Care magazine® mar2015 by CARE magazine®

Options and References for a Healthier Life

Care 15 20 H RC MA

Spring Allergies and Home Allergens

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Gardening for Your Health Assessing the Health of Your Community

Nutrition in Cancer Prevention

Colorectal Cancer Awareness 10 Tips for a Healthy Pregnancy 2015 Regional Rabies Vaccination Clinics A “Must-read” for Helpful, Trustworthy, Up-to-Date Health News, Ideas & Options

• Area Support Groups & Community Events • Regional Blood Drives • Healthy Recipes www.caremagazine.com

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March 2015

CONTENTS

In Every Issue 14

Professional Forum

Region Hospitals & Clinics

RegionPULSE

20 care TALK© Capsules of Healthy Information

Regional Blood Drives

Community Calendar and Family Events

Features

Regional Support Groups

Colon Health and Colorectal Cancer Awareness

ParentPULSE

Nutrition Important for Cancer Prevention

Spring Allergies and Home Allergens

Healthy Recipes Baked Tilapia with tomatoes Quinoa & black bean salad

Family Fun page

Assessing the Health of Your Community

Prevent Drug and Alcohol Abuse

Gardening for Your Health

Wise Women: HIV/AIDS Awareness

26 2015 Regional Rabies Vaccination Clinics 28

Are Your Kids at Risk for Substance Abuse? Baked tilalpia with tomatoes—page 30

29 10 Tips for a Healthy Pregnancy 2

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March 2015

care magazine

Options and References for Healthier Living

MARCH 2015 Publisher and Editor:

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care magazine® is a “Registered U.S. Patent and Trademark” and belongs to The Catalyst Media Group, Inc. All rights reserved. No part of this publication, including advertisements, may be reproduced or utilized in any form, or by any means, electronic or mechanical, including photocopying, or by any information storage and retrieval system, without written permission from the publisher. Photos, unless otherwise credited: Photospin.com or 123.rf.com © 2015 and may not be used without written permission or a paid subscription.

care magazine® is intended as a reference and options source only, not as a guide to self-treatment. Information contained within is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You, the reader, assume full responsibility for how you choose to use this information. Guest columns do not necessarily reflect the views or opinions of care magazine , its publisher or editors. ®

March 2015

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MARCH is Colon Cancer Awareness Month Colorectal cancer is the fourth most common cancer in the United States and the second leading cause of death from cancer. Colorectal cancer affects people in all racial and ethnic groups and is most often found in people age 50 and older. But now, there is an increase in colon cancer among those under age 50. Younger poeple with increased risk factors, such as family or hereditary history, prior colorectal cancer or polyp history, lifestyle risks, Crohn’s disease, or ulcerative colitis may be recommended earlier screening by your doctor. The good news? If everyone age 50 and older were screened regularly, 6 out of 10 deaths from colorectal cancer could be prevented. Communities, health professionals, and families can work together to encourage people to get screened.

How can Colorectal Cancer Awareness Month make a difference? We can use this month to raise awareness about colorectal cancer and take action toward prevention. Communities, organizations, families, and individuals can get involved and spread the word. Here are just a few ideas: • Encourage families to get active together. Exercise may help reduce the risk of colorectal cancer. • Talk to people in your community about the importance of getting screened for colorectal cancer starting at age 50. • Ask health professionals to talk to patients age 50 and older about the importance of getting screened. For additional information, visit - http://healthfinder.gov - Prevent Cancer Foundation (http://preventcancer.org/prevention/preventable-cancers/colorectal-cancer/)

In the next 15 years, incidence of colon cancer in 20-34 year olds to increase by 90% In January, 2015, the Journal of American Medical Association (JAMA Surgery) published a new article on the incidences of colon and rectal cancer, focusing on age groups and predictions for the future. The researchers analyzed nearly 400,000 individuals diagnosed with colon and rectal cancer between 1975-2010 and based their predictions on these trends. They divided the group into four different age groups: 20-34 35-49 50-74 75+ They examined the following factors: Age Colon vs. rectal cancer Stage at diagnosis Overall, the incidence of colorectal cancer has decreased in men 3.0% per year and 2.4% in women from 1998-2006. This trend is attributed to increased screening in those 50 and older. Unfortunately, during this same period, the incidence of colorectal cancer has increased in adults under the age of 50 and these patients usually present with advanced disease. —continued on page 6 4

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March 2015

Nutrition in Cancer Prevention Following certain dietary guidelines may help prevent cancer. The American Cancer Society and the American Institute for Cancer Research both have dietary guidelines that may help prevent cancer. Their guidelines are a lot alike and include the following:

• Eat a plant-based diet with a large variety of fruits and vegetables. • Eat foods low in fat. • Eat foods low in salt. • Get to and stay at a healthy weight. • Be active for 30 minutes on most days of the week. • Drink few alcoholic drinks or don't drink at all. • Prepare and store food safely. • Do not use tobacco in any form. For general nutrition information and other resources: •

United States Department of Agriculture www.choosemyplate.gov

•

Academy of Nutrition and Dietetics 800-877-1600 www.eatright.org

•

American Botanical Council 800-373-7105 abc.herbalgram.org

•

American Cancer Society 800-227-2345 www.cancer.org

•

American Institute for Cancer Research 800-843-8114 www.aicr.org

•

American Society for Parenteral and Enteral Nutrition 800-727-4567 www.nutritioncare.org

•

National Center for Complementary and Alternative Medicine (NCCAM) 888-644-6226 (Clearinghouse) 866-464-3615 (toll free TTY) nccam.nih.gov

•

Office of Dietary Supplements 301-435-2920 ods.od.nih.gov

•

Bloch A, Cassileth BR, Holmes MD, Thomson CA, eds.: Eating Well, Staying Well During and After Cancer. Atlanta, GA: American Cancer Society, 2004.

•

Weihofen DL, Robbins J, Sullivan PA: Easy-to-Swallow, Easy-to-Chew Cookbook: over 150 Tasty and Nutritious Recipes for People Who Have Difficulty Swallowing. New York, NY: John Wiley & Sons, Inc., 2002. • Wilson JR: I-Can’t-Chew Cookbook: Delicious Soft-Diet Recipes for People With Chewing, Swallowing, or DryMouth Disorders. Alameda, Calif: Hunter House, Inc., 2003.

Books •

American Cancer Society’s Healthy Eating Cookbook: a Celebration of Food, Friends, and Healthy Living. 3rd ed. Atlanta, GA: The American Cancer Society, 2005.

March 2015

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—continued from page 4

The projected numbers from the study were particularly alarming: the incidence of both colon cancer and rectal cancers in people over 50 will decrease by 23.2% • Byand2020, 41.1% in 2030 2020 the incidence of colon cancer in people over 34-49 will increase by 13% and increase 27.2% by 2030 the • Byincidence of rectal cancer in this same group will increase by 21% in 2020 and 46% in 2030. 2020 the incidence of colon cancer in 20-34 year olds will increase by 37.8% and by 90% in 2030. The incidence • Byof rectal cancer in this same age group will increase by 49.7% in 2020 and by a whopping 124.4% in 2030. If these trends continue, the numbers will be astounding. By 2030, 10.9% of all colon cancers and 22.9% of rectal cancers will be diagnosed in patients younger than 50, the recommended screening age. By comparison, in 2010, 4.8% of colon cancers and 9.5% of rectal cancers were diagnosed in patients under the age of 50.

At the annual meeting (Oct. 2014) of the American College of Gastroenterology, a study presented found that from 2000 to 2011, the number of new young onset colon cancer diagnoses has been increasing 1.4% every year, while numbers have decreased 3.1% annually for those diagnosed with this disease over age 50. Researchers discovered that males under age 50 are at a higher risk than females in this age category; and those of African American and Hispanic descent are at a higher risk than their white counterparts. The study also shows that young onset colon cancer patients are more likely to be diagnosed with advanced stage cancer, with larger tumors and the location of these tumors in the left side of the colon, which are more difficult to see during screening. 6

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March 2015

—continued from page 6

Screening is the number one way you can reduce your risk of colon cancer. Despite its high incidence, colon cancer is unique in that it is one of the most preventable and— if found early—most treatable forms of cancer. And the best part is, screening is easy. From colonoscopy to at-home stool tests, there’s an option for everyone. If you’re over 50, high risk or symptomatic, don’t put it off. Talk to your doctor about getting checked! In late October 2014, the Centers for Medicare & Medicaid Services (CMS) issued its final National Coverage Decision for Cologuard, making it the first FDA-approved stool DNA test for the detection of colon cancer and precancer covered for Medicare patients throughout the country. This came after the US FDA approval of Cologuard in August. You may have heard some initial buzz about Cologuard’s availability to the public. It turns out some of these firstreleased facts were incorrect. In order to eliminate any confusion around this new colon cancer screening test, here’s the latest FAQ updates: I have Medicare. Is Cologuard now covered under my insurance? Yes, on October 9, 2014 the Centers for Medicare & Medicaid issued a final determination and declared that Cologuard would be covered immediately for those on Medicare. Speak with your medical professional to determine if Cologuard is right for you.

