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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 3, 2014

OCTOBER IS NATIONAL DOMESTIC VIOLENCE AWARENESS MONTH

Run! Pass! Kick!

An open letter to the NCAA

P

oor Roger Goodell, the embattled commissioner of the National Football League.

After Baltimore Raven Ray Rice was caught on security cameras knocking his future wife out cold and dragging her unconscious body in the direction of their hotel room, Goodell was criticized for his initially tepid response.

There’s something very wrong with that picture.

Do you know a free-range toddler who absolutely rules a household, receiving no effective control or discipline from his lenient parents? Eventually, his kindergarten or first grade teacher will have to clean up the mess and institute some discipline, and it won’t be easy or pretty.

Let’s call Ray Rice that first grader. And let’s say Roger Goodell is his first grade teacher.

So who is the lenient parent who has an extremely loose definition of discipline?

That would be the NCAA generally, and college coaches and the universities who employ them specifically.

The NCAA doesn’t even talk a good game on the topic of player conduct, let alone play one.

Last week, for example, NCAA president Mark Emmert said it is the responsibility of individual schools to appropriately handle issues involving domestic violence and sexual assault.

That is what’s known as

a lateral. All decisions on discipline are made locally and without oversight or official guidance from the NCAA. But wait, you say. People are kicked off college teams all the time for various infractions.

Georgia kicks players off its football team regularly.

True enough. And what happens to them then?

If you’ve heard about pedophile priests who are simply relocated to another congregation or another parish, you’ve got a pretty good idea of what happens to expelled athletes.

Does the name Nick Marshall ring any bells? He was caught stealing from his Georgia teammates and dismissed from the team prior to the 2012 season.

You’ll get to see him next month:

he’s the starting quarterback at Auburn and will be in Athens to face the Bulldogs on Nov. 15.

Zach Mettenberger, at one time Georgia’s starting quarterback, was kicked off the team and later pleaded guilty to two misdemeanor sexual assault charges. He went on to be LSU’s starting quarterback for two full seasons and is now playing for the NFL’s Tennessee Titans.

Josh Harvey-Clemons was a rising star in Georgia’s secondary a year ago before being kicked off the team for drug infractions. He’s now at the University of Louisville, where he will redshirt this season and is expected to start next year.

The list goes on: Isaiah Crowell, dismissed for weapons charges, transferred to Alabama State and now plays for Cleveland (NFL); Tray Matthews, kicked out for a check-cashing scheme, now plays alongside Nick Marshall at Auburn.

These are just a few of the evicted players from a single team. And clearly, sexual crimes are not the only ones whose perpetrators are simply moved from one campus to another.

Critics say some NFL players and other professional athletes have a sense of entitlement, an “I’m above the law” mentality.

Perhaps it all begins during their college careers courtesy of the NCAA’s turn-a-blind-eye musical chairs revolving door Please see VIOLENCE page 5

FALL IN LOVE WITH YOUR NEW SCRUBS FROM

It’s Quitting Season W

by Daniel Pearson

hat does that mean?

It’s October. Within the next 90 days a whole lot of quitting is going to happen. During the fast-approaching holidays, people usually overeat, overdrink, and overspend.

But we try to quit. Then New Year’s Day rolls around and it’s the perfect opportunity to make a fresh start: quit being a couch potato and get some exercise — and get it regularly; quit watching so much TV and use time more productively; quit overeating and lose a few pounds; quit smoking (if you didn’t quit already during November’s annual Great American Smokeout).

Of course, we usually quit the quitting pretty quickly.

But perhaps we could all learn an important lesson from two well-known individuals.

First, the man pictured above. That is the face of John Paul Jones, considered to be the Father of the United States Navy. On Please see QUITTING page 2

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AUGUSTA MEDiCAL EXAMINER

HEALTHCARE REFORM & YOU

by Russell T. Head, CBC, CSA

HOW EMPLOYERS SAVE MONEY WITH SPOUSAL CARVE-OUTS

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o help control their health care costs, some employers have adopted group health plan provisions restricting coverage of spouses, or requiring additional premiums for spousal coverage. These provisions take the form of Russell Head spousal carve-outs or spousal surcharges. They can be costsavings tools for health plans, particularly when there are generous provisions for dependent coverage and plans where a significant portion of the enrolled population elects family coverage.

The Affordable Care Act (ACA) is contributing to the growing popularity of spousal carveouts. Beginning in 2014, the ACA provides spouses who are ineligible for coverage under an employee’s group plan with a way to secure their own health insurance through the law’s health insurance exchanges and market reforms.

Effective for 2015, the ACA’s employer mandate provision requires large employers to provide health coverage to their full-time employees and dependent children or risk a penalty, but the

coverage requirements do not apply to spouses.

What is a spousal carve-out?

Spousal carve-out is a plan provision that restricts coverage for employees’ spouses who are eligible for other coverage, such as through the spouse’s employer. One type of spousal carveout provides that working spouses with health coverage available through their own employers are ineligible for coverage under the employee’s plan. This saves the employer the premium contributions that it would have otherwise made on behalf of the employee’s spouse. For 2014, some employers have announced they are dropping spousal coverage altogether, regardless of whether spouses are eligible for group coverage elsewhere.

Another type of spousal carve-out provides that working spouses must enroll in coverage offered by their own employers to be eligible for coverage under the employee’s plan. In effect, the employer’s plan becomes a secondary payer to other plans where employees’ spouses are covered.

Please see HEALTHCARE REFORM page 4

OCTOBER 3, 2014

QUITTING… from page 1 September 23, 1779, Jones led the USS Bonhomme Richard in a North Sea battle against HMS Serapis under the command of Captain Richard Pearson (no known relation) of the British Royal Navy.

Near the beginning of the three-hour-plus naval battle, Pearson demanded Jones’ surrender, to which Jones famously replied, “I have not yet begun to fight.”

Although the Bonhomme Richard was seriously crippled early in the battle, through Jones’ strategic maneuvers he ended up accepting Pearson’s surrender.

Not quitting paid off, even though things didn’t look too promising in the early going.

An example from this century There is an iron horse of an athlete who is synonymous with stamina and determination.

Brett Favre got into a game unexpectedly in 1992 after the starting quarterback for the Green Bay Packers was injured.

He thereafter started every single game for the Packers through the 2007 season, a record 321 straight games (counting the postseason).

Along the way he set and still holds records for most career touchdown passes, most career passing yards, most career pass attempts and completions, most career victories as a starting quarterback, and most consecutive starts by a quarterback, most consecutive starts by an NFL player at any position, and others.

What is amazing is how his career started, and how many times he had to decide not to quit.

Favre began his college career at Southern Mississippi as their seventh-string quarterback. Who ever heard of a seventh-string anything?

But by the third game of his freshman year, he was the Golden Eagles’ starting QB. During his junior year, Southern Miss under Favre beat Florida State, at the time ranked 6th nationally.

But before the start of Favre’s senior year, he was involved in a near-fatal car accident. His car flipped three times, and at the hospital doctors removed 30 inches of his small intestine.

Six short weeks later he led Southern Miss to a comeback victory over Alabama.

Favre’s college career led to being taken 33rd overall in the 1991 NFL Draft by the Atlanta Falcons. Atlanta coach Jerry Glanville, opposed to drafting Favre, said it would take a plane crash for him to put

Favre into a game.

Despite no plane crashes, Favre did get into two games.

He attempted a total of four passes while at Atlanta, completing two of them.

