SWGA Health Beat - August 2018 by Albany Herald

FREE

Health Southwest Georgia

eat B

ERIN CANNINGTON, MD Allergy & Asthma Clinics Of Georgia

JINNEÂ´ RICHARDS, MD Medical Director

ADHD

Asthma Alzheimers Diagnosis Screening Colonoscopy Health Tip

Look inside for Dr. Oz

ANTHONY BURKE, DO

According to a Study by CNN, Greater consumption of Coffee could lead to a longer life

#1 Health Magazine In Southwest Georgia

Cardiology Affinity Clinic

JAMES PALAZZOLO, MD Sleep Apnea Centers of America

KEISHA CALLINS, MD

KELLY MILLER, FNP-BC

Georgia Dermatology & Skin Cancer Center

Thisisisthe the#1 #1Health Health This MagazineCovering Covering Magazine SouthwestGeorgia Georgia Southwest

Email Upcoming Events Events To To Mail Upcoming swgahealthbeat@albanyherald.com swgahealthbeat@albanyherald.com

CONTENTS CONTENTS ADHD study links teens’ 3 Cancerwith digital 3 Eye symptoms media use

Support Groups Breast Cancer Support Group A group for women with breast cancer. The group meets on the second Thursday of each month from 12:30 p.m. - 1:30 p.m. in the Radiation Oncology

Calendar of Events

Conference Room at Phoebe. Call 229-312-7161 Yoga for Cancer Survivors for more information

Good Dental

44Care CDC Urges Public

Aug 6, 2018 | 1:00PM-2:00PM A gentle Hatha Yoga class for any survivor of cancer. Focuses on stretching and strengthening postures using all the yoga tools. Instructor covers relaxation and meditation techniques. Cost: $5/class Location: Albany TMCA, 1701 Gillionville Road For more information or to enroll, call 229-312-0042.

To Start The Conversation About Sepsis

Eye Center South

Safe Sitter Classes

5 Steps to Take 5 10 Following an Alzheimer’s

Tai JulyChi 10-11, 2018, 9:00AM-4:00PM

Aug 7, 2018 | 6:30PM-7:30PM Join sitter summer class! Designed to prepare students in grades 6-8 Tai Chiour is a safe medically proven self-care practice that effectively supports disease prevention, accelerates healing and decreases unnecessary mental and physical suffering. to be safe when they’re home alone, watching younger siblings, or babysitting. Cost: $8/class Class location: Phoebe HealthWorks 311 Third Ave., Albany, GA 31701 Location: 229 Yoga, 2620 Dawson Road, Suite C

Annual Screenings Diagnosis for High School Athletes Clean indoor air can help

6 6 reduce asthma attacks

® Community Heartsaver CPR Classes Golden Key Seminars

Aug 11, 2018 Golden Key| 1:00PM-3:00PM seminars take place in the conference rooms at • Community Heartsaver CPR class are held from from 1 p.m. to 3 p.m. and the cost of the class is $40 for Phoebe Northwest, 2336 Dawson Road in Albany.Thursday, Heartsaver CPR and Basic First Aid. a.m.certification - 2 p.m. class is also available to healthcare providers and healthcare •July Basic19, Life2018, 9 Support (BLS) students, which costs $50 and is scheduled on an individual basis. Location: Phoebe Northwest, 2336 Dawson Road, Albany, GA To register for either class, contact Network of Trust at 229-312-4620. Registration is due by the Safe Driving Class Thursday before each scheduled class.

Be an AARP Smart Driver

Dr. Oz & Roizen 8 &Dr.Health Tip 7 Oz & Roizen

Saturday, July 14, 2018, 1 p.m. - 4 p.m., Phoebe Northwest

August Bloodrequired Drive for AARP safe driving classes; Reservations are

Aug 2018 | 10:00AM-6:00PM call16, 229-312-2418 Donate blood and save lives Thursday, August 16, 2018. Join us anytime from 10 a.m. to 6 p.m. and help us save lives. The blood drive will be held at Phoebe Putney Memorial Hospital, Medical Tower 1 Rotunda (2nd floor next to Surgicare).

This Summer’s Hot Topic: 8Identifying and Dehydration 9 Understanding Dehydration 9 What Do I Need to

Golden Key Seminar

The Importance of Advance Directives Aug 23, 2018 | 10:30AM-1:00PM Golden Key seminars take place in the conference rooms at Phoebe Northwest, 2336 Dawson Road, in Albany.

Call 229-312-2418 for reservations by Monday the prior week.

Know About Screening

Colonoscopy? Take Charge of 10 Your Thyroid Can diet prevent breast 10Condition

J August U L Y

CALENDAR OFofEVENTS Calendar Events

cancer from spreading?

Let’s Talk Women’s

Let’s Talk Women’s 11 11Health Health

CONTACTS CONTACTS CONTACTS CONTACTS Phil Cody

Majors/National Sales Phil Cody

 PREPARED CHILDBIRTH CLASS

Covers general topics related to labor, delivery and basic care for a baby. We request that mothers be at least 28 weeks, but it is not required. When: All sessions are held on Saturdays from 9 am-12 pm in the TRMC Meeting Rooms (first floor of TRMC), 901 East 18th Street, Tifton. To see dates this class is offered or to register please call 229-353-7605 or register on-line.

 BREASTFEEDING CLASS

Representative Majors/National 229-888-9304 Sales Representative 229-888-9304

Covers breastfeeding decision-making, preparation, instruction and helpful tips. When: All sessions are held at 6 pm in the TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton. To see the dates this class is offered or to register please call 229-353-7605 or register on-line.

Heather Harrison

SUPPORT GROUPS  NEW PARENTS BREAKFAST CLUB

Multi-Media

Ashanti Smith Representative Multi-Media 229-888-9370 Representative 229-888-9340

Matt Behrens

Multi-Media Representative Heather Harrison 229-888-9337 Multi-Media

Representative 229-888-9370

Brandon Bracy

Multi-Media Representative Matt Behrens 229-434-8737

Multi-Media Representative 229-888-9337

Providing a networking and support group opportunity for all expectant and new parents. When: Every Monday at 10 am Where: TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton How: No registration necessary. Call 229-353-7605 for more information

 BREAST CANCER SUPPORT

Facilitated by the TRMC Women’s Health Navigator, this support group is open to breast cancer patients and survivors as well as their caregivers. When: First Tuesday of each month, 6 pm Where: First Baptist Church Family Life Center, 404 Love Avenue, Tifton How: Call 229-353-6325 to register or for more information

 CANCER SUPPORT GROUP

Open to any cancer patient or person providing care to a cancer patient When: Every fourth Tuesday of the month at 5:30 pm Where: TRMC Oncology Center, 1623 Madison Avenue, Tifton How: Call 229-386-1300 to register or for more information

DISTRIBUTION: DISTRIBUTION:

Southwest Georgia Health Beat has over 300,000 Southwest Georgia Health Beat has over 300,000 print-online monthly readers and distributes print-online monthly readers and distributes monthly to prime locations. monthly to prime locations.