I have insurance through another provider. Is Cologuard now covered for everyone? No, Cologuard is not yet covered by private insurance. Exact Sciences, the maker of Cologuard, is actively working to get Cologuard approved for coverage by private insurance. We currently do not know when this will become effective. Even though Cologuard is not covered by private insurance, can I still reach out to my insurance provider to see if they would approve the Cologuard test for me? Yes, you may reach out to your insurance provider to determine if they would approve the request. Exact Sciences offers a program called Cologuard Assurance that will help you with this process. This program will work with your insurance provider to request coverage of Cologuard. If your insurance company approves coverage of the test, you will be required to submit a $50 copay. If your insurance company denies the request, you will be required to pay $599, the full-cost of the Cologuard test. What medical facilities/providers offer Cologuard? Cologuard is available through medical providers across the US. Speak with your medical professional to determine if they offer this test and if this test is right for you. Visit cologuardtest.com or call their Customer Support Center at 1-844-870-8870 for more information. The Colon Cancer Alliance http://ccalliance.org serves as a source of information about colon health. If you have additional questions about colon cancer screening or are in need of support, please contact their free Helpline at (877) 422-2030. Additional contact information for colon cancer references is listed on page 17.

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Family and Cosmetic Dentistry HughesDentalOnLine.com The ‘Root’ Causes? Not Not so so much much from from th the he experience experience of of pain, pain, bbut ut tthe he la lack ack ooff ccontrol ontrol that patients have lying prone prrone in the chair. chair airr. The dentist, ho hovering vering over over tthem, hem, hhands ands iinn creates where hardly ven rrespond espond and they ffeel mouth, cr reates a situation wher re they can har rdly talk or eeven eel helpless. helpless. Consequences of this pr problem roblem may ggoo ffar ar beyond dental pain or lost ostt teeth. eeethh. MERCURY M E RC U RY Gum G um Disease Disease isis a serious serious infection infeccttion that that can can affect affffect other other parts parttss ooff tthe he body. body. SStudies tuudiesFFREE lillink iRnEkEiitt to illnesses lik like kee heart heart disease, disease, stroke strrok okke and diabetes diabetes.. We We specializ specialize zee in fearful fearful e patients patients. ients PRACTICE PR ts AsCT C. I C E 10 W William illiam PPope ope Dr Dr., ., Suite 2, Ok Okatie atie (near Sun City) 843 705-7066

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10 1 2 3 4 5

Ways to Curb

Hidden Allergens at Home

6 7 8 9 10

Avoid smoke particles

Wash bed linens and curtains

skip the wood–burning fireplace and don’t smoke inside

reduce allergens in the air

Keep pets out of the bedroom

Humidity levels matter

limit dander in your sleeping area

too much moisture increases mold and dust mites

Take off your shoes avoid tracking in allergens

Use HEPA filters use them in vacuum and furnace

Avoid scenting your home room sprays, scented candles and oils can trigger allergies

Use solid flooring like tile, wood and linoleum they are easiest to keep clean

When buying furniture avoid cloth material and look for easy–to–clean surfaces

Use exhaust fans in kitchen and bathroom lessen cooking fumes and moisture

njhealth.org 1.800.222.LUNG (800.222.5864) © National Jewish Health, 2013

Ready or Not, Spring Allergy Season is Here Beginning those medications now can help lessen the severity of your symptoms later.

For many of you, the allergy season is already underway Trees begin spreading pollen before leaves appear on their branches. Grass and weeds will begin pollinating later in the year.

Stay consistent. Take your medications

“Most people associate the beginning of allergy season with flowering trees and plants, but the allergy season begins much earlier, when buds on otherwise bare trees begin releasing their pollen,” said Kirstin Carel, MD, assistant professor of pediatrics at National Jewish Health. “People who suffer from tree allergies may already be experiencing symptoms and should begin taking steps now to minimize them.” Dr. Carel offers advice on steps you can take now to get ahead of the spring allergy season.

Know exactly what you are allergic to. See an allergist and have testing done to determine which pollens or other items (molds, pets, etc.) that you are allergic to. Specifically knowing what you are allergic to can help your allergist tailor your treatment plan.

Start your allergy medications now. Whether you take nasal sprays and/or oral medication, begin taking your allergy medications now before your symptoms start. 8

as prescribed.Consistently taking your medications will work much better, rather than used only as urgent relief.

Nasal washes can be very helpful. Many people with allergic rhinitis, allergic asthma, or other lung problems also have nasal and sinus symptoms. Drainage from your nose and sinuses can make rhinitis and asthma worse, especially at night. A salt water nasal wash, or nasal irrigation, can help reduce this. View the updated nasal wash guidelines at http://www.nationaljewish.org/healthinfo/medications/lungdiseases/alternative/nasal-wash-update/

Monitor pollen counts. Know the pollen counts (http://www.nationaljewish.org/healthinfo/lifestyle/pollencount/) each day. On high pollen count days keep your windows closed to minimize exposure to pollens. If you have been outdoors a lot, showering before going to bed can go a long way toward helping you get a good night’s sleep .Source: http://www.nationaljewish.org

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March 2015

—continued from previous page

Allergenics

FDA approves first sublingual allergen extract for the treatment of certain grass pollen allergies

The Center for Biologics Evaluation and Research (CBER) regulates allergenic products. There are currently three types of allergenic products licensed for use: allergen extracts, allergen patch tests, and antigen skin tests.

The U.S. Food and Drug Administration recently approved Oralair* to treat allergic rhinitis (hay fever) with or without conjunctivitis (eye inflammation) that is induced by certain grass pollens in people ages 10 through 65 years. Oralair is the first sublingual (under the tongue) allergen extract approved in the United States.

Allergen extracts are used for the diagnosis and/or treatment of allergic diseases such as allergic rhinitis (“hay fever”), allergic sinusitis, allergic conjunctivitis, bee venom allergy and food allergy. Currently, there are two types of licensed allergen extracts: • Injectable allergen extracts are used for both diagnosis and treatment and are sterile liquids that are manufactured from natural substances (such as molds, pollens, insects, insect venoms, and animal hair) known to elicit allergic reactions in susceptible individuals. Injectable allergen extracts for food allergies are used only for diagnostic purposes. Among the injectable allergen extracts, some are standardized; for these products there is an established method to determine the potency (or strength) of the product on a lot-by-lot basis. For the other injectable allergen extracts there is no measure of potency, and these are called “non-standardized.” • Sublingual allergen extract tablets are used for treatment only and are also derived from natural substances known to elicit allergic reactions in susceptible individuals, and are intended for the treatment of allergic rhinitis with or without allergic conjunctivitis. Allergen patch tests are diagnostic tests applied to the surface of the skin. Patch tests are used by healthcare providers to determine the specific cause of contact dermatitis, and are manufactured from natural substances or chemicals (such as nickel, rubber, and fragrance mixes) that are known to cause contact dermatitis. Antigen skin tests are diagnostic tests injected into the skin to aid in the diagnosis of infection with certain pathogens. http://www.fda.gov/BiologicsBloodVaccines/Allergenics/

d n cs i t a n l o d s o I d EnPeter Murphy, DDS, MS S ea State of the Art Facility Specializing in Root Canals

“While there is no cure for grass pollen allergies, they can be managed through treatment and avoiding exposure to the pollen,” said Karen Midthun, M.D., director of the FDA’s Center for Biologics Evaluation and Research. “The approval of Oralair provides an alternative to allergy shots that must be given in a health care provider’s office. Oralair can be taken at home after the first administration.” Oralair contains a mixture of freeze-dried extracts from the pollens of five grasses, including Kentucky Blue Grass, Orchard, Perennial Rye, Sweet Vernal and Timothy. The safety and effectiveness of Oralair was evaluated in studies in the United States and Europe, involving approximately 2,500 people. During treatment for one grass pollen season, patients taking Oralair experienced a 16 to 30 percent reduction in symptoms and the need for medications compared to those who received a placebo. The prescribing information includes a boxed warning that severe allergic reactions (such as anaphylaxis, which can be life-threatening) can occur. Oralair also has a medication guide for distribution to the patient. The most common adverse reactions reported by adults were itching in the ears and mouth and of the tongue, as well as swelling of the mouth and throat irritation. In children, the most commonly reported adverse reactions were itching and swelling in the mouth and throat irritation. *Oralair is manufactured by Stallergenes S.A. of Antony, France.

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March 2015

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Assessing the health of your community Have you wondered about—wanted to know more about—how the healthcare in our region compares to the rest of our nation? The Community Health Status Indicators (CHSI) 2014 is an online web application that produces health status profiles for each of the 3,143 counties in the United States and the District of Columbia.

The Community Health Status Indicators (CHSI) CHSI 2015 Overview: Promoting healthier communities is greatly enhanced by information on the health status of the population and information on the range of modifiable factors associated with health. Each county profile contains 67 indicators of health outcomes (mortality and morbidity) and health associated factors (health care access and quality, health behaviors, social factors, physical environment); more than 300 unique measures including health outcome indicators by subpopulations (e.g., race and ethnicity) and Healthy People (HP) 2020 targets; and seventeen measures of important demographic characteristics. A key feature of CHSI 2015 is the ability for users to compare the value of each indicator with those of demographically similar “peer counties,” as well as to the U.S. as a whole, and to Healthy People 2020 targets. You can acces the CHSI web site at http://wwwn.cdc.gov/CommunityHealth/homepage.aspx

CHSI 2015 Features: Summary Comparison Report provides an “at a glance” summary of how your county compares with peer counties on the full set of primary indicators. Key indicators are presented as Better, Moderate, or Worse in comparison with their peer counties. Peer county values for each indicator were ranked and then divided into quartiles. These comparisons, while visually helpful, do not necessarily represent statistically significant differences between counties. Here are the key columns: • Indicators in the Better category (green circle) fall into the most favorable quartile compared to peers. • Indicators in the Moderate category (yellow diamond) fall into the middle two quartiles. • Indicators in the Worse category (red square) fall into the most unfavorable quartile.

These three chart images are samples of the individual County pages available at the CHSI site. These, and other regional community charts, can be downloaded as pdfs for your further review. Go to the web site, (address at left), enter the state and county you wish to view.