Unfortunately, neither catch was made by an Atlanta player. His first NFL pass was intercepted and returned for a touchdown. He had zero total yards passing in his Atlanta career, a 50% interception rate, and negative eleven yards rushing, courtesy of a sack.

In short, Favre’s Atlanta career is the very definition of pathetic. No one would predict he would go on to own dozens of career records in the NFL. And we haven’t even mentioned his failed physical when he was traded from Atlanta to Green Bay. Or his four fumbles in his first game with the Packers.

Or his addiction to painkillers that came to light after he suffered a seizure during a hospital visit in 1995.

Or the death of his father the day before a game he won.

Or his wife’s diagnosis of breast cancer. Or the death of his brother-in-law in an ATV accident on Favre’s property (during football season). Or playing in frigid Green Bay weather every winter.

We’re not nominating Brett Favre for sainthood, but he is definitely a role model when it comes to perseverance.

There is a lesson for us all in the positive accomplishments of Favre and Jones. If what we want to quit (or start) is worth the effort, it’s worth pursuing even when we experience setbacks (plural) — and we will.

We can channel our inner Brett Favre and John Paul Jones and answer the difficulties in the early going with “I have not yet begun to fight.”

And then proceed to keep fighting. Eventually it will get easier. The bad habit that so stubbornly surrendered will be replaced by an equally tenacious good habit.

So quit whatever it is you want to quit. And keep quitting. Stay quit. +

OCTOBER 3, 2014

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AUGUSTA MEDiCAL EXAMINER

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. +

Everything you need.

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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AUGUSTA’S MOST SALUBRIOUS NEWSPAPER

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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.

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Submit editorial content to graphicadv@knology.net Direct editorial and advertising inquiries to:

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(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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OCTOBER 3, 2014

AUGUSTA MEDiCAL EXAMINER

HEALTHCARE REFORM… from page 2 What is a spousal surcharge?

A spousal surcharge is an additional premium contribution that an employee must pay for coverage for their spouse. The surcharge generally applies if the employee’s spouse has a source of coverage available through his or her own employer, and chooses not to enroll in that coverage. Most spousal surcharges do not apply to spouses who are not employed or whose employers do not offer health insurance. They also are not applicable to coverage for children. Surcharges are designed to encourage spouses to use their own available health coverage and to contribute to the added cost of covering spouses who choose not to do so.

Potential legal issues Some states have laws and regulations that limit the design of spousal carve-out and surcharge plan provisions. In many cases, these laws and regulations prohibit discrimination (for example, sex or marital status discrimination) that can result from an employer adopting spousal carve-out or surcharge provision in a plan.

Before implementing a spousal carve-out or surcharge, check with your state insurance commissioner for any laws, regulations or public policy issues that may impact this design, and consult with your insurance broker and carrier before amending your plan.

For further explanation of the ACA/PPACA provisions outlined in this article, please refer to the following resources: www.hhs.gov www.irs.gov www.healthcare.gov www.cms.gov Russell T. Head is President/Managing Partner with Group & Benefits Consultants, Inc., Augusta’s largest, privately held, locally owned employee benefits consulting firm. He can be reached at 706-733-3459 or rthead@gandbc.com. Visit Group & Benefits Consultants at www. groupandbenefits.com. +

OLD NEWS

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POINTS OF INTEREST TO FORMER KIDS

by Trisha Whisenhunt, Senior Citizens Council

MEDICAL MARIJUANA IN THE PEACH STATE

R

egardless of where you stand on the subject of marijuana being legalized for recreational use, it’s hard to deny that testing for medicinal purposes is sound.

It’s a short leap to think legal recreational use may follow. But let’s focus on the good that can come from the medical testing of this plant.

The National Academy of Sciences Institute of Medicine, the University of California’s Center for Medical Cannabis Research, the Medical Association of Georgia, and Children’s Health Care of Atlanta is just a sampling of the organizations which support testing for medicinal benefits. There is already solid research that marijuana can assist in the relief of seizures, glaucoma and chronic pain as well as with cancer, Parkinson’s disease and multiple sclerosis. The idea that these diseases and possibly others can be eased or controlled through marijuana use is great news for those who suffer.

One common argument is that marijuana is a gateway drug. The opposing school of thought is marijuana use isn’t any more of a gateway to harder drugs than drinking

beer or wine is the gateway to alcoholism. An individual is either predisposed to addiction or not. According to the Marijuana Policy Project; “Over 107 million Americans — more than

40% of the U.S. population born since 1960 — have tried marijuana, yet only 37 million have tried cocaine, 4 million have ever tried heroin, and less than one-tenth of one percent of Americans used either in the last month...

Nearly every researcher who has looked into the question has determined marijuana use is not a causal factor in the subsequent use of more dangerous drugs.”

Marijuana is actually the third-place substance experimented with by

I WONDER IF I CAN TAKE UP TO 12 MONTHS TO PAY?*

those predisposed to use drugs, after cigarettes and alcohol. Other studies done by the American Journal of Psychiatry (2006), the British Journal of Addiction (2002), the Journal of Health and Social Behavior (2010), the Institute of Medicine, part of American Academy of Sciences, National Academies Press (1999), and the Development and Psychopathology, Cambridge University (2008), all agree the gateway theory is unfounded.

Here in Augusta, the decision to begin trials at GRU for medicinal use are being discussed seriously and backed by state representative Allen Peake through Haleigh’s Hope Act (HB 885). Although it failed to pass during the last session, testing in Georgia has the support of Governor Nathan Deal and is sure to begin at some point. There are questions over what strengths of the plant should be allowed and how to control it from getting into the hands of those who don’t need it.

These are responsible and appropriate concerns that need to be worked out and that will take time.

Medical use will mean a remarkable improvement in the quality of life for many people and open the door to new uses for others who suffer. It is exciting to think a natural and abundant plant we are already familiar with and know the long-term effects of on the human body can do so much good. It’s an opportunity we should make the most of. +

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Shorter and longer terms available!

For info, call 706.860.5455 or visit AugustaRx.com

OCTOBER 3, 2014

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AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW ABOUT ADVICE FROM A RETIRED HUSBAND

A note from Bad Billy Laveau: One of my former patients sent this to me a few months ago and thought perhaps my readers would benefit from his wisdom.

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AUGUSTA

y name is John. Let me relate how I handled the situation with my wife, Terri. When I retired a few years ago, it became necessary for Terri to get a fulltime job along with her parttime job, both for extra income and for the health benefits that we needed. I usually get home from the golf club about the same time she gets home from work. Shortly after she started working, I noticed she was beginning to show her age.

It is important for men to remember that, as women grow older, it becomes harder for them to maintain the same quality of housekeeping as when they were younger.

When you notice this, try not to yell at them. Some are oversensitive, and there’s nothing worse than an oversensitive woman.

Although she knows how hungry I am, she almost

always says she has to rest for half an hour or so before she starts dinner. I don’t yell at her.

Instead, I tell her to take her time and just wake me when she gets dinner on the table.

I generally have lunch in the Men’s Grill at the club, so eating out is not really feasible.

I’m ready for some homecooked grub when I hit that door. She used to do the dishes as soon as we finished eating.

But now it’s not unusual for them to sit on the table for several hours after dinner.

I do what I can to help by diplomatically reminding her several times each evening that they won’t clean themselves. I know she really appreciates this, as it does seem to motivate her to get them done before she goes to bed.

