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live well PA R T I A L LY O W N E D B Y P H Y S I C I A N S

Making Communities HealthierÂŽ F A L L

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In Good Hands

Michael Kelley chose midwife Linda George for her prenatal care and to deliver baby Ainsley Kate.

Midwives offer personalized, holistic care during pregnancy

How we’re keeping you safe during COVID-19

| You should get a flu shot | Take care of your back


UP FRONT

Contents

4

IN GOOD HANDS

9 SUPPLE AND

Midwives offer personalized pregnancy care

How to maintain a healthy back

6

BEDTIME FOR BABY

Safe infant sleep tips

7

FLU SHOT SAFETY

It's safe to get a flu shot during coronavirus

8

WHEN SECONDS COUNT

STRONG

10 FOCUS ON DIABETES

Q&A on prevention and management

11 FOOD

SAFETY

Don’t invite foodborne illness

Advanced stroke care close to home

Rising to the Challenge During these unprecedented times, our commitment to health and safety is stronger than ever

Bill Little, CEO, Carolina Pines Regional Medical Center

When 2020 began, no one could have predicted the journey we have found ourselves on over the last several months. The emergence of COVID-19 has created unprecedented challenges for our community and caused each of us to rethink how we do everything, from traveling and socializing with friends and neighbors to completing everyday tasks, like shopping for groceries. At Carolina Pines Regional Medical Center, we believe our fight against COVID-19 has made our team stronger, our hospital safer and our ability to care for you better than ever. This issue of Live Well takes you inside our hospital for a look at what we are doing to keep our patients safe when receiving care, how to prepare for flu season during COVID-19 and much more. From the beginning, our priority has been protecting the health of our community, our patients and our employees. And we will continue to work hard to ensure a safe place of care and a healthier community for all of us. Sincerely,

Bill Little CEO, Carolina Pines Regional Medical Center

The materials in Live Well are not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment. For more information, visit our website at cprmc.com or call (843) 339-4563. Copyright © 2020 Carolina Pines Regional Medical Center.

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PA R T I A L LY O W N E D B Y P H Y S I C I A N S


YOUR HEALTH, OUR HEROES A glimpse at how we’re working to keep you safe By Bill Cauthen, MD

As healthcare providers, the well-being of our patients is our top priority every day of the year. When it comes to caring for you during a pandemic, that doesn’t change. In fact, as we continue to fight COVID-19 and navigate our “new normal,” we have taken a number of important steps to ensure that we can continue to provide the quality care you have come to trust in an environment that is safer than it has ever been. As each of us does all that we can to stay safe and protect ourselves and our families, it has never been more important to stay on top of our health and seek the proper care when necessary. You may be wondering what receiving care in our facilities might look like right now. Read on to learn about all the ways we are working hard to keep you safe when you come visit.

Image: iStock.com/Lena_Datsiuk

SAFETY AND CLEANLINESS Carolina Pines Regional Medical Center has always been a clean and safe place to receive care. Effectively managing infectious diseases with proper sanitation and disinfection procedures has been and continues to be essential to ensuring a safe environment of care. Our environmental services team continues to implement effective cleaning and disinfecting practices throughout our hospital. When you come for care, you can rest assured that we are committed to maintaining high standards of cleanliness in all of our facilities.

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SUPPLIES AND STAFFING Our clinical teams are constantly monitoring supplies like personal protective equipment (PPE), medications and blood, as well as evaluating space and staffing needs, to make sure we have what we need to care for all of our patients. This includes patients who are coming in for planned procedures, as well as those seeking emergency and potential COVID-19 care. SCREENING Everyone who enters our facility – from patients and guests to employees and medical staff – is screened for COVID-19 symptoms in accordance with the Centers for Disease Control and Prevention (CDC) guidelines. This practice, which includes conducting temperature checks and asking a series of questions, helps protect not only our patients but our staff as well.

Learn more

To read more about how we are keeping your safety a priority, visit cprmc.com and click on “Coronavirus (COVID-19) Preparedness Information.”

