CARE magazine®_NOV 2014 by CARE magazine®

Options and References for a Healthier Life

Care V NO

14 20 R BE EM

magazine®

Autumn Allergies Avoid a Medical Misdiagnosis Tips for hiring Home Healthcare Help About Hospice & Palliative Care

Outsmart Your Migraine

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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CONTENTS

November 2014

In Every Issue

Features 5

Autumn Allergies

Avoid a Medical Misdiagnosis

Professional Forum

Regional Health Facilities

RegionPULSE— Free memory screenings

Community Calendar and Healthy Events

Regional Support Groups

ParentPULSE— Don’t let your kids guzzle energy drinks

Regional Blood Drives

29 care TALK© Ways to Save on Prescription Medications — By Judith Treadway, MD

Capsules of Healthy Information

Healthy Recipes— Garden Vegetable & Turkey Meatloaf

Family FUN page

Tips for Hiring Home Healthcare Help — By Kurt Kazanowski

About Hospice and Palliative Care

Easing Grief — a Harvard Health report

Healthy Sight for Adult Eyes

Alzheimer’s Early Signs and Symptoms

Outsmart Your Migraine

Create a Culture of Family Wellness

Garden Turkey Meatloaf—page 30

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NOVEMBER 2014

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care magazine

Options and References for Healthier Living

NOVEMBER 2014 Publisher and Editor:

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NOVEMBER 2014

For millions of allergy sufferers, fall is a potent time for allergy-inducing allergens, reports the Harvard Health Letter (October 2014). “The fall allergy season is usually the result of pollen from weeds. But after the first frost, it’s all about mold,” says Dr. John Dobrowski, an otolaryngologist at Harvard-affiliated Massachusetts Eye and Ear Infirmary. The predominant allergen in the fall is ragweed, which grows abundantly throughout the South. Outdoor molds are another cause of fall allergies. They are in soil, compost piles, and decomposing leaves. Mold spores are abundant after the ragweed season. They are light, very small, and easily inhaled into the lungs.

Autumn’s pollen and mold can challenge those with allergies In some people, inhaling allergens causes the body to overreact. The immune system mistakes a generally harmless substance, such as pollen, for a harmful invader. That triggers a chain of events that leads to certain cells releasing histamine. Histamine allows fluid to escape from small blood vessels into tissues. This leads to the classic allergy symptoms of runny nose, watery eyes, and sneezing.

The symptoms of allergic rhinitis are similar to those of the common cold. “That can be confusing, but the hallmark of allergies is clear, watery nasal drainage that lasts for six weeks, as opposed to more yellow or green mucus for a few days,” says Dr. Dobrowski. Once you know which allergens are causing your body to react, you can develop a plan with your doctor to manage your symptoms. These allergies can often be treated with over-the-counter or prescription medications. Some people benefit from allergy shots. Other steps include avoiding allergens by wearing a face mask when outside, keeping home and car windows closed, removing decaying leaves from the yard, and changing air filters.

You can get instant online access to all of the articles from the issues of Harvard Health Letter (fee charged) at www.health.harvard.edu/health or by calling 877-649-9457 (toll-free). NOVEMBER 2014

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Recent studies are showing us that nearly a third of all patients in the US are getting an incorrect or incomplete diagnosis. The Institute of Medicine estimates that this means $765 billion in wasted healthcare spending. The expert physicians at Best Doctors, Inc. have issued the five tips below for all patients to make sure you are getting the right diagnosis and treatment.

5 Steps to Avoid a Misdiagnosis Don’t be shy. Be curious, and insistent. Ask your doctor questions about your diagnosis and treatment. Ask things like, “What else could this be?” Keep asking questions every step of the way until you’re satisfied with the answers.

Get a second opinion. But don’t show up and tell the next doctor, “I’ve been diagnosed with this type of illness, what do you think?” Instead, focus on telling the doctor all of your symptoms. Don’t guide their thinking toward what the first doctor said you have. As Dr. Jerome Groopman writes in his classic book, “How Doctors Think,” “Telling the story again may help the physician register some clue that was, in fact, said the first time but was overlooked or thought unimportant.”

Take the time to get to know your family medical history—and make sure your doctor knows about it. Studies show your family history may tell you more about what kinds of illnesses you may have or are likely to get than even genetic testing. If you search for “My Family Health Portrait” on Google you’ll find a handy online tool from the U.S. Surgeon General to assemble your own family medical history.

Take someone with you to doctor’s visits. It’s hard to listen to difficult medical news and pay attention to all the details at the same time. Bring along a friend or family member to remind you of questions you want to ask, and to help you write down important notes. Have your pathology re-checked. If you had a biopsy and your diagnosis is based on your pathology report, try to get it reviewed again. Pathology is incorrectly interpreted more often than commonly thought. If that interpretation is wrong, your diagnosis—and your treatment—are probably going to be wrong, too. Source: www.BestDoctors.com

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NOVEMBER 2014

Talking to Your Doctor Today, patients take an active role in their health care. You and your doctor will work in partnership to achieve your best possible level of health. An important part of this relationship is good communication. Here are some questions you can ask your doctor to get your discussion started: About My Disease or Disorder - What is my diagnosis? - What caused my condition? - Can my condition be treated? - How will this condition affect me now and in the future? - Should I watch for any particular symptoms and notify you if they occur? - Should I make any lifestyle changes? About My Treatment - What is the treatment for my condition? - When will the treatment start, and how long will it last? - What are the benefits of this treatment, and how successful is it? - What are the risks and side effects associated with this treatment? - Are there foods, drugs, or activities I should avoid while I’m on this treatment? - If my treatment includes taking a medication, what should I do if I miss a dose? - Are other treatments available?

- When will I know the results? - Do I have to do anything special to prepare for any of the tests? - Do these tests have any side effects or risks? - Will I need more tests later? Understanding your doctor’s responses is essential to good communication. Here are a few more tips: - If you don’t understand your doctor’s responses, ask questions until you do understand. - Take notes, or get a friend or family member to take notes for you. Or, bring a tape-recorder to assist in your recollection of the discussion. - Ask your doctor to write down his or her instructions to you. - Ask or printed material about your condition. If you still have trouble understanding your doctor’s answers, ask where you can go for more information. Other members of your health care team, such as nurses and pharmacists, can be good sources of information.

