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HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS

AUGUSTA’S MOST SALUBRIOUS NEWSPAPER • FOUNDED IN 2006

FEBRUARY 7, 2014

I heart heart Doesn’t everybody?

But could you pass a pop quiz on the basics of lub-dub?

Perhaps not. But that will change in the next few minutes.

Cardiac Function in Seven Easy Steps Here’s everything you need to know to, if not become a heart surgeon, at least to understand what’s going on inside your chest at this precise moment.

• 1. Oxygen-depleted blood returns from its latest trip through the body, entering (upper left in the diagram) the superior vena cava. Blood goes through it into the heart’s right atrium.

• 2. From there it goes through the tricuspid valve down into the right ventricle. When the ventricle contracts, it forces the blood out through the pulmonary valve.

• 3. As blood is pumped out of the right ventricle and through the pulmonary valve it enters the pulmonary artery and a separate pulmonary circuit where the lungs (#4, not shown) almost instantaneously exchange carbon dioxide for oxygen.

• 5. Freshly oxygenated blood reenters the heart into the left atrium, kind of a staging area for the left ventricle.

• 6. Mitral valves release the oxygenated blood into the powerful left ventricle.

• 7. From there it is pumped (or dubbed, as in the dub of lub dub) up into the aorta and off to points throughout the body, near and far.

Repeat.

Elapsed time for all of this: about 0.8 seconds.

The valves are all one-way, permitting blood flow in one direction only (unless something disastrous happens).

The valves and the heart’s four chambers all operate (in a healthy heart) in precise coordination, although not simultaneously: at exactly the moment one valve opens, another will close; when one chamber contracts, another will wait about a tenth of a second before it contracts.

It’s one amazing piece of machinery. +

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• Amazing heart facts • Practical tips to avoid heartbreak

Heart diagram credit: Greetings from Toronto

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AUGUSTA MEDiCAL EXAMINER

FEBRUARY 7, 2014

Amazing Heart Facts Sure, you know how to steal hearts, win hearts, and break hearts. But how much do you really know about your heart and how it works? Read on to your heart’s content.

• Your heart beats about 100,000 times in one day and about 35 million times in a year. During an average lifetime, the human heart will beat more than 2.5 billion times.

• The aorta, the largest artery in the

body, is almost the diameter of a garden hose. Capillaries, on the other hand, are so small that it takes ten of them to equal the thickness of a human hair.

• The heart pumps over 1 million barrels of blood during an average lifetime, enough to fill more than 3 super tankers or 200 train tank cars.

• A kitchen faucet would need to be turned on all the way for at least 45 years to equal the amount of blood

pumped by the heart in an average lifetime.

• The volume of blood pumped by the heart can vary over a wide range, from five to 30 liters per minute.

• Every day, the heart creates enough energy to drive a truck 20 miles. In a lifetime, that is equivalent to driving to the moon and back.

• Because the heart has its own electrical impulse, it can continue to beat even when separated from the body, as long as it has an adequate supply of oxygen.

• The fetal heart rate is approximately twice as fast as an adult’s, at about 150 beats per minute. By the time a fetus is 12 weeks old, its heart pumps an amazing 60 pints of blood a day.

• The heart pumps blood to almost all of the body’s 75 trillion cells. Only the corneas receive no blood supply.

• A healthy heart pumps approximately 2,000 gallons of blood a day.

• Five percent of blood supplies the heart, 15-20% goes to the brain and central nervous system, and 22% goes to the kidneys.

• The “thump-thump” of a heartbeat is the sound made by the four valves of the heart closing.

• The heart does the most physical work of any muscle during a lifetime.

The power output of the heart ranges from 1 to 5 watts. While the quadriceps can produce 100 watts for a few minutes, an output of one watt for 80 years is equal to 2.5 gigajoules.

peripheral organs through the blood vessels. It was from those perceptions that thought and emotions arose.

• Cocaine affects the heart’s electrical activity and causes spasms of the arteries, which can lead to a heart attack or stroke, even in healthy people.

• Galen agreed with Aristotle that the heart was the body’s source of heat, a type of “lamp” fueled by blood from the liver and fanned into spirituous flame by air from the lungs. The brain merely served to cool the blood.

• In 1929, German surgeon Werner Forssmann (1904-1979) examined the inside of his own heart by threading a catheter into his arm vein and pushing it 20 inches and into his heart, inventing cardiac catheterization, a now common procedure.

• On December 3, 1967, Dr. Christiaan Barnard (1922-2001) of South Africa transplanted a human heart into the body of Louis Washansky. Although the recipient lived only 18 days, it is considered the first successful heart transplant.

• “Atrium” is Latin for “entrance hall,” and “ventricle” is Latin for “little belly.”

• Blood is actually a tissue. When the body is at rest, it takes only six seconds for the blood to go from the heart to the lungs and back, only eight seconds for it to go to the brain and back, and only 16 seconds for it to reach the toes and travel all the way back to the heart.

• The heart begins beating at four weeks after conception and does not stop until death.

• Galen argued that the heart constantly produced blood. However, William Harvey’s (1578-1657) discovery of the circulation system in 1616 revealed that there was a finite amount of blood in the body and that it circulated in one direction.

• A newborn baby has about one cup of blood in circulation. An adult human has about four to five quarts which the heart pumps to all the tissues and to and from the lungs in about one minute while beating 72 times.

• The right atrium holds about 3.5 tablespoons of blood. The right ventricle holds slightly more than a quarter cup of blood. The left atrium holds the same amount of blood as the right, but its walls are three times thicker.

• The heart pumps oxygenated blood through the aorta (the largest artery) at about 1 mile (1.6 km) per hour. By the time blood reaches the capillaries, it is moving at around 43 inches (109 cm) per hour.

• Your body has about 5.6 liters (6 quarts) of blood. This 5.6 liters of blood circulates through the body three times every minute. In one day, the blood travels a total of 19,000 km (12,000 miles)—that’s four times the distance across the US from coast to coast.

• Early Egyptians believed that the heart and other major organs had wills of their own and would move around inside the body.

• Plato theorized that reasoning originated with the brain, but that passions originated in the “fiery” heart.

• The term “heartfelt” originated from Aristotle’s philosophy that the heart collected sensory input from the

• Heartbeats in various creatures range from fewer than 20 beats per minute in codfish to about 600 per minute in hummingbirds. A healthy human heart at rest beats a little more than once per second.

• French physician Rene Laennec (17811826) invented the stethoscope when he felt it was inappropriate to place his ear on the chests of his female patients. +

FEBRUARY 7, 2014

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AUGUSTA MEDiCAL EXAMINER

The Short White Coat What’s

by Caroline Colden

just finished my neurology rotation, and am now a few days into psychiatry. It has been a whirlwind examination of the mind as I dipped my toes just deep enough into the waters of the head to see what it was like, without really getting immersed in it. And some of the more intricate details went over my own head completely…

What is actually very interesting to me is how closely neurology and psychiatry are intertwined in some respects. People suffering from Alzheimer’s or Parkinson’s diseases are frequently depressed as well.

Anti-psychotic medications used to treat schizophrenia can also cause Parkinsonian-like symptoms, and a few of the drugs used to treat epilepsy can also help stabilize the moods of those suffering from bipolar disorder. In a way, it is as if some of the manic symptoms in bipolar disorder, like racing thoughts or speech, are seizures of the mind. Just as in epileptic seizures, where waves of excessive neuronal firing overtake the brain’s normal signaling processes, an episode of mania can cause patients to feel so hyper-stimulated that they literally cannot keep up with their own thoughts. It would make sense then why the two conditions can sometimes be treated with the same medication.

What I also find interesting is how psychiatric illnesses

— John Milton, Paradise Lost can impact the outcome and recovery from other illnesses.

For example, patients who experience a cardiovascular event, like a heart attack, frequently develop depression on top of it. Doctors now will usually aim to prevent or treat the depression in addition to heart issues as untreated depression can make recovery more difficult and increase the chances that a second heart attack will occur.

Depressive disorders are in fact very serious to address, as increasingly more people today are affected by them.

It is important to realize, too, that many other medical conditions will present with the initial symptom of depression, or depression may be the only symptom presenting at all. Patients or their family members who complain about their loved ones being more “down in the dumps” than usual should not underestimate the possible need for further work up. Even in the absence of other conditions, the quality of a person’s life can be severely impacted by depression.

And so much can be done nowadays to help people

THE MONEY DOCTOR: FISCAL HEALTH IN OUR FEB. 21 ISSUE

!

your story?

“The mind in its own place and in itself can make a heaven of hell and a hell of heaven.

A med student’s notebook suffering from various mental health conditions, that I am amazed. Many people think that prescriptions for drugs are the only solutions a psychiatrist can offer to a patient, but in fact an evolving practice known as “cognitive behavior therapy” can help even more, either by itself or adjunctive to medications. In CBT, patients work with therapists and their doctors to literally learn how to restructure and reorganize their ways of thinking and handling life situations or stressors, eliminating the faulty thought processes that lead them down slippery slopes of anxiety and depression.