Bill Cauthen, MD, Emergency Department Medical Director

MASKING In accordance with CDC recommendations and the City of Hartsville’s mandate, we have a universal masking policy in place. Just as we screen everyone who enters our facility, we also require that everyone, including patients, visitors and employees, wear a face mask at all times. VISITOR POLICY Out of an abundance of caution, we have put a restricted visitation policy in place. To further ensure the safety of our patients and employees, we are currently allowing each patient only one WELL visitor who is at least 16 years old, including one companion for ambulatory appointments and one support person for obstetrics patients. Visitation is from 8 a.m.– 9 p.m. daily. Visitors are not allowed for patients under observation for or who test positive for COVID-19. While COVID-19 is uncharted territory for our community, you can be confident that we are committed to providing a safe place to receive quality care when you need it, and we are continuing to seek ways to enhance your patient experience. cprmc.com  (843) 339-2100

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In

FEATURE

Good Hands Midwives offer personalized, holistic care during pregnancy

Michael Kelley had her first child, Ainsley Kate, in May. She loved her experience with midwife Linda George.

Originally, Michael Kelley chose to see midwife Linda George, MSN, CNM, for her gynecological care simply because the appointment time was convenient. But the personalized care Linda provided is why Michael kept coming back. Linda, a certified nurse midwife, provides routine women’s reproductive health care alongside two OB/GYNs at The Medical Group at Carolina Pines Regional Medical Center. She saw Michael for several years before her pregnancy. Baby Ainsley Kate, Michael’s first child

Call the midwife.

To schedule an appointment with Linda George, call (843) 339-9222.

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Live Well  Fall 2020

with her husband, Josh, was born at Carolina Pines on May 25, 2020. Michael’s experience as a patient with Linda was great. “I absolutely love her,” says Michael, 26, who works as a nurse in Carolina Pines’ Intensive Care Unit. “Linda took the time to sit with me, and there was no rush. She talked on a personal level outside of health, and she was very thorough. It wasn’t like she was trying to rush through my appointment to get to the next patient.” WHAT IS A MIDWIFE? Midwives are nurses with undergraduate nursing degrees combined with advanced graduate degrees in midwifery. They take a slightly different approach to caring for patients than do obstetricians, who are doctors specializing in pregnancy and childbirth. “Our lens is different,” Linda says. “Midwifery focuses on the normalcy of pregnancy and labor.” This focus empowers women to become more involved in their care.


Patient education is a priority. “Because midwives are nurses first, we are very much into helping patients make the best decisions for themselves, as one size doesn’t fit all,” Linda says. “We educate them on what is going on now in the pregnancy and what to anticipate.” Michael appreciated that focus. “I had a million questions, and she answered them all, no matter how crazy they may have been,” she says. “She really made it seem like my child and I were her number one priority.” A MIDWIFE’S CARE Linda works alongside Scott Daniel, MD, FACOG, and Leroy Robinson, MD, FACOG. If a patient develops a medical issue during pregnancy, Linda can collaborate with Dr. Daniel and Dr. Robinson. “Some medical issues, like well-controlled hypertension, may be co-managed with a midwife and physician team,” she says. However, more complex issues may require transferring care to one of the physicians. Linda follows her patients all the way through labor and delivery, and she estimates she’s delivered more than 1,000 babies in her 23 years as a midwife. But she does not deliver babies via cesarean or use a vacuum or forceps during vaginal deliveries. HAVING A BABY DURING THE PANDEMIC The first half of Michael’s pregnancy was typical. The only complication was gestational diabetes, which Linda helped her manage with changes to her diet and daily blood glucose testing. Then, the coronavirus pandemic arrived. In March, The Medical Group at Carolina Pines began limiting visitations to patients only, so for the last part of her pregnancy, Michael went to her prenatal appointments without Josh. During labor and delivery, Josh was the only person allowed to accompany Michael. Everyone in the delivery room except Michael wore a mask. “I felt very safe. I knew the precautions they were taking, both as a provider and a patient, and I appreciated that,” Michael says. “The care I experienced throughout my hospital stay was phenomenal. I had always heard great things about the Labor and Delivery unit at Carolina Pines, but it isn’t until you experience it for yourself that you can truly appreciate the genuine and compassionate care.” WHY CHOOSE A MIDWIFE? Women who want an uncomplicated and more holistic approach to prenatal care and birth might consider a midwife. A midwife’s care is most appropriate for women who are considered low-risk for pregnancy complications and don’t have existing health issues, such as insulin-dependent diabetes or high blood pressure. Some midwives don’t see women carrying twins or triplets. “The people I see have sought me out; they trust in the normalcy of pregnancy,” says midwife Linda George, MSN, CNM. Typically, she says, her patients want a pregnancy without much intervention. “They want a hands-off, unmedicated birth.”