—continued on page 11

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March 2015

Healthy People 2020 Leading Health Indicators Progress Update: The Healthy People 2020 Leading Health Indicators (LHIs) are a select subset of 26 Healthy People 2020 objectives chosen to communicate high-priority health issues. Overall, progress generally has been positive toward achieving these targets through the first third of the decade. Fourteen of the 26 indicators (53.9%) have either met their target or shown improvement: 4 indicators (15.4%) have met or exceeded their Healthy People 2020 targets. 10 indicators (38.5%) are improving. 8 indicators (30.8%) show little or no detectable change. 3 indicators (11.5%) are getting worse. 1 indicator (3.8%) has only baseline data.

Choose a Leading Health topic below for a summary on progress toward the indicators at http://www.healthypeople.gov/2020/leading-healthindicators/Healthy-People-2020-Leading-HealthIndicators%3A-Progress-Update We encourage you to visit our web site at www.caremagazine.com, and click on “view current issue”. You can then go to this page and access the link to all the regional Community Health Status Indicators (CHSI) reports. March 2015

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ALLAN D. LIEBERMAN, M.D., F.A.A.E.M. WILLIAM J. WEIRS, M.D., F.A.A.E.M. BETTINA HERBERT, M.D., F.A.A.P.M.R, I.F.M.C.P.

Prevent Drug Abuse Abuse of drugs, including tobacco and alcohol, kills more than half a million Americans each year. They die from overdoses, accidents, illness, and other causes. Drug abuse keeps people from having the best lives they can. Drug abuse can hurt your health, your ability to work, and your relationships. The best protection from the dangers of drugs is to not start in the first place. • Know the facts about drugs and addiction • Talk with your children and keep up with this conversation! • Keep your home safe: - Put your medicines in a safe place. Make sure they can’t be taken by others. - Keep track of cleaners, spray cans, and other stuff in the house that could be inhaled to get high.

A drug is a chemical substance that can change how your body and mind work. Drugs of abuse are substances that people use to get high and change how they feel. They may be illegal drugs like pot, cocaine, or heroin. Or they may be legal for adults only, like alcohol and tobacco. Medicines that treat illness can also become drugs of abuse when people take them to get high—not because they’re sick and following their doctor’s orders. People can even abuse cough or cold medicines from the store if they ignore the Source: http://www.drugabuse.gov/ directions and take too much at one time.

What Is Addiction? Addiction is a disease, just as diabetes and cancer are diseases. Addiction is not simply a weakness. People from all backgrounds, rich or poor, can get an addiction. Addiction can happen at any age, but it usually starts when a person is young. When a drug user can’t stop taking a drug even if he wants to, it’s called addiction. The urge is too strong to control, even if you know the drug is causing harm. When people start taking drugs, they don’t plan to get addicted. They like how the drug makes them feel. They believe they can control how much and how often they take the drug. However, drugs change the brain. Drug users start to need the drug just to feel normal. That is addiction, and it can quickly take over a person’s life. Addiction can become more important than the need to eat or sleep. The urge to get and use the drug can fill every moment of a person’s life. The addiction replaces all the things the person used to enjoy. A person who is addicted might do almost anything— lying, stealing, or hurting people—to keep taking the drug.

Effects of Drug/Alcohol Abuse Drug and alcohol abuse hurts the people who take drugs and/or alcohol AND the people around them, including families, kids, and babies who aren’t yet born. Drug abuse hurts the body and the brain, sometimes forever. Treatment works. It helps people recover from addiction. See Regional Support Groups on page 24 for Substance Abuse agencies offering help. 12

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March 2015

Signs and Symptoms of Drug Abuse The use and abuse of drugs are serious issues that should not be ignored or minimized and we should not sit back and hope they just go away. If left untreated, use and abuse can develop into drug dependence. As a result, it is important to recognize the signs and symptoms of drug abuse early. If you’re worried that a friend or family member might be abusing drugs, here are some of the warning signs to look for: Physical and health warning signs of drug abuse - Eyes that are bloodshot or pupils that are smaller or larger than normal. - Frequent nosebleeds—could be related to snorted drugs (meth or cocaine). - Changes in appetite or sleep patterns. Sudden weight loss or weight gain. - Seizures without a history of epilepsy. - Deterioration in personal grooming or physical appearance. - Injuries/accidents and person won’t or can’t tell you how they got hurt. - Unusual smells on breath, body, or clothing. - Shakes, tremors, incoherent or slurred speech, impaired or unstable coordination. Behavioral signs of drug abuse - Drop in attendance and performance at work or school; - Loss of interest in activities; decreased motivation. - Complaints from co-workers, supervisors, teachers or classmates. - Unusual or unexplained need for money or financial problems; - Borrowing or stealing; missing money or valuables. - Silent, withdrawn, engaging in secretive or suspicious behaviors. - Sudden change in relationships, friends, favorite hangouts, and hobbies. - Frequently getting into trouble (arguments, fights, accidents, illegal activities). Psychological warning signs of drug abuse - Unexplained change in personality or attitude. - Sudden mood changes, irritability, angry outbursts or laughing at nothing. - Periods of unusual hyperactivity or agitation. - Lack of motivation; inability to focus, appearing lethargic or “spaced out.” - Appearing fearful, withdrawn, anxious, or paranoid, with no apparent reason. - Domestic disputes; driving under the influence.

What is the difference between alcoholism and alcohol abuse? Not all alcohol abusers develop alcohol dependence or alcoholism, but it is a major risk factor. Sometimes alcoholism develops suddenly in response to a genetic predisposition from a family history of alcoholism or due to a stressful change, such as a breakup, retirement, or another loss. Other times, it gradually creeps up on you as your tolerance to alcohol increases. If a person is a binge drinker or drinks every day, the risks of developing alcoholism are even greater.

Signs and Symptoms of Alcoholism Alcoholism involves all the symptoms of alcohol abuse, but also involves another element: physical dependencetolerance and withdrawal. 1. Tolerance: Tolerance means that, over time, more alcohol is needed to feel the same effect. 2. Withdrawal: As the effect of the alcohol wears off anxiety or jumpiness; shakiness or trembling; sweating, nausea and vomiting, insomnia, depression, irritability, fatigue or loss of appetite and headaches may manifest. 3. Loss of Control: Drinking more, for longer than intended, or despite not wanting to. 4. Desire to Stop: But can’t. 5. Neglecting Other Activities: Spending less time on activities that used to be important (to self, friends, family). 6. Alcohol Takes Up Greater Time, Energy and Focus: Spend a lot of time drinking, thinking about it, or recovering from its effects. 7. Continued Use Despite Negative Consequences: but continue to drink. March 2015

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Professional Forum

news from, about + for our regional healthcare professionals

Beaufort Memorial announces affiliation agreement with MUSC Health Agreement is designed to expand availability of specialty services BMH will offer locally Beaufort Memorial Hospital (BMH) has announced a clinical affiliation with the Medical University of South Carolina (MUSC). Terms of the agreement are being defined, according to BMH President and CEO Rick Toomey, but the overall intent is to expand access to care throughout the Lowcountry by creating a stronger relationship with the state’s only academic medical center. In collaboration with local care providers, MUSC Health develops and implements innovative models of care delivery with the common goal of enhancing the health of all South Carolinians. Annually, thousands of Beaufort County residents benefit from innovative, integrated care provided by our local care givers and MUSC Health.

MUSC College of Nursing earns top spot U.S. News & World Report names online nursing program as best in country The MUSC College of Nursing’s online graduate nursing program has earned the top spot on U.S. News & World Report’s 2015 Best Online Graduate Nursing Programs. The public nursing school received a perfect score of 100 and earned high marks for faculty training and student engagement. To view the rankings, visit http://www.usnews.com/education/onlineeducation/nursing.

Nurse Practitioner Specializing in Gastroenterology Joins Beaufort Memorial Lowcountry Medical Group Bonnie Mohler, an experienced nurse practitioner specializing in gastroenterology, has joined Beaufort Memorial Lowcountry Medical Group. She will assist boardcertified gastroenterologists Drs. John Crisologo and Richard Stewart, helping ease the demand for GI services in the greater Beaufort area. A graduate of Kent State University with a Bachelor of Science degree in Nursing, Mohler worked for eight 14

years in the intensive care unit at two different Ohio hospitals. She went on to receive her master’s degree from the University of Akron, earning certification as a nurse practitioner in 2006. To schedule an appointment with Mohler or any of the other health care providers, call 843-770-0404.

Beaufort Memorial Hospital Hires Lactation Consultant for Its Birthing Center Pamela Ehret, an International Board Certified Lactation Consultant, will visit patients following delivery to coach them along through their first feedings, answer questions and help with any issues that may arise during their hospital stay. Once they’re home, nursing mothers can call her 24/7 on a “warm line” at 843-441-4586. “We don’t call it a ‘hot line’ because it doesn’t need to be an emergency to call,” Ehret said. “No question is too small.” From 1998 to 2011 she served as District Lactation Program coordinator for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), managing all breast-feeding activities for the Chatham County Health Department. A licensed practical nurse (LPN), Ehret started her career as a staff nurse in the mother/baby unit of an Ohio hospital. In 1992, she was hired as a staff lactation consultant at Memorial Health University Medical Center in Savannah. She has been a frequent presenter at Georgia State Breastfeeding Committee biannual meetings and guest speaker at breast-feeding conferences throughout Georgia. In addition to helping new moms at the BMH Birthing Center, Ehret will be teaching two prenatal breastfeeding classes for patients of Beaufort Memorial Obstetrics & Gynecology Specialists, the hospital’s OB-GYN practice. The American Academy of Pediatrics recommends breast-feeding exclusively for the first six months of a baby’s life, followed by breastfeeding in combination with the introduction of solid foods until at least 12 months of age. For more information on Beaufort Memorial’s Birthing Center services, visit beaufortmemorial.org or call 843-522-5112.

