SWGA HEALTH BEAT OCTOBER 2017

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According To A Study By CNN, Greater Consumption Of Coffee Could Lead To A Longer Life.

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

Lisa Seymour Integrity Hospice

Anthony Burke, D.O. Cardiology Affinity Clinic

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


229-888-9319 ken.boler@albanyherald.com

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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.

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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 | October 2017


Photos courtesy of Getty Images

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FAMILY FEATURES

hen it comes to creating a healthy lifestyle, some recommendations are fairly simple, such as exercising regularly and eating right. Many people, however, don’t know how much exercise they should get or which foods are the best choices. They also may not realize there are other ways to take care of their bodies and minds to promote better overall health. Start on the path to healthier living with these tips from the wellness experts at Walgreens.

Exercise regularly. The American Heart Association recommends at least 30 minutes of PRGHUDWH LQWHQVLW\ DFWLYLW\ DW OHDVW ¿YH days a week, and that’s because an active lifestyle can help you achieve far more than muscle mass or weight loss. Regular exercise can also contribute to mental well-being, and even something as simple as a walking break or two at ZRUN FDQ SURYLGH KHDOWK EHQH¿WV

Eat well. The keys to a healthy diet are eating the right amount of calories for your activity level and eating a wide range of foods to ensure that you’re receiving all the nutrients your body needs. By prioritizing great taste and ingredient guidelines, such as minimizing hydrogenated oils, trans fats and DUWL¿FLDO LQJUHGLHQWV :DOJUHHQV 1LFH products help take the guesswork out of making healthier choices. In an effort to simplify healthy living, the line’s packaging, products and ingredient standards were updated, and offerings now include organic and gluten-free options in addition to traditional baking goods and other general grocery items.

Get enough sleep. Sleep plays a vital role in good health and well-being, and can help improve your mental health, physical health DQG TXDOLW\ RI OLIH 7KH 1DWLRQDO 6OHHS Foundation recommends 7-9 hours per night for adults and 9-11 hours for VFKRRO DJHG FKLOGUHQ ,I \RX ¿QG VOHHS elusive, try implementing a bedtime routine to send signals to your body that it’s time to sleep, avoid screen time immediately before lights out and eliminate caffeine after lunch.

Manage stress. Between juggling a career, family and RWKHU FRPPLWPHQWV LW¶V HDV\ WR ¿QG things to stress over. Practices such as meditation and yoga can help better manage stress. Setting aside time for a favorite hobby can also help relieve stress and focus on an activity you enjoy. Aside from mental and emotional impacts, stress can also impact your physical health, so it’s important to identify coping mechanisms that reduce overall stress.

Be social. Making time to socialize with friends and family is an important part of living a long and healthy life. Even if your schedule is packed, try to block out time at least once a week to spend with family and friends.

Break bad habits. Whatever their nature, work to break EDG KDELWV E\ ¿UVW DFNQRZOHGJLQJ WKH problem then working to replace the negativity with alternatives that make a more positive impact on your life. Even a negative attitude can bring you down. To discover more ways to make healthy lifestyle choices, visit walgreens.com/nice.

MAKE BETTER FOOD CHOICES 0DLQWDLQLQJ D KHDOWK\ GLHW FDQ EH HDVLHU WKDQ \RX WKLQN LI \RX PDNH \RXU HDWLQJ KDELWV D SULRULW\ DQG NQRZ KRZ WR PDNH VPDUW IRRG FKRLFHV )RU WKH EHVW UHVXOWV FKRRVH IRRGV IURP DOO ¿YH PDMRU food groups with help from these tips:

Fruits and vegetables Fruits and vegetables are naturally low in fat and contain QHFHVVDU\ ¿EHU YLWDPLQV DQG PLQHUDOV 5DWKHU WKDQ VHUYLQJ IUXLWV ZLWK FUHDP FKHHVH RU VXJDU\ VDXFHV RSW IRU QXW EXWWHUV RU 1LFH organic honey, and toss raw, steamed, boiled or baked vegetables in olive oil, salt and pepper instead of buttery sauces.

Protein Select low-fat, lean cuts of meat and season them with herbs, spices and low-sodium marinades. Baking, broiling, grilling and roasting are the healthiest preparation methods. Try swapping ground beef for a lean or extra-lean cut, or opt for JURXQG FKLFNHQ RU WXUNH\ LQVWHDG 1RQ PHDW SURWHLQ RSWLRQV

such as dry beans, peas and lentils can even be swapped for meat in recipes such as lasagna or chili.

