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YOUR HEALTH MATTERS

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JUNE 20 - 26, 2013

Men and their fear of doctors To all of the men who have provided so either because their loved-one or sperm for procreation and to the men coworker has harassed him into making who more importantly truly lived up to an appointment or they have a specific the definition of the word, dad, I wish to concern. express a hearty Happy Belated Father’s There have been many theories Day. For those men who spent time proposed as to why men do not see the teaching their children how to ride a bike doctor on a regular basis, one of which is or drive a car, who provided the midnight stoicism.  Men may equate seeing their feedings so their spouses could provider with that of showing sleep, who requested that their vulnerability. My counter offer daughters change clothes when to this belief is that preventing they were too revealing, and for disease is always easier than those awesome men who taught trying to treat it.  We should their sons how to be a man, we remind our male loved ones that salute each of you! It is with independence becomes difficult that appreciation that I want to once a person has multiple focus our attention this week on illnesses, hospitalizations, etc.   the health and well-being of one Another reason for the of God’s greatest creations.    lack of participation in the If you scan any medical healthcare system by males room regardless of its locale and the reason probably most Denise Hooks- cited by my patients is the or racial demographics, the Anderson M.D. fear of getting a prostate exam. majority of the people sitting there would be women.  The Apparently, men are not too only exception to this rule would keen about a 2 ½ to 3 inch be at a veteran’s facility.  You finger being inserted into their would think that since women live longer rectum.  I even try to use analogies to than men by almost five years, that men ease my male patient’s trepidation about would frequent the doctor more so they that aspect of their exams.  I show them could improve their odds. However, the size of the speculum used in pelvic as we all know that is not the case.  In exams in women and compare that to the my practice, most of my male clients size of my finger.  I then ask, “Which that present for the first time have done would you prefer?”

Your Health Matters

A bi-monthly special supplement of the St. Louis American

JUNE 20 - 26, 2013 Your Health Matters provides up-to-date information, from an African-American perspective, about one of the most important subjects in evryone’s life – their personal health.

Donald M. Suggs, President and Publisher Kevin Jones, Senior Vice President, COO Dina M. Suggs, Senior Vice President Chris King, Editorial Director Denise Hooks-Anderson, M.D. Medical Accuracy Editor Sandra Jordan, Health Reporter Debbie Chase, Director of Health Strategy & Outreach Onye Ijei, Barb Sills, Pamela Simmons, Sales Michael Terhaar, Art/Production Manager Angelita Jackson, Cover Design Wiley Price, Photojournalist

I also believe that men must think that when they go to the doctor that as soon as they walk in the room, the doctor will say hello and immediately ask them to bend over and drop their pants! My dear beloved brothers, there is more to a wellness exam than that. There are many other important health topics that need to be addressed, such as heart disease. Cardiovascular disease is still the number one cause of death for both men and women. Risk factors for heart disease are hypertension, diabetes, obesity, smoking, family history, and simply being male! The goal of yearly checkups with a provider is to try and prevent some of those diseases and to try and modify those factors that are modifiable. For example, regular visits can provide needed cognitive or medicinal support for nicotine cessation. Roughly, 22 percent of men over the age of 18 smoke cigarettes. In addition, a national interview survey in 2011 showed that about 12 percent of men over the age of 18 are in fair or poor health.  And in males under the age of 65, a little over 18 percent of them did not even have health insurance. In the greater than 20 year olds, approximately 31 percent of them had high blood pressure, which is blood pressure 140/90 or higher.  We consider high blood pressure the silent killer. Most people have no

symptoms when their pressure is high. Therefore men, the argument that “I feel fine” is not enough to justify not seeing your doctor regularly. Children, women, men, and the elderly all need yearly wellness exams. For men, this exam entails:  vital signs (blood pressure, weight, body mass index), full physical which may or may not include a prostate exam, and some labs depending on the patient. Most patients need a lipid panel, electrolytes with kidney function, and a diabetes screen. These visits are also utilized to update immunizations such as Tdap and influenza and to ensure that preventative tests such as colonoscopies are scheduled at the appropriate age of 50 and every 10 years thereafter.   Men, our society needs you to continue to be the strong, fearless leaders you have always been but you can only achieve that by being proactive about your health.  If you love us, we implore you to take care of yourself.  Make an appointment to see your doctor today! Yours in Service, Denise Hooks-Anderson, M.D. Assistant Professor SLUCare Family Medicine yourhealthmatters@stlamerican.com