2 |2A| (SCNI) Southern Community Newspaper Product | July 2018 2018 A (SCNI) Southern Community Newspaper Product | August

LOCATIONS LOCATIONS TO TO PICK PICK UP UP YOUR YOUR COPY COPY ARE: ARE:

Hospitals, Medical Offices, Drug Stores, Grocery Hospitals, Medical Offices, Drug Stores, Grocery Stores, Dental Offices, Fitness Centers, Colleges, Tech Stores, Dental Offices, Fitness Centers, Colleges, Tech Schools and Industry Break Rooms Schools and Industry Break Rooms

ADHD

study links

teens’

symptoms with digital

media use By Jacqueline Howard, CNN  (CNN) – The more teens check social media and stream video, the more likely they might develop symptoms of attention deficit hyperactivity disorder, a new study suggests. The study, published in the medical journal JAMA on Tuesday, sheds light on how more research is needed to determine whether symptoms of the disorder, commonly called ADHD, are possibly caused by digital media use. “If we can determine if there is a potential causal link that is consistent across studies, then we can design interventions to curb media exposure. Even simple educational information to let teachers, parents, and pediatric health professionals know that there could be an increased risk when they talk with their teens about digital media use might be helpful,” said Adam Leventhal, a licensed clinical psychologist and a professor of preventive medicine at the University of Southern California Keck School of Medicine, and lead author of the study. ADHD symptoms include inattention, hyperactivity, restlessness or impulsivity that is more severe, frequent or debilitating than normal. The disorder, which is more common in boys than girls, affects about 5% of all children in the United States, according to the US Centers for Disease Control and Prevention. The prevalence of ADHD has been estimated at 5% worldwide, as well. Treatment options include behavior therapy, medication and school accommodations. “ADHD’s been linked with substance use disorders during adulthood and even involvement in the criminal justice system, and the symptoms are distressing for the person affected,” Leventhal said. “If we can identify any potential risk factor that is implicated in this disorder then that’s important, especially ones that are modifiable like digital media use.”

‘The association ... was persistent’ The new study involved 2,587 students in 10 high schools across Los Angeles County, California. The students, who had no significant symptoms of ADHD at the study’s start, were 15 to 16 years old. The students participated in the study over a two-year period, beginning in fall 2014, with follow-up data collection in spring 2015, fall 2015, spring 2016, and fall 2016. At each of those time points, the students completed a form that measured ADHD symptoms, including nine inattention symptoms and nine hyperactivity-impulsivity symptoms. At the start of the study, the students completed surveys in which they reported how frequently they engaged in 14 digital media activities, such as social networking, texting, playing digital games, online shopping, video chatting, reading online content or streaming videos or music. In each survey response, the students indicated whether their recent digital media use was high-frequency, meaning many times per day, or at other frequency levels, such as zero times a week, once or twice a week or once or twice a day. After analyzing the self-reported symptoms and digital media survey responses, the researchers found that each additional high-frequency engagement in a digital media activity was associated with higher odds of having ADHD symptoms at each follow-up point. The researchers found that, on average, 9.5% of the students who reported engaging in seven high-frequency digital media activities reported ADHD symptoms, and 10.5% of those who reported engaging in all 14 high-frequency digital media activities reported ADHD symptoms. By comparison, only 4.6% of the students who reported not engaging in any of the digital media activities also reported ADHD symptoms throughout the study. “Those percentages – like the 4.6% – reflect the average rates across the four different follow-ups,” Leventhal said. “So one of the things we noticed in the study was that the association between digital media and prevalence of ADHD symptoms was persistent across the entire follow-up period.” The researchers described the association between higher frequency of digital media use and subsequent ADHD symptoms as “statistically significant but modest.” The study had some limitations, including that only a specific age of students was included in the study and the students were based only in the Los Angeles area. More research is needed to determine whether similar findings would emerge among a more geographically diverse group of teenagers across a wider age range. Also, the study only showed an association between modern digital media use and subsequent ADHD symptoms. More research is needed to determine whether that

Source: CNN Smartphones: The new teen mental health crisis?

relationship is causal or reflects reverse causation. For instance, genetics or environmental influences may increase both ADHD symptoms and digital media access or use. Income and media use among parents also can influence media use among children. The study also was based on self-reports of digital media use and ADHD symptoms. “We didn’t have clinicians involved in our study to actually provide a diagnosis,” Leventhal said, but not everyone would call that a limitation.

‘The results must be understood as tentative’ Dr. Dimitri Christakis, a pediatrician and director of the Center for Childhood Health, Behavior, and Development at the Seattle Children’s Research Institute, called the study “the best to date” showing the association between digital media use and ADHD symptoms. He said that looking at symptoms instead of diagnoses was one strength of the research. “Even without a clinical diagnosis of ADHD, diminished attentional capacity is associated with poorer function both in childhood and in subsequent adulthood,” said Christakis, who was not involved in the research. “We know that having a shorter attention span, regardless of whether or not you have a diagnosis of ADHD, is bad,” he said. A shorter attention span, or distractibility, is a “cardinal feature of ADHD,” Christakis said. With constant digital media use, “you can create a habit of mind where your brain is constantly seeking something more interesting, something more stimulating, because it’s always available – and that leads to distractibility,” he said. “The biggest problem children with ADHD have is, they’re easily distracted.” The study was interesting, but there are three reasons to remain cautious, Andy Przybylski, an associate professor and director of research at the University of Oxford’s Oxford Internet Institute, said in a written statement released by the independent Science Media Centre on Tuesday. “First, though the analyses are done well they demonstrate a very small correlation between digital media use and non-clinical measure of the ADHD symptoms. This means the study is a proof of concept that tells us we need very large samples when we design future studies because the possible effects are extremely small,” said Przybylski, who was not involved in the study. “Second, the study doesn’t measure either digital media use or ADHD directly. For both the study relies on survey responses provided by the student in question. It is not clear if teachers or parents would rate the children similarly or if the self-reported measure of digital screen use is correlated with either actual behaviour or higher quality survey items,” he said. “Finally, because this was an exploratory study, instead of a registered or confirmatory study, the results must be understood as tentative.”