I am very impressed with everything I have learned so far and all of the progress that has been made in medicine today.

Now, more than ever, do we recognize how important the health of the mind and brain is to the body and soul. + — Author Caroline Colden is a 3rd year medical student from Atlanta, GA. You may contact her at carolinecoldenswc@gmail.com

FEBRUARY FRIDAY

21 Our next issue date.

Nearly all of us — even doctors and nurses — are sometimes patients. Perhaps you were recently injured playing your favorite sport, or years ago you somehow got hurt without even leaving your favorite recliner. Maybe you were diagnosed with a dreaded disease, mugged in a dark and lonely parking lot, or you stubbed your toe in the safety of your own bedroom. On the other hand, perhaps you needed medical attention 5,000 miles from home. Whatever your medical experience, we’d like to hear your story for our Medicine in the First Person feature. It can be frightening or funny, ordinary or extraordinary, just a few paragraphs long or quite a lengthy tale, bylined or anonymous. We’ll publish your encounters with the medical profession as often as we receive them. + Send your submissions for Medicine in the First Person to the Augusta Medical Examiner via e-mail: info@AugustaRx.com or to PO Box 397, Augusta, GA 30903-0397. (The Medical Examiner reserves the right to accept, reject, or edit any submission at its sole discretion.)

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MEDICAL EXAMINER

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AUGUSTA’S MOST SALUBRIOUS NEWSPAPER

www.AugustaRx.com The Medical Examiner’s mission: to provide information on topics of health and wellness of interest to general readers, to offer information to assist readers in wisely choosing their healthcare providers, and to serve as a central source of news within every part of the Augusta medical community.

Submit editorial content to graphicadv@knology.net Direct editorial and advertising inquiries to: Daniel R. Pearson, Publisher & Editor E-mail: Dan@AugustaRx.com Augusta Medical Examiner photography: H + D Photography www.handdphoto.com AUGUSTA MEDiCAL EXAMINER P.O. Box 397, Augusta, GA 30903-0397

(706) 860-5455 www.AugustaRx.com • E-mail: graphicadv@knology.net Opinions expressed by the writers herein are their own and their respective institutions. Neither the Augusta Medical Examiner, Pearson Graphic 365 Inc., or its agents or employees take any responsibility for the accuracy of submitted information, which is presented for informational purposes only. For specific medical advice, diagnosis and treatment, consult your doctor.

The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2014 PEARSON GRAPHIC 365 INC.

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FEBRUARY 7, 2014

AUGUSTA MEDiCAL EXAMINER

Broken dreams and expectations

Helen Blocker-Adams

W

e just experienced a pretty significant snow storm here in Augusta and surrounding areas. Well, at least it was significant for us here in the South. I remember last Tuesday the expectation all day long was snow, the Richmond County Board of Education was proactive and canceled school for Tuesday and Wednesday.

Facebook was all abuzz during the day with people expecting the snow to no avail. Others complained that there was no snow and felt the kids were out of school for no reason, and the list

goes on. Expectations can be disappointing. But often they are unrealistic.

As people watched the despair and hopelessness of thousands of people in Atlanta who were literally stranded on the highways, another level of expectation took place. It was the expectation of hope, safety and warmth for those who didn’t have the luxury of being in the comfort of their homes. We live in an age of instant gratification. We want it now — right now. We lack the vision of thinking about the future. We prefer to live in the moment.

I do believe in living in and for the moment, because that is all we have. But our expectations are broken, probably more than they ought to be, because we focus on the wrong thing.

Have you noticed when you focus on someone else or someone else’s situation, you find your particular concerns not as significant as you thought?

Our children wake up in the morning angry, afraid to go to school for fear of being bullied and/or lack self-

esteem because they are not getting positive motivation from family and peers. I don’t ever recall waking up angry and afraid of going to school.

Do you? But it’s happening around us everyday. We adults have a responsibility to give our children hope. We have to act like we haven’t given up hope ourselves.

Broken expectations are happening in our lives, but there are some things we can do to minimize them.

First, let’s be realistic and recognize that we will make mistakes, but we have to accept responsibility for them.

Lord knows I have made many mistakes, personally and professionally. I’ve lost money on projects and I’ve made costly decisions I now regret. I have also disappointed people, though it wasn’t done on purpose.

With all that, it’s important for us to know that even though we make mistakes, we can get back up and either try again or start over.

Second, focus on your why and not the how. We allow ourselves to get bogged down on how we are going to get something done. Step

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Hope IS Possible

out on faith and ask God for direction, seek wise advice, and take one day at a time to accomplish your goals.

Third, write down your game plan. Put your ideas on paper and allow it to be a fluid document that can be updated on a regular basis. Your game plan, vision board or business plan is like a road map. If you were to travel across country, you would either use a map or a GPS to take you where you want to go.

Broken expectations can ruin professional and personal relationships when we set goals and standards that are unachievable or unrealistic.

Step back, take a deep breath and exhale. Give yourself some room to consider the pros and cons of whatever you are dealing with and then go for it. Make it a great day and create more positive expectations in your life. + Helen Blocker-Adams is Executive Director of the Southeast Enterprise Institute; mental health advocate; and youth advocate. You can email her at hba@hbagroup-intl. com or visit her website at www. helenblockeradams.com

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HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS

AUGUSTA’S MOST SALUBRIOUS NEWSPAPER • FOUNDED IN 2006

FEBRUARY 7, 2014

This newspaper is delivered to more than

500 private practice doctor’s offices and to 14 area hospitals.

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FEBRUARY 7, 2014

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AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW ABOUT GOOD OL’ BOYS

D

on Williams, The Gentle Giant, played the Imperial Theater. There were more gray hairs there than at a Worldwide Poodle dog show. Don’s sculptured beard stood out with the grandeur of the Snows of Kilimanjaro. Many of us shared his seniority. My son took me as my Father’s Day present. We ate quickie burgers before the concert. It was a wild Saturday night for us. We were home by 10:30.

The distinctly middle-aged crowd bordered on advanced maturity. Security guards had the easiest night ever. These law abiding citizens clearly relished in the family values that Don champions in his lyrics.

No cutting in line. No loud talking. No profanity.

No drunks. No druggies. No shouting. No gang signs. No pat-downs at the door.

When Don sang, they shut up. When Don paused, they applauded. When Don bowed, they gave a standing ovation of reverence. There was reason: Don Williams projected good ole boy family values the way a WWII search light put a knowing beam in a troubled sky. Clear. Pointed.

Unashamed. Faithful.

His deep baritone voice flowed with the smoothness of

oil on still water. His manner and persona could still troubled waters in a raging storm.

His still quietness had the reassurance of a safe island in the Sea of Despair.

Don is real. He knows the secrets of life. Take these lyrics into your soul and be the better for it: I don’t believe in super stars Organic foods & foreign cars I don’t believe in the price of gold The certainty of growing old That right is right & left is wrong That north & south can’t get along That east is east & west is west & that being first is always best But I believe in love I believe in babies I believe in mom and dad And I believe in you.

I believe in love I believe in old folks I believe in children And I believe in you I believe in old folks I believe in babies I believe in mom and dad And I believe in you.

— Reverently stolen from Don Williams Or this one: You placed gold On my finger

RESC

Who:

HED CSRA Parkinson Support Group U

LED !

What: Bad Billy Laveau, a retired doctor who writes for the Augusta Medical Examiner, will be the speaker. He will regale the group with JANUARY entertaining and educational stories.

TUESDAY

28

When: Tuesday, January 28, 2014 at 6:00pm

Where: St. John Towers dining room 724 Greene Street Augusta, GA Contact: Mary Ann Navarro (706) 364-1662

SNO WED

OUT !

Note: This event is free and open to the public.

THANKS FOR READING THE MEDICAL EXAMINER

HE

T

Best You brought love Like I have never known You gave life To our children And to me …

A reason to go on.

You’re my bread When I am hungry You are my shelter From troubled winds You are my anchor In life’s ocean But most of all You are my best friend.

When I need inspiration You are always strong When I am tired and weak I could search The whole world over You would still be All I would ever need — Reverently stolen from Don Williams With such reverence for family values, womanhood, and fidelity, why isn’t Don Williams Head of the Department of Health, Education and Welfare? Why don’t they play his songs every day in every school in the nation? It could do no harm.

If we lived his lyrics and dedications, would there be rape? Spouse abuse? Domestic

e n i c i d ME

violence? Guns in school?

Street drugs? Murder? Fights and shootings after concerts?

Political scandal?

I think not.

When I left the Imperial that night, I don’t believe anyone had even dropped a gum wrapper on the floor.

And imagine this: nothing in the morning paper about a shooting or stabbing in the parking lot afterwards.

Neither good ole boy Don Williams nor my mother would have approved of such dastardly behavior.

But is Don Williams really all that caring about others?

Or am I flowering him over because he is good at what he does?

