Sprained or Broken?
Band-Aid® or Stitches?
We pride ourselves on providing a place where you can ask questions, get answers and receive the top-quality healthcare services you need to feel your best.
1024 S. Horner Blvd., Sanford, NC (Near the Post Office) 919-774-3680 MONDAY - SATURDAY 8am - 8pm
Carolina Doctors Med Care
Medical right when you need it. Ear Achehelp or Ear Infection?
Adult and Pediatric Care • Colds and Sore Throats • Bronchitis • Flu • Eye and Ear Infections • Sprains and Abrasions • Insect Bites • Adults Immunizations, TDAP and Hepatitis Immunizations Available • Yearly Physicals • Initial Fracture Care • Sports Physicals • Lacerations • X-Ray and Lab on Site • Treatment of Common Illness & Other Health Care Needs
Sore Throat or Strep?
Earache or Ear Infection?
t i t e G ! ! d e k c e h C
Carolina Doctors Med Care walk-in urgent care
Saturday, April 26, 2014
Wellness
&
Health
2 / Saturday, April 26, 2014
L
I’m officially a member of the ‘Kidney Stone Victims Club’
ast summer, I joined the less-thanhandle the after-hours emergency, I accepted desirable club of kidney stone that I was facing my own emergency victims. My diagnosis, however, and that a doctor’s visit was critical came several months later — after I’d to uncovering the culprit of my traded work skirts for sweatpants and crippling pain. my morning coffee for Pepto-Bismol. Within a week, a CT scan Admittedly, I’m to blame for was scheduled and revealed a my delayed diagnosis. A frugal 7 millimeter kidney stone lodged in (and yes, foolish) gal, I forfeited my ureter. Days later, I was admitted doctors’ visits for bookstores and the into Central Carolina Hospital for Internet. Armed with my research, outpatient surgery. Shock wave Gina I misdiagnosed my chronic cramps lithotripsy crushed the stone into the Eaves as the result of a food allergy and Advertising Director kidney stone hereafter, which I’d be subsequently eliminated my favorite willing to wager my paycheck is a culinary pleasures. Yet after 21 days fiery eternity. without gluten, dairy, sugar and meat, the I learned more about kidney stones in the piercing pains remained — and my taste days following my diagnosis than I’d learned buds cursed me. in all my 33 years combined. Kidney stones My “coming-to-Jesus” moment occurred are among the most common disorders of in late November, when answering a the urinary tract. And while kidney stones work-related phone call from bed. Unable to are most prevalent in men over 40, they
Health & Wellness ON THE COVER: Experiencing the great outdoors on a bicycle is a healthy and invigorating way to exercise. Herald Publisher Bill Horner III, an avid road cyclist, rides about 3,000 miles per year – often stopping to take photographs. Here are a few he took with his iPhone.
don’t discriminate based on gender or age; I’m a living testament to that fact. Simple measures, such as decreasing sodium consumption, staying hydrated and exercising regularly, likely would have prevented the crystal mass that wreaked havoc on my body — and my professional and personal life. These days, lemon water and cranberry juice are my go-to beverages – the acidity in both fend off the foe that claimed my quality of life months ago. And while I continue to research the latest health trends, I leave all diagnosis to medical professionals. For treatment of kidney stones, or any ailment, I encourage you to forego self-diagnosis and schedule an appointment with a health care provider. You’ll reduce treatment and recovery time — and perhaps the number of Pepto-Bismol bottles in your shopping cart.
Vitamins and macular degeneration
Frequently asked questions answered By Carolina Eye Associates
mins if I don’t have AgeRelated Macular Degeneration? The benefits of vitamin supplementation have only been studied in individuals with early macular degeneration.
A
ge-related macular degeneration (AMD) is a common eye condition that affects the macula or central vision. Central vision is important in activities such as r eading and driving. In recent years, attention has focused on nutrition and supplements as Arghavan a way to prevent or Almony, MD reduce vision loss Diabetic Eye, Retina, from AMD. and Vitreous
Does Omega3 help with Macular Degeneration? While Omega3 may have other benefits, it has not been shown to reduce the risk of AMD.
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Why should I take vitamins if I have AMD? In 2001, a landmark study of the National Eye Institute (Age-Related Eye Disease Study or AREDS) showed the benefits of specific supplemental vitamins and minerals for those with AMD by reducing the risk of developing advanced AMD by 25%. This formulation of vitamins and minerals is a higher concentration than what can be obtained through diet alone or with a multivitamin.
Can I take these vitamins if I smoke? Vitamin A, an important component of the AREDS formulation in reducing the risk of vision loss from AMD, has been shown to increase the risk of lung cancer in individuals with a recent or distant history of smoking. The original AREDS formulation had one formulation for non-smokers and a separate formulation without vitamin A for individuals with a smoking history. In 2013, the National Institutes of Health released the results of the AREDS 2 study in which Vitamin A was replaced with Lutein and Zeaxanthin. Lutein and Zeaxanthin are effective in reducing the risk of AMD. The AREDS 2 formulation of vitamins and minerals can be taken by smokers and non-smokers.
