SWGA HEALTH BEAT - OCTOBER 2018 by Albany Herald

October 2018

Health Southwest Georgia

eat B

ERIN CANNINGTON, MD Allergy & Asthma Clinics Of Georgia

JINNEÂ´ RICHARDS, MD Medical Director

Mammogram Myths Baby Health Tips Medicare Cards Down Syndrome Elite Athlete

Look inside for Dr. Oz

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

#1 Health Magazine In Southwest Georgia

ANTHONY BURKE, DO Cardiology Affinity Clinic

KEISHA CALLINS, MD

KELLY MILLER, FNP-BC Georgia Dermatology & Skin Cancer Center

This is the #1 Health This is the #1 Health Magazine Covering Magazine Covering Southwest Georgia Southwest Georgia

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

Calendar of Events

CONTENTS CONTENTS

the health benefits 3 Are of turmeric Cancertoo good to 3 Eye be true?

Support Groups

Black & Blue Clinic Community Heartsaver® Breast Cancer Support Group A group for women with breast cancer. The Black & Blue Clinic is open Saturdays from CPR Classes The group meets on the second 9 a.m. - 11 a.m. during football season for all of your

Oct 13, 2018 1:00PM-3:00PM

Thursday of each from 12:30top.m. - 1:30 p.m. LOCATION: in the Radiation Oncology sports injury needs.month Call 229-312-5000 schedule Phoebe Northwest, 2336 Dawson Road,

Good Dental 44Care Post-breast cancer exericse pointers

Eye Center Screen out mammogram South

5 5 myths to stay healthy

Annual Screenings Breathe Higheasier School 66for concerning bad breath Athletes Dr. Oz Oz & Dr. & Roizen Roizen 7 8 & Health Tip

8 Bringing Baby Home

Identifying and New Medicare Cards 99Understanding Dehydration are Designed to Reduce Medicare Fraud

Take Charge of DownThyroid syndrome myths 10 10Your debunked Condition Talk Women’san 3 Keys to Becoming 11Let’s 11 Elite Athlete Health

CONTACTS CONTACTS CONTACTS CONTACTS Phil Cody

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

Sales Representative 229-888-9304

Heather Harrison

Multi-Media Representative Ashanti Smith 229-888-9370

Multi-Media 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 229-434-8737

Matt Behrens Multi-Media Representative 229-888-9337

and appointment. Conference

Room at Phoebe. Call 229-312-7161 Albany, GA Cardiac arrests can happen to anyone at for more information

Spiritual Care and You

Sit down with one of Phoebe’s chaplains to discuss how spiritual care can impact your life during and after cancer treatment. This is great for individual sessions with a chaplain or to include caregivers and/or other loved ones.

Safe Sitter Classes

any time and knowing how to react can save lives. To register for either class, contact Network of Trust at 229-312-4620. Registration is due by the Thursday before each scheduled class.

October Blood Drive

Oct 18, 2018 10:00AM-6:00PM Donate blood and save lives Thursday, October 18, 2018. Join us to anytime from 10 a.m. to 6 p.m. and help 6-8 us Join our safe sitter summer class! Designed prepare students in grades One-on-one/small group appointments available. save lives. The blood drive will be held at Phoebe Putney to be Smith safe atwhen they’re orhome alone, watching younger siblings, babysitting. Contact Kimberly 229-312-4670 Memorial Hospital, Medical Tower 1or Rotunda (2nd floor krsmith@phoebehealth.com to make your appointment. Class location: Phoebe HealthWorksnext 311 Ave., Albany, GA 31701 to Third Surgicare). ONGOING/BY APPOINTMENT July 10-11, 2018, 9:00AM-4:00PM Cost: No Charge

