are considered low.

Physical exam The examination will also include physical components. The doctor will perform a visual inspection of the skin and body for any abnormalities, such as the presence of skin cancer. The physician may feel the abdomen to check that internal organs are not distended.

Females’ physical examinations may include breast and pelvic exams.

Comprehensive testing In addition to the exam at the office, the physical may include an electrocardiogram, or EKG, to check electrical activity of the heart; blood count and cholesterol checks through bloodwork; body mass index testing; X-rays or MRIs and bone-density tests.

Physical exams remain an important part of staying healthy.

Consult with a doctor for more preventative maintenance tips.

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Union County Medical Directory 2017

How to encourage kids to take care of their teeth Parents of young children know that getting kids to brush their teeth can sometimes feel like pulling teeth. Kids have a long history of disliking dental care, which can frustrate parents who know the importance and long-lasting benefits of proper dental hygiene.

While many youngsters may never excitedly run to the bathroom to brush their teeth, parents can try various approaches to get kids to embrace proper dental care.

• Start early. Parents should not hesitate to begin cleaning kids’ teeth once the first tooth appears.

The earlier dental care is part of a child’s routine, the more likely he or she is to accept it as part of ev-

eryday life. The American Academy of Pediatric Dentistry recommends using a soft-bristled brush with a small head. Ideally, use a toothbrush designed for infants, brushing teeth once per day at bedtime. The AAPD advises taking kids to visit a pediatric dentist when the first tooth appears, or no later than the child’s first birthday.

• Make it a group effort. Young children love to imitate their parents’ actions and behaviors, and moms and dads can use that adoration to their advantage when trying to get kids to brush their teeth.

Brush teeth together as a family, making it seem like an enjoyable twice-daily activity. Get down on

kids’ level and show them how to brush. If kids are resistant, engage them in conversation while brushing so they don’t even realize they’re cleaning away.

• Involve kids in choosing their dental care products. While parents should be mindful of the type of toothbrush their children use, always sticking with products recommended by their child’s pediatric dentist, let youngsters choose their toothbrush and toothpaste.

• Compliment kids after positive dental appointments. When pediatric dentist appointments go well, compliment children and express your pride in them for taking dental hygiene as seriously as they do.

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Union County Medical Directory 2017

Simple ways to cut back on sodium Salt is widely relied on to give foods some added flavor. Many people may feel that unsalted foods are not as tasty as their salty counterparts, but it’s important that people of all ages understand the threat that excessive sodium consumption poses.

According to the Harvard School of Public Health, kidney problems may result from excessive sodium consumption. In addition, the American Heart Association notes that excess sodium and salt in the body puts a person at risk for a host of ailments, including stroke, heart failure, stomach cancer, and osteoporosis.

Cutting back on sodium should be a goal for anyone who hasn’t already done so. But the HSPH notes that people over age 50, people who have high or slightly elevated blood pressure, diabetics, and African Americans are at high risk of developing the health problems related to excessive sodium consumption. Because sodium is so prevalent, some people may think that cutting back on its consumption must be nearly impossible. However, there are some simple ways to cut back on sodium.

• Ask for low-sodium recommendations when dining out. The AHA notes that the average person consumes 25 percent of his or her overall sodium at restaurants.

Some places now require restaurants to list total sodium content alongside offerings on their menus, and diners living in such areas should choose only those meals that are low in sodium. Diners who live in areas where sodium levels are not listed on the menu can ask for low-sodium recommendations or if existing menu items can be prepared without sodium or with lower amounts of sodium.

• Read labels. According to the AHA, 75 percent of the sodium in the average American diet comes from salt added to processed foods.

Diners who have resolved to push away the salt shaker at the dinner table might still be exceeding their daily recommended sodium limits if they are eating prepack-

aged foods with high sodium levels. Food manufacturers use salt to give prepackaged foods longer shelf lives, so concerned diners should read labels before taking items home from the grocery store.

The AHA recommends that adults consume no more than 1,500 milligrams of sodium per day, and shoppers should keep that in mind when reading labels and planning meals.

• Opt for low-sodium condiments. Salt is not the only condiment on restaurant or kitchen tables that can add flavor to a meal, but it’s one of the few that can have a devastating effect on long-term health. Forgo table salt when sitting down at the dinner table and opt for low-sodium condiments instead.