About My Tests - What kinds of tests will I have? - What do you expect to find out from these tests?

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Possible Ways to Save Money on Medications for Psychiatric and Other Conditions by Judith Treadway, MD, Psychiatric Services Chief Coastal Empire Community Mental Health Center

Over the last several decades, the use of psychiatric medications has greatly increased and so have the costs. The average American takes 12 medications compared to seven medications 20 years ago. According to the National Health Center health statistics, more than 16% of Americans age 40 to 50 take antidepressants.

Formulary If you have insurance, look carefully at your planâ&#x20AC;&#x2122;s drug formulary. A formulary is a list of the drugs for which your insurance company, Medicare or Medicaid, will pay its part of the cost. If your doctor can prescribe you a drug that is on formulary, on a low tier and that does not require prior authorization (a special explanation from the doctor), it will likely save time and money.

Formulation

While some generic drugs can be inexpensive, even they can vary drastically in costs in the same community. While doing research for this article, the writer found venlafaxine ER 75 mg costs $250 for 60 pills at one drug store and the same generic drug costs $40 at a neighborhood store. Switching to an immediate release formulation costs between $4 and $8.

Simpler forms of medication tend to be cheaper than those that are ending in letters like Xl, XR, etc. These usually designate that they are extended-release in some way. These medications are not always better than the immediate release, but they are usually more convenient and more expensive. Discuss with your doctor the cheaper immediate release versions, if available.

This article discusses simple ways to save money on medications, but there are some possible pitfalls of using some methods.

Generic Medications Some patients will say that they have to have the brand name medication, but brand name medication is almost always more expensive. Many drug stores now offer a long list of inexpensive generic drugs. Many cost only $4 for a monthâ&#x20AC;&#x2122;s refill. The FDA requires that all generic drugs contain identical amounts of the same active drug ingredients; however, the shape, flavor, inactive ingredients, and release may vary. Switching to a generic drug may not always be a good idea, for example, for seizure control. Many of the so called big box stores have a $4 generic list for a 30- day supply and many are posted online. Some are also offering a 90-day supply for $10. Two pharmacy chains offer free antibiotics and free metformin for diabetes and lisinopril for hypertension with prescriptions. One now offers free amlodipine. Check with your pharmacist to see if these options are offered at the pharmacy you use.

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NOVEMBER 2014

Hiring a Home Healthcare Worker What You Need to Know By Kurt Kazanowski

healthcare agency would be willing to arrange that. Make sure and speak to the families of other patients your home healthcare worker cared for and ask for their honest feedback. • Find out if the home care company you hire does regular quality assurance checks. A quality assurance check is a regular spot check on the caregiver to make sure all is well in the home and that the care plan is being followed. • Find out if the home care agency you hire meets with you or speaks to you on a regular basis to update you on the care being delivered to your loved one and answers any questions you have. Kurt Kazanowski is a hospice, home care and health system expert, who is author of The 7 Pillars of Growth for Hospice and Home Care.

What a Home Care Agency can do: √ Screening, hiring/firing, pay and taxes of the agency’s staff are handled by the agency. √ If the worker is unavailable (e.g,, sick), a substitute can be sent. √ Can provide individuals with a variety of skills to meet varying needs (e.g., skilled nursing care, physical therapy, occupational therapy etc.). √ May be partially covered by Medicaid or private insurance.

Consumers need to do their due diligence when hiring a caregiver or home care agency. By following these steps, it’s very possible to find an excellent in-home health company and have peace of mind. When interviewing a Home Health Care Agency, ask: • If the home care agency completes a national criminal background check, as well as conducts a motor vehicle background review every six months for their caregiver staff. One background check upon hiring is not enough. Never hire a company that doesn’t take this simple step to ensure the safety of its patients.

Does your home care company switch caregivers? Do you know the caregiver who is showing up today?

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• Request to meet the healthcare worker that will be providing care for your loved one in advance of him or her showing up to your home. Any reputable home NOVEMBER 2014

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About Hospice and

Palliative Care

Hospice is a philosophy of care that affirms life and does not hasten or postpone death. Hospice provides peace and compassion to patients so their days may be spent with dignity and comfort, surrounded by loved ones.

that are proving very difficult to manage, such as continued weight loss, severe fatigue, difficulty with daily personal care, difficulty breathing or swallowing, and continuing fluid build-up in the body.

Hospice services focus on all aspects of a patient’s wellbeing, including physical, emotional, social and spiritual care guided by a skilled team that includes nurses, social workers and chaplains. Hospice offers the hope of a quality, pain-free life, day by day. It can be administered in the patient’s home, or at a hospital, nursing home or private facility.

• The patient wants to focus on the quality of their life instead of curing a disease.

Hospice services can make more of a difference to patient comfort and quality of life when the hospice is given appropriate time to care for the patient and family. Many people whose family members got hospice care only for a few days before they died say later that they wished they had started earlier. Here are some common signs that it is time to consider hospice: • Treatments are no longer working or are causing more pain and discomfort than they seem to be worth. • The patient has serious pain or other symptoms 10

• Family members are beginning to feel overwhelmed emotionally or physically by providing daily care for the loved one and unsure whether they are providing the best possible care; they would benefit from support and guidance from trained professionals.

How do you find the most appropriate hospice? Answers to these questions will give you important information about quality of care and help you make an thoughtful assessment. What do others say about this hospice? Get references both from people you know and from people in the field, such as local hospitals, nursing homes, clinicians, geriatric specialists. Ask anyone that you have connections to if they have had experience with the hospice and what their impressions are. Anecdote and word of mouth won’t paint a full picture but they are still valuable data points.

How long has the hospice been in operation? If it has been around for a while, that’s an indication of stability.

