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Care Options and References for a Healthier Life

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–Complimentary– Please, take this copy home with you 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

Spring 2016

CONTENTS

In Every Issue ParentPULSE – Help kids feel comfortable at the dentist

RegionPULSE

Regional Support Groups

20 care TALK©

Features

Capsules of Healthy Information

How to Maintain Mental Focus

MIS for Chronic Back Pain

Community Calendar and Regional Blood Drives

Healthy Recipe - Sneaky Mac & Cheese

Family Fun page

Tips to Transition to a Plant-based Diet —By Mary Wendt, MD

What is Sustainable Clothing? . . . Is it healthier to wear?

Recovery and Rehabilitation from Traumatic Brain Injury with Exercise —By Sydney Kinard

Pros and Cons of Air Duct Cleaning

Erectile Dysfunction? Consume more fruit

Allergy Friendly Gardening

Dirty Sources May Combat Antibiotic Resistance —By Elizabeth Dardes www.caremagazine.com

Your children will love Sneaky Mac & Cheese Spring 2016

Vital Donations . . . Throughout life, charitable giving means different things to different people. While some associate donations with money, clothing or other tangible goods, donations also can include vital parts of our bodies.

Organs, Eyes, Tissue and Bone Marrow The organization Donate Life America says nearly 120,000 men, women and children currently need lifesaving organ transplants, and every 10 minutes another name is added to the national organ transplant waiting list. In addition to organ transplants, tissue transplants can save lives.

Why Organ, Eye, and Tissue Donation?

Certain organs and tissues can be transplanted from living donors, including kidneys, liver lobes, lungs, and bone marrow. Living organ donations can mean a more perfect match for the recipient, a longer transplant life and fewer medications. Living donors give patients an alternative to waiting months or years on transplant lists. Men, women and children also can donate their organs upon their death. Drivers can declare their intentions to donate their organs by filling out information on the backs of their driver’s licenses, and individuals also can declare such intentions in their wills. For more information, visit organdonor.gov

Hair Cancer patients facing radiation and chemotherapy treatments may lose their hair. Losing one’s hair can affect self-esteem. Certain organizations accept donations of human hair, which they fashion into wigs for those who have lost their own hair to cancer and other diseases. Burn victims also benefit from hair donations. The organizations Locks of Love and Wigs For Kids are two not-for-profit groups providing hair replacement solutions for those affected by hair loss. The cosmetic company Pantene has its own “Beautiful Lengths” donation program that also accepts hair donations. In order to donate to most organizations, a minimum hair length is needed and hair should be free of permanent color, bleach or other chemical treatments. Check with the organization for a full list of guidelines. Giving a gift of health and/or life by way of a blood, organ, tissue, bone marrow or hair donation can make a lasting difference in another person’s life. Spring 2016

• 123,953 people are waiting for an organ • 18 people will die each day waiting for an organ • 1 organ donor can save up to 8 lives

Blood Blood transfusions and supplementation are vital to treating injured patients. Blood also is necessary during routine surgeries. Having an adequate blood supply at the ready can be a matter of life and death for a person in dire need of a transfusion. In the United States, the leading blood agencies report a blood donation is needed every two seconds. Blood is perishable, and the need is constant. Red blood cells only have a shelf life of 42 days and platelets just five days, so supply must be replenished constantly. Blood can be donated whole or as plasma or platelets. Plasma is the yellow fluid in which blood cells are suspended. Platelets are smaller than white or red blood cells and help the blood to clot. Many blood collection centers will tell you that O blood type is in the highest demand because O blood, particularly O-negative, is compatible with all blood types. But it also is the blood type in the shortest supply. See regional blood donation schedules on page 22.

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How to Maintain Mental Focus

Options and References for Healthier Living

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linked. In a 2013 analysis of 19 studies involving more than 500 children, teenagers and young adults, researchers found that exercise sessions between 10 and 40 minutes immediately boosted concentration and mental focus. That improvement might be a result of exercise increasing blood flow to the brain. Men and women who find themselves struggling to focus at work after lunchtime, may benefit from incorporating some exercise, (a brief walk or a more strenuous workout) into their midday routines.

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The technological advancements have undoubtedly made life easier in many ways, but this golden age of gadgets have not come without some negative side effects. Thanks to the near-constant availability of the Internet and devices like smartphones and tablets, many men and women find it difficult to maintain their focus throughout the day. But while such distractions are never too far away, there are some ways to stay focused and productive.

• Perform breathing exercises. Nervousness is an oft– overlooked cause of loss of focus. When nervous, breaths can become shallow and restricted, which can have a negative impact on the flow of oxygen to your brain, making it more difficult to concentrate. Some simple breathing exercises can help busy professionals multitask more effectively by helping them concentrate on the tasks at hand and overcome the distraction of having so much to do at one time.

• Stay hydrated. A recent study published in the Journal of Nutrition found that dehydration caused loss of focus and a sense of fatigue among women. While the loss of focus was considered insubstantial and the study only examined women, remaining hydrated throughout the day may make it easier to focus on work and other tasks throughout the day.

• Get adequate sleep. One of the best ways to improve focus during the day is to make sure you’re getting enough sleep at night. Sleep deprivation produces a host of negative consequences, not the least of which is its impact on cognitive functioning. Research has shown that sleep deprivation compromises alertness and concentration, making it more difficult to focus at work and tackle tasks that require deep analysis and thought. In addition, a survey from the National Sleep Foundation found that sleep-deprived men and women are less likely to exercise and eat healthy diets, each of which can boost mental acuity. Focusing in today’s atmosphere of constant distractions can be difficult, but men and women can overcome diversions by employing a handful of successful strategies aimed at improving concentration. www.caremagazine.com

Spring 2016

Recognize the warning signs of stress Stress is a part of life for many men and women. But as prevalent as stress is, many people are unaware of the potentially negative side effects that can result when stress goes untreated. According to the American Psychological Association, chronic stress forces the muscles in the body to be taut and tense for long periods of time, a guardedness that can make men and women susceptible to stress-related disorders such as migraine headaches. In addition, the APA notes that stress can cause people to hyperventilate, which can trigger panic attacks in those prone to such events. Longterm stress has also been linked to a host of cardiovascular ailments, including hypertension, heart attack and stroke. Stress can be triggered by a host of things, and what’s stressful for some may not be for others. But while people may react differently to certain situations, there are some common warning signs of stress that men and women should learn so they can more quickly address any problems with the stress they might encounter.

Physical symptoms

Emotional symptoms

Stress manifests itself in various ways, including physically. Physical symptoms of stress may affect the musculoskeletal system, causing muscles to tense up and remain that way until a stressful situation has come and gone. Aches and pains can result as well, and some people coping with stress may experience nausea and dizziness. Stress also can affect the cardiovascular system. When that occurs, uncomfortable and potentially dangerous symptoms such as rapid heartbeat and chest pain may result.

Stress also can affect mood. According to the Cleveland Clinic, signs of emotional stress include apathy, feeling on edge, a change in eating habits, and changes in sleeping patterns, which may involve sleeping more than usual or difficulty getting to sleep.

Behavioral symptoms Stress also can affect behavior. General nervousness, nail biting, fidgeting and pacing are among the behavioral symptoms of stress, which may be more noticeable to loved ones or colleagues than to the individual exhibiting the symptoms. Some people also may procrastinate and avoid their responsibilities when dealing with stress. Increased use of alcohol and drugs or smoking more cigarettes also are behavioral symptoms of stress.

Cognitive symptoms Some people coping with stress may have to deal with certain cognitive symptoms. Such men and women may find themselves in constant states of worry, and their thoughts may race to an extent that makes it difficult to accomplish certain tasks. Additional cognitive symptoms include poor judgment, inability to focus and feelings of forgetfulness and disorganization.

Men and women concerned about stress should consult their physicians and keep an eye out for any potential warning signs that stress levels are reaching unhealthy heights.