Reflections from the Guru Golden Key Seminars

Cancer Fighting Kitchen

OCTOBER 3, DECEMBER 5 | 3:00 pm - 3:45 pm Golden Key seminars take place in the Cooking conference rooms at Demo Cost: NoPhoebe Charge Northwest, 2336 Dawson Road in Albany.Thursday, Oct 18, 2018 12:00PM-1:00PM Location: Survivorship Conference Room Location: Phoebe HealthWorks July 19, 2018, 9 a.m. - 2 p.m. (Lower Level Cancer Center) Come join Chef Brian, Melody LewisProduction Manager, Instructor: Dr. Jose Tongol and Debbie Harris-Oncology Dietitian, in the Healthworks Seating Limit: 10

Be an AARP Smart Driver

teaching kitchen as they walk through the preparation Join Dr. Jose Tongol for an intimate discussion session Safe Driving Class of cancerdiet-friendly recipes. For more information, call that will include topics such musical therapy, Saturday, Julyas14, 2018, 1 p.m. - 4 p.m.,229-565-9355 Phoebe Northwest (WELL), follow the greeting’s instructions, meditation,Reservations are and living a healthy lifestyle. To enroll for required fororAARP safe classes; anddriving leave a message. more information, call 229-565-9355 (WELL), follow the call 229-312-2418 greeting’s instructions, and leave a message. Financial assistance may be available for your care.

Lights of Love Kickoff Benefit OCTOBER 4, 2018 | 6:30 pm - 9:30 pm Location: 2807 Meredyth Drive, Albany, GA

TICKETS - $25 per person Call 312-4483 for reserved seating pricing.

JOctober U L Y

CALENDAR OFofEVENTS Calendar Events  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

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.

SUPPORT GROUPS  NEW PARENTS BREAKFAST CLUB

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.

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

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

Are the health benefits of turmeric too good to be true? By Maritza Moulite, CNN

(CNN) Alzheimer’s disease. Diabetes. Arthritis. Unwanted hair growth. Baldness. Infertility. Erectile dysfunction. Hangovers. Glaucoma. Cancer. If you have an ailment, there’s a good chance that someone, somewhere, is studying whether turmeric can treat it. There are more than 15,000 manuscripts published about curcumin, the active ingredient in turmeric, and about 50 manuscripts added to this collection each week, according to the National Institutes of Health. ”It’s really taken on sort of panacea-like properties in terms of the things it’s being studied for and the things it has been reported to be useful for,” said D. Craig Hopp, deputy director of the Division of Extramural Research at the National Institutes of Health’s National Center for Complementary and Integrative Health. What is turmeric? Turmeric is a popular spice similar to ginger, known for its bright yellow color and use in curry powders and mustards. Also called “Indian saffron,” the plant grows across India, other areas of Asia and Central America. Turmeric flavors a range of dishes, is a vital component of certain religious rituals and has been used for medicinal purposes for nearly 4,000 years. ”There are plenty of studies currently being done but already good evidence that turmeric can help control knee pain from arthritis as well as decrease the likelihood of a heart attack after bypass surgery,” said Dr. Sanjay Gupta, CNN’s chief medical correspondent. Turmeric is one of many plants used in ayurveda, a traditional South Asian system of medicine, according to the National Institutes of Health. It is used to treat issues such as breathing problems, rheumatism, fatigue and pain. ”There’s a distinction that’s very important to make between turmeric, which is the plant and the spice, and what people often study, which is the curcumin, which is the proposed active constituent in turmeric,” Hopp said. “And even curcumin, as it’s usually sold or researched, is not a single compound. It’s usually a collection of three or four compounds that are called curcuminoids, collectively.” The exact amount varies, but the turmeric root contains up to 5% of these curcuminoids typically, the National Institutes of Health says. A gap between theory and practice Extracting the curcumin and translating its power into a successful treatment is still a major challenge for researchers, experts say. There is epidemiologic evidence that people who eat a diet rich in turmeric can potentially attribute their substantial health benefits to the spice, Hopp said, citing a lower incidence of colon cancer in the Indian subcontinent. “But it’s very difficult to sort of project what you see in terms of an activity in a cell to what’s going to actually happen in the human,” he added. “There’s a sort of a disconnect between what appears to be a lot of very promising activity in vitro, which is just in the cells. And contrast that with where it’s been studied in clinical trials as humans, where there’s been virtually no evidence of benefits.” One reason for that disconnect is that apart from turmeric, curcumin has biological properties that make it poorly bioavailable: It is rapidly metabolized and excreted, and very