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NOVEMBER 2014

—continued from page 10

Is the hospice Medicare-certified? Medicare certification is essential if the patient is a Medicare beneficiary to permit reimbursement. Is the hospice accredited, and if required, state-licensed? Accreditation (JCAHO or CHAP) is not required and not having it doesn’t mean a hospice isn’t good, but if the hospice has it, then you know a third party has looked at the hospice’s operations and determined they come up to a reasonable standard of care. What is the expectation about the family’s role in caregiving? See if what the hospice expects from family members is consistent with what the family is able to do. Are there limits on treatment currently being received? Is there anything currently being done for the patient that a hospice under consideration would not be able to do? Can the hospice meet your specific needs? Mention any concerns the family or patient have about care and ask the hospice staff how they will address those concerns. Does the hospice offer extra services beyond those required? Some services fall in a gray area. They are not required by Medicare but may be helpful to improve the comfort of a patient. An example is radiation and/or chemotherapy for a cancer patient to reduce the size of a tumor and ameliorate pain. Some hospices would not be able to afford to do this but others with deeper pockets could. How rapid is crisis response? If the family needs someone to come to the home at 3:00am on a Saturday, where would that person come from? What is their average response time? What are the options for inpatient care? Patients being cared for at home may need to go to an inpatient unit for management of complicated symptoms, or to give their family respite. Facilities can vary from the hospice having its own private inpatient unit to leased beds in a hospital or nursing home. Visit the facilities to ensure that they are conveniently located and that you are comfortable with what they offer. NOVEMBER 2014

If the family caregiver gets really exhausted can we get respite care? Caring for someone with a serious illness can be exhausting and, at times, challenging. In addition to home hospice care and inpatient care when symptoms prove unmanageable at home, most hospices also offer “respite” care (periodic breaks for the caregiver of up to 5 days during which the patient is moved to an inpatient bed) and “continuous” nursing care at home for brief periods at the patient’s home when family caregivers are unable to manage on their own. Ask the hospice under what conditions the hospice provides these types of care. Are their MDs/RNs certified in palliative care? Not having it doesn’t mean the staff is not competent as experience counts for a lot, but having this credential is an indication of specialized study in palliative medicine/nursing. How are patient/family concerns handled? Is there a clear process for sharing concerns with appropriate hospice staff and making sure they are

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—continued on page 12

Palliative Care is different from hospice care. People in hospice always receive palliative care, but you may receive palliative care at any stage of an illness. The goal is to make you comfortable and improve your quality of life. Palliative care is treatment of the discomfort, symptoms, and stress of serious illness, at any time during illness. It can also help you deal with the side effects of the medical treatments you’re receiving. You can receive palliative care while you receive treatment for your illness, whether or not you can be cured. The goal is to make you as comfortable as possible and improve your quality of life. You don’t have to be in hospice or at the end of life to receive palliative care. HOSPICE —continued from page 11

addressed, including a process for escalation if the concern is not adequately addressed at lower levels? How does the hospice measure and track quality? You are not looking for a lot of technical detail, just a response that indicates that the hospice evaluates its own performance in order to improve it. What are your general impressions at initial contact? What is your reaction to the people you talk to? What kind of bereavement services does the hospice offer? Types of grief support can vary widely and may include individual counseling, support groups, educational materials and outreach letters.

Sources: National Association for Home Care and Hospice (NAHC) http://www.nahc.org American Hospice Foundation http://americanhospice.org

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United Hospice–Pruitt Health http://www.pruitthealth.com http://www.pruittcares.org Friends of Caroline Hospice http://www.friendsofcaroline hospice.org NOVEMBER 2014

There are many different ways to find comfort when grieving. Some people find that spirituality or organized religion is a source of great solace. Specific rituals and rites—whether sitting shiva, setting up an altar inside your home, or gathering at the cemetery once a year—can draw people together and encourage them to share their grief. Attending religious services can link you with a well-defined community primed to offer help of all sorts. And a kind word, a willing listener, a shared meal, and any number of large and small acts of assistance help keep people afloat and ease their distress after a death.

Religious or spiritual beliefs may also help by lending larger meaning to a loved one’s life and death. For some, the belief that a loved one is enjoying the spiritual riches of heaven or preparing for the next turn of the wheel through reincarnation can be comforting. Believing your loved one helps guide you

Easing grief through religion and spirituality

Sooner or later, everyone will grieve the loss of a close relative or friend, whether the cause is a sudden heart attack, a car accident, or the stresses of disease or age. The passing of someone close to you begins a process that, while painful, is normal and expected. It’s common to feel overwhelmed at first by the depth and intensity of your loss.

in this world or that you will be reunited in another place after your own death can help you continue to feel connected with the person.

If prayer heartens or sustains you, set aside time for it. Read spiritual texts that you find comforting, attend services, and share your circumstances with a religious leader who can help place the death in the context of your faith.

Gardening or communing with nature, which offers ample opportunity to observe the rhythms of life and death in the natural world, is also soothing to some people. So, too, is meditation or yoga. Source: Special Health Report from Harvard Medical School: Coping with Grief and Loss. Visit their website at http://www.health.harvard.edu or call (toll free) 1-877-649-9457.

SOCIAL SECURITY

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Professional Forum

news from + about our regional healthcare professionals

Dr. Sarah Anne Blanchard Joins Beaufort Family Dentistry

Memorial Physician Earns Board Certification in Female Pelvic Medicine

“Treating children is one of the most rewarding aspects of dentistry, and I feel so fortunate to be working at the forefront of preventing dental disease.” Beaufort Family Dentistry and its second office—Bluffton Center for Dentistry— welcome Sarah Anne Blanchard, DDS to the practice. Dr. Blanchard recently relocated to Beaufort from the Chicago area with her husband, who is an active duty officer for the Navy Dental Corps. She will be focusing her practice on children’s dentistry. Dr. Blanchard believes “Good oral hygiene and nutritional education at a young age are crucial in helping reduce the rate of dental cavities.” She is now accepting new patients at the Beaufort location. She attended Indiana University and earned a Bachelor of Science degree in Biology. Dr. Blanchard continued her studies and graduated with a DDS from Indiana University School of Dentistry. Dr. Blanchard looks forward to meeting you and providing the very best in dental care for your children. For more information, or to make an appointment with Dr. Blanchard, at Beaufort Family Dentistry, 1274 Ribaut Road, Beaufort, SC, 29940, call 843-524-6363. In Bluffton, 29 Plantation Park Drive, Suite 303, Bluffton, SC, 29910, call 843-593-8123.