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When people with chronic back pain hear the term “spinal fusion,” many think a big, complicated operation is involved. But minimally invasive spinal fusion surgery, also known as MIS fusion, offers big results without an elaborate procedure and helps chronic back pain sufferers to quickly resume their daily and recreational activities, according to Praveen Kadimcherla, MD, an orthopedic spine surgeon at Atlantic Spine Center. Unlike traditional “open” spinal fusion, which uses a long incision to access spinal structures, MIS fusion requires much smaller cuts, allowing surgeons to achieve comparable results with much less pain and a more rapid recovery. But much confusion about the procedure still abounds. Here, Dr. Kadimcherla, who completed two spinal surgery fellowships in Orthopaedics and Neurosurgery and is a published author on spine disorders and treatment, explains five key things to understand about MIS fusion:

Minimally Invasive Spinal Fusion for Chronic Back Pain Five Key Things to Know about MIS Fusion What is MIS fusion surgery? Performed since the 1990s, MIS fusion corrects problems with the vertebrae—the small bones of the spine—by fusing together painful vertebrae so they heal into a single, solid bone. This helps vertebral bones stop “grinding” together, which can cause bone spurs, arthritis and other pain-producing problems. Who’s a candidate for MIS fusion? This type of surgery is typically recommended for patients suffering from lingering back pain from a variety of causes, including lumbar degenerative disease, which causes radiating pain from damaged discs in the spine; recurrent lumbar disc herniations, which occurs when the jelly-like center of a disc bulges between vertebrae and presses on nerves; spondylolisthesis, in which one vertebrae slides forward over another below it, squeezing nerves; or foraminal stenosis requiring disc height restoration, a narrowing of spine openings resulting in nerve compression. How is MIS fusion surgery performed? MIS fusion surgery is performed with special tools known as tubular retractors, which are inserted into a small incision and through soft tissues to the designated spot on the spine causing pain. 6

The retractor holds muscles open while a surgeon removes any offending tissue and sets devices in place that will fuse vertebrae, such as screws or rods. The surgeon’s planned approach to the spine— through either the patient’s back or the side— determines the exact procedure and its specific name (common MIS fusion names include XLIF, TLIF and OLLIF). What does recovery from MIS fusion surgery involve? Unlike traditional spine fusion surgery, MIS fusion doesn’t require any hospital stay. Blood loss is minimal and patients are up and walking on the same day, Dr. Kadimcherla notes. Instead of a recovery lasting 6 months or longer, most MIS fusion patients can return to normal activities in 4 to 6 weeks. Driving can resume after any post-operative pain has reached a mild level, which is usually in 7 to 14 days. After the initial recovery, many patients will be recommended for a series of physical therapy sessions to help strengthen back muscles and improve flexibility. What are the advantages of MIS fusion? The benefits of MIS fusion are many, including less blood loss during surgery and a reduced need for blood transfusions using the minimally invasive technique. Often, patients require less pain medication following this form of surgery as well, Dr. Kadimcherla says. “But perhaps the biggest advantage of MIS fusion is that it stops the abnormal motion between spinal vertebrae with a technique producing much less damage to surrounding tissues than an open surgery,” he adds. “Instead of cutting and moving muscles, MIS fusion more gently spreads muscles, allowing ready access to the spine. This is much less painful for the patient and doesn’t require as long for muscles to heal.” Praveen Kadimcherla, MD, is a board-certified orthopedic spine surgeon at Atlantic Spine Center. www.atlanticspinecenter.com

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Spring 2016

Are You at Risk for Osteoarthritis? Osteoarthritis, the most common form of arthritis, occurs when protective cartilage inside a joint wears down. This type of arthritis is unheard of in children and is rare in young adults, but often occurs in older people and people who are overweight. Because of this, osteoarthritis was long considered a natural product of aging and everyday wear and tear on joint cartilage. However, many experts now believe the cause is much more complex. External factors, such as injuries, can set the stage for osteoarthritis, but how fast it progresses and how severe it becomes depends on a number of factors. Here are just a few factors that can increase your osteoarthritis risk. • Genetic factors. Roughly half the risk of developing this condition can be attributed to your genes. Multiple genes are thought to be involved. What's more, the genes may have different effects depending on the joint affected and whether you're a man or a woman.

osteoarthritis than their slimmer counterparts. Losing excess weight can reduce the chance of developing osteoarthritis and make daily living much easier if you already have it. • Joint injury. Injury to a joint, from either repeated use or trauma, may also trigger osteoarthritis. Because bones, joints, and muscles that are damaged rarely heal perfectly, joint injuries can create unusual mechanical stresses that lead to abnormal wear and tear. • Other health issues. Osteoarthritis can develop in a joint already damaged by another disease, such as rheumatoid arthritis, infectious arthritis, or gout. For more on keeping your joints healthy and ways to ease the pain caused by osteoarthritis, buy Living Well with Osteoarthritis, a Special Health Report from Harvard Medical School.

• Excess weight. Weight-bearing joints don't hold up well under the continued strain of extra pounds. One study found that overweight young adults were more likely to develop knee

Harvard Medical School offers special reports you may purchase, on over 50 health topics. Visit their website at http://www.health.harvard.edu or call toll-free: 1-877-649-9457.

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The human heart and the miles of blood vessels that snake through the body are a wonder to behold. Made up of three independent components, the cardiovascular system functions best when these three components, which include the heart, lungs and portal vessels, work cohesively.

Fascinating facts about the human cardiovascular system

Each day 2,000 gallons of blood travel through the blood vessels to provide oxygenated blood to the body and remove waste materials, including carbon dioxide. That’s a lot of traveling. In fact, according to LiveScience, if you were to lay out all of the arteries, capillaries and veins in one adult from end-to-end, they would stretch roughly 60,000 miles, which means that our blood vessels could wrap around the Earth 2.5 times.

The human cardiovascular system is nothing short of fascinating, and the following are some even more remarkable facts about this wonder of nature, courtesy of Mercola, PBS, CPR certified medical training group, and LiveScience. • The heart beats around 2.5 billion times in the average person’s lifetime. • Red blood cells have to move in a single-file line to fit through the miniscule capillaries in the body. • When the body is at rest, it takes about six seconds for the blood to go from the heart to the lungs and back. • A woman’s heart typically beats faster than a man’s heart, at a rate of 78 times per minute (mens’ hearts beat 70 times per minute). • The corneas in a person’s eyes are the only bodily cells that do not receive a blood supply. • The thumping sound of the heart is made by the four valves of the heart closing. • If a heart has an adequate supply of oxygen, it can beat even when separated from the body, thanks to its own electrical impulse. • Ancient Egyptians believed the heart, rather than the brain, was the source of emotion, wisdom and memory. • Unlike other cells, red blood cells do not contain nuclei so they have room to carry oxygen. However, this absence is why they cannot divide or synthesize new cell components. • Healthy bone marrow will constantly manufacture new red blood cells. • Within a tiny droplet of blood, there are about 5 million red blood cells. • The right ventricle is responsible for moving blood to the lungs, where it will receive fresh oxygen and nutrients. The left atrium and left ventricle receive this oxygenated blood back from the lungs. • The heart begins beating four weeks after conception. The cardiovascular system is an amazing component of the human body. Treat it right. 8

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Spring 2016

Heart Healthy Habits that can Have a Lasting Impact A long and healthy life is the ultimate goal for many people. While a host of factors beyond a person’s control, such as genetics, impact how long that person lives and how susceptible to certain medical conditions he or she may be, there are many things men and women can do to improve their chances of living long, healthy lives.

