CARE magazine®—Summer 2015

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Care Options and References for a Healthier Life

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®

Keep a Sunny Disposition How to Handle Life’s Detours Risk Factors for Your Thyroid Oral Health Can Affect Your Overall Health

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CONTENTS

Summer 2015

In Every Issue 12

Regional Support Groups

18

Region Hospitals & Clinics

19 care TALK© Capsules of Healthy Information

Features 4

Young Doctors Seek Balance Between Their Private and Personal Lives

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ParentPULSE

22

Regional Blood Drives

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Heart Healthy Recipe: Grilled salmon with coconut-cilantro sauce

—by J. Joseph Marr, MD

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How Do You Handle Life’s Detours?

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A Sunny Disposition —by Elizabeth Dardes

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Protein Consumption Linked to Longevity —By Carol Torgan, Ph.D.

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Boost Your Immune System for Optimal Health

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Pathology and Thyroid Conditions —By Robert J. Gay, MD.

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Ethics and “Designer” Babies —by Peter Schattner

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7 Health Conditions Linked to Poor Oral Health www.caremagazine.com

SUMMER 2015


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care magazine

®

A New Generation Of Doctors Forgoes A Solo Practice

Options and References for Healthier Living

SUMMER 2015 Publisher and Editor:

Karen Mozzo

Associate Editor:

Elizabeth Dardes

Distribution Manager:

John Lucas

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CyberZoo Ltd.

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care magazine® 843-524-8988 caremagazine@gmail.com Supporting the Health of Our Community

Changes In Medicine Make Working For Someone Else More Appealing Many young doctors have lost interest in going solo. A recent survey of doctors-in-training in their final year of residency showed that just two percent want a go-it-alone practice. Instead, their goal is to seek balance between their private and professional lives by working for someone else, such as a hospital, clinic or large group practice, according to the survey by MerrittHawkins, a physician staffing firm and subsidiary of AMN Healthcare.

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It wasn’t always that way. A mixture of technological advances, health-insurance payment models, corporate-business models and other factors have brought drastic changes to the medical profession that have been building for decades, says J. Joseph Marr, author of the book “Fall From Grace: A Physician’s Retrospective on the Past Fifty Years of Medicine and the Impact of Social Change.” (www.jjmarr.com) “People of my vintage went into medicine for what seemed to be all the right reasons,” says Marr, a retired physician. “We expected to work long hours, to be at the call of someone in distress, to sacrifice youth to gain knowledge and experience, and to sacrifice time with family to alleviate the suffering of others.” Marr says that selfless philosophy makes it all the more puzzling why his generation of doctors allowed health care to evolve into an industry more concerned about profits and quarterly earnings than patient care. “I think the trend probably began in the early 1960s when physicians declined the opportunity to take an active role in the management of hospitals and health care,” Marr says. “Instead, they hired administrators to do that work and did not pay close attention to the results. That was just the beginning of the shift, though. Over time, the groundwork was laid for the practice of medicine to be controlled by the reimbursement polices of insurance companies and corporate business practices. Physicians lost control of the health care system and became managers of therapeutic teams.

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magazine® is intended as a reference and options

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

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“Today there is a decreasing emphasis on self-sacrifice and individualism, and an increase in group practice or organizational medicine where hours are predictable,” Marr says. “You can’t necessarily blame young doctors for the decisions they are making. It’s just been the natural progression of things.” www.caremagazine.com

SUMMER 2015


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Marr says that until the profit motive is purged from medicine, any talk and action to improve the health-care system will be of little or no benefit. He says there are barriers to the needed changes happening, though, such as: • Health care as an industry comprises 18 percent of the grossdomestic product. “No one will tamper with it for fear of uncomfortable or egregious economic fallout,” Marr says. “It could have been done during the formation of the Affordable Care Act, but it was not. In fact, the behavior of Congress during this charade demonstrates the difficulty of creating the changes that will make a better system for consumers. No politician will touch this.” • There are far too many stakeholders in the current system to consider shutting it down or even to make large changes. Many industries support health-care organizations with day-to-day services and supplies. Other industries create, provide and manage the increasingly complex technology used in health care. Entire educational systems, from medical schools to community colleges that train lowerlevel technical and nursing staff, are engaged in supporting the system. The insurance industry that manages payments is an enormous employer that is itself responsible for driving up the cost of care, Marr says. Finally, he says, the individuals employed in all of the above are dependent upon the continued functioning of this “out-of-control creation” for their livelihoods. • All is not pessimistic in the world of medicine, Marr says. Technological advances have helped both patients and doctors by providing the tools and knowledge to diagnose disease more accurately and treat it more efficiently. So while some of the human touch in the doctor/patient relationship is gone, which Marr bemoans, the importance of better patient outcomes shouldn’t be dismissed. ”Although I find a personal health-care visit to be a sterile interaction,” Marr says, “I cannot deny it is more efficient and more effective than the medicine we practiced. Our model has gone and another has taken its place.”

About J. Joseph Marr, MD J. Joseph Marr, MD is a retired academic physician and pharmaceutical and biotechnology executive. He earned a bachelor’s degree in biology from Xavier University in Ohio, and his medical degree from the Johns Hopkins University School of Medicine.

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5


WISE

information = a healthier YOU!