Consider this and then you tell me.

In 1978, rock icon Eric Clapton (a fan of Williams), was scheduled to play a concert in Nashville. He invited Williams to open the show for him.

“Eric contacted me and asked me to open his show in Nashville, which I agreed to do,” Williams said. “Before the show, we got together and I played him ‘Tulsa Time,’ which Danny Flowers had just

written. He loved it and we ended up recording the song.”

“Tulsa Time” was a major hit for Clapton on the pop charts and Williams’ version topped the Country Music charts.

And what did Clapton do?

Forget about Don Williams?

Relish his new found success and good fortune at Don’s expense?

No. He made Don his opening act and made him famous in Europe. Decades later, Don still tours England and Europe incessantly. He is bigger there than here.

I left that concert wondering why our County Commissioners and School Board was not there to absorb wholesomeness to pass along to our troubled kids and declining society.

I confidently prescribe Don Williams’ music and comfortable style as a healing medicine for a troubled mind and a misguided society. Use it frequently. Benefits are monumental. Negative side effects are nonexistent. + Bad Billy Laveau is a retired MD with a pointed sense of humor.

Bad Billy speaks and entertains at public and private events for audiences not subject to cardiac seizure secondary to overwhelming laughter and glee BadBilly@knology.net or 706306-9397

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I really got ticked

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FEBRUARY 7, 2014

AUGUSTA MEDiCAL EXAMINER

I’ve been pretty healthy all of my life. Not that I’m a health nut or anything. Most of my exercise comes from walking down to the street to get my mail.

(That’s where my mailman throws it.) I was even betting that I could beat my father’s record of not having to stay overnight in the hospital.

His first stay didn’t happen until he was in his late 60’s.

Unfortunately, I lost.

On my way to that ill-fated day, I learned a few lessons.

See if you recognize yourself in any of these scenarios.

I was looking out my window one sultry July afternoon, staring at how ugly the bushes were getting with overgrowth and some wild vines weaving their way

...and lost a bet in the process. through the branches. On a sudden whim I rushed out in shorts and a t-shirt and did battle with those vines. They put up a valiant fight, but in the end I came out the victor.

Or so I thought.

Lesson 1: Never do yard work unless you’re clothed over most of your body. Why? Keep reading.

About a week later I’m out of town attending a convention.

It’s a Saturday morning and I’m feeling fine. I was even feeling chipper. But not for long. In a matter of a couple of hours a funky feeling steals my cheerfulness. I’m feeling some

aches. Now I’m getting cold. (A rare thing for me as I’m always the hot one). Now I’m getting the shakes. I know I’m toast.

Unable to drive, my concerned wife takes over and we make the 45 minute trip back to my in-laws where we’re staying while out of town.

At first we treat it like the flu and I try to get some rest. But my shivering increases and I feel as if I’m freezing to death.

I wrap myself in an electric blanket trying to get warm and I take my temperature. It’s nearing 105°. In my fevered brain I’m thinking that I got that warm as a kid a time or two, so there’s nothing much to worry about, right?

Lesson 2: If a kid gets a temperature that high, it’s bad but not typically fatal. But I learned that if

an adult’s temperature gets anywhere near that high, head to a doctor or hospital immediately. It’s a symptom of a serious illness.

I was fortunate enough to have a sister-in-law visiting at the time who works in a pharmacy. Although not a doctor, she knows a heck of a lot more than your average Joe. When she realizes I’m wrapped up in an electric blanket, she rips it off me, concerned that it would contribute to elevating my fever. She also insists that I go to the emergency room. I would end up thanking her many times for that advice.

In the ER I’m given test after test, but they can’t figure out what’s causing the fever. They finally decide that I need to check-in, kick my shoes off and stay a while, which bums me out because, you know, there goes my record.

For the next two days I’m doing my best imitation of a lab rat as they poke and pour drugs into me. After finally checking off everything they figure it isn’t, they finally

arrive at the educated guess that what I’m suffering from is a tick bite. (Please see Lesson 1).

Lesson 3: Most tick bites are harmless. But diseases that do result from tick bites can be difficult for physicians to diagnose. If you’ve contracted Lyme disease and it’s not treated, more severe symptoms and complications can occur.

These include arthritis, neurologic symptoms, or heart problems. However, early recognition and treatment of the infection decreases the risk of serious complications.

So there’s my story. I’d hate to think that my health could have been ruined by some tiny speck of a creature that I can barely see, but it could have happened. Of course, I could also get run over by a bus, something that’s easy to see and would have the same results, just messier. So don’t get paranoid over every little thing or you’ll end up miserable, and what fun is that? + — submitted by Mark Gibson Hendersonville, Tennessee

WE’RE BEGGING YOU We’re never too proud to beg. What we’re begging for is Medicine in the First Person stories. With your help, we’d like to make this a feature in every issue of the Medical Examiner. After all, everybody has a story of something health- or medicine-related, and lots of people have many stories. Send your interesting (or even semi-interesting) stories to the Medical Examiner, PO Box 397, Augusta, GA 30903 or e-mail to Dan@AugustaRx.com. Thanks!

“The cause was a mystery for a long time.”

“And that’s when I fell.” nearest hospital “He doesn’t remember a thing.” “The was 30 miles away.”

“I was a battlefield medic.” “He was just two when he died.”

“OUCH!”

“It was a terrible tragedy.” “She saved “I sure learned my lesson.”

“I retired from medicine my life.” “It seemed like a miracle.” seven years ago.” “We had triplets.” “It was my first year “I thought, ‘Well, this is it’.” NOTHING SEEMED of medical school.”

“They took me to the hospital by helicopter.” TO HELP, UNTIL. . “It took 48 stitches.”

ambulance crashed.”

“Now THAT hurt!” “The “My leg was broken “I’m not supposed to be alive.”

“This was on my third day in Afghanistan.” in three places.”

“I lost 23 pounds.” “Turned out it was just indigestion.”

“At first I thought it was something I ate.” “The smoke detector woke me up.”

Everybody has a story. Tell us yours.

Here’s our “No Rules Rules.” We’ll publish your name and city, or keep you anonymous. Your choice. Length? Up to you. Subject? It can be a monumental medical event or just a stubbed toe. It can make us laugh or make us cry. One thing we’re not interested in, however: please, no tirades against a certain doctor or hospital. Ain’t nobody got time for that.

FEBRUARY 7, 2014

Southern Girl Eats Clean

Overnight Oats in a Jar, A Quick & Nutritious Breakfast

I absolutely love oatmeal, but I never seem to have time to make oatmeal in the mornings before work. My breakfast foods must be on-the-go choices.

For the last six months or so I have been seeing these “Overnight Oats in a Jar” on Facebook and Pinterest and I thought, “Wow... what a great idea and that could possibly fit into my morning schedule.”

This breakfast was super simple to put together and I made four jars at once last Sunday afternoon. TAH-DAH.....we had breakfast for Monday and Tuesday mornings last week.

My husband took a jar to work both days. He loved the oats and fruit and said that his breakfast kept him full until lunchtime. I managed to squeeze in some time to have a jar both days also.

I will definitely be making these oats on a regular basis because they were delicious, but also very filling. I felt very good about the fact that I was able to get my oatmeal in for a change on a week day/work day. I’m equally as happy about the nutrients and fiber that I added to my diet. In addition to that, chia seeds are a great source of Omega-3’s and loaded with antioxidants and fiber. I used Bob’s Red Mill Gluten Free Steel Cut Oats for this recipe, keeping this recipe gluten free.

Oatmeal in a Jar What you’ll need: • 1/2 cup of organic steel cut oats, gluten free • 1 cup of organic almond milk, unflavored, unsweetened • 1 Tbsp. of organic chia seeds • 1/2 ripe organic banana • 1/2 tsp. of organic vanilla flavoring • 1 pinch of ground cinnamon • 1/2 Tbsp. - 1 Tbsp. of organic pure maple syrup • 1/3 to 1/2 cup chopped peaches, strawberries or blueberries. (Or your fruit of choice) Making the dish: Place oats and chia seeds into a 16 oz. Mason or Ball canning jar.

Mash the banana and place into the jar with the oats and chia seeds and incorporate the banana together with the oats

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AUGUSTA MEDiCAL EXAMINER

and chia seeds using a spoon

or fork.

Add the almond milk, vanilla flavoring, cinnamon and maple syrup to the jar.

Close the lid tightly and

shake well.

Add chopped fruit to the jar and stir with a spoon to mix well through the mixture.

Close lid and place jar into the fridge for at least 8 hours or overnight.

In the morning, remove from fridge enjoy straight from the jar. You may add additional chopped fruit to the top if you would like.

The oats last approximately 4 days in the refrigerator. + Alisa Rhinehart writes the blog www.southerngirleatsclean. com She is a working wife and mother living in Evans, Georgia.

Visit her blog for more recipes and information on clean eating.