• Keep working. While many working men and women dream of the day when they can leave the daily grind behind once and for all, they might want to think more about a second career than a long, carefree retirement. A study from British researchers published in the International Journal of Geriatric Psychiatry found that each extra year that men and women work was associated with a six-week delay in the onset of dementia. Often finding second careers or volunteering close to full-time hours may improve your long-term Working past retirement age health and quality may help some men and women stay more mentally sharp. of life. • Stay on your toes. A healthy diet is a key component of a healthy lifestyle, but diet alone is not enough to promote a long and healthy life. According to the Johns Hopkins Medicine Health Library, the risks associated with

a physically inactive lifestyle are considerable. Such risks include a greater risk of developing high blood pressure and coronary heart disease and even a greater risk for certain cancers. In addition, physical inactivity can add to feelings of anxiety and depression. Inactivity tends to increase with age, so men and women aiming for long and healthy lives should make physical activity a vital part of their daily lives. • Get your whole grains. Whole grains may be another key ingredient to a long and healthy life. Numerous studies have shown that increasing whole grain consumption can help prevent the onset of type 2 diabetes. Researchers have found that eating an extra two servings of whole grains per day decreased a person’s risk of developing type 2 diabetes by 21 percent. Additional research has found that people with diabetes have an increased risk of developing Alzheimer’s disease. • Visit your physician annually if not more frequently. While many people, especially those who feel healthy, are hesitant to visit their physicians, doing so may just save your life. Several diseases, including cancer and heart disease, are more effectively treated when detected early. Annual physicals and discussions with your physician may uncover a disease in its early stages when it is most treatable. Waiting until symptoms appear may not be too late to treat a condition or disease, but taking a proactive approach increases the likelihood of early detection, which increases your chances of living a long and healthy life. Heart healthy habits improve peoples’ quality of life while also increasing the likelihood that men and women live long, healthy and productive lives.

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Tips to Transition to a Plant-Based Diet A healing plant-based diet might help you drop those stubborn extra pounds and feel great! Mary Wendt, MD, offers helpful tips to ease you into a sustainable vegan diet that could drastically improve your life. If you are really ready to consider a dietary change, the new year is the perfect time to take charge of your health and diet so you can lose weight, feel great and thrive. How can you achieve this optimal level of health and energy? By swapping out your meat and dairy products for healthy and delicious plant-based foods. In short—by going vegan, or at least mostly vegan. “Switching to a plant-based diet is one of the best things you can do for yourself,” says Dr. Mary Wendt, author of “Waist Away: How to Joyfully Lose Weight and Supercharge Your Life”, and founder of www.getwaisted.com. “Meat and dairy contain inflammatory proteins and excess saturated fat. Getting rid of these arteryclogging foods frees up your plate so you can enjoy more vitamin and mineral rich vegetables, fruits, and whole grains.” Wendt, who eats a plant-based diet herself, says, “Don’t worry! This kind of change is very doable and best of all it promotes sustainable weight loss; vegans tend to be thinner, fitter and more energetic than their meat eating counterparts.” Once you make the decision to remove meat and dairy from your diet, you are well on your way to achieving better health and hopefully dropping a few spare pounds for good. But first you have to actually make this drastic change happen—and that can seem very daunting indeed to lifelong carnivores. Don’t worry, says Dr. Wendt: Going vegan (or near-vegan if you can’t quite commit) is much less difficult than you likely imagine. Making a transformation to a plant-based diet can be an empowering (even joyful!) event. 10

Here is a step-by-step guide that will help you make your transition with ease.

Do a 24-hour food recall. First, get an accurate idea of how much meat you’re currently eating. Instead of keeping a food log (which you’re prone to forget about after Meal One), do a 24-hour food recall. Write down everything you ate for breakfast, lunch, dinner, snack, and drinks for the past 24 hours. For many people, seeing a typical day’s diet in black and white is eye-opening.

Stop thinking of meat as the main event. Unless you grew up in a vegetarian or vegan household, chances are you were raised to think of meat as the main dish and everything else as “sides.” Dr. Wendt says it can be helpful to mentally switch these designations. “Consider meat a condiment that you can sprinkle over beans, whole grains, or vegetables, rather than the main dish,” she recommends. “For instance, you might crumble a small amount of chorizo into your vegetable soup or top your salad with a pinch or two of bacon bits.”

Get over your fear of carbs, too. Are you afraid that stepping away from meat will inevitably lead to more carb consumption ... and then to more body fat? This is a common concern, but Dr. Wendt promises that it’s unfounded. Not all carbs are bad. You do want to stay away from simple carbohydrates (like those found in white bread and white rice), which are easily broken down by the body and quickly converted to fat—without leaving you satisfied. However, complex carbohydrates (like those found in whole grain products) will fill you up without filling you out.”

Take the transition slowly. There’s nothing pleasant about quitting your favorite meats cold turkey (pun intended)—and anyway, this strategy is unlikely to be successful in the long run. If you’re currently a

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Spring 2016

—continued from the previous page

committed carnivore, start by eliminating meat from just one meal a day. After a few weeks, you can move on to having meat only once per day—and after that, to one or more meatless days each week. A slow, gradual transition gives your body and palate plenty of time to get used to more plant-based options and keeps you from feeling restricted and dissatisfied.

Stretch your culinary muscles. As you cut back on the amount of meat you eat, you’ll want to add new plant-based recipes to your kitchen repertoire. Also, variety is important both for nutrition and your new diet’s sustainability. “Fortunately, finding recipes and learning new cooking techniques has never been easier thanks to sites like Pinterest and Epicurious, plant-based food blogs, YouTube tutorials, and more,” notes Dr. Wendt.

Look for satisfying substitutions. Instead of telling yourself, I can’t eat that, ask, How can I make it healthier? Your quest to eat less meat (or even go meat-free) won’t feel like a sacrifice if you can find a plant-based way to replicate the flavors and dishes you’ve always loved. “Before I cut meat out of my diet, I used to love making—and eating—Vietnamese pork bundles,” shares Dr. Wendt. “I mourned their loss for four whole years before I had the idea to substitute pinto beans for the pork. Turns out their creamy goodness, and even their coloring, mimics ground pork reasonably well. And bonus: Beans are consistently linked to high productivity and longevity. “The point is, you don’t have to look for an all-new repertoire of meatless recipes— just get creative when preparing your old favorites,” she continues. “In addition to subbing beans for meat, give meat-replacers like tofu, portobello mushrooms, lentils, and eggplant a second (or first) chance.”

“Don’t skip breakfast altogether if your old go-to option is off the table,” Dr. Wendt warns. “This meal is a great place to start incorporating plant-based substitutions. You can try vegetarian and vegan sausages and bacon if you prefer to start the day off on a savory note. Personally, I was surprised by how close to the original many of these copycats are. And don’t forget options like oatmeal, fruit smoothies, and whole grain breads and cereals. All of these are healthy, and once again, will fill you up without filling you out.”

Harness the power of association. If you really want to get serious about saying no to meat, go on the offensive by associating something very yummy with something even more yucky. Every time you bite off a piece of bacon, for instance, picture a mouthful of chemical-laden smog. When you’re craving a hot dog, conjure up a mental vision of a sludgy, disgusting landfill.

Consider what makes cents.

Many types and cuts of meat are expensive! You may find it helpful to remind yourself of the money you’re saving by choosing plantbased options. You might object that fresh produce and other non-processed foods can also be pricey. However, if you’re no longer funneling one-fifth or more of your grocery budget toward meat, you’ll have a lot more to spend on these items. Plus, alternate sources of protein—beans and grains—are very inexpensive compared to animal proteins.

Find some friends to share the journey. It’s a lot easier to make healthy transitions when you’re working toward your goal with friends, old or new. Don’t underestimate the power of support, encouragement, and commiseration.

Start the day off right. Many of us view cured meats like bacon, sausage, and ham as a breakfast staple. We may even have thought we were doing ourselves a favor by avoiding sugary cereals and carbs. But based on the WHO’s recent report that processed meats are linked to cancer, it’s wise to bid a (perhaps tearful) farewell to these old meaty favorites—or at least enjoy them on a more limited basis. Spring 2016

“This is a great time to start making lasting changes that will improve your whole life,” concludes Wendt. “You can begin a new, healthier chapter of your life today, with no distractions or excuses weighing you down. It is my hope that the prospect of a more fit and healthy ‘you’ is inspiration enough to reclaim your health using the undeniable power of plant-based foods.”

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ParentPulse

helpful insights and tips for effective parenting

Help Your Kids Feel Comfortable

at the Dentist Routine dental examinations and cleanings are an important component of oral healthcare for both children and adults. However, many children do not visit the dentist until well after the time recommended by medical and dental professionals.

