Options and References for a Healthier Life
Care 14 20 R BE TEM P SE
m a g a z i n e®
Why the Tooth Fairy Gave Up Grains
Pet Benefits Think Yourself
Happy!
What Science says about
flax seed
Adult Sickle Cell Disease Reversed
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
September 2014
In Every Issue 14
Professional Forum
16
RegionPULSE - Beaufort Memorial Hospital Pediatrician Receives Grant to Launch ‘Healthy Steps’ - Hilton Head Hospital Breast Center opens new location
Features 4
Beware of Health Care Scams —FDA Consumer Updates
6
Why the Tooth Fairy Gave Up Grains —By Alvin Danenberg, DDS
18
NationPULSE
20
Regional Health Facilities
22
Community Calendar and Healthy Events
24
Regional Support Groups
25
Regional Blood Drives
26 care TALK© Capsules of Healthy Information
10
Adult Sickle Cell Disease Reversed with Stem Cell Transplants
29
- No-Oat Oatmeal - Plantain Pancakes - Cracklin’ Italian-spice Chicken
—NIH.gov
12
What Science Says about Flaxseed —National Center for Complementary and Alternative Medicine
13
Healthy Recipes—
31
Family FUN Page
Think Yourself Happy! —Journal of Positive Psychology
19 6 reasons Pets are Good for Your Health 21
Filling in Facial Wrinkles, Safely —Janette Alexander, MD
30 2
Healthy & delicious plantain pancakes
ParentPULSE: Jaundice in infants www.caremagazine.com
SEPTEMBER 2014
Approach is everything. When Mike McCarty was diagnosed with prostate cancer, he considered the treatment landscape from every angle. Then he chose Beaufort Memorial for its robot-assisted surgical program. Knowing this minimally invasive option affords greater precision and fewer side effects, Mike was confident in his approach. And returning quickly to the game he loves made the difference between living and living well.
care magazine
Don't Fall for Health Fraud Scams
®
Options and References for Healthier Living
SEPTEMBER 2014 Publisher and Editor: Karen Mozzo Distribution Manager: John Lucas Website Manager:
CyberZoo Ltd.
Bogus product! Danger! Health fraud alert!
Contributors: Alvin Danenberg, DDS
www.FDA.gov
Janette Alexander, MD
National Center for Journal of Positive Psychology Complementary and NIH.gov Alternative Medicine
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® is published by The Catalyst Media Group, Inc., P.O. Box 1513, Beaufort, SC 29901, and is distributed monthly to doctors’ waiting rooms, dentists’ offices, diagnostic centers, optical centers, outpatient facilities, pharmacies, grocery stores, health food stores, physiotherapy centers, exercise and weight loss centers, assisted living facilities and other related health-based businesses throughout the SC and GA Coastal/Lowcountry. Advertisers appearing within this issue have committed to support the distribution of this public service magazine. Please support them.
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You’ll never see these warnings on health products, but that’s what you ought to be thinking when you see claims like “miracle cure,” “revolutionary scientific breakthrough,” or “alternative to drugs or surgery.” Health fraud scams have been around for hundreds of years. The snake oil salesmen of old have morphed into the deceptive, high-tech marketers of today. They prey on people’s desires for easy solutions to difficult health problems—from losing weight to curing serious diseases like cancer. According to the Food and Drug Administration (FDA), a health product is fraudulent if it is deceptively promoted as being effective against a disease or health condition but has not been scientifically proven safe and effective for that purpose. Scammers promote their products through newspapers, magazines, TV infomercials and cyberspace. You can find health fraud scams in retail stores and on countless websites, in popup ads and spam, and on social media sites like Facebook and Twitter.
Not Worth the Risk Health fraud scams can do more than waste your money. They can cause serious injury or even death. Using unproven treatments can delay getting a potentially lifesaving diagnosis and medication that actually works. Also, fraudulent products sometimes contain hidden drug ingredients that can be harmful when unknowingly taken by consumers. Fraudulent products often make claims related to: weight loss sexual performance memory loss serious diseases such as cancer, diabetes, heart disease, arthritis and Alzheimer’s.
A Pervasive Problem Health fraud is a pervasive problem,” says a FDA representative, “especially when scammers sell online. It’s difficult to track down the responsible parties. When they are found and told their products are illegal, some will shut down their website. Unfortunately, however, these same products may reappear later on a different website, and sometimes may reappear with a different name.” Fraudulent products not only won’t work—they could cause serious injury. www.caremagazine.com
SEPTEMBER 2014
Fraudulent products marketed as drugs or dietary supplements are not the only health scams on the market. FDA found a fraudulent and expensive light therapy device with cure-all claims to treat fungal meningitis, Alzheimer’s, skin cancer, concussions and many other unrelated diseases. Generally, making health claims about a medical device without FDA clearance or approval of the device is illegal.
When a Family Member Needs Specialized Care at Home Adult and Pediatric Home Care Services
6 Tip-offs to Rip-offs: One product does it all. Be suspicious of products that claim to cure a wide range of diseases/problems. Example: In the past few years, FDA laboratories have found more than 100 weight-loss products—illegally marketed as dietary supplements—that contained sibutramine, the active ingredient in the prescription weight-loss drug Meridia. In 2010, Meridia was withdrawn from the U.S. market after studies showed that it was associated with an increased risk of heart attack and stroke. Personal testimonials. Success stories, such as, “It cured my diabetes” or “My tumors are gone,” are easy to make up and are not a substitute for scientific evidence. Quick fixes. Few diseases or conditions can be treated quickly, even with legitimate products. Beware of language such as, “Lose 30 pounds in 30 days” or “eliminates skin cancer in days.”
At PSA Healthcare, we understand that working through the process of arranging home nursing care can be challenging. We are available to assist you in developing a plan for a child or an adult, who needs specialized care in the home. Contact us to learn more!
“All natural.” Some plants found in nature (such as poisonous mushrooms) can kill when consumed. Moreover, FDA has found numerous products promoted as “all natural” but that contain hidden and dangerously high doses of prescription drug ingredients or even untested active artificial ingredients. “Miracle cure.” Alarms should go off when you see this claim or others like it such as, “new discovery,” “scientific breakthrough” or “secret ingredient.” If a real cure for a serious disease were discovered, it would be widely reported through the media and prescribed by health professionals—not buried in print ads, TV infomercials or on Internet sites. Conspiracy theories. Claims like “The pharmaceutical industry and the government are working together to hide information about a miracle cure” are always untrue and unfounded. These statements are used to distract consumers from the obvious, common-sense questions about the so-called miracle cure. Even with these tips, fraudulent health products are not always easy to spot. If you're tempted to buy an unproven product or one with questionable claims, check with your doctor or other health care professional first.
TRUSTED HOME HEALTHCARE YOU CAN COUNT ON
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Source: FDA's Consumer Updates page, www.fda.gov/ForConsumers/ SEPTEMBER 2014
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Why The Tooth Fairy Gave Up Grains By Alvin Danenberg, DDS Dr. Danenberg specializes in periodontics, and currently practices dentistry in Beaufort, Bluffton and West Columbia, SC. He received advanced training in evolutionary nutrition from the Kripalu Center for Yoga and Health as well as The Center for Mind-Body Medicine. Dr. Danenberg recently received the designation "Certified Functional Medicine Practitioner".
You may think you know all about tooth fairies. As you know, they discreetly appear at night to exchange your child’s baby tooth, that’s tucked away under his or her pillow, for little trinkets or coins. They flutter about with their cute big eyes and their huge smiles and their soft, silky wings. But what you probably didn’t know was that these precious little busy bees have been around for a long time. As a matter of fact, they have been around for tens of thousands of years. These tooth fairies knew of a time when little boys and little girls hardly ever got tooth decay. In those days, mommies and daddies worked hard gathering and hunting food. The children ate all the good, nutritious foods that their parents brought to the table. Bodies were strong and lean, and teeth were white and straight. Adult teeth lasted a lifetime, as they were designed to do. But then, something changed, but the fairies didn’t realize it until much later. About 10,000 years ago, certain foods were cultivated that slowly became part of almost everyone’s diet. The fairies didn’t think any harm was going to come from these new foods. But it did. In time, these foods started to damage the teeth of children and adults. All of a sudden, it seemed like many people started to develop toothaches and loose teeth and holes in their teeth. The fairies finally learned that something was wrong with these new foods. They learned that these foods—these grains—were the cause of the dental problems and other health problems that were beginning to plague humans. Then, refined sugars became part of most human’s diets. And then, the fairies understood that these sugars and the added intake of processed grains created added health problems. The fairies made a pledge to give up these grains and sugars and to try to tell everybody that these were not foods people should be eating. The way the fairies used to eat, and the way humans used to eat before grains became so much a part of the diet, was the healthy way to eat. So the fairies became focused on a mission—to tell the world that grains and sugars needed to be avoided in order to regain dental health and overall health. You see, our bodies were never designed to eat modern-day processed foods. Our guts cannot fully digest them, and these foods eventually 6
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SEPTEMBER 2014
upset our delicate balance. It took a long time for the fairies to realize that so many chronic problems were caused by these “foods”. So, the fairies gave up grains and sugars and started to teach the world to be a healthier place. Most importantly, the fairies wanted to teach the children, whom they were meant to protect, to eat healthy. To create healthy meals for your children, consider leaving grains and added-sugars out, and replacing them with healthy meats, fish, vegetables, fruit, nuts, seeds, and various spices. It is important to include leafy green vegetables at every meal. The foods huntergatherers ate for thousands and thousands of years are the foods that will allow healthy bodies of all ages to survive and thrive today. These food choices are part of a Paleo Lifestyle.