Being in the hospital without visitors was a double-edged sword for Michael and Josh. “It was wonderful that we really got to bond as a family, just the three of us,” Michael says. On the other hand, it was challenging that there were no visits from grandparents, great grandparents, aunts or uncles due to the hospital’s visitor restrictions. “Of course, there was a lot of FaceTime, group text messaging and phone calls,” she says. Linda notes that these precautions were necessary and have been effective for her practice. “We’ve been blessed throughout the pandemic,” she says. “There have been no patients positive for COVID-19 during labor.” Today, the Kelley family is doing well despite the pandemic. Social-distancing measures have kept family and friends away from Michael and Josh’s home, and learning to care for a baby without that support has been challenging. But ultimately, baby Ainsley is thriving. “She’s doing wonderfully,” Michael says. “Her daddy spoils her rotten.”

Linda George, MSN, CNM, is a certified nurse midwife at Carolina Pines Regional Medical Center. Midwives are nurses with graduate degrees in midwifery.

cprmc.com  (843) 339-2100

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Expecting?

Register for a Childbirth Preparation Class by calling (843) 339-4563.

B is for back. Babies who sleep on their backs are much less likely to die of SIDS than babies who sleep on their stomachs or sides. Even babies with acid reflux should sleep on their backs, because the baby’s gag reflex and the position of the airway will keep them from choking when they spit up.

Bedtime

for Baby

Tips for safe infant sleep

Every year, about 3,500 babies in the United States are lost to sleep-related deaths. Common causes are accidental suffocation or strangulation and Sudden Infant Death Syndrome (SIDS). Fortunately, following safe infant sleep guidelines can greatly reduce the risk of sleep-related deaths. “I think this is so important, because everybody thinks, ‘This is never going to happen to me,’” says Marian Japitana Bunnell, MD, a pediatrician at Carolina Pines Regional Medical Center. SIDS risk peaks in a baby’s first two to four months, but Dr. Bunnell recommends following these safe sleep guidelines for your baby’s first year. KNOW THE ABCS A is for alone. Babies should sleep alone for naps and at nighttime. Bed-sharing or co-sleeping can lead to suffocation from bedding or being rolled on by sleeping parents. However, this doesn’t mean baby can’t be close by. In fact, the American Academy of Pediatrics (AAP) recommends room-sharing, because it can lower the risk of SIDS by as much as 50%.

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Live Well  Fall 2020

Image: iStock.com/PeopleImages

C is for crib. Babies should sleep in a crib, bassinet or Pack ‘n Play that meets safety standards and has a firm surface. There should be nothing else in the sleep space—no blankets, quilts, toys, bumper pads or pillows, because the baby could roll into these things and suffocate. To avoid loose blankets, dress baby for sleep in one extra layer or a wearable blanket.