Another symptom of aging is complaining, I think. For example, she will say that it is difficult for her to find time to pay the monthly bills during her lunch hour. But, boys, we take ‘em for better or worse, so I just smile and

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AUGUSTA’S MOST SALUBRIOUS NEWSPAPER • FOUNDED IN 2006

OCTOBER 3, 2014

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t s e B offer encouragement. I tell her to stretch it out over two or even three days. That way she won’t have to rush so much. I also remind her that missing lunch completely now and then wouldn’t hurt her any (if you know what I mean). I like to think tact is one of my strong points.

When doing simple jobs, she seems to think she needs more rest periods. She had to take a break when she was only halffinished mowing the yard. I try not to make a scene. I’m a fair man. I tell her to fix herself a nice, big, cold glass of freshly squeezed lemonade and just sit for a while. And, as long as she is making one for herself, she may as well make one for

e n i c i d ME

me too.

I know that I probably look like a saint in the way I support Terri. I’m not saying that showing this much consideration is easy. Many men will find it difficult.

Some will find it impossible!

Nobody knows better than I do how frustrating women get as they get older. However, guys, even if you just use a little more tact and less criticism of your aging wife because of this article, I will consider that writing it was well worthwhile. After all, we are put on this earth to help each other.

EPILOGUE: John died suddenly on February 7 of a perforated rectum. The police report says he was found with a Calloway extra-long 50-inch Big Bertha Driver II golf club jammed up his rear end, with barely 5 inches of grip showing, and a sledge hammer laying nearby. His wife Terri was arrested and charged with murder. The all-woman jury took only 10 minutes to find her Not Guilty, accepting her defense that John somehow, without looking, accidentally sat down on his golf club. + 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 706-306-9397

Signed, John

VIOLENCE… from page 1 policy on player misconduct.

On Sept. 11 Steve Spurrier was quoted by The Charlotte Observer giving reporters his personal policy on the matter: “Hit girl, you’re gone,” he said. “If you ever hit a girl, you are not going to play on our team. You are finished.”

Well good for you, Steve. But guess what? It doesn’t matter what you do if your fellow coaches immediately scoop up the miscreant and put him on their team. It’s like some kind of secondary draft, and the offending player is sent a very strong and clear message: it’s okay.

Of course, the domestic violence problem is far bigger than the tiny handful of college and professional athletes who, along with a smattering of rock stars and Hollywood types, grab the majority of headlines on this sore subject. There are millions of reported victims every year in the U.S. alone, and the very nature of the crime itself says that however many millions of cases are reported, they are only the barest tip of a huge iceberg.

In all fairness, there is no way that the small percentage of abusers in this highly visible subset of Americans can be held responsible for the size of the current plague. But neither is there any denying that they — “they” being the perpetrators themselves, the coaches who look the other way, the coaches who offer mild rebukes, and especially the institutions who enthusiastically adopt these rejects for their teams — are sending a message that inexorably leeches out into society.

Take Jameis Winston as a case study in how the self-policing philosophy can run afoul of common decency and accepted behavior in a civilized society. Mr. Winston, the Heisman Trophy winning quarterback for Florida State University, garnered off-the-field headlines last year for shoplifting — or simply forgetting to

pay, depending on which version of the story you choose to accept.

Then just a few weeks ago, he jumped on a table someplace on campus and yelled a vulgar and obscene phrase that some described as misogynistic in the extreme. His coach decided to suspend him for the first half of FSU’s game against Clemson. The university president subsequently upped the penalty to the full game.

Personally, I would have paid good money for a Clemson victory, but they lost. So Florida State and Winston essentially got zero punishment: they won — the all-important thing — and they got to rest their star quarterback.

Are you up for an experiment? Google what Winston yelled, and tomorrow at work, say and do exactly what he did and see what your punishment will be.

Little kids are watching what goes on. These athletes, sometimes even the worst offenders, are their role models and heroes.

Little kids grow up to be big kids, and whether they grow up as athletes or pencil pushers they take with them all the lessons they learned through their formative years.

Some of the most visible and admired institutions and individuals in our society are busily teaching the wrong message to impressionable minds.

The banner on page one says of domestic violence, “Recognize It, Report It, Prevent It.” Experts in domestic violence, and victims themselves, tell us that each and every person who is silent on the subject becomes a contributor, a coconspirator, a silent accomplice.

It’s sad to think that the NCAA is one of those silent accomplices. + — Daniel Pearson

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OCTOBER 3, 2014

AUGUSTA MEDiCAL EXAMINER M E DIC I N E

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NEWSLETTER

706-860-5455

I N

he recent First Person article about thunderclap migraines brought to mind something I experienced not long ago.

I was awakened in the wee hours of the morning by a loud noise in my left ear. The best description for the sound I could think of was steel drums from the Caribbean playing the same note over and over at the loudest possible volume.

I felt like I was rapidly losing my mind. I couldn’t think of anything I could do to alleviate this problem. In fact, I believe I couldn’t think at all with the racket going on.

Of course my husband couldn’t hear it at all and

Here here: I heard hair. so I got no sympathy from him as he rushed off for an appointment. I jumped in my car and headed for a nearby medical clinic, hoping they were open. I had concluded that something had crawled into my ear during my sleep. I read once that a large percent of people had a roach crawl into their ear at least once in their lifetime.

I don’t have roaches but I do see an occasional gnat, fly, or mosquito. I couldn’t understand how one of these could cause such loud noise, but something

was sure doing it!

I checked in and a nurse practitioner came in to examine my ear. I heard the words “ I see something that looks like a hair.” She took a long tweezer-like utensil and in a few seconds I heard, “I’ve got it!” I felt something being dragged from my inner ear and then suddenly — peace and quiet!

It was a HAIR! I didn’t know a hair could make a noise like that.

I vowed never to sleep on my left side again! + Peggy H. Chavous Augusta, Georgia

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.

“

It is a risk to love. What if it doesn’t work out? Ah, but what if it does. -Peter McWilliams

“

OCTOBER 3, 2014

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AUGUSTA MEDiCAL EXAMINER

Southern Girl Eats Clean Savory Pepper Steak & Brown Rice - with Grass-Fed Beef Pepper Steak is a weeknight favorite in our home. My husband is the meat lover and even though I can take it or leave it, I have to say this is one of my favorite dishes. It has a lovely oriental flare (I love anything Asian) and the veggies add color and texture to the dish. This meal is packed with flavor and your whole family will love it, even the kiddos. Not to mention you can have dinner on the table in only about 45 minutes. That’s always a plus, right?

Now, you may be wondering if red meat is acceptable for those trying to eat clean. It is actually, but it’s because I choose “grassfed beef” instead of grain fed beef.

Check out a few differences** in grassfed beef versus grain fed beef: • Grassfed beef is much lower in fat. A sirloin steak from a grassfed steer has about half to a third the fat than the same cut from a grain fed steer. It actually has about the same amount of fat as a skinless chicken breast.

• Grassfed beef is much leaner, and when meat is this lean it actually lowers LDL cholesterol levels.

• Grassfed beef is lower in calories too. Lower fat means lower in calories. 6 oz. of grass Directions: Ingredients: fed steak compared to 6 oz. of • Cook rice according to • 4 cups of organic short or grainfed steak has almost 100 package directions and set long grain brown rice fewer calories. aside.

• 1-1/2 lbs. of grassfed sirloin • Grassfed beef has extra steak, trimmed and sliced thin • Heat oil in a large sauté pan Omega-3s (good fats, the most over medium to high heat.