Boardwalk to Bark Place Kennnel & Daycare welcoming dogs 40 lbs and under 5873 Huntington Drive Grovetown, Georgia (706) 840-3141 (706) 556-8127 www.boardwalktobarkplace.com

FOUNDINGS

Former Trinity Hospital CEO Bill Atkinson’s book on the behind-the-scenes tales of twelve Augusta healthcare institutions.

NOW AVAILABLE AT AMAZON.COM Proceeds from the sale of this book benefit dementia research

BE A COOL CAT

READ THE MEDICAL EXAMINER AND THE M. E .

BLOG www.AugustaRx.com/news

www.AugustaRx.com/news

+8

P harmacy 411

OUR NEWSSTANDS Medical locations:

Around town:

HOW MANY DISCOUNT CARDS DO YOU HAVE?

W

e all have the abundance of pharmacy discount cards being sent to us in the mail and through our email. Numerous groups have contracted with a company to provide them to their members. If you do an internet search for pharmacy discount cards you’ll see an abundance of these cards.

But do these cards really help you at the pharmacy?

It depends on the card and the pharmacy. These cards are basically for patients with no insurance, since your insurance will not pay secondary to the discount card. All the discount card does is send back a discounted cash price for you to pay. This means that you pay the full cost of the drug. You will save the pharmacy markup on that particular medicine, which at some pharmacies can be significant. Other pharmacies find that their cash price is almost as good as the discount card price.

So how do these companies offer free cards and great discounts? They charge the pharmacies a negative reimbursement, which means that when a regular insurance card would normally be paying, these discount cards are charging the pharmacy for processing the claim. I have seen these fees be more than a standard pharmacy markup on a given drug. So the cash price could be the better way to go.

But that is how the card companies pay to send out all these unrequested cards. At the same time the pharmacy is taking a payment that results in mere pennies of profit at best.

Obviously pharmacies cannot stay in business on a profit margin of pennies per prescription. That leaves the pharmacy in a situation where they have to decide whether or not to accept these discount cards or not.

Look at this typical situation: You are a commercially insured patient with a high-priced brand-name medication prescription. Commercial insurance is insurance through a private employer, not a government insurance program such as Medicare or Medicaid. If you search online for a copay

Are you tired of impersonal chain pharmacies run by huge corporations?

P

ARKS

HARMACY

437 Georgia Avenue, North Augusta, SC Plus... 500+ doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

803-279-7450 parkspharmacy.com

Visit the Medical Examiner blog: www.AugustaRx.com/news

Questions about this article or suggestions for future columns can be sent to us at cjdlpdrph@bellsouth.net Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson (cjdlpdrph@bellsouth.net )

Daniel Village Barber Shop 2522 Wrightsboro Road

736-7230

TUE - FRI: 9:00 - 6:00; SATURDAY: 9:00 - 3:00

One of our customers told us he’s lost quite a bit of his hair.

We’re combing the area.

DANIEL VILLAGE BARBER SHOP

Medical Complex

“

76 Circle K former Smile Gas

Highland Ave.

This could be the beginning of a beautiful relationship.

savings card there will be dozens of hits on discount cards, but as we said earlier, these do not help if you These three randomly found already have insurance that pharmacy discount cards all covers the particular drug. Thereshow the same toll-free help line still may be discounts available. phone number.

Look for the drug’s website, which will normally be found by typing a web address of “www.” followed by the drug name and then “.com”. On the drug’s website there is often a link to a savings card or program. These cards will work as a secondary insurance, and pay after your insurance card pays. This will allow you lower copay on your higher-priced medications.

So when you see cards online or in your mail that promote supposedly seventy-five percent savings (or more) there is ample reason to read the fine print. There will be an “up to” before the percent savings. That is a key statement, because on some drugs there is next to nothing saved.

Next time we will try to talk about types of insurance plans being seen this year. +

Ohio Ave.

• Barney’s Pharmacy, 2604 Peach Orchard Rd. • Birth Control Source, 1944 Walton Way • GRU Summerville Student Bookstore • Blue Sky Kitchen, 990 Broad Street • Columbia County Library, main branch lobby, Ronald Reagan Drive, Evans • Enterprise Mill (North Tower), 1450 Greene Street, Augusta • Daniel Village Barber Shop, Wrightsboro Road at Ohio Ave. • Hartley’s Uniforms, 1010 Druid Park Ave, Augusta • International Uniforms, 1216 Broad Street, Augusta • Marshall Family Y, Belair Rd, Evans • Mellow Mushroom, 12th and Broad Streets, Augusta • Parks Pharmacy, Georgia Avenue, North Augusta • Southside Family Y, Tobacco Road, Augusta • Surrey Center, Surrey Center Pharmacy, Highland Avenue, Augusta • Top-Notch Car Wash, 512 N. Belair Road, Evans • Wild Wing Cafe, 3035 Washington Road, Augusta

Very little if anything about healthcare is inexpensive, and that includes medicine. Tiny pills can command large prices. Over-the-counter medications may be less expensive, but are they also less effective? Find the answers to lots of your drug store questions in this column written by Augusta pharmacists Chris and Lee Davidson exclusively for the Medical Examiner.

Wrightsboro Road

Daniel Field

Augusta Mall

We’re on Wrightsboro Rd. at Ohio Avenue.

Men have become the tools of their tools.

- Henry David Thoreau

“

• Department of Veterans Affairs Medical Ctr, 15th St., Main Entrance • Dept. of Veterans Affairs Medical Center, Uptown Div., Wrightsboro Rd., main lobby • Doctors Hospital, 3651 Wheeler Rd, ER Lobby Entrance • Eisenhower Hospital, Main Lobby, Fort Gordon • George C. Wilson Drive (by medical center Waffle House and mail boxes) • GHSU Hospital, 1120 15th Street, South & West Entrances • GHSU Medical Office Building, Harper Street, Main Entrance • GHSU Medical Office Building, Harper Street, Parking Deck entrance • GHSU Hospital, Emergency Room, Harper Street, Main Entrance • GHSU Children’s Medical Center, Harper Street, Main Lobby • GHSU, Laney-Walker Boulevard transit stop, Augusta • Select Specialty Hospital, Walton Way, Main entrance lobby • Trinity Hospital, Wrightsboro Road, main lobby by elevators • Trinity Hospital Home Health, Daniel Village, main lobby • University Health Federal Credit Union/ University Hospital Human Resources, 1402 Walton Way, Main Lobby • University Hospital, 1350 Walton Way, Emergency Room lobby area • University Hospital, 1350 Walton Way, Outside Brown & Radiology/Day Surgery • University Hospital - Columbia County, 465 N. Belair Road, Main Lobby • University Hospital Prompt Care, 3121 Peach Orchard Road, Augusta

FEBRUARY 7, 2014

AUGUSTA MEDiCAL EXAMINER

FEBRUARY 7, 2014

9+

AUGUSTA MEDiCAL EXAMINER

DON’T LICK THE BEATERS Useful food facts from dietetic interns with University Hospital’s Augusta Area Dietetic Internship Program

DARK CHOCOLATE AND HEART HEALTH

Well it’s that time of year again when our New Year’s resolutions are tested with the lure of all things chocolate. Valentine’s Day candy has hit the shelves in stores everywhere. Before you fly past that aisle full of candy, remind yourself that a little dark chocolate may be beneficial for your heart.

Chocolate comes from the cocoa bean which is rich in a class of plant nutrients called flavonoids. These flavonoids act as antioxidants in our bodies, helping our body’s cells resist damage caused by free radicals that are formed by normal bodily processes such as breathing, and environmental toxins such as cigarette smoke. If our bodies do not have enough

antioxidants to combat the free radicals, then damage to our cells occurs.

In addition to having antioxidant qualities, research has demonstrated that flavonoids may have other potential influences on vascular health, such as lowering blood pressure, improving blood flow to the brain and heart, and making blood platelets more efficient for clotting.

Now, before you go and grab all the chocolate candy in the stores or eat a tall piece of chocolate cake at your Valentine’s Day dinner, remember that not all chocolate is created equal.

Cocoa naturally has a strong, pungent taste which comes

from the flavonoids. Most people turn their noses up to this bitter taste and prefer sweeter milk chocolate.

However, the more the cocoa is processed to remove this bitter taste, the more flavonoids are lost, limiting its antioxidant properties.

Unfortunately, most chocolate in stores today is highly processed.

The good news is that manufacturers are always looking for ways to keep the flavonoids in their chocolates. Your best choices are to choose dark over milk chocolate and cocoa powder that has not undergone Dutch processing.

One other thing to consider before you devour that heartshaped box of chocolates is the fat content of chocolate.

Chocolate that is filled with caramel or marshmallows or covered with nuts is not a heart healthy option. These additional ingredients can add a lot of extra sugar, fat, and calories.

However, you may be surprised to learn that the fat in chocolate comes from cocoa butter and is made up of oleic acid, stearic acid, and palmitic acid. Oleic acid is a heart healthy monounsaturated fat that is also found in olive oil. Stearic acid is a saturated fat, and research has shown that it has a neutral effect on cholesterol, neither raising nor lowering it. Palmitic acid does affect cholesterol levels, but it only makes up one-third of the fat calories in chocolate.