What are the best vitamins if I have AMD? There are countless brands and formulations of vitamins for AMD. Some of these are better than others. Speak with your eye doctor to make sure your vitamin choice includes the necessar y supplements to offer the best protection possible for For more information your eyes. on eye diseases visit www. Can I take these vita- carolinaeye.com
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Health & Wellness
Saturday, April 26, 2014 /
Give Them One More Thing To Smile About:
A LIFETIME OF HEALTHY TEETH Did you know that your child should have their first dental exam by age 1!
We specialize in children’s dentistry, providing gentle and experienced care in a fun, family-friendly office setting. Call us today to schedule your child’s appointment with a gentle and caring pediatric dentist. Dr. Antonio S. Braithwaite, Board Certified Pediatric Dentist
Dentistry for infants, children, adolescents and patients with special needs.
Dr. Brandon M. Knockum, Board Certified Pediatric Dentist
1013 Spring Lane, Sanford, NC 27330 Located in the Riverbirch Shopping Center
919.718.5561
www.sanfordpediatricdentistry.com
Se Habla Español
3
Health & Wellness
4 / Saturday, April 26, 2014
FirstHealth of the Carolinas
High-risk pregnancy help
FirstHealth-UNC to offer maternal-fetal medicine program P I N E H U R S T
A
partnership b e t w e e n FirstHealth of the Carolinas and the University of Nor th Carolina’s Depar tment of Obstetrics & Gynecology will give women in the mid-Carolinas convenient local access to a wider variety of specialty ser vices related to high-risk pregnancy. A specialist with FirstHealth UNC Maternal-Fetal Medicine will begin seeing patients at FirstHealth Moore Regional Hospital in April. The service will be offered two days a week until this summer when a full-time specialist will join the program and begin seeing patients five days a week. “We are very excited to offer Maternal-Fetal Medicine to our community,” says Dan Barnes, D.O., president of the F irs tH ealth P hys ician Group. “This service will allow women with high-risk pregnancies to remain in the community and deliver their babies close to home.” The Ma t e r n a l - F e t a l Medicine program at Moore Regional will pro-
vide preconception and prenatal consultations for maternal medical conditions such as high blood pressure, diabetes and autoimmune disorders and for high-risk pregnancy issues such as twins and triplets, preterm labor and previous fetal death. Available services will include amniocentesis and chorionic villus sampling, tests that are done early in a pregnancy to detect problems with the unborn baby; advanced obstetric ultrasound; and other fetal procedures. When the office opens in April, services will be provided on Tuesdays and Fridays by David Stamilio, M.D. A genetic counselor will accompany him to Pinehurst on Tuesdays. A graduate of the medical school at Hahnemann University in Philadelphia, Dr. Stamilio completed his OB/GYN residency at Christiana Health Care System in Delaware and his fellowship training in reproductive epidemiology and maternal-fetal medicine at the University of Pennsylvania Hospital. Before joining the UNC program, he held appointments at Darnall Army Hospital in San Antonio, Texas; the University of Pennsylvania
Hospital in Philadelphia; and Washington University in St. Louis. According to Kate Menard, M.D., division director of Maternal Fetal Medicine at UNC, Dr. Stamilio and other specialists will partner with physicians at Moore Regional to help achieve the best health outcomes for mothers, premature newborns or newborns affected by other highrisk conditions. “UNC Maternal-Fetal Medicine is proud to have this opportunity to partner with FirstHealth to bring subspecialty services to the mothers, infants and families at Moore Regional Hospital,” Dr. Menard says. “The best pregnancy outcomes for women with medical and obstetric complications can be achieved through collaboration with a multidisciplinary team. Together, we will improve care for patients and families at Moore Regional.” The Maternal Fetal Medicine program will open in the Women & Children’s Services area of FirstHealth Moore Regional Hospital on April 18. Patients will be seen from 8 a.m. to 5 p.m. on Tuesdays and Fridays. Appointments are by physician referral only.
Invites you to visit our friendly office & staff
• Adult & Pediatric Dermatology • Diagnosis & Treatment Of Moles & Skin Cancer • Spider Veins
IN SICKNESS AND IN HEALTH WE DO.
Diseases & Surgery Of The Skin, Hair & Nails SERVING LEE COUNTY FOR 30 YRS.
Cheesborough,MD MD••Tiffany TiffanyJ.J.M. Wimsatt John DD Cheesborough, Mills, PA-C Molly E. Roberts, PA-C Three full time providers. RENOVATIONS ARE COMPLETE. COME BY AND SEE OUR NEW OFFICE! New Patients welcome!
We Accept Assignment On Medicare Most Insurance Claims Filed
At the office of Dr. William E. Hall, we vow to provide exceptional health care for you and your loved ones. We are devoted to comprehensive and continuing health care for people of all ages. We pride ourselves on taking the time to listen to our patients and learn about each patient’s personal needs. Our commitment is to state-of-the-art, quality medical services in a caring environment. We are accepting new patients and look forward to the opportunity to serve you and your family.