David Byck, M.D., FACOG, has become one of the first physicians in Savannah to earn a new certification from the American Board of Obstetrics and Gynecology (ABOG). He is now board certified in female pelvic medicine and reconstructive surgery, an accreditation that fewer than 1,000 physicians in the U.S. have earned since it was introduced in 2013. ABOG requires physicians to complete three years of specialized training and pass written and oral examinations in order to earn board certification in female pelvic medicine and reconstructive surgery. Senior physicians such as Byck, who has been practicing for nearly 25 years, may demonstrate competency and pass the exams to earn the new board certification. Female pelvic medicine offers surgical and non-surgical treatment for pelvic floor disorders, which includes pelvic organ prolapse, incontinence, and pelvic pain. Byck is an obstetrician/gynecologist in practice at Memorial Health University Physicians’ Provident OB/GYN Associates. The practice has five offices in Savannah, Wilmington Island, Richmond Hill, Rincon, and Bluffton, South Carolina. Byck, who serves as chairman of Memorial’s department of obstetrics and gynecology, completed his residency at the University of Alabama at Birmingham. He is associate professor for the Mercer University School of Medicine, Savannah Campus, where he trains OB/GYN medical residents in the areas of incontinence and pelvic floor relaxation.

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NOVEMBER 2014

nd dodontics a l s I En S ea

Peter Murphy, DDS, MS

Friday November 21 A New AARP SMART DRIVER class

State of the Art Facility Specializing in Root Canals

•Competitive Fee Schedule•Payment and Insurance Options 10 Professional Village Circle, Lady’s Island

will be presented at The SUMMIT PLACE of BEAUFORT 1119 Pickpocket Plantation Dr., Beaufort SC

Accepting new patients by appointment

843-770-9904

Time: 9 AM till 4 PM (a six hour course) The Fee is $15 for AARP Members and $20 for non-members. You will be issued a certificate upon completion, for a possible discount on your auto insurance for a three-year period. CLASS Size is limited. You must register NOW. Call 843-521-1941 for additional information Harry Ammon, instructor

NOVEMBER 2014

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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

NOVEMBER 2014

Healthy Sight Preventing and treating eye disease Learn how to protect your sight as you grow older When it comes to your vision, as you grow older you’ve got to grow wiser too. That means knowing the steps you can take to prevent these vision problems. You also need to know the warning signs of vision problems, how they are diagnosed, and the best treatment options. If you are one, your risk of developing one of four disorders that pose a threat to vision—cataract, glaucoma, age-related macular degeneration, and diabetic retinopathy—increases as you grow older.

Age-related eye diseases and conditions Since your 40s, you probably noticed that your vision is changing. Perhaps you need glasses to see up close or you have more trouble adjusting to glare or distinguishing some colors. These changes are a normal part of aging. But as you age, you are at higher risk of developing age-related eye diseases and conditions. These include: age-related macular degeneration, cataracts, diabetic eye disease, glaucoma, low vision and dry eye. Get a comprehensive dilated eye exam Everyone age 50 or older should visit an eye care professional for a comprehensive dilated eye exam. Many eye diseases have no early warning signs or symptoms, but a dilated exam can detect eye diseases in their early stages.

Simple Tips for Healthy Eyes Your eyes are an important part of your health. There are many things you can do to keep them healthy and make sure you are seeing your best. Follow these simple steps for maintaining healthy eyes well into your golden years. Have a comprehensive dilated eye exam.

Be cool and wear your shades.

Know your family’s eye health history.

Give your eyes a rest.

Eat right to protect your sight.

Clean your hands and your contact lenses—properly.

Maintain a healthy weight.

Practice workplace eye safety.

Wear protective eyewear.

Source: https://www.nei.nih.gov/healthyeyes/eyehealthtips.asp

Quit smoking or never start. NOVEMBER 2014

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â&#x20AC;&#x201D;continued from page 17

Common Age-related Eye Diseases and Conditions: If you are experiencing any vision problems, visit your eye care professional for a dilated eye exam. He or she will tell you how often you need to have one depending on your specific risk factors.

Age-related Macular Degeneration (AMD) AMD is a disease associated with aging that gradually destroys sharp, central vision. Central vision is needed for seeing objects clearly and for common daily tasks such as reading and driving.

Glaucoma Glaucoma is a group of diseases that can damage the eyeâ&#x20AC;&#x2122;s optic nerve and result in vision loss and blindness. It is usually associated with high pressure in the eye and affects side or peripheral vision.

Cataract A cataract is a clouding of the lens in the eye. Vision with cataract can appear cloudy or blurry, colors may seem faded and you may notice a lot of glare.

Diabetic Eye Disease Diabetic eye disease is a complication of diabetes and a leading cause of blindness. The most common form is diabetic retinopathy which occurs when diabetes damages the tiny blood vessels inside the retina.

Dry Eye Dry eye occurs when the eye does not produce tears properly, or when the tears are not of the correct consistency and evaporate too quickly. Dry eye can make it more difficult to perform some activities, such as using a computer or reading for an extended period of time.

Low Vision Low vision means that even with regular glasses, contact lenses, medicine, or surgery, people find everyday tasks difficult to do. Reading the mail, shopping, cooking, seeing the TV, and writing can seem challenging. But, many people with low vision are taking charge.

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NOVEMBER 2014

RegionPulse

news, healthy happenings + ‘save the date’ events

Memory changes can be swift. First symptoms may include: √ Change in mood, sadness, depression, even anger √ Problem finding words √ Repetition of questions and stories √ Misplacing, or putting things in odd places Memory Matters is offering FREE testing on November 20, 2014 from 2:00-5:00PM. Reservations are suggested. For more information call (843)842-6688 or visit our website at www.memory-matters.org. Don’t wait, call now.

What is a Memory Screening?