So this doesn’t give you free rein to enjoy all the dark chocolate you want, but the next time you have the opportunity to indulge your sweet tooth, enjoy a moderate portion (i.e. 1 ounce) of dark chocolate and don’t feel too guilty for treating your heart, soul, and mind. + - by Amber Hotz University Hospital Dietetic Intern

When you grow your website you

GROW YOUR PRACTICE Meaningful video gives patients a reason to visit your website, and gives you an opportunity to inform and educate.

Documentary Video Productions LLC (803) 645-8370 “Fact-based no-hype video creativity” You’ll like what we do for you or it’s free.

They say the camera adds ten pounds.

What if instead it added ten patients?

Heartbreakers The American Heart Association says just a handful of simple actions that all of us can take would reduce heart disease tremendously. In our two February issues and online at AugustaRx.com/news, the Medical Examiner blog, we’ll give you the scoop, promise. Cross our hearts.

Get Moving: Easy Tips to Get Active!

The first step: walking! Why? It’s easy, it works and it pays.

• Walking is the simplest way to start and continue a fitness plan.

• Walking costs nothing to get started.

• Walking has the lowest dropout rate of any type of exercise.

• Walking is easy and safe.

It Works • Studies show that for every hour of walking, life expectancy may increase by two hours.

• Walking for as few as 30 minutes a day provides heart health benefits.

• Walking is the single most effective form of exercise to achieve heart health.

It Pays • Physically active people save $500 a year in healthcare costs.

• Employers can save $16 for every $1 they spend on health and wellness.

• Fitness programs can reduce employer healthcare costs 20 - 55%.

• Reducing just one health risk in the workplace increases productivity by 9%.

• Reducing one health risk decreases absenteeism by 2%.

Visit StartWalkingNow.org for all kinds of additional info.

Non-Walking Tips for Increasing Physical Activity At Home It’s convenient, comfortable and safe to work out at home. It allows your children to see you being active, which sets a good example for them. You can combine exercise with other activities, such as watching TV. If you buy exercise equipment, it’s a onetime expense and other family members can use it. It’s easy to have short bouts of activity several times a day. Try these tips: • Do housework yourself instead of hiring someone else to do it.

• Work in the garden or mow the grass. Using a riding mower doesn’t count! Rake leaves, prune, dig and pick up trash.

• Go out for a short walk before breakfast, after dinner or both.

Start with 5-10 minutes and work up to 30 minutes.

• When watching TV, sit up instead of lying on the sofa. Or stretch. Better yet, spend a few minutes pedaling on your stationary bicycle while watching TV, or at least during commercials. Keep your remote control across the room. Instead of asking someone to bring you a drink, get up off the couch and get it yourself.

• Stand up while talking on the telephone.

• Park farther away at the grocery store or mall and walk the extra distance. Wear your walking shoes and sneak in an extra lap or two around the mall.

• Stretch to reach items in high places and squat or bend to look at items at floor level.

• Keep exercise equipment repaired and use it.

At Work Most of us have sedentary jobs, and work takes up a significant part of our day. What can you do to increase your physical activity during the work day?

• Brainstorm project ideas with a coworker while taking a walk.

• Create an exercise partnership.

• Walk during business calls when you don’t need to reference important documents.

• Stand while talking on the telephone.

• Walk down the hall to speak with someone rather than using the telephone or sending an e-mail.

• Take the stairs instead of the elevator. Or get off a few floors early and take the stairs the rest of the way.

• Walk while waiting for the plane at the airport.

• Stay at hotels with fitness centers or swimming pools and use them while on business trips.

• Work out before or after work to avoid rush-hour traffic. +

+ 10

FEBRUARY 7, 2014

AUGUSTA MEDiCAL EXAMINER

ADVERTISE HERE The Medical Examiner is perhaps the most well-read publication in the Augusta market. We circulate to countless waiting areas in hundreds of area healthcare facilities, and at just 16 pages, no one’s ad ever gets lost on pages that few readers see.

We’ll be happy to design your ad free.

And, unlike some people, we never charge extra for vowels.

Call 706.860.5455 or e-mail info@AugustaRx.com today!

GUEST COLUMN/EDITORIAL

Thoughts on Medicare The debate over the use of the word “entitlement” in connection with Medicare is becoming popular. It is true that most of our elderly of today have paid into the program. I say most because there is a segment who have not. Many ask the question why those individuals are receiving the benefit. It is a sound question. It is also a question that breeds other questions, one of which is the subject of the disability benefit.

What are the criteria for a disability? There are some appropriate rules in place, such as a two-year wait from the time the U.S. government deems a person disabled to when they begin receiving a monetary benefit.

But there are many receiving disability checks who are able to work.

A 55 year-old woman receiving a disability check, Medicare coverage and full Medicaid, paying only a token amount out of pocket for any prescription she may need, wants to know what other

Parents, Teachers, Caregivers: Tired of fussing and nagging?

ORGANIZE YOUR KIDS THE CHART MART WAY!

programs are available to her.

She states her disability is depression. There are those with multiple mental diagnosis that include severe depression that will preclude them from holding a job. However, this woman reveals she takes several vacations yearly, is able to drive a car, walks daily and is engaged in both family and church activities.

Medicaid is the other hot button for taxpayers. No one wants babies to go hungry or put our elderly out in the snow, but it is not the responsibility of our government to take care of everyone. There must be some personal responsibility.

One way to reinstate it is to tighten the system from the bottom up by stopping the vast abuse of the safety nets we have in place for our neediest citizens.

A healthy, unemployed, 38-year-old, married couple claim zero income. Their four children are on Peachcare.

They want to file for “Family Medicaid” in order to receive health care for themselves.

While I certainly don’t have access to the qualifying circumstances for such a benefit, I do wonder why such help is available to people who can work. If they were

to be approved for the benefit, where is the incentive to go to work and give up free health care for a family of six?

The entitlement mind-set is rampant in the United States.

A married couple with a long list of pain medications for both spouses want help with their drug expenses.

They have a joint income of $55,000.00. While this is clearly a case of financial mismanagement, their argument is that Medicaid should be based on what a person’s bills are, not their income. There are a lot of people who believe they should be allowed to spend their income on what they want and the taxpayers should pay for what they need.

These examples are a sampling of the true problem with the entitlement programs. It is why Governor Deal wants drug testing for unemployment benefits, and cut-backs in other programs. If there is stringent accountability, our truly needy will be cared for and our nation can recover not only financial stability but our dignity and pride as well. + — Robert B. Ashton

AVAILABLE AT: Columbia County Library Cafe AGC Teacher Supply Dixie Dawgs at Saturday Augusta Market

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FEBRUARY 7, 2014

11 +

AUGUSTA MEDiCAL EXAMINER

The blog spot – Posted May 28, 2012 by Gregory Shumer at thedoctorweighsin.com

The privilege of being a 3rd-yr med student I am four months into my third year of medical school. The third year is the first clinical year, when students spend most of their time in the hospital, interacting with patients and working as part of the medical team.

Our deans told us at the beginning of the year that we are the lucky ones: we would be talking with patients more than anyone else on the medical team; we would serve as advocates for our patients’ wants and needs. They told us patients often remember students before anyone else.

It comes down to time. While our resident is busy managing more than a dozen patients – most of whom have multi-systemic, complex problems – we are beginners, entrusted to manage a handful of patients at a time. As beginners it takes us more time to think through algorithms of management and treatment options. A handful of patients is plenty, and allows us to really get to know our patients as people – to sit at their bedsides and hear their stories, beyond the details that affect their care.

This morning, I was assigned to a middle-aged man, Jack, who presented during the night with worsening back and hip pain.

My job was to read what other doctors had written in their notes, then to talk to the patient and perform a history and physical exam. I would then present my findings to one of the residents.

Jack was diagnosed a year ago with liver cancer that rapidly spread to his pelvis and spine. An MRI performed last night revealed a new mass in Jack’s spinal cord. On the hospital computer and scrolled through the images until I noticed an unusual round mass in the lower portion of the spinal cord. The medical student part of me noted the size and location of the mass and thought about what body structures might be affected.

The human part of me felt hopelessness and compassion for this poor man, who I knew had a very poor prognosis.

I had no other patients to see that morning, and I had three hours before I had to meet with my team for rounds. I reminded myself of the message from my deans: I am the lucky one. I spent the next three hours sitting and talking with Jack. As a medical student, I gathered a detailed past medical history and history of his current illness. As a human being, I formed a bond with a dying man, getting to know him and listening to his story as he wanted to tell it. I learned about his childhood. I learned how he traveled to different countries as a medical assistant, birthing babies and giving medicine to those in need. I learned how he eventually moved to the US to receive higher education. I learned about his wife and three children.