(Have your butcher cut the heart friendly fats, 2 to 6 times Add sliced sirloin steak to meat for you) more good fats than grain fed sauté pan and cook to brown • 1Tbsp. of organic grapeseed beef.) People who have ample steak, stirring often. oil or olive oil Omega-3s in their diet are • Once steak is browned, add • 1 organic sweet yellow less likely to have high blood garlic, onion, red and green onion, cut in half and sliced pressure and are 50% less pepper and mushrooms to thin likely to have a heart attack. pan, toss with meat and cook • 1 organic red bell pepper, • Omega-3s lower the risk of vegetables until tender crisp. cut in half and sliced into cancer.

Reduce heat to medium/low, strips • Grassfed beef is higher in add beef broth and simmer • 1 organic green bell pepper, vitamin E, which has been 3-5 minutes. cut in half and sliced into proven to lower the risk of • In a small bowl whisk strips heart disease and cancer. together soy sauce and •1-1/2 cups of organic baby Vitamin E is a very strong garbanzo bean flour. Pour Portobello mushrooms, sliced antioxidant and can have antiinto sauté pan with meat and • 3 cloves of garlic, crushed aging benefits. Most of us are vegetables.

• 1-1/2 cups of organic beef deficient in Vitamin E. • Reduce heat to low and broth (May need a bit more So go ahead and enjoy some allow mixture to simmer until to get the gravy to right red meat occasionally. Just try thickened, approximately consistency) to find grassfed beef whenever • 1/2 cup of gluten free soy 10-15 minutes, adding more possible. It will make your broth if needed. Do not sauce body happy. overcook the vegetables. They • 1-1/2 Tbsp. of garbanzo I hope you enjoy this recipe! bean flour should still be slightly firm,

Pepper Steak

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not wilted.

• Place a serving of rice onto dinner plates and spoon Pepper Steak over rice.

• Serve immediately. **The information about the benefits of grassfed beef was found on the website www. americangrassfedbeef.com/ grass-fed-natural-beef.asp

+

and written by Jo Robinson, author of “Why Grassfed is Best.”

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. +

IN MEMORIAM

Back in the days before Alisa Rhinehart’s delicious recipes started appearing in the Medical Examiner, there was Cindy Crawford, executive chef and owner of Cindy’s Cafe and Catering. Cindy’s monthly column featured not only her wicked culinary skills, but also her amazing wit and awesome sense of humor. This woman could be utterly hilarious, and had quite a following among Examiner readers.

Cindy was diagnosed with cancer... I wish I could remember when... a long time ago. She has been the living embodiment of Super Woman ever since, but the hated disease finally took her life on September 16.

I for one was a little surprised.

The last time I visited her in the hospital I gave her a copy of a book I once reviewed for the Medical Examiner’s book review feature. The book was Rebecca Skloot’s The Immortal Life of Henrietta Lacks. It seemed to

+

me like The Immortal Life of Cindy Crawford was a distinct possibility. I knew better, of course, but she had been defying the odds for decades.

Why not a few decades more?

Alas, it was not to be.

But she won’t be forgotten.

In fact, if you visit her Facebook page (facebook.com/cindy. j.crawford) and scroll down a ways, on the left side you’ll see a NOTES heading, and beneath it, “What’s Cooking with Cindy.”

Click it for a Shrimp & Grits recipe that ran here in 2010.

Let’s all lift a fork loaded with shrimp & grits in her memory. +

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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 3, 2014

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.

CALLING IN A PRESCRIPTION? LET’S GET IT RIGHT THE FIRST TIME

I

n these days of multi-tasking everything and trying to do every task at Mach-10 speed, sometimes we forget there may be someone else on the receiving end of what we are doing. Today I plead with physician offices everywhere to take just a minute and look over the following. This is not directed just to nurses, either, as there are many people in a medical office who may be directed by a physician to call in prescriptions.

• IT IS NOT A RACE Please slow down and speak clearly, especially if you are leaving a voicemail message. A pharmacy is not a silent place, and with everything going on we may have to listen to your message 3, 4, or even more times if we can’t catch what you are saying.

• SPELL NAMES Unless the patient’s name is John or Mary Smith, please spell the name. What seems perfectly obvious to you may not be to us, or we may have 3 patients with similarly spelled names. (It never fails: someone spells “Smith” but doesn’t spell the unusual, hard-to-spell and equally hard-topronounce first name). Please don’t leave us hanging.

• BIRTHDATES Besides being a requirement on every script we do, it makes it 1000% easier to find a patient and verify who they are in the computer. John Smith? Yep, there are 10 in almost every single pharmacy computer.

Maybe more.

• DEA NUMBER While most offices offer this information before we can ask, there are a few that hesitate and would prefer not to give it to us. If you are calling in a controlled substance, you must be ready with this information. It is the law.

• KNOW THE LAW With controlled drugs, there are only a certain number of refills allowed. Please do not call in 2 years worth – we will not honor them. Know which medications you can legally call in and which ones must be on a hard-copy prescription. If you are unsure about this, please speak to the pharmacist and

ask, but do not just leave the information on the voicemail at 5 pm on Friday.

• KEEP A CHECKLIST If you have multiple front office staff calling in prescriptions, it may be a good idea to keep a “cheat sheet” script-call-in checklist handy: patient name (with spelling), birthdate, drug name, quantity, sig, refills, physician name, phone number, office address (if there are multiple locations), name of person calling in. If anything is missing when it gets to you, ASK before you call.

• NOT ALL DRUGS ARE $4 Unless you have the most current $4 list for the patient’s pharmacy in front of you, please do not quote that price. As quickly as prices are changing from manufacturers, many previously inexpensive medications are now quite expensive. That list you have from 6 years ago is probably no good.

• DO NOT TELL A PATIENT THEIR MEDICATION WILL BE READY WHEN THEY GET THERE In most cases, this will just not be the case. If you call the pharmacy before the patient leaves the office and they can assure you it can be done, then go right ahead. Otherwise, you may be setting both the pharmacy and the patient up for failure.

Your patient may be walking in right after the ICU discharge patient who has 27 prescriptions. We all like realistic expectations.

This is just one small portion of what we all do in a day, but they are certainly easy requests as far as they go. We can all work together to help keep the process moving efficiently. Thanks in advance!

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 )

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OCTOBER 3, 2014

Ask a Dietitian SMART SEASONING

S

9+

AUGUSTA MEDiCAL EXAMINER

by Elizabeth Murray Rogers, RD, LD Clinical Dietitian, Children’s Hospital of Georgia

ugar-free, salt-free, fat-free — and tasteless.

This might be exactly what you are thinking when faced with the need for a diet change.

Whatever might be driving you to make a change — weight loss, hypertension, cholesterol levels or other preventative measures — saying good-bye to flavor doesn’t have to be part of it. The idea that changing your diet to improve your health means losing all of your favorite, flavor-packed foods leaves a bad taste in your mouth. If variety is the spice of life, why should we choke down plain, baked chicken night after night? With a little creativity and planning, you can open the door to better health without denying your palate.

There are endless options and combinations when it comes to seasoning your food, many of which are great alternatives or additions to decrease your use of fat, sugar, and salt. Take time to explore what flavors appeal to you and don’t be afraid to try something new! You may want to begin with something simple and experiment with the spices you already have in your kitchen.