JUNE 20 - 26, 2013

YOUR HEALTH MATTERS

Seven pounds to goal

Weight loss with dispatch By Sandra Jordan Of The St. Louis American

Sometimes the only motivation you need to change your life is a good look in the mirror. That’s pretty much how it went for Shanette Hall of Richmond Heights, Mo. The 25-year-old admits she was “always a pretty nice size,” but she had started a new job which made her sedentary; she was eating out a lot, and she had broken up with her boyfriend and wanted to get back on the dating scene. You get the picture. And she got it too. But she wasn’t seeing “sexy and single” when she looked in the mirror. “I felt extremely insecure; I felt uncomfortable from how I looked and I didn’t feel confident going back out there with the way that I looked,” Hall said. This scenario may seem all too familiar these days, when young people grow up and blow up. “It got me thinking about all the things – the different diseases that are in my family; different health problems like high blood pressure and diabetes and things of that nature,” Hall said. “It all kind of hit me one day.” In Hall’s case, she did not have any of the health issues that can manifest with obesity, such as diabetes, cardiovascular diseases and even certain cancers. And she didn’t want any of it either. But she was obese. When her doctor, Denise HooksAnderson, MD (Your Health Matters medical accuracy editor) printed off a chart of her weight progression, seeing it in black-and-white prompted her stop taking chances with her health. Literally I woke up one morning and I wanted to change it. So I did,” She said, matter-of-factly. “I am 5’7”. I started last year on May 14 and I write my weight down every day in my planner. I started off at 264 and today I weigh 165.” How did she do it? Cold turkey. She leaves the Colonel’s chicken and the pizza for someone else’s hut; she

Photo by Wiley Price

Shanette Hall of Richmond Heights, Mo. lost nearly 100 pounds in a year’s time the oldfashioned way; by backing away from junk and fast foods, monitoring sodium intake and exercising most every day.

eats only what she prepares -- baked or grilled meat, vegetables, fruits and whole grains; she eats a boiled egg or tuna for protein when she does get a naughty food craving. And other than the glass of tea in the morning, Halls drinks water, that’s it. And you can no longer blame her weight on the alcohol. She cut alcohol

and eating out from her night life. “I was 24. I liked to go downtown and I liked to party and I was drinking,” Hall said. “I was losing too much money; I was going out to eat. The biggest thing here is to be active and cut out all the junk and drink water – water, water, water all day, because it breaks down junk and helps move it along in

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your body.” To maintain physical activity, she goes to the YMCA for about an hour’s worth of exercise most every day. “My workout consists of cardio for about 30 minutes and the second 30 to 45 minutes will just be weight-lifting,” Hall explained. And how did she get so methodical about weight loss? From researching healthy diet, weight loss and exercise success on the internet, in magazines and wherever she could in advance, and tweaking them in a manner that worked for her. Hall started off with about two-and–ahalf weeks “smoothie detoxing.” “It basically consisted of drinking a bunch of different kinds of smoothies all day long,” Hall said. “I kind of tweaked it a little bit to my own liking, because obviously after going from eating KFC and Taco Bell and meatloaf and stuff every day to just drinking smoothies and was a little bit hard. If I ever got hungry I would try to incorporate different things in there like boiled eggs or tuna – anything about protein because I heard it was very good. And I watched my sodium; things of that nature.” Hall said she lost about 20 pounds in her first month. Then she went on a very low-calorie diet. At first, she didn’t tell anyone she was trying to lose weight. “It was something I had to do on my own to prove I could do it,” Hall said. “I was 264. My original goal was just I didn’t want to be in the ‘twos’ anymore. I didn’t want to be 2-anything,” Hall said. Working as a dispatcher for St. Louis County Police helped Hall incorporate weight loss part of her broader, long-term career goals. “I wasn’t sure if I wanted to become a police office or go federal or something of that nature and with me thinking about that I realized that … I had to set back and think if this is something I really wanted to do – go federal in some type of way,” she said. “I looked at some of their weight requirements for certain types of things and I made them my new goals. It’s more of a broader goal for me to assess in life what I wanted to do in my career. Then I realized I needed to lose a little more weight.” Hall said it’s a mental thing – the resolve to lose weight. Speak to yourself what you want to happen and what you will make happen. She still gets cravings, but she lets them pass; nibble on a little protein or goes to the gym instead. “Ninety-nine pounds down, seven pounds to go,” Hall said. “Once you come to your goal and you look at yourself in the mirror, it’s like you don’t want to mess up and you don’t want to go back to that.”


YOUR HEALTH MATTERS

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JUNE 20 - 26, 2013

Health Briefs

Study shows clear benefits of a healthy diet, exercise, maintaining normal weight and not smoking 4 lifestyle changes protect the heart, reduces death risk There is a significant link between four lifestyle factors and heart health, adding even more evidence in support of regular exercise, eating a Mediterranean-style diet, keeping a normal weight and, most importantly, not smoking. Through a large, multi-center study, researchers said adopting those four lifestyle behaviors protected against coronary heart disease as well as the early buildup of calcium deposits in heart

arteries, and reduced the chance of death from all causes by 80 percent over an eight-year period. Results of the study, “LowRisk Lifestyle, Coronary Calcium, Cardiovascular Events, and Mortality: Results from the Multi-Ethnic Study of Atherosclerosis,” was recently reported in the American Journal of Epidemiology. “We evaluated data on more than 6,200 men and women, age 44-84, from white, African-American, Hispanic and Chinese backgrounds. All were followed for an average of 7.6 years. Those who adopted all four healthy behaviors had an 80 percent lower death rate over that time period compared to participants with none of the healthy behaviors,”