Dairy Choose skim or non-dairy milk, like soy, rice or almond milk, DQG XVH ORZ IDW RU SDUW VNLP FKHHVHV LQ UHFLSHV 1RQIDW RU Greek yogurt can replace sour cream in many recipes and options like sherbet and soft-serve frozen yogurt are lower in fat than ice cream.

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Fats, oils and sweets Too many high-fat foods can add excess calories to your diet, which can lead to weight gain and obesity, or increase your risk for certain health issues. However, a small amount of heartKHDOWK\ IDW LV DFWXDOO\ JRRG IRU \RX :KHQ LW FRPHV WR VZHHWV ¿J bars and gingersnaps make for healthy alternatives to cookies. Also beware of calorie-laden condiments and opt for nonfat and light mayonnaise and salad dressings instead.

October 2017 | A (SCNI) Southern Community Newspaper Product | 3


The people were really nice, so I liked that.” He graduated from Monroe High School and earned an associate’s degree from Darton State College before attending the University of Georgia.

Dr. Nikunj Karsan isn’t a big city kind of a guy. “I did most of my third year medical school rotations in Miami and most of my fourth year rotations in Atlanta, and I didn’t like dealing with all the traffic,” Karsan said. He certainly didn’t have to deal with traffic as a boy. Karsan grew up in an agricultural area in India in a town with only about 200 residents. “Pretty much all the people in town were farmers. For school I went out of town and stayed with my aunt because there was no school where I lived.”

While attending medical school at Ross University, Karsan returned to Albany to complete a month-long subinternship at Phoebe. “It was one of the best rotations that I had in med school,” Karsan said. “I really loved the people in the residency program, especially the staff. That’s one of the main reasons I came here to do my residency. The experience is largely the same with many programs, but the people make the difference here. Everyone is there supporting you, from the top down.”

Since starting his Phoebe Family Medicine Residency training in June, Dr. Karsan has completed inpatient Karsan’s family moved to the United hospitalist, surgery and pediatrics States when he was 14, and they moved rotations. “As a family medicine to Albany when he was in high school. physician, you don’t know what you’re “I enjoyed Albany when we moved here. going to see in the clinic, so it’s good to

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get that wide range of experience,” Karsan said. “I’m looking forward to doing my oby-gyn rotation and getting to deliver babies. If I end up practicing in a small town, that will be very useful.” While Dr. Karsan hopes to be able to return to India regularly to do medical missionary work, he expects to live and practice in south Georgia. “I think my plan as of right now is to do outpatient family medicine somewhere close to where my family is in Georgia. Maybe Albany will be that place. It will have a small town type of environment,” he said. And he believes the Phoebe Family Medicine Residency is preparing him well for that kind of career, meeting the healthcare needs of Georgia families. “The residency program has been everything I expected,” Karsan said. “I kind of knew how the program is run, and it is even a little better than I expected, and I hope it continues to go well.”


Phoebe strives every day to provide southwest Georgians with comprehensive and quality healthcare that allows them to stay close to home for their primary and specialty healthcare needs. We are also committed to cutting-edge medical research. Currently, Phoebe is involved in several clinical trials for various types of cancer in cooperation with a number of respected organizations that sponsor our trials. These trials are monitored by a committee of doctors, nurses and local community leaders called an Institutional Review Board to ensure that participants’ rights are protected and FDA mandates are met.

Phoebe is currently recruiting participants for this study. You may be eligible to participate if:

Our Breast Cancer Weight Loss (BWEL) study seeks to determine whether the higher risk for breast cancer recurrence in women who are overweight or obese when they are diagnosed with breast cancer could be reduced or eliminated if weight is lost. We hope the results of the trial will help us determine if weight loss programs should be a part of breast cancer treatments.

If you are interested in participating in this important clinical trial, contact our Clinical Research Department at 229-312-0405. We appreciate the cooperation of participants in all of our trials and their dedication to helping us improve healthcare treatments for all southwest Georgians.

• You have been diagnosed with stage II-III breast cancer within the last 12 months • You have completed surgery and chemotherapy (if applicable) • You are interested in taking part in a weight loss program

Study participants will be randomly assigned to one of two groups. The Weight Loss Intervention Group will take The ultimate goal of all or our trials is to part in a weight loss program. The gain knowledge that will help us improve Health Education Group will receive treatments, resulting in better outcomes helpful information about breast cancer for our patients. The specific goal of one topics. Participants will complete health questionnaires and submit to weight of our current studies is to determine if measurements and a fasting blood draw losing weight may help prevent breast at different points in the study. cancer from recurring.