And now he was here, a man of great accomplishments, now reduced to a sick patient in a hospital gown, eating hospital food, totally dependent on his doctors and nurses. A man who had defined himself in so many ways was now being defined as a 53 year old man with liver cancer metastasized to his pelvis and spine. Other details faded to gray to the busy doctors with too many patients. But not to me. I am the lucky one. With question after question and time to spare, I was able to learn about his upbringing, his fight with cancer during the past year, and the lessons he learned in life and how they applied to his current situation.

“But it seems I still have much to learn,” he said.

I tucked away my pen and paper and continued to listen to his story and absorb his wisdom.

I am the lucky one, to have the time to stop and listen. To bring that background information back from the gray and into the light, to invite Jack to tell his story. I can only hope that by doing my part, I am helping him in some way through his difficult struggle. And for that, I am thankful to play my part, and eager to fulfill this important role as we take care of patients on our medical team. As I progress through my medical career, I must continue to make time to listen, not only as a physician gathering information from patients, but as a human being listening and learning as I hear other people’s stories. +

“We are the lucky ones.”

From the Bookshelf In ancient times — a few decades ago, that is to say — tattoo owners were largely of two main categories: convicts (and ex-cons) and veterans (sailors seem to be the stereotypical inked service members of yore).

In the intervening years, a third group was added: motorcycle gangs. And then members of any old gang were added to the list.

Other than veterans, inked skin was not so long ago found nearly always on various characters best described as slightly beyond the boundaries of polite society, if not downright nefarious characters.

Of course, we’ve already established that state of affairs as ancient times. Today, tattoos are found on secretaries, grandmothers, nurses, schoolteachers and, as this handsome volume illustrates in words and many pictures, on science geeks of every stripe: math geeks, chemistry and physics geeks, astronomers, and so on.

It has a certain logic: while the drunken masses are getting Hello Kitty tatts or having random words permanently inked into their skin in Old

English lettering (in all caps, to complete the travesty), lab rats are getting E=mc2 tattooed onto their biceps.

While giggling girls get a Chinese character that they’ve been told means courage (but which actually means tramp) emblazoned on their ankles, some scientist somewhere is having the double helix of DNA strands permanently memorialized in a place of honor on his or her skin.

At the very moment a med student, biology major or practicing archaeologist is having a Fibonacci spiral, a caffeine molecule, or perhaps some classic fossil inked in,

someone else somewhere is getting a tattoo of this year’s hottest rock & roll band which, unknown to the tattooee, has already broken up.

The list of erudite symbolisms for the tattoo-inclined range from meteorological symbols to favorite chemical formulas.

Or maybe a mnemonic to help remember some particularly difficult and obscure landmarks of microscopic anatomy — nerve bundles or tiny named veins or something.

Somehow science ink seems a lot safer than the name of your latest girlfriend. After all, even wives and husbands seem to be temporary commodities these days. And there’s no shortage of ideas, as the hundreds of photos — cataloged alphabetical thumbnails — in this book prove.

Not a tattoo fan? There’s a lot of logic on your side.

Even science tattoos can be the subject of buyer’s remorse.

Someone somewhere surely has a “Pluto is my favorite planet” tattoo. +

Science Ink by Carl Zimmer; foreword by Mary Roach 288 pages, published in November 2011

by Sterling.

Research News A strategy that backfires That’s the conclusion of one study, anyway.

The strategy: drink diet beverages to cut calories or lose weight.

The unintended effect: eating more calories to compensate.

That surprising finding was made by researchers at Johns Hopkins University Bloomberg School of Public Health. In a nutshell, the study compared two groups of overweight and/or obese people: one group drank sugary beverages, the other drank diet sodas.

As you already know (see above), the diet soda drinkers ate more food than the other group.

The reason, say researchers, is that artificial sweeteners are thought to disrupt the brain’s sensors. They make the brain think you are less full or less satiated. The “stop eating” switch is not thrown as quickly as it is in the brains of non-diet drink drinkers.

Oddly enough, the study also measured the same parameters

among normal-weight adults, with opposite findings: in that group, those who drank diet drinks ate fewer food calories than their equals who drink sugary beverages.

Researchers cannot explain that difference.

HPV shot and sexual activity The vaccine that protects against cervical cancer – HPV (human papillomavirus) — has been opposed by some parents due to fears that it would encourage sexual activity or give girls a false sense of security about potentially risky sexual behaviors.

A new study by Cincinnati Children’s Hospital Medical Center has found nothing to suggest the vaccine affects girls’ sexual activity or their attitudes about it.

300 girls between the ages of 13 and 21 were surveyed when they got their first dose of the vaccine, and then at two and six month intervals thereafter.

Clinicians asked about their level of sexual activity and

their attitudes and practices concerning safe sex.

The key factor, say researchers, were the core principles and beliefs each girl had at the outset. The vaccine did not change the moral principles of the study participants.

Public health professionals say the HPV vaccine, which protects against about 70 percent of cervical cancers, has been a tough sell due to moral concerns by parents.

Ignoring the wake-up call A Canadian study has found that many heart attack and stroke survivors are not making the changes necessary to prevent future attacks.

That is a disturbing finding, since attacks are likely to occur again.

Sixty percent said surviving a stroke or heart attack was like getting a second chance on life, but after the initial scare survivors tend to revert over time to the same habits which led to the original episode. +

+ 12

FEBRUARY 7, 2014

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

This article is about a I read that. He was military bigshot run over smuggling priceless by a steamroller. classical music scores.

You mean old Exactly. He swallowed What did they find? stuff like Bach them. It was discovered and Beethoven? during his autopsy.

A symphony in a flat major.

ON S IC

The Mystery Word for this issue: PROSIMETTOT

© 2014 Daniel Pearson All rights reserved.

EXAMINER CROSSWORD

PUZZLE

1

2

3

4

5

6

14

7

8

15

17

18

9

10

11

12

16 19

AVE

All Mystery Word finders will be eligible to win by random drawing.

We’ll announce the winner in our next issue!

VISIT WWW.AUGUSTARX.COM TO ENTER!

Click on “Reader Contests”

QUOTATION PUZZLE O N O I N S L O E

I I

E B M V

P T Y M T C E A F Y E I L O W S N L S E U L T Y O A T N T V A U

by Daniel R. Pearson © 2014 All rights reserved

— Leo Tolstoy, War and Peace

DIRECTIONS: Recreate a timeless nugget of wisdom by using the letters in each vertical column to fill the boxes above them. Once any letter is used, cross it out in the lower half of the puzzle. Letters may be used only once.

Black squares indicate spaces between words, and words may extend onto a second line.

Solution on page 14.

E3

7

8 6 8 5 2 1 9 7 5 1 7 9 9

X A M I N E R

S

1 6

4 4 6 2

6 2 9 8 5 4 1

by Daniel R. Pearson © 2014 All rights reserved. Built with software from www.crauswords.com

U D O K U

DIRECTIONS: Every line, vertical and horizontal, and all nine 9-square boxes must each contain the numbers 1 though 9. Solution on page 14.

Use the letters provided at bottom to create words to solve the puzzle. All the listed letters following 1 are the 1st letters of each word; the letters following 2 are 2nd letters of each word, and so on. Try solving words with letter clues or numbers with minimal choices listed. A sample is shown. Solution on page 14.

S A 1 2 1 2 1 2 3 4 5 6 B O 1 2 3 1 2 3 1 2 3

H 1

O 3 1 2 3 2 3 I J 1 2 1 2 3 4 5 6

1

2

3

1 2

1 . W W W H H H I N I B I E 2 . N H H E I O I S AT T U 3 . J O O S S S T TA 4 . LO 5 . Y T 6 . S H

SAMPLE:

1. ILB 2. SLO 3. VI 4. NE 5. D =

L 1

O 2

V 3

E 4

I 1

S 2

B 1

L 2

I 3

N 4

D 5

by Daniel R. Pearson © 2014 All rights reserved

BY

K LE

Simply unscramble the letters, then begin exploring our ads. When you find the correctly spelled word hidden in one of our ads — enter at AugustaRx.com

13

20 21 22 ACROSS 1. Heart in Motion singer 23 24 25 (and Augusta native) 26 27 28 29 30 31 32 6. Antlered animal 9. Paul ______ Theater 33 34 35 36 14. Card game 37 38 39 40 41 15. Noted architect 16. Accustom 42 43 44 45 46 17. Copying 47 48 49 50 19. Instances of disease 20. Follow 51 52 21. Absence of light 53 54 55 56 57 58 59 60 23. Word before I? 25. Road division 61 62 63 64 26. Brown sugar using heat 65 66 67 30. ATL movie station 68 69 70 33. Practical joke 34. Speak

by Daniel R. Pearson © 2014 All rights reserved. Built in part with software from www.crauswords.com 35. George of WJBF 37. Philips follower 31. Unambiguous DOWN 39. Immune syst. disorder 32. Push, as a button (in the 1. Initials of resort hotel in 41. Rick, formerly of WJBF South) Asheville, NC 42. Sullen, ill-humored 33.

