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AUGUSTA

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FREE T AKE-H OME C OPY!

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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

OCTOBER 18, 2013

Everyday tips to being Do you have a full-length mirror? healthier, feeling sexier and living longer 1. LAUGH MORE There’s a reason they say laughter is the best medicine.

Studies from the University of Maryland show that while relieving stress, laughter promotes a smooth blood flow and healthy blood vessels.

2. DON’T WORRY SO MUCH ABOUT CALORIES Calories aren’t the enemy.

Calories are energy. If you boil down everything you eat to meaningless math, it takes all the fun out of food.

Nutrition isn’t just simple numbers, but a commitment to knowing what’s in what you eat and taking ownership of it.

3. GET A DOG According to research, people who have dogs are twice as likely as those without to engage in regular exercise, probably because that adorable little mutt takes

a half hour of schlepping before he poops.

4. EAT ACTUAL FOOD If you can point to the food in Cheetos, I’ll give you a dollar. That doesn’t mean you can’t eat Cheetos, just remember that it’s empty calories, so you need to balance it out with something that has actual nutrients in it.

5. SWITCH TO WATER Americans are chronic snackers, but routinely filling up with water instead not only helps you meet your daily needs (of up to a gallon a day) but cuts back on that constant craving for nosh.

6. EAT MORE FISH Nutritionists have long argued for the merits of the Mediterranean diet (high in white meat and fish), because fish is high in Omega-3s.

There’s a reason that Italians live longer. Having a healthy amount of fish can lower your risk of heart disease by up to 33%.

7. DRINK YOUR WINE Although moderate alcohol consumption in general helps prevent blood clots and artery build up while lowering Please see TIPS page 15

D

o you?

Do you ever see how someone is dressed and think, “Wow. They need a fulllength mirror”?

They may think they looked just fine when they put on that particular outfit, but for whatever reason, what they thought was attractive and stylish just isn’t cutting it and, in fact, is downright unattractive.

I saw something like that the other day. I watched a woman leave a medical building.

I imagined that she was a patient just leaving a doctor’s appointment. She wasn’t a young woman, and didn’t appear to be in the best of health. I felt a sense of admiration for her, faithfully keeping her appointments, maybe

bravely facing bad news. In short, I thought she was taking charge of her healthcare and protecting her future to the best of her ability.

And then she paused, turned away from the slight breeze, and fired up a cigarette.

The health-pursuing lifestyle I imagined for her evaporated instantly. But I wondered: What does she see in her health mirror?

Is she blind to the dangers of her unhealthy habit, like a person who doesn’t see their own wrinkles?

If we could benefit from an honest appraisal of our physical appearance in a mirror, how much more would we benefit from an honest self-assessment of how well we’re protecting our life and health? +

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OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

The Money Doctor

The Debt Ceiling — Should I get out now?

S

AUGUSTA

hould I get out now? It is a commonly asked question, when situations create uncertainty that can lead to fear. However, rarely are good decisions made out of fear. The famous Warren Buffet maxim is “Be fearful when others Are greedy and greedy when others are fearful.”

“Headline risk” will always be with us, whether it is the fiscal cliff, debt default, government shutdown, Syria, or the latest situation the media has labeled as a crisis.

Thankfully, each crisis passes as new headlines replace the old. No one will remember the debt ceiling debate in five or ten years from now. The fiscal cliff panic was just ten months ago, and no one talks about that today.

One of the things we really enjoy about our job is that we get to walk with each and every client through different phases of life. These experiences of success (and sometimes disappointments) add to our collective wisdom and continue to shape us as

we strive to grow wiser over the years.

It is ompossible to put a dollar value on this, but one of the biggest intangibles a good advisor can offer is helping you avoid mistakes. Financial mistakes come in several forms: • Poor Inputs in the Decision Making Process.

As they say “garbage in, garbage out.” This could be basing decisions on the nightly news, investment recommendations from friends or salespeople, or not performing the proper due diligence. Opportunity costs are high when not having a firm foundation for making decisions.

• Emotional Driven vs. Fact Driven. Reacting vs. being proactive.

Another way to phrase this: making investment decisions based on emotions rather than using readily available facts and information. For example, we take historical statistics with a grain of salt, but you will not hear the FREE T AKE-H OME C OPY!

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following on the nightly news: Data compiled

by Bloomberg on the 12 government shutdowns since 1976 indicate the S&P 500 rose by an average of 11% in the 12 months after closure, and it was higher by the end of two years in all instances. There have been 17 total in history.

Using the closing price prior to the first day of government shutdown as a base line, the market rose 0.97% in one month, 2.38% in three months, and 13.42% in a year (data compiled by Michael Zhuang). If you isolate the five most severe shutdowns that lasted more than 10 days, the picture is a bit worse, but not by much. On average the market fell 4.19% in one month, fell 0.18% in three months, and rose 9.63% in a year.

• Missing Goals. Not having a clear picture of your goals and what you are trying to accomplish with your money.

This is probably the most common mistake, because if you do not have a firm

foundation for making decisions, then you will constantly be floundering and frustrated with your progress as you have no guidepost or benchmarks for success.

• Skill vs. Luck. The inability to distinguish between skill and luck. Having the innate human desire to know something is too good to be true, but still doing it anyway.

One of the snares we find that trips up many successful managers is overconfidence bias. This is the psychological term for someone who thinks highly of themselves and attributes their success more to skill than luck. This is a dangerous trait and explains why many of the most talked about names on CNBC go up in smoke (along with their investors). We have seen countless new clients who

previously lost significant amounts of money because their advisor or money manager became blind to the risk they were taking, and overconfident in their own abilities after having one great year. They were not able to repeat that performance again.

It sounds basic, but remember no one can predict the future. Advisors should have opinions, but they should not bet all the chips on what they think. We live in a big world with a lot of things that are out of our control, so prepare accordingly.

So back to our original question: should you get out now? If you need the money in the next several years, you should not be in to begin with. If you have a diversified portfolio and have implemented the basics of good financial planning, then rest assured that you are prepared to weather the storms that come along. +

by Bill Cleveland, a Certified Financial Planner (CFP®), CPA, PFS and NAPFA – Registered Financial Advisor with Preston & Cleveland Wealth Management, LLC (www. preston-cleveland.com) in Augusta and Atlanta, GA.

Adaptive Golf Challenge tees up many rewards

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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

OCTOBER 18, 2013

This newspaper is delivered to more than

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

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We’re Augusta’s Most Salubrious Newspaper

Clinically proven. Doctor recommended.

and the other half is on a diet.

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“ Half the planet is dying of starvation

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by Skip Smith

n Monday, October 28, community golfers have a unique opportunity to experience (a little of) what it’s like to live life fully when you have a disability during the Walton Foundation for Independence’s 9th Annual Adaptive Golf Challenge at Forest Hills Golf Course.

In a city where golf is king, this tournament is very different. From March until October, Walton offers free monthly adaptive golf clinics to anyone 15 and older who has experienced a life-changing illness or injury, including many of our local warriors in transition. The Adaptive Golf Challenge is a culminating celebration for our clinic members—a golf tournament specifically designed to accommodate players in the CSRA with brain injuries, spinal cord injuries and other disabilities.

What makes our tournament extra special is the fact that we match each of our outstanding

adaptive golfers with three community golfers who get to experience firsthand the challenges a person with a disability faces daily.