Balsamic vinegar, horseradish and the juice of a lemon each pack a flavorful, low-sodium punch.

• Read vegetable packages as well. Shoppers who do not buy fresh vegetables from the produce aisle or farmer’s market should read the packaging on canned or frozen vegetables to ensure their veggies are not being doused in salt.

Some manufacturers may use salt to preserve canned and frozen veggies. Diners who do not have access to fresh vegetables or the time to buy fresh veggies each week should compare packaging on canned and frozen vegetables and choose the product with the lowest amount of sodium.

Sodium can make meals more flavorful, but cutting back on sodium intake can improve long-term health.

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Union County Medical Directory 2017

Resolve to learn more about glaucoma Every New Year, you make a list of things you will do to stay healthy so you can feel your best.

But, did you realize that feeling your best includes seeing your best too? January is Glaucoma Awareness Month – the perfect time to spread the word about the disease.

So, this year, add learning about glaucoma to your list! Your eyes will thank you for it.

1. Glaucoma can cause vision loss and blindness, which can’t be reversed. Glaucoma causes fluid to build up in your eye, causing pressure that can damage the optic nerve, which transfers visual images to your brain. But, you can save your vision with early detec-

tion and treatment.

2. There are no early symptoms. Glaucoma often has no early warning signs. No pain. No discomfort. No blurry vision. Only advanced glaucoma will affect your vision. Don’t wait for symptoms to visit your eye doctor!

3.

In the United States, half the people who have glaucoma don’t know they do. Nearly 3 million Americans have glaucoma.

Half don’t know it. Lack of awareness and the absence of symptoms are preventing people from detecting the disease early. You can change that! Find out if you have glaucoma.

4. Some people are at higher

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risk than others. African Americans over 40, adults over 60 – especially Hispanics/Latinos, and people with a family history of glaucoma are at higher risk, making early detection especially important. Are you at higher risk? Talk to your family about glaucoma.

5.

There is only one way to know if you have glaucoma. Getting a comprehensive dilated eye exam is the only way to find out if you have glaucoma. During the exam, an eye care professional places drops in your eyes to widen the pupils and looks for signs of the disease in the optic nerve.

To learn more about glaucoma, visit www.nei.nih.gov/glaucoma.

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Union County Medical Directory 2017

Depression is common but beatable It’s normal to experience feelings of sadness and grief from time to time. But when these feelings are prolonged or interfere with daily life, they may be symptomatic of depression.

Depression can affect anyone regardless of age, gender or economic status. The National Institute of Mental Health says around 350 million people worldwide suffer from depression. Understanding depression can help those dealing with the disorder.

What is depression?

Depression is a mood disorder that causes persistent feelings of sadness and loss of interest. The Mayo Clinic says depression can produce a variety of symptoms and affect the way a person thinks, acts and feels. Symptoms may include changes in sleeping patterns, anxiety, fatigue, weight gain or weight loss, unexplained aches and pains, and difficulty concentrating.

What causes depression?

Although the cause of depression remains a mystery, certain distinguishing factors are common among those who have the condition. People with clinical depression appear to have physical changes in their brains. In addition, naturally occurring brain chemicals known as neurotransmitters likely play a role in depression.

The Mayo Clinic states changes in the function and effect of these neurotransmitters and how they interact with neurocircuits involved

in maintaining mood stability may play a significant role in depression and its treatment.

In addition to biological factors in the brain, hormones can impact rates of depression or even trigger it. These hormone shifts may be a leading reason why women have higher incidence rates of depression than men. Depression is more common in people whose blood relatives also have the condition.

Therefore, those with a family history of depression may be more likely to get it than those without such a connection.

Different types of depression There are different types of depression. A person may have a single bout of major depression or recurring episodes. Depression that lasts two or more years is called persistent depressive disorder. A less common type of depression is called manic-depressive illness.

This involves cycles of depression that alternate with extreme highs, or manias.

Treating depression Depression is a very treatable condition. Psychotherapy (talk therapy), medications or a combination thereof can be very effective in managing symptoms.

Mental health professionals can work with individuals to find the right therapy based on symptoms and severity of the depression.

Also, it may take some time to find the right medication or treatment; therefore, people are urged to remain patient and hopeful.

The National Institute of Mental Health says people who suspect they may be suffering from depression should make an appointment to see a doctor or health care provider. The sooner action is taken, the more quickly the condition can be addressed.