Parents may be unaware of the dental health timeline, or they could be reluctant to bring their children for fear of how their kids will behave—especially if parents are harboring their own apprehensions about the dentist. The American Academy of Pediatric Dentistry (AAPD) recommends that a child go to the dentist by age 1, or within six months of the eruption of his or her first tooth. Yet, according to a survey commissioned by Delta Dental Plans, the average age of a child’s first dental visit is 2.6 years. Parents worried about how their kids will respond to the dentist can take the following steps to acclimate kids to pediatric dental visits to make them more comfortable during their appointments now and down the road.

• Be a positive role model. Children frequently learn by example. If they see their parents being diligent about dental care, they’re more likely to embrace proper oral hygiene. Bring children to your own dental appointments so they understand the process and become familiar with the type of equipment used. • Stick to the first-tooth milestone. Take your child to the dentist on or about when his or her first tooth erupts. Early dental visits will get kids used to going to the dentist and prevent minor problems that may lead to more complex dental issues. 12

• Read books about the dentist and role play. Information can allay kids’ fears about the dentist. Read books together about dental visits and act out possible scenarios with your kids. Give kids toy dental health tools and have them practice exams on you and vice-versa. • Be supportive and instill trust. Avoid telling your child that everything will be okay. If a procedure is needed, this could affect his or her trust in you and make the dental office an even greater source of anxiety. Simply be supportive and offer a hand to squeeze or a hug if your child needs you. • Consider using your dentist. Some parents like to take their children to a pediatric dentist, but it may not always be necessary. Many family practices cater to patients of all ages, and the familiarity of the office may help make children feel more comfortable. Speak with your dentist about the ages they see. • Steer clear of negative words. Michael J. Hanna, DMD, a national spokesperson for the AAPD, suggests using positive phrases like “clean, strong, healthy teeth” to make the visit seem fun and positive rather than scary and alarming. Let the office staff come up with their own words to describe processes that won’t seem too frightening. By employing these techniques, kids’ dental visits can be more pleasant for all involved, paving the way for a lifetime of healthy teeth. –MCC

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Spring 2016

RegionPulse

healthy news + community happenings

Regional Healthcare Programs Offering Free Prostate Screenings

7th Annual Bands, Brews & BBQ to benefit Friends of Caroline Hospice

SCDHEC Lowcountry Public Health Region, AccessHealth Lowcountry, Mt. Carmel Baptist Church Med-I-Assist program and Beaufort Memorial Hospital are providing free prostate screenings for men age 40 and above. Those seeking screening must reside in Beaufort, Jasper or Hampton counties. All men of the appropriate age can receive a screening, but priority will be given to uninsured or underinsured, unemployed, or low income men. For further information and to schedule your appointment, please call 843-412-2572.

Port Royal, SC, February 26-27. Wing Throw Down Party: 6pm Friday; Sanctioned SC BBQ Association cook-off on Saturday, starting at 4pm. Call for additional information: 843-525-6257 or go to www.friendsofcarolinehospice.org

Spring 2016

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Long Term Benefits of Improving Your Toddler’s Memory Skills If your toddler is a “Forgetful Jones”, you might want to help boost his or her brainpower sooner rather than later. New research shows that preschoolers who score lower on a memory task are likely to score higher on a dropout risk scale at the age of 12. “Identifying students who are at risk of eventually dropping out of high school is an important step in preventing this social problem,” says Caroline Fitzpatrick, first author of a study recently published in Intelligence, and a researcher at Concordia’s PERFORM Centre. The study examines responses from 1,824 children at age two and a half, and then at three and a half. That data is then compared to the school-related attitudes and results of these children when they hit grade seven. Results were clear: those that do better on a memory-testing imitation sorting task during toddlerhood are more likely to perform better in school later on—and therefore more likely to stay in school. The imitation sorting task is specifically effective in measuring working memory, which can be compared to a child’s mental workspace. The results point out that early individual differences in working memory may contribute to developmental risk for high school dropout, as calculated from student engagement in school, grade point average and whether or not they previously repeated a year in school. When taken together, those factors can identify which 12-year olds are likely to fail to complete high school by the age of 2. She and the study’s other researchers, have suggestions for how parents can help kids improve their memory:

What you can do at home Parents who help their children develop strong working memory skills at home, can have a positive impact on school performance later in life. When preschoolers engage in play with other children to help them practice their working memory, then this activity involves remembering their own roles and the roles of others. Encouraging mindfulness in children by helping them focus on their moment-to-moment experiences also has a positive effect on working memory. For older kids, vigorous aerobic activity such as soccer, basketball and jumping rope have all been shown to have beneficial effects on concentration and recall. It is also noted that breathing exercises and guided meditation can be practiced with preschool and elementary school children. As of Dec. 10, 2015, new federal education legislation—the Every Student Succeeds Act (ESSA)—was signed into law. Particularly important, are new provisions in the law supporting social and emotional learning in school settings. If you’re a parent or guardian, you know this is true: limit screen time—video games, smartphones, tablets and television— which can undermine cognitive control and take time away from more enriching pursuits. Citation: Concordia University. Long-term benefits of improving your toddler’s memory skills: Early intervention: New research shows that preschoolers with poor short-term recall are more at risk of dropping out of high school. Retrieved from www.sciencedaily.com/releases/2016/01/160112125425.htm

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Spring 2016

What is Sustainable Clothing? . . . Is it Healthier to Wear? Consumers who have adopted a greener way of living may include organic foods and beverages in their ecofriendly plans. Such men and women may be very familiar with the way organic foods are produced, including how these foods are made without the use of chemical pesticides or artificial growth additives. Organic items are not limited to just food and drink. Organic and sustainable clothing has exploded in popularity, providing yet another way to help preserve the environment. Currently there are no global or even domestic standards for organic or sustainable textiles like there are for organic produce. Textiles do not need to be 100 percent organic to carry organic labeling, according to the USDA. Other labeling standards may be overseen by The International Federation of Organic Agricultural Movements, The Organic Trade Association, and EKO/KRAV, a Scandinavian organization. Clothing fibers that do not meet strict organic requirements may fall under a broader umbrella term of “sustainable” fibers. These may include garments made from recycled materials or eco-friendly, manmade fibers. These, too, have their share of benefits.

There are many advantages to choosing sustainable or organic fabrics and clothing. These materials may have been produced using less water, fewer pesticides and fewer herbicides than conventional farming methods. Organic cotton, for example, is produced from non-genetically engineered seed. These factors combine to help keep unnecessary chemicals from entering the environment. Clothing produced from recycled materials, such as plastics, keeps materials that are slow to decompose or those that do not break down from reaching landfills. In addition to choosing sustainable options, consumers may want to research locally-produced clothing. Keep in mind that the benefits of organic and sustainable fibers may be negated by energy consumption of long shipping routes and transportation choices. Check labels to see where merchandise is produced and research the manufacturer to verify its production processes. Choosing sustainable clothing is another way to live an eco-friendly lifestyle. What may have started out as clothing produced from cotton, silk, hemp, and jute has also expanded to include many upcycled materials.

Skin Cancer & Mole Screening Schedule your annual skin cancer screening now. It is an important aspect of your preventative health care. We thoroughly examine your skin from head 2705 N Hwy 17, Mt Pleasant, SC 29466

Phone: (843) 216-3530 www.mcleansheperdmd.com

to toe. We use skin mapping techniques to measure and track abnormal skin growths from year to year. This allows identification of subtle changes over time, which can be a key indicator of malignancy. Anything out of the ordinary is tested for diagnosis or treated at the time of the visit.

Dr. McLean Sheperd is a board certified dermatologist with a highly accomplished team of specialists, advocating a whole body approach to skin wellness. At Sheperd Integrative Dermatology, we pair traditional practices with holisitic and organic healing for a comprehensive and tailored treatment plan based on indivdual patient needs.

Cosmetic Procedures • • • • • • • • • • •

Botox/Dysport Dermal Fillers and Collagen Stimulators Laser Hair Reduction Scar & Stretch Mark Treatments Skin Tightening with Radio Frequency Chemical Peels Sclerotherapy | Spider Vein Treatment IPL Photofacial | Sun Damage, Age Spots, Redness and Rosacea Rejuvapen Microneedling | Skin Rejuvenation, Acne Scars, and Melasma Fractional Skin Resurfacing | Fine Lines, Pore Size, and Scars Men's Services

Spring 2016

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Our new location is opening soon.