For our community golfers, the reward is a new understanding of the abilities — not the disabilities — of those who learn or relearn the game of golf after a life-

changing injury or illness.

Throughout the day, there are many celebrations and warm handshakes, from a simple pat on the back for a hole wellplayed to even a hole in one. It’s just a lot of fun. As important, all the proceeds from this event benefit monthly golf clinics and Camp To Be Independent, Walton Foundation’s annual summer camp for kids and young adults with acquired brain injuries.

If you’re a local business, we encourage you to reach out to the Walton Foundation for Independence, sign up a team, or become an event sponsor.

Through their adaptive sports programs, the Walton Foundation impacts the lives of hundreds of persons with disabilities across the CSRA. And when you experience this unique event yourself, you’ll understand even better how great an impact that truly is. + Skip Smith is the volunteer chairman of the Walton Foundation for Independence Adaptive Golf Committee.

OCTOBER 18, 2013

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AUGUSTA MEDiCAL EXAMINER

by Ross Everett

A SPOOKY TALE FOR YOU

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s fall progresses, we all begin to feel the cool air that brings chills down our spine. Before October ends, ghouls and goblins will show up right on cue. Since it’s scary season, I wish to tell you an appropriately spooky tale. Like many others, mine describes a ghoul who also shows up frequently, terrorizes children most of all, and one that should similarly send a chill down your spine. Only difference is, my tale is entirely true.

I wish to tell you the tale of Andrew Wakefield.

On February 28, 1998, a British scientific journal, The Lancet, published a paper titled “Ileal-lymphoidnodular hyperplasia, nonspecific colitis, and pervasive developmental disorder in children.” I know it’s a perplexing title. Even after 3 years of medical school, I had to read it twice. But hang with me. Perhaps the best summary of the paper can be found in the first sentence describing the

study’s findings, which reads, “Onset of behavioral symptoms was associated, by the parents, with measles, mumps, and rubella [MMR] vaccination in eight of the 12 children…”

This is the single source that birthed the myth that vaccinations cause autism.

Particularly, this study blamed the MMR vaccine for the disorder, which is referenced as “pervasive development.”

The myth still permeates our society today. Unfortunately, it’s becoming a pretty big problem. But that’s really a problem to be discussed at a later date. Today, in my article, I just want you to know the backstory.

So what happened after the study was published? Well, no other major studies ever reported similar findings.

Additionally, some private research was done into Wakefield himself. It turns out, he was already counting several chickens. According to the British Medical Journal,

Wakefield had already received approximately $674,000 from lawyers who were mounting a case against some of the manufacturers of the MMR vaccine. However, Mr. Wakefield had failed to disclose this information during his study.

Other investigations revealed that while Wakefield’s study was still going on, he was separately filing a patent for a new test that could detect the virus he would later claim as the cause of autism or “autistic enterocolitis,” as he called it.

Preliminary studies showed the test could generate as much as $43 million dollars per year in revenue.

On January 28, 2010, a tribunal of the British General Medical Council found Wakefield guilty of more than thirty separate charges, including twelve counts involving the abuse of developmentally challenged children.

On February 2, 2010, The Lancet fully retracted its original publication from 1998, citing the manuscript had been falsified.

The British Medical Register removed Wakefield from its membership in May 2010 citing his falsification of The Lancet research as the reason. The former Dr. Wakefield is barred from practicing medicine in the United Kingdom as well as the United States.

SEE PAGE SIX

What’s your story?

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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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

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OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

Hope IS Possible

Balance can positively impact your life

Helen Blocker-Adams

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ur lives are so busy, we have to multi-task in so many areas in our life.

I’m always fascinated and amused by the sharing of family- and business-related information on Facebook.

Fathers who love to talk about their children’s T-ball games, giving almost a play by play description. Or a mother describing the dress her daughter is wearing to a school event.

Our mental health is allimportant and last week was Mental Illness Week. Most of you probably didn’t even

know that because other health issues are emphasized and promoted much more than this illness. Nevertheless, I posted information on my Facebook page about how to get help when needed in the midst of numerous discussions and posting about National Breast Cancer Awareness Month.

October, by the way, is also National Domestic Violence Awareness Month and National Bullying Awareness Month, too.

We all need balance in our lives to function in the way God designed us to. It’s very easy for our lives to get out of balance though.

A new job requires our attention and in order to fit in we put in extra hours. We leave home before the kids get up and get home after they’ve gone to bed. Years go by and you look up and your child is graduating from high school and you wonder where the years have gone.

Balance includes emotional, physical, financial and spiritual matters. Balance also means work, family and

friends. One of my favorite authors, Brian Tracy, said this about balance: “Just as your car runs more smoothly and requires less energy to go faster and farther when the wheels are in perfect alignment, you perform better when your thoughts, feelings, emotions, goals, and values are in balance.”

I believe many of us pursue balance and we try really hard, but frankly it can be difficult to reach. But it’s important to keep on the quest for the sake of our mental health.

One thing I’ve learned over the years, finding that balance takes time. It doesn’t happen when we want it too. But somehow we have to keep moving...we have to keep pressing on.

Experts say that stress overcomes us when our lives are off balance. “In our rush to get it all done at the office and at home, it’s easy to forget that as our stress levels spike, our productivity plummets. Stress can zap our concentration, make us irritable.”

What does stress do to our body? According to Mental Health America, “over time, stress weakens our immune systems and makes us susceptible to a variety of ailments from colds to backaches to heart disease. The newest research shows that chronic stress can actually double our risk of having a heart attack. That statistic alone is enough to raise your blood pressure.”

WebMD had some interesting tips to finding balance in our lives.

1. Build downtime into your schedule.

When you plan your week, make it a point to schedule time with your family and friends, and activities that help you recharge.

2. Drop activities that zap your time and energy.

“Many people waste their time on activities or people that add no value -- for example, spending too much time at work with a colleague who is constantly venting and gossiping,” says Marilyn Puder-York, PhD, a psychologist and executive

coach in New York and Connecticut.

3. Rethink your errands.

Consider whether you can outsource any of your timeconsuming household chores or errands.

4. Get moving.

It’s hard to make time for exercise when you have a jam-packed schedule, but it may ultimately help you get more done by boosting your energy level and ability to concentrate.

5. Remember that a little relaxation goes a long way.

Don’t assume that you need to make big changes to bring more balance to your life. Set realistic goals, like leaving the office earlier one night per week.

Find the balance needed in your life and I believe you find the peace of mind you are craving. + Helen Blocker-Adams is Executive Director of the Southeast Enterprise Institute; mental health advocate; and youth advocate. You can reach her at hba@hbagroup-intl. com or visit her website at www. helenblockeradams.com

Stay at home alternatives from the professionals at Right at Home “Right at Home” owners Celeste Hoffman and Kathy Crist introduce therapy dog Snickers to Mrs. Margaret Lista. Photo by Todd Lista.

For more information and a free in-home assessment, call

803-278-0250 or visit www.rightathome.net/csra.

Our publication schedule: every 1st and 3rd Friday

Would you like to reach Augusta’s $2+ billion medical community? +

MEDICAL EXAMINER

Our target audience is • 25,000 CSRA healthcare professionals • 500,000 area residents who are interested in better health and better living If these are people you’d like to reach, call 706

.860.5455 or visit www.AugustaRx.com

OCTOBER 18, 2013

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AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW ABOUT SACRIFICE AND ACHIEVEMENT

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he news media dwells upon and even glorifies the negative, disastrous, bloody, or otherwise disagreeable. While those things are reality, reliving them endlessly is not particularly helpful because they focus on the negative.