Breast Cancer Weight Loss Study

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literally, our health lies at our fingertips.

The tip of thumb has center connections with the Pituitary and Take care of your health with Finger’s Pineal glands. When we press these Mudra therapy depends on our fingers. Magic Touch called Mudra Science! centers with the tip of any finger these When they are brought together in a glands work actively and balance According to the Vedic culture of specific pattern and are touched to each corresponding elements in our body, Ancient India, there is a science of other or slightly pressed against each Mudra which teaches how the secret of other, the formation is called MUDRA. thus inducing good health. There are many Mudras for different health health lies in hands and fingers. These The five fingers of our hand represent concerns. Mudras which can be performed with these five basic elements, one related to the help of fingers. A particular kind of Gyana Mudra - Mudra of knowledge one particular element. When the five energy is continuously emitted from our hands and finger tips. The physical fingers are touched and pressed in a body is made up of five elements of AIR, particular way to form Mudra, it affects Touch the tip of the thumb to the tip the levels of the WATER, FIRE, EARTH, and SPACE. of the index finger, with the other three When these elements are in balance we five elements fingers stretched out. This Mudra can remain healthy, and an imbalance can in our be done using both hands. body. lead to deteriorated Thus There is no particular time duration for this mudra. You can practice by sitting, standing, or laying down whenever and wherever you have time.

balancing those elements and inducing good health

health and disease. The control centers for these five elements lie in our fingers, so

Thumb Index Middle Ring Little

Fire Air Space Earth Water

Increases memory power and sharpens the brain. Enhances concentration and may prevent insomnia. If we practice it regularly, it can help psychological disorders like

We will continue this series of different Mudras in subsiquent subscription.

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burning during urination and vaginal or penile discharge. If caught anally, it can create itching, bleeding and painful bowel movements. If not By Sandee LaMotte, CNN treated, gonorrhea can cause severe and permanent health problems, including long(CNN)In 2016, Americans were infected with term pain and infertility. more than 2 million new cases of gonorrhea, Syphilis is the most serious bacterial STD. Left syphilis and chlamydia, the highest number of untreated, syphilis can affect the brain, heart these sexually transmitted diseases ever and other organs of the body, ultimately leading reported, the Centers for Disease Control and to death. It’s called the “Great Pretender,” Prevention said Tuesday. because the symptoms of syphilis which include “Clearly we need to reverse this disturbing rashes and chancres, or sores, fever, swollen trend,” said Dr. Gail Bolan, director of CDC’s lymph glands, sore throat, headaches, muscles Division of STD Prevention. “The CDC cannot aches and fatigue, mimic other diseases. As the do this alone and we need every community in disease progresses, the symptoms go away, and America to be aware that this risk is out there progress silently to it’s most deadly stage. and help educate their citizens on how to avoid At one point, the United States had all but it.” eliminated syphilis, turning it into a “disease of The agency’s annual Sexually Transmitted the past,” said Bolan. Disease Surveillance Report shows that more “Back in the ‘40s, the advent of penicillin, which than 1.6 million of the new cases were from is quite effective against syphilis, allowed us to chlamydia, 470,000 were from gonorrhea and dramatically reduce cases,” she added. “I nearly 28,000 cases were primary and remember a professor in medical school secondary syphilis, the most infectious stages of explaining what it was to us but then said the disease, according to the CDC. While all of ‘You’ll never see it.’ “ these can be cured by antibiotics, many people However, the new data show that rates of this go undiagnosed and untreated. potentially deadly disease increased almost 18% “If not treated, gonorrhea, chlamydia and between 2015 and 2016, with most of the cases syphilis can have serious consequences, such as in men who have sex with men. There was also infertility, neurological issues, and an increased a rise of the disease among women who pass it risk for HIV,” said Harvey. on to their newborns. There were 628 cases of congenital syphilis among newborns reported in The most common STD is chlamydia. It’s caused 2016, with more than 40 deaths and severe by the bacteria chlamydia trachomatis, and like health complications among the babies who most STDs, is easily transmitted by all forms of survived. sexual activity -- oral, vaginal or anal -- as well “For the first time in many years, we are now as during childbirth. Chlamydia is known as a seeing more cases of babies born with “silent” infection, because most people have no congenital syphilis than babies born with HIV,” symptoms, which means it often goes untreated. said Harvey. “It means that women are not In women, it can ultimately cause pelvic getting access to prenatal care, testing and inflammatory disease that can scar and affect treatment for syphilis. It’s an unconscionable fertility. In men, it can cause testicular pain and situation in America today.” swelling. “This is a completely preventable problem,” Gonorrhea is another bacterial STD that can be agreed Bolan. “Every baby born with syphilis silent, but often displays symptoms such as represents a tragic public health system failure.