NOW ACCEPTING UNITED HEALTHCARE & TRICARE INSURANCE Office Hours: Monday - Thursday 8am-5pm Friday 8am-Noon
919-775-7926
919-542-2731 919-775-7926
827 S. Horner Boulevard Old Graham Road Sanford Pittsboro
100 S 10th Street Lillington
1911 K M WICKER MEMORIAL DRIVE SANFORD, NC 27330
(919) 775-1000
uncpn.com
Health & Wellness
Saturday, April 26, 2014 /
5
Central Carolina Hospital
Taking
Care of your
P
eople often give little thought to protecting and strengthening their heart until a problem occurs. Then they often say, “I wish I had taken better care of my health.” Ever y year, half a million Americans die of a heart attack. Yet research shows that most are preventable. Don’t wait until you have a serious health threat. Take action now to lower your risk of future heart problems. Here are six strategies that can help you build a hear thealthy lifestyle:
Maintain a healthy weight
Ever y excess pound produces more cholesterol and increases your risk for hear t problems. Higher blood fat and cholesterol levels, lower HDL cholesterol (the “good cholesterol” helps keep your coronary arteries open), higher blood pressure and blood sugar, and increased inflammation can all damage the ar teries going to the hear t and brain. The good news is that by losing even 10 to 15 pounds, your body makes significant improvement and your risks fall. To help you achieve a healthier weight, be more
active. Eat less food (i.e., smaller por tions). Choose lower calorie foods (e.g., fruits, vegetables, salads, vegetable soups – not creamy soups). Choose healthier foods (nuts, whole grains, and legumes). And join a sound weight-loss group.
Get regular exercise
Aim for a half hour or more of moderate to vigorous exercise daily, or at least most days. Even if you don’t lose weight, physical activity lowers your risk of a heart attack. In Harvard’s Nurses’ Health Study, women who walked briskly 30 minutes daily cut their risk of a hear t attack in half. 1 Regular activity lowers blood pressure and blood fat levels. It also improves HDL cholesterol levels and specifically strengthens the heart. In a study of 25,000 people, high fitness levels from regular physical activity was the most effective way to prevent a heart attack.2 Get your doctor’s guidance before starting your exercise program if you have any health problems.
heart
lesterol foods, highly refined foods, and foods ver y high in sodium (salt). Limit your intake of these. Other foods actually lower your risk of a heart attack. These are fresh fruits and vegetables, soy and other legumes, whole grains, nuts and seeds, flax meal, vegetable oils (olive, soy, canola), fish, and most whole plant-based foods. Eat more of these. And remember to eat moderate amounts of all foods to maintain a healthy weight.
Don’t smoke
Smoking damages the arteries of the heart and brain. This damage speeds up fat accumulation in the arteries and promotes clotting of the blood. And these can cause a hear t attack or stroke. The American Hear t Association states that one out of every five heart attacks is caused by smoking,3 and that smoking 25 or more cigarettes a day increases your chances of a hear t attack by 2to 3 times! The good news is that as soon as you stop smoking, your risk of a heart attack Choose heart-healthy meals begins to drop. Within five Some foods raise the risk of years of stopping, your risk of a heart attack. These include a heart attack is half that of a fatty meats, butterfat, high-cho- smoker. Also avoid secondhand
smoke for good heart health.
Live a balanced life
Avoiding extr emes is a good health principle for the whole body. Get adequate rest (at least 7 to 8 hours of sleep daily). Take time to relax, be active, and have fun daily. Avoid working long hours. Keep your stress level low. High stress levels that can rob your mental, physical, and social health. Build suppor tive relationships with your family and friends. Take time for healthy, balanced meals daily. Don’t skip meals. Take time to build spiritual values in your life. The large INTERHEAR T study 4 showed that people who were happy (i.e., not depressed), who took time for relaxation and avoided heavy stress loads, and who had a positive, hopeful outlook on life, were 30% less likely to experience a heart attack.
Get regular checkups
It’s impor tant to see your doctor regularly. The following tests are especially important for people age 40 or older. Get your cholesterol c h e c k e d r e g u l a r l y. K e e p your LDL cholesterol lev-
els less than 130 mg/dL, or less than 100 mg/dL if you already have a hear t problem or have diabetes. Check your blood press u r e y e a r l y. K e e p y o u r blood pr essur e less than 120/80 for best health. Check your blood sugar levels regularly. For heart health, the National Institutes of Health recommends a fasting blood sugar level less than 100 mg/dL and an A1c level less than 7.0% for people with diabetes. An A1c level less than 5.0% is recommended for non-diabetics for low risk of coronar y hear t disease. Ask your doctor for help in making needed changes, such as stopping smoking, losing weight, or getting your blood cholesterol or blood pressure levels under control. By taking action early, you are practicing preventive medicine. Research shows that people who follow this heart-healthy lifestyle reduce their chances of a hear t attack by 80-90%. This is compared to people who are not careful to adopt a healthy lifestyle. The choice is yours. Choose health and enjoy a fuller, more productive life for all of your years.