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March 2015

South Carolina’s largest hospice is proud to call the Lowcountry home! Let Agapé Hospice, along with the expertise and resources of Agapé Senior, help you and your family during your greatest time of need.

For Every Reason... For Every Family...

We Will Be There.

1-800-411-AGAPÉ (1-800-411-2427)

Please SUPPORT the

JOURNEY OF HOPE 2015 A three-month, trans-America volunteer cycle journey to raise funds for people across our nation with disabilities.

• 123,953 people are waiting for an organ

to DONATE go to: http://support.pushamerica.org/ goto/JOH2015mattmozzo

• 18 people will die each day waiting for an organ

All donations are tax-deductible

Why Organ, Eye, and Tissue Donation?

• 1 organ donor can save up to 8 lives

March 2015

Journey of Hope is a registered event of The Ability Experience, a 501(c)(3) nonprofit organization. For a list of grants available from this organization, visit www.pushamerica.org/PushAmericaResources.aspx?id=1269 www.caremagazine.com

Regional Hospitals, Centers and Clinics

BEAUFORT–JASPER–HAMPTON COMPREHENSIVE HEALTH SERVICES www.bjhchs.com

PORT ROYAL Port Royal Medical Center, 843-986-0900 ST. HELENA ISLAND Leroy E. Browne Medical Center, 843-838-2086 CHELSEA Ruth P. Field Medical Center, 843-987-7400 HARDEEVILLE Donald E. Gatch Medical Center, 843-784-2181 HAMPTON 200 ELM St.,803-943-2233 RIDGELAND Ridgeland Family Medical Center, 843-726-3979 SHELDON Elijah Washington Medical Center, 843-846-8026 ESTILL Estill Medical Center, 803-625-2548

BEAUFORT MEMORIAL HOSPITAL www.bmhsc.org

BEAUFORT

995 Ribaut Road, 843-522-5200

KEYSERLING CANCER CENTER: (Affiliated with Duke University Medical Center)

PORT ROYAL

1680 Ribaut Road, 843-522-7800

COASTAL CAROLINA HOSPITAL www.coastalhospital.com

HARDEEVILLE 1000 Medical Center Drive, 843-784-8000

HAMPTON REGIONAL MEDICAL CENTER www.hamptonregional.com

VARNVILLE

HILTON HEAD HOSPITAL www.HiltonHeadRegional.com

HILTON HEAD ISLAND 25 Hospital Center Blvd., 843-681-6122

MUSC–Medical University of South Carolina www.MUSChealth.com

CHARLESTON

171 Ashley Avenue, 843-792-1414

HOLLINGS CANCER CENTER at MUSC http://hcc.musc.edu

CHARLESTON

86 Jonathan Lucas Street, 843-792-0700

SURGERY CENTER of Beaufort www.BeaufortSurgery.com

BEAUFORT

1033 Ribaut Rd., 843-322-5800

US NAVAL HOSPITAL www.nhbeaufort.med.navy.mil

BEAUFORT

1 Pickney Blvd, 843-228-5600

SCDHEC PUBLIC HEALTH REGION 8 REGION 8 HEADQUARTERS www.scdhec.net/health

BEAUFORT

1407 King St., 843-525-7603

CHILDREN WITH SPECIAL HEALTH CARE NEEDS

BEAUFORT

843-525-4080

GOOD NEIGHBOR MEDICAL CLINIC gnmc1402@embarqmail.com

BEAUFORT

30 Professional Village Dr., 843-470-9088

PREGNANCY CENTER & CLINIC OF THE LOWCOUNTRY- FREE prenatal care through 16 weeks

HILTON HEAD ISLAND 843-689-2222 www.pregnancycenterhhi.org

MEMORIAL UNIVERSITY MEDICAL CENTER www.memorialhealth.com

SAVANNAH, GA 4700 Waters Avenue, 912-350-8000

ST. JOSEPH/CANDLER HOSPITAL SYSTEM www.sjchs.org

SAVANNAH, GA St. Joseph's Campus: 11705 Mercy Blvd., 912-819-4100 Candler Campus: 5353 Reynolds St., 912-819-6000 www.caremagazine.com

503 Carolina Avenue W., 803-943-2771 or 800-575-1435

March 2015

Find More Information about

Colorectal Cancer • Colorectal Cancer http://preventcancer.org/prevention/preventable-cancers/ colorectal-cancer/ Prevent Cancer Foundation, Colorectal Cancer Awareness Month Sponsor • Your Medicare Coverage: Colorectal cancer screenings http://www.medicare.gov/coverage/colorectal-cancerscreenings.html Center for Medicare & Medicaid Services • Basic Information About Colorectal Cancer http://www.cdc.gov/cancer/Colorectal/basic_info/ Centers for Disease Control and Prevention • Colorectal Cancer Screening Saves Lives [PDF – 2 MB] http://www.cdc.gov/cancer/colorectal/pdf/SFL_brochure.pdf Centers for Disease Control and Prevention • Colorectal Cancer Control Program http://apps.nccd.cdc.gov/dcpc_Programs/default.aspx?NPID=4 Centers for Disease Control and Prevention • Personal Stories About Screening for Colorectal Cancer http://www.cdc.gov/cancer/colorectal/basic_info/stories.htm Centers for Disease Control and Prevention • Get Your Colorectal Cancer Screening Today [PDF – 1 MB] http://www.apiahf.org/sites/default/files/CD-Toolkit062009.pdf Asian & Pacific Islander American Health Forum • Tests to Detect Colorectal Cancer and Polyps: Fact Sheet http://www.cancer.gov/cancertopics/factsheet/Detection/ colorectal-screening National Institutes of Health, National Cancer Institute • What I Need to Know About Colon Polyps http://digestive.niddk.nih.gov/ddiseases/pubs/colonpolyps_ez/ National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, National Digestive Diseases Information Clearinghouse • Cancer and African Americans http://minorityhealth.hhs.gov/templates/content.aspx?ID= 2826 Department of Health and Human Services, Office of Minority Health Colorectal Cancer, Catch It Early, Get Screened! http://minorityhealth.hhs.gov/templates/content.aspx?ID =4952&lvl=3&lvlID=316 Department of Health and Human Services, Office of Minority Health March 2015

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RegionPulse

healthy news + community happenings

Optimize your brain March 12 at the Hilton Head Beach and Tennis Resort

It’s time to take better care of yourself, starting with your brain. Get your tickets today and attend this conference hosted by Memory Matters, featuring Dr. Paul Nussbaum, author of the national bestselling book “Save Your Brain”, named one of the top five brain fitness books/DVD’s by AARP. Dr. Paul Nussbaum, PhD and co-founder of the popular online program Fit Brain, (recently purchased by Rosetta Stone) has presented his views on brain health at the United Nations, National Press Conference, CSPAN and now Hilton Head Island. Dr. Nussbaum educates the general public on the basics of the human brain and how to keep the brain healthy over the entire lifespan.

We are all concerned about improving our memory but what if you could not forget anything? Sean Conlon remembers every detail about things that have happened throughout his life. According to leading neurobiologists at the University of California, Sean possesses an extraordinarily rare ability called Highly Superior Autobiographical Memory (HSAM). First documented in 2000, researchers have since identified fewer than 100 people in the world with this little understood condition. Dr. Nussbaum will engage in a lively conversation with Sean to learn about how this condition affects his daily life. In addition, Memory Matters will be conducting a mini Brain Boosters class at this event. This 10 week class is offered at Memory Matters three times a year. Signing up for the spring class at this event would be a great way to get you started on the road to developing habits to keep your brain operating at optimum capacity. Over 20 vendors specializing in offering information and products to help promote a healthy lifestyle will be available throughout the day. Dr. Nussbaum’s book will be available for sale and he will be doing a book signing.

Tickets are $65.00 and include lunch. They are available at Memory Matters, 117 William Hilton Parkway, Hilton Head Is.,

(843) 842-6688 Register now and let your adventure begin!

During Red Cross Month in March, you can help create everyday heroes in our community by reminding the public that it doesn’t take a cape or superpowers to help save lives. All it takes is a blood or platelet donation. The American Red Cross is recognizing everyday heroes during Red Cross Month and asking others to become part of the Red Cross mission. Every two seconds someone in America requires blood. Heroes of all blood types are needed to help save lives one pint at a time. Please visit RedCross.org to learn more.

Pledge received to help 5 local Veterans with PTSD/TBI” Braincore of the Lowcountry is offering a option for those suffering from PTSD and Traumatic Brain Injury. BrainCore Neurofeedback is a cutting edge technology which teaches one to retrain the brain to produce balanced brainwave patterns. A “matching donor” has pledged to assist with half the investment to provide for five local Veteran heroes to participate in the program this year. The approach is painless, drugless, non-invasive, has no harmful side effects and creates permanent change. The company is now seeking five Veterans in need, to take advantage of this pledge and additional contributions for our donor to match. The results will be published in a “Study” format to further provide scientific support for Neurofeedback and PTSD/TBI. Contact Dianne Kosto at BrainCore.Dianne@gmail.com to inquire if you, or someone you know, may qualify as a candidate to receive BrainCore Neurofeedback. Further information is available at www.braincoreofthelowcountry.com, or call 1-844-272-4666. 18

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March 2015

Gardening is a healthy activity that can be enjoyed by people of all ages. An edible garden can be started in a small area or in pots. It’s important that you learn which plants are edible and ensure that chemical sprays are not used on the plants that you are going to eat. Gardening provides exercise, relaxation, fresh food and enjoyment. Wear sunscreen and protective clothing including a hat, correct footwear and gloves. Take regular breaks and do stretches to avoid stiffness. Gardening has many health and therapeutic benefits and can be very enjoyable. It’s an activity that everyone can enjoy. People with disabilities, seniors and children can find it especially rewarding to spend time in the garden tending plants and growing their own food. With some planning and thought, you can create an interesting, productive and pleasant space that can be used as an edible garden. An edible garden does not have to be large. Your garden can start small with a few pots and containers or even just a window box with a few suitable cuttings or herbs.