Maintain a diet rich in vegetables, fruits, nuts, whole grains and fish; keep a BMI of less than 25; exercise regularly and do not smoke. These actions reduce the risk of heart disease and mortality from all causes. Source: American Heart Association said Haitham Ahmed, M.D., M.P.H., lead author and internal medicine resident with the Ciccarone Center for the Prevention of Heart Disease at Johns Hopkins. Study participants all took part in the ongoing Multi-Ethnic Study of Atherosclerosis (MESA), a prospective examination of the risk factors, prevalence and prevention of cardiovascular disease. MESA participants were recruited from six academic medical centers and did not have a diagnosis of cardiovascular disease when they were enrolled. As the study progressed, the researchers also assessed whether the

participants had a heart attack, sudden cardiac arrest, chest pain, angioplasty or died due to coronary heart disease or other causes. “Of all the lifestyle factors, we found that smoking avoidance played the largest role in reducing the risk of coronary heart disease and mortality,” saidRoger Blumenthal, M.D., a cardiologist and professor of medicine at the Johns Hopkins University School of Medicine and senior author of the study. “In fact, smokers who adopted two or more of the healthy behaviors still had lower survival rates after 7.6 years than did nonsmokers who were sedentary and obese.”

CDC Study:  New data shows Americans drinking less sugar-sweetened beverages It appears that Americans are getting the message about consuming less sugary drinks. New data from CDC’s National Health and Nutrition Examination Survey (NHANES) shows that over a 12-year period, U.S. youth and adults lowered their intake of sugar-sweetened beverages (SSB) by 68 and 45 calories per day respectively.  The study, published in the American Journal of Clinical Nutrition presents the most recent national data (1999 to 2010) on SSB consumption in the U.S. Researchers analyzed energy intake from SSBs among 22,367 children and adolescents aged 2-19 years and 29,133 adults age 20 years and older. SSBs

included soda, fruit drinks, sports and energy drinks, sweetened coffee and tea, and other calorically sweetened beverages. Patterns of SSB consumption were also looked at, including location of consumption and meals associated with consumption. Those findings report decreases in sugary beverage consumption in both genders and across a wide range of ages, races and ethnicities, and at meal time and snack times. Some groups, such as 40-59 year olds, did not show significant declines and there were no decreases in consumption of sports and energy drinks.


JUNE 20 - 26, 2013

YOUR HEALTH MATTERS

Health Briefs continued

BMI of low income African Americans linked to living near fast food restaurants African-American adults living closer to a fast food restaurant had a higher body mass index (BMI) than those who lived further away from fast food, according to researchers at The University of Texas MD Anderson Cancer Center, and this association was particularly strong among those with a lower income. A new study published recently in the American Journal of Public Health indicates higher BMI associates with residential proximity to a fast food restaurant, and among lowerincome AfricanAmericans, the density, or number, of fast food restaurants within two miles of the home. The closer they lived, the higher the BMI. The study was led by Lorraine Reitzel, Ph.D., assistant professor in the Department of Health Disparities Research at MD Anderson. Data was collected from a large sample of more than 1,400 black adult participants from the Project CHURCH research study, a collaboration between MD Anderson and Windsor Village United Methodist Church in Houston – one of the largest Methodist churches in the United States. “According to prior research, AfricanAmericans, particularly women, have higher rates of obesity than other ethnic groups, and the gap is growing,” said Reitzel. “The results of this study add to the literature indicating that a person’s neighborhood environment and the foods that they’re exposed to can contribute to a higher BMI.” Reitzel said that this is an important population group for researchers to examine because of the health consequences that are associated with obesity among African-Americans including diabetes, cancer and heart disease. “We need to find the relationships and triggers that relate to this population’s BMI, as they’re at the

greatest risk for becoming obese and developing associated health problems,” said Reitzel. “Such information can help inform policies and interventions to prevent health disparities.” On average there were 2.5 fast food restaurants within a half mile, 4.5 within a mile, 11.4 within 2 miles and 71.3 within 5 miles of participants’ homes. “We found a significant relationship between the number of fast food restaurants and BMI for within a half-mile, one-mile and two-miles of the home, but only among lowerincome study participants,” said Reitzel. The data showed the greater the density, the higher the BMI. There was no significant association for the five-mile area. When examining proximity – the distance in miles from each participant’s home to the closest restaurant – the study found that closer proximity was associated with a higher BMI. In fact, although results indicate that the relationship between a higher BMI and proximity was stronger for those of lower income, it was still significant in the group with the higher incomes. The data also showed that every additional mile participants’ lived from the closest fast food restaurant was associated with a 2.4 percent lower BMI. “There’s something about living close to a fast food restaurant that’s associated with a higher BMI,” said Reitzel. She said that there may be some behavioral economics involved in the decision to choose fast food over a healthier choice. “Fast food is specifically designed to be affordable, appealing and convenient. People are pressed for time, and they behave in such a way that will cost them the least amount of time to get things done, and this may extend to their food choices.”