As you begin to learn more flavor combinations and what appeals to you and your family, get more creative and take some risks. Here are a few ideas to get you started and tips for smart seasoning: LAYERS OF FLAVOR- Have you ever noticed how much you enjoy that salty and sweet

Doesn’t this look about a million times better than a salt shaker? snack? Or maybe you like a sweet sauce with a kick. Layers of flavor and combinations of complimentary tastes can create a sensory explosion that leaves you feeling more than satisfied with a dish that may have seemed a bit less appealing before a few small changes. For example, take that side salad of lettuce, cucumber, and fat free dressing you were planning on having and spice it up. Add in some sliced strawberries, spinach, and basil.

Pair it with an easy balsamic vinegar dressing and you have a sweet and tangy twist on the traditional greens. Flavor your own dressing with chopped onion and lemon juice to reduce the amount of sugar and salt in your recipe without losing flavor.

GIVE IT A THEME- Trade in your pre-made seasoning mix for your own creation at taco night. Many dried seasoning packets have more salt than

necessary to give your food the desired flavor. Create your own mix of cumin, chili powder, paprika, and pepper. Pair dried seasoning with fresh flavors like onion, garlic, and peppers.

Don’t forget that tang with a bit of acid to bring out the flavors, add some fresh lime juice.

Explore the flavors of other cultures with themed dinners from around the globe. This is also a great opportunity to introduce new foods to your family. Seasonal flavors are also a fun way to try something new. In the spirit of fall, you may be noticing pumpkin spice flavored everything.

A combination of nutmeg, cinnamon, ginger, and cloves can add a seasonal touch full of flavor, not sugar, to a favorite drink or dessert.

KEEP IT JUICY- A nice juicy piece of meat doesn’t have to be dripping with fat to satisfy. Marinate a lean cut in something acidic to keep it

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moist as well as flavor such as coffee, vinegar, wine or citrus. Top it with a berry or wine sauce to keep in place of a cream or gravy for less fat but full flavor. Another great ingredient for a tender, juicy entrée is yogurt. Dunk your chicken in a low-fat, plain yogurt before seasoning and baking for a savory, melt in your mouth, taste.

Break out of the bottle- Not all seasonings are limited to dried herbs and spices. While there are countless options in the spice aisle, fresh herbs and produce can be used to create flavor as well. Onion, garlic, peppers, mint, basil, cilantro, dill, the list goes on and on. Take time to experience the colors and scents of the produce section while shopping and maybe find some

inspiration for a new dish.

Some spices and seasoning ingredients have health benefits in addition to their unique tastes. Onion, garlic, cinnamon, and wine contain compounds classified as antioxidants which are heavily researched for their role in chronic disease prevention.

When using onion and garlic, to maximize antioxidant activity remember, fresh is best. Chop or mince and let them sit while you gather your other ingredients to get the most benefit and flavor.

There are so many possibilities to create the flavors you desire without compromising your dietary goals. Remember to tap into your creativity and explore before reaching for the salt shaker. +

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T

here’s an old joke about a customer at a pet shop who was considering buying a turtle.

“How long do they live?” asked the customer.

“Properly cared for, they can live up to thirty years,” replied the store clerk.

“Oh. Never mind then,” said the customer. “I’m not ready for that kind of commitment.”

What applies to turtles, however, does not apply to cats and dogs. We are ready for that kind of commitment, and if we aren’t in the beginning, we are soon enough.

The Medical Examiner knows an Augusta family with a large, Glamour Shots-style photo of their dearly departed poodle right there on the living room wall. There are no pictures of

their son. Another couple we know recently had to lay the family dog to rest, and they have been in seclusion for weeks.

Pets become part of the family, and just like with human members of the family, it’s until death do we part.

Contrary to popular belief, dogs do not age at the rate of 7 human years for every 1 dog year. In fact, large dogs are considered seniors at 5 to 6 years old. By the old 7-to-1 rule, that would be the equivalent of a mere 35 to 42 years. Cats and smaller dogs are considered seniors at age 7, but that doesn’t mean the end is near.

Even so, 4-legged family members suffer from some of the same side effects of aging as their 2-legged relatives.

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Failing eyesight and even blindness is not uncommon, but unless you move to a new house or start rearranging furniture, they can navigate familiar surroundings well.

An older dog or cat that won’t let you pet or even touch certain areas of their body might be a sign of arthritis pain. As you would do for a human, something like that definitely means a visit to your veterinarian is in order.

One thing you should never do is share people medicine with your pets. Crushing some of your painkiller into your arthritic dog or cat’s food could kill more than its pain, if you catch our drift.

Let a medical professional determine the proper medication and dosage based on the patient’s age, size, breed

HOPE Through Adversity

by Helen Blocker-Adams

BRUISED INSIDE & OUT

U Ask the Doctor

Q A

OCTOBER 3, 2014

AUGUSTA MEDiCAL EXAMINER

Get an opinion here. Or a second opinion. Or a third.

“Normal” cholesterol level recommendations seem to change from time to time. It is critical that my cholesterol level be “normal?”

There is more than one kind of cholesterol, such as “good” cholesterol (HDL or high-density lipoprotein cholesterol) and “bad” cholesterol (LDL or low-density lipoprotein cholesterol.) And there are various lipids as well, plus subtypes of each. Each has its own “normal” range, depending upon medical research, which changes the accepted “normal” values from time to time.

Elevated cholesterol increases your chance of having a stroke or heart attack. But it’s all relative. A cholesterol level of 300 is bad if you are 21 years old, but not as bad if you are 70.

The bottom line? Obey your doctor’s instructions. Lose that spare tire around your middle, walk a couple miles each day, and eat less fatty foods and more vegetables, fruits, and nuts. A healthy diet and good exercise won’t kill you, but an unhealthy diet and no exercise might.

— by F. E. Gilliard, MD Family Medicine, 639 13th St Augusta, GA 30901 706-823-5052

If you’d like a doctor’s answer to your question, email it to news@AugustaRx. com or visit the Medical Examiner on Facebook (www.facebook.com/ AugustaRX). From there, post or private message your question.

nless you’ve been living on another planet, I am certain you’ve heard about the domestic violence charges against a pro football player and the public backlash toward the president of the NFL regarding the offense. This column is not meant to address that issue, one way or another, but I do find it rather ironic for this horrible social concern to have erupted about two weeks before October – National Domestic Violence Awareness Month.

October also represents another major health concern, but gets much more prominence than domestic violence. Maybe, just maybe, there will be more awareness on this subject this year. We shall see.

How do you define domestic violence? “Georgia law defines domestic violence as any felony, battery, simple battery, simple assault, assault, stalking, criminal damage to property, unlawful restraint, and criminal trespass between past or present spouses, persons

and diagnosis.

Really, almost anything that comes to mind for aging humans — loss of hearing, senility or cognitive dysfunction, heart disease, cancer, liver or kidney disease, loss of appetite — can afflict aging cats and dogs.

And like humans, some of the problems associated with aging can be caused by excess weight and lack of exercise.

That also means some of those same problems can be lessened or postponed by getting weight down and exercise amounts up. According to the American Veterinary Medical Association, extra pounds in an older pet can increase the risk of high blood pressure, difficulty breathing, insulin resistance or diabetes, heart disease, cancer, arthritis, and other conditions.

Your veterinarian can suggest a diet/menu plan that will help whittle the extra pounds away, and recommend appropriate exercise.

On the other hand, sudden weight loss in an older pet (any pet, actually) is also grounds for concern. Hyperthyroidism, diabetes or kidney disease are likely culprits, but your

veterinarian can get to the root of the problem and offer help.

