Caremagazine® APR2015

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Options and References for a Healthier Life

Care IL PR

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Help for Harmful Health Triggers The Center for Occupational and Environmental Medicine

Prevent Kids’ Sports Injuries How to Correctly Fit a Life Jacket How Safe are Mind and Body Practices? Power of a Positive Attitude

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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April 2015

CONTENTS

In Every Issue 14

Professional Forum

16

Region Hospitals & Clinics

18

RegionPULSE

20 care TALK© Capsules of Healthy Information

4

21

Regional Blood Drives

22

Community Calendar and Family Events

Features

24

Regional Support Groups

Help for Harmful Health Triggers

28

ParentPULSE -Correctly fit a child’s life jacket

The Center for Occupational and Environmental Medicine

6

Prevent Kids’ Sports Injuries

8

Vision Health for Children and Teens

9

Don’t Mix Alcohol and Medications

30

10

How Safe are Mind and Body Practices?

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Psoriatic Arthritis

12

Problems with Taste and Smell

13

Power of a Positive Attitude

15

Recovering from an Athletic Injury

17

Breast and Prostate Cancer . . . a family link?

19

Erectile Dysfunction in Men under 40 years

Healthy Recipe for sleep -Tart cherry & mango smoothie

31

Family Fun page

Soothing smoothie aids sleep—page 30

26 2

2015 Regional Rabies Clinics Schedules www.caremagazine.com

April 2015


care magazine

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Options and References for Healthier Living

APRIL 2015 Publisher and Editor:

Karen Mozzo

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John Lucas

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WELCOME SPRING CLEANING!

Please schedule your cleaning and exam as part of your preventative oral health care regime.

APRIL IS ORAL CANCER AWARNESS MONTH. Oral cancer is the largest group of cancer in the head and neck and it often starts out in the mouth and then progresses. Note that 40,000 oral cancer cases are diagnosed each year in the U.S. Dr. Daniel Hughes uses the state-of-the-art VELscope VX ® to insure early detection of any abnormalities in the mouth.

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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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Advertorial

Help for Harmful Health Triggers Since 1978, the Center for Occupational and Environmental Medicine (COEM) has been one of the few resources for the practice of Environmental Medicine in the entire Southeast. Providing comprehensive treatment for pediatric and adult patients for over 36 years, the Center has educated thousands that the air we breathe, the foods we eat, and the chemicals that pollute our air, food and water, are a main contributing cause of disease. COEM has proven that environmental factors can be especially important in a wide variety of chronic illnesses as well. People are often astounded to learn that their chronic pain and multiple signs and symptoms involving almost every organ and tissue in their body The Center for Occupational and Environmental was being caused by foods they were eating, pollens or molds they were breathing, and Medicine (COEM) educates people that other environmental triggers.

—the air we breathe, the foods we eat, and the chemicals that pollute our air, food and water— are a main contributing cause of disease

Environmental Medicine encompasses three important segments of medicine: • allergy/immunology • toxicology, • nutrition Identification and treatment of food and inhalant allergies, infections, nutritional deficiencies, and toxicity are just some of the many facets of COEM’s preventative and personalized treatment programs. The majority of patients at the Center have been previously evaluated and treated by multiple other specialists, without relief of their symptoms. The doctors at COEM take the time to develop and monitor individualized treatment plans designed to heal the whole body, not just relieve symptoms.

The COEM is housed in environmentally safe medical offices, making it a restful haven for the chemically sensitive.

Allan Lieberman, M.D., F.A.A.E.M., the Center’s founder, medical director and a former pediatrician, is board certified by the American Board of Environmental Medicine (ABEM) and a member in good standing of the American Academy of Environmental Medicine. He has been practicing medicine for over 50 years. —continued on page 5

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April 2015


—continued from page 4

COEM’s three medical doctors are supported by a team of 20 professionals who staff their in-house services:

DOCTORS who CARE •HEART HEALTH

• medical laboratory

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• thermography lab • bio-detoxification center

•NUTRITIONAL COUNSELING

• administrative staff • clinical and health education support for all patients

Preventative and Personalized Healthcare

In addition, the Center has a Licensed Professional Counselor and a Licensed Massage Therapist available by appointment. The Center is housed in 10,000 square feet of environmentally safe medical offices, making it a restful haven for the chemically sensitive.

CENTER FOR OCCUPATIONAL & ENVIRONMENTAL MEDICINE 7510 North Forest Drive North Charleston, SC 29420

843-572-1600 • www.coem.com

For more information, or to talk with one of COEM’s helpful staff, call (843) 572-1600 or visit them online at www.coem.com.

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

Indoor Air Pollution Effects on Health Exposure to hazardous pollutants (asbestos, lead, radon, mold, etc.) can have an immediate or a long-term effect, which may not show up for many years. The significance of the exposure depends upon the source, how much is emitted from the source, how harmful the pollutants are, and how much of the pollutants have accumulated within the home or office environment. Some immediate symptoms of exposure may include: . headache; . dizziness; . fatigue; and . upper airway irritation of the nose, throat and eyes. These symptoms may reoccur with repeated exposures.

People at Greater Risk

Certain plants are known to filter the air and add oxygen to indoor spaces. April 2015

Several factors may influence the vulnerability of an individual's health when exposed to pollutants. The very young and the elderly may experience more problems. In addition, people with pre-existing health problems can be at higher risk. SOURCE: http://www.nationaljewish.org/healthinfo/lifestyle/indoor-pollution/index.aspx www.caremagazine.com

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How to Prevent Common Injuries During Summer Sports Fun

The warm weather beckons children outside to play. Whether they participate in organized sports or enjoy pick-up games with friends, sports are a way to remain physically active and pass the days of summer in a fun way. A variety of leading oral health organizations, including the American Academy of Pediatric Dentistry and the American Dental Association, have teamed up to remind parents, coaches and athletes to play safely when they’re playing sports. A child or young adult’s mouth and face can be easily injured if the proper precautions are not used while participating in sports or recreational activities. In fact, according to the Centers for Disease Control and Prevention, more than half of the seven million sports—and recreationrelated injuries that occur each year are sustained by children as young as five years old. 6

Mouth injuries during sports play can be prevented when athletes wear customfitted mouth guards.

In 2012, the National Youth Sports Safety Foundation forecasted that more than three million teeth would be knocked out in youth sporting events. They also reported that athletes who don’t wear mouth guards are 60 times more likely to damage their teeth. Yet, in a survey commissioned by the American Association of Orthodontists, 67 percent of parents admitted that their children do not wear a mouth guard during organized sports. www.caremagazine.com

At a time when a good football helmet or hockey stick may cost a few hundred dollars, mouth guards remain inexpensive pieces of protective equipment. Mouth guards save teeth and protect the jaw. When a mouth guard is working properly, it will hold teeth in place, resist tearing and allow for normal speech and breathing. Rely on a dental professional to recommend a properly fitted mouth guard for a vast array of sporting activities.

Here are some additional sports safety tips to consider to reduce young athletes’ risk of injury.

✓ Wear

a mouth guard when playing contact sports. Mouth guards can help prevent injury to a person’s jaw, mouth and teeth, and they are significantly less expensive than the cost to repair an injury. Dentists and dental April 2015


—continued from page 6

specialists can make customized mouth guards to provide the best fit. Other less-expensive options are the boil and bite mouth guards, which are softened in boiling water to fit the mouth, and stock mouth guards, which are ready-to-wear but may not fit as well as their customized counterparts.

Wear a helmet. Helmets absorb the energy of an impact and help prevent damage to the head.

✓ Wear protective eyewear. Children’s eyes are extremely

April 2015

vulnerable to serious damage, especially when playing sports.