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‘Healthy halo effect’ of 5 common foods Think twice before grabbing foods labeled sugar-free, fat-free or wholewheat. Recent studies show people tend to let their guard down and eat twice as much or more of these foods because they are marketed as healthy food products. “Consumer food marketing can be extremely persuasive and the right buzzword on a package can lure a shopper into making an unwise purchase,” said Kari Kooi, a registered dietician at The Methodist Hospital in Houston. “We need to educate consumers on how to read nutrition labels so they can avoid falling prey to the ‘health halo’ effect.”  Here are Kooi’s top five foods to avoid: • Vegetable Chips contain vegetable powders. Once a vegetable is processed into a chip, many of the nutrients are lost and the calories increase because fat is added. Nutrients are lost as a result of processes that expose food to heat, light and oxygen. You’re better off eating vegetables.

• Nutrient-enhanced waters are nothing more than colored sugar water loaded with empty calories that can contribute to weight gain. A better option would be taking a daily multivitamin with a glass of water. • Muffins are made with refined white flour, oil and refined sugar; becoming nothing more than cupcakes without icing. Many coffee shop muffins are mega-sized and can easily top 500 to 600 calories. • Premade Smoothies are mostly syrupy commercial concoctions loaded with calories and sugar, which can leave you with a subsequent energy slump following the sugar rush. Keep the calories in check by making fresh smoothies with high-quality, nourishing ingredients like low-fat Greek yogurt, skim milk and fresh or frozen fruits. • Frozen Yogurt is not caloriefree. Most include a hefty amount of added sugar. Many of the live and active cultures added to frozen yogurt are not able to survive freezing, so don’t count on any probiotic benefits.

Obese patients trust diet advice from overweight physicians When it comes to taking diet advice from a physician—size matters. This is according to a new study led by a team of researchers at the Johns Hopkins Bloomberg School of Public Health and the Johns Hopkins University School of Medicine who examined the impact of primary care physician BMI (body mass index) on their patients’ trust and perceptions of weight-related stigma. They found that overweight and obese patients trust weight-related counseling from overweight physicians more than normal weight physicians and patients seeing an obese primary care physician were more likely to perceive weight-related stigma. The results are published in the June 2013 issue of Preventive Medicine. “With respect to overall trust, our results suggest that overweight and obese patients trust their primary care physicians, regardless of their body weight,” said Sara Bleich, PhD, associate professor with the Bloomberg School’s Department of Health Policy and Management.

“However, with respect to trust in weight-related advice, we found that patients more strongly trusted diet advice from overweight primary care physicians as compared to normal BMI primary care physicians. In addition, we found that patient perceptions of weight-related stigma increased with physician BMI. Patients seeing obese primary care physicians, as compared to normal BMI physicians, were significantly more likely to report feeling judged because of their weight.” Researchers used a national crosssection survey of 600 overweight and obese patients to examine overall trust and trust in weight-related counseling from their primary care physicians. “While weight-related stigma has been documented among health professionals for decades, as well as lower physician respect towards patients with a higher BMI, our finding that weight-related stigma increases with physician BMI was quite surprising,” noted Bleich.


YOUR HEALTH MATTERS

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JUNE 20 - 26, 2013

Food Outreach Recipe

Baked Coconut Shrimp BBQ Salad  Serves 4  1 pound raw jumbo shrimp (peeled, deveined, tail-on)  1/4 cup flour  1 egg, beaten  3/4 cup sweetened shredded coconut 1/4 cup panko breadcrumbs  2 small corn tortillas, sliced into thin strips  8 ounces lettuce 1 avocado, peeled, seeded and diced   1 Persian or small hothouse cucumber, chopped  1 medium tomato, cut into bite-sized pieces    1/4 cup chopped cilantro 3 T low fat ranch dressing 3 T BBQ sauce 

shallow dish. 3. Dip shrimp into flour to lightly coat, then into egg wash, and finally into the coconut coating. Place coated shrimp on the baking sheet and bake for 10 minutes. Turn over and bake for an additional 7-10 minutes until cooked through. Set aside.  4. Meanwhile, place a frying pan coated with cooking spray over medium-high heat. Place tortilla strips in the pan and toast until crisp, turning frequently.  5. Place lettuce in a large serving bowl and top with avocado, cucumber, and tomato. Arrange coconut shrimp, tortilla strips, and cilantro on top.   6. Dress salad with ranch and BBQ sauce as desired.