How Do You Handle Life’s Detours? Wise Decisions Can Start With Noticing Silver Linings

The loss of a job; a bad break-up; a nasty accident; a new, obsessive habit; a big move to a new town; health problems experienced by you or a loved one – these are some of the many things that can turn your life upside down. These are life’s detours that you don’t expect. Could there be a good way to respond to such turns in life? Is it honest to “look on the bright side?” Isn’t the root feeling hurt? “I don’t think most people could ask you to deny your feelings, but you don’t have to be led by the nose by feelings, which have a primary characteristic of being temporary,” says Steve Gilliland (www.stevegilliland.com), a member of the Speaker Hall of Fame and author of the recently released “Detour,” the follow-up to his widely acclaimed “Enjoy The Ride.” “Life is change – it’s axiomatic. Most of us accept this on an intellectual, abstract basis. But when it comes to experiencing change, we often resist it. Fear of change causes immense yet unnecessary suffering. Personal growth and maturity are based largely on how you respond to life’s unexpected detours.” 6

Gilliland summarizes a few basic steps to dealing with life’s detours:

• Ask yourself about opportunity. We don’t like most of life’s detours because they force us out of our comfort zone. New duties at work or a request from a spouse may not only pique our defenses but also make us wonder, “Can I do this?” Fear and anxiety may push us to focus on our weaknesses and convince us of what we cannot do. When we make a simple shift in mentality, however, we can empower the beginning of personal growth by seeing unprecedented challenges as opportunities.

• Are you willing to change? If not, then you can’t see opportunity. Change is inevitable, growth is optional. If your wife asks you for a more patient attitude, for example, will you grow with an open heart or dig your heels in. She may not divorce you if you remain stubborn, but your relationship will likely flounder. Seeing a challenge as an opportunity enables selfimprovement. And, when it’s time to ask something of your www.caremagazine.com

wife, you will have currency with which to work. The same principle applies to work. If you’re asked to take on a new responsibility and respond well, you will gain leverage in your career. • Can you envision something better? In the process of internally negotiating change, a positive vision can help you tilt the scales of change as something positive. The vision can be specific. If you don’t know how to use software at work that you need to use, imagine how much better your time will be spent once you learn. What will it take to get there? Practice. It may not be effortless, but you’ll have mapped out a solution. The vision can be broad, too. Is it possible to be more patient in general toward life’s detours? Indeed. Simply having more patience toward loved ones, for example, will improve your relationships tremendously. About Steve Gilliland A member of the National Speaker Association’s Speaker Hall of Fame and one of the most in-demand and top-rated speakers in the world. Also, he is a prolific writer who has achieved popular acclaim with his books. (www.stevegilliland.com) SUMMER 2015


A Sunny Disposition

–By Elizabeth Dardes

One reason for the cheery disposition of residents in sunny coastal regions is undoubtedly the sun. Research-based evidence proves the sun’s warm rays and bright glare of ultra violet light boost the production of serotonin and dopamine (neurotransmitters produced in the brain that promote good mood). Ten minutes of sun exposure a day without sunscreen boosts mood and even helps keep weight in check. Vitamin D from the exposure helps your tissues absorb and use energizing, metabolismboosting thyroid hormones, reports Mark Hyman, M.D. (Apply sunscreen after your ten minutes). With vigilant care of sun exposure and use of sunscreen, activity in the sun is good for the body and the mind.

recent study. Two hundred college freshmen had lower levels of inflammatory proteins within one month of experiencing an awe-inspiring moment in art, nature, or spiritually. The emotional “feel good” apparently benefits the physical, and should come as no surprise. Source: Emotion

Hot and Spicy for a Trimmer You Cayenne pepper dashed on dishes curbs cravings for sweets and fats, and burns more calories after Source: Purdue University eating. Oh la la!

Breakfast Beauty Boost

Source: First for Women 5/25/15

One study found a higher number of pancreatic cancer incidences in cloudier regions of the world, providing a correlation between sunlight and a decreased risk of this type of cancer.

Mix 2 tablespoons of honey and 1 teaspoon of cinnamon, spread all over your face and let sit for 15 minutes before rinsing. The honey softens and the cinnamon gently exfoliates for a glow to start your day! Source: First for Women 5/25/15

Source: The Journal of Steroid Biochemistry and Molecular Biology

That feeling of awe or wonder that accompanies hearing a symphony, viewing a sunset, seeing the Alps for the first time, or the Grand Canyon, can lower levels of certain inflammatory proteins that can lead to diabetes, heart disease, and Alzheimer’s, according to a

Make Time for Tea Drinking more than a cup a day of black tea was associated with a 31% reduction in ovarian cancer risk from a recent study of women in Harvard University’s Nurses’ Health Studies. Black tea is rich in flavonols, which may inhibit the development of cancer cells. Source: omagcircle.com/June 2015

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Protein Consumption Linked to Longevity —By Carol Torgan, Ph.D.

A high-protein diet during middle age was associated with higher mortality in a new study. In adults over 65, however, a highprotein diet was linked to lower mortality.

Calorie restriction increases longevity in many animals. It’s not known, however, if restriction works by lowering calorie intake or by reducing the intake of protein or other nutrients. A team led by Dr. Valter Longo at the University of Southern California set out to explore the link between dietary protein and mortality. The study was funded in part by NIH’s National Institute on Aging (NIA).