Turmeric, a common spice in curry powder and other Indian dishes, is another powerhouse spice often touted for its anti-inflammatory properties. The National Center for Complementary and Integrative Health says that claim isn’t yet supported but points to studies that show it can control knee pain as well as ibuprofen, reduce the number of heart attacks after bypass surgery, and reduce skin irritation after breast cancer radiation treatment. Be aware that using turmeric in high doses or over a long period could cause stomach distress.

little of it gets absorbed into the body. The chemical doesn’t make it to the places where it could be of help. The context in which turmeric is traditionally used is important as well, Hopp said. Black pepper is often found alongside turmeric. Piperine, the substance that gives pepper its bite, increases curcumin’s bioavailability. ”It keeps the door open,” Hopp said. “As things go into and out of cells, piperine is sort of like a doorstop that allows things to go in and out of the cells much more readily.” Turmeric’s link to glaucoma and Alzheimer’s Curcumin also does not dissolve easily, and much of it does not enter the bloodstream, said researchers in a study investigating the effects of turmeric in treating glaucoma, recently published in the journal Scientific Reports. One would need to take as many as 24 500-milligram tablets of curcumin a day to get an effective dose, increasing the risk of gastrointestinal side effects like vomiting and diarrhea. ”If you think about it, in a curry, there’s only 700 milligrams of turmeric,” said Dr. Francesca Cordeiro, professor of ophthalmology at Imperial College London and one of the authors of the study. “You’d need to eat 200 curries a day to get that therapeutic level.” Instead of choosing capsules or cuisine as their method of treatment delivery, Cordeiro’s team used eye drops infused with a stabilizer that increased the curcumin’s solubility on their rat subjects twice a day. ”We used nanotechnology,” Cordeiro said. “The advantage of it being so small is it can cross into the eye as an eye drop into the back of the eye. Once it enters, it can affect the nerve cells there, and that direct effect can lead to them not dying. It’s what we call neuroprotection.” Three weeks later, the untreated control group had a 23% reduction in retinal cells compared with the eye drop group. This loss was prevented by treatment with curcumin, Cordeiro explained. The researchers’ next steps include clinical trials and exploring the possibility of using the retina as a “window to the brain” by developing the drops into a diagnostic resource for Alzheimer’s disease. ”Curcumin is fluorescent,” Cordeiro said. “If you put the correct wavelength to it, it fluoresces, and it binds to the parts that are implicated in Alzheimer’s, the beta amyloid plaque,” one of the substances in the brain that is a hallmark of the condition. Even if the risks of taking turmeric as a supplement appear to be limited, Hopp recommends discussing such treatments with a doctor, “especially if they’re taking other medications, so that the doctor has a full picture of what the patient is consuming and can manage that care properly,” he said. October 2018 | A (SCNI) Southern Community Newspaper Product | 3

Post-breast cancer exericse pointers (MCC) Surgery is often

Exercising after breast cancer surgery can restore movement, but it’s

part of treating breast

important that women take into account the following pointers, courtesy

cancer. According to

of the ACS, before beginning a regimen.

the American Cancer

• Speak with your physician. Discuss exercise with your physician after

Society, doctors may

undergoing surgery. Doctors may prescribe physical or occupational

recommend women

therapy, and some may even refer patients to cancer exercise specialists.

undergo breast biopsies,

Simply jumping back into your pre-surgery exercise routine can be

lymph node biopsies or

dangerous, so bring up exercise immediately after surgery or during a

removals, lumpectomies,

followup visit.

mastectomies, or breast reconstructions as part of their treatments.