Preparation:

Nutrient Information (per serving)

1. Preheat oven to 425 degrees and coat a baking sheet with cooking spray.  2. Place flour and egg into two separate shallow dishes. Stir together the coconut and breadcrumbs in a third

Calories 366, Fat 12 g Saturated fat 6.2 g, Cholesterol 204 mg, Carbohydrate 36 mg Fiber 4 g, Protein 28 g

More impulsiveness, deliberation seen in weight gain People who gain weight are more likely to give in to temptations but also are more thoughtful about their actions, according to a new study published recently in Psychological Science, a journal of the Association for Psychological Science. To understand how fluctuations in body weight might relate to personality changes, Angelina Sutin of the Florida State University College of Medicine and colleagues at the National Institutes of Health (NIH) examined data from two large-scale longitudinal studies of Baltimore residents. The studies, NIH’s Baltimore Longitudinal Study of Aging (BLSA) and the Baltimore Epidemiologic Catchment Area (ECA) study, included more than 1,900 people in total, of all ages and socioeconomic levels. Data

about participants’ personality traits and their body weight were collected at two time points separated by nearly a decade. In one study, a clinician measured participants’ weight at the two time points; in the other study, the participants reported their weight at baseline and had it measured by a clinician at follow-up. Researchers found that participants who had at least a 10 percent increase in body weight showed an increase in impulsiveness — with a greater tendency to give in to temptations — compared to those whose weight was stable. The data don’t reveal whether increased impulsiveness was a cause or an effect of gaining weight, but they do suggest an intimate relationship between a person’s physiology and his or her psychology. In a surprising twist, people who gained weight also reported an increase

in deliberation, with a greater tendency to think through their decisions. Deliberation tends to increase for everyone in adulthood, but the increase was almost double for participants who gained weight compared to those whose weight stayed the same. “If mind and body are intertwined, then if one changes the other should change too,” Sutin said. “That’s what our findings suggest.” They speculate that the increase in deliberation could be the result of negative feedback from family or friends — people are likely to think twice about grabbing a second slice of cake if they

feel that everyone is watching them take it. These findings suggest that even though people who gain weight are more conscious of their decision-making, they may still have difficulty resisting temptations. “The inability to control cravings may reinforce a vicious cycle that weakens the self-control muscle,” the researchers note. “Yielding to temptation today may reduce the ability to resist cravings tomorrow. Thus, individuals who gain weight may have increased risk for additional weight gain through changes in their personality.”


JUNE 20 - 26, 201

YOUR HEALTH MATTERS

Profiling People in Health Nursing as a second career  

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Health Q&A

Sleeping less, eating late = pounds Reprinted with Permission Consumer Reports Health Q. I’ve heard that not sleeping enough can cause you to put on the pounds. True? A. Looks like it, and for a simple reason: more opportunity for latenight snacking. Researchers at the University of Colorado studied the effect of five days of inadequate sleep on the eating habits, calorie expenditure, and body weight of 16 adults. They burned slightly more calories per day when they got less sleep, but the amount they ate, especially at night, increased even more, leading to a net weight gain. The researchers concluded that your body needs a little more food during periods of insufficient sleep to fuel it through the extra hours you’re awake. But when food is easily accessible (for example, you have a plate full of cookies and nobody up to share them), you’re likely to eat much more than what’s needed to compensate.

Name:  Tonia Taylor Position/Where: RN Care Manager/BJC Behavioral Health

Diversity Award for SLU Med Students

Career Highlights:  Prior to nursing, worked in the business field for over ten in accounting, customer service and purchasing  While in nursing school worked as a ER registrar and a student nurse After graduating from nursing school, worked in several nursing specialties such as pulmonary, orthro/neuro, psych, skilled nursing, substance abuse and case management Education:  University of Missouri-St. Louis - Bachelor of Science in Nursing St. Louis Community College - Associate in Applied Science, Nursing and Associate in Arts, Business Administration Southeast Missouri State University Personal:  Tim(husband), Khalil(son) and Tiara(daughter).  Parents - Tommie Smith(deceased) and Angela Zasaretti-Walcott.  Sister - Latosha. Grew up in church mostly under the leadership of uncle and pastor Rev. C. V. Smith - Cephas Chrisitian Church. St. Louis Connection:  Born and raised in St. Louis.  Attended Riverview Gardens High School Journey to success:  Nursing is my second career.  After working in the business field for several years I decided to go back to school.  My desire was to be a teacher or a nurse.  I chose nursing.  Nursing school was very challenging and required a lot of dedication.  Support from family, peers and instructors enabled me to complete my journey through school.  Being flexible, adaptive to change and receptive to learning has contributed to my success as a nurse.  My goal is to further my education and continue to grow in the field of nursing.