FirstHealth has you covered in Lee County – from head to toe! Sanford Locations Sanford Hematology Oncology (919) 775-8183
Back & Neck Pain (919) 774-0665 Neurosurgery (855) 535-8700
FirstHealth Orthopaedics (800) 213-3284
Physical Therapy (919) 774-1595
www.firsthealth.org 368-70-14
6 / Saturday, April 26, 2014
FirstHealth of the Carolinas
Distinguished honor
F
Health & Wellness Be of t st Be he st
FirstHealth Moore Regional Hospital recognized as one of North Carolina’s best hospitals
i r s t H e a l t h M o o r e R e g i o n a l ing quality measures to assemble the ment is a testament to the commitHospital has once again been “best hospital” list. The 12 weighted ment of the FirstHealth staff to offer recognized as one of the state’s criteria included patient satisfaction; a level of medical excellence that is best hospitals and as a top hospital death rates for hear t attack, hear t recognized among the best in North in patient satisfaction by Business failure and pneumonia; readmission Carolina.” North Carolina magazine. rates and complications stemming Moore Regional Hospital has also Moore Regional ranked No. 5 in from surgeries as well as indepen- been recognized as a Blue Cross the “best hospital” ranking and No. 7 dent experiential data compiled by Blue Shield of Nor th Carolina “cutin the “patient picks” list. Blue Cross and Blue Shield Inc. of ting-edge hospital” for quality and “We are ver y pleased to once again Nor th Carolina, The Leapfrog expertise in cardiac care. be recognized by Business Group and U.S. News & “As a cardiothoracic surNor th Carolina as one of the World Report. geon, I am keenly aware of best hospitals in the state and The “patient picks” the rigorous quality and safety as a top hospital for patient list is a result of The measures that are involved satisfaction,” says David J. Consumer Assessment with the deliver y of high-qualiKilarski, chief executive of fiof Healthcare Providers ty cardiac medicine,” adds Dr. cer for FirstHealth of the and Systems sur veys Krahner t. “Moore Regional’s Carolinas. “This achievement of hospital patients on program has been nationally John David J. is an af firmation of the hard outcomes, instr uctions recognized for providing the Kilarski work of our physicians, nurses upon being discharged, Krahnert Jr. highest quality cardiovascular M.D. CEO and ancillar y health care procleanliness and other care, and we are committed fessionals in advancing quality and factors. to the continued deliver y of compassafety. We are proud of our team’s “FirstHealth is proud to be recog- sionate patient care supported by the accomplishments and the great work nized among the best hospitals in the latest technology and clinical experthat they do ever y day to provide state,” says John Krahnert Jr., M.D., tise.” high-quality care to patients through- FirstHealth’s chief medical of ficer. In 2013, FirstHealth’s Reid Hear t out the mid-Carolinas.” “Our team has demonstrated an abil- Center became the first in the SandMore than 100 Nor th Carolina ity to sustain this high-level per for- hills to of fer transcatheter aor tic hospitals were compared on var y- mance year after year. This achieve- valve replacement (TAVR). Approved
Sanford Dermatology
Self-tanner might be a safe alternative to outdoor tanning Who tans indoors?
On an average day in the United States, more than one million people tan in tanning salons. Nearly 70 percent of those tanning salon patrons are Caucasian girls and women, primarily aged 16 to 29 years, and the indoor tanning industr y’s revenues are estimated to be more than $2.6 billion.
So what are the risks?
IN SICKNESS AND IN HEALTH WE DO. At Sanford Specialty Clinics, we vow to provide exceptional personalized health care for you and your loved ones. As a multi-specialty, community-based practice, we provide a broad spectrum of services to adult patients, including rheumatology, pulmonology, cardiology, nephrology and infusion. We are committed to providing quality and cost-effective medical care to a diverse population of patients with chronic medical conditions and special needs. Call for an appointment today!
in 2011 by the U.S. Food and Dr ug Administration (FDA) for high-risk and non-operable patients, TAVR can be a lifesaving procedure for patients with severe aortic stenosis, a valvular condition affecting about 3 percent of the American population over age 65. Caused by a thickening of tissue in the aortic valve that restricts arterial blood flow from the heart to the rest of the body, the condition can cause chest pain, shor tness of breath, dizziness and fatigue. If left untreated, it is fatal. In addition to Moore Regional’s r ecognition for superior car diac care, the hospital received commendation as high-per for ming in the following adult specialties: diabetes and endocrinology, gastroenterology, geriatrics, nephrology, neurology and neurosurger y, pulmonology and urology. For infor mation on FirstHealth Moor e Regional Hospital or the TAVR procedur e at FirstHealth’s Reid Heart Center, visit HYPERLINK “http://www.firsthealth.org” www. firsthealth.org.