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Adults in the 50 to 65 group who reported a high protein intake had a 75% increase in overall mortality and were 4 times more likely to die from cancer during the following 18 years than those in the low protein group. The moderate-protein diet was associated with a three-fold increase in cancer mortality compared to the low-protein diet. These associations—which were adjusted for numerous factors including smoking, waist circumference, and chronic conditions—weren’t altered when the percentage of calories from fat or carbohydrate were considered. However, the associations were only found when the proteins were derived from animal, rather than plant, sources.

The researchers analyzed information on more than 6,800 U.S. adults, ages 50 and over, from the Third National Health and Nutrition Examination Survey (NHANES III), a periodic health and nutritional survey of the U.S. population. The researchers linked the survey data with National Death Index data, which provides the timing and causes of death. Results were previously published (030414), in Cell Metabolism.

Conversely, in participants ages 65 and older, those who consumed high amounts of protein had a 28% lower risk of dying from any cause and a 60% lower risk of dying from cancer. These associations weren’t influenced by whether the protein was derived from animal or plant sources.

Participants were categorized into 3 groups based on the percentage of self-reported calorie intake that came from protein: high (20% or more), moderate (10-19%), or low (less than 10%). They were further split into two age categories: 50 to 65, and 66 and older.

A high-protein diet was also associated with a five-fold increase in diabetes mortality across all ages. One limitation of the study, the researchers note, is that the participants’ protein intake was based on a single 24-hour dietary recall. The study also didn’t examine

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SUMMER 2015


—continued from page 8

the effects of specific types of plant- or animal-derived proteins, such as beef or fish.

For additional information, visit these related links: Vegetarian Diets Linked to Lower Mortality: http://www.nih.gov/researchmatters/june2013/06102013 vegetarian.htm Red Meat-Heart Disease Link Involves Gut Microbes: http://www.nih.gov/researchmatters/ april2013/04222013meat.htm Calorie Restriction May Not Extend Life: http://www.nih.gov/researchmatters/ september2012/09172012restriction.htm Digging a Vegetarian Diet: http://newsinhealth.nih.gov/issue/jul2012/feature1 National Health and Nutrition Examination Survey: http://www.cdc.gov/nchs/nhanes/about_nhanes.htm

“The research shows that a low-protein diet in middle age is useful for preventing cancer and overall mortality, through a process that involves regulating IGF-1 and possibly insulin levels,” says coauthor Dr. Eileen Crimmins. “However, we also propose that at older ages, it may be important to avoid a low-protein diet to allow the maintenance of healthy weight and protection from frailty.”

SUMMER 2015

Reference: Low Protein Intake Is Associated with a Major Reduction in IGF-1, Cancer, and Overall Mortality in the 65 and Younger but Not Older Population. Levine ME, Suarez JA, Brandhorst S, Balasubramanian P, Cheng CW, Madia F, Fontana L, Mirisola MG, Guevara-Aguirre J, Wan J, Passarino G, Kennedy BK, Wei M, Cohen P, Crimmins EM, Longo VD. Cell Metab. 2014 Mar 4;19(3):407-17. doi: 10.1016/j.cmet.2014.02.006. PMID: 24606898.

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Funding: NIH’s National Institute on Aging (NIA) and the USC Norris Cancer Center.

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Seniors:

Boost Your Immune System for Optimal Health The strength of a person’s immune system is generally what determines if he or she gets sick. If two people are exposed to the same germs, the one with a weaker immune system tends to get sick. Medical experts often agree that the elderly and the very young can experience serious and adverse reactions to seemingly mundane illnesses. Simple colds or the flu can turn into pneumonia and other lifethreatening situations if left untreated. The culprit is often an under-developed or compromised immune system.

As you age, your physiology changes. Bones become less dense, hormones fluctuate, and you may experience a weaker immune system. As a result, seniors are more susceptible to illness than their younger counterparts. But boosting the immune system by changing your diet, exercising and getting outdoors can be a way to stay healthy. Doctors say that it is possible to boost your immune system. The secrets lie in understanding how the immune system works—and how your everyday life can offer you greater protection. In simple terms, the immune system is a network of cells and organs that blocks unwanted visitors from wreaking havoc inside of the body. Should a germ get by, the body has strong defenders that can eliminate the threat. These are known as antibodies. When you get an inoculation, a small amount of an offending particle is put into your body so that your immune system can develop antibodies against it. Should you be exposed to that type of invader again, you will possess the antibodies to fight it. 10

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SOCIAL SECURITY Your immune system can lose some of its protective properties if it is faced with a constant onslaught of diseases and must overcompensate for poor health habits. But there are ways to get your immune system back in fighting shape.

DISABILITY Swierk Associates, Inc. Eleanor K. Swierk Social Security Disability Specialist Since 1989 Member National Organization of Social Security Claimants’ Representatives

1. Get plenty of sleep. Mom was right ... lack of sleep can affect the body’s ability to function correctly, which includes fending off disease. Routine sleep deprivation can definitely affect overall health. 2. Reduce stress. Stress can have a number of negative health implications. It slowly wears away at the immune system, leaving you susceptible to a host of illnesses. Take measures to reduce stress to be healthier.

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3. Exercise. Moderate exercise has been shown to improve immune system function. However, overdoing it and running yourself ragged can actually be detrimental. Brisk walking or bike riding can be a great form of moderate exercise. Always check with a doctor before exercising to be sure it fits with your lifestyle.