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Union County Medical Directory 2017

Five signs of cancer Moles: Look for any abnormal moles or marks on the body or moles that change appearance.

Lumps: Lumps may be benign, such as ingrown hairs or abscesses, or they could be cancerous tumors.

Nagging conditions: If a cough is lingering longer than it should, or you have a specific pain for quite some time, it could be indicative of cancer. Pain in the abdomen or stomach that does not go away may be indicative of a larger problem.

Unexplained bleeding: Bleeding from any bodily orifices could be a sign of a serious condition. Blood in the urine or feces could be cancer and warrants a doctor’s checkup.

Sores: Sores that don’t heal could be signs of skin cancer.

Skin cancer is quite common, but can be treated when caught early on.

Ty Walton DNP, APRN, FNP-C 228 Starlyn Avenue New Albany, MS 38652 Phone: 662-539-7383 Fax: 662-539-7661 www.WaltonFamilyCareClinic.com

723 Coulter Drive • New Albany, MS 38652

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Union County Medical Directory 2017

New Year’s resolutions Making your own real-life success story Judy Bookman

licensed clinical social worker and training and marketing manager for Baptist Memorial Health Careʼs employee assistance program, CONCERN

Every January the image is often the same. Men and women, having eaten their weight in turkey and sweets, make New Year’s resolutions to lose weight and get in shape. Early in the morning on Jan. 2, they are decked out in their sweats and lining up outside their local gym. By February, the lines are gone, and these briefly dedicated people have abandoned their goals in favor of something easier.

People often set resolutions that are impossible to achieve. Here is a step-by-step method that can help you make your resolutions a reality.

Step one: Make the commitment.

When deciding what goal you want to reach in the new year, remember to make it for yourself because people are usually not successful if they are making resolutions at the urging of someone else.

Your boyfriend wanting you to lose 20 pounds is not a resolution for yourself.

Remember not to set too many goals. You should have no more than two or three. Also, don’t make them too broad or vague. Be as specific as you can. Setting a goal of getting organized doesn’t describe which part of your life you plan to tackle or how you intend to go about making a change.

If you have made the same resolution in the past and it failed, look back at why it didn’t work. Plan how you will address the barriers you encountered that kept you from being successful.

Tell your friends and family the resolution you hope to achieve.

They will be supportive and encouraging as you strive to reach your goal, and when you hit a wall, they will be there to cheer you on.

Step two: Write it down.

When committing to your resolution, plan how you are going to go about working toward your goal. The best way is to write it down. When you write down your plan, you are making a mental and physical connection to your goal, which makes you more committed to the resolution you have set.

Also decide how, when and where you are going to accomplish your plan. For instance, if your resolution is to lose weight, decide what methods you will use to do so.

Will you make better food choices, drink more water or start exercising regularly? Choosing a method of achieving your resolution in a realistic timeframe is an important step in reaching your goal.

Step three: Implement the plan.

It is easy to say you are going to do something, but it’s harder to put words into action. If you say you are going to exercise an hour a day for five days a week, make sure your schedule allows time for the commitment.

Build yourself up slowly, and take baby steps. If you are unaccustomed to exercise, do not decide to follow a rigorous workout plan.

Instead, start small and exercise 30 minutes a day for three days a week. Once you feel successful, add an extra day or an extra 15 minutes to your routine.

Step four: Deal with setbacks.

Falling off the wagon is not a failure but rather a setback. Be prepared for these setbacks to occur during the year. Lapses in your progress do not mean you have failed at achieving your goal. Just get back on track as quickly as possible and regain your focus. Remember, we recommit ourselves whenever we do an activity that helps us reach our goals.

Steps five and six: Track your progress and reward yourself.

Keep track of what you have accomplished and what you need to work on to achieve your goal.

Also, take pride in small victories.

For instance, if one week you only lose a pound, think of it as losing four quarter-pounders (without the cheese).

When you have victories, reward yourself, but don’t go overboard. If you are losing weight, stay away from food rewards, such as a slice of cheesecake. Take a moment to congratulate yourself for your progress along the way, and you’ll continue to succeed in your challenge.

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Signs of vitamin deficiency in children A healthy diet is supposed to provide all of the essential vitamins and minerals necessary to sustain a body. But thanks to finicky eating habits and limited choices, many children are not getting the vitamins and minerals they need to grow up healthy.