• Expect some tightness. Doctors may suggest women begin exercising a week or more after undergoing breast cancer surgery. It’s normal to feel some tightness in the chest and armpit after surgery, but the tightness will

Surgery is often an

begin to subside as you exercise. Report any persistent tightness or pain

effective way to treat

to a physician immediately.

breast cancer, but it does come with some side effects. The ACS notes that breast cancer surgery can affect how well women move their shoulders and arms, as pain and stiffness can weaken both areas. In addition, women’s ability to take deep breaths may be compromised after surgery, and they may have difficulty performing normal everyday activities like dressing, bathing and brushing their hair. Exercise may seem impossible after breast cancer surgery, but the ACS recommends women exercise after surgery to get their arms and shoulders moving again. The ACS notes that exercise can be especially important

• Some burning, tingling, numbness, or soreness may also occur. These symptoms may be felt on the back of the arm and/or on the chest wall and are often a result of the surgery irritating some of your nerves. The sensations of burning, tingling, numbness, and soreness may even increase a few weeks after surgery. But the ACS advises women to keep exercising through these symptoms unless they notice unusual swelling or tenderness, which should be reported to physicians right away. • Exercise after a warm shower. A warm shower may warm and relax muscles, making exercise less painful.

to women who underwent radiation therapy after surgery, as radiation can

• Dress appropriately. Comfortable, loose fitting clothing can make it

affect movement in the arm and shoulder long after treatment has ended.

easier to do exercises, as such attire is not restrictive.

Regular exercise after radiation treatment can help women maintain

More information regarding exercise after breast cancer surgery, including

mobility in their arms and shoulders.

specific exercise recommendations, can be found at www.cancer.org.

The connection between eating and energy (MCC) The connection between energy and eating is significant. A healthy diet and approach to eating can vastly improve energy levels, while a poorly planned diet that lacks nutrition can contribute to feelings of fatigue and increase a person’s risk for various ailments. The Harvard Medical School notes that different kinds of foods are converted to energy at different rates. That’s why some foods, such as candy, provide quick boosts of energy while foods such as whole grains tend to supply the body with energy reserves that it can draw on throughout the day.

• Choose the right snacks. Eating smaller, more frequent meals may compel some people to snack. The Academy of Nutrition and Dietetics notes that snacks are important as long as they’re the right snacks. Avoid snacks that are just empty calories in favor of foods that contain protein and fiber-rich carbohydrates. Such snacks, which may include fruits such as apples and fresh berries or protein sources like nuts and Greek yogurt, can provide lasting energy. It’s also important that men and women not snack to fill themselves up, but rather to quell any hunger pangs and get an energy boost between meals. The foods people eat and when they eat them can have a dramatic impact on their energy levels.

It’s not just what people eat but how they eat that can affect their energy levels. In addition to choosing the right foods, men and women can try the following strategies as they look to eat to boost their energy levels. • Eat smaller, more frequent meals. Avoiding the traditional three-meals-per-day approach may help improve energy levels, especially for people who tend to eat sizable meals once, twice or even three times every day. According to the Cleveland Clinic, the metabolisms of people who do not eat regularly will slow down, as the body absorbs and stores more of the food it eats. Those stores include cholesterol and fat, which can be unhealthy and contribute to weight gain. However, by eating small meals more frequently, one’s metabolism speeds up and more calories are burned. The body recognizes more food is soon on the way and, as a result, it does not need to store as much cholesterol and fat as it would if meals were eaten less frequently. • Avoid a big lunch. The Harvard Medical School notes that, while the reasons are unclear, research has indicated that the circadian rhythms of people who eat big lunches indicate a more significant drop in afternoon energy levels than the rhythms of people who eat smaller midday meals. Men and women who eat big lunches and find their energy levels waning later in the workday can try to eat smaller midday meals to boost their energy. • Be careful with caffeine. The foods people eat are not the only components of their diet that can affect their energy levels. Caffeinated beverages can provide a temporary boost of energy as well. However, men and women who drink coffee or other caffeinated beverages to boost their energy levels should avoid doing so in large amounts after 2 p.m. That’s because caffeine can cause insomnia, and insufficient sleep can dramatically affect energy levels 4 | A (SCNI) Southern Community Newspaper Product | October 2018

The right snacks can provide an energy boost that lasts until meal time comes around again.

