Options and References for a Healthier Life
Care T OC
14 20 R E OB
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New Breast
Cancer Treatment Options Too young for HOT FLASHES? The danger of Opioid Prescriptions Childrens’ Health Affected by Wireless Devices
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October 2014
CONTENTS
In Every Issue 14
Professional Forum
16
Regional Health Facilities
18
NationPULSE
20
RegionPULSE
22
Community Calendar and Healthy Events
Features
24
Regional Support Groups
4
25
Regional Blood Drives
New Breast Cancer Treatment Options — Anita Johnson, MD
6 7
26 care TALK©
Regional Breast Cancer Services & Centers
Capsules of Healthy Information
30
Healthy Recipes— - Chicken chili - Citrus salad
31
FUN Page
New Breast Cancer Imaging Techniques — National Institute of Health
8
Breast Thermography – The Mammogram Alternative? — Moshe Deckel, MD
12
The Danger of Opioid Prescriptions — The Reed Group
19
Too Young for Hot Flashes? — National Institute of Health
28
Postpartum Depression — Judith Treadway, MD
29 2
Chicken Chili
Children’s Health and Wireless Devices www.caremagazine.com
OCTOBER 2014
Wonder, not worry. Jo Anne Tudor remembers when waiting for mammogram results meant days of anxiety. But she also remembers when the Women’s Imaging Center changed all that. Now, Jo Anne receives the most advanced diagnostics and sameday test results from a program designed specifically to offer comfort, convenience and peace of mind. And she’s the first to tell you: living well means living worry free.
regional breast cancer support groups HIlton Head / Bluffton Hope and Healing Breast Cancer Support Group 1st Tuesday of the month, noon, Bluffton Medical Campus, 75 Baylor Dr. Call the Hilton Head Hospital Breast Health Center at 843-836-1600 Breast Cancer Support Group 1st Thurday of the month at 10:00 am, Bluffton Medical Campus, 75 Baylor Dr. Call Vicki Mack, 843-705-5607 Port Royal / Beaufort WISH: Women In Search of Help 3rd Monday at 5:30 pm, Keyserling Cancer Center’s John and Nancy Echlin Library, 1680 Ribaut Road, Port Royal. For women who have been newly diagnosed with breast cancer. Call Gabriela Failing at 843-522-5897 The Paula Williams Memorial Breast Cancer Support Group 4th Tuesday each month, noon, Beaufort Medical Plaza Classroom 350-C. Cancer-related education/support for women. Lunch is provided, reservations required. Call Dixie Slichter 843-522-5570 Savannah FORCE Support Group "Facing Our Risk of Cancer Empowered" at Memorial University Health Advocacy for people who carry mutations of the BRCA1 and BRCA2 genes. For more information, visit facingourrisk.org To learn about the breast cancer support groups at St. Joseph's/Candler, please contact: CareCall, Toll free at 1-800-622-6877 (Georgia and South Carolina) Charleston Breast Cancer Support Groups MUSC-Medical University of South Carolina Hollings Cancer Center http://www.muschealth.com/cancer/ patient_resources/supportgroups.htm E-Mail: belle@musc.edu 843-792-7530, or 843-792-3346 American Cancer Society: Reach To Recovery Program for Breast Cancer http://www.cancer.org/treatment/support programsservices/reach-to-recovery 843-744-1922
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In the U.S., trends in breast cancer are encouraging. Data from the National Cancer Institute (NCI) show consistent declines in both new cases and deaths from breast cancer since 1990. Further, the U.S. Centers for Disease Control and Prevention (CDC) reports that from 2001 to 2010 the incidence of breast cancer among U.S. women did not increase, while mortality decreased 2 percent annually. What’s most notable about these data is that breast cancer mortality is decreasing faster than incidence—meaning that women with breast cancer are living longer. That trend also is borne out by NCI data: although only 75 percent of women with breast cancer survived more than five years in 1975, in 2011 more than 90 percent did. There may be several reasons behind the decline in breast cancer deaths. However, new technologies and improvements in existing treatments are very likely contributing to higher survival rates and improved quality of life for women with breast cancer.
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OCTOBER 2014
—continued from page 4
For example, a new technology called the MarginProbe System helps surgeons determine if cancer cells are present in the margins of tissue that has been removed. The technology helps reduce the rate of second surgeries following lumpectomy. In addition to continued refinements in breast-conserving and reconstructive oncoplastic surgery techniques, there is an array of advanced treatment technologies available today. Genomic testing is an innovative new diagnostic tool that allows tumors to be examined on a genetic level. By identifying mutations that occur in a cancer cell's genome, doctors can better understand what caused the tumor and tailor treatment based on these findings. Genomic testing might suggest a drug normally used for another type of cancer could be an appropriate treatment for breast cancer based on the genetic properties of the tumor. Another example is intraoperative radiation therapy (IORT), one of many new technologies that deliver radiation more precisely, helping minimize damage to healthy tissue and treatment times. With IORT, radiation is delivered directly to the tumor site after a surgeon has removed the tumor. A 30-minute dose of IORT can often replace weeks of traditional radiation.