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4. Engage in intimate relations. Sex causes the body to release IGA, proteins from the immune system that help the body fight infection. Feel-good brain chemicals also play a part in fending off outside invaders. 5. Drink plenty of water. As you age, the thirst reflex becomes less pronounced, and a loss of taste may mean you pass up foods with a high water content. Dehydration can wreak havoc on the body. Water is necessary to flush out toxins that could lead to disease. 6. Eat a rainbow of foods. Brightly colored foods are full of the antioxidants you need to improve health and keep the immune system in top form. Tomatoes have lycopene, berries are a great addition to your diet and beans are high in fiber that keeps the digestive system working correctly. –MES SUMMER 2015

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Regional Support Groups To have your free listing included in this column, email info to editor@caremagazine.com. The information is updated at the time of printing. Please check with individual organizations or groups for updated times, dates and locations. You must dial AREA CODE 843, unless otherwise noted. AIDS • HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554 ALZHEIMER’S + DEMENTIA • Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 9:45 –11:15 a.m. for caregivers of someone with Alzheimer’s; Men’s Support Group, 1st + 3rd Mon. each month, 9:45 –11:15a.m. at Memory Matters, 117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org. • Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: 12:30-1:30 p.m., Wednesdays, Helena House, Port Royal, 521-9190 or 252-8754. • Alzheimer’s Family Services Education & Social Day Programs: BFT: Mon., & Wed., 10:00 am-1:45 pm; Port Royal United Methodist Church, Friday, 10:00 am-1:45 pm, Summit Place; AFS services call: 521-9190. • Early Diagnosis Support Group: 1-2PM 1st Tuesday of each month at Memory Matters. Are you 65 or under and been diagnosed with some form of dementia? We help with support and resources. Please call if you are coming: 843-842-6688. Call 757-9388 for information. • Early Memory Loss Group: 2nd and 4th Thur., 10:00 am–noon, Helena House, Port Royal, Call Louise Blanchard, 521-9190. BEREAVEMENT • PRUITT/United Hospice Grief support for recently bereaved: All situations– Contact Bereavement Counselor, 522-0476. • AGAPE Grief support Groups: Please RSVP to 803-842-9800 to attend the group: Ridgeland: 433 First Ave., 2nd Wednesday, 10:00am.; Beaufort: 907 Boundary St., 3rd Wednesday 10:00am.; Hampton: 1000 Pine St. E., Varnville, 4th Wednesday, 10:00am. • Friends of Caroline Hospice, Port Royal, 525-6257; • Pregnancy & Infant Loss Support Group- 2nd and 4th Wed., 6:00pm, at Hospice Care of the Lowcountry, 7 Plantation Park Dr. Unit 4, Bluffton. www.Zoe-foundation.org

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JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adult1dgroup@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 : Hilton Head every Monday, 5:307:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Bluffton/Okatie every Wednesday, 6:30 pm8:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Beaufort, noon – 1:30pm: at Beaufort Medical Plaza, 989 Ribaut Rd., Rm. 350, Call for info: 843-681-2200 ext. 1. • NAMI Caregiver Support Groups: 7:00 p.m. St. John’s Lutheran Church, Lady’s Island; Contact: John Aiello, 843-597-8122. 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Contact: Betty & Ted Cooley, 843-757-8597. Evening group in Bluffton by appointment only, 6:00-7:00 pm; Unitarian Universalist Church, 110 Malphrus Rd., Bluffton; Norma Van Amberg 843-681-2200 .

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

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

DIABETES • Diabetes support groups: Beaufort, 522-5635; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172;

WEIGHT ISSUES • Community Health/ Weight Loss Classes For information, call Sheila 843-644-1991. • Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606;

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Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; • Overeaters Anonymous (continued), Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347 • Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm; OTHER MEDICAL • Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635 • Better Breathers: Hilton Head: 877-582-2737 • Cardiac Support Group: Beaufort: 522-5635 • Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569 • Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118. • Lowcountry Huntington Disease support: Sandra, 912-964-0455 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support 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 • 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 • Nursing Mothers of Beaufort: Third Friday, 9:30 – 11:00 am; 508 Scott St, BFT; 524-3566 • 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

SUMMER 2015


Pathology and Thyroid Conditions There are over 59 million Americans with thyroid problems, the majority of which have not yet been diagnosed.

If your healthcare provider suspects you may have a thyroid condition, one step for diagnosing the problem is a biopsy of the thyroid gland. This procedure involves the use of a small needle to remove a small sample of tissue from the thyroid gland. The sample is given to a pathologist who then looks at it under a microscope to determine whether it is cancer, an infection or other thyroid problem.

If left untreated, thyroid problems can increase your risk of obesity, heart disease, depression, anxiety, hair loss, sexual dysfunction, infertility and many more symptoms and health problems. The thyroid is a gland in the neck shaped like a butterfly and when it functions improperly, it can affect every aspect of your health including weight, depression and energy levels. Though you don’t need to experience them all, these are the most common signs that show you may have a thyroid condition: muscle or joint pains, neck discomfort or enlargement, hair or skin changes, bowel problems, family history, cholesterol issues, depression and anxiety, weight changes and fatigue. There are many factors that contribute to the risk of developing a thyroid condition, however, few of the key risk factors include: Gender– Women are at greater risk of developing thyroid disease than men. Personal or family history– Personal and family history of thyroid conditions also increase your risk. Age– Being 50 years old or older increases the risk of thyroid conditions for both men and women. Smoking– Cigarettes contain a chemical that affects the thyroid gland, increasing your risk of developing a thyroid condition. Stress– Stress is considered an environmental risk factor for thyroid conditions. SUMMER 2015

Studies regarding biopsy procedures that include using ultrasound to guide the needle, now show having a pathologist on-site during the biopsy can decrease the number of repeat biopsies which were often performed due to inadequate sample sizes from the first procedures. Though conditions associated with thyroid are not usually fatal, the symptoms can be very uncomfortable and unnecessary. If you experience one or more symptoms listed above, schedule an appointment with your healthcare provider for a thyroid evaluation and remember, it is your right to choose your pathologist as carefully as you would choose your physician.