Is a Paleo diet a healthy diet for children under age 18? Dr. Danenberg answers: “Absolutely. But the term “diet” is misleading. A diet generally is a strict form of eating where calories are counted and portions of food are measured in some fashion. A Paleo diet is really a lifestyle of eating nutrient dense foods with no concern for calories. When the proper foods are eaten together, then the body begins to regulate its digestive hormones, and the body will tell you to stop eating because it is full. Every meal should be thought of as a plate of food. Conceptually, at least one-half of the plate should consist of non-starchy vegetables; about onequarter should consist of some type of protein; and the last quarter or less could be make up of healthy fats, and possibly a starchy vegetable, or some nuts or seeds, or some deeply colored fruits. The nutrients that are available from eating animal products, vegetables, fruit, nuts, and seeds are all the nutrients that the human body needs— no matter what the age.”
Does some sugar in a child’s diet mean they are destined for poor dental health? Dr. Danenberg answers: “Sugar in the natural form is not the same as concentrated sugars and refined sugars that actually are added to foods like processed foods. Sugars that are in fruits are much healthier than the sugars a child gets in soda, sports drinks, cakes, cookies, candy, and the list goes on and on. However, if too much fresh fruit is eaten instead of balancing fruit with proteins and vegetables and healthy fats, then too much fructose will accumulate in the body creating excesses for the liver and the brain, damaging the gut, and creating fat deposits around the waist. Sugar is a fermentable carbohydrate, and if bad bacteria are predominant in the gut and in the mouth, and if sugar is a dominant element in the child’s diet, and if healthy nutrients are not part of the child’s diet, then tooth decay will be inevitable.
—continued on page 8
SEPTEMBER 2014
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—continued from page 7
How do you suggest dealing with the typical parent’s dilemma of keeping sugary foods out of their children’s diet? Dr. Danenberg answers: “Regulating or eliminating sweets, sugary drinks, refined milk products, processed grain treats may be the best idea, but it’s often not practical for a parent. Often times, parents are not even aware if their child has sugar… i.e. a sports drink or “energy” bar after a Little League game; cakes or sweets at a birthday party. Parents are in control of the foods that are presented to their children. Healthy foods are easy to provide, but in the beginning there is a learning curve. The books recommended at the end of this article have excellent meals that are easy to prepare and delicious to eat for the whole family. Many of them are easy to pack up and take on a trip or to school. The foods that are most important to eliminate are grains and added sugars. Whole foods will not contribute significantly to an unhealthy level of sugars. If a child’s food choices in the home are generally healthy, then some cheating outside of the home is not going to be a problem. Dr. Loren Cordain, who is the “godfather” of Paleo research, states that if a person is 85% compliant, then that person overwhelmingly will benefit from their Paleo eating lifestyle. The younger the child is when you start a Paleo lifestyle, the easier it will be to follow. An older child’s eating habits may be more difficult to change but not impossible. Take baby steps, but children learn from what they see at home. YOU are their role model.”
Parents these days are so often in a hurry to get everything done in a typical day. Grocery shopping presents quite a hurdle in these cases… it’s so much easier to ‘grab and go’ when your child is hungry and you need to get them fed. Dr. Danenberg answers: “Again, try to avoid the grains and added sugars when your child is fed. Shop the outer isles in the grocery store where the more natural foods are located and avoid the packaged and overly processed foods in the center of the store. If purchasing package foods, look at the ingredients, and be selective. You will be amazed at what are in some of these “foods”. Again, grains and added sugars are the most troublesome. You may not be 100% Paleo, but you will be providing your child with a very healthy foundation.”
Some quick ideas for on-the-go: • Raw almond butter spread on stalks of celery. • Raw vegetables and/or sliced fruits with individual containers of live culture, full fat yogurt for dipping. Add spices to the yogurt to create different flavors. • Chicken salad or tuna salad with chopped nuts, blueberries, and cut up celery, or with lettuce leaves (butter or Romaine lettuce) are good for a salad wrap. • Raw macadamia nuts.
If you eat out while ‘on the road’, are fast food places forever banned? Dr. Danenberg answers: “Fast food places usually are not a problem once you understand what you cannot eat. Some examples of what to eat”: • Some type of salad with oil and vinegar dressing and whatever spices that are available at the restaurant. • Hard boiled eggs, hamburger or chicken meat – crumbled up and tossed into the salad. • Fresh fruit if available. • Water, unsweetened iced or hot tea, or seltzer. 8
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SEPTEMBER 2014
Here are some of Dr. Danenberg’s favorite family books to help you design exciting eating options for your kids, as well as yourselves: “Nom Nom Paleo: Food For Humans”, Michelle Tam and Henry Fong, 2013 “Paleo Lunches and Breakfasts on the Go”, Diana Rodgers, 2013
“Practical Paleo: A Customized Approach to Health and a Whole-Foods Lifestyle”, Diane Sanfilippo, et al, 2012 “The Paleo Primer”, Keris Marsden and Matt Whitmore, 2013
See pages 28–29 for three of “Dr. Dan’s” favorite recipes:
• Cracklin’ Italian-spiced Chicken Thighs • No-Oat Oatmeal • Plantain Pancakes
Dr. Danenberg received his dental degree from Baltimore College of Dental Surgery, and his Specialty Certification in Periodontics from the University of Maryland, School of Graduate Dentistry. He was Chief of Periodontics at Charleston Air Force Base, and later had a periodontal practice in Charleston. He joined Beaufort Family Dentistry in 2009 and now sees patients both at the Beaufort office and at the new Bluffton office. He and his wife Sue have been married since 1969 and have two children and three grandchildren.
“I’m super-excited about my new smile and appreciate everything Dr. Porcelli and his professional team have done to restore my confidence.” –Crystal C., Bluffton, SC
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After: 6 Cosmetic Veneers on front teeth
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Stem Cell Transplant Reverses Sickle Cell Disease in Adults
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Adults with severe sickle cell disease were successfully treated with a stem cell transplant approach that doesn't require extensive immune-suppressing drugs. Further follow-up and testing will be needed to assess the potential new therapy.
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Sickle cell disease is an inherited blood disorder that affects more than 90,000 Americans, mostly of African descent. The condition arises from a genetic defect that alters the structure of hemoglobin, the oxygen-carrying protein found in red blood cells. The modified hemoglobin causes normally round red blood cells to become stiff, sticky, and sickle-shaped. The deformed cells can block blood flow, causing severe pain, organ damage, and stroke.
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There is no widely available cure for sickle cell disease. Some children with the disease have been successfully treated with blood stem cell, or bone marrow, transplants. This approach, though, was thought to be too toxic for use in adults. High doses of chemotherapy are used to Sickle cell blood normal cell blood destroy all of a child’s bone marrow, which is then replaced with marrow from a donor. Stem cell recipients typically need to take immunosuppressants for months to a few years. These medications can cause serious side effects.