BIAA Provides Print and Online Information about Concussion The Brain Injury Association of America (BIAA) is working to increase understanding of concussions with a new publication Brain Injury: Dispelling Myths and Misunderstandings about Concussion. The 16-page brochure talks about signs and symptoms of concussion, when to seek medical attention, how to aid and speed recovery, long-term effects, research, and prevention.

The recently-released movie “Concussion” starring Will Smith as Bennett Omalu, M.D., showcases the pathologist who is credited with discovering the link between repeated concussions in professional football and a condition known as chronic traumatic encephalopathy (CTE). The movie has raised awareness about concussions, but there is still a

lack of understanding about the symptoms, treatment, and challenges of dealing with a concussion. In a recent Harris poll, 87 percent of Americans surveyed did not know how to define what a concussion is, and 68 percent did not know that a person can sustain a concussion without receiving a blow to the head. Fewer than 50 percent of those polled knew all the signs and symptoms indicating that someone has sustained a concussion.

BIAA also provides information through its concussion information center (CIC) on the organization’s website at www.biausa.org/concussion. In addition to helping site visitors understand what a concussion is, and what symptoms to look for, the CIC also contains information on returning to work and to school after a concussion. Videos to help site visitors better understand the information being presented and downloadable fact sheets on concussions can be shared with family members, teachers, and employers.

Offering Home Care in Hilton Head Island, Bluffton, Beaufort, Hardeeville, Ridgeland, Sun City and surrounding South Carolina communities.

Making Life Easier

Home Helpers of the Lowcountry • 843-837-3041 Email: help@homehelperslowcountry.com Web site: www.inhomecarelowcountry.com Licensed as an in-home provider of personal care • Personal care and bathing assistance • Dressing • Companionship • Continuing and recuperative care • Alzheimer's/ dementia care • Respite care • Transportation • Light housekeeping • Meal preparation

Spring 2016

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Licensed as a home health agency • Skilled nursing • Physical therapy • Occupational therapy • Speech therapy • Medical social work • Wound care • Diabetic care and education • Medication management • Catheter and ostomy care

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. You must dial AREA CODE 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., 10:15–11:45 a.m. for caregivers of someone with Dementia; Men’s Support Group, 1st + 3rd Mon. each month, 10:15–11:45 a.m. and Women’s Support Group, 2nd + 4th Mon. each month, 10:15–11:45 a.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: Every Wednesday 12:30 - 1:30, Helena Place Assisted Living, Port Royal; 843-521-9190 or 843-263-2062 • Alzheimer’s Family Services of Greater Beaufort Education and Social Day Program: Mon. & Wed., 10:00 a.m. - 1:45 p.m., Port Royal United Methodist Church. Friday; 10:00 a.m. 1:45 p.m, Wesley UnitedMethodist Church, Beaufort, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort Living With Alzheimer's Disease Support Group: 2nd and 4th Monday of each month, 1:00 p.m. 2:00p.m., The Parlor, Carteret Street United Methodist Church, Beaufort, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort Early Memory Loss Group: 2nd and 4th Monday of each month, 10:30 a.m. - 11:30 a.m., Port Royal United Methodist Church, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort In-Home Respite: Available on an as needed basis; 843-521-9190 or 843-263-2062 BEREAVEMENT • PRUITT/United Hospice Grief support for recently bereaved: All situations– Contact Bereavement Counselor, 522-0476. • AGAPE Grief support Groups: Please RSVP to 803-842-9800 to attend the group: Ridgeland: 433 First Ave., 2nd Wednesday, 10:00am.; Beaufort: 907 Boundary St., 3rd Wednesday 10:00am.; Hampton: 1000 Pine St. E., Varnville, 4th Wednesday, 10:00am. • 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 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, Port Royal: 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;

DIABETES • Diabetes support groups: Beaufort, 522-5635; 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: adult1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton

• Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606; Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; • Overeaters Anonymous (continued), 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;

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. • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : Hilton Head every Monday, 5:307:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Bluffton/Okatie every Wednesday, 6:30 pm8:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Beaufort, noon – 1:30pm: at Beaufort Medical Plaza, 989 Ribaut Rd., Rm. 350, Call for info: 843-681-2200 ext. 1. • NAMI Caregiver Support Groups: 7:00 p.m. St. John’s Lutheran Church, Lady’s Island; Contact: John Aiello, 843-597-8122. 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Contact: Betty & Ted Cooley, 843-757-8597. Evening group in Bluffton by appointment only, 6:00-7:00 pm; Unitarian Universalist Church, 110 Malphrus Rd., Bluffton; Norma Van Amberg 843-681-2200 .

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 • 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; • 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 group: Port Royal/Beaufort: Shellpoint Baptist Church, 1st Thursday of the month, 1:30-3 p.m.; • Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org

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. WEIGHT ISSUES • Community Health/ Weight Loss Classes For information, call Sheila 843-644-1991.

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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 • Nursing Mothers of Beaufort: Third Friday, 1:00-2:30pm; 508 Scott St.; 919-606-4565. • 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

Spring 2016

PARKINSON’S DISEASE: Recognize early onset symptoms Parkinson’s disease is a neurological movement disorder. Classic motor symptoms, such as tremor, rigidity and extreme slowness of movements and reflexes, called bradykinesia, are typically used to identify Parkinson’s. However, identification of other, more subtle symptoms may help identify the disease years before more obvious motor conditions present themselves. Since Parkinson’s is a chronic and progressive neurological disease, symptoms are often mild at the onset, becoming more severe over time. Initial symptoms may be so subtle that they’re even difficult for specialists to detect, according to the The Michael J. Fox Foundation for Parkinson’s Research. Symptoms also may be different for some patients than others and may progress at different paces. Dopamine loss is a major contributor to the onset of Parkinson’s disease. Dopamine controls movement and mood, Tremors in the hands, loss of balance, so when dopamine is affected, walking, talking and writing handwriting changes, and slowed movements can be impacted. Depression or anxiety may accompany may be early indicators of Parkinson’s disease. other symptoms. The National Institutes of Health says Parkinson’s disease affects as many as 500,000 people in the United States. An early diagnosis may help improve quality of life and delay the onset of greater motor issues. Here’s what to look for and discuss with a doctor.

• Micrographia and other handwriting issues occur. Those with Parkinson’s disease may start experiencing changes in their handwriting. Penmanship may look cramped, and letters tend to be smaller than normal (micrographia). Individuals may find it difficult to hold a pen and write.

• Tremors take place in a limb. Tremors usually begin in the hands or fingers and may even mimic a pill-rolling technique, which is a tremor between the thumb and forefinger. Tremors usually occur when the limb is at rest.

• Pace or activities slow down. Parkinson’s disease may reduce one’s ability to move and may slow down movements. An early symptom may be a noticeable slowing down in steps or ability to react to something, like a ball being thrown one’s way. Some with Parkinson’s may drag their feet or shuffle as they walk or find it difficult to get out of a chair.

• Loss of automatic movements and functions can occur. Difficulty with unconscious movements, such as blinking, smiling or even swinging arms, may occur when a person has Parkinson’s disease. Movements may be uncoordinated and stiff. Increased salivation and perspiration also may be indicators.

• Poor balance and loss of posture may develop. People with Parkinson’s disease may hunch over more and more and be unable to stand up straight. Balance issues, such as greater incidences of falls or being able to tip over more easily, may occur. • Speech can change. Changes in speech can begin, including hesitating before speaking, slurring words or speaking in a monotone voice.