Many. The American Academy of Dematology points out that the United States Depar tment of Health and Human Services and the World Health Organization’s (WHO) Inter national Agency of Research on Cancer panel has declared ultraviolet (UV) radiation from the sun and ar tificial sources, such as tanning beds and sun lamps, as a known carcinogens (cancer-causing substances). Indoor tanning equipment, which includes all artificial light sources, including beds, lamps, bulbs, booths, etc., emits UVA and UVB radiation. The amount of the radiation produced during indoor tanning is similar to the sun, and in some cases might be stronger. And studies have found a 59 percent increase in the risk of melanoma in those who have been exposed to UV radiation from indoor tanning, and the risk increases with each use. Evidence from several other studies has shown that exposure to UV radiation from indoor tanning devices is associated with an increased risk of mela-
noma and non-melanoma skin cancer, such as squamous cell carcinoma and basal cell carcinoma. In addition, exper ts claim exposure to UV radiation during indoor tanning damages the DNA in the skin cells. Excessive exposure to UV radiation during indoor tanning can lead to premature skin aging, immune suppression, and eye damage, including cataracts and ocular melanoma. On top of that, the AAD says: • frequent, intentional exposure to UV light may lead to an addiction to tanning. • Indoor tanning beds/lamps should be avoided and should not be used to obtain vitamin D because UV radiation from indoor tanning is a risk factor for skin cancer. Vitamin D can be obtained by a eating a healthy diet and by taking oral supplements. • In a recent sur vey of adolescent tanning bed users, it was found that about 58 percent had bur ns due to frequent exposure to indoor tanning beds/lamps. • The FDA estimates that there are about 3,000 hospital emergency room cases a year due to indoor tanning bed and lamp exposure. On alternative is using a self-tanning lotion. If you’r e pursuing that route, consider these steps: Exfoliate. Use a washcloth to exfoliate the skin prior to applying a selftanner. Using an exfoliating product also will help remove dead skin cells. Spend a little more time
exfoliating where your skin is thickest — elbows, knees and ankles. Dr y your skin. Dr ying your skin before you apply a self-tanner helps it go on evenly. Apply in sections. Apply the self-tanner in sections (such as the arms, then legs, followed by the torso). Massage the self-tanner into your skin in a circular motion. Wash your hands after each section. You will avoid orange-color ed palms by washing your hands with soap and water after you finish applying the self-tanner to each section of your body. Blend at your wrists and ankles. For a natural look, you need to lightly extend the tanner from your wrists to your hands and from your ankles to your feet. Dilute over your joints. Dilute the self-tanner on the knees, ankles and elbows, because these areas tend to absorb more self-tanner than the rest of the skin. To dilute, lightly rub with a damp towel or apply a thin layer of lotion on top of the selftanner. Give your skin time to dr y. Wait at least 10 minutes before getting dressed. For the next three hours, it is best to wear loose clothing and try to avoid sweating. Apply sunscreen every day. You still need to protect your skin with sunscreen. Be sure that your sunscreen offers all of the following: • SPF 30 or higher. • Broad-spectrum protection (UVA/UVB protection). • Water resistance.
COMPASS HOUSE COUNSELING CENTER PAMELA PARKER, MS, LMFT We offer Individual, Couples and Family Therapy We work with a variety of issues that affect children, adolescents, and adults.
1301 CENTRAL DRIVE SANFORD, NC 27330
(919) 718-9512
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We address issues like Depression, Bipolar, ADHD, Oppositional Defiant Disorder, Conduct Disorder, Marital therapy, Separation/Divorce Population Served: Children, Adolescents, Adults
Let us help you find your way Call today 919-774-8790 Most Insurance Plans Accepted
Health & Wellness
Saturday, April 26, 2014 /
7
William E. Hall Family Practice
Keep allergies from blooming this spring By Dr. William Hall
William E. Hall Family Practice a member of the UNC Physicians Network
S
pring has spr ung and with the longer days, warmer nights, and flowers blooming comes the onslaught of seasonal allergies. Millions of people suffer from seasonal allergies. The sneezing, congestion, and runny nose can make life miserable. But before you resign yourself to staying indoors on a gorgeous spring day, try these simple strategies to keep seasonal allergies under control.
Reduce your exposure to allergy triggers
To reduce your exposure to anything that may trigger your allergy symptoms, try the following:
• Stay inside on dry, windy days. • Have someone else handle yard work. • As soon as you come inside, remove the clothes you wore outside that may be covered with pollen. • Shower to remove pollen from your skin and hair. • Do not hang laundry outside. • Wear a dust mask if you do outside chores. • Check for local pollen forecasts and current pollen levels. If high pollen counts are forecast, start taking allergy medications before your symptoms start. • Close doors and windows at night or any other time when pollen counts are high. Use the air conditioning in your house and car.
• Avoid spending time outside in the early morning when pollen counts are highest. • Use high-efficiency air conditioner filters and follow regular maintenance schedules. • Keep indoor air dry with a dehumidifier. Use a portable high-efficiency particulate air (HEPA) filter in your bedroom. • Clean floors often with a vacuum cleaner that has a HEPA filter.
Try an over-the counter remedy
help relieve sneezing, itching, runny nose and watery eyes. Decongestants
Oral decongestants can provide temporary relief from nasal stuffiness. Decongestants also come in nasal sprays. Only use nasal decongestants for short-term relief. Long-term use of decongestant nasal sprays actually can make your symptoms worse.
When all else fails
If these measures don’t help, contact your primary care physician. There Nonprescription medications that can are medications available by prescriphelp ease allergy symptoms include: tion. When all else fails, immunotherapy Oral antihistamines Antihistamines such as Benadr yl, allergy shots) may help. We hope these tips will help you to Loratadine, Fexofenadine, or Zyrtec can have a very Happy Spring!