Wear a face shield. Rely on a face shield to avoid damage to the delicate bones around the eyes, nose and jaw. Baseballs, lacrosse balls, basketballs and soccer balls can cause severe facial damage to athletes of any age. Summertime is an opportunity

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to engage in recreational sporting activities. Athletes of all ages should wear the appropriate safety gear while competing to greatly reduce their risk of injury.

7


Vision Health for Children and Teens

Did you know?

Protect their eyes

8

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April 2015


Caution– Don’t mix Alcohol and Medication Many people may be both drinking alcohol and taking prescription drugs that interact with alcohol, according to an NIH-funded study. The finding highlights the need to talk with a health care professional about the risks of drinking alcohol while taking prescription medications. About 71% of U.S. adults drink alcohol. Alcohol can interact with many commonly prescribed medications, including drugs to treat pain, diabetes, and high blood pressure. Alcohol can make some medications less effective or even useless. Combining alcohol with medications may cause other side effects, such as nausea, fainting, and loss of coordination. More severe effects include internal bleeding, heart problems, and difficulty breathing. Older adults are especially at risk for alcoholmedication interactions. Hundreds of commonly used prescription and over-the-counter drugs may adversely interact with alcohol. These include medications used for: • • • • • • •

Allergies, colds, and flu Angina and coronary heart disease Anxiety and epilepsy Arthritis Blood clots Cough Depression

• • • • • • •

Diabetes Enlarged prostate Heartburn and indigestion High blood pressure High cholesterol Infections Muscle pain

• • • •

Nausea and motion sickness Pain, fever, and inflammation Seizures Severe pain from injury, postsurgical care, oral surgery, and migraine • Sleep problems

Source: http://newsinhealth.nih.gov/issue/mar2015/capsule1

Longer Duration of Breastfeeding Tied to Higher Adult IQ in Offspring Babies who are breastfed longer have higher IQs in young adulthood, according to a prospective study in the Lancet Global Health. Researchers followed some 3500 babies born in urban Brazil in 1982. Data on infant feeding practices were collected in early childhood, and IQ was assessed when participants were roughly 30 years old. After adjustment for factors (e.g., parental education), adult IQ increased with breastfeeding duration. In particular, participants who were breastfed for a year or longer had significantly higher scores on the Wechsler Adult Intelligence Scale (nearly a 4-point difference), greater educational attainment (almost 1 additional year of schooling), and higher monthly incomes (nearly US$700) compared with those who were breastfed for less than a month. Nearly threefourths of breastfeeding’s effect on income was attributable to adult IQ. A Lancet Global Health commentator concludes: “The findings ... suggest that breastfeeding might have long-term effects on intelligence in a population without strong social patterning of breastfeeding, and this effect might mediate effects on life outcomes.” —By Amy Orciari Herman, JWatch.org

April 2015

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Safety of Mind and Body Practices Acupuncture is generally considered safe when performed by an experienced practitioner using sterile needles. Improperly performed acupuncture can cause serious side effects, such as infections. An individual’s health can affect the safety of acupuncture. For example, it is especially important for acupuncturists to follow strict clean-needle procedures when treating people with cancer because chemotherapy and radiation therapy weaken the immune system.

Massage therapy rarely causes problems when performed by a trained professional. However, some types of massage may not be appropriate for people with certain health conditions. For example, deep-tissue massage could cause bleeding in people who have bleeding disorders or those who are taking anticoagulant medications (blood thinners).

Meditation is generally considered to be safe for healthy people. However, people with health conditions should talk with their health care providers before starting any type of meditation and make their meditation instructor aware of their condition.

Relaxation techniques are considered safe for healthy people. However, people with health problems should discuss the use of these techniques with their health care providers. It’s particularly important for people with heart disease to consult their health care providers before using progressive muscle relaxation.

How Safe Are Mind and Body Practices? As with any treatment, it is important to consider safety before using complementary health approaches. Safety depends on the specific approach, and each complementary product or practice should be considered on its own.

If You Have a Medical Condition Complementary health approaches that are safe for healthy people may not be safe for people with some medical conditions. If you have any health problems, always talk with your health care provider before starting a new complementary approach. If the approach involves working with a practitioner or taking classes with an instructor, discuss your health condition with that person, too. 10

Side effects from spinal manipulation can include temporary headaches, tiredness, or discomfort in the parts of the body that were treated. There have been rare reports of serious complications such as stroke, although it’s not clear whether spinal manipulation actually caused the complications.

Tai chi is considered to be a relatively safe practice and one that’s well suited to older adults because of its low intensity.

Yoga is generally safe for healthy people when practiced appropriately under the guidance of a well-trained instructor. However, people who have certain medical conditions, such as high blood pressure, glaucoma, or sciatica, need to modify or avoid some yoga poses. Source: http://nihseniorhealth.gov/ complementaryhealthapproaches/safetyofmindandbodypractices/01.html

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April 2015


If you have psoriasis, an autoimmune skin condition marked by red, flaky patches on the body, you also could be at risk for a certain type of arthritis. Psoriatic arthritis, which causes stiffness, swelling and pain in and around the joints, affects up to 30 percent of people with psoriasis, says the National Psoriasis Foundation. While psoriatic arthritis can develop at any time, it is most common in people between the ages of 30 and 50. This type of arthritis can develop slowly or come on quickly and be severe. Just like psoriasis itself, psoriatic arthritis tends to go through periods of flare-up and remission.

Psoriatic Arthritis

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

Typically, the skin condition precedes the joint disease in 85 percent of patients. Keep in mind that a severe case of psoriasis will not necessarly translate into a severe case of arthritis. Psoriatic arthritis may be treated like other forms of arthritis. Doctors may prescribe antiinflammatory drugs, antirheumatic drugs, exercise, and complementary therapies. Those who have psoriasis and have begun to experience joint pain and stiffness should immediately talk to their doctor about potential therapies. April 2015

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Problems with Taste The taste cells are clustered within the taste buds of the tongue and roof of the mouth, and along the lining of the throat. Many of the small bumps that can be seen on the tip of the tongue contain taste buds. At birth, we have about 10,000 taste buds scattered on the back, sides, and tip of the tongue. After age 50, we may start to lose taste buds.

Taste, or gustation, is one of our most robust senses. Although there is a small decline in taste in people over 60, most older people will not notice it because normal aging does not greatly affect our sense of taste. Problems with taste occur less frequently than problems with smell.

How Our Sense of Taste Works Our sense of taste, along with our sense of smell, is part of our chemical sensing system. Normal taste occurs when tiny molecules released by chewing or the digestion of food stimulate special sensory cells in the mouth and throat. These taste cells, or gustatory cells, send messages through three specialized taste nerves to the brain, where specific tastes are identified. Damage to these nerves following head injury can lead to taste loss. Five Taste Sensations We can experience five basic taste sensations: sweet, sour, bitter, salty, and umami, or savory. Umami is the taste we get from glutamate, a building block of protein found in chicken broth, meat stock, and some cheeses. Umami is also the taste associated with MSG (monosodium glutamate) that is often added to foods as a flavor enhancer. The five taste qualities combine with other oral sensations, such as texture, spiciness, temperature, and aroma to produce what is commonly referred to as flavor. It is flavor that lets us know whether we are eating an apple or a pear. Flavors and the Sense of Smell Many people are surprised to learn that we recognize flavors largely through our sense of smell. Try holding your nose while eating chocolate. You will be able to distinguish between its sweetness and bitterness, but you can’t identify the chocolate flavor. That’s because the distinguishing characteristic of chocolate is largely identified by our sense of smell as aromas are released during chewing. Food flavor is affected by a head cold or nasal congestion because the aroma of food does not reach the sensory cells that detect odors. 12

Smell and Taste Closely Linked Smell and taste are closely linked senses. Many people mistakenly believe they have a problem with taste, when they are really experiencing a problem with smell. It is common for people who lose their sense of smell to say that food has lost its taste. This is incorrect; the food has lost its aroma, but taste remains. In older people, there is a normal decline in the sense of smell and the taste of food shifts toward blandness. This is why people often believe they have a taste problem. When Taste is Impaired Problems with taste can have a big impact on an older person’s life. Because taste affects the amount and type of food we eat, when there are problems with taste, a person may change his or her eating habits. Some people may eat too much and gain weight, while others may eat too little and lose weight. A loss of appetite, especially in older adults, can lead to loss of weight, poor nutrition, weakened immunity, and even death. Taste helps us detect spoiled food or liquids and it also helps some people detect ingredients they are allergic to. A problem with taste can weaken or remove an early warning system that most of us take for granted. A distorted sense of taste can be a serious risk factor for illnesses that require sticking to a specific diet. Loss of taste can cause us to eat too much sugar or salt to make our food taste better. This can be a problem for people with such illnesses as diabetes or high blood pressure. In severe cases, loss of taste When taste is impaired we tend to eat poorly and socialize less, can lead to depression. and our general feeling of wellbeing can be affected.