• Others may notice a masked face. This describes a vacant or fixed stare and lack of facial animation. • Sleep issues may increase. Parkinson’s disease can affect sleeping patterns and behaviors. People with Parkinson’s may experience vivid dreams and nightmares, as well as an inability to stay asleep. Daytime drowsiness may also occur. Parkinson’s disease is rare, and symptoms that mimic those of Parkinson’s may be caused by other conditions. However, if you or someone you know is experiencing repeated symptoms of any of the ones described here, speak with your general practitioner or a neurologist. Spring 2016

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PROS AND CONS of AIR DUCT CLEANING Many homeowners consider having the ductwork in their homes cleaned. Mailers often tout the benefits of this service and warn of the potential hazards that could be lurking inside uncleaned vents and ducts. But whether or not air ducts need to be cleaned remains open for debate. A quick review of air duct cleaning can help homeowners make a more informed decision.

What is duct cleaning? Before looking into the advantages and disadvantages to duct cleaning, it is advantageous to examine the process involved when cleaning air ducts. There are two ways to have the ducts cleaned in a home-rotary vacuum brushing or high pressure air washing. • Vacuum brushing utilizes a spinning brush to scrub dust and debris off the air vents and a vacuum to capture whatever is dislodged. • High pressure air washing uses pressurized air blown through the air ducts. A truck-mounted industrial vacuum is attached to the furnace, and all of the air register vents in the home are covered. Once all the air ducts have been blown clear, another air wand is fed into the end of the hot and cold air supply lines. Dust and debris is then drawn backward into the vacuum.

PROS One of the more obvious advantages of air duct cleaning is improved health and hygiene in the home. Those prone to allergies may find that routine cleaning helps ameliorate the problems of sneezing and watery eyes. Duct cleaning can remove allergens and dust. The Environmental Protection Agency (EPA) says air duct cleaning is handy if there is a noticeable accumulation of dust and debris in ducts or if particles are actually released into the home from supply registers. If ducts are infested with rodents or insects, cleaning will make indoor air much safer. Mold is another factor to consider when determining if ducts need to be cleaned. Mold spores floating in the air can lead to illness. Professional cleaning may be the only way to remove mold and mildew from the system. Homeowners who have fireplaces may find the air becomes dirtier faster. That’s because of the residue put into the air from burning wood and other fuel. This residue not only builds up inside of the chimney in the form of creosote, but also can form a sticky, sooty layer inside of ductwork. Cleaning the ducts can remove this soot.

CONS The EPA advises that no research has definitively shown that duct cleaning prevents health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts. This is because much of the dirt in air ducts adheres to duct surfaces and does not necessarily enter the living space. What’s more, dirty air that enters the home from outdoors or indoor activities, such as smoking or cleaning, can actually cause greater exposure to contaminants than dirty air ducts. There also is no evidence that cleaning ducts and components of the heating/cooling system will make the furnace or air conditioner work any more efficiently. Air duct cleaning is an expensive undertaking. On average the cost of such a service can range from $400 to $1,000, depending on the extent of the cleaning and the size of the home. Cleaning the ducts also can be dirty and time-consuming. Cleaning may spread contaminants that were lodged inside of the vents throughout the air more readily. Some cleaning services will advise the use of chemical biocides to treat the interior of vents. These are designed to kill microbiological contaminants. The EPA warns chemical biocides have yet to be fully researched, and homeowners should be fully informed before deciding to permit the use of biocides or chemical treatments in air ducts. Homeowners should never attempt to clean air ducts themselves. If the decision is made to have the cleaning done, it should only be on an as-needed basis and completed by a reputable cleaning service. —MCC; EPA Spring 2016

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Community Calendar of Healthy Events Please e-mail your healthy events to editor@caremagazine.com

AARP CHAPTER OF THE LOWCOUNTRY Thursday, March 3, 1:00 pm Palmetto Electric Coop Bldg. (off Hwy 278)

Community Room Saturday, February 27 Integrative Healing Arts “Samplers” 9am until 1pm: 705 Bladen Street, Beaufort, SC. Experience a 20-minute session of creative and integrative healing arts therapies: Chiropractic, Acupuncture, Counseling, Healing Touch, massage and more, for a donation of $10/session. Your donation assists with the operating expenses of the non-profit MinistriesforSynergeticWellness.org. Call 843-770-9947 for more information.

Friday, March 18th AARP Safe Driver Course 9:00AM—4:00PM: The new 6-hour class will be held at the SUMMIT PLACE of BEAUFORT, 1119 Pickpocket Plantation Dr., Beaufort, SC. The Fee is $15 for AARP members; $20 for nonmembers. A certificate will be issued upon completion that may be used for your auto insurance discount. Class size is limited—REGISTER NOW. Call 843-521-1941, Harry Ammon, instructor.

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

For Spectacular Spring programs and current events at all County branches Call 843-255-6430, or visit beaufortcountylibrary.org American Red Cross Blood Drives WALTERBORO February 10 Colleton County High School 150 Cougar Nation Drive HILTON HEAD February 11 Christ Lutheran Church 829 William Hilton Parkway

RIDGELAND February 19 Step of Faith Christian Academy 9009 Malphus Road

OneBlood Donation Drives ID required to donate blood BEAUFORT Saturday, February 13 Family Worship Center 2 Trask Parkway Monday, February 22 Riverview Charter School 81 Savannah Highway Monday, February 29 Technical College of the Lowcountry 921 Ribault Rd Tuesday, March 01 Joint Rotary Drive - Quality Inn 2001 Boundary Street Thursday, March 03 Beaufort Academy 240 Sams Point Road Friday, March 04 Lowcountry Medical Group 300 Midtown Drive Sunday, March 06 Tidal Creek Fellowship Church 290 Brickyard Point Road S.

Thursday, April 14 Whale Branch Early College HS 169 Detour Road OKATIE Monday, February 08 Callawassie Island 22 Callawassie Club Drive BLUFFTON Thursday, February 18 Moss Creek Fitness Center 1523 Fording Island Road Saturday, February 20 Maye River Baptist Church 3507 Okatie Hwy. Thursday, March 31 USC Beaufort - New River Campus 65 University Parkway Monday, April 04 Sun City Hilton Head 114 Sun City Lane Portable Pinckney Hall HILTON HEAD Sunday, February 21 St. Andrews by the Sea 20 Pope Ave.

Tuesday, March 08 Beaufort Memorial Hospital @ BMAC 990 Ribaut Road

Wednesday, March 09 Sea Pines Community Center 71 Lighthouse Road

Monday, March 14 Beaufort High School 85 Sea Island Parkway

Tuesday, March 15, 2016 Hilton Head Hospital 25 Hospital Center Blvd.

Sunday, March 20 St. Peter's Catholic Church 70 Lady's Island Drive

Wednesday, April 06 Hilton Head Preparatory School 8 Fox Grape Road

Monday, March 28 Beaufort Water Festival 1001 Boundary Street

Thursday, April 07 Sonesta Resort Hilton Head 130 Shipyard Drive

Wednesday, April 20 Battery Creek High School 1 Blue Dolphin Drive

HARDEEVILLE Thursday, February 11 Hilton Head Hyundai 51 Auto Mall Blvd

ID required to donate blood

DATAW ISALND Monday, April 25 Dataw Community 100 Marina Drive

Thursday, March 10 Coastal Carolina Hospital 1000 Medical Center Drive

For additional blood drive dates, visit http://www.redcrossblood .org/donating-blood

SEABROOK Tuesday, February 09 Whale Branch Early College HS 169 Detour Road

To make an appointment to donate, please call 843.522.0409 or visit igiveblood.com

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Spring 2016

Call COASTAL DISCOVERY 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

“Lowcountry Snakes” February 17, from 3-4 pm

Planktonic Life in the Lowcountry Salt Marsh March 9 at 3 pm

Discover the natural history of many snakes commonly found in the Lowcountry. From the venomous rattlesnakes to colorful milk snakes, our region is home to numerous species that play essential roles in our ecosystem. Live snakes will be shown. Cost is $7.00 per person and reservations are required.

During this hands-on experience you will explore the life of plankton. You will collect plankton from the salt marsh creek and examine and identify it under a microscope. Join in this exploration of the microscopic world that made our Lowcountry Salt Marsh one of the most productive ecosystems on earth. Cost is $7 per person (for ages 12 and older please) and advance reservations are required.