Screen out mammogram myths to stay healthy (MCC) Breast cancer is one of the leading cancers afflicting women worldwide. According to BreastCancer.org, in 2018, an estimated 266,120 new cases of invasive breast cancer and 63,960 new cases of non-invasive (in situ) breast cancer are expected to be diagnosed in women in the United States. Women want to do whatever possible to avoid breast cancer or detect it early. Mammograms have long been an important tool in women’s fight against breast cancer. But for as long as mammograms have been recommended, myths have prevailed concerning the procedure and its benefits and risks. Learning to distinguish between mammogram myths and facts can help women recognize the importance of these effective screenings. Myth: I’m too young for a mammogram. Fact: A yearly mammogram is recommended for women age 40 and older to help detect breast cancer early. This may lead to less aggressive treatment and a higher rate of survival. Myth: I don’t need an annual mammogram because I have no symptoms or family history. Fact: The American College of Radiology recommends annual screening mammograms regardless of symptoms or family history. Early-stage breast cancers may not exhibit symptoms. Women whose breast cancer is caught in its earliest stages have a five-year survival rate of 99 percent.

Fact: Mammogram screenings are not perfect and are just one tool in helping to detect cancer. Age or breast density can influence the appearance of breast tissue on mammograms. It’s important to note that the inherent qualities of the cancer and how it responds to treatment can affect outcome even if the breast cancer is detected earlier, offers Johns Hopkins Medicine. Myth: Mammograms are the only imaging tools. Fact: Breast MRI, breast ultrasound, and newer 3-D breast mammography are alternative imaging methods that can help obtain different views of breast tissue, particularly for women with dense breasts. Myth: I can’t get a mammogram without a prescription. Fact: In many cases, women do not need a doctor’s order or prescription to get a screening mammogram. Individuals can self-refer for an annual appointment. Mammograms can detect breast cancer early, dramatically improving women’s chances of beating the disease. Learning the facts about mammograms can help women calm any concerns they may have regarding these valuable screenings.

Myth: I have breast implants so I can’t get screened. Fact: Women with breast implants can still have regular mammograms. Special positioning and additional images may be needed, but the procedure is possible. Myth: Mammograms are ineffective. Fact: According to British Columbia Cancer Screening, mammograms are the gold standard for detecting breast cancer early. Mammograms may detect breast cancer two to three years before a woman or a health care provider can feel lumps. Myth: Mammograms are foolproof.

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.

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

Breathe easier concerning bad breath Dehydration Failure to drink enough water can cause food — and the bacteria that feed on it — to stay in the mouth much longer. Drinking water helps flush away food particles. Similarly, dry mouth can contribute to bad breath. Saliva works all day and night to wash out the mouth. The American Dental Association says inadequate saliva (MCC) Digging into a bowl of pasta topped with a garlicky scampi sauce certainly may fill the belly,

Sore throat disease

but such a meal also can lead to bad breath.

Diseases of the throat, such as strep or tonsillitis,

Halitosis, or bad breath, is often the catalyst for

may cause bad breath. The same bacteria that

jokes. But for many people, bad breath is no

can cause halitosis may also infect the tonsils

laughing matter. Many things may contribute to bad breath, and some causes may signal serious underlying health conditions.