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—continued from previous page
In earlier studies, transplant recipients were found to have a mix of their own and the donor’s cells in their blood. Despite the mix, sickle cell disease was reversed. Based in part on these findings in children, as well as other preliminary work, a team at NIH’s Clinical Center in Bethesda, Maryland, set out to test a modified transplant procedure in adults with sickle cell disease. The clinical trial was conducted by researchers from NIH’s National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and National Heart, Lung, and Blood Institute (NHLBI). Results appeared online on July 1, 2014, in the Journal of the American Medical Association. Thirty patients, ages 16 to 65, with severe sickle cell disease enrolled in the study between 2004 and 2013. The patients first underwent a less toxic regimen to kill off some of their marrow cells. They then underwent a stem cell transplant, receiving cells donated by a healthy brother or sister. The team found that the stem cell transplant reversed the disease in 26 of 30 patients (87%). The patients had normal hemoglobin, fewer hospitalizations, and lower use of narcotics to treat pain from the disease. The patients didn’t experience graft-versus-host disease—in which donor cells attack the recipient—after a median follow up of 3.4 years. Fifteen patients successfully stopped immunosuppression medications a year after the transplant. The treatment was unsuccessful in four patients, and some complications, such as infections, occurred. “Side effects caused by immunosuppressants can endanger patients already weakened by years of organ damage from sickle cell disease,” says senior author Dr. John Tisdale. “Not having to permanently rely on this medication, along with use of the relatively less-toxic partial stem cell transplant, means that even older patients and those with severe sickle cell disease may be able to reverse their condition.”
The researchers continue to follow the patients to track the success of the approach. People with sickle cell disease interested in joining NIH blood stem-cell transplant studies may call 1-800-411-1222 or visit the NIH clinical trials registry at www.clinicaltrials.gov SEPTEMBER 2014
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Flaxseed and
Flaxseed Oil Common Names: flaxseed, linseed Latin Name: Linum usitatissimum Flaxseed is the seed of the flax plant, which is believed to have originated in Egypt. It grows throughout Canada and Northwestern United States. Flaxseed oil comes from flaxseeds. The most common folk or traditional use of flaxseed is as a laxative; it is also used for hot flashes and breast pain. Flaxseed oil has different folk or traditional uses, including arthritis. Both flaxseed and flaxseed oil have been used for high cholesterol levels and in an effort to prevent cancer. Whole or crushed flaxseed can be mixed with water or juice and taken by mouth. Flaxseed is also available in powder form. Flaxseed oil is available in liquid and capsule forms. Flaxseed contains lignans (phytoestrogens, or plant estrogens), while flaxseed oil preparations lack lignans.
What the Science Says Flaxseed contains soluble fiber, like that found in oat bran, and may have a laxative effect. Studies of flaxseed preparations to lower cholesterol levels report mixed results. A 2009 review of the clinical research found that cholesterol-lowering effects were more apparent in postmenopausal 12
women and in people with high initial cholesterol concentrations. Some studies suggest that alpha-linolenic acid (a substance found in flaxseed and flaxseed oil) may benefit people with heart disease. But not enough reliable data are available to determine whether flaxseed is effective for heart conditions. Study results are mixed on whether flaxseed decreases hot flashes. Although some population studies suggest that flaxseed might reduce the risk of certain cancers, there is not enough research to support a recommendation for this use. NCCAM is funding studies on flaxseed. Recent studies are looking at its potential role in preventing or treating atherosclerosis (hardening of the arteries), breast cancer, and ovarian cysts.
Side Effects and Cautions Flaxseed and flaxseed oil supplements seem to be well tolerated. Few side effects have been reported. Flaxseed, like any supplemental fiber source, should be taken with plenty of water; otherwise, it could worsen constipation or, in rare cases, even cause intestinal blockage. Both flaxseed and flaxseed oil can cause diarrhea. The fiber in flaxseed may lower the body’s ability to absorb medications that are taken by mouth. Flaxseed should not be taken at the same time as any conventional oral medications or other dietary supplements. Tell all your health care providers about any complementary health practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. For tips about talking with your health care providers about complementary and alternative medicine, see NCCAM’s Time to Talk campaign:
http://nccam.nih.gov/timetotalk www.caremagazine.com
SEPTEMBER 2014
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Is becoming happier as easy as trying to become happier? The latest research by two US academics suggests it might be.
FIRST RATE
Trying to be happier really can work. Writing in The Journal of Positive Psychology, Yuna L. Ferguson and Kennon M. Sheldon present the results of their recent experiments into ‘trying to become happier’. In the first study, two sets of participants listened to ‘happy’ music. Those who actively tried to feel happier reported the highest level of positive mood afterwards. In the second study, participants listened to a range of ‘positive’ music over a two-week period; those who were instructed to focus on improving their happiness experienced a greater increase in happiness than those who were told just to focus on the music.
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What seems to have made one group so much happier than the other in their respective studies was a combination of actively trying to become happier and using the right methods—in this case, listening to happy music.
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Ferguson and Sheldon’s findings challenge earlier studies suggesting that actually trying to become happier was, in fact, counterproductive. “[Our] results suggest that without trying, individuals may not experience higher positive changes in their well-being,” they write. “Thus, practitioners and individuals interested in happiness interventions might consider the motivational mindset as an important facet of improving well-being.”
DISABILITY
And that’s definitely something worth thinking about. Source: Yuna L. Ferguson, Kennon M. Sheldon. Trying to be happier really can work: Two experimental studies. The Journal of Positive Psychology, 2013; 8 (1): 23 DOI: 10.1080/17439760.2012.747000 SEPTEMBER 2014
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Professional Forum
news from + about our regional healthcare professionals
Beaufort DNA Testing Goes Mobile Beaufort, S.C.– Coastal Paternity, LLC. co-owners Denise Drake RN & Olivia Bolin, recently announced that Beaufort paternity DNA is now an agency on wheels. New to the Low Country, Coastal Paternity, LLC is comprised of a team of dedicated medical professionals who provide high-quality affordable mobile DNA paternity testing in the privacy of your home, hospital bedside, or Attorney’s office. The medical staff is available to help guide you through the process of ordering a test, providing a sample and understanding your results. Test results are 100% guaranteed accurate chain of custody and results are court admissible. Coastal Paternity, LLC is proud to partner with the DDC /DNA Diagnostic Center Laboratory the AABB accredited facility that provides testing for high profile celebrities, business professionals, musicians and athletes. . Servicing Beaufort, Jasper, Hampton, Colleton, and Allendale County, Coastal Paternity, LLC. offers high-quality, affordable, paternity DNA testing performed by professionals with the highest level of credentials. Mobile services can be retained by individuals, Attorneys, and healthcare establishments. The staff is available for depositions and qualified to deliver expert witness testimony. All information and test results are strictly confidential. Coastal Paternity, LLC, offers same day testing, newborn testing, and New Non-Invasive Prenatal Paternity Testing. Payment plans are offered. For more information, call 843-521-1DNA (1362), or email CoastalPaternity@gmail.com. Visit their website www.CoastalPaternity.com.
Beaufort Memorial now Provides Single-incision Hysterectomies Beaufort, S.C.– Beaufort Memorial Hospital has expanded its use of robot-assisted surgery to offer a single-incision hysterectomy procedure, the first in the region to provide this minimally invasive option. Beaufort Memorial board-certified surgeons Dr. Pat Thompson, of Beaufort Gynecology Associates, and Drs. Greg Miller and Chris Benson of Beaufort Memorial Obstetrics and Gynecology Specialists are among a small group of surgeons in the nation trained to perform this advanced procedure, and the first surgeons to offer it to women in the Lowcountry region. Hysterectomy, the surgical removal of the uterus, is the second most common surgical procedure for women in the United States. An estimated one-third of all women will have a hysterectomy by age 60, according to the U.S. Department of Health and Human Services. Compared to a traditional hysterectomy, a robot-assisted procedure is minimally invasive and helps women return to
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their normal activities more quickly. The surgery is performed in less than two hours and many patients have the option to return home the same day and nearly all go home within 24 hours. The da Vinci robot also allows for a single incision hidden within the belly button, compared to traditional laparoscopic surgeries which require three to five small, visible incisions.
Beaufort Memorial Offers Latest 3-D Mammography Beaufort, S.C.– A new advanced imaging technology is now available at Beaufort Memorial Hospital’s Women’s Imaging Center. Digital breast tomosynthesis, the latest breakthrough in mammography, is a three- dimensional x-ray that provides a clearer, more accurate view of the breast, improving breast cancer detection and reducing the number of false positives and the anxiety that comes with them. Breast tomosynthesis is performed at the same time as a normal screening mammogram using the same digital detector. During the 3-D portion of the exam, the c-arm of the mammography machine makes a quick arc over the breast, taking a series of images that a computer forms into a three-dimensional picture. With 3-D imaging, radiologists are able to examine the breast tissue one layer at a time. Fine details are clearly visible, allowing doctors to more effectively pinpoint the size, shape and location of any abnormalities. Tomosynthesis is especially beneficial for women with dense breast tissue, which can mask cancers or lead to false positives. At the Women’s Imaging Center, a dedicated radiologist is on site to examine both 3-D and 2-D mammograms, providing patients with the results before they leave the center. Same-day mammography results are also available at Bluffton Medical Services. A Breast Imaging Center of Excellence, the Woman’s Imaging Center also offers digital diagnostic mammograms, ultrasounds, bone density scans and stereotactic breast biopsy in a spa-like setting designed with the healing arts in mind. To make an appointment for tomosynthesis or a traditional screening mammogram, call (843) 522-5015.