If I said every black cloud has a silver lining, I would be correct, but trite and boring.

So instead I will tell you a story about James Crane and his lady companion, Daisy, on the 101st floor of Tower 1 of the World Trade Center on the day it was struck down by terrorists.

When the plane hit 20 stories below him, James knew that he was doomed and was separated from Daisy, the love of his life.

Daisy was bewildered and rushed out into a darkened hallway. Choking on the fumes of the fuel and smoke, James waited for the Angel of Death.

It was not to be.

About 30 minutes later, James’ boss appeared with Daisy. By chance he happened

find her on the 112th floor..

The men were resigned to their fate, but Daisy’s instinct to live gave her the strength to lead James, his boss, and about 300 more people down and out of the doomed building. She was a hero.

In moments of sheer terror, we tend to do things we are not otherwise capable of. That was true of Daisy. She knew there were others who were still trapped. So against James’ wishes, she ran back in the building.

When she came out this time, she led out 392 people, saving their lives.

Daisy went back into the building a third time, just before the building collapses.

James fell to his knees in tears.

Against all known odds, Daisy makes it out of the rubble alive, this time carried in the arms of a firefighter.

“She led us right to the people before she got injured,” the fireman explained.

Her final run saved another 273 lives. Daisy suffered acute smoke inhalation, severe burns

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Best on all four extremities, and a broken leg, but she saved over 900 lives.

Daisy was a golden retriever and guide dog for James Crane. She is the first civilian (non-police or military) canine to win New York City’s Medal of Honor. Daisy was above self-serving thoughts and was willing to put her own life at risk for others.

That is a great story, isn’t it? It’s a story of tremendous bravery. It’s inspiring and heart-warming.

Unfortunately, it is not true.

It is what is known as an urban legend.

But it has been repeated thousands of times since

WIDE-EYED… from page 3 As the evidence piled up, British Medical Journal released an additional editorial, describing what had unfolded: “Clear evidence of falsification of data should now close the door on this damaging vaccine scare ... Who perpetrated this fraud? There is no doubt that it was Wakefield. Is it possible that he was wrong, but not dishonest; that he was so incompetent that he was unable to fairly describe the project, or to report even one of the 12 children’s cases accurately? No. A great deal of thought and effort must have gone into drafting the paper to achieve the results he wanted: the discrepancies all led in one direction; misreporting was gross.”

That is the story of Andrew Wakefield.

That’s the “science” that started the largely

e n i c i d ME

September 11. Why? Because we have no trouble believing that a mere dog, yes, a noble dog, would be capable of such deeds of heroism.

But there is something else even more heroic that is not an urban legend: what our troops do every day when in harm’s way around the world.

We owe our troops. We owe our service animals, and even our pets. They keep us alive.

We owe them more than we can ever repay.

And if that doesn’t make you want to rescue abandoned animals and join organizations

like Paw Prints, there might be a malfunctioning synapse or two in your grey matter that could benefit from behavioral modification.

Nancy McNair, MD runs Paw Prints and practices what she preaches: She has, at last count, 20 rescue animals and one indulging husband at her home. I admire her and look up to her. She is better than I am.

Daisy would be proud of Nancy. Would Daisy be proud of the rest of us? + 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

Hey, all of you PARTY ANIMALS… …time to come out to

unsupported anti-vaccine movement. It’s easy to fear things we don’t understand. We still don’t know what causes autism. But there are no good studies that have linked it to vaccinations. So no, Andrew Wakefield masks might not be as popular this month as vampire teeth or zombie décor, but as far as I’m concerned, all this is a whole lot scarier.

Ross Everett is a 3rd year medical student at the Medical College of Georgia. He grew up in Buford, Georgia and graduated from the University of Georgia in 2011. In addition to his coursework, he is interested in health policy, health systems and health management. Please contact him at wideeyedwhitecoat@gmail.com and Like him on Facebook at Wide-Eyed White Coat. +

at the 4th annual Wags to Wishes event to benefit local animal rescue!

Saturday, October 19, 7-10 P.M. Taylor BMW- across from Club Car in Evans Tickets available mid-September at Animal House, Art on Broad, Dogma in Evans, D'Tails Grooming, Taylor BMW, Village Deli, Vineyard Wine Market, Wild Birds Unlimited, by mail and at the door! www.pawprintsfoundation.org 706-863-2067

What you get by achieving your goals is not as important THIS PAGE IS PRESENTED IN LIVING COLOR IN THE ONLINE EXAMINER. THEY ALL ARE, ACTUALLY.

as what you become by achieving your goals.

— Zig Ziglar

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OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

fter a lovely day spent fishing with my husband on the Cape Fear River in early June, I could almost smell the crappie and bream already frying in the pan and was eager to get home.

We maneuvered our small aluminum jon boat up to the bank near the landing, pulled it out and started making our way up the steep incline to the parking lot and our truck.

We didn’t need a trailer for the old boat. We were fairly young and hardy and just grabbed hold and started up.

I had made the trek often, sometimes struggling with the awkwardness of the boat but on this day it took all I could muster to get to the top of that hill. After making my way to the truck, arms and

s

“I was prepared for the worst. Good thing.” legs weighing a ton and lungs heaving for air, my heart pounded into an achy pain.

I don’t believe I could have taken another step.

The following Monday I had an appointment with my family doctor and I went with a building amount of anxiety.

I knew I had to tell him about the episode. My family has an extensive history of heart disease in its female members. My grandma had her first heart attack at forty-two. Fear of the silent killer always slept in the background.

I had monthly checkups

to monitor my blood pressure and had been on hypertension drugs for three years already; I was 32.

After listening to my heart and checking my blood pressure every which way except upside down, my doctor left the room. After a while, the door opened and our quintessential small town doc walked in with a subdued demeanor and with what seemed like a suitcase of medication samples. That small dose of anxiety I had walked in with quickly turned into a ball of panic. I now had appointments for a stress test and a cardiac specialist in nearby Lumberton, NC within the week.

On test day I woke up at five am, still sleepy and wanting the coffee I knew I couldn’t have. I entertained

myself on the drive by choosing an after-test lunch spot. This also served to keep my thoughts off the coming day.

In the cardiac unit they attempted to put me at ease as they hooked me up to the EKG and blood pressure machines with smiles and jokes that I was much too young to be in their care. Finally, it was time to kick up my heels and run. I lasted just under four minutes before the attending physician gave a small shake of his head and a nurse pulled me from the hateful machine. With my heart trying to win a race and dragging me down in the process, I sat alone and cold, waiting to be gathered by my husband and taken to lunch.

Three days later came the cardiologist appointment and the test results. I signed in and sat with several others, all older and looking at me with kind curiosity. With my anxiety level rising, I braced myself for the report as I realized I was putting my life into the hands of someone with more than just a few diplomas on the wall. A bit

condescendingly, he informed me that I had failed the stress test, but that wasn’t unusual for a woman.

He proceeded to give me statistics and reasons why there was no reason for concern. Except I was concerned and I went into detail again about my family history. I also knew that the pain I felt back on fishing day was not my imagination. After discussing the test results and my fears, he agreed to perform a heart catheterization the following week. With no internet access (the world wide web hadn’t caught on yet) and no way to thoroughly research this next step, I talked with my grandmother about her experiences with the hated heart disease and prayed a lot.