By Karen Doughtie

I have been working with families who are living with dementia for almost 15 years. I never tire of this work. Why? Caring for someone with any form of dementia can be a long journey. I have the unique opportunity to help families with this journey by providing resources, support groups, programs for early on-set dementia through mid-stage dementia, and networking with other families that are experiencing many of the same feelings. From the moment someone is diagnosed the journey begins. Initially, if someone has not waited too long to get a diagnosis, a person can continue for years with minimal changes. When someone starts noticing these changes it would make sense to see a doctor, more specifically a neurologist. A neurologist can do the proper testing to determine what part of the brain is most impacted. A battery of tests can include a scan of the brain, cognitive testing, and blood tests. Although there is not a way to 100% determine if a person has Alzheimer’s, a neurologist can gain enough knowledge from these tests to prescribe a medicine that could help slow down the progressive of dementia. Although there is no cure for most types of dementia there is more hope. The best course of action for anyone exhibiting a change is their memory is take action because the longer you stay in denial, the NOVEMBER 2014

worse the consequences. Early diagnosis of Alzheimer’s disease can improve quality of life. Individuals with Alzheimer’s disease can learn more about the disease, including available and emerging medical treatment; get counseling and other social services support in their community; address legal and financial and other planning issues; and have more of a say in decision-making. A great first step for someone worried about changes in their memory is to schedule a Memory Screening. A memory screening is a simple and safe evaluation tool that checks memory and other thinking skills. It can indicate whether an additional checkup by a qualified healthcare professional is needed. Results are confidential and will be reviewed immediately.

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Alzheimers– Early Signs and Symptoms Memory loss that disrupts daily life One of the most common signs of Alzheimer’s is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; increasingly needing to rely on memory aids (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own. What’s a typical age-related change? Sometimes forgetting names or appointments, but remembering them later

Challenges in planning or solving problems Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before What’s a typical age-related change? Making occasional errors when balancing a checkbook.

Difficulty completing familiar tasks at home, at work or at leisure People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game. What’s a typical age-related change? Occasionally needing help to use the settings on a microwave or to record a television show.

Confusion with time or place People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there. What’s a typical age-related change? Getting confused about the day of the week but figuring it out later.

Trouble understanding visual images and spatial relationships For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast, which may cause problems with driving. What’s a typical age-related change? Vision changes related to cataracts.

New problems with words in speaking or writing People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”). What’s a typical age-related change? Sometimes having trouble finding the right word.

Misplacing things and losing the ability to retrace steps A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time. What’s a typical age-related change? Misplacing things from time to time and retracing steps to find them

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NOVEMBER 2014

—continued from page 20

Decreased or poor judgment People with Alzheimer’s may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean. What’s a typical age-related change? Making a bad decision once in a while.

Withdrawal from work or social activities A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced. What’s a typical age-related change? Sometimes feeling weary of work, family and social obligations.

Changes in mood and personality The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone. What’s a typical age-related change? Developing very specific ways of doing things and becoming irritable when a routine is disrupted. Source: http://www.alz.org/

97.1% of our patients would refer friends and family to us* “Thank you, thank you, thank you, Dr. P. God bless you and keep up the good work!” — Sandy H., Beaufort

Services include: Advanced Cosmetic & General Dentistry Veneers • Zoom Whitening • Dental Implants • Invisalign Sedation Dentistry for the Anxious Patient LANAP® (laser treatment for gum disease) Evidence-based Nutritional Counseling

CENTER FOR DENTISTRY

After: Cosmetic denture supported by dental implants

NOVEMBER 2014

*Based on actual patient reviews on Demandforce.com

843-524-6363

843-593-8123

1274 Ribaut Road Beaufort, SC 29902

29 Plantation Park Drive, Suite 303 Bluffton, SC 29910

BeaufortFamilyDentistry.com

BlufftonCenterForDentistry.com

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

The AARP Chapter of the Lowcountry

Thursday, November 20

Thursday, Nov. 6, 2014 at 1:00 PM

2:00-5:00PM. Memory Matters is offering

Community Room, Palmetto Electric Coop Bldg (off 278) Contact President Chris Olsen, 843-705-5097. www.aarp.org

Brain Boosters Classes at Memory Matters Tuesdays through November 25 2:30–4:30pm: Sign up today for the next Brain Boosters class. Our brains are amazing at any age; however it does take a bit more effort to keep an aging brain in tiptop shape. To sign up call Karen at Memory Matters, 843-842-6688; or email karen@memory-matters.org.

COASTAL DISCOVERY MUSEUM Fall Programs: Visit www.coastaldiscovery.org for event listings 70 Honey Horn Drive on Hilton Head Island Reservations required for most events. Call 843-689-6767 ext 223 or go to web site.

FREE memory testing. Reservations are suggested. For more information call (843)842-6688 or visit www.memory-matters.org. Don’t wait, call now! Monday, November 17 Beaufort Memorial to host joint replacement informational seminar in Beaufort and in Bluffton 9:00 - 10:00am: Beaufort Memorial Medical and Administrative Center, 990 Ribaut Road, Room 364 1:00 - 2:00pm: Bluffton Medical Services, 11 Arley Way Do you suffer from hip and knee pain? This FREE program will offer information about: • Normal knee and hip anatomy • Signs and symptoms of joint-related problems • Treatment options to relieve or resolve pain From in-home exercises and medical management, to physical therapy and surgery, Beaufort Memorial Orthopedic Care Coordinator and Physical Therapist Andrea Sadler will explain how patients are led through appropriate options that are personalized for their specific needs.

Saturday, November 15 Rolling out the Red Carpet for CAPA 6:00pm: The Exchange Club of Beaufort is hosting the 27th annual auction to benefit CAPA at The Shed in Port Royal. This year’s Hollywood-theme event will feature a live and silent auction, cash bar, heavy hors d’ouevres, costume contest and more. To donate an auction item, service or trip, please call Ron Voegeli at 843-812-2796. To purchase event tickets, call Tracey at 843-524-4350. Visit the auction website to preview items: http://goolgl/cNVgF4. All proceeds benefit the Child Abuse Prevention Association. 22

Seating is limited and registration is required. To learn more or to make a reservation call 843-522-5585.