Even if you have not had your dog or cat on a schedule of regular vet visits during his prime years, it’s a good idea to do that for an older pet. +

who are parents of the same child, parents and children, stepparents and stepchildren, foster parents and foster children, and persons living or formerly living in the same household. You do not have to be married to someone to be a victim of domestic violence in Georgia.”

In Richmond County, more than 2,500 cases involving domestic violence are prosecuted annually.

Nationally a woman is abused every 9 – 15 seconds. Wow! I had the pleasure of interviewing a young man named Dominique Alexander who’s on a mission to establish a national Kelley Alert similar in concept to the Amber Alert.

The Kelley Alert is named for D’Lisa Kelley, the victim of suspected domestic violence earlier this year. Kelley, a longtime friend of Alexander and the mother of a two year old child, was found murdered four days after she called 911 in distress. The incident touched Alexander in such a profound way that he founded The Kelley Alert Foundation, based in Dallas, and is working for passage of a bill that will help shorten police response times in such cases.

“I believe with technology so prevalent in our lives — 70% to 80% of people have cell phones — that there can be a way to implement a system that will

help save lives,” explained the political activist. To get involved or learn more, you can visit www.istoptheviolence. com Here in Augusta there are organizations that serve men and women who have been or are victims of domestic violence. They are: • Hope House Augusta (hopehouseaugusta.org) • Safe Homes of Augusta (safehomesdv.org) • Georgia Coalition Against Domestic Violence (gcadv.org) • National Alliance on Mental Illness (NAMI) - (nami.org) Domestic Violence Awareness Month evolved from the first Day of Unity observed in October 1981 by the National Coalition Against Domestic Violence. The intent was to connect battered women’s advocates across the nation who were working to end violence against women and their children. +

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Helen BlockerAdams is an educator, inspirational speaker, author and columnist, serial Blocker-Adams entrepreneur, events planner and mentor committed to giving people hope and transforming lives. You can reach her at hba@hbagroup-intl.com

OCTOBER 3, 2014

The Short White Coat I

just completed a rotation in ambulatory care, another term for outpatient internal medicine (basically for me, general adult health clinic). I was in rural North Georgia, and saw a fairly high volume of patients during the month I was there. At first, my stamina for seeing patients was not great, as it has been a few months since I’d been in a clinic setting and not just holed up in my room studying.

I marveled at my attending physician’s ability to go from patient to patient, maintaining a steady energy and focus that allowed him to see each patient as if he or she were the first appointment of the day. I was given a laptop to tote around to keep up with the patient’s medical charts and electronic records, and I relied heavily upon it to keep each patient straight in the beginning. At times, especially when the caffeine in my system was wearing off or my feet were starting to ache, it got harder to remember every aspect of each patient’s history. “Is the patient due for a colonoscopy?” my attending would ask me during patient presentations. “Uh, let me check…” I’d reply.

“What’s special about this patient’s past history?” he would follow up with.

“Oh, the patient had an abnormal colonoscopy with polyps removed in 2010,” I would respond, as I did a second, closer read of the charts.

“So, it’s important then, isn’t it, to focus especially on whether the patient is currently experiencing any GI symptoms that could necessitate us ordering another colonoscopy soon, to make sure we aren’t missing anything,” the doctor would conclude. His intention was to drive home the point to me that no matter how extensive a patient’s history was, an in-depth examination of the patient’s medical records was needed in addition to the current visit and physical exam.

Patient encounters are never isolated visits, even if they come to the clinic for a totally different complaint.

I rebounded from my initial folly of skimming patient records too lightly by combing through each chart with great attention. I felt I was doing much better and was even proud of myself a few times for catching all the small details.

11 +

AUGUSTA MEDiCAL EXAMINER

A med student’s notebook Then, towards the end of my rotation, it came time for my evaluation by my attending to grade my clinical abilities and competence in patient care.

The doctor sat in the corner while I conducted my interview and physical exam of one patient, and evaluated my performance. During my questioning, though, as I was peering intensely at the laptop screen in front of me, the doctor gently reminded me, “Be sure to look at the patient when you are talking to her. You are not interviewing a laptop, you are interviewing a person.

Remember that.” I blushed and hurriedly turned my face upward to make eye contact with the patient sitting on the exam table.

“It’s ok,” she said after I abashedly apologized, “I am glad you were making sure to take good notes.” Still, the point was well taken. The patient should always be the center of attention and the conversation, and it is the priority of the doctor/student to ensure that.

What a difficult balance that is to strike! My attending made so many good points, and he executed the proper approach to patients so well himself that it looked easy. But interacting with patients proved much more difficult for me, and I confronted again and again the difficulty of walking the fine line between neglecting either the patient or the patient’s records, or the patient for the computer.

I hope now that as I keep all of these tips and potential pitfalls in mind that I will develop a more competent and artful approach to seeing patients. The utility of readilyavailable electronic medical records is undeniable, but it is the biggest mistake, and the undoing of good medical care, to fail to remember that it is, in fact, patients, and not their diseases, that healthcare providers are treating. +

by Caroline Colden 3rd-year medical student at MCG

From the Bookshelf Every now and then a pattern briefly establishes itself in this space. We’ll read a book about forensic medicine or first person physician memoirs, which will lead to another book in a similar vein, and we might run with that for two or three issues.

It looks like the current trend is booklets that can be finished in a single sitting.

Last issue’s book by Augusta physician Murray Freedman (Peanut Butter & Jelly) totals 63 pages; this one tops that at 93, but it’s still a fast read.

But both books share something besides their slender profile: they are lightweights that contain a heavyweight message.

Granted, it might be a wee bit extravagant to use the word “heavyweight” for any book with the Pokey Little Puppy on its cover, but this is truly a book with a vital message for these critical times.

Its suggested age range is “12 and up,” which presumably takes in most Medical Examiner readers. Most of us fall into the “and up”

category.

Personally, what I like about this book is the reminder that the solution to many problems is simple. Actually, for almost every challenging situation, the best remedy to try first will almost always be the simplest.

And so, in the Little Golden Book worldview, perhaps an ice cream cone would be the first option to attack a feeling of sadness. Let’s not run for a pharmacy just yet.

Maybe depression would respond to regular pet therapy sessions, according to the Pokey Little Puppy.

The Saggy Baggy Elephant or the Little Red Caboose could probably help us with self esteem issues, and Scuffy

the Tugboat might remind us to be content where we live instead of constantly searching for distant, unrealistic adventures.

It’s not often that adults and children can share the same medicine at the same dosage levels, but this book is one of the exceptions. In fact, speaking of exceptions, we take exception to the 12 and up recommendation. Age 5 and up is more like it.

These simple words and simple pictures (you’ve probably seen all of them before, sitting on your parents’ lap) are age appropriate - for every age.

This is not a book that can offer a cure for cancer, that’s for sure. But it’s a safe bet someone with cancer would enjoy reading it.

As for the rest of us, well, Little Golden Books can’t teach us everything, despite this book’s title, but they can teach us a lot. + Everything I Need to Know I Learned From a Little Golden Book, by Diane Muldrow; 96 pages, published in September 2013 by Golden Books /Random House

Research News Soup is good medicine But not just any soup.

The Sept. 25 issue of the journal Cell reports a promising development in stopping what many say is the world’s deadliest cancer.

Pancreatic cancer is arguably the worst cancer diagnosis a person could receive: it ignores traditional therapies like radiation and chemotherapy, key factors that contribute to its 94 percent death rate.

But researchers at the Salk Institute in California may have discovered an inroad.