The digital media guidelines doctors recommend Dr. Jenny Radesky, a developmental behavioral pediatrician and assistant professor at the University of Michigan Medical School in Ann Arbor, wrote an editorial accompanying the new study. “With more timely digital media research, parents may feel more confident in the evidence underlying recommendations for how to manage the onslaught of media in their households,” Radesky wrote. The results “affirm the 2016 American Academy of Pediatrics guidelines to prioritize activities that promote adolescent executive functioning and well-being, including sleep, physical activity, distraction-free homework, and positive interactions with family and friends,” wrote Radesky, who was a lead author of the academy’s guidelines for young children, along with Christakis. For children 6 and older, the academy recommends placing consistent limits on the time spent using media, designating media-free times together such as at dinner or traveling, and having ongoing communication about online privacy and safety, among other suggestions. Radesky wrote in her editorial that “although not directly addressed by this study, the American Academy of Pediatrics recommendations for parent involvement in their adolescent’s media use – including discussions about prosocial uses of media, digital citizenship, misinformation, and persuasion awareness – are relevant to the cognitive and emotional reactions to digital media of adolescents.”

August 2018 | A (SCNI) Southern Community Newspaper Product | 3

CDC Urges Public

To Start The Conversation About Sepsis

(BPT) - Each year, at least 1.7 million Americans develop sepsis, and nearly 270,000 die as a result. While anyone can get an infection, and almost any infection can lead to sepsis, only 55% of Americans have heard of sepsis.[1] Sepsis is the body’s extreme response to an infection. It is life-threatening, and without timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death. Sepsis happens when an infection you already have - in your skin, lungs, urinary tract, or somewhere else - triggers a chain reaction throughout your body. Start the conversation about sepsis today with your doctor or nurse using these five questions:

1. How can I protect myself from sepsis? It’s important to know the signs and symptoms of sepsis, and act fast if sepsis is suspected. Signs and symptoms of sepsis can include one or a combination of any of the following: confusion or disorientation; shortness of breath; high heart rate; fever, or shivering, or feeling very cold; extreme pain or discomfort; and clammy or sweaty skin. An infection that’s not getting better or is getting worse can lead to sepsis. Get medical care immediately if you suspect sepsis. 2. How can I prevent infections? Talk to your doctor or nurse about steps you can take to prevent infections that can lead to sepsis. To prevent infections, take good care of chronic conditions and get recommended vaccines. Also, practice good hygiene like washing your hands and keeping cuts clean and covered until healed. 3. Who is at higher risk for developing sepsis? Certain people are at higher risk, including adults 65 or older; people with chronic medical conditions, such as diabetes, lung disease, cancer, and kidney disease; people with weakened immune systems; and children younger than one. 4. How do I know if my infection could be leading to sepsis? If you or your loved one suspects sepsis or has an infection that’s not getting better or is getting worse, ask your doctor or nurse, “Could this infection be leading to sepsis?” ACT FAST and get medical care IMMEDIATELY. 5. How can sepsis be treated? A person who develops sepsis should be treated with antibiotic(s) as soon as possible, in addition to other therapies that the doctor or nurse decides are appropriate for that patient, such as maintaining blood flow to organs or receiving intravenous (IV) fluids. A doctor or nurse should also check on the patient frequently and reassess antibiotic therapy within 24-48 hours to stop or adjust therapy as needed. Remember, sepsis is a medical emergency. Improved recognition and timely treatment of sepsis increases your chances of survival and decreases the likelihood of long-term effects. To learn more about sepsis and how to prevent infections, visit www.cdc.gov/sepsis. To learn more about antibiotic prescribing and use, visit www.cdc.gov/antibiotic-use.

Back-to-School Checklist for Families with Asthma (StatePoint) For the more than 6 million children in the U.S. living with asthma, gearing up for another school year involves much more than picking out a new pencil case and backpack. Accounting for nearly 14 million lost school days each year, asthma is one of the main illness-related reasons that students miss school. With better asthma management, children are able to feel healthy, safe and ready to learn! For a full toolkit and free resources from the American Lung Association, visit Lung.org/asthma-inschools. To get ready for a successful school year, the American Lung Association recommends this back-to-school checklist for families with asthma: 1. Schedule a check-up with your child’s physician. Use your yearly check-up to create or revise your Asthma Action Plan, check the effectiveness of asthma medication and dosage, get prescriptions for back-up medications for your school nurse and coaches, as well as ensure your child knows how to use his or her asthma medicines. 2. Assess your child’s readiness to self-carry medication. All 50 states have laws that allow children to selfcarry and use their asthma inhalers at school. Use the American Lung Association’s Self-Carry Assessment Tool to see if your child is ready to carry and self-administer asthma medication. The assessment tool will help parents create a plan for children not yet ready to self-administer medication, as well as help children learn the necessary skills throughout the school year. 4 | A (SCNI) Southern Community Newspaper Product | August 2018

3. Set up an appointment with your school nurse. Remember to bring in your updated Asthma Action Plan and back-up medications. Take this time to sign all required medical forms, discuss whether your child can self-carry their own quickrelief inhaler, as well as deliver any special instructions when it comes to physical activities and asthma emergencies that may happen during the school year. 4. How’s the air in there? Take a moment to talk to your child’s teacher about asthma, what triggers might bring on an attack and what to do in an emergency – whether that be to head directly to the school nurse or use his or her quick-relief inhaler. This may also be a great time to talk about the air quality in the classroom. Mold, fragrances and idling buses can all be asthma triggers for your child. 5. Introduce yourself to the PE teacher and any coaches. Kids with asthma shouldn’t have to miss out on playing outside or participating in gym class. You can quickly put teachers’ and coaches’ minds at ease by talking about exercise-induced asthma, ways to manage symptoms and what to do in an emergency. 6. Have fun! While it may take some proactive organizing at the start of the school year, you are helping to ensure that your child is safe and active throughout the school day. Take a deep breath and enjoy a healthy 2018-2019 school year!

10 Steps to Take Following an Alzheimer’s Diagnosis

Alzheimer’s is a brain disease that causes a slow decline in memory, thinking and reasoning skills. If you notice any of the 10 Warning Signs of Alzheimer’s in yourself, a family member or a friend, it’s important not to ignore them. Schedule an appointment to speak with a doctor. Though the experience can be daunting, early detection can help you make informed decisions about the future and focus on living in a way that’s meaningful to you. Following are steps you can take following an Alzheimer’s diagnosis to move forward and live your best life. 1. Get educated • It’s normal to be hesitant or resistant to learning how the disease will progress and affect your life. However, learning about your Alzheimer’s diagnosis is the first step in empowering yourself to make important decisions about how you want to live your life and how you will plan for a future. Learn at your own pace and remember that you are not alone. There are people who understand what you are going

through, and help is available.

prevent disagreements.