– By Robert J.Gay, MD, a founding member of the The South Carolina Association of Independent Pathologists (SCAIP), a membership-based, non-profit organization that works locally and maintains no affiliations with national laboratories. Just retired, Dr. Gay was the former President of Clinical Pathology Consultants, PA, at Conway Medical Center, and a respected staff pathologist. Dr. Gay, graduated from Rensselaer Polytechnic Institute (RPI) and Albany Medical College at the age of 23. He completed a surgical internship and four-year residency in anatomic and clinical pathology at Washington Hospital Center in Washington, DC where he served as Chief Resident. At the age of 28, Dr. Gay became one of the nation's youngest board certified pathologists completing his program nearly three years in advance.

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They failed. In most cases the genes were not altered at all, and in the few cases where the scientists managed to alter the genes, there were problems. Even though the researchers had no plans to produce a live baby, their work once again raised the issue of how soon science will be able to engineer designer babies and, just as importantly, whether doing so is ethical.

Do You Want a Math Whiz or a Basketball Wunderkind?

“Science is moving at such a rapid pace that society can’t put off much longer deciding what it thinks about the concept,” says Peter Schattner, a scientist and author of the book “Sex, Love and DNA: What Molecular Biology Teaches Us About Being Human” (www.peterschattner.com). “Abortion has long been a challenging and controversial issue, but with our increased ability to use fetal DNA to glimpse into the potential child’s future, the moral issues have multiplied.”

As science progresses, parents may be able to choose a child based not just on the sex, but on such criteria as a child’s likelihood of excelling in sports or mathematics. That’s when the “should they” questions will become ever more pressing, Schattner says, and several scenarios could be raised that society must face. Among them:

DNA testing is less expensive than it once was. As a result, more genetic conditions are being screened in newborn babies. In 1995, five conditions generally were included in those screens. A decade later, many states were testing for 24 or more. Before long, a whole-genome DNA screening will be less expensive than individual genetic tests. But what should be done with that data? Should parents know every potential health condition a child could face throughout his or her entire life? “You also need to think about the wishes of the children,” Schattner says. “As they grow into adulthood, are they going to want to know everything about their genetic makeup?” SUMMER 2015

Prenatal DNA data already lets prospective parents know whether a child will be born with Down syndrome or Tay-Sachs disease. Some parents choose abortions in those cases. But as science’s understanding of DNA improves, those parents may soon be able to learn more than just whether a future child will face a devastating disease or condition. Medical professionals will be able to tell them whether their yet-to-be-born child will be affected by less severe disabilities, such as a hearing impairment or Science Is Moving Toward Designer Babies, moderate intellectual disability. How will But The Ethics Must Be Sorted out parents and society use that information?

Ethical warning bells went off in April when Chinese researchers reported they had experimented with 85 defective human embryos to try to alter genes in every cell without otherwise damaging the DNA.

ultrasound examination usually can reveal the •sex An of a child by week 12 or 13 of the pregnancy. DNAbased sex determination soon will be able to reveal that information as early as week seven. But that’s not the end of the story for any parents who might want to select their child’s sex. By combining prenatal genetic testing with in vitro fertilization, it soon will be possible to select fetuses without requiring an abortion. “The temptation to play God and choose a child on the basis of a variety of nonmedical considerations may become too strong for some parents,” Schattner says. “The potential consequences are disturbing.” Society as a whole needs to understand the implications, because science won’t be able to provide all the answers. “Science can only address questions of what is,” Schattner says. “In contrast—questions about what should or shouldn’t be—are moral or ethical questions, and science can never answer those. “But by understanding more fully the scientific questions about how the world is, we are in a better position to make societal and personal decisions that are in line with the moral and ethical beliefs we hold.” Peter Schattner (www.peterschattner.com), is a scientist, educator and writer with 30 years of research experience in molecular biology, genetics, biomedical instrumentation and physics. He is a recipient of the Technical Innovation Award from the American Institute of Ultrasound in Medicine. Schattner received his doctorate degree from the Massachusetts Institute of Technology under Nobel Laureate Steven Weinberg and has held research and teaching positions at the University of California, California State University and Stanford Research Institute. He is the author of numerous scientific articles and reviews, as well as a textbook.

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7 Health Conditions Linked to Poor Oral Health Going to the dentist for some people is like, well…pulling teeth. However, by ignoring your oral health for prolonged periods of time, you can end up with problems that go far beyond just stained teeth. Aside from gum disease and even oral cancer, there are a number of health problems you may not know can be traced back to having poor dental hygiene or damaged and missing teeth. Here are seven lesser-known conditions that can be caused by skipping your dental appointments…

1. Weight Gain or Obesity Having damaged, missing or even painful teeth can mean you’re not chewing your food properly, or you’re limiting the types of food you can eat. While most adults have 32 teeth, reports have shown that if you have 21 teeth or less, you are at higher risk of obesity due to your inability to chew your meals properly. Part of the problem is that you may be more partial to foods that are easier to chew, which include high-fat options like fast food. Foods that are nutritious and high in fiber (i.e., apples) aren’t so easy to swallow when your teeth aren’t up to the job.