It turns out that when cancer strikes the pancreas, it attempts to contain the cancer by encasing it within a wall of dense tissue. It’s a marginally successful strategy, at least temporarily, but the same wall that keeps the cancer in also keeps tumor-fighting drugs out.

But by giving patients a souped-up version of vitamin D, not the kind you and I could buy from a health food store, the dense cells of the cancer

barrier return to their normal state, giving doctors a better shot at attacking the tumor with drugs or radiation.

Initially tested on mice, the results were so positive that human trials have already begun.

Stay tuned.

Need skin? Just print some.

You’re probably thinking you’ve got all the skin you need, thank you very much.

But burn victims and others do need skin, and the process of getting it is not fun: to put it bluntly, patients are flayed in non-burned areas to harvest skin for grafting onto burns.

It’s a long and painful process, especially for extensive burns.

Enter the latest development in 3D printing.

The PrintAliveBioprinter, about the size of a standard microwave oven, will print new skin. All it needs is a supply of the patient’s own cells, and it can print skin, complete with sweat glands and hair follicles.

Do not adjust your Examiner.

Yes, it sounds like pure science fiction, but the device just won a major scientific design award, has already had two patent applications filed, and is in the process of being made available commercially.

Developed by four University of Toronto engineers, the printer provides on-demand skin, and since it’s grown from the patient’s own cells, it eliminates auto-immune tissue rejection and all the painful grafting.

Feeling sleepy when driving?

What do you typically do when that happens? Most people will crank up the radio and stop for a cup of coffee.

Of the two, it’s probably not difficult to figure out which one passes muster under clinical trial.

Although both make drivers feel more awake, the honor goes to coffee (or other caffeinated beverage), which researchers found helped drivers perform driving tasks better during three 120-minute simulated driving sessions. +

+ 12

OCTOBER 3, 2014

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS

THE MYSTERY WORD

+

by Dan Pearson

Yes. And he expired.

The circulation director He was in charge of subscriptions?

What happened? at a newspaper died.

A story about What are you reading? a tragic irony.

The Mystery Word for this issue: REGAGIO

© 2014 Daniel Pearson All rights reserved.

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

EXAMINER CROSSWORD

PUZZLE

ACROSS 1. Sid, one-time Braves player 6. Line on a weather map 12. Endow or provide with (literary) 13. Winter Olympics site (2006) 14. It comes before all costs 16. Unhappy 18. Welcome follower 19. The ratio between circumference and diameter 21. Permit 23. Word before oil or water 26. Lair 27. Upon 29. ______ nerve 30. A certain Scandinavian 31. Crawl 33. Cloth scrap 34. Roofing stone 35. Simpler 37. Of the eye 39. Merit 41. Spread throughout 44. Head wreath or garland 48. Standard of perfection 49. Grant of Augusta 52. Lyric poem 53. Greek god of war 54. Augusta judge 56. When repeated three times, the title of a movie about the attack on Pearl Harbor 57. Agree silently 58. A worrywart 60. Squad of a 60s TV show 61. It can precede target 62. Lie 63. One of six in an inning 65. A word you should just say 66. Deserve or be worthy of 68. Pale green mosslike lichen 70. Cajun dance music 71. Chairs

BY

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Click on “READER CONTESTS”

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QUOTATION PUZZLE

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E E I E O B F C L U T I A D K E T K I D O M S M E L A I T S O I H I

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VISIT WWW.AUGUSTARX.COM

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by Daniel R. Pearson © 2014 All rights reserved

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— Paulo Coelho (1947 - )

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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.

71

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

DOWN 1. “ ___ careful!”

2. Nurses, in brief 3. Cheese coated with red wax 4. ______ book 5. This paper, in brief (or the coroner, in brief) 6. Computer dept.

7. Yma, Peruvian singer of the 50s 8. By mouth 9. Mouthpiece of a bridle 10. Prefix meaning without; not 11. Malice beginning 15. A solid figure with four faces 17. A test version 19. A solid figure with five faces 20. Internal 22. Lower digits 24. WACG network 25. Mortis beginning 26. Clock face 28. Broad Street architect 30. Contagious viral infection 32. Word often after gas

L I T I S E I G U G N O M G Y N

34. Location 36. The R of RBCs 38. Stroke abbreviation 40. Augusta Mall tenant 41. Type of wire or bench 42. Namesake of D.C. hospital 43. Augusta has two 45. Appropriate; suitable 46. Partner of gloom 47. Augusta’s ________ Garden 50. Part of standard OR attire 51. Bark sharply 54. Zirconia start 55. Augusta’s “Blue ________” 58. Give a pink slip to 59. Large marine food fish 62. ___ up; annoyed 64. Offensive in Vietnam War 66. Belonging to me 67. In the direction of 68. Enemy of them?

69. Word that sometimes comes before and after “far”

E

S

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

X A M I N E R

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.

Solution p. 14

Use the letters provided at bottom to create words to solve the puzzle above. All the listed letters following #1 are the first letters of the various words; the letters following #2 are the second 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.

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

1

2

R 1 2 3 4

W 1 2 3 4

3

1 2 3 4

’ 4

5

6

7

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1

2

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— Bill Nye

1 2 3 4

1 . M Y W Y S K E E D 2 . V I V E N O O O O 3 . N E E E M U U L O 4 . W E LT T R R 5 . S T Y 6 . O H 7 . N I 8 . N E 9 . G

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

WORDS NUMBER

1

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

We’ll announce the winner in our next issue!

OCTOBER 3, 2014

13 +

AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE ha... ha...

A

guy is driving down a residential street when he sees a sign in front of a house: “Talking Dog For Sale.” He rings the bell, and the owner walks him out to the backyard where he sees a Labrador retriever sitting in the shade.

“You really talk?” he asks.

“Sure,” the Lab replies.

“So what’s your story?”

The Lab looks up and says, “Well, I discovered that I could talk when I was pretty young, and I wanted to serve my country, so I told the CIA about my gift. They had me jetting around the world, sitting in rooms with spies and world leaders because no one figured a dog would be eavesdropping. I caught a bunch of terrorists and was one of their top spies for eight years.

“But the travel really got old after a while and I knew I wasn’t getting any younger so I wanted to settle down. I signed up with TSA for undercover security work at the airport, mostly wandering near suspicious characters and listening in. I uncovered more terrorist plots and was awarded a bunch of medals. Then I got married, had a mess of puppies, and now I’m retired.”

The guy is amazed. He and the owner walk back inside and the guy asks the owner how much he wants for the dog.

“Ten bucks you can have him.”

The guy is shocked. “Ten dollars? This dog is amazing! Why on earth are you selling him so cheap?”

“Because he’s a liar. He didn’t do any of that stuff.”

Doctor: I’m afraid the news isn’t good. I suspect you only have a few hours to live. Is there anyone you want to see before you die?

Patient: Yes. A really good doctor.

The only doctor in a small town was awakened at 4 a.m. to make a house call. The weather was freezing, and a cold rain had turned to sleet, making the roads treacherous.

He reluctantly got dressed and braved the elements to get to the patient’s house. After the examination, he told the patient to send immediately for his friends and family.

“Do you have a will?” he asked the patient.

“No. Do I need one?”

“Call your lawyer right now and get it done,” he said, then left.

He made it home across the icy roads and told his wife about the call. She asked, “Was the patient that bad?”

“Not at all,” said Bob. “I just didn’t want to be the only fool called out on a night like this.”

A mom bought her son a pet hamster after he promised he would take care of it. Mom, of course, ended up doing everything.