Artist workshops with Amiri Farris February 12 Amiri Geuka Farris, a professor of art at the Savannah College of Art and Design, welcomes all ages for an artist workshop. Amiri will guide you along the way as you create your own masterpiece. Each class is $25 and includes all materials. Workshops are partially underwritten by the South Carolina Arts Commission. Reservations required.

“Stories from the Lowcountry” Exhibit through February 28 Artists Judy Mooney and Amiri Farris detail the rich colorful heritage of the Gullah and Geechee people in their sculptures and paintings, making solid the stories of these people and their lives. The gallery is open Monday through Saturday from 9 am until 4:30 pm and Sunday from 11 am until 3 pm. The closing reception is February 26 from 5-7 pm.

Take a “Waterways Excursion” March 12, 26, April 9, 23 and May 7, 21 from 10 am until 12 pm Explore the waterways around Pinckney Island Forest Preserve on board the Tammy Jane. This adult-oriented cruise is $35 per person and reservations are required.

May River Expedition Spring Program begins March 15 10 am until noon; Continues Tues. and Thurs. through May 31 Cost is $40 adult, $30 child (ages 12 and under). Reservations are required.

Colonial Nesting Birds of South CarolinaSeabirds and Wading Birds March 16 at 3 pm

Sea Turtles; by land and by sea February 25 at 3 pm

The cost of the program is $7 per person. Reservations are required.

This is a close look at the offshore sea turtle research conducted by the SCDNR. An update on sea turtle monitoring, looking at both beach nesting efforts as well as offshore research efforts by SCDNR. Cost is $7 per person and reservations are required.

Lowcountry Critters with Joe Maffo March 16, 19, 23, 26, 29 and April 2, 6, 9 11 am until 2 pm

All About the Estuary March 2 at 3 pm Come and learn answers to the common questions about salt marsh found in the Lowcountry, from Bob Bender. You will see live critters! Cost is $7 per person and advance reservations are required.

Sweetgrass Basket Making Classes Saturdays, March 5,12 and 19 April 2, 9 ,23 and May 7, 14, 21 and 28 10:30 am until 12:30 pm The cost is $65 per adult. Reservations are required. Spring 2016

Cost is adult $10 and child $5 (12 and under) under 5 are free. No reservations required.

“Oysters – Not just a seafood delicacy” March 23rd at 3 pm Cost is $7 per participant. Reservations are required.

Learn to Throw a Cast Net March, April and May at 3 pm Beginners are welcome, and you may bring your own net, or a loaner will be made available to you. For ages 12 and older, cost is $10 per person and reservations are required.

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Erectile Dysfunction?

Consume More Fruit Flavonoid-rich foods are associated with a reduced risk of erectile dysfunction, according to a new study. Of all the different flavonoids, Anthocyanins (found in blueberries, cherries, blackberries, radishes and blackcurrant), flavanones and flavones (found in citrus fruits) were found to offer the greatest benefits in preventing the condition. This research shows that eating a flavonoid-rich diet is as good for erectile function as briskly walking for up to five hours a week.

Research published in The American Journal of Clinical Nutrition reveals that eating foods rich in certain flavonoids is associated with a reduced risk of erectile dysfunction in men, with the greatest benefit in those under 70.

It is already known that increased exercise can improve erectile function, but this research shows that eating a flavonoid-rich diet is as good for erectile function as briskly walking for up to five hours a week. The study also showed that a higher total fruit intake was associated with a 14 per cent reduction in the risk of erectile dysfunction. And that a combination of consuming flavonoid-rich foods with exercise can reduce the risk by 21 percent. The study was carried out by nutrition departments at the Harvard TH Chan School of Public Health and UEA’s Norwich Medical School. Lead researcher Prof. Aedin Cassidy from UEA said: “Flavonoids are present in many plant-based foods and drinks including fruits, vegetables, tea, herbs and wine. We examined six main types of commonly consumed flavonoids and found that three in particular—anthocyanins, flavanones and flavones— are beneficial. “Men who regularly consumed foods high in these flavonoids were 10 percent less likely to suffer erectile dysfunction. In terms of quantities, we’re talking just a few portions a week.” More than 50,000 middle aged men were included in this large population based study. They were asked about their ability to have and maintain an erection sufficient for intercourse—dating back to 1986. Data on dietary intake was also collected every four years. The research team took into account a range of factors such as body weight, physical activity, amount of caffeine consumed, and whether the participants smoked. The research was also restricted to men who were otherwise in good health. More than one third of the men surveyed reported suffering new onset erectile dysfunction. But those who consumed a diet rich in anthocyanins, flavones and flavanones were less likely to suffer the condition. Cassidy further stated, “We also found that the benefits were strongest among younger men,” she added. The team also looked at other lifestyle factors and found that men who consumed a high intake of anthocyanins and flavanones and who were also physically active had the lowest risk of erectile dysfunction. 24

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Spring 2016

Stored Fat fights against the Body’s Attempts to Lose Weight The fatter we are, the more our body appears to produce a protein that inhibits our ability to burn fat, suggests new research published in the journal Nature Communication. The findings may have implications for the treatment of obesity and other metabolic diseases. Most of the fat cells in the body act to store excess energy and release it when needed but some types of fat cells, known as brown adipocytes, function primarily for a process known as thermogenesis, which generates heat to keep us warm. However, an international team of researchers have shown that a protein found in the body, known as sLR11, acts to suppress this process. Researchers investigated why mice that lacked the gene for the production of this protein were far more resistant to weight gain. All mice—and, in fact, humans—increase their metabolic rate slightly when switched from a lower calorie diet to a higher calorie diet, but mice lacking the gene responded with a much greater increase, meaning that they were able to burn calories faster. The researchers were able to show that sLR11 binds to specific receptors on fat cells—in the same way that a key fits into a lock—to inhibit their ability to activate thermogenesis. In effect, sLR11 acts as a signal to increase the efficiency of fat to store energy and prevents excessive energy loss through unrestricted thermogenesis. When the researchers examined levels of sLR11 in humans, they found that levels of the protein circulating in Spring 2016

the blood correlated with total fat mass—in other words, the greater the levels of the protein, the higher the total fat mass. In addition, when obese patients underwent bariatric surgery, their degree of postoperative weight loss was directly proportional to the reduction in their sLR11 levels, suggesting that sLR11 is produced by fat cells. In their paper the authors suggest that sLR11 helps fat cells resist burning too much fat during ‘spikes’ in other metabolic signals following large meals or short term drops in temperature. This in turn makes adipose tissue more effective at storing energy over long periods of time. There is growing interest in targeting thermogenesis with drugs in order to treat obesity, diabetes and other associated conditions such as heart disease. This is because it offers a mechanism for disposing of excess fat in a relatively safe manner. A number of molecules have already been identified that can increase thermogenesis and/or the number of fat cells capable of thermogenesis. However to date there have been very few molecules identified that can decrease thermogenesis. These findings shed light on one of the mechanisms that the body employs to hold onto stored energy, where sLR11 levels increase in line with the amount of stored fat and act to prevent it being ‘wasted’ for thermogenesis. This discovery may help explain why overweight individuals find it incredibly hard to lose weight. www.caremagazine.com

Their stored fat is actively fighting against their efforts to burn it off at the molecular level. The lead researcher states, “We’ve found an important mechanism that could be targeted not just to help increase people’s ability to burn fat, but also help people with conditions where saving energy is important such as anorexia nervosa.” Furthermore, his research could stimulate the development of new drugs that either help reduce obesity, by blocking the action of this protein, or control weight loss by mimicking its action. Based on this promising discovery, we look forward to the Cambridge team’s future findings.