The Leadership in Institutional Diversity Award was presented recently to leaders of the Saint Louis University Chapter of the Student National Medical Association, during this year’s national conference of more than 150 chapters. Pictured (l-r) are Mallory Hubbard, vice president; Arielle Randolph, co-president; Tiffany Adams co-president).  Second row: Michelle Hall, treasurer; Dr. Robert Russell, faculty advisor; and Tamala Carey, fundraising chair. Back row: Lawrence Hall, secretary; Dr. Michael Railey, associate dean and associate professor of Multicultural Affairs at SLU School of Medicine; Collette McLemore, director of diversity operations, Office of Multicultural Affairs; and Ophelia Langhorne, MAPS liaison. 


YOUR HEALTH MATTERS

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JUNE 20 - 26, 2013

Health Resources Behavioral

Dental

Christian Hospital offers free and confidential psychiatric and chemical dependency evaluations at the Christian Hospital Center for Mental Health. For more information, call 314-839-3171.

Free Dental Hygiene Clinic - No charge dental exams, x-rays, cleanings and other dental services for children and adults provided by dental students at Missouri College. Patients needing more extensive dental work (fillings, crowns, etc.) will be referred to local dentists. For information, call 314-768-7899.

Christian Hospital Key Program offers support and education to patients with chronic mental illness to prevent increased severity of symptoms and to reduce the need for inpatient re-hospitalization. Call confidentially to 314-839-3171 or 1-800-447-4301.  Crime Victim Advocacy Center provides no cost support for persons who have been affected by criminal acts. Emil peggy@supportvictims.org, visit or call the 24-hour hotline 314-OK-BE-MAD (652-3673) or visit www.supportvictims. org.

Bike helmet safety The St. Louis County Health Department provides free bicycle helmets to St. Louis County residents between ages 1 and 17 by appointment only. Proof of residency is required. For the location nearest you, visit www.tinyurl.freebikehelmets.

Breast Cancer Gateway to Hope offers no-charge medical and reconstructive treatment for uninsured breast cancer patients in Missouri. Contact 314-569-1113.

Diabetes SSM St. Mary’s Health Center provides free, Diabetes Support Group sessions the second Tuesday of every month from 6 – 7 p.m. to address health management issues. It’s located at Meeting Room 1 on the second floor, 6420 Clayton Rd. in St. Louis. To register, call toll free 866-SSMDOCS (866-776-3627).

Health Partnerships The Center for Community Health and Partnerships: Building Bridges for Healthy Communities works to develop and support beneficial communityacademic partnerships to address the health needs of the St. Louis. For more information, email publichealth@ wustl.edu; phone 314-747-9212 or visit publichealth.wustl.edu.

Medical St. Louis ConnectCare offers walk-in services Monday through Friday, 8 a.m. to 7 p.m., Saturdays and Sundays, 8 a.m. to 5 p.m. and most holidays. For more information, call 314-879-6300. Salam Free Saturday Clinic, 10 a.m. – 2 p.m. at the Isom Community Center at Lane Tabernacle CME Church, 916 N. Newstead, St. Louis, Mo. for those who are uninsured. For more information, call 314-533-0534.

Information

Nutrition

Missouri 2-1-1 offers referral and information on a wide range of social service and helpful resources. Call 2-1-1.

Food Outreach provides food, meals and nutritional education/ counseling to eligible persons living with HIV/ AIDS or cancer in St. Louis. For more information, call 314-652-3663 or visit www.foodoutreach.org. St. Louis Milk Depot - SSM Cardinal Glennon Children’s Hospital is a breast milk depot for the Indiana Mother’s Milk Bank. Milk Depot staff will store and ship your milk to IMMB. For more information, call (314) 242-5912.

Prostate Cancer The Cancer Center of The Empowerment Network at 6000 W. Florissant in St. Louis provides information on prostate and other types of cancer, and services and support. For more information, call 314-385-0998.

Prescription Cost Help

St. Louis ConnectCare Retail Pharmacy – Offers a $4 generic prescription program. Hours are 8 a.m. – 5 p.m. Mon. – Fri., no weekends or holidays. Located at 5535 Delmar Blvd. in St. Louis, Call 314-8796208. Schnucks Pharmacies – now offers certain prescription prenatal vitamins for free and offers no-cost generic prescription antibiotics at select locations. Wal-Mart Pharmacies – offer select prescriptions for $4 or less for a 30-day supply or $10 for a 90-day supply. View the complete list at www.walmart.com/ pharmacy.

Respiratory Health Free lung function screening - Christian Hospital Breathing Center at Northwest HealthCare, 1225 Graham Rd. For more information, call 314-953-6040.

Sexual Health St. Louis County Health Department offers free, confidential testing, counseling and treatment at the North Central Community Health Center, 4000 Jennings Station Road, St. Louis, MO 63121. For more information, call 314679-7800. St. Louis Metropolitan HIV/AIDS Program offers confidential or anonymous Testing at St. Louis ConnectCare, Suite 203 at 5535 Delmar, St. Louis, Mo. 63112. For more information, call (314) 879-6468.