Although many foods are fortified with certain vitamins, they still may not be enough to provide the level of nutrition required for a growing body.

Parents may be well informed of a child’s needs of vitamin C to boost immune system function, but they may not be as readily informed about other vitamins that are essential to human health.

Vitamin A: Vitamin A promotes a healthy immune system and proper eyesight function. A child lacking in vitamin A may be tired and weak and experience weight loss. Other symptoms include dry eyes, skin scaling and respiratory infections.

Vitamin B6: Hyperactivity and impulsiveness are often blamed on an underlying medical condition, such as ADHD. But such conditions may be the result of a deficiency in vitamin B6.

Vitamin B12: Nervous system function is largely governed by proper levels

of vitamin B12. Children who do not receive enough vitamin B12 may experience weakness, insomnia, edema, and abdominal pain.

Vitamin D: Vitamin D is called the “sunshine vitamin” because it is produced in the body after exposure to the sun. Children who spend many hours indoors or wearing thick layers of sunscreen may not get enough vitamin D. Irritability, muscle cramps and even late teething could be tied to vitamin D deficiency.

Parents should consult with pediatricians about the proper levels of vitamins children need.

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Union County Medical Directory 2017

Vaccine refusal leads to increased risk of measles, pertusis to patient and others Parents who delay or skip childhood vaccinations even when kids have no medical reason to avoid their shots are contributing to U.S. outbreaks of measles and pertussis, a research review suggests.

More than half of 1,416 measles cases reported in the U.S. since the disease was declared eliminated in 2000 were for people with no history of measles vaccination, the analysis found.

Among more than 10,000 pertussis patients with known vaccination status, 24 to 45 percent of people in the five largest statewide epidemics since 1977 were unvaccinated or only partially vaccinated, the analysis also found.

“If there are a high number of susceptible or unvaccinated individuals in the community the risk of getting infected – even for vaccinated children – goes up,” said senior study author Dr. Saad Omer, a pediatrics and epidemiology researcher at Emory University in Atlanta.

That’s because few vaccines are 100 percent effective, Omer added by email.

With pertussis, or whooping cough, up to two percent of people who receive all five recommended vaccine doses on time may still get this bacterial infection of the lungs, according to the U.S. Centers for Disease Control and Prevention.

For measles, roughly three per-

cent of people who receive both recommended doses of the vaccine may still get the virus, according to the CDC. These numbers are a best-case scenario, assuming that only people with medical reasons – like certain cancer treatments, rare allergies to vaccine ingredients, or diseases that compromise the immune system – forgo inoculations.

But the CDC reports that fewer than one percent of kids need to skip vaccines for medical reasons, based on data from Mississippi and West Virginia, states that only grant exemptions under these circumstances.

Instead, Omer and colleagues found that the majority of measles and pertussis cases in the outbreaks they analyzed were due to people intentionally skipping vaccinations.

Among 970 measles cases with detailed vaccination data, 574 cases were unvaccinated people who were eligible to receive their shots, researchers report in the Journal of the American Medical Association.

Most of these unvaccinated people – 405 of them – had nonmedical reasons for skipping vaccinations such as religious or philosophical objections, the analysis found.

For the subset of pertussis reports from outbreaks with detailed data on unvaccinated individuals,

59 to 93 percent of cases were for people who intentionally skipped their inoculations, the analysis also found.

Several pertussis cases also cropped up in highly vaccinated communities, suggesting waning immunity against the disease, the researchers note.

Limitations of the study include a focus on measles and pertussis in the context of vaccine exemption rates, which may have underestimated the disease risk associated with skipping vaccines, the authors point out.

Nonmedical exemptions also don’t explain all of the resurgence in measles and pertussis in recent years, Dr. Matthew Davis, a pediatrics researcher and deputy director of the Institute for Healthcare Policy and Innovation at the University of Michigan in Ann Arbor, noted in an editorial.

“It is very difficult to put a specific number on how much vaccine refusals reduce a community’s protection against disease,” Davis said by email.

“What this latest comprehensive review illustrates is that individuals who refuse vaccines not only put themselves at risk for disease,” Davis added. “It turns out that they also put others at risk too – even people who have been vaccinated before, but whose protection from those vaccinations may not be as strong as it used to be.”

Union County Medical Directory 2017

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