S is for smoking. Infants exposed to smoking, either while in the womb or after birth, have a higher risk of SIDS. The AAP recommends that pregnant women do not smoke. After baby is born, it’s best to keep them away from smokers and keep your house and car smoke-free. DR. BUNNELL ANSWERS COMMON PARENT QUESTIONS Are pacifiers safe? “Yes. In fact, pacifiers have been shown to reduce the risk of SIDS. But do not use a pacifier with a string, clip or stuffed animal attached during sleep. If you’re breast feeding, it is recommended that you wait for feeding to go well (usually a couple of weeks) before introducing a pacifier.” Is it OK for my baby to sleep in a car seat or infant swing? “These are not flat, firm surfaces. If your baby falls asleep in a car seat or swing, move them to their crib or bassinet as soon as you can.” Should I buy a monitor that tracks my baby’s heart rate and oxygen level? “I don’t recommend these devices. A baby’s oxygen and heart rate can change for various reasons, so they might cause false alarms and added anxiety. And they haven’t been shown to decrease incidences of SIDS.”

Marian Japitana Bunnell, MD, is a pediatrician at Carolina Pines Regional Medical Center.


Flu shot Safety

Is it safe to get a flu shot during the coronavirus pandemic? Yes!

The novel coronavirus and the disease it causes, COVID-19, have become a primary health concern for many Americans, but don’t forget about seasonal flu. The flu vaccine is the best way to protect yourself and others. Flu shots do not cause illness or infection, nor do they increase your risk of getting COVID-19, says Tanya Baker, Carolina Pines director of Infection Control and Employee Health. In fact, receiving a flu shot protects you and those around you during the pandemic. “Getting a flu vaccine and preventing influenza is vital because we’re fighting two different viruses,” Baker says. “The nationwide hospital system is already overwhelmed with COVID-19 cases, and adding an influx of influenza patients on WHAT IF I FEEL SICK? top could cripple the healthcare system.” COVID-19 and influenza share many Vaccines have symptoms, including cough, fever, sore throat, shortness of breath and been protecting peoheadache. And both viruses can be ple from the flu for spread before you show symptoms. more than 50 years. Be sure to contact your primary care Flu vaccines use an provider if you experience any of inactivated part of these symptoms. the influenza virus

FLU FACTS Last season, at least 410,000 people were hospitalized from flu. Fewer than ½ of Americans got a flu vaccine last year. Flu vaccine reduces the risk of flu-associated hospital visits among older adults by about 40%. Children ages 0–17 are most likely to get sickened by flu.

to stimulate the production of antibodies, Baker explains. Approximately two weeks after vaccination, these antibodies are ready to provide protection from the virus for a season. It’s important to get a flu shot every year to protect against the current most common strains of the virus. Flu season in the United States is October to March, but influenza circulates year-round. While the Centers for Disease Control and Prevention (CDC) recommends getting a flu shot before the end of October, getting a shot late in the season is better than not getting it at all. Everyone older than 6 months should get a flu shot unless specifically advised not to by a doctor. Children under 8 years old might need two shots spaced a month apart, so plan to start young children’s shots earlier in the season. You can get a flu shot at many places, including your primary care provider’s office.

Find a doctor.

Images: iStock.com/fonikum; Geber86

To find a Carolina Pines primary care provider, call (843) 383-5191

cprmc.com  (843) 339-2100

7


When

Carolina Pines comes in well under that mark. “Our criterion is less than 45 minutes,” Dr. Sponseller says. To achieve this goal, Carolina Pines formed a multidisciplinary stroke team that is alerted whenever a patient arrives with a suspected stroke. This team is trained to perform CT scans and bloodwork, diagnose stroke and administer treatment quickly. In addition, providers and nurses throughout the hospital go through special training to learn to recognize signs of stroke and get patients the right care quickly. Ongoing education and training is a priority for the whole team. “We’re all a lot more aware of the tight time frame that Image: iStock.com/peterschreiber.media we have to get treatment when people present with stroke symptoms,” Dr. Sponseller says.