November 23 and 24

Homes for the Holidays Beaufort’s 14th annual Homes for the Holidays tour, Distant Island. Tickets are $25 and may be purchased at various businesses in downtown Beaufort, through participating designers, and on the campus of St. Peter’s, and on site the days of the tour. Friday, November 21, enjoy the gala “A Night Under the Stars.” on the St. Peter's campus. Gala tickets are $75 per person. For tickets, please call 843-522-6510. All proceeds benefit St. Peter’s Catholic School tuition assistance fund.

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NOVEMBER 2014

December 4 through 6 at The Shed in Port Royal The Festival of Trees, benefiting Friends of Caroline Hospice, is one of Beaufort’s beloved holiday celebrations. The 2014 Festival continues a tradition that started twenty-seven years ago. The Festival showcases beautifully decorated trees that are judged for their originality and creativity. The Festival kicks off with an Opening Gala featuring a silent auction, wine, beer and appetizers from local restaurants.

Thursday, December 4th

Opening Gala 6:00pm to 9:00pm The event will be held at The Shed in Port Royal. More than 350 individuals usually attend this reception where the trees are previewed prior to opening to the general public on Friday, December 5th. Tickets are $50 and can be purchased online at www.friendsofcarolinehospice.org/ or by calling (843) 525-6257.

Tickets are $2 for children, $3 for active military and seniors over 65, and $5 for adults. Children under 2 are free. Interested in being a part of this year’s Festival of Trees? Friends is currently accepting application for the Festival Shoppes, Tree Sponsorships, Silent Auction items and volunteers! For detailed information, visit http://friendsofcarolinehospice.org/word/ festival-trees-3/ General sponsorships are also available from $500 to $10,000. Please call the Friends office at 843-525-6257 for more information regarding general sponsorships. To volunteer, please call our Volunteer Coordinator at 843-525-6257. NOVEMBER 2014

WORD SEARCH SOLUTION

Friday, December 5 & Saturday, December 6 Public Viewing of Trees 9:00am to 5:00pm

Beaufort County Library “For Learning. For Leisure. For Life” November events at County Branches: Call 843-255-6430, or visit beaufortcountylibrary.org

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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 Association Caregiver Support: 2nd Tues. each month, 2–4 PM at NHC of Bluffton, 705-8220 or email memorycare@nhcbluffton.com AND 2nd and 4th Thurs. each month, St. Andrews Methodist Church, Hilton Head, 671-5696. • 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. 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; • Prostate Cancer: Beaufort Co.: John Grauer, 681-5646, Dan Ruth, 689-3129 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

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 Mon. 5:30-7 p.m.; Hilton Head, Palmetto Elec. Comm Rm; Hardeeville/Bluffton, Every Wed., 6:30 pm–8:00 p.m. USCB library rm. 144; Beaufort: 2nd Mon noon-1:30 p.m., Beaufort Medical Plaza Rm 350. Info. call 681-2200, ext.3# • NAMI Caregiver Support Groups: Every Wed., 6:30 pm - 8:00 p.m. USC-B Gateway to Hilton Head (Hardeeville), Library Room 144; Tuesday, May 27, 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Monday, May 19, 7:00 p.m. St. John's Lutheran Church, Lady's Island NEW: Bluffton/Hilton Head-evening. By appt. Call 843-681-2200. Info. call 681-2200, ext.3# 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 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; 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;

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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. • Neuropathy Support: Hilton Head: 705-5878 • 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 Support Groups: Hilton Head: 689-2095; Savannah: 912-598-1766; 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

NOVEMBER 2014

WISE

information = a healthier YOU!

Tips on how you can outsmart your migraine this holiday season The dizzying speed of the holidays can be a lot of fun but also a big headache— particularly for the 36 million Americans who suffer from migraines. Between work and family and the excitement of sending cards, buying gifts and decorating, migraine triggers switch into high gear.

Get Some Zzz’s: Do your best to keep a regular sleep schedule as changing your routine can trigger migraine episodes. Intense physical exertion can often trigger a migraine too. Avoid the Glare: Holiday lights are pretty and quite alluring but staring at them too long can cause a migraine. Similarly, flickering lights can too. If you’re hosting a holiday bash aim for steady lights; if you’re the guest, find a seat where the lights are a distance behind you. Layer Up: Shifts in barometric pressure can really affect migraine sufferers. Dress in layers so you can control your body temperature by adding clothes when you feel chilly and removing layers when warm. Mind Your Food: While turkey isn’t usually considered a migraine trigger, a “basting” turkey might bring on a migraine for its additives. Stuffing can also trigger a migraine, be mindful of nuts, garlic, onions, and sausage. And be very careful with the sugar and processed foods, as a spike in these can often trigger a headache. Also, don’t purposefully skip meals to NOVEMBER 2014

save calories for the holidays as fasting can be a main headache inducer. Bring a Dish: If you’re extremely sensitive to migraine triggers and you’re a guest, bring a dish with something that’s safe for you to eat that others may enjoy. Drink Moderately: Alcohol, especially wine, and beverages high in caffeine can trigger migraines. Earlier this year, the FDA approved the marketing of Cefaly—a device as a preventative treatment for migraine headaches. It is a small, portable, batterypowered, prescription device that resembles a plastic headband worn across the forehead and atop the ears. This device provides transcutaneous electrical nerve stimulation (TENS) specifically authorized for use prior to the onset of pain. Clinical trials indicate that those who use the device every day experience less migraines. In many cases, reducing their need for other medications or allowing them to discontinue prescription drugs entirely. No serious adverse events occurred during clinical studies. Additional information, including clinical studies, FAQs and more, available at www.cefaly.us. http://www.fda.gov/NewsEvents/Newsroom/ PressAnnouncements/ucm388765.htm

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ParentPulse

helpful insights and tips for effective parenting

Why Your Kids Shouldn’t Be Guzzling ‘Energy’ Drinks Vitamins & Minerals are Safer and More Effective than Artificial Stimulants, Says Food Science Expert Anxiety, hypertension, elevated heart rates, interrupted sleep patterns and headaches are just some of the side effects commonly associated with energy drinks, and those problems are more pronounced in children, according to a recent University of Miami study.