2. Take time to process • There’s no “right” way to respond to an Alzheimer’s diagnosis. Some people experience depression and may want to withdraw. Others are comforted by knowing what’s wrong and feeling empowered to prioritize what’s most important in life. There’s also no limit on the length of time someone is “allowed” to grieve. Take time to fully process the diagnosis.

5. Plan your financial future • An Alzheimer’s diagnosis can throw a wrench into your bestlaid plans. Don’t put off talking about finances and future care. Take time to make sure your will and estate plans are up-to-date and factor the disease into your financial plans. Putting financial and legal plans in place now allows you to be as involved in these decisions as you’d like to be.

3. Explore medications • Currently, there is no cure for Alzheimer’s, nor are there any treatments to prevent, reverse or slow the progression of the disease. However, there are medications that may help lessen the symptoms of Alzheimer’s, such as memory loss and confusion, for a limited time. An early Alzheimer’s diagnosis provides you with a better chance of benefiting from treatment.

6. Enroll in a clinical trial • Without clinical trials, there can be no better treatments, no prevention and no cure for Alzheimer’s disease. By enrolling in a clinical trial, you can help accelerate progress and provide researchers with valuable insights. Participating in a clinical trial also gives you access to medical care at leading healthcare facilities, often free of cost.

4. Communicate your wishes • Do you know who you would want to make decisions for you in the event you’re no longer able to? An early Alzheimer’s diagnosis means you can put your long-term care wishes in writing. Being open with your family and support network about what you want during each stage of the disease can give you peace of mind, reduce the burden on family members and

7. Stay connected • Not all family and friends live near one another, which can complicate the logistics of longterm care. Following a diagnosis, people living with Alzheimer’s are at their most vulnerable, and it’s important for them to find better ways to stay connected and make the most of the time left. Be sure to keep in touch and make plans for regular communication.

8. Find a community • An Alzheimer’s diagnosis opens up a community of people who understand what you and your family and friends are going through. Sharing your personal journey with the disease and listening to others’ can be both therapeutic and insightful. You may learn you’re not alone in the challenges you experience, and you can find new ways to cope and improve quality of life. 9. Join the cause • Joining the Alzheimer’s cause can a give a sense of renewed purpose, whether it’s through advocating for policy changes, fundraising for research, raising disease awareness, combatting stigma or volunteering. Taking action empowers you to bring us closer to a world without Alzheimer’s. 10. Live your best life • Having Alzheimer’s may help you decide how you want to spend your time, in the way that you’re able. Everyone is different. Some people may want and need to continue working during the early stage of the disease, while others decide to retire immediately. Some plan big vacations, while others long to spend more time at home. Focus on the aspects of your life that give you the most joy and aim to spend your time in the way that’s most meaningful to you.

JOIN THE FIGHT FOR ALZHEIMER’S FIRST SURVIVOR.

At the Alzheimer’s Association Walk to End Alzheimer’s®, people carry flowers representing their connection to Alzheimer’s — a disease that currently has no cure. But what if one day there was a flower for Alzheimer’s first survivor? What if there were millions of them? Help make that beautiful day happen by joining us for the world’s largest fundraiser to fight the disease.

August 2018 | A (SCNI) Southern Community Newspaper Product | 5

Clean indoor air can help reduce asthma attacks the Asthma and Allergy Foundation of America. In the 21st century, people spend significant time indoors at home, school or work, and indoor air environments could be triggers for asthma. Improving indoor air quality can help people breathe clearly. The AAFA notes that the following agents can adversely affect indoor air quality, potentially triggering asthma attacks.

Allergens

Allergens such as mold, dust mites, pet dander and fur, and waste from insects or rodents thrive in many homes. Ensuring indoor air quality is high can cut back on the amount of allergens in the air. People with asthma can invest in an air purifier and vacuum regularly, being sure to use a HEPA-equipped appliance. Routinely replacing HVAC system filters can help prevent allergens from blowing around the house. Also, frequent maintenance of HVAC systems will ensure they are (MCC) Did you know that, according operating safely and not contributing to to the U.S. Centers for Disease Control poor indoor air quality. and Prevention, more than 25 million Americans, including roughly seven Mold can be mitigated by reducing million children, have asthma? It’s true, moisture in a home. Moist environments and those numbers have steadily risen in in the kitchen and bathroom may promote recent years. mold growth. Ventilation is key to keep mold at bay. Asthma is more than occasional wheezing or feeling out of breath during physical Tobacco smoke activity. Asthma is chronic and can lead to Thirdhand smoke, or THS, may be coughing, wheezing, shortness of breath, unfamiliar to many people. A 2011 fast breathing, and chest tightness, states report published in Environmental Health

Perspectives says THS is an invisible combination of gases and particles that can cling to clothing, cushions, carpeting, and other materials long after secondhand smoke has cleared from a room. Studies have indicated that residual nicotine levels can be found in house dust where people smoke or once smoked. Studies have indicated that smoke compounds can adsorb onto surfaces and then desorb back into air over time. Keeping tobacco smoke out of a home can improve indoor air quality and personal health.

VOCs

Volatile organic compounds, or VOCs, are gases released from commonly used products. These can include paints and varnishes, cleaning supplies, air fresheners, new furniture, and new carpet. People with asthma may find that VOCs can trigger attacks. Airing out items, reducing usage of products that are heavily scented and choosing low- or no-VOC products can help. Making cleaning products from baking soda, vinegar and liquid oil soap also can keep indoor air quality high. Homeowners who plan to renovate their homes can consider using the appropriate specifications for HVAC systems to promote good indoor air, as well as address any other potential problems that may be compromising indoor air quality.