I was hopeful, but prepared for the worst. I’m glad I was.

In recovery after the procedure, my doctor came back to see me, this time looking rather apologetic. The catheter was consistent with the stress test, and I will never forget his words, “Ms. Jackson, you have a monster in the Please see MONSTER page 7

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.

OCTOBER 18, 2013

7+

AUGUSTA MEDiCAL EXAMINER

Southern Girl Eats Clean

Voted “BEST BARBER SHOP” by the readers of Augusta Magazine

Mandarin Orange Chicken with Black Rice

Daniel Village Barber Shop

I’m always on a mission to take a recipe and remake it into a cleaner, healthier version. I do this quite often with recipes of my own that I have made for years.

Since we started our “eat clean” lifestyle I have been able to take most all of my recipes, change them up a bit by omitting unhealthy bleached flours, sugars, dairy and unhealthy oils, and then replace those with items that add more nutrition to our diets. It hasn’t been that hard and it’s actually kind of fun for me. I love the challenge!

Recently, I came across a recipe for Spicy Tangerine Chicken with Black Rice on a blog that I follow. I love all things Asian and I love black rice. Black rice is not something that was served on my Mother’s table growing up in the South. I had not even heard of black rice until about a year and half ago. Black rice has more nutrients and antioxidants than white or brown rice. The antioxidants in black rice are like those in blackberries and blueberries. It is gluten free and has a firmer texture and a bit of a sweet taste.

Black rice is a great way to add another type of grain to our diets.

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Mandarin Orange Chicken with Black Rice

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Medical Complex

at age 42 and a heart attack which came eight months after the open heart surgery.

I have been on disability for two years because I can’t walk up a single flight of stairs without having to take nitroglycerin.

If I had not been aware of my family’s history, if I had not pressed the issue after the failed stress test, I most likely would not have been alive to share this. I was going to be dismissed as a statistic until I took a firmer stand.

I have a wonderful

— by Rhonda Jackson Bowman Augusta, Georgia

Augusta Mall

Best of Augusta 2008/2009: “BEST BARBER SHOP”

is now

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.

cardiologist now in Dr. Christopher Pallas, who practices with the esteemed Medical College of Georgia.

He knows my history, always takes time to listen to my fears, and never rushes me out the door. It is very important to find a doctor that understands you, someone you are comfortable with, especially when your heart is literally “in their hands.” +

Wrightsboro Road

Daniel Field

Tue - Fri: 9:00 - 6:00; Saturday: 9:00 - 3:00

scallions, stir well and cook only until heated through. Remove from heat.

To plate: Place a 1/2 to 3/4 cup of black rice onto a dinner plate, spoon mandarin orange chicken over rice.

Drizzle small amount of sesame oil over and sprinkle sesame seeds on top. Serve immediately. +

• Specialty Pharmacy • Home Infusion Ser vices • IV Nursing Same phone numbers!

Same convenient location!

3630 Wheeler Road • Augusta, Georgia

MONSTER… from page 6 worst possible place.” Wow. The LAD — Left Anterior Descending artery — also known as The Widow Maker, was 75 percent blocked.

I was sent to another specialist in a larger town, Southern Pines, NC, to a doctor who was more familiar with early onset heart disease.

He placed a coronary stent in the artery and thus began the last 13 years of my life in and out of doctor’s offices. I have had seven stents placed in various arteries, several angioplasties, a triple bypass

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s of companies who already support us ! the ten Join

minutes.

Add green pepper and onion to skillet and sauté until slightly softened, approximately 3-5 minutes and season chicken and vegetables with salt and pepper to taste.

Pour in soy sauce, honey, rice wine vinegar, ginger, crushed red pepper, 3/4 cup of the orange juice, and stir well.

Decrease heat to medium to low and simmer for 5 minutes.

In a separate small bowl whisk together the rest of the orange juice (1/4 cup) and the garbanzo bean flour, add to chicken/ vegetable mixture.

Simmer on low for 5-8 minutes until thickened.

Once thickened, add mandarin oranges, almonds and

76 Circle K

Highland Ave.

Prepare black rice in a rice cooker or on the stove top according to package directions.

Set aside.

Heat the grapeseed oil in a large skillet over medium to high heat. Add chicken and brown, approximately 8-10

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• 3 organic pastured boneless chicken breasts, cut into small 1-2 inch pieces • 1 cup of black rice, cooked • Real Salt or sea salt and cracked black pepper • 2 Tbsp. of grapeseed oil • 1 medium organic sweet yellow onion, chopped • 1 medium organic green bell pepper, chopped • 1 cup of orange juice, freshly squeezed or 100% not from concentrate juice (I used Simply Orange brand) • 2-1/2 Tbsp. of gluten free soy sauce • 2 Tbsp. of honey • 1-1/2 Tbsp. of rice wine vinegar • 1 Tbsp. of fresh ginger, chopped • 1 tsp. of crushed red pepper • 1 Tbsp. of garbanzo bean flour • 1 small can of mandarin oranges, drained • 1/2 cup of slivered almonds • 3 organic scallions, chopped • Sesame oil • Sesame seeds to garnish

736-7230

+

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P harmacy 411

OUR NEWSSTANDS Medical locations: • 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

Around town: • 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

Plus... 500+ doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

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.

LET’S CUT DOWN ON PRESCRIPTION ABUSE

T

his year Georgia has had a steep surge in doctors writing prescriptions for extreme amounts of oxycodone. This adds to the problem that has been plaguing Georgia for years with hydrocodone abuse. Methamphetamine use is going strong despite the restrictions on pseudoephedrine. This all leads to the evitable conclusion that drug abuse is a continually growing problem.

In previous years Florida accounted for more than ninety percent of oxycodone use in America. The prescribers responsible for this overuse have recently been kicked out of Florida through a concerted effort on the part of legislators and police officials.

The problem for Georgia is that upon leaving Florida we are the next step on the travel path, so a lot of the over-prescribers settled in Georgia.

These practitioners will prescribe large amounts of pain medicines for almost anyone.

They work on a self-pay basis only. They do not take insurance and perform tests only to cover themselves with the government. Check the parking lots of these pain centers and they will be loaded with out of state license plates.

Avoid these doctors at all costs.

A practice like this may be more oxycodone- or hydrocodone-based, but a traditional set of prescriptions will be a codeine-based pain medicine, Soma or the generic carisoprodol, and Xanax or the generic alprazolam.

This combination is ripe for addiction and guarantees repeat business.

While legitimate doctors may use this combination of drugs for actual medical purposes, the problem can be spotted if a large number of patients are on the same combination from a certain prescriber.

The combination of legalized pain medicines and illegal drugs (such as meth) has been a growing problem.

Pharmacies are being instructed to prevent as much of this plague as possible and therefore are being put in something of a police role: trying to deny medicines to certain types of customers while meeting the needs of the rest.

As a result, there are sometimes roadblocks in the path of legitimate prescription users, and While no single certain cold medicines being age group is driving restricted. Please try to the prescription abuse understand that pharmacists problem, be alert for missing are trying to differentiate medicines if you have teens in between one customer and your household. the next as to their intentions with the medicines, and that may lead to legal users being questioned. If that happens to you, don’t take it personally. Just view it as your opportunity to help stem the tide of drug

abuse. It’s an unfortunate consequence of trying to reduce drug abuse in general.