Central Carolina Hospital
Parents can help prevent their child from becoming obese
A
s a parent you never like to see your child experience illness or hurt from harsh words spoken by their peers. But if you aren’t providing an environment where healthy eating habits, physical activity and positive reinforcement are a part of daily routines, then you just might be contributing to the very things you don’t want for your child disease and low self-esteem. Although many states have seen a decline in childhood obesity it’s still estimated that one in eight preschoolers is obese in the U.S. Whether a child is overweight or obese is determined by a physician who measures your child’s weight against his or her height and age. If a child is found to be overweight, the assistance of a physician-directed weight-loss program may be recommended. In children, dieting should never be done without the guidance of a doctor because their nutritional and developmental health could be compromised. There are three main reasons why children become obese: family history of obesity, poor diet and not enough physical activity. Much of what we eat is full of
fat and now more than ever children are spending their time playing video games, on the computer or watching television. This sedentary time means they’re spending less time in physical activities. Specific lifestyle changes may help prevent obesity. Those children with a family history of obesity can also control their weight, but they may have to work a little harder at their diet and exercise to do so. The following tips may help in creating a healthy family lifestyle: • Set a good example by preparing and eating healthy meals and don’t maintain a clean-plate policy. Follow your children’s hunger cues. If kids are satisfied, don’t make them continue eating, which helps reinforce the idea that they should only eat when they are hungry. • Don’t buy junk food. It’s better to not have temptations in the house than to tell your child they can’t have any of it. Also, don’t use sweets or treats as a reward for good behavior or as a way to stop bad behavior. • Place nutritious snacks in a place where your child can reach for them first. • Use exercise as an opportunity to spend time with your child. Spend time
everyday doing aerobic activity (bicycling, ice skating, jogging, hiking, karate, rollerblading, soccer, swimming, tennis, etc.). • Limit TV and the computer and don’t allow eating while doing them. Time spent doing these activities is time spent away from physical activity. • Discourage talk about weight unless your child brings it up. And don’t talk about your own weight or dieting in front of your child. • Avoid fast food. The result of not eating healthy and not getting regular exercise may be detrimental to your child. Overweight and obese children are at higher risk for sleeping disorders, asthma and diabetes. Also, overweight children are five times more likely to be overweight or obese as adults. In addition, being obese places your child in a position to be isolated by certain peers at school or to be the brunt of many “fat jokes.” This can lead to low self-esteem. And low self-esteem may lead to poor eating habits and a sedentary lifestyle, which is exactly what you don’t want. You can help build up your child’s selfesteem by: • Watching what you say. Praise chil-
dren not only for their successes but for their efforts in trying. Reward completion instead of outcome. • Being a positive role model. What you do and believe about yourself, your child will often times mirror. • Identifying and redirecting your child’s inaccurate beliefs. • Giving positive accurate feedback. Acknowledge their feelings, reward their effort and encourage them to make the right choices again next time. • Being spontaneous and affectionate. Give praise, encouragement and hugs often. And be sincere. A child can tell if you’re faking it. • Creating a safe, nurturing home. • Helping your child become involved in activities that encourage cooperation instead of competition. Mentoring programs are good tools for building selfesteem. Controlling and preventing obesity is possible. Yet it requires action and positive role modeling. Talk to your doctor for more information on obesity or for suggestions on preparing nutritious meals, exercise choices or ways to build your child’s self-esteem.
SANDHILLS ORTHODONTICS Glynda R. McConville, DDS, PA
• Serving both children & adults • Damon Metal or Clear Braces
FREE INITIAL CONSULTATION *The American Association of Orthodontists recommends an orthodontic check-up by age 7. * Insurance filed *Military Insurance Accepted *No Referral Necessary * Se Habla Español
919.718.9188 www.sandhillsortho.com 1129 Carthage St. Sanford
New ! tion Loca
35 Plantation Dr. Suite 102 Cameron
Health & Wellness
8 / Saturday, April 26, 2014
Sandhills Orthodontics
Straight talk about braces, oral health By Sandhills Orthodontics Office of Dr. Glynda R. McConville DDS, PA www.sandhillsortho.com
T
hinking about getting braces? It’s never too late. These days, adults make up nearly half of orthodontic patients hoping to finally get the per fect smile they’ve always dreamed about. Braces have evolved considerably in the last 15 years. Breathe easy, the days of being a true “metal mouth” are over and more lightweight and cosmetically friendly options are out there. Brackets are available in metal and clear options, they are smaller, and bands and appliances that used to wrap around the tooth are no longer in use.
Why do people get braces?