All it takes is a simple STD test and antibiotic treatment to prevent this tragedy from occurring.” What happened? Bolan and Harvey both point to funding deficits as a huge part of the reason STDs are on the rise. “Several factors are fueling the STD epidemic,” Harvey said. “Funding cutbacks for prevention, education and healthcare programs, an on-going debate about sex education for young people, with cutbacks in that arena, particularly from this administration, and a rise in social media dating apps have all contributed to the rise.” Another reason is the lack of symptoms for these diseases and a failure of practitioners to educate their patients on what to look for. To counter the problem, the CDC has recently published a provider guide for physicians and is creating a network of clinical training centers for doctors. “The fact that so many of these diseases are asymptomatic, which few tell-tale signals, mean that men and women aren’t getting into their doctor to be tested,” said Bolan. “We need to get the word out that everyone needs a yearly checkup. And we need to re-educate physicians to look for signs of such ‘ancient’ diseases as syphilis.” But an even bigger issue to overcome, Harvey said, is the embarrassment of having an STD. “Unfortunately, STDs carry enormous stigma in this country, and it’s hard for people to come forward for treatment,” said Harvey. “Ironically, HIV is an STD, but we have a very visible community who advocates and works to tell stories about the impact of HIV on people’s lives. We don’t have that going for us with gonorrhea, syphilis and chlamydia. We need a network of voices that say it’s OK to get help.” Correction: This story has been updated to include primary syphilis among the most infectious stages of the disease, and to include HIV among the STDs required to be reported to the CDC.

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inflammation,� said V. Wendy Setiawan, an associate professor of preventive medicine at the Keck School of Medicine of USC, and the By Lisa Drayer, CNN lead author of one of the recent studies on coffee consumption and longevity. Cup of caution While coffee consumption may appear to be healthful for many, others should proceed with (CNN)Yes, go ahead and grab that cup of joe, or caution. Pregnant women, for example, should cautiously limit their intake of caffeinated two, or more. Doing so may improve your coffee. health and help you live longer, suggests new Apple cider vinegar: What the experts say research. In a new observational study involving close to “Current evidence suggests that consuming moderate amounts of caffeine up to 200 mg per 20,000 individuals, people who consumed at day, the amount in a 12-ounce cup of coffee, is least four cups of coffee daily had a 64% lower not associated with increased risks for risk of early death compared to those never or miscarriage or preterm birth,� said Dr. Joseph rarely consumed coffee. Wax, chair of the American College of Obstetricians and Gynecologists’ Committee on The reduction in risk was more significant once Obstetric Practice. “However, data are people reached the age of 45, suggesting that it contradictory regarding these pregnancy may be even more beneficial to consume coffee outcomes when women consume more than 200 mg per day of caffeine.� Additionally, “there is as we get older. insufficient evidence to draw any conclusion These findings echo the recent results of another large observational study, which found regarding the effects of caffeine on fetal growth.� that coffee drinkers appear to live longer, regardless of whether they consume regular or If you have any heart conditions, you should also limit your coffee and caffeine consumption. decaf coffee. “Caffeine is an aggravator and accelerator of Health effects of coffee: Where do we stand? one’s heart rate,� said Dr. Vince Bufalino, a Coffee has also been shown to reduce the risk spokesman for the American Heart Association of many diseases, including type 2 diabetes, liver disease, colorectal cancer, Alzheimer’s and and senior vice president and senior medical director of Cardiology-AMG, Advocate Health skin cancer, too. Care, in Naperville, Illinois. “Those with atrial “Coffee is loaded with antioxidants,� said Joe fibrillation (commonly known as irregular DeRupo, a spokesman for the National Coffee heartbeat) or hypertension should limit their Association. “Many are naturally occurring caffeine intake. One to two cups daily is antioxidants found in the coffee bean, while others are created during the roasting process. probably fine, but if you are sensitive, you should restrict all caffeine.� It’s these compounds that science links with Keep in mind that decaffeinated coffee still positive effects in reducing the risk of several contains caffeine. An 8-ounce cup of brewed diseases.� coffee can contain anywhere from 75 to 165 Some of the compounds commonly found in milligrams of caffeine, whereas decaffeinated coffee “have been related to better insulin coffee contains an average of 2 to 7 milligrams sensitivity, liver function and reduced chronic