2. Higher Risk of Diabetes According to the UK’s Daily Mail, tooth loss has been connected to a higher chance of developing diabetes—an 11-percent higher risk, to be more precise. This is due to inflammation in the bloodstream. Diabetes is the body’s inability to regulate its blood sugar, which can lead to more major health problems. 16

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SUMMER 2015


—continued from page 16

To make matters worse, once you have diabetes, your chance of developing more serious oral health issues actually increases as well. The Mayo Clinic notes that having higher blood sugar also leads to more tooth decay, gum disease, and other oral conditions.

3. Greater Chance of Heart Disease You may not believe there’s a link between your teeth and your heart, but the American Dental Association (ADA) says a number of studies link poor oral health with poor heart health, although the reasons aren’t yet exactly known. While there is no hard scientific evidence to support whether bad oral hygiene contributes to a weaker heart, the ADA says you should still regard your teeth and gums as the gateway to diseases including those affecting your heart. Further studies are being performed by various groups to prove the link.

also tend to show signs of a weakening skeleton in other parts of the body.

6. Possible Respiratory Complications Some breathing problems can be attributed to a gum disease, which is caused by plaque that is actually a layer of bacteria that isn’t friendly to your mouth. Bad bacteria can actually make its way from your mouth to your lungs, which is bad news for those with existing respiratory ailments and also for those with previously healthy lungs. The respiratory difficulties from poor oral health particularly affects the elderly, but that doesn’t mean people of any age can be left gasping for air due to complications from gum disease that has gone untreated. If you’re having a hard time catching your breath lately, you may also want to see your dentist after consulting your physician.

7. More Chance of Developing Dementia 4. Risk of Low Birth Weight If you’re a pregnant woman, having poor oral health or gum disease cannot only affect you, but also your next generation, according to US and Canadian government health agencies. There are studies currently underway to link poor oral health to premature births as well as low birth weight. Pre-term babies are at a higher risk of facing development barriers, infections, abnormalities and even infant death, according to statistics from researchers.

5. Weakening of the Bones

That’s right, even your mental health can be negatively affected without the regular supervision of a dentist. The Alzheimer’s Society points to the importance of maintaining your oral health to help stave off the effects of Dementia, which causes confusion and memory loss. For those reasons, it’s also much more difficult for those with Dementia to maintain a proper oral care routine. The University of Central Lancashire School of Medicine and Dentistry also conducted a study that pinpointed bacteria from gum disease in the brain. The study found that of the 10 people with Dementia (and 10 without), almost half of those affected with the mental disorder had a particular type of bacteria, called Porphyromonas gingivalis, show up in their brains.

Osteoporosis is a serious condition that causes your bones to become brittle, so you are much more likely to suffer a serious injury due to a fall or even from carrying out your daily routine. The Mayo Clinic says there may be a link between osteoporosis—which affects your entire body—and the loss of teeth and periodontal bone that supports the teeth. Several studies support the fact that people with tooth loss and periodontal bone deficiencies SUMMER 2015

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Source: By jhayward, http://www.activebeat.com/your-health/ 7-health-conditions-linked-to-poor-oral-health/

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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

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

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

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

PORT ROYAL

1 Pickney Blvd, 843-228-5600

SCDHEC LOWCOUNTRY PUBLIC HEALTH REGION www.scdhec.net/health

BEAUFORT COUNTY BLUFFTON CLINIC JASPER COUNTY

601 Wilmington St., 29902 843-525-7615 4819 Bluffton Pkwy., 29910 843-757-2251 651 Grays Highway, 29936 843-726-7788

VOLUNTEERS in MEDICINE www.vimclinic.org

HILTON HEAD ISLAND

15 Northridge Dr., 843-681-6612

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,

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

HOURS: 8:30AM – 5:00PM

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912-350-8000

SUMMER 2015


©

care TALK capsules of helpful health information AAP Says Obesity Prevention Should Start Before Age 2 The American Academy of Pediatrics suggests ways that pediatricians could play an active role in preventing childhood obesity, beginning with prenatal care. In a clinical report published in Pediatrics, the group recommends the following: • Breast-feeding should be encouraged, and pediatricians should collaborate with obstetricians to promote healthy weight gain during pregnancy. • Families should have less junk food available in the house (e.g., sugar-sweetened beverages and highcalorie snacks) and make it less prominent. “Practically, the cookie jar should be replaced by a fruit bowl,” the authors write. • Access to televisions and other screens should be limited to 2 hours a day in children over age 2. Younger children should not have screen time. Televisions should be restricted from children’s bedrooms and the kitchen. • Families should aim for at least 60 minutes of moderate-to-vigorous physical activity every day.