Seconds Count Exceptional stroke care close to home saves time and lives A stroke is a life-threatening emergency, and every second that passes before treatment is critical. “Time is of the essence,” says Brian Sponseller, MD, chief medical officer at Carolina Pines Regional Medical Center. “You need to go to the closest facility that can take care of your stroke.” For our community, Carolina Pines is that hospital. In January, we earned The Joint Commission’s Gold Seal of Approval® and the American Heart Association’s Heart-Check mark for Advanced 6 THINGS YOU CAN DO Primary Stroke Certification, TO PREVENT STROKE which means that Carolina Pines can provide advanced care to Some risk factors for stroke patients right here, close stroke can’t be controlled, to home. such as age and family history of stroke. But you can take these steps to lower your risk of having a stroke.

COMMUNITY NEED Darlington County has one of the nation’s highest stroke death rates among adults ages 1. Control high blood 35 and older, according to the pressure. 2. Quit smoking. Centers for Disease Control and 3. Get treatment for heart Prevention (CDC). “That’s why disease. the Primary Stroke Certification 4. Lower high cholesterol. became a big push for us,” Dr. 5. Manage diabetes. Sponseller explains. 6. Maintain a healthy weight. To receive the certification, Carolina Pines went through a rigorous onsite review, including showing that they could diagnose stroke and administer clotbusting drugs within 60 minutes of a patient’s arrival. In fact,

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Live Well  Fall 2020

COMMUNITY EDUCATION The education extends beyond the hospital doors. “Community education is also part of the certification program,” Dr. Sponseller says. “Our goal is not just to provide exceptional stroke care, but to keep strokes from happening in our community.” This includes spreading the word about stroke prevention and how to recognize signs of stroke.

ACT FAST Remember F-A-S-T to spot the signs of stroke and know what to do.

F

A

S

T

Face drooping: Is one side of the face droopy or numb? Ask the person to smile and see if the smile is uneven.

Arm weakness: Is one arm weak or numb? Ask the person to raise both arms and notice if one arm moves downward.

Speech difficulty: Does the person have trouble speaking? Ask the person to repeat a simple sentence, like “The sky is blue.”

Time to call 911: If the person has any of these symptoms, call 911 and get them to a hospital right away, even if the symptoms stop.


WHAT’S YOUR SLEEP POSITION? Along with exercise and healthy food, good sleep is a major contributor to your health. To ensure that your back isn’t thrown out of whack, follow this advice from orthopaedic surgeon David Prior, MD, based on your preferred sleep position. Side sleepers: “I always recommend that side sleepers have a pillow or some other cushion between their knees,” Dr. Prior says. “That helps to offload the lower back muscles.” Back sleepers: “I recommend having a pillow underneath your knees,” Dr. Prior says. Stomach sleepers: “Stomach sleeping tends to put a lot of pressure on the low back,” Dr. Prior says. To relieve the pressure, try putting a pillow underneath the hips.

Supple

Top recommendations for maintaining a healthy back

Image: iStock.com/fizkes

and Strong

David Prior, MD, is an orthopaedic spine surgeon at Carolina Pines Regional Medical Center.

As adults are spending more time seated—either for work or relaxation—they might be experiencing more stiffness or pain in their backs. The back is a system of bones and muscles that usually work quite well to keep us upright and moving through life. Unfortunately, there are actions (or inactions) that can affect the back’s strength and flexibility. David Prior, MD, is an orthopaedic spine surgeon at Carolina Pines Regional Medical Center. He notes that people who have been staying indoors or working from home because of the pandemic are experiencing new back pain. “I have a lot of folks that come in and they’ve been working from home and they seem to find themselves in the same chair in the same position for eight, 10, 12 hours a day,” he says. “Getting up and moving for 10 minutes out of every hour is important.” Dr. Prior also recommends exercises to strengthen your core muscles; the abdominals help support the upper body and reduce strain on the lower spine and related muscle groups. It might surprise you to learn that limber hamstrings (the muscles running up the back of the thigh) also contribute to

a relaxed, pain-free back. “It’s a reciprocal condition with the low back muscles,” he explains. “Once the hamstrings get tight, the other group tends to tighten up, too.” Gently stretching muscles daily from the neck down through the hips will help keep your back in good working order. Dr. Prior advises, however, not to force any range of motion. “Get into a comfortable position and slowly build on that, never forcing anything. It shouldn’t be a painful exercise. You’re essentially trying to slowly and gradually increase flexibility. And you don’t want to try to get there all in one day.”