Dr. Jinne’ Richards, MD, Medical Director

Strong foods Foods with strong odors, such as onions or garlic, tend to contribute to bad breath. That’s because the foods are initially broken down in the mouth,

Neck Surgery. Gastrointestinal distress The Journal of Medical Microbiology says that bad breath may originate in the gut. Bad breath may be a symptom of gastrointestinal reflux disease, or GERD, ulcers or other conditions of the stomach and intestines. If persistent bad breath is accompanied by heartburn and stomach pain, it’s worth a consult with a doctor.

These odoriferous foods may leave their mark in

Oral infections

through the pores on the body. Some may

Surgical wounds from oral procedures like tooth extractions can become infected and produce bad breath. Gum disease and mouth sores also

even linger on the skin after washing. Avoiding

may be to blame. A dentist or doctor can rule out

these types of foods can prevent bad breath,

infections as a cause for halitosis.

as brushing or rinsing one’s mouth may only

Tobacco

temporarily staunch their power. Poor oral hygiene

553684-1

American Academy of Otolaryngology, Head and

system until they are passed through the body.

in the circulator system and then be excreted

1216 Dawson Rd, Ste 113 Albany GA 31707-3867

and throat, causing the foul aromas, advises the

but then they have to travel through the digestive

the mouth, get carried to the lungs through blood

(229) 349 6390

production can cause bacteria to multiply.

Food and beverage particles can linger on the teeth and gums if proper dental hygiene is not practiced. The Mayo Clinic says that a colorless, sticky film of bacteria can form from the breaking down of food particles, which can cause tooth decay, periodontal disease and possibly bad breath. Daily brushing and flossing

Smokers and oral tobacco users often have bad breath. Quitting smoking or oral tobacco can be an easy way to freshen up one’s breath. Disease The gases that are excreted through the mouth and causing bad breath may be tied to everything from liver and kidney damage to diabetes to asthma, say researchers at the University of Colorado at Boulder. Bad breath is more than just a nuisance. In fact,

as well as routine dental cleanings are necessary

bad breath may indicate the presence of a serious

components of proper oral hygiene.

health problem.

(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 | October 2018

553679-1

448931-1 448931-1

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

New guidelines for Type 2 diabetes; food, mood and attitude BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D. Q: Is it true that there are new treatment guidelines for Type 2 diabetes? My wife was recently diagnosed, and I want to know what they are. – Lester G., Columbus, Ohio A: Yes, there are new guidelines, or a realignment of guidelines, and there are a few things you and your wife need to talk to her endocrinologist about. The big shift is that doctors are being told to approach their Type 2 diabetes care plan by starting with an evaluation of each diagnosed patient’s heart health, because cardiovascular disease (heart attack and stroke) is the No. 1 cause of death for people with diabetes. While metformin remains the recommended first-line treatment for Type 2 diabetes, there are two types of therapies that are emerging as the go-to drugs for managing long-term heart health and blood glucose levels: sodium-glucose cotransport-2 (SGLT2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists. One caution: The Food and Drug Administration has issued a warning about SGLT2 inhibitors, because from March 2013 to May 2018, they found five women and seven men were hospitalized (one died) with what’s known as necrotizing fasciitis of the genitals (flesh-eating bacteria) because of taking the meds. (1.7 million people received prescriptions for SGLT2 inhibitors in 2017). Going forward, a warning label will be placed on the medication. So ask the doctor about the risks and benefits for your wife. As for the emphasis on cardiovascular health, that’s terrific. But it doesn’t depend on medicines alone! She should make sure to get 10,000 steps daily, lose 10 percent of her body weight if she is overweight, avoid all added sugars and syrups, sat and trans fats and highly processed foods. You can reverse Type 2 diabetes with a healthful lifestyle, then neither of you will have to worry about the potential side effects of Type 2 diabetes medications.