Hollings Cancer Center Awarded $3.4 Million Grant to Conduct Multi-site Clinical Trials and Cancer Care Delivery Research Studies Charleston, S.C. – The National Cancer Institute (NCI) has awarded a new five-year grant to Hollings Cancer Center (HCC) researchers to conduct multi-site cancer clinical trials and cancer care delivery research studies, specifically those
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that include significant representation of minority and underserved communities. Funding for the HCC program is $3.4 million to be awarded over five years. Research through this grant will be conducted across three facilities—the Medical University of South Carolina, Medical University of South Carolina/Hilton Head Breast Health Center, and the Ralph H. Johnson VA Medical Center —and will include the entire state of South Carolina. Cancer care delivery research within NCORP focuses on diverse and multi-level factors (e.g. social, financing systems, process, technology, and others) that affect access to and quality of care in the community. The HCC received this grant as one of 12 NCORP Minority/Underserved Community Sites, designated for sites that have a patient population comprised of at least 30 percent racial/ethnic minorities or rural residents. A total of 53 NCORP grants were awarded, with only 12 designated as Minority/Underserved Community Sites. For additional information about NCORP, please visit http://ncorp.cancer.gov.
EHR Implementation Remains Top Concern Among Physicians, Practices As more physicians and medical practices work toward meaningful use of an Electronic Health Records (EHR), getting the technology seamlessly integrated into daily work flow continues to be a main concern. For the second straight year, EHR adoption and implementation issues were ranked as the most pressing information technology problem by respondents of the Physicians Practice 2014 Technology Survey, sponsored by Kareo. Seventeen percent of the 1,442 respondents to this year's survey said getting an EHR onboard and fully operational at their practice was their top concern, followed closely by lack of interoperability between EHRs (16%) and costs to implement and use new technology (13%). It does seem, however, due to meaningful use incentive payments or other factors, that cost is becoming less of a concern, having dropped 4 percentage points from the 2013 survey. For more than a decade, Physicians Practice, the leading online community for physicians and practice management professionals, has asked physicians and other medical practice staff about their technology use and issues about implementing tech tools to aid patient care. This year's technology survey includes data on various issues surrounding EHR implementation, including length of time to get up and running, impact on work flow, and whether or not practices would recommend their vendor to peers. For more information or to review latest EHR software report before you make a vendor decision, visit http://www.physicianspractice.com SEPTEMBER 2014
CHOOSE CAR SEAT: BY AGE & SIZE
THE ONES
WHO ACTUALLY DO. THE NUMBER OF PEOPLE
WHO THINK
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THEY HAVE THEIR CHILD IN THE RIGHT SEAT.
KNOW FOR SURE IF YOUR CHILD IS IN THE RIGHT CAR SEAT. VISIT SAFERCAR.GOV/THERIGHTSEAT
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RegionPulse Hollings Cancer Center Celebrates State’s Increases in HPV Vaccine Use Officials Note Ongoing Challenges in Vaccination Numbers Charleston, SC– The Center for Disease Control (CDC) released late July their National Immunization Survey for Teens (NIS-Teen) data showing that Human Papillomavirus (HPV) coverage increased “significantly” from 2012 to 2013 in only five states, with South Carolina among those states and heralded as an example of positive response to advocacy. While South Carolina continues to lag behind national rates of coverage for many other recommended vaccines, the state is now above the national HPV vaccination coverage rate in females receiving one or more HPV vaccines and for females receiving the full course of three doses of HPV vaccine. Officials are quick to note that there is still much work to be done.
news, opinions, healthy options + references Half of South Carolina females ages 13 to 17 years still have not received all HPV vaccine doses, and eight out of ten South Carolina males ages 13 to 17 years old have not received the HPV vaccine. The HPV vaccine is now recommended by the CDC and major medical groups, including the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and other medical societies, for 11 or 12 year old boys and girls, for protection from HPV infection and HPV-related disease. According to the CDC, HPV causes more than 20,000 cancers in women and about 12,000 cancers in men annually in the US.
An Easy Way to Help Memory Matters If you are a Kroger customer, there is a simple way to support Memory Matters. Simply register your Kroger Plus card online at
PUZZLE SOLUTION
Beaufort County Library “For Learning. For Leisure. For Life” September events at County Branches: Call 843-255-6430, or visit beaufortcountylibrary.org
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www.krogercommunityrewards.com Click on enroll, enter your card number, and then enter Memory Matters or 51366 to begin earning rebates for charity! Our supporters who have already registered their Kroger Plus card need to re-enroll in Kroger Community Rewards for the 2014-2015 program year. Kroger evaluates this program every year so members have to sign into their account, click on Memory Matters and hit Save. Remember, it costs you nothing! Kroger offers a maximum annual rebate of $24,000 per organization. By linking your card, every time you swipe it, your purchases will count toward the charitable rebate!
Memory Matters Featured in National Article The Brookdale Foundation has featured Memory Matters in their 2014 edition of the Respite Reporter. To view the full article, visit this link: http://eepurl.com/Z-MEH
BMH PEDIATRICIAN RECEIVES GRANT TO LAUNCH HEALTHY STEPS National preventive care program uses home visitation to address physical, emotional and intellectual development of children from birth to age three Beaufort Memorial pediatrician Dr. James Simmons has received a $273,000 grant from Children’s Trust of South Carolina to launch Healthy Steps, a national initiative designed to improve the health and development of children from birth to age three. The early-intervention program uses developmental screenings and home visitations by trained specialists to help identify and address issues that could affect the physical, emotional and intellectual growth of at-risk children. Simmons, of All Children’s Pediatrics in Port Royal, will team up with physicians from Beaufort Pediatrics and Beaufort Jasper Hampton Comprehensive Health Services (BJHCHS) to initiate the Healthy Steps program. “The earlier we can catch problems,” Simmons said, “the easier it is to modify bad habits.” Along with the developmental screenings and home visitations, Healthy Steps also offers: • Well-child visits with a clinician and Healthy Steps specialist • Child development and family health check-ups • Written materials on topics such as toilet training, discipline and nutrition • Referrals for services, including speech or hearing specialists for children and depression counseling for mothers.
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Hilton Head Hospital Breast Health Center opens New Center for Mammography and Bone Density Hilton Head Hospital Breast Health Center understands the importance of convenience. That’s why we are proud to announce the opening of a second location in Beaufort at 13 Marshellen Drive at the gateway to Parris Island. The Breast Health Center North location will offer digital mammography screenings read by radiologists fellowship trained in breast imaging and bone densitomety (DEXA).
Services offered: L
Hours of operation for the new center are 7:30 a.m. to 3:00 p.m. Tuesday, Wednesday and Thursday. Mammogram appointments can be made directly by calling Hilton Head Hospital at 843.689.8121.