Sore back?

To schedule an appointment with a Carolina Pines orthopaedist, call (843) 383-3742.

cprmc.com  (843) 339-2100

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Focus on

Diabetes Here’s what you need to know about preventing and managing this chronic disease The right care.

If you are concerned that you or someone you know may be at risk of or have diabetes, contact a primary care provider at (843) 383-5191.

Diabetes, a chronic condition that causes high blood sugar, is a common—and serious—health problem. In fact, 1 in 7 adults in South Carolina is living with diabetes. And, it is the seventh leading cause of death in our state. Raymond “Mac” Chapman, MD, an internal medicine specialist at Carolina Pines Regional Medical Center, answers common questions about diabetes. WHAT ARE RISK FACTORS FOR DIABETES? There’s a direct correlation between obesity and diabetes. Being physically inactive and eating an unhealthy diet are the two biggest risk factors. Older age and a family history are also factors; so is ethnicity. Diabetes is more common in Blacks and Hispanics. If one of your parents was diagnosed with diabetes before age 50, you have a 1-in-7 chance of getting it yourself.

Raymond “Mac” Chapman, MD, is an internal medicine specialist at Carolina Pines Regional Medical Center.

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HOW DO YOU TALK TO YOUR PATIENTS ABOUT PREVENTING DIABETES? Just telling someone to consume less sugar is not necessarily going to prevent them from getting diabetes, so I try to put things in helpful terms. A can of regular

Live Well  Fall 2020

Coke or Mountain Dew contains 6–7 teaspoons of sugar, and many people drink one or two sodas a day. Avoiding sugary drinks is one way to have a better diet. Sugar in and of itself doesn’t cause diabetes. For people with diabetes, carbs or “white foods”—such as white bread, pasta and white rice—are the culprits as much as a piece of cake. You also must cut consumption of these foods. WHAT CAN PEOPLE WITH DIABETES DO? Proper nutrition and a regular exercise program are just as important as any medication. Diabetes is not curable, but it’s a very manageable disease. Regular physician checkups and taking medications as directed are essential for proper management. Keeping diabetes under control will likely decrease complications down the road, such as kidney problems, neuropathy, loss of limb, blindness, and increased cardiac and stroke issues. We can’t control our ethnicity or genetic makeup, but we can certainly focus on good nutrition, adequate exercise (150 minutes per week) and maintaining ideal body weight. HAS COVID-19 MADE THINGS WORSE? Yes. More people have been staying at home, and when you stay at home, you have a tendency to graze. Many people have also been less active. The pandemic has complicated all of our lives. Since going to the gym may not be an option, I hope that people with diabetes will spend more time planning and carrying out regular home exercise routines and preparing delicious, nutritious meals.

Image: iStock.com/AtlasStudio

HEALTH TALK

Q A


Don’t invite bacteria to your fall gatherings By Kimberly Alton, RD, CSSD, LD As the air cools and the leaves begin to change color, there is nothing better to look forward to than bonfires and tailgating. While social-distancing guidelines may make these gatherings a little different than in years past, the need to keep your food safe has not changed. Follow the four basic principles of food safety to keep foodborne illness off the guest list. 1. CLEAN Bacteria can easily spread from contact with hands, surfaces or utensils. Wash your hands before and after handling food. TIP: Sing “Happy Birthday” to yourself twice, and you will know that you have washed long enough. Clean counters, cutting boards and utensils in between preparing food items to prevent cross-contamination.

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2. SEPARATE Always keep raw meat products separate from ready-to-eat foods to prevent cross-contamination. You should do this in your refrigerator, freezer and even your grocery cart.