Taste Problems Are Often Temporary When an older person has a problem with taste, it is often temporary and minor. True taste disorders are uncommon. When a problem with taste exists, it is usually caused by medications, disease, some cancer treatments, or injury.

Many older people believe that there is nothing they can do about their weakened sense of taste. If you think you have a problem with your sense of taste, see your doctor. Depending on the cause of your problem, your doctor may be able to suggest ways to regain your sense of taste or to cope with the loss of taste.

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Source:http://nihseniorhealth.gov/problemswithtaste/ April 2015


A balanced diet, exercise, genetics, and even certain medications can work in concert to make a person healthy. But a person’s demeanor also can factor into personal health.

mechanism when dealing with elevated stress levels, and such people will not have to deal with the side effects that can come with these unhealthy behaviors.

optimism. But because positive thinking boasts such significant health benefits, men and women might want to try the following methods to embrace their optimistic side.

Power of a Positive Attitude The Mayo Clinic says that whether or not a person is an optimist or a pessimist can affect many areas of his or her health and well-being, and those who see the glass as half-full may ultimately be healthier than those who see it as half-empty. Positive thinking can make it easier to manage stress. The body responds differently based on an individual’s mood, and it may produce stress hormones if a person’s outlook is negative. Such stress hormones can compromise the immune system, increase blood pressure and even reduce the body’s ability to burn fat effectively. Thinking negatively and being on edge also can increase a person’s risk for developing cardiovascular disease and aging prematurely. Conversely, maintaining a positive attitude can be good for your health. Studies have shown that thinking positively can lower rates of depression and anxiety, increase life expectancy and provide greater resistance to certain illnesses, such as the common cold. A 2012 preliminary study from researchers at Stanford University found that daughters of mothers suffering from depression were able to witness their own stress levels go down on a real-time brain scan as they switched from negative thoughts to happy ones.

R

esearchers are unsure why positive thinking has such profound effects. But in addition to limiting stress-releasing hormones, positive thinking may inspire people to live healthier lifestyles that make them more likely to get routine physical activity and eat a healthy diet. Happy people also may be less likely to use tobacco products or alcohol as a coping April 2015

Exercise. Start an exercise regimen, as physical activity naturally reduces stress and can improve mood.

Laughter and positive thinking can be good for your health.

Laughter is good medicine Laughter combined with positive thinking is a prescription for good health. Research shows laughter relaxes the entire body, relieving physical tension and stress for up to 45 minutes. Laughter decreases stress hormones and increases infection-fighting antibodies. Endorphins that promote an overall sense of well-being and relieve pain can be released from a hearty bout of laughter. Furthermore, laughter can increase blood flow throughout the body, which protects against hypertension and heart attack.

B

ecoming a more positive thinker can take a little effort for those without a natural inclination for www.caremagazine.com

Embrace humor. Surround yourself with others who bring a smile to your face. Look for ways to laugh as much as possible. Rather than go out to dinner or a bar with friends, head to a comedy club. Choose comedies at the movie theater and find humor in everyday happenings. Identify areas that need change. Think about moments in life that may bring you down or inspire negative reactions. If work is problematic, figure out ways to make it better and work toward improving the situation. Be supportive of yourself. Consider what you would say to others and then treat yourself the same way. Would you be overly negative or derogatory toward a complete stranger? Probably not, and there is no reason to be harsh with yourself, either. Push negative thoughts away. Volunteer. One way to see the world in a more positive light is to help others who may be less fortunate than you. Volunteering not only helps others, but it also can help you put your own problems in perspective. Volunteering also helps you feel good about your efforts, which can translate into positive thinking. Think like a child. Take a cue from youngsters and find joy in the little things. Let children be the leaders in activities and mimic what they do. You just may find yourself laughing more and enjoying yourself. Being silly for a little while is one way to recapture the feelings of youth.

P

ositive thinking is more than the subject matter of self-help books. It’s a viable way to improve personal health and live longer. 13


Professional Forum

news from, about + for our regional healthcare professionals

The 4th Annual Lowcountry Mental Health Conference July 30 and 31

Mental health professionals should sign up now for this two-day event with 10 presenters and up to 11.25 hours of instruction. You can register for the entire conference (online) or choose to come for one day only. The conference will be awarding continuing education credits for most of the professional designations in the field. All mental health professionals are invited: • Psychiatrists & Other Physicians (This activity has been approved for AMA PRA Category 1 Credit – 11.25 hours of credit)! • Psychologists (Approved for 10 Contact Hrs in SC – Category A Hours!) • Counselors (10 Contact hrs in SC, GA, NC, VA, MD, DE, AL, AR, KY, MS, IN, NE, PA, TN, FL and more) • Social Workers (10 Contact Hrs, non-social work hours, SC, GA, NC, PA) • Marriage & Family Therapists (10 Contact Hrs in SC & PA) • Nurses (Applying for approval by the South Carolina Nurses Association) • State Agency Professionals • Addiction Professionals • Healthcare Leaders Overview of Presentations Bridging the Gap: A Med-Psych Perspective on Pain - Elizabeth Call, M.D. Understanding Those Who Served: Therapeutic Work with Military Members and Veterans - Kenneth Coll, M.D. The Future of Addiction Treatment: Trends and Practical Applications - Brian Coon, M.A., LCAS A Mental Health Recovery Story: Understanding Our Behavior and How the Mind Works - Eric Hipple Building Resilience with Mindfulness Training - Amishi Jha, Ph.D “But it’s all natural!” Understanding and Treating Adolescent Substance Use - Viktoriya Magid, Ph.D. The State of Mental Health Care in South Carolina - John H. Magill The Cultural Dimensions of Recovery - Stephen Mcleod-Bryant, M.D. Challenging Patients: What To Do… When You Don’t Know What To Do! - Christine Pelic, M.D. Eye Movement Desensitization & Reprocessing (EMDR): A Therapeutic Approach - Roger Solomon, PhD For more information, contact David Diana at (843) 696-0977 http://www.lowcountrymhconference.com/ 14

Sabine Hershberger received DAISY Award for Extraordinary Nurses As a nurse in Beaufort Memorial’s Intensive Care Unit, Sabine Hershberger understands the stress patients and their families experience in the face of a serious illness. Offering them comfort and compassion has become part of her job. Sabine was honored earlier this year with the DAISY Award for Extraordinary Nurses for showing exceptional kindness to a critically ill patient and her husband and children. Sabine was nominated for the award—a national tribute reserved for RNs who go above and beyond the call of duty—by Alexandra Lepionka, whose mother was cared for by Sabine while dying of lung cancer. The DAISY Award was created in 1999 by a Seattle couple as a way to honor the nurses who took care of their son before he died. It has since been adopted by healthcare facilities all over the world.