A dentist usually recommends braces to improve a patient’s “orofacial” appearance. Through or thodontic treatment, problems like crooked or crowded teeth, overbites or underbites, incorrect jaw position and disorders of the jaw joints are corrected. If left untreated, these problems can result in tooth decay, gum disease, headaches and earaches, as well as biting or chewing problems. The American Association of Or thodontists (AAO) recommends an orthodontic checkup by age 7 and no referral is healthy. Most of us don’t really pay attention when we’re necessar y. br ushing. Instead, you may The importance of brushing brush distractedly while thinking about your day, to-do lists teeth properly with or or your weekend plans. While without braces You have been br ushing brushing your teeth properly your teeth for most of your isn’t rocket science, it does life, but are you really brush- require a conscious ef for t to i n g t e e t h p r o p e r l y ? T h e make sure it’s done right and importance of brushing teeth for maximum effect. Rememproperly is often overlooked, ber, plaque is a nearly colorbut it’s an impor tant par t of less, sticky layer of bacterial keeping your teeth and gums film that forms on your teeth
and can cause cavities and each area of your mouth. periodontal disease (gum dis- B r u s h i n g t e e t h p r o p e r l y means taking care to reach ease). ever y tooth, as well as ever y sur face of ever y tooth. Tips on brushing Don’t forget your tongue. teeth properly T h e m o s t c o m m o n p i t - The tongue harbors a lot of fall that keeps people from bacteria, par ticularly those b r u s h i n g t e e t h p r o p e r l y that contribute to bad breath. is that they don’t br ush for You can use a regular brush long enough. Most dentists or a tongue scraper. In fact, r e c o m m e n d b r u s h i n g f o r many toothbrushes now featwo to three minutes, spend- ture textured tongue cleaners. ing at least 30 seconds on By br ushing teeth properly,
you can help keep your mouth and teeth in good health for years to come. Dr. Glynda R. McConville is the owner and operator of Sandhills Orthodontics. With offices in Sanford and Cameron, Dr. McConville specializes In the Damon System of braces and is an Invisalign provider. Call our of fice today for your FREE initial consultation at 919-718-9188 or email us at info@sandhillsortho.com
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Health & Wellness
Saturday, April 26, 2014 /
Sanford Specialty Clinics
Sanford
a lifeline to those at risk of sudden cardiac death
UNC Cardiologist implants first ICD at Central Carolina Hospital By Sanford Specialty Clinics
a part of UNC Physicians Network
S
udden cardiac arrest is a leading cause of death in the United States, claiming about 350,000 lives each year. If your health history puts you at risk for sudden cardiac death, your doctor may prescribe an implantable cardiac defibrillator (ICD). An ICD is a small device that’s placed in the chest or abdomen. It is used to help treat life-threatening hear tbeats called “arrhythmia”. An ICD uses electrical pulses or shocks to help control these lifethreatening arrhythmias, especially those that can cause sudden cardiac arrest. If the hear t beats too quickly, the chambers don’t have enough time to fill with blood and distribute it to the rest of the body, and this can lead to death. For people at high risk for the deadliest forms of arrhythmias, which are specifically called ventricular tachycardia (VT) and ventricular fibrillation (VF), an internal “shock” device is the best protection against sudden cardiac arrest. In November 2013, Dr. Hemant Solomon, Clinical Assistant Professor, UNC Heart and Vascular Center, implanted the first internal cardiac defibrillator at Central Carolina
Hospital in Moen retiree, Cynthia McKoy. Cynthia, 66, had a histor y of diabetes and high blood pressure, but she never imagined that her hear t could be weakening. In 2012, she learned her heart was functioning at less than 35% capacity and that she had congestive heart failure. An ejection fraction (EF) is used to measure how much blood the left ventricle pumps out with each contraction and to diagnose and track heart failure. A normal EF is around 55-60% while an EF less than 35% means an increased risk of having VT or VF and sudden cardiac arrest. Cynthia’s heart condition was a concern and needed to be watched. In late 2013, Cynthia came to see Dr. Solomon for a checkup. She was short of breath more often and fatigued more easily than the previous year. After a thorough work-up, blood was now pumping out of her hear t during each beat at only 30%. An EF less than 35% suggests that the heart is no longer pumping well enough to meet the body’s needs. Cynthia was at risk for developing VT or VF and sudden cardiac arrest. The time had come to do something to prevent this from happening. Dr. Solomon r ecom-
mended to implant an ICD, which is about three ounces, underneath her skin. Tiny insulated wires are placed into the hear t and are then connected to the device. These wires carr y information signals from the heart to the device. If the device detects dangerously fast hear tbeats, it gives a lifesaving shock to correct the heart’s rhythm. Compared to other devices used to treat sudden cardiac ar rest, an inter nal cardiac defibrillator can provide 24/7 protection to each patient for the rest of their lives. The ICD is the standard of care for patients at risk for sudden cardiac death. Cynthia was an excellent candidate because of her history with diabetes. The procedure took 30-45mins to per form and only required an overnight stay in the hospital. The surgery was quick and successful. Today, Cynthia is home and enjoying an active life. She is very involved in her church and community and enjoys cooking for others and preparing for bake sales that suppor t special ministries. If you have any questions or would like to learn more, please contact Dr. Hemant Solomon at Sanford Specialty Clinics at 919.718.9512.