(229) 438-7100 (229)438-7100 438-7100 (229)

Allergies ••Hives ••Sinus/Respiratory Problems Food Allergies Hives Sinus/Respiratory Problems odFood Allergies • Hives • Sinus/Respiratory Problems Asthma Hay Fever Insect Allergies Asthma ••Hay Fever ••Insect Allergies Asthma • Hay Fever • Insect Allergies 105 Spanish Court Inside Grand Island Albany 105 Spanish Court • Inside Grand Island•• Albany 105 Spanish Court Inside Grand Island ••Albany Albany 105 Spanish Court • ••Inside Grand Island

Now accepting patients at our new location: 2201 U.S. Highway 41 North in Tifton

Dennis Robinson,M.D. M.D.••Tracy TracyA. A.Bridges, Bridges, M.D. M.D. Dennis A.A. Robinson, Dennis A. Robinson, M.D. • Nancy Tracy A. Bridges, M.D. Michael Fowler, PA-C McKemie, PA-C Michael A.A. Fowler, PA-C • •Nancy McKemie, PA-C Michael A. Fowler, PA-C McKemie, Erin M. Cannington, M.D.•••Nancy Jennifer Berry,PA-C FNP-C Erin M. Cannington, M.D. Jennifer Berry, FNP-C

6 | A (SCNI) Southern Community Newspaper Product | August 2018

553679-1

448931-1 448931-1

Erin M. Cannington, M.D. • Jennifer Berry, FNP-C

Supplements to avoid when taking SSRI drugs for depression; helping kids deal with movie violence BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D. Q: I’m taking the serotonin-reuptake inhibitor sertraline (Zoloft) for depression. I feel so much better, and I assumed it was OK to keep taking my vitamins. But are there supplements I should watch out for? – Cecilia H., Ossining, New York A: Congrats on taking charge of your depression and feeling better. Yes, there are certain supplements that interfere with selective serotonin-reuptake inhibitors (SSRIs), and with serotonin and noradrenalin reuptake inhibitors (SNRIs) too. Serotonin is a neurotransmitter found in your gut, your blood and your nervous system. It’s considered a natural mood stabilizer. You probably weren’t getting the right balance, and the sertraline has helped you re-establish that! Since we don’t know your exact dosage or the supplements you are taking, we can’t directly answer your question. You should talk to your doctor about all the supplements and herbal preparations you may be using. When you do, here are some specifics to discuss: • Ask your doctor about the risks of taking St. John’s wort, garcinia cambogia, L-tryptophan (or 5-HTP) and SAMe (S-adenosyl-methionine) supplements with your antidepressant. Consumer Labs says they can increase your risk of experiencing serotonin syndrome. That’s when there’s an overabundance of serotonin in your system that triggers everything from goosebumps and shivering to muscle rigidity, diarrhea and heavy sweating. (If that happens, do not ever abruptly stop taking your SSRI or SNRI!) • Also ask about the potential benefits of these supplements: A study in the American Journal of Psychiatry found that omega-3 fish oil (specifically EPA) in combo with SSRIs caused a significant reduction in depressive symptoms. It was also true to a lesser extent for vitamin D and methylfolate, a form of folic acid. Q: I was on a plane, and the person next to me was watching one of the latest action movies. I won’t single it out, but it was nonstop violence – and rated PG13! How can this not negatively affect impressionable youngsters? – Jesse J., Sioux Falls, South Dakota

A: The Motion Picture industry has eroded standards so that the PG-13 rating (parents strongly cautioned, for children under 13) means next to nothing. The Harvard School of Public Health warned that a “ratings creep” (it’s a voluntary system) has allowed more violent and sexually explicit content into films that are seen by young teens. Recently, the American Academy of Pediatrics reported that gun violence in PG-13-rated films has more than tripled since 1985. And public health and mental health experts agree that nonstop violence in films (and on TV and in video games) can make kids more aggressive and damage their emotional development. So our advice to parents: 1. Do diligent research when your teen wants to see a movie. Find out how much and what type of violence a film contains, and check out Common Sense Media (commonsensemedia.org). In its Parents’ Guide, it gives ratings for categories such as positive messages, positive role models, sex, violence, language, drinking, drugs and smoking, and a review. Here’s a partial review of the Cohen Brothers’ adaptation of the Western “True Grit,” which is rated PG-13. CommonSense gave it an age 15+. They say: “impressive and forceful, but it’s also full of brutal (and sometimes bloody) gunfight sequences and other violent moments that aren’t appropriate for younger viewers ... mature teens are likely to feel a kinship with the lead character, 14-year-old Mattie Ross...They might even learn from her adventure ... lessons ... dealing with loyalty, courage and determination.” 2. Ask around and find out what other parents have to say. If you’re not sure about the content, watch the movie first or watch with your youngster. 3. Talk to your kids about violence in the media. Help them evaluate what is gratuitous and reject its message. Remember, if teens want to see a movie, with all the streaming available these days, chances are they will, even if you say no. So be proactive and help them avoid the upsetting and mind-bending violence that’s out there.

* * *Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. Email your health and wellness questions to Dr. Oz and Dr. Roizen at youdocsdaily@sharecare.com.© 2018 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.

Skin CanCer TreaTmenT ~ Skin examS mohS Surgery ~ mole removal

553682-1

August 2018 | A (SCNI) Southern Community Newspaper Product | 7

This Summer’s Hot Topic: Dehydration

t has been a hot summer with some days surpassing the 100 degree mark. As a physician, it comes as no surprise that I am a proponent of staying active. However, being active at the peak of the day without the proper precautions could actually pose a threat to one’s health. The medical term for this threat is “dehydration” and no one is exempt. It can affect the infant soaking up the sun in his or her stroller, the preadolescent showing off their newest bicycle, the teenager waiting in line for the roller coaster at Wild Adventures, or the adult construction worker replacing a roof. It is imperative to be familiar with symptoms of dehydration - mild to moderate to severe - so that one can avoid a medical emergency. Mild to moderate dehydration is likely to cause a dry mouth or increased thirst. If your infant has no wet diapers for three hours or more, you should be on high alert. Also, infants may have few to no tears when crying. Older children may be more fatigued than normal or experience headaches, dizziness or lightheadedness. Severe dehydration will present with even more extreme thirst, dry mouth, dry or shriveled skin, little to no urination, low blood pressure, elevated heart rate and rapid breathing. Infants with severe dehydration may become excessively irritable and may even display sunken fontanels- the soft spots on top of the baby’s head. Heat strokes can also be a threat which is caused by failure of the body’s temperature regulating mechanism when exposed to excessively high temperatures. Symptoms of a heat stroke include fever, altered mental status, or loss of consciousness. While dehydration is a serious and potentially dangerous medical condition, it is preventable. If you expect to be exposed to the elements for a prolonged period of time this summer remain hydrated. We have to constantly replenish the water we lose through sweating and urinating. Carry bottles of water, Gatorade or Powerade on your day’s journey. Take routine breaks if you work outdoors and avoid exposing infants to the heat for extended amounts of

8 | A (SCNI) Southern Community Newspaper Product | August 2018

Malcolm Floyd, MD Phoebe Sumter Family Medicine Associates

time. Additionally, those on diuretics or water pills may want to consider taking those medications in the early evening to avoid dehydration. Summertime is for enjoying the great outdoors, but we must be cautious when doing so. It’s important to take notice of changes in your body and stay hydrated. About Malcolm Floyd, MD: A native of Albany, Malcolm Floyd, MD, chose to become a physician because of the impact his mom, a nurse, had on him. He earned his undergraduate degree from Morehouse College before earning his Doctorate of Medicine from the Medical College of Georgia (Augusta). He is currently employed as a physician at Phoebe Sumter Family Medicine Associates and has been in practice for nine years. For more information, please call (229) 931-7156.