We all need to help suppress drug abuse in our state. Everyone can do their part by avoiding excess use of pain medicines and the total avoidance of illicit drugs. This makes society as a whole more productive and denies the drug dealers their source of livelihood.

Also if you suspect a friend or family member has a drug problem, take steps to get them help. This may be hard at first and they may not think you are trying to help them, but stick with it and do what you know is right. + Written for the Medical Examiner

by Augusta pharmacists Chris and Lee Davidson (cjdlpdrph@bellsouth.net If you have any questions, comments or article suggestions please email us at cjdlpdrph@bellsouth.net

at www.AugustaRx.com/news

OCTOBER 18, 2013

9+

AUGUSTA MEDiCAL EXAMINER

DON’T LICK THE BEATERS

Useful food facts from dietetic interns with University Hospital’s Augusta Area Dietetic Internship Program

Quinoa: Superfood of the Americas

by Sara Negron For the month of October, I’ve decided to take into consideration a holiday that most of us take for granted: Columbus Day. This particular holiday reminds us of the day east and west came together, beginning a period of massive cultural exchanges, particularly in the culinary field. Which is why I would like to highlight a food item endemic to our western side of the globe and essential to South American native culture. This food item is known as Quinoa, and it is a food that has recently gained enormous popularity. Quinoa is pronounced KEENwah. Where did quinoa originate? What are the nutritional benefits? What makes the product quinoa different from other grains?

Quinoa is of South American origin and actually it is a seed that seems more like a grain similar to rice. The word “Quinoa “ is a Quechua (language of Andean peoples). It is believed that the first people to feed on quinoa were natives of the Andes region.

Quinoa is nutritious for several reasons. First of all, it is an important source of iron, one of the most important minerals for the body. Iron is responsible for the maintenance and creation of hemoglobin (the molecule that binds oxygen to the blood cells). It is also responsible for the maintenance and creation of myoglobin (an essential protein of muscle cells), and the maintenance of our immune system. One cup of cooked quinoa contains 15% of the total iron we need each day. By comparison, a cup of enrichced white rice contains 11%. Being a source of iron, quinoa is good for people who suffer from iron deficiency anemia.

Besides being a good source of iron, quinoa also contains protein. Protein is necessary for the maintenance of all body tissues, especially muscle tissue, and is also necessary for the formation of enzymes (molecules that accelerate important reactions in the body). One cup of cooked quinoa contains 8 g of protein, twice the protein content of white rice.

From its content of fiber, quinoa is also good for the digestive system. Fiber is necessary for normal bowel movements. One cup of quinoa contains 5 g of fiber while one cup of white rice contains 1 g. That is why quinoa consumption is occasionally recommended for people suffering from constipation and abnormal bowel Please see Quinoa page 10

At the end of the day, it’s dedication that makes a dierence.

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+ 10

AUGUSTA MEDiCAL EXAMINER

Hey, all of you PARTY ANIMALS…

Outdoor fall prevention tips for seniors

…time to come out to

by Kathy Crist

TR A

NSP

L AN

T

at the 4th annual Wags to Wishes event to benefit local animal rescue!

Saturday, October 19, 7-10 P.M. Taylor BMW- across from Club Car in Evans Tickets available mid-September at Animal House, Art on Broad, Dogma in Evans, D'Tails Grooming, Taylor BMW, Village Deli, Vineyard Wine Market, Wild Birds Unlimited, by mail and at the door! www.pawprintsfoundation.org 706-863-2067

Each year across the country, one out of every three adults age 65 and older falls, and in this age group, falls are the leading cause of injury death. Falling outdoors is of particular concern because trips Crist and stumbles outside are more common than to lose footing indoors.

Seniors who fall, even if they are not injured, often develop a fear of falling. This fear can keep a person from enjoying regular activities, which then reduces mobility and physical fitness. With less muscle tone and confidence, the senior’s actual risk of falling increases.

Falls also keep older adults from living independently, which is something our senior care staff at Right at Home works hard to preserve for each individual.

Men tend to fall outdoors more than women, and those seniors who are most active fall more often than those with physical frailties. Nearly half of tumbles outdoors are related to walking, particularly on

OCTOBER 18, 2013

uneven sidewalks or tripping over curbs. Parks, gardens, patios, decks and porches also prove difficult for older adults to remain steady on their feet.

More than 70 percent of people who fall outside land on a hard surface such as concrete, asphalt or stone.

Those at highest risk for falling outdoors are individuals with balance, vision or cognitive impairment, or weakness in the lower extremities.

Fortunately, many of the slips and spills outside for elders can be prevented. Dr. Rein Tideiksaar, a gerontologist and president of FallPrevent in Blackwood, N.J., a consulting company that specializes in fall prevention for the elderly, recommends a number of steps to reduce the chances of older adults falling outdoors: • Stay aware of uneven terrain or slippery surfaces (watch for holes, tree roots and ice).

• Check the height of curbs and steps before stepping up on them or down from them (curbs with inclines or cutaways for bikes can be misleading).

• Walk on grass if sidewalks or roads appear to be slippery or uneven (grassy areas

provide more traction and solid footing).

• Wear correct eyewear when walking (reading glasses or bifocals can distort the ability to see potential hazards).

• Wear sunglasses (glare from the sun can hide areas, which can lead to falls).

• Walk in well-lit areas in the evening to provide the most visibility for hazards.

• Walk hands-free using a fanny pack or an over-the-shoulder bag instead of a clutch purse.

• Wear sturdy, low-heeled shoes for better balance (shoes that have rubber soles provide more traction. + Right at Home has served the CSRA since 2005. Right at Home offers in-home companionship and personal care and assistance to seniors and disabled adults who want to continue to live independently. Right at Home carefully selects and supervises all caregiving staff, each of whom is thoroughly screened, trained, bonded and insured prior to entering a client’s home. To contact them, call 803-278-0250 or visit them on the web at www. rightathome-csra.com.

+ I

M.E. Parents, Teachers, Caregivers: Tired of fussing and nagging?

ORGANIZE YOUR KIDS THE CHART MART WAY! AVAILABLE AT: Columbia County Library Cafe AGC Teacher Supply Dixie Dawgs at Saturday Augusta Market

To advertise in this paper, call 706.860.5455 today!

QUINOA… from page 9 movements. Quinoa is also a good source of magnesium important for absorption of vitamin C and calcium and a good source of folate, a B vitamin important for formation of blood cells and for protein metabolism.

Most important of all, what makes Quinoa different from grains is its large content of the amino acids lysine and isoleucine. Most grains we eat, like white rice, contain very small amounts of these amino acids. For this reason, white rice is considered an incomplete protein. However, quinoa is considered as a whole portion of complete protein by its high content of these amino acids.

The current excitement about quinoa is deserving of attention since it is very nutritious. It’s not too late to try this food. There are still so many foods endemic to our side of the globe. This month, make it a priority to try one of these foods, quinoa in particular.

The cooking experts at Bon Appetite recommend first rinsing quinoa to get rid of some of the slightly bitter qualities. Cook one cup of quinoa in two cups of water in a medium saucepan. Bring to a boil and then cover and cook on medium to low heat to simmer about 15 minutes. Quinoa is found in many local supermarkets and there are many recipes to be found online. +

OCTOBER 18, 2013

11 +

AUGUSTA MEDiCAL EXAMINER

The blog spot — Posted at (and excerpted from) spectator.co.uk on October 12, 2013

OBESITY: IT’S A MINDSET, NOT A DISEASE For too long, my fellow doctors have pussyfooted around their obese patients, too scared to confront the, er, elephant in the room. They don’t want to cause offence. Unbelievably, draft guidelines announced last year by the National Institute of Clinical Excellence and Health (NICE) suggested that doctors should even avoid the use of the word “obese” for fear that larger patients might be upset. Instead, NICE recommended advising corpulent patients that they should seek a “healthier weight.”