Sigma Theta Tau International and the American Nurses Credentialing Center seek proposals for the evidence-based grant program funded by Hill-Rom The Sigma Theta Tau International (STTI) Foundation for Nursing has announced that it is accepting proposals for the US $20,000 Sigma Theta Tau International (STTI)/American Nurses Credentialing Center (ANCC) Evidence-Based Practice Implementation Grant Program —the largest single grant available through the Foundation. This 2015 grant opens 1 April and closes 1 July, 2015. “The Evidence-Based Practice Implementation Grant Program aims to close the gap between research and nursing practice, and support clinical nurses in leading change that improves patient care,” stated Linda C. Lewis, MSA, RN, NEA-BC, FACHE, Executive Vice President and Chief ANCC Officer. “Funding opportunities for clinical nurses to apply evidence to practice and evaluate the effect on patient outcomes is critical to the development of real-world nursing practices that ultimately benefit patients.” For more information on the STTI/ANCC Evidence-Based Practice Implementation Grant Program, including how to apply, please visit http://www.nursecredentialing.org/EBPImplementation.

More information about the Honor Society of Nursing, Sigma Theta Tau International STTI can be found online at www.nursingsociety.org.

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April 2015


nd dodontics a l s I En S ea

Recovering from an Athletic Injury

Peter Murphy, DDS, MS

As any professional athlete can attest, even the most athletic and physically fit individuals can suffer an injury. Each individual body responds to injury in different ways. No matter how different athletes’ bodies may be, there are coping mechanisms every athlete can employ to help deal with the mental toll that injuries can take.

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Working together with a trainer or physical therapist to set realistic recovery goals is one way for athletes to successfully cope with injury.

• Stay involved. Even if you cannot compete, you can still stay involved in your sport. If you are physically capable, offer to volunteer at games and events. If your injury is so limiting that active volunteering is nearly impossible, you can still attend events. The important thing is to recognize that, while an injury may prevent you from competing, you can still find other ways to stay involved. • Set realistic recovery goals. Recovery is not overnight, and even the most elite athletes, many of whom are accustomed to their bodies responding in the way they want them to respond, can be discouraged if they enter the rehabilitation process with unrealistic expectations. Work with your physical therapist, physician or trainer to establish realistic recovery goals, using your enthusiasm to meet your short- and longterm recovery goals. Be flexible when setting your recovery goals, as you never know how your body will respond to treatment. • Expect setbacks. Setbacks are an unfortunate reality of recovery for many athletes. Don’t allow yourself to become discouraged if a goal can’t be met because your body is simply not ready or needs to pause in its recovery process. April 2015

Why Organ, Eye, and Tissue Donation?

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

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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

April 2015


Family History of Prostate Cancer Associated with Increased Risk for Breast Cancer Women with a first-degree relative with prostate cancer are at increased risk for developing breast cancer, suggests a Cancer study.

This new large study using data from the Women’s Health Initiative has found that women whose fathers, brothers and sons had prostate cancer may also have a higher risk for breast cancer. Women who had a family history of both breast cancer and prostate cancer were 78% more likely to be diagnosed with breast cancer after the age of 50. This risk was highest for African-American women. According to researchers, black women with a family history of breast and prostate cancer among first-degree relatives were nearly 2.5 times more likely to develop breast cancer than black women without a family history of both diseases.

According to the American Cancer Society, about one in eight women in the U.S. will develop invasive breast cancer during her lifetime. The authors conclude: “Risk communication between the physician and the patient as well as the dissemination of this information from the patient to immediate relatives would be important in shaping the health behaviors (such as screening for early detection) of those family members, even among those of the opposite sex.” Source: http://www.jwatch.org/fw109951/2015/03/09/family-historyprostate-cancer-associated-with-increased

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

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

We Will Be There.

1-800-411-AGAPÉ (1-800-411-2427) April 2015

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RegionPulse

healthy news + community happenings

HILTON HEAD INSTITUTE HOSTS “THE FORUM” CONFERENCE MAY 14 – 16 International Thought Leaders to Convene on HHI, Providing Unique Opportunity For People to Engage in “Courageous Conversations on America’s Future” Leading world experts and thought leaders will convene on Hilton Head Island in May for a special three day conference to address a number of today’s most critical global issues. The conference brings together many of today’s most influential leaders in education, economics, politics, healthcare and business. The three-day conference, The Forum: Courageous Conversations on America’s Future, will be taking place on Hilton Head Island from Thursday afternoon, May 14 through Saturday, May 16 at the Westin Hilton Head Island Resort & Spa. The conference is expected to draw business and thought leaders from around the world, and

is currently accepting registration for a limited number of individuals interested in attending this unique event and engaging in a dialogue with some of today’s most influential leaders. The Forum’s list of confirmed speakers features some of the most well-known names in politics and world issues today leading the “conversations”—including Chuck Todd, Moderator of NBC-TV’s “Meet the Press,” Political Director of NBC News and author of the 2014 book The Stranger. Todd will be presenting an insightful look at Washington politics through his presentation “Polarization: How Washington Works.” Membership details, online registration instructions and more information about The Forum: Courageous Conversations on America’s Future including a complete list of speakers/topics and a schedule of events, can be found at www.hiltonheadinstitute.org.

KIDS IN KAYAKS PROGRAM RECEIVES $5,000 GRANT Local outdoor sports company, Outside Hilton Head recently received a $5,000 grant from Columbia Sportswear and Grassroots Outdoor Alliance's Belay Program. The funds are earmarked for the Outside Foundation's Kids in Kayaks program, which provides every middle school student in Beaufort County with an opportunity to go kayaking and learn about the local ecosystem. The Outside Foundation is a local non-profit dedicated to getting kids outside and protecting our local environment. The guiding values and principles of The Outside Foundation are to provide outdoor experiences that will have a positive impact on people by creating awareness, expanding knowledge and developing a responsible understanding of nature and the environment. For more information, visit http://blog.grassrootsoutdoors.com/columbiagrassroots-outdoor-allianceannounces-belay-program-recipients/

APRIL is Child Abuse Prevention Month Support CAPA (Child Abuse Prevention Association)

AMIkids Beaufort Announces New Executive Director AMIkids Beaufort announces that Steven Crisp has been named as the new Executive Director at the residential facility, located in Seabrook, South Carolina. Crisp will lead AMIkids Beaufort’s efforts in empowering our kids to reach their potential and separate their troubled past from a bright future. In addition to his duties as Executive Director, Crisp will also work closely with the AMIkids Beaufort’s Board of Trustees to grow its impact on the surrounding community. AMIkids Beaufort, founded in 1985, has helped over 2,000 kids and their families and is one of over 40 AMIkids programs nationwide. AMIkids Beaufort relies on support from the local community through donations and to learn more, please visit www.AMIkidsBeaufort.org. About AMIkids Beaufort Founded in 1985, AMIkids Beaufort is a non-profit 501(c)(3) organization that helps kids and strengthens communities through positive and motivating programs that inspire learning, leadership and personal growth. AMIkids Beaufort is one of over 40 AMIkids programs nationwide. For additional information, please visit www.AMIkidsBeaufort.org.