Albany Surgical, P.C. 605 N. Westover Blvd. Albany, GA 31707 What Do I Need to Know About Screening Colonoscopy? By Robert Aderhold, MD Most people have at least heard of colonoscopy, but many don’t know exactly what this procedure is, how it works, or why in the world anyone would have it done. Others are afraid of colonoscopy because they think it will be painful or embarrassing. Still others are afraid of what might be found. Here are some common questions and answers about colonoscopy:

What is colonoscopy? Colonoscopy is a very common, low-risk procedure used to evaluate problems of the large intestine, or colon, and to screen for cancer or precancerous lesions of the colon. During colonoscopy, the surgeon looks at virtually the entire lining of the patient’s colon using a long, flexible, lighted scope that produces a high-definition image. Photographs and biopsies are taken where appropriate.

How does the procedure work? The process begins with an appointment at the surgeon’s office for planning and scheduling. Later, on the day before the procedure, the patient goes through a bowel preparation. During the prep day, the patient is restricted to a clear liquid diet. That evening, the bowel prep solution is taken along with a lot of water. This causes evacuation of the entire digestive system, cleaning everything out so that the walls of the large intestine, or colon, can be seen clearly and abnormalities can be detected. The next day is the day of the procedure. The patient comes in with his or her stomach (and everything else, thanks to the prep) empty. An IV is placed to give sedation, and the patient is taken to the procedure room. During the procedure, the patient is sedated but able to breathe. A mechanical breathing machine is not required. After adequate sedation, the surgeon inserts the scope and examines the entire colon from beginning to end. The surgeon searches primarily for polyps, which are growths in the lining of the colon that may have the potential to develop into cancer. Occasionally, polyps, masses, or tumors too large to remove completely using the scope are found. In that case, the mass is biopsied to get as much information as possible about it and the patient is likely to need an operation to remove that segment of the colon. This is happens rarely. Much more commonly, polyps are found while they are small enough to completely remove using biopsy instruments through the scope, which almost completely eliminates the patient’s risk of developing colon cancer. This is the primary goal of screening colonoscopy. After the procedure, the patient wakes up in the recovery area and usually goes home soon after that. Patients are advised not to drive or operate heavy machinery for the rest of the day, but other than that, there are very few significant restrictions and there is no recovery time. Patients can eat without restriction and engage in most everyday activities. Generally, a followup appointment with the surgeon is arranged before discharge. If the patient is at average risk for colon cancer and no polyps were found, he or she may not even need to return to the office for a followup immediately after colonoscopy.

Robert R. Aderhold MD, FACS

What are the reasons to have colonoscopy? There are many different indications for colonoscopy, and many colonoscopies are done to try to find the cause of a specific problem or abnormality. This is known as diagnostic colonoscopy. Examples of indications for diagnostic colonoscopy include the passage of blood with bowel movements, inflammation or infection of the colon, abnormalities or changes in bowel habits, or an abnormal appearance of the colon on some other test such as a CT scan. Colonoscopy is also indicated in certain groups to look for precancerous polyps or even early cancers in people who have no current signs, symptoms, or other abnormalities. This is known asscreening colonoscopy.

Who needs screening colonoscopy? The accepted guidelines for screening colonoscopy have stated for many years that people who are at average risk (no family history of colon cancer, no personal history of colon cancer or polyps, and no history of other abnormalities of the colon such as inflammatory bowel disease) are supposed to have their first screening colonoscopy at age 50. People who are asymptomatic but who have a family history of colon cancer are supposed to have their first screening colonoscopy at an age ten years younger than the age at which their family member was diagnosed with colon cancer. For example, a patient whose father was diagnosed with colon cancer at age 52 should have his or her first screening colonoscopy at age 42. Interestingly, as of May 30, 2018, the American Cancer Society started recommending that average-risk patients have their first screening colonoscopy at age 45.

How often should people get colonoscopy? People who are at average risk and have a normal screening colonoscopy can go ten years before their next screening. People who have polyps removed need to have colonoscopies every three years. People who have colon cancer discovered generally need another colonoscopy a year after the cancer is removed and at least every three years after that.

Is colonoscopy unpleasant?

Is it true that screening colonoscopy is free?

At Albany Surgical/Southern Surgery Center, patients who were worried about embarrassment find that they are treated with respect and discretion and never put in an embarrassing position. The preprocedure and postprocedure environments are pleasant and relaxed, and the colonoscopy itself is done in a closed, restricted procedure room by a limited crew of professionals who have done this hundreds or even thousands of times. The procedure is done under sedation, so patients virtually never feel or remember anything. Many patients wake up asking when the procedure will start, only to find that it’s over and they are almost ready to be discharged. A few people will have some crampy abdominal pain after the procedure, but this resolves with time. For most patients, the worst part is the prep.

In general, private insurance companies pay in full for screening colonoscopies (no ongoing signs or symptoms, no personal history of colon polyps) with no out-of-pocket cost to the patient because screening colonoscopy is a preventive health measure. Currently, the widely accepted age of first screening colonoscopy for most people is 50. Private insurance may start paying fully for screening colonoscopies in averagerisk patients at age 45 based on the new American Cancer Society recommendation, but this is not clear yet.

What if something bad is found?

A few people are required by their payor to obtain a referral for screening colonoscopy. However, the vast majority of patients can make an appointment at Albany Surgical to be evaluated and scheduled for screening colonoscopy at Southern Surgery Center by one of our surgeons without a referral. Additionally, any patient whose primary physician recommends colonoscopy has the option to request to be referred to Albany Surgical/Southern Surgery Center. Our surgeons and staff routinely work with patients, referring physicians, and third-party payors to overcome obstacles and facilitate care. August 2018 | A (SCNI) Southern Community Newspaper Product | 9

Every once in a while, colonoscopy reveals a polyp or tumor that is too large to remove using the scope. It may even be a colon cancer. This will almost always require surgery to remove that segment of the colon. If the mass is a cancer, other cancer treatments such as chemotherapy and radiation may be required. Obviously, this scenario is bad, but it is much better to find a large polyp or a cancer early rather than late. The longer it grows, the more difficult it will be to treat.