But nice euphemisms mean that people don’t confront reality.

I’m not going to stop diagnosing cancer just because people don’t like hearing the dreaded word.

So why should it be different when informing people that they are obese? Sometimes morbidly so. What NICE is delicately skirting round is what many doctors, nurses and dieticians will confirm: people don’t like being told they are overweight, even if it’s clearly the case. By pretending this is a disease, the doctors are making it even worse.

There’s something comforting about blaming obesity on genes. It enables people to relinquish responsibility for their weight, which can be seen as outside their control. It’s nothing new, either. Years ago, fat people blamed their “glands.” When I started medical school, I patiently waited to be taught about these magical glands that made people fat. I’m still waiting. Even when people have problems with an underactive thyroid, which can slow the metabolism and result in weight gain, this can be treated with thyroid replacement tablets and the metabolism returns to normal. As a rule, however, fat people have one thing in common: they eat more than they need to.

Certainly some people metabolise food at a different rate to others, meaning they are more likely to lay down fat stores than other people. But this is a reason to eat less, not to become fat.

You cannot get away from the basic biology of the human body — weight gain is only possible when the total amount of energy consumed exceeds the total amount of energy expended.

An in-depth study published last year which looked at the genes of more than 20,000 people found some are predisposed to be overweight. But an active lifestyle and reducing food intake can counteract that. Simple. While some will be annoyed by this research, I find it empowering. The idea that our genes control us is profoundly depressing.

The rate of people considered clinically obese has risen from 1 to 2 percent of the population in the 1960s to over 25 percent now. Why? A simple answer would be lifestyle, but it’s actually a little more complicated. A fascinating survey conducted by the Department of Health compared data collected from 1967 and 2010.

It showed that, while people back then were slimmer, they ate fattier foods and had access to far fewer gyms. We eat better now, we work out more. But we live relatively sedentary lives. Only three out of ten households had a car then, compared to seven out of ten now. While 75 per cent of people walked for at least half an hour a day in the 1960s, only about 40 percent do now.

What stands out more than the lifestyle differences is the sharp contrast in the attitudes towards obesity then and now. The 1967 survey found that nine out of ten people had attempted to lose weight in the past year, compared with barely half of adults questioned in 2010. Perhaps most tellingly, 40 years ago only 7 percent of those who considered themselves overweight had failed to do anything about it, compared with nearly half now.

It would be easy to blame Britain’s fatness on lifestyle changes, but the worst of it is attitude. People just aren’t bothering to lose weight any more. Perhaps obesity is viewed as more normal.

But this is also down to the attitude that we doctors increasingly encounter in our consulting rooms: the reluctance of patients to accept that ailments can be blamed on their behaviour, for which they are reluctant to take responsibility.

Patients blame obesity on the government, cunning food

“Truth is a hard drug to administer.”

From the Bookshelf There are quite a few bookwriting doctors out there: Oliver Sacks, Atul Gawande, Jerome Groopman, and Mehmet Oz come to mind.

I wonder if any of them have this book on their shelves.

Something tells me no, but something else tells me for every doctor or medical student who does, another one thousand should.

Why? For starters, the entire world of medicine is in a state of upheaval thanks to the Affordable Care Act. As well-intentioned as it might be, it’s hard to find any doctor or patient who fully understands exactly how it’s going to affect them in the days ahead.

Nobody likes uncertainty, including Pamela Wible, MD. As she writes, once upon a time she was disillusioned with medicine. It wasn’t the people-helping profession she signed up for. She opted out of “assembly-line medicine,” but only long enough to figure out how to reinvent the practice of medicine, at least within her world.

Not everyone is that brave, but it won’t take you too long to realize Dr. Wible takes an ever-so-slightly irreverent

approach to things. Sanjay Gupta, for instance, is not likely to illustrate the cover of his next book with an OB/GYN’s view of a woman in stirrups with a strategically placed goat for modesty (not a Photoshopped goat, either — a real live goat).

It may be just a tad unorthodox, but we are talking about re-inventing medicine, after all, Wible-style.

This book’s 101 medical adventures (most rather short) are full of first person accounts of her patients, and they teach lessons about how doctors can humanize medicine again, combining the good stuff of 2013 healthcare with the good

stuff of, say, 1950s healthcare.

Yes, it’s possible to enjoy doctor visits, and enjoy being a doctor. Wible’s 101 sermonettes, says one blurb on the cover (by Lisa Sanders, MD, whose book Every Patient Tells a Story has been reviewed in this space) “make you wish that she was your doctor. And as a doctor, that you had her practice.”

Of course, the trouble with that is we live in Georgia and she lives in Oregon. She can’t be our doctor, and our doctors can’t have her practice.

However, that misses the point entirely. The point is to read this book, absorb its important message, and then import the principles from there to here, wherever here might be.

Although patients might read this book and sigh, “Oh, if only...” it contains many lessons for them. Doctors and med students, on the other hand, can read and immediately apply the principles to their practice, whether large or small, current or future.

Yes, even medicine needs a little medicine sometimes. + Pet Goats & Pap Smears by Pamela Wible, MD, 288 pages, published September 29, 2012 by the author

Research News Poison pain The journal PNAS reports on a study by the University of Queensland’s Institute for Molecular Bioscience that has discovered a promising new painkiller derived from the venom of the Chinese redheaded centipede (shown).

A pain pathway known to lab types as Nav1.7 is the specific target of the active ingredient in the venom.

Previous studies have shown that people with a nonfunctioning Nav1.7 channel cannot feel pain, so when researchers found the venom was selectively active against

that specific channel, it sparked interest in further studies.

Preliminary results say the centipede-based analgesic is as effective as morphine.

Back pain is all in your head A Northwestern University study has found that brain abnormalities can be an accurate predictor of chronic back pain.

Based on MRI brain scans of

manufacturers, their parents and their genes.

They demand fat-loss pills on the NHS tab and stomach-stapling surgery as a right. In a world where health care is becoming consumerised, patients see themselves as customers. There’s not much demand for hard truths.

America has severe obesity problems, and seems resigned to them. But Britain has a National Health Service, and therefore a far higher capacity to change. It ought to be easy. Doctors should be required to tell patients a blunt truth: if you’re fat,

people with a new lower back injury, scientists could predict with about 85 percent accuracy which patients would recover quickly and which patients’ pain would persist.

The predictor markers were located in axon bundles in two regions of the brain.

The findings offer the promise of more effective treatments for chronic pain, which is said to affect some 100 million Americans. In effect, the study moves the treatment target from the lower back to the brain.

The study findings are in the journal Pain. +

eat less, exercise more, or both. And if you keep guzzling the tasty treats, you will die earlier. It’s not a disease, it’s a mindset — and that means it can be changed. We doctors need to be a little less understanding, a little more judgmental, and realise that our oath — do no harm — must come before our desire to save the feelings of our patients. The truth can be the hardest drug to administer. But holding our tongues, prescribing the fat pills and bankrupting the NHS in the process is the worst solution of all. +

+ 12

OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

How was the Very sad. It was such funeral? I could’t go. a terrible way to die.

