FEBRUARY 2017 SWGA HEALTH BEAT

Erin Cannington, M.D. Allergy & Asthma Clinics of Georgia

Dr. Willie Adams Integrity Hospice

Dr. Hans Chang Albany Diagnostics

James Palazzolo, M.D. Sleep Apnea Centers of America

Keisha Callins, M.D. Mercer University School of Medicine

Kelly Miller, FNP-BC Georgia Dermatology & Skin Cancer Center

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RECURRING EVENTS PHOEBE PUTNEY MEMORIAL HOSPITAL

Third Tuesday each month at 3pm at Phoebe Sumter Medical Center Cafeteria Private Dining Room.

Wednesdays at 11:00 to 11:45am at Senior Life Enrichment Center Call 435-6789 to register ~ FREE Ages 60 & up

Mondays at 11:00am Advanced Wednesdays at 3:00pm at Senior Life Enrichment Center Call 435-6789 to Register ~ FREE Ages 60 & up 2 | A (SCNI) Southern Community Newspaper Product | February 2017

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JOEL WERNICK President / Chief Executive Officer, Phoebe Putney Health System In February, symbols of the heart are all around us, celebrating love on Valentine’s Day with candy, cards and gifts. But the 28 days of February are also a time to pay attention to health matters of the heart and encourage our loved ones to take steps to keep their hearts healthy.

Celebrated since 1963, Heart Month is one of the oldest campaigns aimed at raising awareness about a disease that is the leading cause of death in adults in the U.S. Experts know, however, 80 percent of cardiac and stroke events may be prevented through education and action, urging us to first understand major risk factors and then commit to lifestyle changes that can lead to a healthier heart for a lifetime.

Effective cardiac care strategies must also include quality diagnostic and treatment programs. That’s why Phoebe’s volunteer board of directors made a decision more than 30 years ago to provide advanced treatments so that citizens could get exceptional care right here at home. Since launching the region’s first open heart surgery program in the 1980’s, Phoebe has been proud to be South Georgia’s heart hospital, earning distinctions for excellence in our heart and vascular programs.

Comprehensive services include cardiology, vascular surgery, electrophysiology and, most recently, TAVR (transcatheter aortic valve replacement). Phoebe is one of 13 hospitals in Georgia and the only one in

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Communities, health professionals, and families are increasingly working together to create opportunities for people to make healthier choices. For example, the American Heart Association shines a spotlight on women with National Wear Red Day, now in its 15th year. Schools and

churches offer programs on healthy diet and exercise to attack heart disease at the first level – prevention, and physicians are a first line of defense in removing barriers to care and helping patients manage health conditions that impact heart and stroke.

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South Georgia offering this revolutionary and transformative technology. TAVR is a minimally invasive catheter-based procedure for patients with aortic stenosis who are considered too high-risk or are too sick for traditional surgical aortic valve replacement, the gold standard which has been offered at Phoebe for years. Our heart team performed the first TAVR procedures in mid 2015, and outcomes show reduced mortality and improved quality of life. With TAVR, Phoebe also introduced the Heart Valve Clinic to provide patients a multidisciplinary, teambased approach to the evaluation and management of valvular heart disease.

As these breakthrough technologies develop, Phoebe will maintain a longstanding commitment to make them available to the citizens of this region. So I urge you to take heart this month. Through knowledge and action, we can all make a difference in changing the statistics and improving the health of our loved ones, ourselves and community.

Your “defeat diabetes� guide for the new year The New Year and its all-too-often forgotten resolutions are quickly sliding away. But before you settle into Groundhog Day and figure broken promises are just deja vu all over again (thanks, Yogi B.), we want to offer you a guide to help you get your diabetes under control and, yes, even reverse it!

Why will this guide work? Because you won’t be going it alone -- it’s based on proven techniques, and the results are guaranteed to make you feel happier, healthier and back in control. But first, some facts: Diabetes costs you big bucks. In the U.S. it’s the most expensive chronic condition, costing $101 billion annually for diagnoses and treatments! (It’s followed by ischemic heart disease at $88.1 billion; low back/neck pain at $87.6 billion; and hypertension at $83.9 billion. All those conditions can be related to diabetes.)

That $101 billion doesn’t include expenses for over-the-counter medications, privately funded home health care or lost productivity for you or your caregivers. The study in JAMA that came up with the data estimates total personal health care costs in the U.S. at $2.4 trillion in 2013. Hear that sucking sound as the money is pulled out of your wallet?

Diabetes can compromise your eyes, nerves, kidneys, digestive system, heart, brain, emotions, teeth, feet ... basically every inch of you. About 80 percent of people with Type 2 diabetes have high blood pressure, greatly increasing the risk for stroke, kidney failure and cardiovascular disease. More than 35 percent of U.S. adults with diabetes have chronic kidney disease, and up to 26 percent of people with Type 2 diabetes have evidence of nerve damage at the time they’re diagnosed.