Benefits of growing an edible garden Research shows that gardening is a healthy activity. Working in the garden provides benefits that include: Enjoyment – from the physical activity Exercise – physical activity improves your endurance, strength, mobility and flexibility Relaxation – helps you relax and reduce stress levels Fresh food – provides you and your family with a healthy source of inexpensive fresh food. Appreciation of food growing – provides an appreciation of foods and their origin. Grow things you can eat An edible garden is a garden that contains flowers, herbs, seeds, berries and plants that you can eat. Flowers and herbs can be used in salads, add flavor to cooked dishes, be made into teas or used as a garnish. Plants, vegetables and fruits can be eaten raw or cooked. Everything you pick to eat should be washed carefully. Only eat flowers in salads if they are organically grown and free of pesticides and other garden sprays. Be aware that some flowers, seeds and leaves can be toxic.

Protect yourself when you’re gardening When you’re gardening outdoors, there are a few safety tips that you should follow. These include: ❃ Wear sunscreen and protective clothing including a hat, correct footwear and gloves. ❃ Warm up, bend and stretch before you start. ❃ Take regular breaks and don’t forget to stretch and change position often. ❃ Bend at the knees and don’t strain when lifting heavy objects. ❃ Drink plenty of water especially in warm weather. ❃ Store garden tools and equipment safely. ❃ Observe safety instructions when using potting mix, any sprays or fertilizers.

Things to remember ❃ Gardening is a healthy activity that can be enjoyed by people of all ages. ❃ An edible garden can be started in a very small area or in containers or pots. ❃ Make sure your plants are nontoxic varieties and are edible. ❃ Don’t use chemical sprays or fertilizers in your edible garden. March 2015

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care TALK

capsules of helpful health information

New online help for cancer patients and caregivers A new tool that allows cancer patients and caregivers to put health in their own hands is now available online. Those living with cancer and caregivers can turn to iCancerHealth (http://www.medocity.com/#icancer help), to begin a helpful health routine in 2015. management iCancerHealth is a patient-centric iOS application that makes it easier to manage healthcare at home—serving as a virtual-at-home assistant nurse that ultimately improves upon their quality of life and make it easier to track symptoms.

FDA Warns People with Peanut Allergies to Consider Avoiding Ground Cumin People with severe allergies to peanuts should be extra cautious not to consume food with cumin powder or ground cumin (e.g., as a spice or as an ingredient in seasoning mixes), the FDA recently warned. Some products containing cumin have tested positive for undeclared peanut protein. The FDA recommends that consumers with peanut allergies and their caregivers read ingredient panels when shopping, and call manufacturers to see if products that contain unnamed “spices” have any cumin powder in them. Products, such as soups or chilies that contain only small amounts of the affected ground cumin may not contain enough peanut protein to trigger a reaction in most peanutallergic people. However, people who are highly sensitive to peanuts may consider avoiding products that list “cumin.” If symptoms of an allergic reaction, such as shortness of breath, swelling of the lips, tongue or throat, or hives, occur, stop eating the product and seek immediate medical care or advice. —By Kristin J. Kelley, JWatch.org

How Much Sleep Should You Be Getting? New Recommendations on Sleep Duration The National Sleep Foundation has made recommendations for sleep duration for various age groups based on a literature review by an expert panel. The following recommendations on sleep durations for healthy people without sleep disorders were published in Sleep Health: Newborns: 14–17 hours a day (previous recommendation: 12–18 hours) Infants: 12–15 hours (previously, 14–15) Toddlers: 11–14 hours (previously, 12–14) Preschoolers: 10–13 hours (previously, 11–13) School-aged children: 9–11 hours (previously, 10–11) Teenagers: 8–10 hours (previously, 8.5–9.5) Young adults (up to age 25): 7–9 hours Adults (26–64 years): 7–9 hours Older adults (65+): 7–8 hours The document also includes a wider range of sleep duration that “may be appropriate” (versus “recommended”) for some individuals in each age group (e.g., 11–19 hours in newborns). – By Kelly Young, JWatch.org

Nutritional Formulas Associated with Improved Pressure Ulcer Healing Oral supplements enriched with arginine, zinc, and antioxidants are associated with improved healing of pressure ulcers in malnourished patients, according to an Annals of Internal Medicine study. Some 200 malnourished adults in long-term care who had stage II-IV pressure ulcers were randomized to consume either 400 mL of a supplement containing arginine, zinc, and antioxidants (500 kilocalories and 40 grams of protein per dose) or a www.caremagazine.com

control formula that wasn’t enriched with arginine, zinc, or antioxidants. All patients received optimal wound care. After 8 weeks, the mean reduction in pressure ulcer size was 61% in the enriched supplement group versus 45% in the control group. Some 70% of patients who drank the enriched supplement—versus just 54% of controls—experienced a 40% or greater reduction of pressure ulcer size. The authors conclude that nutritional interventions “should be considered an integral part” of pressure ulcer care. –By Jenni Whalen, JWatch.org

Exposure to mercury in seafood associated with increased risk factor for autoimmune disease For women of childbearing age, who are at particular risk of developing a type of autoimmune disease, it may be especially important to keep track of seafood consumption. One of the greatest risk factors for autoimmunity among women of childbearing age may be associated with exposure to mercury such as through seafood, a new University of Michigan study says. The findings found that mercury— even at low levels generally considered safe—was associated with auto-immunity. Autoimmune disorders, which cause the body’s immune system to attack healthy cells by mistake, affects nearly 50 million Americans and predominately women. Autoimmune disease—which can include such conditions as inflammatory bowel disease, lupus, Sjögren’s syndrome, rheumatoid arthritis and multiple sclerosis—is among the 10 leading causes of death among women. Many fish consumption recommendations are aimed at pregnant women, those who may become pregnant, nursing moms and young children. The Food and Drug Administration (FDA) and the Environmental Protection Agency (EPA) say pregnant women can safely eat up to 12 ounces (340 grams) of seafood a week. Fish such as swordfish, king mackerel and tilefish contain the highest levels of mercury, while shrimp, canned light tuna and salmon have lower levels. March 2015

Regional Blood Drives March 2015 Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID

Saturday, April 04 The Link Wardle Family YMCA 1801 Richmond Avenue

The Blood Alliance For appointments, please call

LOWCOUNTRY Fixed Site Donor Center 1001 Boundary St., Suite A

Thursday, March 05 Riverview Charter School 81 Savannah Highway

DATAW ISLAND

843-522-0409 or, use free app at iDon8

Monday, March 30 Dataw Community 100 Marina Dr. Portable Activities Room

BEAUFORT

HARDEEVILLE

Friday, March 06 Beaufort County Government Center 106 Ribaut Rd Bloodmobile

Thursday, March 12 Coastal Carolina Hospital 1000 Medical Center Drive

Tuesday, March 31 Beaufort High School 85 Sea Island Parkway Monday, March 02 Technical College of the Lowcountry 921 Ribault Rd Tuesday, March 03 Joint Rotary Drive - Quality Inn 2001 Boundary Street Wednesday, March 04 Beaufort Academy 240 Sam's Point Road

PORT ROYAL

BLUFFTON Friday, March 27 CareCore National 400 Buckwalter Place Blvd.

HILTON HEAD ISLAND Tuesday, March 17 Hilton Head Hospital 25 Hospital Center Blvd. Monday, March 09 Sea Pines Community Center 71 Lighthouse Road

FACT: Your donation of

one pint of whole blood takes about an hour and

can save three lives . If you’re already a blood donor,

THANK YOU! If you’re not, we ask that you please consider it. Make your appointment TODAY. Call the Lowcountry Donation Center

843-522-0409

SAVANNAH area

Tuesday, March 10 Naval Hospital Beaufort 1 Pinckney Blvd.

Friday, March 13 Effingham Health System 459 Hwy 119 South Springfield

Thursday, March 26 Pruitt Health (United) Hospice Bloodmobile at Helena Place 1624 Paris Ave.

Monday, March 23 Virginia College 14045 Abercorn Street Savannah

March 2015

Give Blood. Save Lives.

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Providing Outstanding Blood Service in South Carolina, Georgia and Florida

Community Calendar of Healthy Events Please e-mail your healthy events a month in advance of publication date to editor@caremagazine.com

AARP CHAPTER OF THE LOWCOUNTRY Thursday, March 5, 1:00 PM Palmetto Electric Coop Bldg. (off hwy. 278) Community Room. Speaker: local Mary Kay representative, Mrs. Phyllis Doyle.

Thursdays, March 5 and March 19 8:00–9:55 am

Heart Health Screening –Know Your Numbers– Coastal Carolina Hospital Screenings at the Bluffton Medical Campus 75 Baylor Drive When it comes to keeping your heart healthy, knowing your number is key. Learn the following numbers to assess your risk and help you and your doctor map out a heart healthy lifestyle for the future: blood pressure, glucose (blood sugar), total cholesterol, body mass index and counseling. Overnight fasting is recommended for the most accurate results. Registration required. Please call 877-582-2737.