Was it closed casket?

He was cremated.

Wow. So was it closed urn?

I believe it was, yes.

© 2013 Daniel Pearson All rights reserved.

EXAMINER CROSSWORD

PUZZLE

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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 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 :

C C R N E O P M H O O R X E

K C U G I H S E E S T U M R A T V A C : E E T T

R E S A

by Daniel R. Pearson © 2013 All rights reserved

E Y S L E W S E N

— Laurence J. Peter

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.

E

4 5

X A M I N E R

2 6 4 8 2 8 1 4 5 4 9 1 9 7 6 6 2 3 9

3 9 8

5

1

9

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6

by Daniel R. Pearson © 2013 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 1 2 3 1 2 3 4 5 I C 1 2 1 2 3 4 5 6

1 2 3 4 R 1 2 3 4 5 6

T 1 2 1

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1 . C O G H H A A AT T T W I D 2 . F O OTA U S H E I A H 3 . T R A M M AV E R 4 . S I R R E E E A 5 . N A C T T 6 . K D G 7 . E 8 . S

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

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by Daniel R. Pearson © 2013 All rights reserved

BY

The Mystery Word for this issue: LATNNSTRAP

13

20 21 22 23 ACROSS 1. Military abbrev.

24 25 26 4. Lowest point 27 28 29 30 31 32 33 9. Binge 14. Affirmative vote 34 35 36 37 38 15. Corpulent 39 40 41 42 16. Factory 17. Summit 43 44 45 46 18. Sample tapes 47 48 49 50 19. Musical composition 20. Muslim ruler 51 52 53 54 55 22. Legal action 56 57 58 59 60 61 24. Rattling breath sound 62 63 64 65 26. NBC show 27. First-class 66 67 68 29. For each 69 70 71 30. Peak 34. Choose

by Daniel R. Pearson © 2013 All rights reserved. Built in part with software from www.crauswords.com 36. Add as an attachment 38. Masters winner between 32. Lab guinea pigs (that aren’t DOWN Angel and Charl guinea pigs) 1. Transparent, colorless, 39. Ray Charles anthem 33. “What _____?” odorless, tasteless liquid 41. Parquet-floor team 34. Leer at 2. Benign muscle tumor 43. ____ it over; domineer 35. Unskilled laborer 3. Hair-removing 44. Downtown street 37. Attorney’s assistant 4. Start to doze off 46. Grant foe 40. Nutritional label abbrev.

5. Fourth human (Genesis) 47. New Age singer 42. Gold ____ (on book pages) 6. Relinquish; formally resign 48. Type of computer 45. Radiate; exude 7. Variation on a chemical memory 50. Author Anais element 49. Bar material, sometimes 51. Devout 8. Home 51. Australian cockatoo 52. Undue speed 9.

Atomize 53. Dietary _______ 54. Boredom 10. Scheme 56. Exceptional; magnificent 55. Intervals of silence (music) 11. Wife of a rajah 61. Time to report to work?

56. In addition 12. Prefix for scopic or tracheal 62. Adored 57. Israeli round dance 13. English public school 63. Vaporous substances 58. Wicked founded in 1440 65. Nurse of nurses (abbrev.)

59. Trim 21. ___ Speedwagon 66. Wild sheep of Asia 60. Balloon material?

23. Augusta’s former 67. Fragrant essential oil 64. DOE site Golf & ______ 68. Egyptian pharoah and 25. Obstacle king 28. Witty or pithy saying 69. Like lacrymal secretions 70. City in Northern England 30. Quick to learn 31. Labor 71. Half of a towel set Solution p. 14

WORDS NUMBER

THE MYSTERY WORD

THE BEST MEDICINE ha... ha...

Patient: “Doctor, I keep thinking I’m a frog.”

Doctor: “What’s so bad about that?”

Patient: “I’m afraid I might croak.”

Patient: “Doctor, I can’t sleep at night.”

Doctor: “Have you tried sitting right on the very edge of the bed?”

Patient: “What will that do?”

Doctor: “It might help you drop off.”

A

man was home alone when the phone rang. It was a nurse from the doctor’s office where his wife had an appointment last week.

“Mr. Smith, I’m calling for your wife. Is she home?”

“No, she’s out doing a couple of errands.

Would you like to call back, or can I take a message?”

After a pause to check the wife’s chart, the nurse said that he was listed as authorized, in accordance with HIPPA regulations, to release her information to. “Do you have a pen and something to write on?” the nurse asked.

“All set,” said the husband. “Fire away.”

A few moments later he hung up and posted this note to his wife on the refrigerator: “Someone from the Guyana Colleges called.

They said the Pabst beer is normal.”

A full-blooded Cherokee went to see his doctor one day.

“It’s weird, doc,” said the Indian. “Some days I feel like a teepee and other days I feel like a wig-wam. What’s wrong with me?”

“You’re too tents,” said the doctor.

Patient: “Doc, I broke my arm in two places.”

Doctor: “Well don’t go back there again!”

Patient: “Hey doc, I need your help. My duck is real sick.”

Doctor: “I don’t treat ducks.”

Patient: “You’re a veterinarian, aren’t you?”

Doctor: “Yes, but I don’t treat ducks.”

Patient: “Well who can help me?”

Doctor: “Take him to a quack.”

Why did the doctor keep his bandages in the refrigerator?

So he could use them for cold cuts.

A fat girl walks into a cafe and orders two slices of apple pie with four scoops of ice cream covered with chocolate sauce and piles of chopped nuts.

“Would you like whipped cream and a cherry on top?” asks the waitress.

“I better not,” said the girl, “I’m on a diet.”’

Why are there no psychiatrists for dogs?

Everyone knows dogs aren’t allowed on the couch. +

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 $16; or ____ one year for $32. Mail this completed form with payment to Augusta Medical Examiner, PO Box 397, Augusta GA 30903-0397

The Patient’s Perspective

by Marcia Ribble

M

y front yard isn’t too bad, but my side yard was drenched and had puddles everywhere during all our summer rains.

However there are benefits.

For example, I would never have considered leaving my houseplants outside while I was traveling before, sure that I would return to desiccated plant skeletons. This summer was quite different. My indoor plants should love the sun, the warmth, and all that lovely rain. So I just took them out to enjoy the outdoors. Then there are the laughs.

When it began to rain furiously one afternoon, I was at the computer with my outdoors-facing window, watching as numerous trash cans formed themselves into a trash can train and slid happily away from their homes and down the street.

First one came and crashed into a second can, and the two of them rolled on down the road, capturing loose cans and incorporating them into the train. I was soon laughing out loud, but also understanding better how a couple of inches of running water can move even large things like cars.

Cause and effect!

Unless we see cause and effect in action, watching forces of nature defy our small human logic, it’s difficult to believe that things which appear totally unrelated can nonetheless act together to cause real problems for us.

Diabetics like me can be trapped by the fact that the causes and the effects can be many decades apart from one another. Doctors can tell us that the piece of fudge today can be the cause of the heart attack in forty years. They can argue that if we don’t exercise in our thirties we will have health problems in our sixties.

Today I am facing some of the consequences of that logic gap. I have neuropathy, mild retinopathy, skin problems, and other issues. So far my heart is still working well, and by rights I am downright lucky not to be waiting for a new kidney or spending multiple days a week having toxins

“

Talk is cheap.