JUNE 20 - 26, 2013

Thurs. June 20, 9:30 a.m. – 12:30 p.m., Free Diabetes Screenings by Christian Hospital at Edward Jones YMCA, No fasting required; a glucose or A1C screening, body mass index and blood pressure check. Pre-registration is recommended, but walk-ins are welcome. For more information, call 314-747-WELL (314-747-9355) or toll-free 877-747-9355. Wed. June 26, 9:30 a.m. – 12:30 p.m., Free Diabetes Screenings by Christian Hospital at Hidden Lake Lutheran Services, 11728 Hidden Lake Drive, St. Louis, 63138. No fasting required; a glucose or A1C screening, body mass index and blood pressure check. Pre-registration is recommended, but walk-ins are welcome. For more information, call 314-747-WELL (314-747-9355) or toll-free 877-747-9355. Sat. June 29, 7:30 a.m. – 11:00 a.m., Wellness Screening at Mercy 1820 Zumbehl Rd. in St. Charles, Mo. Free screenings for blood pressure, cholesterol, blood sugar and body mas, conversations with physicians, cooking demonstrations and colon display. The Mammography van screening cost is billed to your insurance provider. Women between age 40 - 64 with no insurance (or a high deductible) may be eligible for a free mammogram. To schedule, call 314-251-6300 or 800-446-3742. For more information or to register, call 314-628-3443 or visit mercy.net/stlwellness. 

YOUR HEALTH MATTERS

Health Calendar Sat. July 27, 9:00 a.m. – 11:30 a.m. –CHIPS Health and Wellness Center 13th Annual Prayer Breakfast, Clyde C. Miller Career Academy, 1000 N. Grand Blvd., St. Louis. For more information, call 314-6529231, x. 20; email mroach@chipsstl.org or visit www. chipsstl.org. Fri. Aug 9, Sat. Aug 10, 7:30 p.m., The Bright Side of Life, annual student musical revue for JDRF, Pillsbury Chapel and Dale Williams Fine Arts Center, Missouri Baptist University, One College Park Drive, St. Louis, 63141. Features 39 student actors, singers and dancers from 20 area schools (grades 3 - high school); features songs from such classic Broadway musicals as Hairspray, King and I, Memphis, Little Shop of Horrors, Sound of Music and Children of Eden. For more information on this free event, visit www. archcitytheatertroupe.org. Sundays, 10 a.m. – Alcoholics Anonymous Group 109 meets in the 11th floor conference room at Christian Hospital, 11133 Dunn Road at I-270/Hwy. 367. This is

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an open meeting for alcoholics, drug addicts and their family and friends. Mondays, 7 p.m. – “Tobacco Free for Life” support group – free weekly meetings at St. Peters Mo. City Hall. Supported by SSM Cancer Care; RSVP initial participation to 636-947-5304. Tuesdays, 6:30 – 8:00 p.m. – Alcohol and Drug Informational meeting, Christian Hospital, Professional Office Building 2, Suite 401. For information, call 314839-3171. Wednesdays, 6:30 p.m. – 7:30 p.m. – STEPS Schizophrenia Support Group This nationally recognized program provides education and support for those with schizophrenia. Group is facilitated by an experienced STEPS nurse. For more information, call 314-839-3171. First Thursdays, 10 a.m. – Family Support Group by NAMI St. Louis, The Alliance on Mental Illness at Transfiguration Lutheran Church, 1807 Biddle Street. No registration needed; no cost. For more information, call 314-962-4670. Free psychiatric and chemical dependency evaluations are confidential at the Christian Hospital Center for Mental Health. Call 314-839-3171.


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YOUR HEALTH MATTERS

‘Thank You’ from the men of TEN

Pictured are Dr. Arnold Bullock, urologist and guest speaker; Isadore M. Wayne, Sr., TEN co-founder/COO; Louis Reed, St. Louis Aldermanic president; Marlene Davis, 19th Ward alderman; Donald M. Suggs, publisher of The American; and Mellve Shahid, TEN founder. The Empowerment Network honored Donald M. Suggs, publisher and executive editor of the St. Louis American on Sat. June 8 for the newspaper’s commitment to promoting the organization’s prostate cancer outreach, in addition to men’s health and wellness in “Your Health Matters.” “These stories have helped to raise the consciousness of men in the St. Louis community about prostate cancer, prostate health and prostate awareness,” said Mellve Shahid Sr., TEN’s founder and CEO. “Because of The St. Louis American, prostate cancer is no longer a whisper. Men are now taking that simple blood test with more ease, comfort and less fear.” Suggs received an award and a proclamation from the City of St. Louis in recognition of his efforts. Dr. Arnold Bullock, professor and urologist with the Center for Advanced

Medicine at Barnes-Jewish Hospital and a TEN board member, was the guest speaker for the occasion, which took place during the group’s monthly support group meeting, held at Metropolitan Village Apartments (3114 Franklin (on the corner of Delmar and Compton) in St. Louis. Prostate Cancer disproportionally impacts African American males as they are 60 percent more likely to be diagnosed with prostate cancer than other ethnic groups - and 2.5 times more likely to die from the disease. TEN provides support, awareness, educational and health resources to these men and their families, working through the public and private sector to provide services to men in need. TEN, The Empowerment Network, is located at 6000 West Florissant Ave. in St. Louis (63136). For more information call 314-385-0998.