L L L
Hilton Head Hospital’s main Breast Health Center is located in the Bluffton Medical Campus at 75 Baylor Drive in Bluffton. The nationally accredited Breast Health Center offers comprehensive screening, diagnostic, medical and surgical breast services, as well as access to genetic counseling, and a full array of support for patients and families. Women’s imaging services are recognized as a Breast Imaging Center of Excellence by the American College of Radiology and include diagnostic mammograms, breast ultrasound, stereotactic and ultrasound guided biopsies, and bone densitometry. Today's high-quality screening mammography is the most effective tool available to physicians in detecting breast cancer before lumps can be felt or symptoms of cancer appear. Early detection of breast cancer not only helps provide a woman with more options, but also increases the possibility of a favorable prognosis. The American Cancer Society recommends that women 20 and older perform monthly breast self-exams and women 40 and older receive an annual screening mammogram for early detection of cancer. SEPTEMBER 2014
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NationPulse
national news + concerns affecting your health + family
Mental health is just as important as physical health. If you, or someone you know is suffering from depression, there is help out there. If you or somebody else is in emotional distress, or if you’re concerned about suicide, you can call: 1-800-273-TALK (1-800-273-8255). For emergency help, you can always dial 9-1-1. Depression affects children as well as adults, so know what signs to look for as a parent. Go to : www.suicidepreventionlifeline.org
Biomarkers aim to help predict heart disease risk, from the August 2014 Harvard Women's Health Watch Wouldn't it be wonderful if a single blood test could gauge the heart's health? Medicine isn't quite yet at that point. But there are a few indicators that can signal where your cardiovascular health is headed and let you know whether you need to take action now to prevent a heart attack or stroke. Substances called biomarkers reflect processes that are going on inside the body. "Biomarkers could be used both for predicting disease risk and for selecting those who would potentially benefit most from therapy," says Dr. Samia Mora, a cardiologist at Brigham and Women's Hospital and assistant professor of medicine at Harvard Medical School. A good biomarker must be accurate, easy to measure, and safe. Think cholesterol. A useful biomarker also needs to provide new information beyond what other tests already offer. Over the last decade or so, researchers have been testing several other biomarkers to help fine-tune heart disease prediction. They include:
• B-type natriuretic peptide, a hormone produced in response to excess stress on the heart. Many of the processes and risks these biomarkers identify are the same in men and women. But because women naturally have different levels of certain biomarkers, the tests used to measure these biomarkers may need to be interpreted differently or have separate thresholds for men and women. A single biomarker won't be the great crystal ball able to predict a future heart attack. But a group of biomarkers taken together could give valuable insight into a person's cardiovascular future. "I think there will probably be a panel of biomarkers that can identify risk based on different underlying processes," Dr. Mora says. Read the full-length article: "Predicting heart disease risk in women" at http://www.health.harvard.edu/newsletters/ Harvard_Womens_Health_Watch/2014/August/...
• C-reactive protein, a marker of inflammation in the body. • Apolipoproteins, types of protein that travel in the blood with cholesterol. • Lipoprotein-associated phospholipase A2, an enzyme released by immune system cells. 18
Harvard Women's Health Watch is available from Harvard Health Publications, the publishing division of Harvard Medical School, for $20 per year. Subscribe at www.health.harvard.edu/newsletters/womens or by calling 877-649-9457 (toll-free).
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SEPTEMBER 2014
6 reasons why PETS are GOOD for your HEALTH Pets can decrease your blood pressure, cholesterol levels, stress, and feelings of loneliness, says the Centers for Disease Control. Interacting with a pet increases a person’s oxytocin level, and oxytocin contributes to reinforcing social groups and bonding, someone with a mental illness who has a servicetrained pet is more likely to have better-socialized behavior. Animals can also act as therapists themselves or facilitate therapy — even when they're not dogs or cats. For example, psychologists who work with emotionally, mentally or physically-challenged children, often use dogs in their practice—but also other pets—a cockatoo and even a bearded dragon. Psychologists explain that animals can help a clinician go under the radar of a child's consciousness, because the child is much more at ease and seems to be much more willing to reveal, when interacting with a pet during a session Current research has indicated that pet owners benefit from a huge range of psychological and other health benefits by simply owning a pet. Here are some top reasons why . . .
1
Pets keep you active. Pets, especially dogs, keep you active. Walking and playing with your dog gives you a great workout. Just throwing a toy for your dog in the park will strengthen your muscles and the simple act of walking will do you good too. Pet owners have been found to have lower blood pressure and better circulation, than non-pet owners, and this applies to children as well. Pets may also boost your immune system.
2
Pets are a great distraction. When something is troubling you, it will trouble you far less, if you have a pet. Pets make you smile. Pets don’t judge and, frankly, they couldn’t care less that you just lost your job; they just want to be loved. Looking after a pet takes your mind off the stresses of the day and calms you down.
3 Pets are great company and great listeners. Pets make fantastic companions, keep you from feeling lonely, will comfort you and cheer you up. They may not be great conversationalists, but they are quite happy to sit and listen, while you get things off your chest and your pet is not going to argue with you either! 4
They help you make new friends. Pets make great icebreakers when you meet someone new and you can find yourself with a whole new circle of friends, when you have a pet.
5
Pets can give you a purpose. They rely 100% on you for their needs and they can’t be ignored, so caring for them makes you focus on something other, than your own troubles.
6
Pets give true and unconditional love. Less complicated than human relationships, a pet’s love really is unconditional. Something you can fall back on, when those pesky humans let you down. SEPTEMBER 2014
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Regional Hospitals, Centers and Clinics
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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
SEPTEMBER 2014
WISE
information = a healthier YOU!
Filling in Wrinkles Safely In the quest for youth—or at least a more youthful appearance—women and men are seeking treatments to minimize laugh lines, crow's feet, and frown lines, as well as to plump up lips and cheeks. A popular treatment involves injecting dermal fillers into the face. In studies of FDA-approved dermal fillers, people generally report they are satisfied with the outcome of their treatments. But Food and Drug Administration (FDA) medical officer Janette Alexander, M.D., advises that it’s important to know the risks before having the treatment.
What are Dermal Fillers, and How are They Used?
What are the Risks?
Injectable dermal fillers are soft tissue and wrinkle fillers approved by FDA as medical devices. Generally, these products are injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. Most of the fillers achieve a smoothing or filling effect, which lasts for about six months or longer in most people. FDA has approved only one permanent wrinkle filler, which contains the polymethylmethacrylate beads. The filler is FDAapproved only for correcting facial tissue around the mouth. In addition, FDA has approved a number of injectable dermal fillers that are temporary because the body eventually absorbs them. These products are used for correcting soft tissue defects in the face, such as moderate to severe facial wrinkles and skin folds, lip and cheek augmentation. Not all products have been approved for the indications mentioned above. Please refer to the FDA’s list of approved dermal fillers for more information on a specific dermal filler at http://www.fda.gov/MedicalDevices/ ProductsandMedicalProcedures/CosmeticDevices/Wrinkle Fillers/ucm227749.htm
These temporary fillers include the following materials: Collagen injections, made of highly purified cow or human collagen Hyaluronic acid gel, a protective lubricating gel, produced naturally by the body Calcium hydroxylapatite, a mineral and a major component of bone Poly-L-lactic acid (PLLA), a biodegradable, biocompatible, synthetic material FDA has not approved dermal fillers for increasing breast or buttock size, or for injections anywhere else than the face. SEPTEMBER 2014
“As with any medical procedure, being injected with dermal fillers poses some risks,” Alexander says. “You should ask what you can expect and contact your health care professional if you are concerned about a particular side effect.” The most common side effects include: bruising, redness, swelling, pain, itching. Most side effects occur shortly after injection and go away within two weeks. In some cases, side effects may emerge weeks, months, or years later. You should not use wrinkle fillers if you have: • severe allergies marked by a history of anaphylactic shock (the body’s potentially fatal allergic reaction) • an allergy to collagen (when considering wrinkle fillers that contain collagen) • allergy to lidocaine (when considering wrinkle fillers that contain lidocaine) • predisposition to form excessive scarring (keloid) or thick scarring (hypertrophic scars) • bleeding disorder • active inflammatory condition (cysts, pimples, rashes or hives) or infection; you should postpone treatment until the condition is controlled.
Before deciding to get injected with a dermal filler be aware of the following: - Do not buy dermal fillers on the Internet. They may be fraudulent, tainted, and/or harmful. - You should be able to get patient labeling information on FDA-approved injectable wrinkle fillers from your health care professional. - Know the type of product to be injected and all of its possible side effects. Know where each product used is to be injected. Discuss the different types of FDA-approved dermal fillers and the results you want to achieve with your health care professional who can refer you to a dermatologist or plastic surgeon, and be sure to select a certified specialist.
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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, Sept. 4, 2014 at 1:00 PM Community Room, Palmetto Electric Coop Bldg (off 278) Contact President Chris Olsen, 843-705-5097. www.aarp.org
2014 Beaufort Jasper Active Adult Challenge Registration Available Now Registration for the Beaufort Jasper Active Adult Challenge is now available online at www.BJAAC.org (paper registrations are available at Sun City Fitness Centers). All events are set for September 27th–October 4th. Individuals age 50 or more are eligible to participate in eight days of friendly fun and competition held all over Jasper and Beaufort Counties. Athletes have the opportunity to win gold, silver and bronze pins, walk in the Parade of Athletes and participate in the closing celebration with dancing, cocktails and appetizers. All athletes will receive an official BJAAC Sports Cap if registered by the September 12th deadline. This event also has a need for volunteers to help out with traffic control, timing of events, decorations, result postings, refreshments, etc. Please contact Lori Holland at (843)645-4515. The primary vision of the Challenge is to inspire seniors to stay active, promote health and well-being and to provide a true sense of fellowship within the area.