Preventive Oral Health Services in Primary Care Associated with Fewer Kindergarten Cavities Children who receive comprehensive preventive oral health services during nondental primary care visits early in life are less likely to have dental problems by kindergarten, according to a retrospective study in Pediatrics. Researchers analyzed Medicaid data to see whether 29,000 North Carolina kindergarteners had received comprehensive preventive oral health services—including screening, risk assessment, fluoride varnish application, and parental oral health education—in a primary care setting before age 3. Kindergarten dental screenings detected decayed, missing, or filled teeth in nearly half of children. After adjustment for potential confounders, children with four or more medical visits that included preventive oral healthcare had an average of 0.39 fewer decayed, missing, or filled teeth, compared with children with no visits (an 18% reduction). However, the percentage of children with untreated decayed teeth was not significantly different among the groups. The authors conclude: “More work is needed to link medical and dental offices to ensure the continuity of dental care for these children.” Both articles by Kelly Young, JWatch.org and edited by Susan Sadoughi, MD, and André Sofair, MD, MPH SUMMER 2015

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ParentPulse

helpful insights and tips for effective parenting

Safety Tips When Traveling with Children This Summer


As you’re planning exciting road trips, family vacations, and other fun excursions this summer, keep in mind that summer is the time of year when the most childhood injuries and accidents occur. While it’s fun to play outdoors in the summer, it’s important to make sure your children are staying safe and alert. Parents and child caregivers are encouraged to learn more about what can be done to prevent injuries and death and help raise public awareness of safety.

4. Have an emergency plan. When traveling with your kids to a new and unfamiliar location, it is possible for your children to get separated from you, especially when in a crowded location like a theme park or zoo. Come up with a plan for your kids in case they ever get lost and practice going over it with them so they’ll be prepared in case of an emergency. Let your children know how to seek help from an employee and stay away from strangers. Have your child memorize their name, parent’s name(s), address and phone number so they will know how to contact you in case of separation.

5. Make sure they’re strapped in correctly.

1. Prevent heatstroke. Heatstroke is a severe form of heat illness that occurs when the body cannot regulate its own temperature. This can happen when a child is left inside a car on a hot day or is performing extreme physical activity and not drinking enough water. Symptoms of heatstroke include headache, nausea flushed skin, and rapid breathing. You can prevent your kids from getting heatstroke by making sure they drink plenty of water, wear light colored clothing, and teach them to come indoors as soon as they feel overheated.

If you have small children traveling with you in the car, it’s important to check that they are seated and strapped in correctly. Children age five and younger are required to have a child restraint device and must use vehicle safety belts properly. Parents can get a ticket for having kids in the backseat who are not properly secured and this can be extremely dangerous if a car accident occurs. Always check with your child’s car seat manufacturer to make sure you are correctly buckling them in.

6. Keep an emergency road kit. 2. Keep kids safe in parking lots. Parking lots are dangerous and it only takes a few seconds for a tragedy to occur; keep your kids safe at all times by teaching them to stay close to the car, go only with you–when you say, and that parking lots are no place to play.

If you’re traveling by car, be prepared for emergencies with a road kit stored in the trunk at all times. Keep jumper cables, flares, a flashlight, extra batteries, a first aid kit and more. Other necessities like bottled water, a blanket, and nonperishable foods will come in handy in case of car trouble if you get stranded on the highway. Extra medications should be kept in a cooler.

3. Never let kids swim alone. It’s extremely important that parents closely supervise children in the water, whether at the pool, lake, or beach. Even if children are swimming in your own backyard pool, it only takes seconds of looking away for an accident to occur. Always remain at least an “arm’s length” away from small children so you stay within immediate reach. If your children are not strong swimmers, it’s a good idea to provide them with personal flotation devices, but you still must keep an eye on them at all times. And, learn basic CPR. SUMMER 2015

7. Keep an emergency phone list. A simple travel emergency phone list can make a huge difference if something goes wrong. Keep the list in a safe place(s) and easily accessible. Make sure that everyone traveling together knows where the list is. Add to the list numbers such as mom/dad cell phone, mom/dad work number, neighbor’s number, relatives or friends you’re visiting phone numbers, local police (911), poison control, and other important numbers one may need at a moment’s notice.

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

22

The Blood Alliance

The American Red Cross

For appointments, please call Lowcountry Fixed Site Donor Center 1001 Boundary St., Suite A