JUNE 20 - 26, 2013


JUNE 20 - 26, 2013

YOUR HEALTH MATTERS

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SLU Ophthalmology residents fill vision RX with ‘ReSpectacle’ Technology matches vision prescription needs for those who can’t afford to purchase eyeglasses Eye glasses are expensive. When you replace your eye wear, you can’t simply offer the old glasses to a friend who needs them; the prescription won’t match. Discarding glasses feels like a waste when we realize that approximately 269 million people in the world have low vision and that 145 million could have their sight corrected with glasses. For the uninsured, at a cost of a few hundred dollars, glasses can be out of reach. As a medical student, Jeffrey Lynch traveled to Peru in 2006 on a mission trip to help perform eye surgeries. He quickly realized that most of the people who came to the clinic to see the visiting doctors needed glasses, not surgery. “It was an interesting experience to visit an impoverished community where only the wealthy had access to eyeglasses, something I believe many take for granted here in the U.S.A.,” Lynch said. “At the same time, it was frustrating to know that there is a large surplus of high quality used glasses in affluent countries that collect dust in drawers. “The challenge was to find a way to connect this valuable resource to those who could benefit most.” Several years later, as an ophthalmology resident at Saint Louis University, Lynch enlisted the help of fellow residents and medical students at SLU to create a program to match unused glasses with the prescriptions of those who couldn’t afford them. Aaron Grant, M.D., another resident and now a fellow in the SLU ophthalmology program, joined Lynch to write an algorithm to find and rank the best matches between a person’s prescription and the existing stock of donated glasses. SLU medical student Ford Parsons designed and built the website. Without the typical delay of feasibility studies or applications for start-up grants, ReSpectacle was born. ReSpectacle is designed to assist those who cannot otherwise afford glasses. Part of ReSpectacle’s success lies in its simplicity. Visit the website and there are two buttons: Donate and Browse.

The program accepts donated glasses by mail and drop off. When the glasses arrive, volunteers read and catalog their prescription with a lensometer, an instrument used to determine the prescription strength of lenses. They clean them, photograph them, upload pictures, print out a matching ticket and store them until there is a match. Those who need glasses enter their prescription online, and the algorithm finds the closest matches. Users can browse the style selections that are available. Once they choose a pair, users enter shipping information and submit their orders. They receive the glasses at no charge. Individuals are welcome to use the site, as are health care providers who may want to connect their underserved patients with the resource. Anyone with an internet connection can be a donor or recipient. “It’s efficient, it’s environmentally sound in that it’s reusing existing resources, it’s practical,” said Anusha

Vasamsetti, M.D., ophthalmology resident and ReSpectacle site director at SLU. “And it makes such a difference for people.” Vasamsetti says that the quality of life that good vision brings can’t be over emphasized. Low vision reduces people’s ability to function in the world, affecting their chance to work and contribute to their families. Often, a person’s vision is so poor that they require a caregiver to support them during daily activities. One of the program’s aims is to allow people with low vision that can be corrected with glasses to get back to work. Two years after its creation, ReSpectacle has a stock of 3000 glasses and is regularly filling requests and shipping glasses to those who need them in the U.S. and internationally. With more than 100 active volunteers and a recent grant from the American Society of Cataract and Refractive Surgery, the program has been thriving.

As SLU’s residents and fellows travel to new cities to continue their training or begin their medical practices, they’ve taken ReSpectacle with them to their new locations. Headed to Chicago in July for a pediatric ophthalmology fellowship, Vasamsetti said she will hand over the reins of the SLU operation to two more SLU residents and plans to introduce the program to the Windy City. “People are always so happy to receive the glasses, especially the international recipients,” Vasamsetti said. “It’s a great, easy way you can make a real difference in someone’s life.” To donate your old glasses, you can mail them to: Associated Eye Care, LTD, C/O Jeffrey Lynch, M.D., 1719 Tower Drive, Stillwater, MN 55082. Eyeglasses can be dropped off at designated locations in St. Louis, St. Paul, Minnesota, Iowa City, Iowa, Little Rock, Arkansas or in Omaha, Nebraska. To find a drop-off location or more information, visit www.respectacle.org.


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YOUR HEALTH MATTERS

JUNE 20 - 26, 2013


Health pages 2 12 june20