Q: My husband and I weigh about the same, are both 45 and about the same height and weight (5 feet, 8 inches, and 150 pounds). Should we eat the same kinds and amounts of foods? – Shirley D., St. Joseph, Missouri A: Height and weight are not the only criteria that determine how much and what foods you should eat. Your nutritional needs are also influenced by your activity level, age and your gender. Are you active? While a 45-year-old sedentary woman who is 5 feet, 8 inches tall and weighs 150 pounds may burn 1,934 calories a day or less, an active woman with the same stats can consume 2,445 calories and maintain her weight. (An active man with the same stats – 2,752 calories.) So you want to tailor what you eat to your activity level and your desired weight. Are you in perimenopause or menopause? That often ushers in weight gain. So you want to change what and when you eat. Smart steps: Wait 13 or more hours between dinner and breakfast; eat a lean-protein, fresh fruit and 100-percentwhole-grain breakfast; and never have dinner (light and lean) later than 8 p.m. Are you happy? A study published in Nutritional Neuroscience found that women’s brains require an especially nutrient-rich diet to achieve maximum happiness and mental health. Seems as men and women evolved, their brains developed anatomical and functional differences that influence susceptibility to mental disease. The bottom line is, “women need a larger spectrum of nutrients to support mood, compared to men,” and many are not getting them. That, the researchers suggest, may explain why women are more prone to depression and anxiety than men are. So it’s important that women (and men too!) avoid highly processed foods, added sugars and additives that can alter gut bacteria and the nutritional balance in the body. They need to make sure they get iron-rich food (premenopause especially), like chicken, turkey, fish, kale, spinach, beans and lentils; folate-rich citrus fruits, leafy greens, beans and peas; calcium-rich, nonfat dairy, sardines, tofu and dark leafy greens; and vitamin D from fatty fish like salmon and all varieties of mushrooms.

* * *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

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

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

October 2018 | A (SCNI) Southern Community Newspaper Product | 9

Down syndrome myths debunked (MCC) Down syndrome is a chromosomal disorder that is caused by an error in cell division. When a person has Down syndrome, he or she has a third chromosome 21, also called Trisomy 21. This extra chromosome causes intellectual disability and medical problems. According to the Down Syndrome Association of Greater Charlotte, Down syndrome occurs in one out of every 691 live births and across all races and economic groups. Even though Down syndrome was first documented by physician John Langdon Down in 1866, the cause of the disorder was not discovered until 1959. Since 1959, much progress has been made in understanding Down syndrome. In spite of that progress, some myths about the disorder still prevail. Myth: Down syndrome is rare. Fact: Down syndrome is the most commonly occurring chromosomal condition. Today, there are approximately 400,000 people living with the condition in the United States. Myth: Children with Down syndrome are only born to older mothers. Fact: While the likelihood of giving birth to a baby with Down syndrome increases with age, more babies with the disorder are born to mothers under the age of 35 than those older than 35. According to the Centers for Disease Control and Prevention, about 80 percent of children who have Down syndrome are born to women younger than 35. Myth: Down syndrome always will be detrimental to families.

Fact: A study published in the American Association of Intellectual Disabilities indicates that divorce rates are lower in families of children with Down syndrome. What’s more, another study published in the Journal of Intellectual Disability Research found no long-term detrimental effects to siblings. Myth: Down syndrome is a hereditary condition. Fact: Only one type of Down syndrome is hereditary. This type, called, translocation, only accounts for 3 to 4 percent of all cases. Myth: Those with Down syndrome die very young. Fact: Although it is true that people with Down syndrome on average do not live as long as others who do not have the disorder, the average life expectancy for people with Down syndrome is nearly 60. Some people with Down syndrome have lived into their 80s. Myth: Babies with Down syndrome cannot be breastfed. Fact: Some children can feed despite their low muscle tone, larger tongues and tiredness resulting in associated medical conditions. Myth: People with Down syndrome can’t go to regular schools. Fact: It may be adviseable for children with Down syndrome to attend school with their peers regardless of their disability. Research shows children with Down syndrome are capable of learning to read and write, and engaging in other academic pursuits when teachers are well-trained and have high expectations of all students.