59 Sheridan Park Circle, Bluffton, SC 29910 For appointments, please call

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

843-757-7437

07/02 10:00 am - 3:00 pm Oglethorpe Mall

08/06 8:00 am - 12:00 pm Beaufort Chamber/Hilton Garden Inn

07/03 11:00 am - 3:00 pm Plaza Stadium Theater

08/08 10:00 am - 2:00 pm Belk/Cross Creek Shopping Center

07/12 9:00 am - 1:00 pm Tidal Creek Fellowship Church

08/11 10:00 am - 2:00 pm Sea Island Rotary

07/20 10:00 am - 2:00 pm Stokes Honda of Beaufort

08/18 9:00 am - 12:00 pm YMCA of Beaufort County

07/13 4:00 pm - 7:00 pm Beaufort Water Festival

08/20 10:00 am - 2:00 pm Parker Racor

07/14 10:00 am - 2:00 pm The Westin Hilton Head

08/24 11:00 am - 5:00 pm Virginia College

07/15 9:00 am - 2:00 pm Westin Hilton Head Island Resort & Spa

07/23 10:00 am - 2:00 pm Town of Bluffton

08/26 10:00 am - 4:00 pm Armstrong State University

07/16 10:00 am - 3:00 pm Hilton Head Island Town Hall

07/24 9:00 am - 1:00 pm Beaufort Memorial Hospital

08/27 10:00 am - 2:00 pm Beaufort County Government

07/22 8:00 am - 2:00 pm Candler Medical Group on Hilton Head

07/27 8:00 am - 2:00 pm Beaufort Memorial Hospital

08/22 8:30 am - 1:00 pm Port Royal Baptist Church

07/28 11:00 am - 3:00 pm Bluffton Medical Campus

08/30 8:30 am - 12:00 pm St. Peter’s Catholic Church

07/29 7:00 am - 11:00 am Bluffton Rotary

09/01 10:00 am - 3:00 pm Technical College of the Lowcountry

07/31 11:00 am - 3:00 pm Beaufort Memorial Hospital

09/02 9:00 am - 1:00 pm Whale Branch High School

08/03 9:00 am - 3:30 pm Sun City Hilton Head

09/03 10:00 am - 2:00 pm CareCore National

07/01 11:00 am - 5:00 pm American Red Cross Palmetto Chapter

07/03 9:00 am - 2:00 pm Shelter Cove Towne Centre 07/13 3:00 - 7:00 pm American Red Cross Palmetto Chapter 07/14 9:00 am - 3:00 pm Sun City, 114 Sun City Lane

07/31 11:00 am - 4:00 pm Golis Family Jewelers, Bluffton 08/05 3:00 - 7:00 pm American Red Cross Palmetto Chapter 08/06 noon - 6:00 pm Carteret Street United Methodist Church Beaufort 08/06 9:00 am – 1:00 pm Starbucks # 08292 416 William Hilton Parkway

08/07 11:00 am- 4:00 pm Hilton Head Honda, Bluffton 08/13 noon - 6:00 pm Christ Lutheran Church, HHI 08/14 1:00 - 6:00 pm Palmetto Bluff Community

• Donating blood is a safe process. A sterile needle is used only once for each donor and then discarded. • Blood donation is a simple four-step process: registration, medical history and mini-physical, donation and refreshments. • The actual blood donation typically takes less than 1012 mins. The entire process, from the time you arrive to the time you leave, takes about 1 hour, 15 mins. • The average adult has about 10 pints of blood in his body. Roughly 1 pint is given during a donation.

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SUMMER 2015


Grilled Salmon with CoconutCilantro Sauce The flavor of the coconut milk combined with fresh ginger and cilantro makes this Asian dish especially delicious. If you like spicy-hot dishes, add the fresh chili paste. Prepare in the oven or barbecue.

Nutrition Facts

ingredients 3/4 cup light coconut milk* 2 sliced green onions 1 1/2 tablespoons minced fresh ginger 1 tablespoon lite soy sauce 1 tablespoon brown sugar or the equivalent in artificial sweetener 1 tablespoon lime juice 1 teaspoon chopped garlic 1/2 teaspoon ground fresh chili paste** (optional) 4 cups sliced new potatoes (not peeled), or 3 cups cooked brown rice or pasta 1/2 cup chopped fresh cilantro 1 1/2 pounds salmon fillets

preparation

Makes 7 servings Each Serving Carb Servings 1 Exchanges 1 starch 3 lean meat Nutrient Analysis calories 237 total fat 8g saturated fat 2g cholesterol 53mg sodium 139mg total carbohydrate 19g dietary fiber 3g sugars 4g protein 22g

In a small saucepan, combine the first eight ingredients. Simmer for 5 minutes. Meanwhile, prepare potatoes by simmering in water until tender. Drain and keep warm. Add fresh cilantro to the sauce just before serving. Serve salmon with warm coconut-cilantro sauce and potatoes, pasta, or rice.

Barbeque: Before starting barbecue, spray aluminum foil with nonstick cooking spray. Note: Nonstick cooking spray is flammable. Do not spray near open flame or heated surfaces. Place foil over rack, poking holes in several areas. Start barbecue. When hot, place fish on foil. Spoon a couple tablespoons of coconut sauce over fish. Cook about 4 minutes on each side or until salmon flakes easily. Oven method: Preheat oven to 450 degrees. Arrange fish in a 9-inch by 13-inch baking pan that has been sprayed with nonstick cooking spray. Spoon a couple tablespoons of coconut sauce over fish. Bake for 4-5 minutes per half inch thickness of fish. Drain any liquid. Note: This recipe is a good source of heart-healthy omega-3 fat. *Light coconut milk has 60% less calories and fat than regular coconut milk, however it is high in saturated fat and should be limited. When buying a 13-ounce can of coconut milk, use half and freeze the remainder for another meal. **Found in the Asian section of the grocery store Source: Quick & Healthy Recipes and Ideas, 3rd Edition, Š 2008 Brenda J. Ponichtera, R.D, Published by Small Steps Press, publishing health conscious books for the general population, a division of the American Diabetes Association; $18.95; To order call 1-800-232-6733. SUMMER 2015

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SERVICES PROVIDED: • Family Practice • Pediatrics

• Internal Medicine • Ronald McDonald Care Mobile

• OB/GYN

• Dental Care

• Imaging Services

• Pharmacy Services

• Home Health Nursing

• Best Chance Network: Breast Cancer Care + Prevention

• Ryan White HIV Services • Medical Social Work • Nutrition Counseling • Community Outreach • Diabetes Initiative • WIC Services

8 Convenient Locations Accepting same-day appointments

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

Elijah Washington Family Medical Center 211 Paige Point Road Sheldon • 843-846-8026 Ridgeland Family Medical Center 1550 Grays Highway Ridgeland • 843-726-3979

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

Hampton Family Medical Center 200 East Elm Street Hampton • 803-943-2233 Estill Family Medical Center 454 Second Street East Estill • 803-625-2548

www.bjhchs.org Hablamos el espanol

Most Insurance Plans Accepted


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