Saturdays, March 7 St. Baldrick’s Annual Head-Shaving Event 12:30 pm to 4:00 pm in front of Wild Wing Café in Savannah’s City Market.

and Saturdays, March 14 3:00 pm to 5:00 pm at the Mellow Mushroom on Hilton Head Island Benefitting children’s cancer research. Sign up to have your head shaved or make a donation to sponsor someone who is getting shaved. Since its inception in 2000, St. Baldrick’s Foundation has held more than 7,000 head-shaving events worldwide, raising more than $186 million for cancer research. The 22

pediatric hematology/oncology program at Memorial University Medical Center, along with the Children’s Oncology Group, benefit from St. Baldrick’s in the form of clinical research trials for pediatric cancer patients. Please join us in supporting this worthwhile cause.

Thursday, March 12 “Your Amazing Brain” Conference at the Hilton Head Beach and Tennis Resort Feature presenter is Dr. Paul Nussbaum, a nationally recognized speaker on brain health, who has presented at the United Nations, CSPAN. He sits on the board of Alzheimer's Foundation of America, and is co-founder of Fit Brain! In addition, Sean Conlon will talk about what is like to NEVER FORGET events that have happened in his life. Tickets are $65—price includes continental breakfast and full lunch. Get your ticket today, call 843-842-6688.

Friday March 20 AARP Smart Driver class 9:00 am–4:00 pm (6-hr course) will be given at The Summit Place of Beaufort, 1119 Pickpocket Plantation, Dr., Beaufort. Fee is $15.00 for AARP members and $ 20.00 for nonmembers, You will be issued a Certificate upon completion, for a possible discount on your auto insurance for a 3 year period. Class size is limited. Register NOW. Call 843-521-1941. Harry Ammon,instructor.

Funds raised also support community programs that help moms have fullterm pregnancies. South Carolina continues to have one of the highest premature birth rates in the country, and the March of Dimes urges everyone to join the fight for stronger, healthier babies. Register for March for Babies at marchforbabies.org. For the latest

resources and information, visit marchofdimes.org/southcarolina.

Saturday, April 11 Walk MS: Charleston, SC Hampton Park Registration begins at 8:00 am and the walk begins at 9:00 am Walk MS connects people living with MS and those who care about them. When you participate in Walk MS, the funds you raise give hope to the more than 18,000 people living with MS in North and South Carolina. The dollars raised support life-changing programs and cutting-edge research. Every connection counts. Register now, connect with others and start fundraising today at www.walkMS.org or by calling 704-525-2955.

Beaufort County Library “For Learning, For Leisure, For Life”

For current events at all Country Branches Call 843-255-6430, or visit beaufortcountylibrary.org Word Search solution

SAVE the DATES Saturday, April 11 Annual March of Dimes Walk Naval Heritage Park, Port Royal March for Babies raises funds for vital research to help prevent premature birth and birth defects. www.caremagazine.com

March 2015

Call the Museum to register at 843-689-6767, ext. 223 or online at www.coastaldiscovery.org The Museum is located at 70 Honey Horn Drive, Hilton Head Island.

Sweetgrass BasketMaking Classes every Saturday in March, 10:30 am until 12:30 pm The cost is $65 per adult. Reservations are required May River Expedition Tuesday and Thursday through May 28 10:00 am until noon Cost is $40 adult, $30 child (ages 12 and under). Reservations are required Dolphin and Nature Cruises March 4 through Oct. 30 Wednesdays and Fridays at 3:00 pm Cost is $19 adult; $13 child (ages 1-12)

March 2015

Tour Historic Fort Mitchel 10:00 am Friday mornings, starting March 6 and continuing through November. Guided tours of Historic Fort Mitchel will be offered. Visit a well preserved example of a Civil War Era coastal artillery battery. The battery was constructed in 1862, as part of the outer defenses for Port Royal, South Carolina, headquarters of the Federal Department of the South and the Union Army X Corps. Reservations are requested for this tour. $12 per adult, $7, children ages 6-12: no children under 6, please.

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Regional Support Groups To have your free listing included in this column, email info to editor@caremagazine.com. The information updated at the time of printing. Please check with individual organizations or groups for updated times, dates and locations. AREA CODE is 843, unless otherwise noted. AIDS • HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554 ALZHEIMER’S + DEMENTIA • Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 9:45 –11:15 a.m. for caregivers of someone with Alzheimer’s; Men’s Support Group, 1st + 3rd Mon. each month, 9:45 –11:15a.m. at Memory Matters, 117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org. • Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: 12:30-1:30 p.m., Wednesdays, Helena House, Port Royal, 521-9190 or 252-8754. • Alzheimer’s Family Services Education & Social Day Programs: BFT: Mon., & Wed., 10:00 am-1:45 pm; Port Royal United Methodist Church, Friday, 10:00 am-1:45 pm, Summit Place; AFS services call: 521-9190. • Early Diagnosis Support Group: 1-2PM 1st Tuesday of each month at Memory Matters. Are you 65 or under and been diagnosed with some form of dementia? We help with support and resources. Please call if you are coming: 843-842-6688. Call 757-9388 for information. • Early Memory Loss Group: 2nd and 4th Thur., 10:00 am–noon, Helena House, Port Royal, Call Louise Blanchard, 521-9190. BEREAVEMENT • Grief support for recently bereaved: All situations–United Hospice, Contact Bereavement Counselor, 522-0476. Beyond Now: 6 p.m. first Thursday, Island Hospice, Hardeeville, 208-3660. Friends of Caroline Hospice, 525-6257; Tidewater Hospice, 5 p.m., Thurs., 757-9388. • Tools for the Journey: An Educational Support Group from Island Hospice. Bluffton (Grace Coastal Church): First Wed., 1:00pm – 2:00 pm. Beaufort (Beaufort Medical Plaza): Second Tues., 2:00 pm - 3:00 pm. For topic information being discussed, call Jennifer Massey at 843-986-0949. • Pregnancy & Infant Loss Support Group- 2nd and 4th Wed., 6:00pm, at Hospice Care of the Lowcountry, 7 Plantation Park Dr. Unit 4, Bluffton. www.Zoe-foundation.org

MENTAL HEALTH • Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536. • Depression & BiPolar Support Alliance: Hilton Head: 682-2900 • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : Every Monday, 5:30-7:00 p.m. NAMI, 117 Wm. Hilton Pkwy, Ste. K, Hilton Head (corner Squire Pope Rd.) Every Wednesday, 6:30 pm-8:00 p.m. in the USC-B Gateway to Hilton Head (Hardeeville), Library Room 144 Friday, March 6, 12:00 noon-1:30 p.m. Beaufort Medical Plaza, Room 350 Friday, March 20, 12:00 noon-1:30 p.m. Beaufort Medical Plaza, Room 350 Friday, March 20, 6:30 p.m.: Hearts and Minds social, 7:00 p.m. business meeting at NAMI office • NAMI Caregiver Support Groups: Monday, March 16, 7:00 p.m. St. John’s Lutheran Church, Lady’s Island Tuesday, March 24, 10:00 a.m. Lowcountry Presbyterian Church, Bluffton Evening group in Bluffton by appointment call NAMI office, 681-2200

CANCER • Cancer Care Connect: (through BMH), 1-800-813-4673 or 1-212-712-8080 • Cancer support groups: - Keyserling Cancer Center, 4 p.m. first Wednesday, Beaufort: 522-7807 - Friends of Caroline Hospice, Port Royal: 525-6257; WISH - Women in Search of Help, a breast cancer support group for the newly diagnosed; 3rd Monday of each month: 5:30 PM, Keyserling Cancer Center. Call 522-5897. • I Can Cope Cancer Support: HHI: 842-5188;

SUBSTANCE ABUSE • Adult Children Of Alcoholics: Noon Wednesday, 6:30 p.m. Thursday, YANA club. Mary, 290-8774. • Al-Anon: 8:00 p.m. New Beginnings, Alano Hall, Port Royal; 6:30 p.m. Sunday, YANA club, HHI; Noon Monday Brown Bag, St. Helena Episcopal Church, Beaufort; 7:00 p.m. Monday, YANA club, HHI; 10:30 a.m. Wednesday, St. Luke’s United Church, Bluffton; Noon Wednesday, Sea Island Presbyterian Church, Beaufort; 7:00 p.m. Thursday, St. Luke’s Episcopal Church, HHI; 7:30 p.m. Thursday, St. Peter’s Catholic Church, Beaufort; 7:30 p.m. Thursday, United Methodist Church, Bluffton; Friday, 12:15 p.m. YANA club, HHI. • Alateen: 8:00 p.m. Monday, Alano Hall, Port Royal; 7:30 p.m. Tuesday, United Methodist Church, Bluffton; Al-Anon + Alateen, 785-9630. • Alcoholics Anonymous: Meeting info: 785-2921 or 888-534-0192; en Español: 247-2713; visit www.area62.org. YANA club, 681-9262. • Crossroads Addiction/Dependency Christ centered Recovery & Support program: Grace Coastal Church, Okatie; lapgar@hargray.com • Narcotics Anonymous: Hilton Head, Bluffton and Lowcountry environs: 852-3001. • Smoking Cessation Classes: Freedom from Smoking: Beaufort: 522-5635; 522-5200; Hilton Head: 681-5651.