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Vision Statement: All children deserve to be loved, nurtured and kept safe from intentional and unintentional harm. Mission Statement: The Child Abuse Prevention Association (CAPA) exists to break the destructive cycle of child abuse and neglect by equipping parents, children and their caregivers with necessary skills, knowledge and values. Donate to CAPA online at http://capabeaufort.org/ What is child abuse? A child is abused or neglected when he/she is injured by the intentional acts or omissions of an adult. Here are examples of abuse and neglect: • physical or mental injury • excessive corporal punishment • sexual offenses • failure to supply food, clothing, shelter, education or medical care • abandonment • encouraging delinquency • substantial risk of abuse or neglect If a child is in imminent danger, please call 911. If you are unable to reach a local department, please call 1-800-4-A-CHILD (National Child Abuse Hotline).

www.caremagazine.com

April 2015


Erectile Dysfunction —1 in 4 Men Seeking Treatment is Under 40— You know the commercials. They exclusively play when you’re watching television as a family or with your in-laws. These ill-timed ads portraying erectile dysfunction show it as a problem limited exclusively to an older generation, with silver-haired men playing golf, talking dance lessons with their honey, or walking hand-in-hand. The latest research shatters this image: 40 percent of men in their 40’s are reporting erection problems. Ad nauseum advertising and recent headlines indicate that ED is at the forefront of men’s health, and doctors are looking at this problem as a sign of overall health and wellness: “A man’s overall health has a direct effect on sexual performance”, says Robert Drapkin, MD, board-certified physician in Internal Medicine, Medical Oncology and Palliative Care. “There are emotional and physiological causes, but sexual performance problems are often a symptom of an unhealthy lifestyle,” he says.

“ Recent research reveals that 40 percent of men who experience erectile dysfunction are aged 40 or under. Robert Drapkin, MD, FACP, asserts that standard drug therapies are not the sole solution; adopting a healthy lifestyle offers men of all ages an alternative way of dealing with this common problem.

It’s important to address the causes of [erectile dysfunction], rather than accepting ironic marketing messages that state a medical approach is an acceptable alternative to a healthy lifestyle

While commonly-prescribed pharmaceuticals are a popular approach to treating ED, Dr. Drapkin stresses that drugs are not the sole solution to this problem. He explained that understanding erectile dysfunction begins with knowing how the central and peripheral nervous systems, anatomy, emotions, hormones and blood flow all work together to create an erection. Sexual stimulation causes the release of chemicals that make the smooth muscles of the penis to relax and increase blood flow, which causes an erection. Once the chemicals are no longer released, the erection dissipates. “[It] is very much the result of dietary patterns, and can be an early warning signal of more serious health risks such as heart attack or stroke, which are also diet- and lifestyle-related,” says Dr. Drapkin. He recommends that adopting a healthy lifestyle including a vigorous exercise program, instead of relying on a pill like Viagra™, can help treat ED and improve overall health. 69% of adults over the age of 20 are overweight or obese, and Dr. Drapkin sees this as directly contributing to the prevalence of erection issues. Troubling, one in four patients seeking first medical help for new onset ED is younger than 40, with almost half of those young men suffering from severe ED. “It’s important to address the cause of the issue, rather than accepting ironic marketing messages that state a medical approach is an acceptable alternative to a healthy lifestyle,” Dr. Drapkin added. Robert Drapkin, MD, is a healthcare provider who is board-certified in Internal Medicine, Medical Oncology and Palliative Care. He is in active practice, working to save lives and improve quality of life through the education of his patients. He provides up-to-date knowledge and guides his patients through their illnesses, exercises and diets. He has been in active medicine practice for over 36 years. April 2015

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care TALK

©

Climate impacts on food supply and food safety Moderate warming and more carbon dioxide in the atmosphere may help plants to grow faster. However, more severe warming, floods, and drought may reduce yields. Livestock may be at risk, both directly from heat stress and indirectly from reduced quality of their food supply. Fisheries will be affected by changes in water temperature that shift species ranges, make waters more hospitable to invasive species, and change lifecycle timing.

capsules of helpful health information only pesco-vegetarians had a significant reduction in risk (hazard ratio, 0.57). “The evidence that vegetarian diets ... may be associated with a reduced risk of colorectal cancer, along with prior evidence of the potential reduced risk of obesity, hypertension, diabetes, and mortality, should be considered carefully in making dietary choices and in giving dietary guidance,” the authors conclude. –By Jenni Whalen, JWatch.org

See more at: http://www.epa.gov/ climatechange/impacts-adaptation

Vegetarian diet associated with reduced risk for colorectal cancer

ratios (the ratios of mean calcium scores in coffee drinkers to the mean score in noncoffee drinkers) were 0.8, 0.7, 0.6, and 0.8 for those who drank <1 cup, 1 or 2 cups, 3 or 4 cups, and ≥5 cups daily, respectively. Results were similar for various subgroups (i.e., defined by sex, age, weight, smoking status, and alcohol consumption). In this study, coffee drinkers had lower coronary artery calcium scores than did noncoffee drinkers; lowest scores were among those who consumed 3 or 4 cups daily. These results are similar to those of a recent meta-analysis in which coffee consumption was associated inversely with CV disease, with lowest risk among those who drank 3 or 4 cups daily (Circulation 2014; 129:643). This association is biologically plausible: Coffee contains antioxidant compounds that might lower CV risk. –By Paul S. Mueller, MD, MPH, FACP

Vegetarian diets are associated with a lower incidence of colorectal cancer, according to a study in JAMA Internal Medicine. Nearly 80,000 adults from the Adventist Health Study 2 completed food-frequency questionnaires at baseline and then were divided into five dietary groups: vegan (8% of the population), lacto-ovo vegetarian (29%), pesco-vegetarian (10%), semi-vegetarian (6%), and nonvegetarian (48%). During 7 years’ follow-up, researchers documented 490 cases of colorectal cancer. Compared with non-vegetarians, all vegetarians combined had a significantly reduced risk for colorectal cancer (adjusted hazard ratio, 0.78). When examined by type of vegetarian diet, 20

Moderate coffee consumption is associated with lower coronary artery calcium scores Lowest scores were found among those who had 3 or 4 cups of coffee daily. Coffee consumption is associated with better insulin sensitivity, lower risk for type 2 diabetes (NEJM JW Gen Med Feb 15 2004 and Ann Intern Med 2004; 140:1), and less LDL cholesterol oxidation, all of which are associated with lower risk for cardiovascular (CV) disease. In this cross-sectional study, researchers examined the association between coffee consumption and prevalence of coronary artery calcium (CAC) measured by computed tomography in 25,000 Korean adults (mean age, 41; 84% men) without clinically evident CV disease. Mean coffee consumption was 1.8 cups daily, and 13% of participants had detectable CAC. Multivariate-adjusted CAC score www.caremagazine.com

AMA and CDC team up to prevent diabetes “STAT” The American Medical Association and CDC have launched the “Prevent Diabetes STAT: Screen / Test / Act Today” initiative to try to identify more people with prediabetes and prevent them from progressing to type 2 diabetes. The effort includes a toolkit to help guide clinicians in screening and referring high-risk patients to local diabetes prevention programs. Among the offerings are point-ofcare and retrospective prediabetes identification algorithms, a sample patient referral form, and a list of common procedural terms and ICD codes. The AMA and CDC note that prediabetes affects over 86 million Americans, but nearly 90 percent don’t know they have it. Resources are also provided for patients, including an online prediabetes screening tool: http://www.cdc.gov/diabetes/preve ntion/prediabetes.htm –By Amy Orciari Herman, JWatch.org April 2015


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

Give Blood. Save Lives. FACT: Your donation of

The Blood Alliance

PORT ROYAL

For appointments, please call

Saturday, April 04 The Link Naval Heritage Park Ribaut Road and Pickney Blvd. Intersection

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

843-522-0409 iDon8

or, use free app at

one pint of whole blood takes about an hour and

can save three lives .