Neglecting your health puts your future children at risk. If you’re of child-bearing age and are obese, not only are you likely to

develop -- or already have -- Type 2 diabetes (currently, 34 percent of U.S. adults are obese and over 11 percent of people 20 or older have diabetes), but a new study in Pediatrics found that children of obese mothers lack fine motor skills, such as the ability to control the small muscles in the fingers and hands. Children of obese fathers were more likely to fail measures of social competence, and kids born to extremely obese couples were more likely to fail tests evaluating problem-solving ability.

Finally, there are new guidelines for you and for docs! The American Diabetes Association has issued a new set of guidelines for doctors on “Psychosocial Care in Diabetes.� They make YOU the center of treatment for diabetes and recommend YOU have a team of supporters, including your family and all medical specialties that are appropriate, to help YOU negotiate the challenges of sticking with the lifestyle changes YOU need to defeat diabetes.

We’ve long advocated the buddy/team system (because it works!) for everything from daily walking and activity routines to nutritional support and following your medication regimen. The system includes friends, family, support group members, professional social workers, diabetes educators and your doc!

--Start with your doc to establish your treatment plan.

--Get a diabetes educator (go to www.diabeteseducator.org) for help with nutrition, medication and physical activity.

--Don’t hesitate to join a support group (www.defeatdiabetes.org has a listing) or seek therapy to manage your worries or reluctance surrounding your diabetes care.

--Enlist buddies for food shopping and cooking, walking and physical activities -- see www.sharecare.com/buddy.

--Start journaling daily to monitor your healthy habits. Use a digital tracker or journal to record your food, your activity and your compliance with medication regimens. Tip: The expanded ADA Standard of Care now suggests that you count fat and protein intake, not just carbs; that you make sure to stand up every 30 minutes to avoid the health risks of prolonged sitting; and that you expand your physical activity to include flexibility and balance training (we say it’s not just for older folks!).

Build a team, and you’ll build resolve. You’ll defeat diabetes, and it won’t defeat you. *** 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. To live your healthiest, tune into “The Dr. Oz Show� or visit www.sharecare.com. (c) 2017 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.

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IS RED WINE GOOD FOR HEART HEALTH? DEAR DOCTOR K: I’ve heard that drinking red wine, or any alcoholic beverage, in moderation is “heart-healthy.” Is it true, and is red wine any healthier than other alcoholic beverages?

DEAR READER: There are many studies of the two questions you ask. As for the first question, most studies have found that moderate drinkers are less likely to develop Type 2 diabetes and heart disease. That’s when moderate drinkers are compared either to non-drinkers or to heavy drinkers.

“Moderate drinkers” refers to men who have an average of one to two alcoholic drinks per day, and women who have an average of one drink per day. The difference between men and women is because women metabolize alcohol somewhat differently from men.

A study published in 2015 from Harvard Medical School and other institutions analyzed results from nearly 15,000 people. The study lasted nearly 25 years. No one had heart failure at the beginning of the study. By the end of the study, however, some

did. But moderate drinkers were 20 percent less likely than non-drinkers or heavier drinkers to develop heart failure. This positive effect of moderate drinking was somewhat stronger in men than in women. The study looked primarily at heart failure, and not at other types of heart problems.

Now to your second question, about whether red wine is a more heart-healthy type of alcoholic drink than other alcoholic beverages. Here, I’d say the evidence is less clear. A study reported in late 2015 got a lot of attention in the media for showing that red wine is heart-healthy. In fact, that study did not really compare red wine to all other types of alcoholic beverages.

The study involved over 200 adults who were at high risk for heart disease because they had Type 2 diabetes. Participants were assigned at random to drink 5 ounces (two-thirds of a cup) of either red wine, white wine or mineral water each day. The drinks were provided for free, to encourage study participants to drink as they were assigned by the study to do.

After about two years, the red wine drinkers had

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higher HDL cholesterol (“good” cholesterol), lower ratios of total cholesterol to HDL cholesterol, and fewer markers of “metabolic syndrome” (a cluster of conditions that increase the risk of heart disease, stroke and diabetes), compared to the mineral water drinkers. Each of these changes has been linked to lower rates of heart disease. However, the study was too short to determine if heart disease rates were actually lowered.

Interestingly, the white wine drinkers had somewhat different beneficial effects. Compared to the mineral water drinkers, the white wine drinkers had lower blood sugar levels, lower levels of triglyceride fats and less insulin resistance. Each of these changes, too, has been linked to lower rates of heart disease. But again, the study was too short to determine if heart disease rates were actually lowered.

To make a long story short, moderate drinkers have heart benefits, compared to non-drinkers or heavier drinkers. Heavier drinking puts the heart (and other organs) at risk. It’s not clear that red wine is superior to other alcoholic beverages.

February 2017 | A (SCNI) Southern Community Newspaper Product | 7

My Baby is Having a Baby…

Now What?