DIABETES • Diabetes support groups: Beaufort, 522-5560; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172; JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adultt1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton

WEIGHT ISSUES • Community Health/ Weight Loss Classes Fun, Supportive and Educational: Tuesdays, 6:00pm; Bluffton and soon in Beaufort. For information, call Sheila 843-644-1991. • Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606; Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114;

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Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347 • Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm; OTHER MEDICAL • Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635 • Better Breathers: Hilton Head: 877-582-2737 • Cardiac Support Group: Beaufort: 522-5635 • Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569 • Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118. • Lowcountry Huntington Disease support: Sandra, 912-964-0455 • Liver Transplant support group: Savannah: SJCH 912-819-8350 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • Myositis Association: Danielle Haines, RN; 341-7737 • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505 • Pulmonary Disease Support Group: BMH Call Toni Rehkop at 522-5830 Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org

OTHER SUPPORT GROUPS • CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350 • CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com • Meals on Wheels: Hilton Head: 689-8334 • Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org • Survivors of Suicide: Renee Pigat, HHI: 681-7814

March 2015

WISE

information = a healthier YOU!

March 10 About 217,000 women— 80% of whom are of childbearing age (15 to 44)— are HIV-positive. All women and girls older than 15 should be tested at least once to find out your HIV status. About 1 in 4 women postpone medical care because of barriers such as family, depression, or threat of partner violence. In 2010, people 55 and older accounted for 20% of the estimated 1.1 million people living with HIV in the United States.

What every woman needs to know about HIV/AIDS About one in four people living with HIV are women, and about 217,000 women — 80% of whom are of childbearing age (15 to 44) — are HIV-positive. This National Women and Girls HIV/AIDS Awareness Day, you should know these facts:

depression, or threat of partner violence. Seek medical care and call the Domestic Violence Hotline at 800-799SAFE (7233).

6 If you are pregnant and HIV-positive, take HIV medicine. If you take medicine, the risk of passing HIV to your baby is less than 1%.

1 HIV/AIDS can happen to any race, ethnicity, age, or sexual orientation. Protect yourself by using a condom correctly every time you have vaginal, anal, or oral sex and avoiding contact with your partner's fluids and blood.

2 The only way to know for sure that you have or don't have HIV is to get tested. Talk to your partner about his or her sexual past and get tested together.

Never share needles, syringes, or other injection equipment. Sharing these with an infected person can put you at greater risk of infection.

8 Older Americans are more likely than younger Americans to be diagnosed with HIV at a later stage in the disease. If you are a doctor, health care worker, or family member, talk to middle-aged and older people about sex, drug use, and HIV/AIDS prevention.

Under the Affordable Care Act, you may be able to get tested for HIV and counseling at no cost to you. To learn more, visit HealthCare.gov.

A woman with HIV/AIDS needs support, family, friends, and fun. Help fight stigma by making sure people know you can't get HIV from things like the air, toilet seats, or hugs.

Sexually transmitted infections (STIs) like chlamydia raise your risk of getting HIV. If you think you have an STI, see a doctor.

Today, living with HIV/AIDS means living longer and with a better quality of life than ever before. Live a longer, healthier life by taking your medicine, seeing your doctor regularly, and eating healthy.

5 Even when they know their status, about 1 in 4 women postpone medical care because of barriers such as family, March 2015

For more information visit http://womenshealth.gov/hiv-aids/

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2015 Regional Rabies Vaccination Clinic Schedules Sponsored by South Carolina Department of Health and Environmental Control, the Jasper County Environment Health Services and Local Veterinarians Vaccination Fee: Prices May Vary by Clinic Location, Not to Exceed $10.00 per Pet Note: Dogs must be on a leash and Cats in a box or carrier.

BEAUFORT COUNTY (South) Date / TIme / Location / Clinic or Vet providing service 8:00a – 10:00a 200 Okatie Village Dr., Bluffton: Hilton Head Veterinary Clinic 2:00p – 4:00p 109 Matthews Drive, Hilton Head Is.: Hilton Head Veterinary Clinic 3:00p – 4:30p Walgreens, 138 Okatie Center Blvd., Okatie: Lowcountry Pet Vaccine Clinic

SATURDAY – April 4

Beaufort County (North) continued . . . 9:00a – 12:00p Battery Creek Vet Hospital

SATURDAY – April 25

8:00a – 4:00p

2:00p – 3:00p 105 B-Dillon Road, Hilton Head: Plantation Animal Hospital 1:00p – 3:00p 21 Buck Island Road, Bluffton: Coastal Veterinary Clinic

Aimant Animal Hospital

9:00a – 12:00p Beaufort Co. Animal Shelter: Hilton Head Humane

WEDNESDAY – April 8 SATURDAY – April 11

8:00a – 2:00p Lady’s Island Feed & Seed: Port Royal Veterinary Hospital

9:00a – 12:00p Battery Creek Vet Hospital

SUNDAY – April 26

8:00a – 2:00p Port Royal Veterinary Hospital 8:00a – 2:00p

Aimant Animal Hospital

SATURDAY – April 18

3:00p – 4:30p Walgreens, 868 Fording Is. Rd., Bluffton: Lowcountry Pet Vaccine Clinic

BEAUFORT COUNTY (North) Date / TIme / Location / Clinic or Vet providing service

SATURDAY – April 4

8:00a – 10:30a Mossy Oaks Fire Station: Battery Creek Vet Hospital 8:00a – 2:00p Lady’s Island Feed & Seed: Port Royal Veterinary Hospital 8:00a – 4:00p

Aimant Animal Hospital

9:00a – 11:00a Beaufort Co. Animal Shelter: Lowcountry Pet Vaccine Clinic 10:45a – 11:45a Bargain Builders Lot: Battery Creek Vet Hospital 12:00p – 1:15p

Grays Hill Fire Station: Battery Creek Vet Hospital

1:30p – 2:30p

Lobeco Fire Station: Battery Creek Vet Hospital

2:45p – 3:45pm

Sheldon Fire Station: Battery Creek Vet Hospital

SUNDAY – April 5

8:00a – 2:00p

SATURDAY – April 11

8:00 – 10:30 a.m. Mossy Oaks Fire Station: Battery Creek Vet Hospital

Aimant Animal Hospital

8:00a – 2:00p Lady’s Island Feed & Seed: Port Royal Veterinary Hospital 8:00a – 4:00p

Aimant Animal Hospital

9:00a – 12:00p Beaufort Co. Animal Shelter: Hilton Head Humane 10:45a – 11:45a Bargain Builders Lot: Battery Creek Vet Hospital 12:00p – 1:00p 1:30p – 2:30p

SATURDAY – April 18

Burton Hill Fire Station: Battery Creek Vet Hospital

Laurel Bay Flea Market: Battery Creek Vet Hospital 8:00a – 2:00p Lady’s Island Feed & Seed: Port Royal Veterinary Hospital 8:00a – 4:00p Aimant Animal Hospital 9:00a – 11:00a Beaufort Co. Animal Shelter: Lowcountry Pet Vaccine Clinic

JASPER COUNTY Date / TIme / Location / Clinic or Vet providing service 8:30a – 5:00p 409 Green Street, Ridgeland: Palmetto Veterinary Hospital THURSDAY – April 2 10:00a – 12:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic SATURDAY – April 4 2:00 – 4:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic WEDNESDAY – April 8 8:30a – 5:00p 409 Green Street, Ridgeland: Palmetto Veterinary Hospital THURSDAY – April 9 10:00 – 12:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic WEDNESDAY – April 15 8:30a – 5:00p 409 Green Street, Ridgeland: Palmetto Veterinary Hospital THURSDAY – April 16 10:00a – 12:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic SATURDAY – April 18 9:00a – 12:00p Spay/Neuter Alliance & Clinic (SNAC): 21 Getsinger Street Ridgeland WEDNESDAY – April 22 8:30a – 5:00p 409 Green Street, Ridgeland: Palmetto Veterinary Hospital THURSDAY – April 23 10:00a – 12:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic WEDNESDAY – April 29 8:30a – 5:00p 409 Green Street, Ridgeland: Palmetto Veterinary Hospital THURSDAY – April 30 10:00a – 12:00p 709 East Main Street Hardeeville: Hardeeville Veterinary Clinic

WEDNESDAY – April 1

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March 2015

2015 Regional Rabies Vaccination Clinic Schedules

HAMPTON COUNTY Date / TIme / Location / Clinic or Vet providing service 9:00a – 9:30a Garnett - Brighton Oaks: Hampton Animal Hospital 9:45a – 10:15a Scotia: Hampton Animal Hospital 10:30a – 11:30a Furman - Way’s Grocery: Hampton Animal Hospital 11:45a – 1:30p Nixville Fire Department: Hampton Animal Hospital SATURDAY – April 11 10:00a – 11:00a Miley - Lightsey Store: Hampton Animal Hospital 11:30a – 1:00p Varnville Town Hall: Hampton Animal Hospital

SATURDAY – April 4

SATURDAY – April 18

9:00a – 10:00a Yemassee - Town Hall: Hampton Animal Hospital 10:15a – 11:15a Early - Branch McTeer Grocery: Hampton Animal Hospital 11:30a – 12:30p Cummings – Shumane: Hampton Animal Hospital

SATURDAY – April 25

SATURDAY – May 2

10:00a – 10:30a Gifford - Town Hall: Hampton Animal Hospital 11:00a – 12:30p Estill - Town Hall: Hampton Animal Hospital 10:00a – 11:00a Brunson - Town Hall: Hampton Animal Hospital 11:30a – 1:30p Hampton Animal Hospital (Parking Lot)

COLLETON COUNTY

Pediatric and Adult Home Care Services

Date / TIme / Location / Clinic or Vet providing service

SATURDAY – April 4

8:30a – 12:00p Hampton Street Elementary School: Deloach Veterinary Clinic 1:30p – 2:15p Edisto District Fire Station (Hwy 21): Deloach Veterinary Clinic 2:30p – 4:30p Fire Station #11 (Hwy 61@ Grubers): Deloach Veterinary Clinic

SATURDAY – April 11

When a Family Member Needs Specialized Care at Home At PSA Healthcare, we understand that working through the process of arranging home nursing care can be challenging. We are available to assist you in developing a plan for a child or an adult, who needs specialized care in the home.