SEABROOK BEAUFORT Monday, April 13 St. Helena Parish 505 Church St Thursday, April 16 Parker Racor 302 Parker Drive Friday, April 17 Lowes of Beaufort 207 Robert Smalls Parkway Saturday, April 25 Beaufort Classic Car & Truck Club PRSF Maritime Center 310 Okatie Highway (170) Thursday, April 30 Battery Creek High School 1 Blue Dolphin Dr Wednesday, April 29 The Sanctuary Golf Club 8 Waveland Av. / Outside Ladys Island

Wednesday, April 08 Whale Branch Early College High School 169 Detour Road Parking lot

OKATIE Monday, April 27 Beaufort Jasper Water & Sewer Authority 6 Snake Road,

SUN CITY Monday, April 06 Sun City Hilton Head 114 Sun City Lane Portable Pinckney Hall

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

HILTON HEAD ISLAND Thursday, April 09 Hilton Head Preparatory School 8 Fox Grape Road Bloodmobile

Friday, May 01 Salt Gallery & Antiques 802 Bay Street

SAVANNAH

Monday, May 04 Technical College of the Lowcountry 921 Ribault Rd

Monday, April 20 AASU Student Union 11935 Abercorn Street Portable Ballroom A

April 2015

If you’re already a blood donor,

www.caremagazine.com

Providing Outstanding Blood Service in South Carolina, Georgia and Florida

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

AARP CHAPTER OF THE LOWCOUNTRY Thursday, April 2, 1:00 PM Palmetto Electric Coop Bldg. (off hwy. 278) Community Room.

Saturday, April 11 Annual March of Dimes Walk Naval Heritage Park, Port Royal March for Babies raises funds for vital research to help prevent premature birth and birth defects. Funds raised also support community programs that help moms have full-term pregnancies. Register for March for Babies at marchforbabies.org. For the latest

resources and information, visit marchofdimes.org/southcarolina.

Saturday, April 11 Walk MS: Charleston, SC Hampton Park Registration begins at 8:00 am and the walk begins at 9:00 am Walk MS connects people living with MS and those who care about them. Register now, connect with others and start fundraising today at www.walkMS.org or by calling 1-704-525-2955.

Saturday, April 18, noon – 5:00 pm Soft Shell Crab Festival Come celebrate the 12th anniversary the Soft Shell Crab Festival, on Paris Avenue, Port Royal, SC. The festival is free and open to all. It will feature a variety of eclectic cuisine in addition to the Lowcountry’s soft shell crabs prepared in a variety of styles by area chefs. In addition to live music, there will be an all-ages cornhole tournament, a kids’ zone entertainment area, a craft/artisan fair and a car show by Beaufort’s Classic Car & Truck Club. The festival will also feature Port Royal’s annual Crab Race where approximately 5,000 22

rubber crabs are “adopted” by individuals for $10.00 each. Proceeds from the Crab Race benefit the Rotary Clubs of Beaufort, which support several charitable causes. To adopt a crab and learn more about the charities, visit www.PortRoyalCrabRace.com. For more information about the Soft Shell Crab Festival, visit www.oldvillageportroyal.com or call (843) 592-2356.

Monday, April 20 Joint Pain and Treatment Seminar 9:00 – 10:00 am Beaufort Memorial Medical Administrative Center-Room 364 990 Ribaut Road, Beaufort –and at– 1:00 – 2:00 pm Bluffton Medical Services 11 Arley Way, Bluffton This FREE program will offer information about: • Normal knee and hip anatomy • Signs and symptoms of jointrelated problems • Treatment options to relieve or resolve pain Beaufort Memorial Orthopedic Care Coordinator and Physical Therapist Andrea Sadler will explain how patients are led through appropriate options that are personalized for their specific needs. Seating is limited and registration is required. To learn more or to make a reservation call (843) 522-5585.

Thursday, April 23 5:15 pm Stroke and Other Emergencies You Should Know About

online http://www.coastalhospital.com/ en-us/cwsapps/findanevent.aspx, or call 843-784-8000.

Monday, April 27 2:00 pm There is No "Pre" in Diabetes at the Coastal Carolina Hospital, 1000 Medical Center Drive, Hardeeville. Celia Beauchamp, RD, CDE will present information about pre-diabetes and the diagnosis and how to prevent the progression of this disease. This class is for people who have been newly diagnosed with pre-diabetes. This class is NOT appropriate for Juvenile or Gestational Diabetes, except for providing general information. Registration is required. Register online http://www.coastalhospital.com/ en-us/cwsapps/findanevent.aspx, or call 843-784-8000.

Thursday, April 30 5:15 pm Beat the Sinus Blues: Advances in Sinus Surgery Please join Dr. Frederick Freeman, MD, at The Lakehouse at Sun City Hilton Head, 1251 Sargeant William Jasper Boulevard, Hardeeville, as he discusses the advances in sinusitis management, including sinus surgery with balloons. Registration is required. Register online at http://www.coastalhospital.com/enus/cwsapps/findanevent.aspx, or call 843-784-8000.

April word search solution

Please join Dr. Paul Zorch, MD, as he discusses Strokes and Other Emergencies You Should Know About at The Lakehouse at Sun City Hilton Head, 1251 Sargeant William Jasper Boulevard, Hardeeville. Registration is required. Register www.caremagazine.com

April 2015


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

“The Bluffton Expedition”, Fulgham will share the history of the June 4, 1863 burning of Bluffton by Union troops. He will provide background about antebellum Bluffton and the Bluffton Movement as well as information about the Union encampment on Hilton Head Island. Cost is $7 for this adult audience program and reservations are required.

May River Expedition Tues. and Thurs. through May 28 10:00 am until noon Cost is $40 adult, $30 child (ages 12 and under). Reservations are required Dolphin and Nature Cruises through Oct. 30 on Wed. and Fri. at 3:00 pm Cost is $19 adult; $13 child (ages 1-12) Tour Historic Fort Mitchel 10:00 am Fri. mornings, through November Guided tours of Historic Fort Mitchel will be offered. Visit a well preserved example of a Civil War Era coastal artillery battery. The battery was constructed in 1862, as part of the outer defenses for Port Royal, South Carolina, headquarters of the Federal Department of the South and the Union Army X Corps. Reservations are requested for this tour. $12 per adult, $7, children ages 6-12: no children under 6, please. April 3 through May 30 Low Country Plein Air Society “Landscapes of the Low Country– Capturing the Light” This exhibition will feature works by 30 member artists from around the region. The gallery is open Monday through Saturday from 9 am until 4:30 pm and Sunday from 11 am until 3 pm. “The Bluffton Expedition” Mon., Apr. 6 at 3:00 pm Author Jeff Fulgham will give a presentation on his book

Marine Mammals of South Carolina Wed., Apr. 8 at 3:00 pm With Dr. Al Segars, DVM. Topics will include dolphins, whales, manatees and seals. The cost is $7 per person (for an adult audience 12 and older please) and reservations are required. Lowcountry Alligators Wed., Apr. 15 at 3:00 pm Host Tom Murphy, a retired biologist with the South Carolina Department of Natural Resources will share his knowledge of the natural history of alligators in the Lowcountry. The cost of the program is $7 per person (for an adult audience 12 and older) and reservations are required. The Biogeography of the Carolinas Wed., Apr. 22 at 3:00 pm Host Dr. Chris Marshall will give a bird’s eye view of the biogeographical regions of the Carolinas, discussing how unique habitats add to the region’s diversity of plants and animals. Marsh has over 40 years experience working in habitats throughout North and South Carolina. For the past 16 years he has served as Executive Director of both the Spring Island Trust and the Lowcountry Institute. Cost is $7 per person (for adult audience only) and reservations are required.

American Red Cross Upcoming Blood Drives

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

For current events at all Country Branches Call 843-255-6430, or visit beaufortcountylibrary.org April 2015

April is National Volunteer Month. The American Red Cross salutes the thousands of volunteers who help fulfill its lifesaving mission and encourages others to join their ranks as volunteer blood donors.