Peer-to-Peer combines lecture, interactive exercises and structured group processes. Diversity of experiences among course participants results in a lively dynamic. Classes are FREE, but registration is REQUIRED as space is limited. Call today, 843-681-2200 ext.1, or email Sarah Eliasoph: nami@hargray.com For more information: www.NAMIBeaufortCounty.org Beginning September 16
Brain Boosters Fall Classes at Memory Matters 2:30-4:30pm: Need some great tools to help keep your brain in top-notch condition? 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. We exercise our bodies to keep stronger so it makes sense to exercise our brain to keep it firing on all cylinders. The class begins Tuesday, September 16 and will continue for 10 consecutive Tuesdays. To sign up call Karen at Memory Matters, 843-842-6688; or email karen@memory-matters.org. Tuesday, September 23
An Evening of Vibro Energy Tuning 7:00pm: Vibro Energy Living—an integrated approach to the use of ancient methods and healing practices for development and progressive self-fulfillment of human nature.The Energi Center 35 Bill Fries Drive, Bldg C, Hilton Head Island, South Carolina 29926. Call 843-422-7697.
Thursday, September 4
Monday September 29
NAMI Family-to-Family New Classes Beginning Unitarian Universalist Congregation 110 Malphrus Road, Bluffton 6:00-8:30pm: Do you have a family member with mental illness? Have you struggled to understand the diagnosis? NAMI’s Family-to-Family program is a FREE 12-week course for caregivers of individuals with mental illness. Classes are FREE and open to anyone. Registration Is Required. For more information or to enroll, call NAMI Beaufort County at 843-681-2200, or email nami@hargray.com Tuesday, September 16 NAMI Peer-to-Peer New Classes Begin USC-B Hilton Head Gateway Campus, Room 238 in the Library 2:00-4:00 pm: This signature education program is a ten session education course centered on the topic of recovery. Peer-to-Peer is for any individual with serious mental illness who is interested in establishing and maintaining wellness. The inspirational series is offered at no cost to participants. 22
The Ronald Championship “A Hole Away from Home” Benefiting the Ronald McDonald House of the Coastal Empire
Savannah Quarters Country Club Participation Cost: Team $1,200 / Individual $300 Golf packages include: (1) Ticket for Opening Sunday night “Par-Tee” for the House (additional guest tickets at a reduced rate of $50). Monday Shotgun Start at 9 a.m. Breakfast / Lunch and on course snacks & drinks. Fabulous Prizes and Contests! On the evening before: Sunday,September 28th 6:00-9:00 p.m. Cotton Sail Hotel Not a golfer? Then come to the “Par-Tee” for the House at the beautiful Cotton Sail Hotel. Tickets are $100. The “ParTee” will be held at Top Deck roof top bar and include silent auctions, entertainment. Open bar (6 pm–8 pm) will be available with food provided by Jim ‘N Nick’s. For more information contact: Bill Sorochak 912-350-7641, or email bill@rmhccoastalempire.org www.rmhccoastalempire.com
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SEPTEMBER 2014
Community Calendar continued
Thursdays and Saturdays starting September 4 and going through November 29 from 11:00 - 2:00pm
COASTAL DISCOVERY MUSEUM Fall Programs: 70 Honey Horn Drive on Hilton Head Island RESERVE at 843-689-6767 ext 223 or online at www.coastaldiscovery.org
Lowcountry Critters with Joe Maffo This casual “Meet and Greet” designed to encourage participants to learn more about the alligators, snakes, turtles and other critters that share Hilton Head Island with us. Cost is adult $10 and child $5 (12 and under) under 5 are free. No reservations for this program, just drop in and see the animals he brings!
September 2 through November 11 at 3:00pm
Learn to throw a cast net Classes will be held every Tuesday. For ages 12 and older, cost is $10 per person and reservations are required. Beginners are welcome, and you may bring your own net, or a loaner will be made available to you. September 6 and 20, October 4 and 18, November 1, 15 and 29 at 9:00 - 11:00am
“Waterway Excursion” Explore the waterways around the Pinckney Island Forest Preserve on board the Tammy Jane. You will learn about the salt marsh, maritime forest, barrier islands, and the history of Pinckney Island. This adult-oriented cruise is $35 per person and reservations are required. The cruise leaves from the Hudson’s Dock on Squire Pope Road. September 3 at 3:00pm
Lowcountry Dragonflies A presentation on the dragonflies inhabiting the lagoons of Hilton Head by Biologist Vicky McMillan. Reservations are required; limited seating. Cost: $7.00 per person.
Thursday, September 4 through November 20 10:00am until noon
May River Expedition This new 2-hour water expedition tour will explore Bluffton’s May River aboard research vessel SPARTINA. The expedition will leave from the Calhoun Street Dock, Bluffton. This dock is located at the end of Calhoun Street adjacent to the Church of the Cross. Cost is $35 adult, $25 child (ages 12 and under). Reservations are required.
Saturdays, September 6 and ending November 29
Shrimp Trawling Expedition Times vary for these cruises This interactive cruise will take you from Hudson’s Dock out into Port Royal Sound where you’ll have a chance to see how a shrimp trawler works—plus, you’ll have a chance to share in the ‘catch’ and might take some shrimp home! Cost is $40 adult and $20 child, with reservations required. October 15 at 3:00pm
Lowcountry Shore Birds
September 17 at 3:00pm
A Fisherman’s Guide to Seafood in our Lowcountry Restaurants David Harter will give advice about what are the best seafoods to order for your palette, health and your wallet when dining in our local restaurants and buying at our seafood distributors. The cost is $7 per person (for ages 12 and older). Reservations are required.
Nicholas Wallover will speak about these incredible birds and the role of communities in South Carolina in protecting this important part of our coastal heritage. Cost is $7 (for ages 12 and older) and reservations are required.
SAVE the DATE Saturday, October 4 Coligny Beach, Hilton Head Island
September 18 at 3:00pm
“Formation of the Confederacy”
NAMI Walks
John Keller will address the history of the formation of the Confederacy. He will trace the history of many flags used by military regiments, state and local governments and the Confederacy. The cost is $7 per person (ages 12 and older) and reservations are required.
Walking for Mental Health! Join thousands of NAMI Walkers as they raise awareness and fund for their FREE Beaufort County mental health programs.
September 24 at 3:00pm
Monday, November 3 Moss Creek Golf Club
Piping Plovers of Hilton Head Island Sally Krebs will speak about the piping plovers—small, endangered shorebirds that fly thousands of miles to come to this area for the winter. Reservations are required and the program is $7 (ages 12 and older). SEPTEMBER 2014
Memory Matters 15th Annual Charity Golf Tournament
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Registration begins, September 2, 2014 Call 843-842-6688 for more details 23
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 Thursday 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
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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
SEPTEMBER 2014
Regional Blood Drives SEPTEMBER 2014
Give Blood. Save Lives.
Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID
FACT: Your donation of OKATIE
The Blood Alliance For appointments, please call
Thursday, September 11 Beaufort Jasper Water & Sewer Authority 6 Snake Rd.
LOWCOUNTRY Fixed Site Donor Center 1001 Boundary St., Suite A
843-522-0409 iDon8
or, use free app at
BEAUFORT Wednesday, September 10 Beaufort County Government Center 106 Ribaut Rd. Monday, September 15 Beaufort High School 85 Sea Island Parkway Portable Tuesday, September 16 Technical College of the Lowcountry 921 Ribaut Rd. Friday, September 26, 2014 Battery Creek High School 1 Blue Dolphin Dr.
LADYS ISLAND
RIDGELAND Saturday, September 13 The Town of Ridgeland One Town Square
HARDEEVILLE Thursday, September 18 City of Hardeeville 205 E. Main St. Bloodmobile Thursday, October 02 Coastal Carolina Hospital 1000 Medical Center Dr.
takes about an hour and
can save three lives . If you’re already a blood donor,
THANK YOU! If you’re not, we ask that you please consider it. Make your appointment TODAY. Call the Lowcountry Donation Center
843-522-0409 BLUFFTON Wednesday, September 24 Bluffton Boots & Badges Blood Drive Station 300 - Buckwalter Pl. 25 Innovation Drive
Sunday, September 07 St. John's Lutheran 157 Lady's Island Dr.
HILTON HEAD ISLAND
Sunday, September 28 Tidal Creek Fellowship Church 290 Brickyard Point Rd. S.
Sunday, September 21 Resurrection Christian Community Church 296 Spanish Wells Rd.