8:30a – 11:30a Morrison's Veterinary Clinic

8:30a – 10:30a Bells Elementary School: 10:45a – 12:00p Ruffin Community Center: 12:15p – 1:00p Williams Fire Station: 2:00p – 3:00p Lodge Fire Station: 3:00p – 4:00p Smoaks Town Hall:

FRIDAY – April 17

Deloach Veterinary Clinic Deloach Veterinary Clinic Deloach Veterinary Clinic Deloach Veterinary Clinic

Deloach Veterinary Clinic

9:00a – 11:30a Walterboro Animal Hospital

PSA healthcare is currently seeking applications for LPNs and RNs in the SC Lowcountry and Coastal Georgia region.

2:00p – 4:30p

Apply online at psahealthcare.com

Walterboro Animal Hospital

SATURDAY – April 18

9:00a – 11:30a Walterboro Animal Hospital

toll-free 866-825-7729 office 912-961-1017

Vaccinate your pet! It’s the law. March 2015

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PROOF:

this client proof is being provided for review purposes. A sign off of the final ad will be required. The concept and art for this ad have been created and provided by the Catalyst Media Group, Inc. for CARE magazine® and may not be use in any other publication, or electronic/social media without

ParentPulse

helpful insights and tips for effective parenting

Could your kids be at risk for substance abuse? Families strive to find the best ways to raise their children to live happy, healthy and productive lives. Parents are often concerned about whether their children will start or are already using drugs such as tobacco, alcohol, marijuana, and others, including the abuse of prescription drugs. Research supported by the National Institute on Drug Abuse (NIDA) has shown the important role that parents play in preventing their children from starting to use drugs. These five questions, developed by the Child and Family Center at the University of Oregon, highlight parenting skills that are important in preventing the initiation and progression of drug use among youth.

Questions: 1

Are you able to communicate calmly and clearly with your teenager regarding relationship problems?

Do you encourage positive behaviors in your teenager on a daily basis?

Are you able to negotiate emotional conflicts with your teenager and work toward a solution?

Are you able to calmly set limits when your teenager is defiant or disrespectful? Are you able to set limits on more serious problem behavior such as drug use, if or when it occurs?

Do you monitor your teenager to assure that s/he does not spend too much unsupervised time with peers? Source: http://teens.drugabuse.gov/parents/drugs-and-your-kids

How do I know if my teen or young adult has a substance use disorder? Addiction can happen at any age, but it usually starts when a person is young. If your teen continues to use drugs despite harmful consequences, he or she may be addicted. Anyone Can Become Addicted to Drugs If an adolescent starts behaving differently for no apparent reason—such as acting withdrawn, frequently tired or depressed, or hostile—it could be a sign he or she is developing a drug-related problem. Parents and others may overlook such signs, believing them to be a normal part of puberty. Other signs include: A change in peer group Carelessness with grooming Decline in academic performance Missing classes or skipping school Loss of interest in favorite activities Trouble in school or with the law Changes in eating or sleeping habits Deteriorating relationships with family members and friends

• • • • • • • •

Through scientific advances, we know more than ever before about how drugs work in the brain. We also know that addiction can be successfully treated to help young people stop abusing drugs and lead productive lives. Intervening early when you first spot signs of drug use in your teen is critical; don’t wait for your teen to become addicted before you seek help. However, if a teen is Source: www.kids.gov addicted, treatment is the next step.

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March 2015

Start your pregnancy on the right foot: tips to help you develop healthy habits

For women of childbearing age looking to become pregnant, it is never too early to engage in healthy habits to ensure that she has a healthy pregnancy and her child has a healthy first step. Daily consumption of folic acid, even before a woman knows she is pregnant, is crucial. But that isn’t the only thing that women of childbearing age can do to promote good health before, during and after pregnancy. Jacinda Nicklas, M.D. is an internist whose work focuses on the importance of healthy behaviors before, during, and after pregnancy to help women avoid diabetes and cardiovascular disease. http://www.ucdenver.edu/academics/colleges/medicalschool/departments/ medicine/GIM/Faculty/Pages/Jacinda-Nicklas,-MD,-MPH.aspx

1. Get to a healthy weight. Being overweight or obese before pregnancy increases your risk for conditions like gestational diabetes and preeclampsia. Obesity in pregnancy is also the leading risk factor adverse outcomes, including loss of the pregnancy and other neonatal complications. 2. Visit your doctor for a baseline. During this visit, your doctor will check your general health to make sure that you are in the best health to become pregnant. He or she may ask about your family history, what medications are you taking, and make sure that you are properly vaccinated. 3. Begin a healthy exercise regimen. Getting in the habit of exercising regularly will get your pregnancy off to a good start. Even if you do not exercise before pregnancy, experts now recommend 150 minutes per week for all pregnant women who have been cleared for physical activity by their doctors. 4. Focus on healthy eating. It is never too late to develop healthy food habits. One study showed an association between regularly eating fried food before conception increases the risk of developing diabetes during pregnancy. Excess gestational weight gain increases risks for the mother, makes it more difficult to lose the baby weight, and increases the risk for your baby to become overweight or obese. 5. Start taking prenatal vitamins, including folic acid, a B vitamin that can be found in beans, nuts, lean meat, and fish, as well as many multi-vitamins. 6.

Stop taking drugs, alcohol & tobacco

Carbs are not the enemy. Recent studies show that complex carbs can be part of a healthy diet during pregnancy, and high fat diets may be harmful. Instead of eliminating carbs, healthy carbs like whole grains, legumes and other carbs that are lower in simple sugars.

Increase your intake of leafy greens for their vitamins A, C, and K.

Avoid fish high in mercury that can be harmful to your baby’s developing nervous system.

10.

Rest, relax, and enjoy your pregnancy.

Dr. Nicklas is developing and testing “Fit After Baby”, an innovative postpartum program. It uses mobile devices, including cell phones, to deliver a specialized lifestyle intervention program for women who had recent complicated pregnancies, including diabetes and preeclampsia. March 2015

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baked tilapia with tomatoes

quinoa and black bean salad

This dish is easy to prepare, low in calories, and economical

This delightful chilled salad could be a great main entree, or as a side with the baked tiapia Prep Time: 30 minutes Cook Time: 10-15 minutes Serves: 6

Prep Time: 10 minutes Cook Time: 15-20 minutes Serves: 4

ingredients ingredients nonstick vegetable oil spray 4 tilapia fillets 4 medium tomatoes, peeled and chopped 2 tablespoons olive oil 11/2 teaspoons thyme 1/4 cup pitted black olives, diced 1/4 teaspoon red pepper flakes 2 cloves garlic, minced 1/2 cup red onion, diced 1 tablespoon lime juice parsley and lemon wedges for garnish

preparation 1. Preheat oven to 400 °F. 2. Spray baking dish with vegetable oil spray. 3. Arrange fillets in the baking dish. The dish should be large enough so the fillets do not overlap. 4. Mix remaining ingredients in a bowl. 5. Spoon the tomato mixture evenly over the fillets. 6. Bake uncovered 15 to 20 minutes or until the fish flakes easily with a fork. 7. Garnish with parsley and a lemon wedge. Nutritional Information Yield: 4 servings Serving size: 1 fillet Calories 265 Total Fat 16 g Saturated Fat 2 g Cholesterol 58 mg Sodium 172 mg Total Fiber 3 g Protein 22 g Carbohydrates 9 g Potassium 635 mg

1/2 cup dry quinoa 11/2 cups water 11/2 tablespoons olive oil 3 tablespoons lime juice 1/4 teaspoon cumin (see ground cumin warning pg. 20) 1/4 teaspoon ground coriander (dried cilantro seeds) 2 tablespoons cilantro, chopped 2 medium scallions, minced 1 can (15 oz.) black beans, rinsed and drained 2 cups tomato, chopped 1 medium red bell pepper, chopped 1 medium green bell pepper, chopped 2 fresh green chilis (or to taste), minced black pepper (to taste)

preparation 1. Rinse the quinoa in cold water. Boil water in a saucepan, then add the quinoa. Return to boil, then simmer until the water is absorbed, 10 to 15 minutes. Cool for 15 minutes. 2. While quinoa is cooking, mix olive oil, lime juice, cumin, coriander, chopped cilantro, and scallions in a small bowl, and set aside. 3. Combine chopped vegetables with the black beans in a large bowl, and set aside. 4. Once quinoa has cooled, combine all ingredients and mix well. Cover and refrigerate until ready to serve. Nutritional Information Yield: 6 servings Serving size: 1 cup Calories 208 Total Fiber 7 g Total Fat 5 g Protein 9 g Saturated Fat 1 g Carbohydrates 34 g Cholesterol 0 mg Potassium 619 mg Sodium 284 mg

Source The National Heart, Lung, and Blood Institute: “Delicious Heart Healthy Latino Recipes” cookbook

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March 2015

Family Fun Page

Word Search solution on page 22 March 2015

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We are HERE FOR YOU Port Royal Medical Center 1320 S. Ribaut Road Port Royal/Beaufort • 843-986-0900 Ruth P. Field Medical Center 721 Okatie Hwy. 170 Chelsea • 843-987-7400 Leroy E. Browne Medical Center 6315 Jonathan Francis, Sr. Road St. Helena Island • 843-838-2086 Donald E. Gatch Medical Center 522 Stiney Road Hardeeville • 843-784-2181

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