Some of us have had to deal with our teens coming home with the sad news that they are expecting. Immediately we feel all our hopes and dreams for them seemingly fly out of the window in one breath, because we know how hard being a parent can be, especially one that is young and doesn’t have a lot of resources to provide for a baby. I remember the day when I told my mom I was pregnant. She was crushed. She had always worked hard to ensure that my siblings and I had the best of everything and to add an additional mouth to feed was something that she didn’t need. Her first words to me were, “Okay so you’re pregnant”, you’re going to finish school”. I was confused at her response because not continuing my education was a thought that never crossed my mind. She proceeded to make my first doctor’s appointment and low and behold I was found out I was 9 weeks pregnant with not one baby, but twoÉfraternal twins! I did contemplate having an abortion because I was scared. I was scared of not having a life of my own and not being able to continue my education.

I was senior in high school and my life was getting ready to get very interesting to say the least.

WHERE IS THE LESSON IN THIS? Being a teenage mom turned out to be one of the best things that ever happened to me. Me, my mom, and their dad, decided to make lemonade out of lemons. Being a young mom forced me to grow up and take responsibility for my life. She was a cornerstone of support for us so that we could be the best parents that we could possibly be and raise our twins.

Saying all that to say, when our babies walk through the door bearing the news that they are pregnant or have someone pregnant, it’s really not the end of the world, it is in fact a new beginning to the endless possibilities of what could be. This situation could be what they need to help grow up and be responsible contributors to society, thus passing that same baton of greatness to their children as they teach them to be better and not to make the same mistakes in life.

SKIN CANCER TREATMENT ~ SKIN EXAMS MOHS SURGERY ~ MOLE REMOVAL

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SSTORM TORM TOR O M RELIEF R ELIEFF ALBANY,GA A

Mead ows’

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in the process.

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Dr. Martin Luther King, Jr.

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Dr. Charles A. Rouse, Jr. Founder The Medicine Man’s Corner

http://www.themedicineman.com

Without adequate hydrochloric acid and pepsin, nutrients don’t separate or digest adequately from their organic If your fingernails are peeling, matrix in the food or supplement. And, chipping, cracking, layering or just generally in bad shape, heading to the even when they do separate, they don’t salon is not the first choice for fixing assimilate well. But when the stomach the problem. Before you cover up the is functioning properly because of the blemishes with polish or acrylic tips, right amount of hydrochloric acid and pepsin, the good that comes from the go to the “root cause” and get rid of food and supplements will rise and the setback. Most of the time, shine. fingernail problems actually start in the stomach – a stomach that isn’t making optimal levels of hydrochloric When your body isn’t absorbing key acid and pepsin, a medical condition nutrients efficiently, the body has a called gastric hypochlorhydria. When priority system it utilizes to get things done. Unfortunately for the fingernails, this occurs, even the nutrients in they are at the bottom of the body’s nutritious foods or supplements nutrient priority-of-distribution list in cannot get to the places they need most women’s bodies. to be for best of health.

You can have a gastric analysis done by your physician to determine if your acid levels are abnormal. Or you can supplement with a specialized nutritional called betaine hydrochloride that resets the stomachs parameters to a much healthier state of being. The benefits will go beyond the cosmetic. Hair is also at the bottom of the nutrient distribution totem pole when there’s not enough stuff to go around due to hypochlorhydria. But it’s also easily reversible in almost all cases by precisely the same nutritional measures – betaine hydrochloride.

Betaine can stop excess hair loss.

Actually when betaine is implemented, many patients find even their heartburn goes away too.

Dr. Jr. Dr r. Charles A. Rouse, Jr r.

Founder nder

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FEBRUARY - BLACK HISTORY MONTH Harlem Renaissance author, poet and playwright, Langston Hughes (1902-1967) once said, “There is no color line in death.�

Mr. Hughes understood that however we reach the end of life, our mortality is universal; there is no color line in death and there should not be one in life either.

Dr. Willie Adams Staff Physician Integrity Hospice

With that thought in mind, it is interesting to note that while the African American population accounts for over 12% of the overall U.S. population, fewer than 10% of those entering hospice programs across the country are African American. Conversely, the white/ Caucasian population comprises 80.1% of the U.S. population (U.S. Census estimate for 2006)1 and accounts for more than 80% of hospice admissions.2

1101 Hillcrest Pkwy, Dublin, GA 31021 Within Medicare decedents ages 65

(478) 272-0023

and older, the disparity is even more pronounced. Researchers have

found that in the last year of life, black decedents were less likely to use hospice than white decedents (22% vs. 29%, respectively).3 Given the inequalities described above, myself & the team @ Integrity Hospice are committed to working tirelessly to reach & educate the African American community in an effort to extend the comprehensive care provided by hospice to the elderly of our community.

For information or to schedule a representative to speak with you or your group please contact me or a member of our team @ Integrity hospice. 229 349 6390.

With acknowledgement to NHPCO

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Dr. James V. Palazzolo, M.D. 16 | A (SCNI) Southern Community Newspaper Product | February 2017