Coping with the suicide of a loved one

Despite its prevalence, Down syndrome is still shrouded in myths. Myth: All people with Down syndrome will develop Alzheimer’s Disease. Fact: Numerous studies have shown that virtually 100 percent of people with Down syndrome will have the plaques and tangles in the brain associated with Alzheimer’s disease but not necessarily the actual symptomatic disease, offers the Global Down Syndrome Foundation. Down syndrome is a common condition surrounded by misinformation.

Survivors may experience emotions such as guilt, anger, despair, and/or depression, all of which only makes it more difficult to cope. Lifeline Australia offers the following tips to people struggling to cope with the suicide of a loved one. • Take some time off from the pain. Survivors may feel as though it’s inappropriate to do something other than grieve after the suicide of a loved one. But Lifeline Australia notes that it’s alright to take time to do something you enjoy in the aftermath of a loved one’s suicide. • Stay connected to loved ones. Friends and family, even those who did not know the deceased, will likely offer their support in the wake of this tragedy. Accept that support and make a conscious effort to stay connected with your loved ones. Grief can cause feelings of isolation and loneliness. Relying on your support network and accepting their support is a great way to overcome those feelings. • Honor the deceased. Don’t hesitate to share memories, photos and stories about your loved one who committed suicide. The Suicide Prevention Lifeline notes that some people find it helpful to write to a lost loved one, as doing so can provide a means to say some of the things survivors were unable to say before a loved one’s death.

(MCC) The loss of a loved one can be overwhelming, and that sense of loss can be even greater when a friend or family takes his or her own life. Many people have no experience coping with the suicide of a loved one, which is why it can be so devastating when someone you love takes their own life. Lifeline Australia, an organization that offers crisis support and suicide prevention services, notes that people who recently lost a loved one to suicide often experience a complicated form of grief. This grief can be characterized by shock and can affect survivors’ physical and mental health. 10 | A (SCNI) Southern Community Newspaper Product | October 2018

• Don’t be afraid to ask for help. Organizations like Lifeline Australia and the Suicide Prevention Lifeline encourage survivors to utilize their helplines and/or speak with counsellors and psychologists trained in helping people deal with the suicide of a loved one. Many hotlines make help available 24 hours a day year-round, so it’s never a bad time to call and seek help. • Join a support group. Feelings of loneliness are common after a loved one commits suicide, but survivors must remember that they’re not alone. Support groups for survivors allow you to share your experience with others in similar situations. • More information about coping after the suicide of a loved one can be found at www.lifeline.org.au and www.suicidepreventionlifeline.org. Survivors are urged to accept and seek support.

great news for

GET YOUR GREENS WITH OUR FRESHLY-PREPARED

cataract patients

SALADS

Now Is The Most Affordable Time To Schedule Cataract Surgery

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.

Early diagnosis and treatment is the key to preserving your vision. If you’re above age 60 and experiencing changes in your vision, attend our free cataract screening. And if you’ve met your 2018 deductible, RIGHT NOW is the MOST AFFORDABLE time to schedule your cataract procedure by leading cataract surgeon, Thomas D. Bailey, MD, F.A.C.S, F.A.A.O.

FREE Cataract Screening!

Saturday, September, 29th Call 229-888-2395 to reserve your time

Your vision. Our mission.

548008-1

2308 Palmyra Road, Albany, GA

Thomas D. Bailey, MD

229-888-2395◦EyeCenterSouth.net

567579-1

Eye Center South

Thomas Bailey, MD

THESE ARE SOME GREAT GREENS! October 2018 | A (SCNI) Southern Community Newspaper Product | 11

Robert S. Pilcher, MD, PhD

553685-1

HUGHSTON CLINIC AT ALBANY 117 Oakland Parkway Leesburg, GA 31763

12 | A (SCNI) Southern Community Newspaper Product | October 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