Is a referral required for screening colonoscopy?

Can diet prevent breast cancer from spreading? diagnosed with breast cancer who want to prevent the spread of cancer to other areas of their bodies may want to cut some surprising foods from their diets.

(MCC) Healthy diets that include plenty of antioxidant-rich fruits and vegetables that can boost the body’s natural immune system can help people in their fight against cancer. While some foods, namely unhealthy, high-fat/high-caloric foods, are best avoided, women who have been

Preliminary research now suggests limiting the consumption of asparagine, an amino acid, to dramatically reduce the ability of cancer to spread to other parts of the body. A study published in the journal Nature found that reducing asparagine consumption in laboratory mice with triple-negative breast cancer could dramatically reduce the ability of the cancer to travel to distant sites in the body. Asparagine is found in foods like asparagus, whole grains, soy, seafood, eggs, poultry, beef, legumes, and more.

health tip

HEALTH TIP COOL THE BODY AND CALM THE MIND WITH COOLING BREATH TECHNIQUE SHEETALI PRANAYAMA

Sheetali Pranayama (Cooling Breath Technique) is an effective way to cool the body and calm the mind while simultaneously expelling toxins from the body. It is also said to relieve a variety of stomach and lower-abdominal ailments. The word Sheetali means “the one that can cool you down”.

can’t roll your tongue, just purse the lips making a small “o” shape with the mouth. Inhale through the tube of the tongue and at the end of inhalation, lower the chin to the chest and hold the breath for 6 to 8 seconds. When ready to exhale, lift the chin up, close the right nostril with the right thumb, exhale slowly through the left nostril. This completes one round. Repeat this process for 5-10 times. Best way is to start with 5 times a day and slowly increase it to 10 times per day. Seetkari Pranayama

Steps in Sheetali Pranayama

Seetkari means the breathing technique that “produces the ‘seee’ or the ‘seet (hissing)’ sound”.

Sit in a comfortable cross-legged position or on the chair. Take two or three deep inhales and exhales through the nose to prepare yourself. Bring the tongue all the way out and roll it in the shape of a tube (curling the sides in towards the center to form a tube). If you have problem doing this method, then skip and try Seetkari Pranayama as described below. If you

Sit in a comfortable cross-legged position or in a chair. For 2-3 minutes, observe the flow of breath at the tip of the nose to bring in a feeling of being centered and inward focused. Open the lips and bring the teeth together lightly. Take a long deep inhalation through the gap between the teeth. At the end of inhalation, lower the chin to the chest and hold the breath for

While reducing asparagine will not affect the original breast cancer tumor, it could stop cancer from showing up elsewhere in the body. Researchers suspect that many women with breast cancer do not lose their lives to the original breast cancer tumor, but instead they succumb to metastases or subsequent growths away from the primary site. “Our study adds to a growing body of evidence that suggests diet can influence the course of the disease,” said Simon Knott, Ph.D., associate director of the Center for Bioinformatics and Functional Genomics at Cedars-Sinai and one of two first authors of the study. The research from this study was conducted at more than a dozen institutions. Apart from dietary restrictions, metastasis also could be greatly limited by reducing asparagine synthetase using chemotherapy drug L-asparaginase. More research is needed as to whether similar results can be produced in human trials, making avoiding asparagine currently a helpful but not entirely foolproof method for preventing the spread of breast cancer to other areas of the body.

6 to 8 seconds. When ready to exhale, lift the chin up, close the right nostril with the right thumb, exhale slowly through the left nostril. This completes one round. Repeat this process for 5-10 times. Best way is to start with 5 times a day and slowly increase it to 10 times per day. Benefits of Sheetali Pranayama and Seetkari Pranayama Both Sheetali and Seetkari are effective in cooling the the entire body, nervous system and also the brain. Reduces stress, anger and axiety effectively. Lowers the Blood Pressure. Helps in Insomnia and enables deep relaxing sleep. Prevents premature greying of hair and hairfall. Precautions before practicing Sheetali Pranayama and Seetkari Pranayama Avoid these methods during the extreme cold days of winter (unless your body heat is excess). Avoid if you are suffering from asthma, cold, cough and congestion. If you have history of chronic constipation, stop doing these breathing techniques as they cool the lower abdominal area.

Jyotsna Agarwal Certified Holistic Health Life Coach Yoga/Meditation and Tai Chi/Qigong practitioner, Reiki Master 10 | A (SCNI) Southern Community Newspaper Product | August 2018

LET’S TALK

WITH

Keisha R. Callins, MD. MPH ERCER UNIVERSITY

SCHOOL OF MEDICINE

Unusual Suspects Your Tummy Ache: Don’t Huff andFor Puff Your Health Things You Developing Should Know About Away: YourHelicobacter Action Pylori (H. Pylori)

Plan to Defeat Smoking

Keisha R. Callins, MD, MPH ENLIGHTENMENT

Enlightenment Smoking is the most preventable cause of death in the US, and Stomach issues are one of mostatfrequent it can be especially harmful forthe women all stagescomplaints of life. You among women, of the most common are probably awareand thatone smoking exposes the body toreasons harmful for visits to doctor’s or emergency chemicals, but the smoking can office cause unique challengesroom. to a There are many organs in that general area, including the woman’s health, and second-hand smoke can affect the stomach, gallbladder, liver, intestines, bladder, and female health of loved ones. Women who smoke have an increased pelvic organs. Other important details to consider include risk of many different problems: cancer of the cervix, breast and stress, trauma, pregnancy, food allergy, constipation, vulva; lung diseases and cancer or vascular complications such diarrhea, medications, improperly prepared food, or recent as heartAtdisease, bloodseem clots, difficult and stroke. Theythe may have difficulty travel. first, it may to find source of your becoming pregnant, and when pregnant, have an problem, however, your medical provider will use a increased physical chanceand of miscarriage, delivery,tests preterm fluids, exam may even preterm use different to loss help ofnarrow and abnormal location of the placenta. Because toxins can be down the options. If you are experiencing stomach issues passed on tounusual the baby,ornewborns of mothers smoke can have that seem ongoing, please who do not hesitate to low weight at birth, a greater chance of after problems as home colds, seek medical attention, particularly yoursuch usual earaches, lung increasing visits to the pediatrician, remedies andproblems, over-the-counter medications have and not even death.your Pelvic infections,Depending menstrual cycle issues, onset and improved condition. on your symptoms, of menopause, and evenwhether bone health can be impacted by itseverity may be worth considering a bacterium named the dangers of Pylori smoking. Helicobacter (H. Pylori) may be the reason.