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per cup, depending on which study you read. Is chocolate good or bad for health? “Decaf is not ‘no-caf’ -- so if you are drinking three cups of decaf per day, then I would restrict that,� Bufalino said of people with heart conditions. As for coffee’s effects on bone health, caffeine in coffee can lead to calcium loss, but it is probably not worth worrying about. “Caffeine does increase urinary calcium loss, but it is balanced by increased calcium absorption so there seems to be no adverse effects on the calcium economy,� said Connie Weaver, distinguished professor of nutrition science at Purdue University, who recently led a review of the research on calcium and bone health. Optimizing your daily grind:

Cream contributes about 50 calories and 3 grams of saturated fat per tablespoon. Low-fat milk has fewer calories and will help to offset calcium losses (a tablespoon has only 6 calories, but 19 milligrams of calcium). A teaspoon of sugar contains 16 calories. It may not sound like much, but if you add two teaspoons to your brew and drink a few cups per day, the calories add up. Unfiltered coffee, like the kind made from a French press, retains compounds known as cafestol and kahweol, which may contribute to increased cholesterol levels in some people. , it’s best to avoid coffee and all sources of caffeine in the evening or close to bedtime. Lisa Drayer is a nutritionist, an author and a CNN health and nutrition contributor. She was a spokesperson for Starbucks in 2009.

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Caring for the Alzheimer’s Caregiver

§ Seek out resources. Your local Alzheimer’s Association is a great resource for family’s struggling through the disease. Local senior centers, online and in-person support groups, family and friends can also help provide a network of support.

Alzheimer’s disease: hearing that diagnosis for a senior loved one can be life-changing for both the senior and his or her family. While the disease progresses uniquely for each individual, there are some commonalities, such as behavioral issues, that are difficult to manage and can cause family members an unprecedented level of stress. As the disease progresses through the typical stages, here are some of the main concerns that are often experienced with each: § Mild Stage: Wandering, repetitive speech, slowness in completing tasks, problems with tasks such as managing money § Moderate Stage: More pronounced memory, language, and reasoning issues, confusion, difficulty recognizing familiar friends and family and completing multistep tasks § Severe Stage: Loss of communication abilities, full dependence on others So what does this mean for the family members providing care? Sadly, caregiver stress is all too common when caring for a loved one with Alzheimer’s disease, and effectively managing that stress to avoid burnout is crucial. These tips can help:

For more resources and for trusted, expert Alzheimer’s disease care, provided right in the comfort of your loved one’s home, or in one of adult day health centers or personal care home, contact Georgia’s top rated senior care team, Innovative Senior Solutions, at 866-928-3670. Whether it’s just a few hours § Set aside time for self-care. The best way to a day of respite care, or full-time, aroundcare for others is to make sure you’re caring the-clock care, we’re here with the for yourself. Taking time to exercise, engage individualized care to enhance quality of life in relaxing and enjoyable activities, and get for your senior loved one – whenever you plenty of sleep will help restore the patience need us. and compassion needed to care for your loved one. § Partner with an expert. Finding a professional senior care company that specializes in Alzheimer’s and dementia care can help by providing safe, reliable respite care, including during the overnight hours, which can be especially difficult. It’s important to keep in mind that no one can do it all alone. Guilt and other emotions may come into play that make it difficult to accept assistance, but for both the senior’s and your own wellbeing, reaching out to others can make all the difference in the world.