For more information on food safety, visit fightback. org. To make an appointment with a Carolina Pines dietitian, call (843) 339-4530.

TIP: If you clean surfaces with cloth towels, wash them frequently in the hot water cycle of your washing machine.

TIP: Use a different cutting board for meat than you use for produce. 3. COOK It’s important to cook food to the correct internal temperature to be sure that bacteria have been killed. When reheating foods such as sauces, soups and gravies, bring them back to a boil. Other cooked foods should be reheated to 165° F. TIP: Insert a food thermometer into the thickest part of a food to check its internal temperature. 4. CHILL The final step is an important one. Cold temperatures slow the growth of bacteria. Refrigerating your food promptly to help cool it off will get it out of the danger zone. Never leave foods out for more than two hours before refrigerating, and if it’s hotter than 90° F outside, cut that time to one hour.

GRILLED BASIL CHICKEN Makes 4 servings INGREDIENTS 4 boneless skinless chicken breast halves (4 ounces each) 4 plum tomatoes 2 tbsp. olive oil 1 garlic clove, minced ¾ cup balsamic vinegar ½ tsp. salt ¼ cup tightly packed fresh basil leaves DIRECTIONS 1. Gently rub basil leaves and tomatoes under cold running water. 2. For marinade, place tomatoes, olive oil, garlic, vinegar, salt and basil leaves in a blender. Cover and process until well-blended. 3. Place chicken breasts in a shallow dish. (Do not rinse raw poultry.) Cover chicken with marinade. Cover dish and refrigerate about one hour, turning occasionally. 4. Place chicken on an oiled grill rack over medium heat. Do not reuse marinades used on raw foods. 5. Grill chicken four to six minutes on each side until internal temperature reaches 165°F on food thermometer.

Image: iStock.com/Lilechka75

Kimberly Alton, RD, CSSD, LD, is director of Food and Nutrition Services at Carolina Pines Regional Medical Center.

Safe eating.

PRINT OUT & KEEP

WELL BEING

Fall Into Food Safety

TIP: If you are a big-batch cooker, divide your food into smaller batches for quicker cooling. cprmc.com  (843) 339-2100

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The Auxiliary of

presents the third annual

VIRTUAL TREE LIGHTING CEREMONY VIA FACEBOOK LIVE facebook.com/carolinapinesrmc

Lights available for $10

IN HONOR OR IN MEMORY OF A LOVED ONE Acknowledgment cards will be mailed to commemorate the honor, and all names will be published.

4:30 P.M. SUNDAY NOVEMBER 22

To purchase a light, please call 843-339-4563 or visit www.cprmc.com/event/33.

What You Can Do About Breast Cancer Breast cancer is the most commonly diagnosed cancer among women in South Carolina and a leading cause of cancer death in women of every race and ethnicity. Fortunately, there is something every woman can do to try to detect breast cancer in its early stages, when it is most treatable: Get a mammogram. WHEN TO GET A MAMMOGRAM For women at average risk, the American Cancer Society recommends: + Women between ages 40 and 44 can choose to start annual screening mammograms. + Between ages 45 to 54, women should get a screening mammogram every year. + Women age 55 and older can switch to mammograms every two years or continue with yearly screening.

Discuss your breast cancer risk with your doctor to learn if you are at average risk.

THE GOOD NEWS Nationally, when diagnosed at an early stage, the five-year relative survival rate for breast cancer is about 99%. In South Carolina, about 61% of breast cancers are caught early.

CPR-009

It’s Easy to Schedule a Mammogram. You don’t need a doctor’s referral to get a screening mammogram at Carolina Pines Regional Medical Center. To schedule your mammogram at Carolina Pines, call (843) 339-4500.

Image: iStock.com/amtitus

Proceeds will fund yearly scholarships awarded to students pursuing an education in the medical field.

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Live Well Fall 2020  

Live Well Fall 2020  

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