SEPTEMBER 2014
one pint of whole blood
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Providing Outstanding Blood Service in South Carolina, Georgia and Florida
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Flexible Sigmoidoscopy Cuts Colorectal Cancer Incidence, Mortality one-time screening with flexible sigmoidoscopy reduces colorectal cancer incidence and mortality, a JAMA study finds. In a JAMA editorial, NEJM Journal Watch General Medicine editor-inchief Allan Brett notes that sigmoidoscopy screening “has all but vanished” in the U.S., largely replaced by colonoscopy—even though “randomized trial-level evidence of reduced cancer-specific mortality exists for flexible sigmoidoscopy and FOBT but not for colonoscopy.” He then examines the “quandaries” that U.S. primary care clinicians face as they navigate the many colorectal screening options and recommendations, and notes that stool DNA testing may change the conversation substantially. –By Amy Orciari Herman, JWatch.org
Noninvasive DNA-Based Colon Cancer Screen Approved The FDA has approved a novel colorectal cancer screening test— Cologuard—that detects DNA mutations and hemoglobin in stool samples. Patients testing positive should follow-up with colonoscopy. In a clinical trial of some 10,000 patients, Cologuard accurately detected more advanced adenomas and colorectal cancers than fecal immunochemical testing. The new test, however, did not correctly rule out cancer as accurately as the older test. The FDA notes that this approval does not change the U.S. Preventive Services Task Force’s guidelines, which recommend screening using colonoscopy, sigmoidoscopy, or fecal occult blood testing. –By Kristin J. Kelle, JWatch.org
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capsules of healthy + helpful information
Most Overweight Kids Misperceive Their Size Roughly 81% of overweight boys and 71% of overweight girls consider themselves to be “about the right weight,” according to a new CDC report. As part of the National Health and Nutrition Examination Survey, U.S. children aged 8 to 15 years were asked, “Do you consider yourself now to be fat or overweight, too thin, or about the right weight?” Their answers were compared with their BMIs. In children who were obese, 48% of boys and 36% of girls said they were about the right weight. Children from families with lower incomes were more likely to misclassify their weight status than those from higherincome families. For additional information visit the National Center for Health Statistics data brief. (Free PDF) –By Kelly Young, JWatch.org
Prophylactic Aspirin Use Associated with Reduced Cancer Risk Using daily low-dose aspirin for a minimum of 5 years appears to have more benefits than harms in terms of cancer prevention, according to a review in the Annals of Oncology. www.caremagazine.com
The review found reduced cancer incidence and mortality at doses between 75 and 325 mg per day, starting between ages 50 and 65, with longer duration of use appearing to confer the greatest benefits. Men and women at average risk who took aspirin for a decade could expect relative reductions of 9% and 7%, respectively, in the rate of cancer, myocardial infarction, or stroke over 15 years. The researchers found substantial benefit in terms of colorectal, esophageal, and gastric cancer incidence and mortality. Reductions in breast, lung, and prostate cancers were more modest. As expected, aspirin use was associated with increased risk for bleeding events, but the cancerprevention benefits outweighed this risk. –By Kelly Young, JWatch.org
More than a Delicacy: Bone marrow fat may have untapped health benefits Researchers find that with calorie restriction, a less-studied fat tissue releases adiponectin, which is linked to reduced risk of diseases like diabetes. It has been known for its flavorful addition to soups and as a delicacy for dogs but bone marrow fat may also have untapped health benefits, new research finds. A new University of Michigan-led study—which included people with anorexia and patients undergoing chemotherapy—shows that the fat tissue in bone marrow is a significant source of the hormone adiponectin, which helps maintain insulin sensitivity, break down fat, and has SEPTEMBER 2014
capsules of healthy + helpful information been linked to decreased risk of cardiovascular disease, diabetes, and obesity-associated cancers. See the full story at http://www.uofmhealth.org/news/ archive/201407/bone-marrow...
New Research Uncovers Genetic Identifier, Common Physical Traits for Autism May Allow Clinicians to Determine Risk for Babies Still In Utero A researcher at Seattle Children's Hospital and Research Institute has found a genetic identifier for autism that includes physical features that may eventually allow clinicians to identify babies who are at risk for autism before they are born. This is the first time a genetic mutation has been linked to autism. A mutation of the CHD8 gene that, in addition to significantly increasing a child's risk of developing a specific subtype of autism, also causes several physical traits and symptoms that are unique to children with the same subtype of autism. The physical traits—subtle facial features, such as larger heads and prominent foreheads—are features that, combined with confirmation of a CHD8 gene mutation, could allow clinicians to screen babies still in utero for a higher risk of developing autism, much like clinicians now screen for physical and genetic indicators of disorders like Down's Syndrome.
Early detection is critical in the treatment of autism symptoms. Research studies of behavioral therapies used with younger siblings of kids with autism, who are at higher risk for developing autism themselves, suggest that intervention between three to six months of age can lessen or even prevent symptoms from developing. For more information visit www.seattlechildrens.org
Time to Test for Another Breast Cancer Gene? Mutations in the PALB2 gene confer as much increased risk for breast cancer as BRCA2 mutations, according to a New England Journal of Medicine study. The PALB2 protein is key to several BRCA2 functions, including limiting cellular DNA damage. U.K. researchers examined breast cancer risk among some 360 members of 154 families in which at least one person had breast cancer and a loss-of-function mutation in PALB2 (but no BRCA mutations). They found that breast cancer risk was 9.5 times higher among mutation carriers than in the general population. The absolute breast cancer risk by age 70 among women with PALB2 mutations ranged from 33% among those with no family history of breast cancer to 58% among those with at least two firstdegree relatives with breast cancer at age 50. PALB2 mutations also increased risk among men. The researchers say the level of risk conferred by PALB2 mutations would be considered high according to American Cancer Society and other guidelines. “This level of risk,” they write, “may justify adding PALB2 to genetic testing for BRCA1 and BRCA2.” –By Amy Orciari Herman, JWatch.org
SEPTEMBER 2014
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Harvard Business School and Harvard Medical School Launch “The Health Acceleration Challenge” Over the last half-century, some of the greatest health care innovations have taken decades to reach widespread adoption. Why does it take so long? The Forum on Health Care Innovation, a collaboration between Harvard Business School (HBS) and Harvard Medical School (HMS) are launching the Health Acceleration Challenge to identify innovations that have demonstrated effectiveness for U.S. health care delivery and shorten the time frame for their widespread dissemination, and are ready to scale. Its purpose is to unite leading executives, policymakers, and academics in a cross-disciplinary exploration of innovative actions to improve quality, reduce costs, and, ultimately, increase value in the health care industry. The Forum on Health Care Innovation wants to hear about your innovations that…
-improve the quality of care -lower care delivery costs -expand access to care -have demonstrated real value -can scale to create broader impact Finalists will share $150,000 in prize money, meet senior health care leaders at the HBS-HMS Forum on Health Care Innovation Conference in April 2015, and have an HBS case written about them. APPLICATION DEADLINE SEPTEMBER 29, 2014 To find out more, go to www.HealthAccelerationChallenge.com All applicants can benefit from crowd-sourced feedback on the application platform. Winning innovations will attract the attention of a broad network of health care experts, become subjects for HBS case studies, and receive cash prizes. 27
Easy, healthy Paleo recipes
Plantain Pancakes Ingredients: 2 large green plantains (about 2 cups pureed) 4 free-range eggs 4 Teaspoons of vanilla 3 Tablespoons of extra virgin coconut oil 1/4 Teaspoon of sea salt 1/2 Teaspoon of baking soda Additional coconut oil for cooking
No-Oat Oatmeal Ingredients: 1 cup of raw pumpkin seeds ½ cup of milled flax seeds ½ cup of macadamia nuts 8 pitted dates ½ Teaspoon of sea salt ½ Teaspoon vanilla organic unsweetened coconut milk Optional: coconut cream; cinnamon; fresh berries, sliced banana
Directions: • Place the seeds, nuts, dates, sea salt and vanilla in food processor and process for 2 minutes until you have a rough chopped mixture. • Place mixture in a glass jar to store in fridge. • Take ½ cup of the mixture and 1 cup of coconut milk and place in a medium-size pan on stove.
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Directions: • Peel plantains. (It is easier to cut them lengthwise and then cut each section in half; then separate the peel from the meat of the plantain with your fingers.) • Place plantain pieces into your food processor or powerful blender. (A good blender is the Vitamix®.) • Add the rest of the ingredients to the food processor or blender and process until it forms a smooth batter (about 1-2 minutes). • Heat 1 Tablespoon of coconut oil in frying pan over medium-high heat. Pour the batter into the frying pan until your pancake is the desired size. • Cook like a regular pancake. After 2-3 minutes, the top will form little bubbles just like a regular pancake. Flip it and cook the other side for another minute or so until done.