• Seek nutrition from a variety of sources. As humans, we need more than 40 different vitamins and minerals to keep our bodies functioning optimally. Since there is no single food that contains them all, it is important for children and adults to eat a variety, including as many different vegetables and fruits as possible. Adding a daily multivitamin supplement with essentials such as CoQ10, arginine, theanine, resveratrol and magnesium can help ensure bodies young and old are running at top speed.

But that’s just the tip of the iceberg. These drinks have also been linked to heart palpitations, strokes and sudden death. The term “energy” drink is an unfortunate misnomer, says food science expert Budge Collinson. They don’t give your body energy; they stimulate you with brief jolts of caffeine and unregulated herbal stimulants, he says.

• Drink plenty of water—the natural energy drink. Even mild dehydration can leave children (and adults) feeling listless, so encourage children to make a habit of drinking plenty of water. Kids need more water than adults because they expend more energy, and they may not recognize when they’re slightly thirsty. Parents, too, often don’t recognize the signs of dehydration; a national survey of more than 800 parents of kids, ages of one month to 10 years, found that more than half feel they don’t know enough about dehydration. A quick, light pinch of the skin on the child’s hand or arm is an easy check. If the skin is slow to resume a smooth appearance, the child is likely at least mildly dehydrated.

“Moms and dads of young athletes buy these ‘stimulant’ drinks for their kids before matches because both kids and parents want that competitive advantage,” says Collinson. “For a few moments, you’ll get that spike, but it’s a short-term experience with a heavy long-term toll.” So, what are some ways kids can get a healthy energy boost? Here are some healthier tips to follow: • Go for a speedy bike ride together, take a brisk walk or hold foot-races in the yard. Numerous studies demonstrate the power of vigorous exercise in boosting energy. Exercise pumps more oxygen—pure, healthy fuel—into the bloodstream and to the brain and muscles for a short-term energy boost. Exercising regularly will increase lung capacity, so the body will get more oxygen on a sustained level for the long term. Exercise also releases endorphins, the body’s natural feel-good chemical, which makes us feel happy. And happy people are energized people. 26

Budge Collinson founded Infusion Sciences, www.infusionsciences.com. Collinson earned a bachelor’s degree in food and resource economics from the University of Florida and certification from the National Academy of Sports Medicine. Recently, he became a member of the American Academy of Anti-Aging Medicine and consistently attends the Natural Products Expo, where he learns the latest science and news about nutritious ingredients.

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NOVEMBER 2014

Regional Blood Drives NOVEMBER 2014 Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID

PORT ROYAL Thursday, November 06 Naval Hospital Beaufort 1 Pinckney Blvd. Bloodmobile

The Blood Alliance For appointments, please call

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

Monday, November 17 United Hospice 1624 Paris Ave. bloodmobile

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

SEABROOK

BEAUFORT

Thursday, December 04 Whale Branch Early College High School 169 Detour Road

Monday, November 24 Technical College of the Lowcountry 921 Ribaut Road

Give Blood. Save Lives. 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!

Friday, November 28 303 Associates 2001 Boundary Street Quality Inn

Monday, November 03 The Haven 103 Whistler's Walk Bloodmobile

If you’re not, we ask that you please consider it.

Tuesday, December 02 Beaufort High School 85 Sea Island Parkway

HILTON HEAD ISLAND

Make your appointment TODAY. Call the Lowcountry Donation Center

BLUFFTON

Friday, December 05 Beaufort County Government Center 106 Ribaut Road

LADYS ISLAND Sunday, November 23 St. Peter's Catholic Church 70 Lady's Island Drive

Wednesday, November 05 Sea Pines Community Center 71 Lighthouse Road Tuesday, November 11 Hilton Head Hospital 25 Hospital Center Blvd. Monday, December 01 Port Royal Plantation 10A Coggins Point Road

DATAW ISLAND

SAVANNAH

Monday, November 10 Dataw Community 100 Marina Drive

Friday, November 21 Oglethorpe Charter Middle School 7202 Central Avenue

NOVEMBER 2014

843-522-0409

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Providing Outstanding Blood Service in South Carolina, Georgia and Florida

You are What you Eat: 5 Ways to Create a Culture of Wellness in Your Family Pediatrician takes wellness to a whole new level, helping parents and kids focus on healthy foods According to the American Psychological Association, children see an average of 40,000 commercials each year for unhealthy foods, prompting them to want more of those items when they see them in the stores. On average, 33 percent of children and 41 percent of adolescents consume fast food on any given day. There is a problem with the state of children’s health today. In fact, the Centers for Disease Control and Prevention report that childhood obesity has doubled in the last 30 years, with a third of all children and adolescents now considered overweight or obese. “The problem does not stop with obesity,” explains pediatrician Dr. Nimali Fernando. “Childhood obesity is just the tip of the iceberg. Under the surface lies the other 70 percent of children, many who may be of normal body weight but suffer from diet-related illnesses. In my practice I see these illnesses like chronic constipation, gastroesophageal reflux, anxiety, and difficulties with attention and concentration. So many of these symptoms are directly related to the diet.” Dr. Fernando is one pediatrician in the nation who is on a mission to help parents turn this situation around and help families find a way to rediscover wellness. She founded The Doctor Yum Project, a nonprofit organization, to take on this issue and help parents and children learn to eat healthier and strive for a healthier lifestyle.