Journal for MDs 2.

Floyd County seat 44. Classical intro, sometimes 36. Monetary unit of Burma 3. Related 46. Indian nursemaid 38. Acrimony 4. Devices for fishing 47. To endure (obsolete) 40. Biden or Gore, generically 5. Serious injury (physically or 48. Precursor, predecessor 43. Ireland emotionally) 51. Beneficiary 45. Pungent bulb 6. Center prefix at times 52. Immobilize (in wrestling) 49. Mountain spinach 7. Grant temporary use of 53. Motherly 50. Contaminate 8. Capital of Rwanda 57. Garbage, esp. from a 51.

Aids 9.

Disease butcher 53. Wire screen 10. Silly 61. Digestive bacterium, 54. Legal rights org.

11. Think for short 55. Lower digits 12. Minerals 62. Jennifer of A Beautiful 56. Quantity of rye 13. Leader of The Untouchables Mind 58. Run away 18. Groups of players 65. Snoozed 59. Exclamation of woe 22. Tear down 66. Research facility on 60. For fear that 24. Yes, casually Mauna Loa 63. The N of NIMBY 26.

Chocolate substitute 67. Discontinue 64. Affirmative vote 27. Synonym for 17-A 68. Impudent girl 28. City in W Nevada 69. Juvenile newt 29. Not being truthful 70. Outer coat of a seed 30. ________ Rose Solution p. 14

WORDS NUMBER

THE MYSTERY WORD

FEBRUARY 7, 2014

THE BEST MEDICINE ha... ha...

A baby seal walks into a bar.

“What’ll you have?” asks the bartender.

“Anything but a Canadian Club,” answers the seal.

A noun and a verb were dating, but it just didn’t work out.

The noun was too possessive.

A

grandmother is at the beach with her grandson, watching him play in the water when suddenly a huge wave washes over the boy and takes him out to sea. He vanishes without a trace.

With no one else in sight and being unable to swim, there’s nothing for her to do but fall to her knees. She looks heavenward and pleads, “God, please save that little boy. He’s my only grandson. My life would have no meaning without him. I beg of you, please bring him back.”

Just then another big wave breaks, this time washing the boy back onto the beach without a scratch on him, good as new.

The grandmother looks up to heaven again and says, “He was wearing a hat!”

A man opened a dry cleaning shop and visited everyone nearby to introduce his services. One of his calls was to a convent down the street. He knocked on the door and waited. When a nun came to the door he asked her, “Do you have any dirty habits?”

A dyslexic man walked into a bra.

A butcher is five feet ten inches tall with a 36-inch waist. What does he weigh?

Meat, obviously.

A notorious criminal in Olde England was charged with treason against the king and sentenced to die.

The criminal begged for mercy but the king said, “The sentence shall be carried out.”

“Will you at least let me choose the manner of my death?” begged the condemmed man.

“Very well,” said the king. “I’ll allow that.”

“Thank you, kind sire,” said the man. “I wish to die of old age.”

Did you hear about the man who was convicted of spousal abuse?

She was diabetic, and every night he wished her sweet dreams.

Years ago food scientists developed artificial sugars. Then they invented artificial fat, Olestra. Now they have found a way to create artificial spaghetti noodles, called Impasta.

Husband: Why do you spend so much on food?

Wife: It’s the only thing the kids will eat. +

Why subscribe to the Medical Examiner?

Because no one should have to make a trip to the doctor or the hospital just to read Augusta’s Most Salubrious Newspaper.

+ +

SUBSCRIBE TO THE MEDICAL EXAMINER By popular demand we’re making at-cost subscriptions available for the convenience of our readers.

If you live beyond the Aiken-Augusta area or miss issues between doctor’s appointments — don’t you hate it when that happens? — we’ll command your mail carrier to bring every issue to your house!

NAME ADDRESS CITY

13 +

AUGUSTA MEDiCAL EXAMINER

STATE

ZIP

Choose ____ six months for $20; or ____ one year for $36. Mail this completed form with payment to Augusta Medical Examiner, PO Box 397, Augusta GA 30903-0397

The Patient’s Perspective

by Marcia Ribble

I

f I were in Michigan today, I’d be watching for snow, and hoping that it didn’t stretch all the way from Lake Michigan across to where I’ve lived in the past, Saginaw, Bay City, and East Lansing.

Grand Rapids would already be a lost cause, and my sister up in Charlevoix is likely snowed in already. While I feel for my relatives and friends up north who have had to deal again and again this winter with shoveling snow, I am also grateful for our southern winters where, last week’s snowfall notwithstanding, snow is so rare that many of us, even us northern born, do not have a snow shovel to our names, nor do we know anyone who does own a snow shovel. They are rare as hen’s teeth around here.

A lot of heart attacks occur up north every year when out of shape elders go out and replicate the snow shoveling they did when they were younger. The sound of the shovel scraping against the sidewalk or the driveway stops, and someone is found lying in a pile of snow they just shoveled. The saddest thing is that it could be prevented by knowing our limits and respecting the need our bodies have for regular exercise. Looking at me one might guess that I am one of those at-risk elders. But whether it is sweat-inducing chores or physician-induced drugs making my heart work overtime, my heart rate and pulse stay well within the normal range. So exercise, even fairly strenuous exercise, is fine for me, even good for me. I am allowed to sweat all I’d like, maybe even more than I’d like, to the point that my shirt is so sweaty I need to shower and change into fresh clothes.

In their speeches, my students talk about relatives they love who allow themselves to become so out of shape that adding just a little exercise load to their everyday routines results in heart attacks and strokes with devastating consequences.

People who love us care and feel profound hurt when we die too early. And we miss so much ourselves. Although the probability of us southerners dying from shoveling snow is very small, there are lots of

Talk is cheap.

Not talking can be deadly.

other physical demands on our bodies. Raking pine straw on a large lot with five or six pine trees can do it. Digging the soil for our spring gardening could also be harmful to those who are out of shape. Engaging in outdoor sports after a winter spent indoors can be risky as well, even though it may seem that it’s the right thing to do.

This is the point of winter where indoor exercises can push our bodies to become stronger and more fit so we can enjoy outdoor exercise when it warms up just a little bit.

As I write this, temperatures above 60 are in the forecast, signaling that the 70s are not far behind. Walking is great, as is heading to the nice warm gyms around us. But even the home-bound can simply increase the number of steps taken each day, the number of times they get up from their chairs and sit back down again, the number of times they bend down to pick up a piece of paper, or any number of simple exercises that make use of our bodies regularly.

Washing dishes by hand, folding the laundry, reaching up to dust the tops of doors or bookshelves, all of these help, even when we can no longer do some household tasks. For example, my balance is out of sorts, so I have a hard time vacuuming or washing floors holding on to my walker, but walking in the grocery store hanging on to the cart is easy breezy.

Just pick something relatively easy for you and do lots of it. + Marcia Ribble received her PhD in English at Michigan State and retired from the University of Cincinnati.

She taught writing at the college level and loves giving voice to people who have been silenced. She is now teaching again at Virginia College in Augusta. She can be reached with comments, suggestions, etc., at marciaribble@hotmail.com.

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AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED The Mystery Word in our last issue was: OPTOMETRIST

...cleverly hidden (upper left) in the p. 16 ad for GROUP & BUSINESS CONSULTANTS Unfortunately, due to a glitch at AugustaRx.com, we were again unable to receive and view Mystery Word Contest entries for the Jan. 24 issue. We hope to have that problem fixed soon.

We’re putting The Mystery Word on sick leave until we can get this repaired. Our apologies.

The Celebrated MYSTERY WORD CONTEST ...wherein we hide (with fiendish cleverness) a simple word. All you have to do is unscramble the word (found on page 12), then be the first to find it concealed within one of our ads. Click in to the contest link at www.AugustaRx.com and enter. If we pick you in our random drawing of correct entries you’ll score our goodie package: gift certificates from Wild Wing Cafe, Top Notch Car Wash, and movie passes from Health Center Credit Union!

SEVEN SIMPLE RULES: 1. Unscramble and find the designated word hidden within one of the ads in this issue. 2. Visit the Reader Contests page at www.AugustaRx.com. 3. Tell us what you found and where you found it. 4. If you’re right and you’re the one we pick at random, you win. (Winners within the past six months are ineligible.) 5. Prizes awarded to winners may vary from issue to issue. 6. A photo ID may be required to claim some prizes. 7. Other entrants may win a lesser prize at the sole discretion of the publisher.

The new scrambled Mystery Word is found on page 12

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. FOR RENT 2 bdrm 1 bath unfurn upstairs condo. Carport, pool, outside laundry. Country Club Hills condos, Milledge Road near GRU/ASU. $700/mo + $500 dep. We furn water, you pay electric.