• Bring to a boil and let simmer for 10 minutes.
• Repeat until the batter runs out. Add a little coconut oil to the pan as needed.
• Optional: add coconut cream and/or fruit and/or cinnamon if desired
• Top with butter, fruit or honey, grade B maple syrup, or whatever makes you happy!
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SEPTEMBER 2014
Cracklin’ Italian-spice Chicken Ingredients: 8 bone-in, skin-on, free-range chicken thighs Skin-side seasoning: 1 tablespoon Kosher salt 2 teaspoons grass-fed butter (Kerrygold) Meat-side seasoning: 1 Tablespoon garlic powder 1 Teaspoon red pepper flakes 1 Teaspoon dried oregano 1 Teaspoon sea salt
Perfectly-seasoned chicken thighs ready for the grill
Directions: • Dry chicken with a paper towel. • Cut out the bone, making sure you don’t cut through the meat. Stay as close to the bone as possible. Don’t cut off the skin. The skin makes the dish Yummy! • Flatten the chicken with a meat pounder or just use your fist to pound it flat. • Turn the chicken skin-side-up, and sprinkle Kosher salt on the skin from high up in order to get it salted evenly. • Heat a large skillet over medium high heat, and then melt the butter. Place four chicken thighs skin-side down in the skillet. • Sprinkle the “meat seasoning” on the meat side. • Cook the skin side until crispy and golden brown (around 7-10 minutes), You will need to have a splatter guard because the hot fat will splatter. • Turn over the thighs and cook the meat side for 2-3 more minutes to thoroughly cook, and then place them on a wire rack to rest and drain while you get the next batch cooked. • Repeat the cooking steps for the remaining four thighs. The Paleo Diet (see page 6) may not be appropriate for all people with diabetes. Anyone interested in starting a new diet should always speak with their healthcare provider and/or Certified Diabetes Educator® before making dietary changes. For those interested in trying the Paleo Diet, Kelly Schmidt, RD, suggests starting in steps. “Definitely take on the diet in phases,” she said. “For example, start with just eating gluten-free and using gluten-free grains – rice, quinoa, gluten-free oats, millet – as transitional foods. Next, cut back on the vegetable oils and sugar, then try to cut out dairy and beans, and then all grains. When removing the grains entirely, still get some carbohydrate-containing foods like sweet potatoes, root vegetables and low-sugar fruits like berries and citrus.” Proceed at your own pace, says Kelly. “Try one new recipe that is based on whole foods every other week or every week if you can,” she said. “And just pay attention to how food makes you feel. When you feel better, it can be more motivation not to be even tempted by old favorite foods.” Another key to the Paleo Diet is planning. “I always say a health goal starts with a grocery list, so your grocery shopping is more efficient,” she said. “I also make things in bulk. And I think about what meals I’m going to have tomorrow or the following few days so I’m not just throwing something together at the last minute.” Source: Kelly Schmidt, RD (who lives with type 1 diabetes) http://www.discussdiabetes.com/2014/03/kelly-schmidt-explains-paleo-diet/
SEPTEMBER 2014
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ParentPulse
helpful insights and tips for effective parenting
Most Parents Unaware of Possible Brain Damage from Untreated Jaundice A majority of Americans are not aware of the serious potential risks associated with newborn jaundice, according to a recent survey. This national survey of nearly 5,000 Americans found that more than 70 percent (71.9 percent) of respondents polled had never heard of kernicterus, a condition that results from brain damage caused when bilirubin levels get too high and go untreated. Bilirubin increases when red blood cells break down, and it is normal for some red blood cells to die every day. Sometimes a baby’s liver is too immature to adequately get rid of excess bilirubin and jaundice develops. Kernicterus is a devastating condition that can permanently change the lives of otherwise healthy babies. Prevention is the key to keeping these babies healthy; parents should ask their baby’s doctor or nurse about a bilirubin test. This simple blood test can be done soon after birth to see if a baby is at risk. Many parents are aware that jaundice is a potential threat, but relatively few are aware of how serious the threat is. Because jaundice is so common, many parents are told not to worry. Parents should not dismiss any signs of a high bilirubin level and should consult their baby’s doctor. A bilirubin test is the best way to assess the baby’s bilirubin level. Putting a baby in sunlight is not recommended as an effective way to treat jaundice. Nearly two-thirds (59.9 percent) of all survey respondents reported that they were not sure if jaundice could cause brain damage in a newborn baby. Among women of childbearing age, only 17 percent thought jaundice in a newborn baby could cause brain damage, whereas nearly 60 percent of this group responded that they were not sure. Jaundice is a common condition—occurring in about 60 percent of newborn babies—and is caused when a baby’s liver cannot adequately remove excess bilirubin. 30
When a baby’s bilirubin level is elevated, it can lead to a yellowing of the skin and whites of the eyes. While not all jaundice leads to kernicterus, high levels of bilirubin can permanently damage the brain if not managed or treated appropriately. Kernicterus is characterized by cerebral palsy, hearing loss, problems with vision and teeth, and in some cases, mental retardation. Once a baby is discharged from the hospital after birth, parents need to be aware of any possible signs that might indicate the progression of jaundice. Parents should seek medical attention if their infant is overly sleepy, does not want to breastfeed or take a bottle, does not have at least four wet or dirty diapers daily, seems too awake, or has an overall change in behavior. There are also advanced warning signs that indicate your baby needs immediate treatment including arching of the back or neck, high-pitched crying, irritability, or strange eye movements. If you see any of these things, seek medical attention immediately.
CDC is a partner in the Kernicterus Prevention Partnership Campaign (KPPC), a collaboration between health care professionals, public health organizations, and consumer groups who have come together in an effort to raise awareness for, and increase prevention of, kernicterus. Through its efforts, the KPPC aims to eradicate kernicterus and ensure all babies have the opportunity to develop to their full potential. For more information about newborn jaundice and kernicterus, visit www.cdc.gov/jaundice.
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SEPTEMBER 2014
Family
Fun CLUES ACROSS 1. Locates by tracking 7. Learned person 13. Rail transport charge 14. Asserted 16. Obstetrics (abbr.) 17. Type of puzzle 19. Of I 20. Strongboxes 22. Mow grass 23. Passover feast 25. Makes a mistake 26. Gambling blocks 28. Saint Filippo 29. Dental organization 30. Spigot 31. Van Winkle 33. Spanish hero El ___ 34. Chinese weight unit =1.3 oz 36. Flightless birds 38. Comb-plate organ 40. TV awards 41. Infuse with air 43. Earthen hollow 44. Took part in a race 45. Kids’ musician Palmer 47. Process a hide 48. Restaurant bill 51. Expression of annoyance 53. Music term for silent 55. Body fluids 56. Runs disconnected 58. Seaport (abbr.) 59. Wrap brand 60. 32nd Pres. initials 61. Foodie 64. “Dark Victory” actress’ initials 65. Wood ant genus 67. Attacks 69. Delicate hue 70. Prescribed amount
CLUES DOWN 1. Knights’ garment 2. Are You? in texting 3. Moose genus 4. Rail vehicles 5. Self-importance 6. Send again 7. Twain’s Tom 8. Macao monetary unit 9. One minus a cosine (trig.) 10. “As You Like It” forest 11. “My Turn” author’s initials 12. Audacity 13. 8th-century B.C. prophet 15. Mocks 18. Animal pouch 21. Brotherly 24. Metric linear unit 26. Decalitre 27. Title of respect 30. Choppers 32. Encomium 35. Coin collector group 37. Tobacco mosaic virus 38. Capital of Wales 39. A single tear 42. Ingest 43. Feline 46. Adding machine inventor 47. 4 49. Cultivatable land 50. Musician groups 52. Abounds 54. Central processing unit 55. Yemen capital 57. Cough up 59. Impudence 62. Frozen water 63. Garching astronomy org. 66. Egyptian sun god 68. Immunoglobulin (abbr.)
Crossword Puzzle solution on page 16 SEPTEMBER 2014
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We are HERE FOR YOU Port Royal Medical Center 1320 S. Ribaut Road Port Royal/Beaufort • 843-986-0900 Ruth P. Field Medical Center 721 Okatie Hwy. 170 Chelsea • 843-987-7400 Leroy E. Browne Medical Center 6315 Jonathan Francis, Sr. Road St. Helena Island • 843-838-2086 Donald E. Gatch Medical Center 522 Stiney Road Hardeeville • 843-784-2181
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