Here are some tips for creating a culture of wellness. Cook together. So many families find cooking to be a chore at the end of the day. Involve the whole family in meal preparation and use that time to connect with your children. Show kids that spending time preparing fresh foods together is a way to take care of their bodies. If kids learn to cook from a young age, it gives them confidence and skills essential for leading a healthy life. Play together. Find physical activities that you enjoy and do these as a family. Revive traditions and build healthy habits by incorporating fun activities like a short, brisk walk every evening after dinner, or a family bike ride after a hearty Sunday lunch. Be a role model. Kids can learn healthy habits most effectively if their parents model that same behavior. This doesn’t mean parents have to be perfect, but showing that you are working on being healthier can inspire kids to do the same. Get everyone involved. When a family makes a commitment to be healthy, get everyone to buy in. Draft a family mission statement and include a line about how your family strives to be healthy. Encourage everyone to sign it. Include extended family in your culture of wellness too. Connect with others. Families are most successful in sustaining healthy habits if they have connections with others who are doing the same. Cook healthy potlucks with family friends, talk to your children’s schools about creating wellness initiatives, and form a walking or an active volunteer group with co-workers. Support from peers serves as powerful fuel for your family’s positive health changes. “At first it may seem like work to make the transition to a healthier lifestyle,” added Dr. Fernando. “But after a while it will all become second nature and will help solidify great habits in your kids.” For more information, visit the Doctor Yum Project website: www.doctoryum.com. 28

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capsules of helpful health information other toxins from the body. Great Plains Bentonite can complement psyllium, a product widely used to promote regularity, or used independently. The product exceeds the highest standards of the Purified Bentonite U.S.P. on the market. It is available in a variety of health food and vitamin stores. For more information visit www.yerbaprima.com.

rid the body of harmful toxins Bentonite, a natural substance, commonly used with psyllium, attracts toxins ‘like a magnet’ and removes them from the body. As cold and flu season approaches, our bodies are coming in contact with pollutants, chemicals and germs on the daily basis no matter how many times we wash our hands, sanitize and increase our vitamin C intake. Consider Great Plains Bentonite from Yerba Prima—a naturally occurring volcanic clay in an easy-todrink solution that can help the body remove unwanted environmental pollutants and toxins safely through the digestive track. Great Plains is made from pharmaceutical quality Bentonite that is refined to its most active form from naturally occurring deposits in the U.S. Great Plains region. Bentonite uses adsorption, the process by which the surface of a material binds with and holds another material, to draw environmental pollutants from the body as it passes through the digestive tract and out through the colon. In numerous studies, bentonite has demonstrated it can bind with and remove pesticides, herbicides, pathogenic viruses, and NOVEMBER 2014

advance directives and a living will What kind of medical care would you want if you were too ill or hurt to express your wishes? Advance directives are legal documents that allow you to spell out your decisions about end-of-life care ahead of time. They give you a way to tell your wishes to family, friends, and health care professionals and to avoid confusion later on. A living will tells which treatments you want if you are dying or permanently unconscious. You can accept or refuse medical care. You might want to include instructions on The use of dialysis and breathing machines If you want to be resuscitated if your breathing or heartbeat stops Tube feeding Organ or tissue donation A durable power of attorney for health care is a document that www.caremagazine.com

names your health care proxy. Your proxy is someone you trust to make health decisions for you if you are unable to do so. Talk with your family members, an estate planner or your attorney to learn more about advance directives and a living will. For more information visit: http://www.helpguide.org

get your kids covered Children’s Health Coverage Programs in South Carolina and Georgia Medicaid and CHIP provide nocost or low-cost health coverage for eligible children in South Carolina and Georgia. Even if your children have been turned down in the past or you don’t know if they qualify, you may be able to get health coverage for them now. Medicaid and CHIP provide health coverage for children so that they can get routine check-ups, immunizations and dental care to keep them healthy. They can also get doctor visits, prescription medications and hospital care when they’re sick, and much more. Your child needs to have Medicaid or CHIP coverage in order to get dental benefits. Once your child has coverage through Medicaid or CHIP, he or she can get dental care. Call 1-888-549-0820 to talk to someone in South Carolina or check out the state website: https://scdhhs.gov/ Call 1-888-295-1769 (Medicaid) or 1-877-427-3224 (CHIP) to talk to someone in Georgia or check out the state websites: http://dch.georgia.gov, or visit https://www.peachcare.org/

Garden Vegetables & Turkey Meatloaf This classic family favorite is made healthier with lean ground turkey and colorful garden vegetables

ingredients: For meatloaf: 2 C assorted vegetables, chopped—such as mushrooms, zucchini, red bell peppers, or spinach (Leftover Friendly) 12 oz 99 percent lean ground turkey ½ C whole-wheat breadcrumbs (or substitute regular breadcrumbs) ¼ C fat-free evaporated milk* ¼ tsp ground black pepper 2 Tbsp ketchup 1 Tbsp fresh chives, rinsed, dried, and chopped (or 1 tsp dried) 1 Tbsp fresh parsley, rinsed, dried, and chopped (or 1 tsp dried) Nonstick cooking spray

Prep time 10 minutes Cook time 55 minutes

NUTRITION FACTS Garden Vegetables & Turkey Meatloaf

For glaze: 1 Tbsp ketchup 1 Tbsp honey 1 Tbsp Dijon mustard

Makes 4 servings Serving size: 2 slices of meatloaf

preparation: 1. Preheat oven to 350 ºF. 2. Steam or lightly sauté the assortment of vegetables. 3. Combine vegetables and the rest of the meatloaf ingredients in a large bowl. Mix well. Spray a loaf pan with cooking spray, and spread meatloaf mixture evenly in the pan. 4. Combine all ingredients for glaze. Brush glaze on top of the meatloaf. 5. Bake meatloaf in the oven for 45–50 minutes (to a minimum internal temperature of 165 ºF). 6. Let stand for 5 minutes before cutting into eight even slices. 7. Serve two slices on each plate. Tip: For picky eaters, try chopping vegetables in a food processer to make them smaller (and “hidden”).

Nutrient Analysis per serving calories 180 Total fat 2 g Saturated fat 0 g Cholesterol 34 mg Sodium 368 mg Total fiber 2 g Protein 25 g Carbohydrates 17 g Potassium 406 mg Vitamin A 50% Vitamin C 15% Calcium 10% Iron 15% Percent Daily Values are based on a 2,000 calorie diet.

* Evaporated milk can be kept tightly sealed in the refrigerator for up to 3 days. Recipe Source: Deliciously Healthy Family Meals https://healthyeating.nhlbi.nih.gov 30

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