Central Carolina Hospital
Peripheral vascular disease – Signs, symptoms and treatments
P
eripheral vascular disease is a common circulator y problem that involves the narrowing of vessels that carry blood away from the heart. Plaque, a substance made up of fat and cholesterol, builds up on the inside walls of the arteries and restricts normal blood flow. This buildup of plaque is called atherosclerosis, or hardening of the arteries. Atherosclerosis can affect arteries anywhere in the body. When it affects the arteries of the heart, it is called coronary artery disease and can cause a heart attack. When it affects the arteries supplying the brain, it is called carotid artery disease and can lead to a stroke. Atherosclerosis in the arteries that supply blood to the kidneys, stomach, arms, legs or feet is called peripheral arterial disease (PAD). One in ever y 20 Americans over the age of 50 has PAD. Prevalence of the disease increases with age and affects a disproportionate number of AfricanAmericans. Risk factors for developing the condition include smoking, diabetes, age, being overweight, and elevated blood pressure and cholesterol levels. Smoking is more likely than any of the other risk factors to cause PAD. In fact, a smoker’s risk can be up to four times higher than a non-smoker’s. If you have PAD you are more likely to develop other forms of cardiovascular disease. Compared to the rest of the population, a person with PAD increases your risk of coronary artery disease, heart attack, stroke or mini stroke. One of the first signs of PAD can be painful cramping or fatigue in the legs and buttocks that occurs during activity, but stops during rest.
However, approximately half of people with the disease have mild or no symptoms. The condition also can cause leg numbness or weakness, cold legs or feet, skin color changes in the arms or legs, toe or foot sores that don’t heal quickly, hair loss on feet and legs, and burning or achy feet and toes when resting or lying down. In advanced stages, blood flow to a leg or foot can be severely blocked, causing tissue death that may result in amputation. Diagnosing PAD can be done through an ankle-brachial index test which compares blood pressure levels in the ankle and arm. Angiography, a form of imaging that uses a dye injected into the blood vessels, allows the doctor to watch blood flow through the arteries as it happens. A medical history, physical exam or ultrasound also may be used to diagnose PAD. People diagnosed with PAD can usually be treated with lifestyle changes, medications or a combination
of both. Lifestyle changes include smoking cessation, diabetes management, blood pressure control, exercise and a healthy diet. Medications may be prescribed to lower cholesterol or blood pressure, control blood sugar (for diabetics), prevent blood clots or relieve certain symptoms. In some cases, however, surgery may be necessary to open vessels using a balloon catheter (a small, hollow tube). Doctors may bypass the blocked vessel using either a graft or directly inject a clot-dissolving drug into the artery. In some cases, a stent (a mesh tube) is inserted to keep the vessel open. Leg pain, numbness or other symptoms should not be dismissed as normal aches and pains of aging. Early diagnosis and treatment of PAD is important to not only protect your health, but also decrease your risk of heart attack or stroke. To find out more about PAD, talk to your doctor or call 1-800-483-6385 to find a physician near you.
Celebrates... 19th International Noise Awareness Day Wednesday, April 30th, 2014 Call and schedule your appointment today! • Dr. Angela Bright Pearson will be presenting an informative seminar at 11:00 a.m. on how noise affects our precious hearing and what you can do to protect yours • Free hearing screenings to identify whether hearing loss is present- school age and up • Free earplugs (one pair per attendee) • Refreshments and a chance to ask our staff questions about noise and hearing protection devices
REGISTER TO WIN! ($20.00 value) The new KidsSafe Earbuds allows your child (or you) to enjoy your music without fear of damaging your hearing. No matter how loud they “crank it up”, these new buds keep damaging sounds to a safe level!
REGISTER TO WIN!
One free pair of noise blocking earmolds, made to fit your ears. Good for target shooting, mowing, car races, and even snoring spouses! ($120 value)
1620 South Third Street 919-774-3277 www.brightaudiology.com
9
Health & Wellness
10 / Saturday, April 26, 2014
Erik Butler, DO
Michael Tyler, MD
Daphne Cates, MD
Family Medicine
Family Medicine
Family Medicine F Fam
James Holt, MD Family Medicine
Leah Beynon, Bey PA-C Family Medicine F Fa
Cindy Julich, FNP Family Medicine
Michael Gordon, MD General Surgery
Steven Jurisich, MD S General Surgery G
Rogerr Ernest, DO
Gerard O’Donnell, MD
General Surgery r
Internal Medicine
Henry Purvis, MD Urology
Brian Whitley, MD Urology
Central Carolina Physician Network One simple call. An entire network of choices.
Access and options are
important when it comes to choosing a healthcare provider for you and your family. That’s why the Central Carolina Physician Network offers you convenient access to a dedicated team of healthcare partners. Just one simple phone call connects you to our network of experienced professionals who share a commitment to providing you the compassionate, efficient care available right here at home.
For a same or next-day appointment call 877-892-2660, Monday – Friday.
Daniel Woydick, MD Family Medicine
Jill Lambert, rt, MD Family Medicine ine
Parker McConville, MD Family Medicine
Robert McConville, MD Family Medicine
June Peck, ck, FNP Family Medicine dicine
Christine n, FNP Strayhorn, Family Medicine icine
Jessica Burgert, Je rt, MD Family Medicine F Fa
Steven Michael, Micha DO Internal M Medicine
Emily Dolleschell, FNP NP Internal Medicine
To learn more, visit
centralcarolinahospital.com