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WEDNESDAY, July 25 (HealthDay News) -- Too few Americans entering life’s final phase are availing themselves of highquality hospice care, despite the fact that Medicare covers the expense, experts say. The situation is only going to become more problematic as the nation’s “baby boomers” reach the end of their expected life spans in coming decades, according to two articles in the July 26 New England Journal of Medicine. “Hospice care is underutilized -- only a third of Americans die under the care of hospice, and hospice care is free,” noted the author of one article, Dr. Gail Gazelle, assistant clinical professor at Harvard Medical School. “Far too often, patients end up in an ICU, rushed to the emergency room, and they end up dying there, when really they would much rather have died in their own home,” she added. According to Gazelle, many of these patients avoid hospice, because they -- and often their doctors -- believe end-of-life care means they have “failed” in the face of disease. “They often view it as, ‘OK, someone is telling me to crawl into my bed and die,’” she said. In reality, many hospice patients lead full, mobile and high-quality lives for months, Gazelle said. There’s also the misperception that hospice is expensive. Too often, terminal patients don’t realize that Medicare and private insurance cover the full cost of hospice care. And yet those aren’t the only factors keeping terminal patients from the pain management and emotional support that comes with hospice, say Dr. Ingrid Katz, an infectious disease specialist at Beth Israel Deaconess Medical Center, and Dr. Alexi Wright, an oncologist at the Dana-Farber Cancer Institute, both in Boston.

dignified, palliative care in the woman’s last days. “There shouldn’t have been a single barrier to her receiving hospice care the night that she needed it,” Wright said. Family and friends in the community worked together to help get Doolin the care she needed, “but her dying experience was a near-disaster,” Wright said. That’s because gaps still exist when it comes to items that Medicare, as well as much private insurance, will reimburse for hospice patients. Intravenous nutrition is one such item, as are chemotherapy drugs that might extend -but not save -- a cancer patient’s life. Entering hospice care, “patients often have to give up medicines that are helping to support them, make them feel better, helping them live longer,” Wright said.

has been severed. Without a doubt, grieving is painful. But it is also necessary. Going forward doesn’t mean forgetting about the loved one who died. Enjoying life again doesn’t imply that the person is no longer missed. Piecing together your shattered emotions doesn’t mean you, somehow, betray a friend or family member. It simply means that your grief has run its course. While no single pathway through grief exists, people do share common responses. In 1969, psychiatrist Elisabeth KüblerRoss introduced what became known as the “five stages of grief,” which represent feelings of those who have faced death and tragedy. 1Based on her years of working with terminal cancer patients, Kübler-Ross proposed the following pattern of phases many people experience:

She believes in an “open access” system where these needs are taken into account. Building such a system might mean the creation of larger hospice organizations, however, so that the cost of expensive therapies could be spread over a larger patient population, Wright said. But Gazelle stressed that hospice continues to meet or exceed the expectations of terminally ill patients and the people who love them. In fact, one recent survey found that 98 percent of family members said they would strongly recommend hospice care to others in need.

In a second journal article, they recounted the story of one Boston-area patient, Joanne Doolin, a 64-year-old mother of three with terminal colon cancer.

Although these are common responses to loss, there is no structure or timetable for the grieving process. That said, Doolin did not choose to enter hospice care. understanding grief and its common She understood that the service was symptoms are helpful when grieving. covered by Medicare, but she also knew Recognizing the difference between that coverage had its limits. As a trauma and depression is also beneficial. prerequisite to enter hospice care, Doolin, Besides understanding how stress can who was unable to eat on her own, would take a toll on us physically, emotionally have been forced to give up intravenous and spiritually, we need to un- derstand feeding, an expensive service for which she Death is inevitable, yet the loss of a close the practical guidelines to ease the would not be reimbursed. “If she had gone process. These include taking care of our friend or family member always showers on hospice care and not received [feeding], bodies, spending time with others and us with a range of emotions. One day we she would’ve died within a couple of days,” reaching out to the church community. might desperately try to avoid the pain, said Wright, a fellow in hematology/ Finally, there will come a time when anxiety and feelings of helplessness we oncology at Dana-Farber. So, Doolin opted feel when a loved one dies. Other days, we someone close to us experiences a to stick with hospital-based chemotherapy significant loss. Knowing how to re- spond feel like life has returned to normal—at and intravenous feeding instead. “Because to a grieving friend is a good first step in least until we realize that our life has she got this nutritional support, she lived acting as a reliable companion. for more than a month and got to see her The death of a loved one is a shattering Despite the gamut of emotions we feel, daughter get married,” said Wright. grieving for a loved one helps us cope and experience with far-reaching implications. As difficult as the loss may be, it is heal. The intense, heart- breaking Doolin’s condition did deteriorate soon possible to move forward with hope for anguish indicates that a deep connection after, however. She and her family found the future. themselves scrambling for some kind of 12 | A (SCNI) Southern Community Newspaper Product | October 2017


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