One evening, exasperated, she asked him, “Do you know how many times that hamster would have died if I wasn’t looking after it?”

After a moment of thought, the boy replied, “Uh...once?” +

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.

The Patient’s Perspective

by Marcia Ribble

A

nother day. Another visit to the doctor’s office. For a lot of us aging folks, visiting our doctors has some definite benefits, of which only part are medical.

Just having someone to talk with, if only for a few minutes, is a form of medicine in itself.

Especially for those of us who live alone, being recognized and finding a connection with others can be precious indeed.

One of those lovely occasions occurred for me today. Last Friday I had called in, quite distressed about the amount of oozing my right leg was doing. The woman who answered the call and advised me about the steps to take to get the help I needed was also the woman who was checking patients out after they saw their doctors, setting up new appointments, receiving our co-pays and giving us receipts, all the seemingly disconnected minutia of going to the doctor.

“Hi, Mrs. Ribble,” she greeted me. “How’s the oozing coming? Any better today?” she asked, with genuine awareness of who I am. I must have looked a little bit confused, so she explained that she was the person I had talked to last week to make my appointment. She had remembered my distress and the concerns I had, and recalled my name when she saw it.

As I write this it is now twelve hours since I left the doctor’s office, and I am still feeling the warm glow of having someone really care about me when it wasn’t part of her job at all. She made me feel so good with those few seconds of recognition. I discovered an unexpected side

Talk is cheap.

Not talking can be deadly.

effect: it has made me more responsive to and caring about the people who cross my path.

This evening that kindness was passed on to a woman who had promised to get a mailbox for me so the mail can be delivered to my house. Her promise was made two weeks ago, so I was predisposed to be angry with her for not doing what she had promised to do. But instead, I heard in her voice the distinctive and quite painful sounds of someone with bronchitis and a sinus infection. I heard with a loving heart and my responses to her were able to be kindly and generous rather than in attack mode.

I told her I understood why she had been unable to fulfill her promise sooner, hoped that she would feel better soon, and told her to get as much rest as she could.

Not only did it make her feel better; it made me feel better, softer, more relaxed, more open to the world.

What a lovely day, and it all started with a brief, simple comment at my doctor’s office. + Marcia Ribble received her PhD in English at Michigan State and retired from the University of Cincinnati. She taught writing at the college level, most recently at Virginia College in Augusta, and loves giving voice to people who have been silenced. She can be reached with comments, suggestions, etc., at marciaribble@hotmail.com.

+ +

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

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

TO OUR READERS AND OUR ADVERTISERS

+ 14

OCTOBER 3, 2014

AUGUSTA MEDiCAL EXAMINER

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

EXAMINER CLASSIFIEDS Roman Realty 706-564-5885

HOMES, APARTMENTS, ROOMMATES, LAND, ETC.

SERVICES

WEST AUGUSTA Luxury 3 bdrm, 2 bath townhouse. Garage, quiet neighborhood off Pleasant Home Road. $795/mo. Call 706228-4655.

6.7.8

...cleverly hidden (in the arrow) in the p. 16 ad for GROUP & BENEFITS CONSULTANTS Congratulations to NA TASHA SCOTT, who scores a coveted Scrubs of Evans gift card, 2 movie passes courtesy of Health Center Credit Union, and a $20 Wild Wing Cafe gift certificate. Want to find your name here next issue? The new Mystery Word is on page 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!

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

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

F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS 706-823-5250 HEALTH CARE - CNA offering in-home care: companion/assist with daily activities, light housekeeping, meal prep, assist with ambulation, medication reminders, grocery shopping, Dr. appts, errands, etc. Since each person’s needs are different, I will consult with you one-on-one to discuss your needs. CALL 706.833.9787 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.

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

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

HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable.

Weekly, or whatever schedule you prefer.

References. 706.267.9947

THE PUZZLE SOLVED P

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QUOTATION QUOTATION PUZZLE SOLUTION: Page 12: “Do something instead of killing time because time is killing you.”

— Paulo Coelho

AD COPY (one word per line; phone numbers MUST include the area code): .75

M A R

SEE PAGE 12

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

.50

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CLASSIFIED ADVERTISING FORM

.25

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

B N

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The Sudoku Solution 4

7

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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: $

VISIT DRUGOFCHOICECOFFEE.COM

WORDS

BY NUMBER “Everyone you will ever meet knows something you don’t.”

— Bill Nye

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 7 days prior to our publication date.

Thanks for reading!

www.AugustaRx.com

OCTOBER 3, 2014

Daniel Village Barber Shop 2522 Wrightsboro Road

✁

736-7230

SCRUB SETS, SOLIDS, PRINTS, SHOES & MORE.

TUE - FRI: 8:00 - 6:00; SATURDAY: 8:00 - 2:00

SPECIAL ORDERS ARE OUR SPECIALTY

former Smile Gas

GEOR

PRINT JACKETS

$9.99 ALL SIZES HURRY! LIMITED TIME OFFER!

AND OTHER QUALITY BRANDS

CONVENIENT TO THE ENTIRE MEDICAL COMPLEX AT 1010 DRUID PARK AVE Highland Ave.

Ohio Ave.

Medical Complex

76 Circle K

HARTLEY’S UNIFORMS

GIA

Okay, so maybe we don’t do a lot of mohawks, but at least we know which way they go.

DANIEL VILLAGE BARBER SHOP

15 +

AUGUSTA MEDiCAL EXAMINER

Wrightsboro Road

706.739.0700 • MON-FRI: 9:30-6, SAT: 9:30-3

Daniel Field

Augusta Mall

We’re on Wrightsboro Rd. at Ohio Avenue.

M.D.S

✁

SUPPORT YOUR PRACTICE - AND THE MEDICAL EXAMINER A simple listing in the Professional Directory is less than $100 for six months and less than $200 for an entire year, and puts your contact information in front of 30,000 readers a month. CALL 706.860.5455 TODAY!

+

PROFESSIONAL DIRECTORY DEVELOPMENTAL PEDIATRICS

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

DRUG REHAB

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

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

Steven L. Wilson, DMD Family Dentistry 4059 Columbia Road Martinez 30907 706-863-9445

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

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

MEDICAL MASSAGE

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 Floss ‘em or lose ‘em! www.groupandbenefits.com

Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048

LASER SERVICES

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

Medical Massage Stuart Farnell L.M.T. 803-646-1846 jsfarnell@att.net www.FarnellClinic.com

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

OPTICIAN

PHARMACY

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

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

...PHARMACY

O P T I C I A N S

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 Medical Center West Pharmacy 246B Bobby Jones Expwy 465 North Belair Road Martinez: 706-868-5332 Evans 30809 Thomson: 706-597-8667 706-854-2424 Medical Services of America www.medicalcenterwestpharmacy.com www.phcweightloss.com Hospice 4314-E Belair Frontage Rd. If you’d like your medical practice listed in the Professional Directory, Augusta 30909 call the Medical Examiner at 706.860.5455 706-447-2626

+ 16

AUGUSTA MEDiCAL EXAMINER

OCTOBER 3, 2014

Lost in the maze?

Why enter in the first place?

We know the way.

EMPLOYEE BENEFITS • COMPLIANCE • WELLNESS • CONSULTING • EXCHANGES • PARTNERSHIPS • TECHNOLOGY

RUSSELL T. HEAD, CBC, CSA-PARTNER • 706-733-3459 • E: RTHEAD@GANDBC.COM • WWW.GROUPANDBENEFITS.COM