706-736-7167 Email: ronst79@gmail. com ROOMMATE WANTED! 3 bdrm, 2.5 bath house with pool, 2 minutes from colleges. Perfect for medical or grad students. $425+share utils. 706.993.6082 WEST AUGUSTA House for rent. 3 bdrm, 2 bath, 1500 sqft, 1-car garage, 3024 Sterling Road, located off Stevens Creek at Riverwatch Pkwy. $850/mo. Call 678467-7187.

FOR SALE: GORGEOUS, immaculate, never occupied townhome located mins from Medical District. 2 bed, 2 bath, master en suite, walk-in closets, office.

1450 sq ft. hardwood floors throughout, fabulous upgrades, custom kitchen and baths. Floor to ceiling windows, fenced yard. Partially furnished! 120k OBO.

803-507-6621.

Augustagahomesearch.com Foreclosures • Rentals • MLS Roman Realty 706-564-5885

SERVICES VIDEOS-FOR-THE-WEB SERVICE Documentary style interview or demonstration shot HD with pro audio and basic edits, 3-min. finished video uploaded to your account. Complete package $250. Please call David: 803-645-8370. Documentary Video Productions, LLC – Aiken, SC. BIBLE BY PHONE - Free daily Bible readings; for Spiritual Encouragement and Growth. Call 706-855-WORD (9673) FULL-SERVICE MOVER Anthony’s Professional Moving, 28 years serving the CSRA moving hospital equipment, offices, homes, apartments, etc.

Estimates are FREE. Call 706.860.3726 or 706.814.8141

BUSINESS ASSISTANCE Ridiculously affordable and highly visible advertising available through the pages of Augusta’s Most Salubrious Newspaper, aka the Augusta Medical Examiner. Have you heard of it or seen a copy? Rates can be reviewed at AugustaRx.com. Questions? Send an e from the site, or call the publisher directly: Dan Pearson at 706.860.5455.

E: Dan@AugustaRx.com

NOTICE! ATTENTION! If any current or past employer has failed to pay you min. wage or time and a half overtime

TELL A FRIEND ABOUT THE MEDICAL EXAMINER

SENDING US A CLASSIFIED? WHAT’S YOUR DRUG OF CHOICE? USE THE FORM BELOW AND MAIL IT IN, OR GO TO WWW.AUGUSTARX.COM AND PLACE & PAY CONVENIENTLY AND SAFELY ONLINE. THANKS!

(OURS IS COFFEE)

Augusta Medical Examiner Classifieds

pay, you may be entitled to an order from US Federal Court awarding you twice the amount of your unpaid wages plus atty. fees. For info, call Arthur H. Shealy, Attorney at Law, 803-278-5149, 1010 Plantation Rd, North Augusta SC 29841. You may be entitled to a similar award for unpaid wages if your employer required you to perform duties during your lunch hour, before clocking in, or after clocking out.

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QUOTATION QUOTATION PUZZLE SOLUTION: Page 12: “I simply want to live, to cause no evil to anyone but myself.”

— Leo Tolstoy in War and Peace

AD COPY (one word per line; phone numbers MUST include the area code): .50

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SEE PAGE 12

In case we need to contact you. These numbers will not appear in the ad.

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CLASSIFIED ADVERTISING FORM Name Address Work number (if applicable) ( ) Home phone ( ) Category of ad (leave blank if unsure):

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COFFEE IS GOOD MEDICINE

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Send this form with payment to:

AUGUSTA MEDICAL EXAMINER, PO BOX 397, AUGUSTA, GA 30903-0397 Total ad cost by number of words as shown above: $

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Your ad should reach us no later than 7 days prior to our publication date.

Thanks for reading!

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FEBRUARY 7, 2014

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AUGUSTA MEDiCAL EXAMINER

February 2-8, 2014 is

National Burn Awareness Week Scalds are the leading cause of burns among children. And burns caused by hot water are some of the most painful and devastating injuries treated by the medical professionals at Joseph M. Still Burn Center at Doctors Hospital in Augusta, Ga. “Children are far more susceptible to burns than adults,” said Dr. Fred Mullins, the medical director for the Joseph M. Still Burn Center at Doctors Hospital in Augusta, Ga., and the president of the Joseph M. Still Burn Centers, Inc. “For example, if bath water is 130 degrees (F), an adult can be burned within five minutes. It takes only seconds for a child to be burned at the same temperature. And a child’s burns will often be far worse.”

“We see scald burns to children every day,” said Dr. Mullins. “But we also see similar burns to elderly adults, since their skin is also thinner than a normal adult and therefore easily burned.”

One easy way to avoid scald burns is to start at the hot water heater. Setting the

thermostat to 120 degrees (or “warm” if there is no detailed thermostat) will keep the water at a safe temperature before it touches skin.

“That does not mean you should automatically trust the temperature of the water,” Dr. Mullins said. “Always test the water temperature before you use it.”

Other tips to avoid scalds, especially those that can occur in the kitchen, include: • Create a three-foot “safe zone” around appliances in the kitchen.

• Never leave any unattended items on the stove top, and make sure all handles are out of the reach of children.

• Never drink or carry hot liquids while carrying or holding a child.

• Keep all hot items away from the sides of the table.

• Remember, items heated in the microwave can be exceptionally hot and cause internal burns.

• Try to avoid using tablecloths which could allow a child to pull hot liquids off a table. +

If you’re in the medical field, market to the healthcare community, or want to reach people interested in health and wellness — like new patients — why advertise anywhere else?

The Medical Examiner is the Augusta area’s most highly visible and well-read health and wellness publication.

FOCUS

30,000+ READERS EVERY MONTH + REACH + CALL 706.860.5455 FOR INFORMATION OR TO GET STARTED WE ARE AUGUSTA’S MOST SALUBRIOUS NEWSPAPER

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PROFESSIONAL DIRECTORY ALLERGY

DERMATOLOGY

Tesneem K. Chaudhary, MD Allergy & Asthma Center 3685 Wheeler Road, Suite 101 Augusta 30909 706-868-8555

CHIROPRACTIC Poppell Chiropractic Clinic 1106-A Furys Lane Martinez 30907 706-210-2875 Most insurance plans accepted

DENTISTRY Dr. Judson S. Hickey Periodontist 2315-B Central Ave Augusta 30904 706-739-0071 Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048 Evans Dental Group 4250-2 Washington Rd Evans 30809 706-860-3200 www.evansdentalgroup.com Steven L. Wilson, DMD Family Dentistry 4059 Columbia Road Martinez 30907 706-863-9445

Georgia Dermatology & Skin Cancer Center 2283 Wrightsboro Rd. (at Johns Road) Augusta 30904 706-733-3373 www.GaDerm.com

DEVELOPMENTAL PEDIATRICS Karen L. Carter, MD 1303 D’Antignac St, Suite 2100 Augusta 30901 706-396-0600 www.augustadevelopmentalspecialists.com

DRUG REHAB Floss ‘em or lose ‘em!

Steppingstones to Recovery 2610 Commons Blvd.

Augusta 30909 706-733-1935

EMPLOYEE BENEFITS Group & Benefits Consultants Inc. 3515 Wheeler Rd, Bldg. C Augusta 30909 706-733-3459 www.groupandbenefits.com

FAMILY MEDICINE Urgent MD Augusta: 706-922-6300 Grovetown: 706-434-3500 Thomson: 706-595-7825 Primary Care Rates

HOSPICE

...PHARMACY

Alliance Hospice 3685 Old Petersburg Rd. Suite 145 Augusta 30907 706-447-2461

LASER SERVICES Ideal Image 339 Fury’s Ferry Rd Martinez 30907 1-800-BE-IDEAL • www.idealimage.com Schedule a FREE Consultation

OPHTHALMOLOGY Roger M. Smith, M.D. 820 St. Sebastian Way Suite 5-A Augusta 30901 706-724-3339

OPTICIAN

SENIOR LIVING Augusta Gardens Senior Living Community 3725 Wheeler Road Augusta 30909 SENIOR LIVING COMMUNITY 706-868-6500 www.augustagardenscommunity.com

SLEEP MEDICINE Sleep Institute of Augusta Bashir Chaudhary, MD 3685 Wheeler Rd, Suite 101 Augusta 30909 706-868-8555

VEIN CARE

Murphy & Robinson Phil Harris 1571 Walton Way Augusta 30904 706-737-2020

Parks Pharmacy 437 Georgia Ave. N. Augusta 29841 803-279-7450 www.parkspharmacy.com

O P T I C I A N S

PHARMACY Medical Center West Pharmacy 465 North Belair Road Evans 30809 706-854-2424 www.medicalcenterwestpharmacy.com

Vein Specialists of Augusta G. Lionel Zumbro, Jr., MD, FACS, RVT, RPVI 501 Blackburn Dr, Martinez 30907 706-854-8340 www.VeinsAugusta.com

WEIGHT LOSS PHC Weight Loss & Wellness Centers 246B Bobby Jones Expwy Martinez: 706-868-5332 Thomson: 706-597-8667 www.phcweightloss.com

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AUGUSTA MEDiCAL EXAMINER

FEBRUARY 7, 2014