EDUCATION Education ThePylori decision to stop smoking is live one in ofthe thestomach best giftsand youmay can H. is a bacterium that can givethe to cause your health, your family,Ifand your bankit account. Once be of your issues. untreated, could cause decideulcer to stop(damage smoking, your success requires a strong desire ayou peptic to the lining of the stomach), to quit and(irritation a strategic inplan: Ask yourself you smoke gastritis the1)lining of the why stomach), and– is it anxiety, boredom, depression or stress? Seek help new may be a risk factor for stomach cancer. Likeformost other you mayfrom experience “heartburn” copingstomach behaviors.issues You may benefit talking to a therapist and/ sensation, “feeling finding uneasy”, “feeling sick to the stomach”, or taking medication, a new hobby or activity to occupy your abdominal painyourself or cramps, bloating (feeling swollen or time; 2) Advise about why you need to quit – is it for feeling like or you arekids? filledMake with agas), nausea, loss of appetite, your health your contract with yourself about the feeling worse when hungry, frequent burping, andtime even reason for your decision; 3) Assess yourself for the best to weight It is– unclear exactly how of people this quit. Pickloss. a date your birthday, birthday a lovedmay one,get or after infection butholiday! there are several ways –that can be tested: an upcoming 4) Assist yourself Callit1-800-QUIT-NOW blood test, stool test, or scope testmedical (while or talk to yourbreath medicaltest, provider about available help with asleep, tube with camera app, is used to looktoinside therapy. aDownload the aQuitGuide text START 47848,the or stomach and remove tissueyourself samples). It is important quit cold turkey! Finally, small 5) Arrange accordingly – invest

in nicotine patches to help you during the transition, and “healthy” to see a medical provider to assist in evaluating your snacks to manage the urge to have something in your mouth symptoms, deciding on the best tests to help identify (carrots, celery,ofgum). forces with who also the source the Join problem, and someone developing the plans best to quit. Increase your exercise and change your eating habits to management plan to resolve your stomach issues. manage the possible initial weight gain associated with giving up cigarettes. Last but not least, make it count. Open an account or Empowerment buy a piggy to save the money you would normally usea If you are bank diagnosed with H. that Pylori, you will need on cigarettes, then a reward. combination of plan three medicines (the “triple”), or four medicines (the “quadruple”) for a two-week period.

EMPOWERMENT It may seem like a lot of medications at first, but this One of the most helpful things that you do to help combination is important for killing thecan bacteria andsupport helping the to heal. changeAfter yourgetting smoking is to channel yourdecision stomach ridbehavior of the bacteria, it is the of thetopeople places aroundslow you.down Tell your just support as important avoid and things that could the friends, andinco-workers to hold you accountable – no healing family process the stomach. Therefore, if you smoke, exceptions. Limit the usediet, or change the locations where you usually have an unhealthy or are experiencing increased stress, you should letthe your medical provider know. As buy cigarettes because staff knows your preferences andwith are othertobacterial infections, thecan best to your prevent used accommodating you. You alsoways engage usualfrom staff getting ornot spreading infection includes washing your to promise to sell youthis cigarettes, even if you demand them. If hands the bathroom andyou before food; you areafter usedusing to smoking after eating, may preparing need to change avoiding and water or are food that may notwith becertain clean;friends, and only locations; if you used to smoking you eating food that has been thoroughly may have to change what activities you do cooked. with your friends. Encouragement ENCOURAGEMENT issues should nota personal keep youchallenge, down and out. Take IfStomach by chance, smoking is not I am certain the time to seesomeone a medical provider whohelp can and worksupport with you that you know who needs your to to find the source of your discomfort. Be mindful that you change this harmful behavior, so use this information to help may need to be tested for a bacterium called H. Pylori. someone you care about. If you are a smoker who is quitting, If you test positive, your provider will find the most costkeep in mind that medication and alternatives, suchIt as vaping, effective combination of medicines for you. will thenare be meant to help your transition butall notthe as medicines a permanent prescribed, substitute for your responsibility to take cigarettes. As with other thingschanges in life, persistence is one of and make any most necessary to treat your the keys to success. chance, future it takes you longer thanMost you stomach issues So, andif by prevent problems. importantly, do not your symptoms, treatment expected or more thanignore one attempt to shake this and habit,if don’t stop does not resolve your Developing symptoms,ancontinue to work with trying to quit smoking. action plan to remove your provider You owe it to ones, yourself cigarettes fromuntil youryou lifefeel andyour the best. lives of your loved is and of your the “best” one thefamily, wisest because decisionsthey that deserve you will ever make. you!

Quote The MONTH: Month: QUOTE of OF THE “AS YOU GROW OLDER, YOU DISCOVER THATare, YOU that HAVE you TWO tower HANDS, “Stand up straight andWILL realize who you ONE FOR HELPING YOURSELF, THE OTHER FOR HELPING OTHERS.” over your circumstances” ~Maya MAYA Angelou ANGELOU ~

GET YOUR GREENS WITH OUR FRESHLY-PREPARED

SALADS Crisp and full of flavor. Enjoy a variety of mixed green salads prepared with ribbon-cut carrots and fresh lettuce like crisp chopped romaine, baby spinach, baby kale and red leaf lettuce. And loaded with toppings.

Dr. Jinne’ Richards, MD, Medical Director

1216 Dawson Rd, Ste 113 Albany GA 31707-3867

558603-1

553684-1

(229) 349 6390

THESE ARE SOME GREAT GREENS!

July2018 2018| A | A(SCNI) (SCNI)Southern SouthernCommunity CommunityNewspaper NewspaperProduct Product| 11 | 11 August

Robert S. Pilcher, MD, PhD

553685-1

HUGHSTON CLINIC AT ALBANY 117 Oakland Parkway Leesburg, GA 31763

12 | A (SCNI) Southern Community Newspaper Product | August 2018

• Total Hip Arthroplasty • Total Knee Arthroplasty • Total Joint Revisions • Trauma - Hip fractures - Femur fractures - Wrist fractures -Pelvic fractures -Acetabular fractures

229-483-0055 Visit our website atwww.hughston.com

553683-1

Now Serving Your Community