April 9, 2015 noon – 6:00 PM Christ Lutheran Church 829 William Hilton Parkway Hilton Head Island, SC 29928

April 1, 2015 noon – 6:00 PM American Red Cross Palmetto Chapter Center 59 Sheridan Park Circle Bluffton, SC 29910

May 6, 2015 noon – 6:00 PM American Red Cross Palmetto Chapter Center 59 Sheridan Park Circle Bluffton, SC 29910

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Regional Support Groups To have your free listing included in this column, email info to editor@caremagazine.com. The information updated at the time of printing. Please check with individual organizations or groups for updated times, dates and locations. AREA CODE is 843, unless otherwise noted. AIDS • HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554 ALZHEIMER’S + DEMENTIA • Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 9:45 –11:15 a.m. for caregivers of someone with Alzheimer’s; Men’s Support Group, 1st + 3rd Mon. each month, 9:45 –11:15a.m. at Memory Matters, 117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org. • Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: 12:30-1:30 p.m., Wednesdays, Helena House, Port Royal, 521-9190 or 252-8754. • Alzheimer’s Family Services Education & Social Day Programs: BFT: Mon., & Wed., 10:00 am-1:45 pm; Port Royal United Methodist Church, Friday, 10:00 am-1:45 pm, Summit Place; AFS services call: 521-9190. • Early Diagnosis Support Group: 1-2PM 1st Tuesday of each month at Memory Matters. Are you 65 or under and been diagnosed with some form of dementia? We help with support and resources. Please call if you are coming: 843-842-6688. Call 757-9388 for information. • Early Memory Loss Group: 2nd and 4th Thur., 10:00 am–noon, Helena House, Port Royal, Call Louise Blanchard, 521-9190. BEREAVEMENT • Grief support for recently bereaved: All situations–United Hospice, Contact Bereavement Counselor, 522-0476. Beyond Now: 6 p.m. first Thursday, Island Hospice, Hardeeville, 208-3660. Friends of Caroline Hospice, 525-6257; Tidewater Hospice, 5 p.m., Thurs., 757-9388. • Tools for the Journey: An Educational Support Group from Island Hospice. Bluffton (Grace Coastal Church): First Wed., 1:00pm – 2:00 pm. Beaufort (Beaufort Medical Plaza): Second Tues., 2:00 pm - 3:00 pm. For topic information being discussed, call Jennifer Massey at 843-986-0949. • Pregnancy & Infant Loss Support Group- 2nd and 4th Wed., 6:00pm, at Hospice Care of the Lowcountry, 7 Plantation Park Dr. Unit 4, Bluffton. www.Zoe-foundation.org 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; DIABETES • Diabetes support groups: Beaufort, 522-5635; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172;

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JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adultt1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton MENTAL HEALTH • Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536. • Depression & BiPolar Support Alliance: Hilton Head: 682-2900 • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : 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; Friday April 3 & 17, noon – 1:30pm: Beaufort, at Beaufort Medical Plaza, 989 Ribaut Rd., Rm. 350, Call for info: 843-681-2200 ext. 1. • NAMI Caregiver Support Groups: Monday, April 20, 7:00 p.m. St. John’s Lutheran Church, Lady’s Island Tuesday, April 28, 10:00 a.m. Lowcountry Presbyterian Church, Bluffton Evening group in Bluffton by appointment call NAMI office, 681-2200 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;

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• 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 • Liver Transplant support group: Savannah: SJCH 912-819-8350 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • Myositis Association: Danielle Haines, RN; 341-7737 • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505 • Pulmonary Disease Support Group: BMH Call Toni Rehkop at 522-5830 Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org OTHER SUPPORT GROUPS • CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350 • CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com • Meals on Wheels: Hilton Head: 689-8334 • Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org • Survivors of Suicide: Renee Pigat, HHI: 681-7814

April 2015


WISE

information = a healthier YOU!

A Corporate, Bottom-Line Attitude has Altered how Medicine is Practiced The Prescription Could be an Injection of Humanity The changes in medical care over the last five decades have been dramatic.

business practices in the health-care and insurance industries.”

Technological and scientific advances gave patients access to a level of medical diagnosis and care previously undreamed of.

The system is not going to change, Marr says, but the medical community could improve it by injecting more humanity into the system.

During this time, Medicare, Medicaid and the Affordable Care Act provided more people with the opportunity to take advantage of that care.

“The interaction between a person with a medical problem and the physician who attempts to heal that person is one of the most human and personal of relationships,” he says. “But it does not lend itself to accounting ledgers, quarterly earnings postings and visits per hour.”

Yet despite all that extraordinary progress something is missing, 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) The role of the physician as healer and patient confidant has degenerated to manager of a health care team. The personal interaction of physician and patient has largely disappeared as well. The problem as Marr sees it is this: The entry of corporate for-profit health care destroyed the soul of medicine; it destroyed the doctor-patient relationship through its demands for brief patient encounters; and, most important, changed the focus of medicine from patient care to quarterly earnings. “The tragedy in the past half century is that the astounding improvements in technology have cost us the human touch,” he says. “That’s almost completely because of corporate April 2015

Marr says there are several ways the medical community can try to make a difference: • Shine the light on misinformation. Physicians can educate the public to counter direct advertising about drugs and talk show misinformation. This would require a conscious change in attitude and a rededication to the physician-patient relationship that once existed, Marr says. This attitude change would communicate itself quickly to the patient. What was once a brief, impersonal office visit would become more personal, even if still brief. • Create a relationship. Physicians can put that attitude change into practice with an extra question about family, some advice beyond drugs or surgical procedures, and the kinds of human inquiries that we all appreciate, but are largely absent from current patient www.caremagazine.com

encounters. “Physicians still are shocked by what has occurred and cowed by the pronouncements that come from the corporate philistines in charge of health care,” Marr says. • Speak up. Most people recognize the high cost of care as a very serious problem for the country. Physicians, individually and collectively, must speak out against these costs and advocate measures to mitigate them, Marr says. A demonstration by the medical profession that it is as appalled by the changes in health care as is the general public would go far toward restoring the public trust in physicians, he says. “Fifty years ago we physicians were accustomed to speaking out against injustice and expressing our opinions openly,” Marr says. “When did we become so passive and pliable? Are we as concerned about money and perquisites as those in the corporate suites? Let us hope not and begin to behave accordingly.” 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. He is the author of more than 200 academic publications; authored and edited six books; and published short stories, essays, and poems.

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

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

SATURDAY – April 4

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

SATURDAY – April 25

8:00a – 4:00p

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

Aimant Animal Hospital

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

WEDNESDAY – April 8 SATURDAY – April 11

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

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

SUNDAY – April 26

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

Aimant Animal Hospital

SATURDAY – April 18

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

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

SATURDAY – April 4

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

Aimant Animal Hospital

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

Grays Hill Fire Station: Battery Creek Vet Hospital

1:30p – 2:30p

Lobeco Fire Station: Battery Creek Vet Hospital

2:45p – 3:45pm

Sheldon Fire Station: Battery Creek Vet Hospital

SUNDAY – April 5

8:00a – 2:00p

SATURDAY – April 11

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

Aimant Animal Hospital

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

Aimant Animal Hospital

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

SATURDAY – April 18

26

Burton Hill Fire Station: Battery Creek Vet Hospital

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

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

WEDNESDAY – April 1

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April 2015


2015 Regional Rabies Vaccination Clinic Schedules

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

SATURDAY – April 4

SATURDAY – April 18

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

SATURDAY – April 25

SATURDAY – May 2

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

COLLETON COUNTY

Pediatric and Adult Home Care Services

Date / TIme / Location / Clinic or Vet providing service

SATURDAY – April 4

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

SATURDAY – April 11

When a Family Member Needs Specialized Care at Home

8:30a – 11:30a

Deloach Veterinary Clinic

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.

Deloach Veterinary Clinic

Contact us to learn more!