The bottom line? An effective medicine to treat obesity, which safely manages weight loss is still some way off. In the meantime people can find advice on healthy ways to lose weight and boost their heart health at the American Heart Association’s web site: www.AHA.org. Source: http://www.medicalnewstoday.com/ releases/303138.php;

Allergy-Friendly Gardening For many people with seasonal allergic rhinitis (hay fever), getting hands dirty in the garden has consequences. Sneezing, itchy eyes, congestion and other reactions can turn yard work into misery. With a few simple precautions, allergies don’t have to stand between you and your garden. The best times of day to be outdoors are when the pollen levels are lower. This is typically on rainy, cloudy and windless days. Pay attention to pollen counts in your area by subscribing to the email alerts available from the National Allergy BureauTM (NAB). The NAB provides the most accurate and reliable pollen and mold levels from approximately 78 counting stations throughout the United States, two counting stations in Canada and two counting stations in Argentina. Avoid touching your eyes or face when doing yard work. You may also consider wearing a mask to reduce the amount of pollen spores that you breathe in. Leave gardening tools and clothing (such as gloves and shoes) outside to avoid bringing allergens indoors. Showering immediately after gardening may also help reduce symptoms.

Certain flowers, trees and grasses are better suited for the gardens of people with outdoor allergies. These less allergenic plants include: • Cactus • Cherry tree • Dahlia • Daisy • Geranium • Hibiscus • Iris • Magnolia • Roses • Snapdragon • Tulip In general, highly-allergenic trees and grasses include: • Ash • Cedar • Cottonwood • Maple • Oak • Pine • Johnson grass • Rye grass • Timothy The best way to determine which plants trigger your allergic reactions is through skin testing performed by an allergist / immunologist. An allergist can help you develop strategies to avoid troublesome plants and pollen and can prescribe medication to alleviate symptoms. Allergy shots (immunotherapy) may offer permanent relief from allergy symptoms. Check with your allergist / immunologist to see if this is an effective treatment for you. Another form of allergy immunotherapy was recently approved in the United States called sublingual immunotherapy (SLIT) allergy tablets. Rather than shots, allergy tablets involve administering the allergens under the tongue generally on a daily basis. This article has been reviewed by Thanai Pongdee, MD, FAAAAI http://www.aaaai.org/conditions-and-treatments/library/allergy-library/allergy-friendly-gardening.aspx

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Spring 2016

Decrease mucus production and subsequent sore throats When allergies, colds or the flu strike, the resulting symptoms can be unpleasant. Watery eyes, sneezing, aches, pains, and lethargy are common. Two additional symptoms common to respiratory illnesses include excess mucus production and sore throat. Mucus is a vital component of bodily health. The American Academy of Otolaryngology says glands in the nose and throat continually produce thin mucus to moisten and clean respiratory passageways. This mucus traps foreign matter and can help combat infection. When viruses or bacteria irritate parts of the nose and throat, excess mucus may be produced as the immune system attempts to retaliate. This mucus may thicken and become more acidic. Extra mucus can produce its own side effects, including further irritation. In many cases, excess mucus production can lead to post-nasal drip and subsequent sore throats. People often mistake post-nasal drip and related sore throat as separate medical conditions. But each can be traced to whichever illness or irritant (such as dry air or chemical exposure) is triggering the body’s mucus response. Reducing the amount of mucus pooling in the back of the throat can help a person feel better more quickly and can be used in conjunction with medical advice.

• Drink peppermint or regular mint tea. The natural menthol in these herbs can help thin mucus and loosen it up for more productive coughs.

• Increase consumption of mucus-fighting foods and beverages. Mustard, lemon, garlic, and anti-inflammatory oils found in many nuts, including coconut oil, may help reduce swelling in the throat and nose and tame mucus production.

•

Drink plenty of fluids. Clear fluids, such as water, tea and broth, can also thin out mucus, making it flow more easily down the throat.

•

Rely on salt solutions. Simple nasal saline rinses or gargling with salt water can alleviate irritation and help reduce some of the mucus, too. Remember to use cooled-down boiled tap water or distilled, sterile water for nasal rinses to prevent the chance of water contamination, which can lead to serious illness.

• Consider medication. When natural remedies are exhausted, prescription or over-the-counter products may provide relief. Decongestants can dry up nasal secretions, while antibiotics may be needed if an infection is bacterial in nature.

products, wheat, soy, bananas, sugar, and preservatives may contribute to mucus production.

Always consult with a doctor to get an accurate diagnosis of mucus issues and sore throat causes. He or she may suggest one of the tips above or a combination of therapies. –Source: MCC

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• Limit foods that may increase mucus production. Dairy

Spring 2016

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Did you know . . .

Sewage and Dirty Water may be the source for

Antibiotic Resistance by Elizabeth Dardes

A cocktail of a billion viruses from toxic sewers and dirty rivers called bacteriophages or phages used to be the armor in the fight against bacteria prior to the discovery of penicillin. Now, western scientists are returning to this archaic method to help curtail the rise of bacterial resistance to antibiotics.

Resistance, while a natural process, has accelerated due to the overuse and misuse of antibiotics. We are using them to plump up livestock and poultry, and according to the CDC, half of the antibiotic prescriptions written by U.S. doctors provide no benefit at all. Our quick-fix methodology has given rise to their overuse. The last time a new class of antibiotics was brought to the market was nearly thirty years ago. Without effective antibiotics, minor cuts and bruises can become serious problems. The concern is prompting labs and biotechnological firms to conduct clinical trials and new research of phages. Scientists from the U.S., Russia, and Europe are all taking part individually to combat this recent phenomenon. Phages are exceptional killers of two common bacteria that infect the wounds of burn victims. Burn wounds are particularly vulnerable to infection, which can be deadly. Miraculously, a number of burn victims participating in a clinical trial in France, Belgium, and Switzerland have experienced remarkable healing of wounds when the vile concoction of sewage is administered. The trial, funded by a grant from the European Union, is to access whether the phages can reduce the woundâ&#x20AC;&#x2122;s bacteria faster and more effectively than silver sulfadiazine, the standard antibiotic treatment. One patient who did not respond well to the standard antibiotic, was given bandages soaked in sewage fluid full of viruses. Her oozing wounds improved overnight, and doctors expect a full recovery. Several other patients within the trial are experiencing similar results. The idea of using mucky river water and sewage to assuage infection seems unprecedented today. However, due Source: WSJ: Gautam Naik to overextending ourselves scientifically, in this case, it is wise to look to the past. 28

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Spring 2016

PruittHealth Hospice and Home Health are honored to serve the United States Marine Corps. We have been serving the Lowcountry for 11 years. PruittHealth Hospice cares for patients and their loved ones through a uniquely specialized team who work to control pain and other symptoms, as well as provide emotional and spiritual support. Our team includes Physicians, RN’s, Medical Social Workers, Chaplain, Bereavement Counselor, CNA’s and Volunteers.

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Sneaky Mac and Cheese The kids will never believe there’s a vegetable hidden in this creamy, cheesy comfort food. Wholesome, puréed white beans and carrots contribute to the sauce’s creaminess. Prep time: 10 minutes Cook time: 15 minutes Yields: 8 servings

ingredients: 3 cups fat free, low-sodium chicken broth

Photo courtesy of Delmonte.com

8 oz. dry pasta, such as whole grain elbows or rotini 1 can (14.5oz.) sliced carrots, drained

Optional Toppings:

½ cup milk

• Crumbled cooked bacon

1 can (15.5 oz.) white or cannellini beans, drained • Steamed broccoli flowerets 2 cups (8 oz.) shredded sharp Cheddar cheese, divided

• Chopped tomatoes

Salt and black pepper, optional

• Sliced green onions

preparation: 1 Bring broth to a boil in a large saucepan; add pasta and reduce heat to medium-high. Cook according to package directions, stirring frequently, except DO NOT DRAIN. 2 Meanwhile, place carrots and milk in a blender; puree until smooth. Add beans to blender; puree until smooth, scraping down sides of blender twice. Stir pureed mixture into pasta until coated. Cook over medium heat 2 to 3 minutes or until sauce is slightly thickened. 3 Stir in cheese and cook until cheese is melted and season to taste with salt and pepper, if desired. Serve with toppings, as desired. 30

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Variation: To make Sneaky Mac & Cheese Muffins, prepare as recipe directs, except line 18 medium muffin cups with paper or foil liners. Spoon about 1/3 cup of prepared mac and cheese into each cup and bake at 350°F until lightly browned, about 15 to 20 minutes.

Source:http://www.delmonte.com/recipes/ weeknight-recipes/sneaky-mac-and-cheese. Spring 2016

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