Not talking can be deadly.

removed that my kidneys should have been able to take care of without dialysis.

I’m not blind and don’t have dementia. For those things I am certainly blessed because even if I haven’t been a perfect diabetic, I have paid some attention to my diet, favoring proteins, fruits, vegetables and whole grains. And, although as a teacher I do a lot of sitting, I still get more exercise than a lot of people my age.

The diabetic community, given that time and logic gap, needs to rethink some of its messages to overcome the gap. They need to argue that most of the negative affects of uncontrolled diabetes will not show up for years, and that diabetics are not unique in our dietary and exercise needs. Eating healthy foods and exercising is good for all of us. Whether or not folks are diabetic, those insidious and long term deleterious effects are happening to their bodies, too. If that were not the case, only diabetics would get heart attacks, retinopathy, strokes and dementia, and other disease issues that affect diabetics.

Writing and speaking about diabetics as though we are somehow very different in how we must create and live healthy lives fails to help others who are not diabetic, and who believe — falsely — that the same principles of healthy living don’t apply to them, too. + 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.

USEFUL TEXT MESSAGE: “I will be there in 5 minutes.

If not, read again.”

“

OCTOBER 18, 2013

+ 14

OCTOBER 18, 2013

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED The Mystery Word in our last issue was: BANDAGE ...cleverly hidden (in the scrubs) in the p. 9 ad for INTERNATIONAL UNIFORM Congratulations to CORY MERCER, who scores a $20 Wild Wing Cafe gift certificate, two free movie passes courtesy of Health Center Credit Union, a free Top Notch Car Wash gift card, and a $40 Scrubs of Evans gift card. Win this stuff!

The new Mystery Word is on p. 12. Start looking!

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 FOR SALE: 3 BR house + 1 BR apartment (private entrance) + 2 full basements. Apt ideal for aging parent, or home office, or rental (now rented; income to offset mortgage). 310sqft basemt perfect for office or playroom.

2nd basemt (240sqft, large windows) great for workshop or studio. House & apt (2042sqft), hardwd floors, new baths.

Lush back yard. Tanglewood area, near Augusta Mall. $93,500 OBO. 617-6292915.

FOR RENT: Perfect location 1 mi. from MCG 1827 McDowell St. house for rent.

Two bedrooms, 1-1⁄2 baths, living room,

dining room, den, kitchen. Recently refurbished, tile and hardwood floors, ceiling fans, w/d hook-up, new fridge, cable, storage house. Renter pays utilities. $750 plus deposit. 706.738.2331 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 CAREGIVER looking for work. Will do light housework too. (706) 738-2366 WILLS, TRUSTS & POWERS OF ATTORNEY - We can fulfill your legal and

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

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

estate planning needs through preparation of simple wills, complex trust agreements, advance directives for healthcare, and/or durable powers of attorney. For more information call John R.B. Long, Attorney at Law, 411 Telfair St. Augusta GA 30901 (706) 868-8011. Mention this ad for a no-charge consultation.

THE PUZZLE SOLVED W M D

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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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QUOTATION QUOTATION PUZZLE SOLUTION: Page 12: “Expert: A man who makes three correct guesses consecutively.”

— W. H. Auden

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.

.25

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The Sudoku Solution 2

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COFFEE IS GOOD MEDICINE

(Copy this form or continue on additional sheet if more space needed.)

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: $

WORDS

BY NUMBER “The worst time to have a heart

VISIT DRUGOFCHOICECOFFEE.COM

attack is during a game of charades.”

Thanks for reading!

www.AugustaRx.com

— Demetri Martin

Multiply by number of times ad to run: x Total submitted: $

The Augusta Medical Examiner publishes on the 1st and 3rd Friday of every month.

Your ad should reach us no later than 5 days prior to our publication date.

OCTOBER 18, 2013

15 +

AUGUSTA MEDiCAL EXAMINER

TIPS… from page 1 cholesterol, the antioxidants in wine are argued to have a particularly positive effect — so long as your don’t drink too much. The same goes for the antioxidants in coffee. Moderation is key.

8. BE ACTIVE IN YOUR DOWNTIME You don’t have to go on a 30-mile run, but switching that cafe date to a coffee walk-and-talk allows you to get outside and burn calories while you have your gossip session.

9. SNACK WITH FRUIT But of course, we all love to snack anyway (because hummus) so just nosh healthier, and there’s no better snack than nature’s dessert. Grapes, bananas and strawberries are perfect replacements for those tastylooking Doritos.

10. STOP SMOKING You won’t gain weight. I quit six months ago, and I’ve never been healthier in my life. It helped me stay active, when I wasn’t constantly gasping for breath, and promote a healthier mentality. When you’re smoking, it’s not just the cigarettes that are

killing you. It’s you.

body time to burn those calories off throughout the day. Get a big breakfast, a smaller lunch and a light dinner. In Spain, dinner is really just a glorified snack, so you don’t take those calories to bed with you.

11. TAKE WORK BREAKS. In addition to being mind-numbing, sitting at a desk for hours on end has been shown to have a negative effect on overall health, while decreasing your life span and your will to live. Thus, get up and move around.

Take a bathroom break. Refill your water. Go talk to the co-worker you have a crush on. Just get up and do something.

15. GO FOR A WALK AFTER YOU EAT While helping burn calories, it’s a great way to promote blood flow and healthy digestion. It also staves off that nasty food coma you get after eating way too much, which I almost always do.

12. TAKE YOUR PARTNER DANCING Guys, you know how she always wants to go out? Take her. While satisfying her needs, dancing also burns an estimated 150 to 300 calories an hour, depending on if it’s slow dancing or a full-on twerk.

Twerk for your heart, y’all.

16. EXERCISE PORTION CONTROL Americans are chronic buffeters, eating until you feel miserable. Try the French way instead. The French stop eating when you feel “80% full,” satiated but not so full you want to puke. It also saves room for dessert, which we all love.

13. FLOSS Statistics from the Mayo Clinic show that regular flossing can add up to three years onto your life, and data from past experience shows it makes you much better to make out with.

17. CLEAN WHEN YOU’RE ANGRY You know how your Mom always washes dishes when she’s mad? There’s a reason. While promoting a clean living space (which is good for mental health), it’s a low form of cardio and a nice stress-relief, lowering blood pressure by taking your mind off nagging problems. Don’t dwell. Scrub.

14. EAT MORE EARLIER There’s a reason you should never skip breakfast: Starting out with your heavier meals early gives your

by Nico Lang and with credit to ThoughtCatalog.com +

+

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

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!

Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048 Dental Partners of South Augusta W. Palmer Westmoreland, DMD 2504 Peach Orchard Rd Augusta 30906 706-798-8300 Evans Dental Group 4250-2 Washington Rd Evans 30809 706-860-3200 www.evansdentalgroup.com

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

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

YOUR LISTING HERE Augusta Area Healthcare Provider 4321 CSRA Boulevard Augusta 30901 706-555-1234 CALL 706.860.5455 TODAY!

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

HOSPICE 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

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

P T I C I A N S

PHARMACY Medical Center West Pharmacy 465 North Belair Road Evans 30809 706-854-2424 medicalcenterwestpharmacy.com Parks Pharmacy 437 Georgia Ave. N. Augusta 29841 803-279-7450 www.parkspharmacy.com

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

+ 16

AUGUSTA MEDiCAL EXAMINER

OCTOBER 18, 2013