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

FRIDAY – April 17

Deloach Veterinary Clinic Deloach Veterinary Clinic Deloach Veterinary Clinic

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

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

2:00p – 4:30p

Apply online at psahealthcare.com

Walterboro Animal Hospital

SATURDAY – April 18

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

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

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

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PROOF:

27

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


ParentPulse

helpful insights and tips for effective parenting

How to Correctly Fit a Life jacket Many people assume that simply wearing a life jacket or another personal flotation device (PFD) is enough to provide adequate safety while enjoying activities on the water. But just as important as wearing the PFD, is that it fit properly.

Typically, children 12 years and younger are expected to wear a life jacket at all times when in a boat or around the water. This means kids will spend significant time wearing the life jacket, so it should be comfortable and fit properly.

Selecting a life jacket is not a one-size-fits-all scenario. Nor are all life jackets suitable for all types of water sports and other marine activities. The amount of buoyancy the jacket provides is relative to the activity and the size of the person wearing the jacket. Furthermore, it is unwise to think that children can simply wear an adult life jacket in a pinch.

According to DNR, children’s life jackets are typically designed around four sizes:

According to the Department of Natural Resources (DNR), life jackets that are too small or too large can come off or ride up in the water. A jacket that rides up can end up rising over the mouth and nose, making breathing difficult. The proper fit of a life jacket is one where the jacket is snug, but not suffocating. All of the zippers, ties, straps, snaps, and other connection points should be correctly secured.

4) Larger children may graduate to a small adult’s size.

Those who have experience in the water can test out the fit of a life jacket by walking into the water up to the neck. After lifting up the legs and tilting the head back, the person should be able to float comfortably and not have to put any effort into staying above water. Furthermore, the life jacket shouldn’t obstruct the mouth. The person should also be able to swim easily on the back or side without restriction of the arms. In terms of children and life jackets or flotation vests, the DNR says that fitting children with PFDs is one of the most frequently asked questions of boating safety educators. 28

1) An infant device is for children under 30 pounds. 2) A small child size is appropriate for children 30 to 50 pounds. 3) A youth size is right for children 50 to 90 pounds.

Life jackets for young children may have a flotation collar that helps to keep the head upright, as a child’s head tends to be his or her heaviest part of the body. In addition, there will likely be a strap that secures between the legs to prevent vest from riding up. All life jackets should be replaced when they start to fade to the color of the inside label. This might be indicating that their safety protection may have started to deteriorate. In addition to properly fitting a life jacket, it is important to practice being in one in the water. While life jackets may keep adults and children afloat, they may not keep a struggling person face up. Therefore, it is adviseable to remain calm in the water while wearing the PFD. Life jackets can save lives when properly fitted and worn correctly. Also, it is wiser to purchase life jackets that are a Coast Guard approved device for added protection.

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April 2015


6 simple ways to smarter, healthier eating To eat well, you need to combine nutritional science, a jolt of common sense, and pure enjoyment. Most of us know that fresh salad, berries, and slowing down when eating are better for us than wolfing down energy bars and sweets. But how to make that leap from our current habits to healthier ones? Here are six ways you can eat healthy, delicious meals, and really enjoy what you're eating.

1.

Ditch whole milk. Not only does this reduce saturated fat in your diet, it also shaves off calories. How: Switch to 1% or nonfat milk, and nonfat versions of other dairy products like yogurt and ice cream. Can't bear to go cold turkey? Step down more slowly to 2% milk, then 1% en route to nonfat, if possible.

2.

Harness the power of nuts (and seeds). Almonds, cashews, filberts, hazelnuts, peanuts, pecans, and pistachios pack plenty of beneficial nutrients, including vitamin E, folic acid, potassium, and fiber. Although many nuts are high in fat, the fat is mainly unsaturated — a healthy choice. How: First, put nuts on the grocery list. Nuts are high in calories, so it's best to enjoy them in place of other snacks, not in addition to them, and to keep serving sizes small.

3.

Taste food before you salt it. Break your habit of reaching for the salt shaker. How: For two days, don't put any salt on your food at all. A short break can help reset your taste buds. Then, leave the salt shaker in the cabinet, so it becomes a bit of an effort to reach for it. Make a ritual out of truly tasting your food before you decide if it needs tweaking.

4.

Pack lunch once a week. This makes healthy food choices readily available to you at work or on an outing. And since you are controlling portion sizes, you can make sure that you're not supersizing your meal. Plus, it saves you money. How: Once a week, before you shop for groceries, write out a meal plan that leaves enough leftovers for one or two lunches.

5. Eat five (or more) vegetables and fruits a day. It's a nutrient-packed way to fill your plate, and is generally low in calories. How: First, for one week, keep track of how often you eat fruits and vegetables. One serving equals one-half cup of chopped fruit or most vegetables; for raw leafy vegetables like lettuce and spinach, a serving is one cup. Once you have your baseline, try adding one fruit or vegetable serving a day. 6.

Plan meals that are delightful, delicious, and healthy. In an ideal world, food delights all our senses: it looks beautiful, smells heavenly, and tastes delicious, and its textures feel and even sound satisfying. Start thinking about food as something to really savor and enjoy. How: Pencil in time to prepare and savor one or two special meals a week. Once you've assembled great ingredients, set a gorgeous table. Take a moment to truly take in scents, companions, and surroundings, and, give thanks.

Harvard Medical School offers (for purchase) special reports on over 50 health topics, including “Simple Changes, Big Rewards� for 42 simple changes to help you exercise more, eat healthier, stress less, and live a happier, more fulfilling life. Visit their website at http://www.health.harvard.edu or call the toll-free number: 1-877-649-9457, to order reports of interest to you and your family. April 2015

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29


tart cherry & mango smoothie This delicious and soothing smoothie can help you get to sleep Prep Time: 5 minutes Serves: 2

ingredients 1 1/2 1 1/2 3/4 1

cups tart cherry juice cups frozen mango chunks cup plain non-fat Greek yogurt teaspoon agave nectar or honey

preparation Place tart cherry juice, frozen mango chunks, Greek yogurt and agave nectar in heavy-duty blender. Puree until smooth. Pour into 2 glasses and serve.

Natural recipe and tips to help you sleep better

Sources: Family Features. Recipe courtesy of Dara Michalski, CookinCanuck.com

(Family Features) An estimated 50-70 million adults in

the U.S. suffer from sleep disturbances, leaving many searching for natural, cost-effective solutions to improve sleep quality. “Getting proper sleep has never been more important – inadequate sleep is considered a risk factor for obesity, heart disease and other chronic diseases,” said Dr. Carol Ash, Director of Sleep Medicine for Meridian Health in New Jersey. Americans’ ongoing sleep problems have caused an uptick in the use of sleep aids, although Ash recommends starting with your fridge rather than the medicine cabinet.

30

Go red before bed: Change your bedtime ritual by adding tart cherries to your routine. Get started by drinking a glass of tart cherry juice in the evening before you go to bed for seven consecutive days. Be anti-social: The screens from gadgets can emit blue light that suppresses the sleep hormone melatonin causing alertness, so forget about social media before bed. Keep the room quiet, dark and cool, creating a calm sanctuary. Hit the gym: Decompress from stress with exercise. Exercise anytime is good for improving sleep patterns. Set your internal alarm: Keep the same bedtime and wake-up time every day, which helps to set your biological clock that controls rhythms for wake and sleep.

“Take a look at your diet,” said Ash. “Cut down on caffeine and alcohol, particularly in the evening, and instead of reaching for an extra cup of coffee in the morning, try drinking a glass of tart cherry juice at night. Research shows tart cherry juice can help reduce the severity of insomnia and improve sleep efficiency.”

Available year-round in dried, juice and frozen forms, tart cherries are an easy and flavorful addition to your daily diet. Try this delicious Tart Cherry and Mango Smoothie.

Ash recommends creating a bedtime routine with these simple suggestions for a better night’s rest:

For more recipes and information on tart cherries, visit www.ChooseCherries.com.

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April 2015


Family

Fun Page

Word Search solution on page 22 April 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 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

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

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