New breast cancer treatment options boost survival, offer new hope
By Anita Johnson, MD, FACS, medical director of breast surgical oncology at Cancer Treatment Centers of America at Southeastern Regional Medical Center in Newnan, GA
As a surgical oncologist focused on treating breast cancer, I see daily how devastating a breast cancer diagnosis can be. But I also see daily how new and often cutting-edge treatments give women the hope and courage they need to help manage or overcome the physical, mental and emotional challenges of breast cancer, and in many cases, beat the disease altogether. One in eight women will develop breast cancer in her lifetime. While the leading risk factors are well known—older age, family history, mutations in certain genes—the most important risk factor for breast cancer is simply being a woman.
particles, called microspheres, which block blood flow to the tumor. With so many options available to treat breast cancer today, treatments can almost be tailored to the individual based on factors such as her genetic profile, location of the tumor, the type of tumor and whether the cancer has spread, among others. However, which treatment a woman ultimately chooses is a very personal decision best made in collaboration with her family, personal physician and oncologist.
The specter of breast In addition to radiation, cancer can be there have been frightening, but it is The fact that any woman can develop breast cancer is one numerous advances in important to remember reason annual mammograms and clinical breast exams are so chemotherapy that most women will important; regular screening helps detect cancer early. As with treatments for breast not develop the disease. every type of cancer, when breast cancer is discovered early Women who are at an cancer. Targeted there are more treatment options available, survival rates are increased risk should therapy blocks specific longer and the cure rate is higher. molecules involved in talk to their doctors tumor growth by about how often they directing drugs or other should receive specially-created compounds (e.g., man-made immune mammograms and what other screenings, such as system proteins) to attack cancer cells. A targeted genetic testing, might be beneficial. Although breast therapy called chemoembolization delivers medication cancer continues to claim too many lives—more than through a catheter directly into a tumor using image 40,000 this year – advanced treatment options are having guidance. The chemotherapy drugs are mixed with a significant impact on survivability and quality of life. OCTOBER 2014
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Regional Breast Cancer Services and Centers BJCHS – Beaufort Jasper Hampton Comprehensive Health Services, Inc. Telephone: 843-812 4374, Sory Reyes, Breast Health Outreach Coordinator. Breast care facilities at: Chelsea Medical Center: 721 Okatie Hwy. 170, Chelsea, SC Telephone: 843-987-7400; Port Royal Medical Center: 1320 S. Ribaut Rd., Port Royal, SC Telephone: 843-322-1838. BJCHS Breast Care Services has provided free clinical breast exams and mammograms through the Susan G. Komen Foundation for the past 11 years. Each year over 300 women and men in the Lowcountry who do not have insurance or are underinsured will receive assistance. BJHCHS is also a Best Chance Network Provider which provides breast and cervical services for patients over 60 at no cost to those who qualify.
- Stereotactic breast biopsy and MRIguided breast biopsy at the Beaufort Women’s Imaging Center. - Comprehensive treatment resources for breast disease and all stages of breast cancer, including chemotherapy and radiation therapy, at the Beaufort Memorial Keyserling Cancer Center. Access to national clinical trials and other treatment options through their Duke Medicineaffiliated cancer program. - A multidisciplinary tumor board that meets monthly to discuss cases and best- practices and to make informed decisions for your optimal care. - A variety of support groups.
Beaufort Memorial Hospital Breast Care Center Beaufort: Beaufort Medical Plaza 989 Ribaut Road, Beaufort, SC Bluffton: 7 & 11 Arley Way, Westbury Park, Bluffton, SC Telephone: Amy Luce, R.N. Breast Care Coordinator 843-522-PINK (843-522-7465) - Quality breast care for women, providing comprehensive resources for all of your breast care needs: - State-of-the-art digital mammography with cushioned MammoPads.
Hilton Head Hospital Breast Health Center Bluffton Medical Campus & Breast Health Center North, Beaufort, SC Telephone: 843-689-8121 Hilton Head Hospital’s Breast Health Center is fully accredited by the National Accreditation Program for Breast Centers.
MUSC Hollings Cancer Center’s Comprehensive Breast Care Program Charleston, SC Satellite clinic locations on Hilton Head Island and in Beaufort. Telephone: 843-792-1414 (new patients) or 843-792-9300 (existing patients) MUSC Hollings Cancer Center is the only South Carolina breast center accredited by the National Accreditation Program for Breast Cancers (NAPBC) and also affiliated with a National Cancer Institute (NCI) cancer center. Memorial Health Center for Breast Care Savannah, GA Telephone: 912-350-2700 Memorial University Medical Center offers INTRABEAM® intraoperative radiation therapy (IORT) for targeted breast cancer treatment. St. Joseph’s/Candler Health Telfair Breast Care Savannah, GA Telephone: 912-819-6800; https://iconnect.sjchs.org/
Beaufort Memorial to host free breast health seminar October 8 Each year in the United States, over 250,000 women are diagnosed with breast cancer, but thanks to recent advancements in detection and treatment, survival rates have reached an all-time high. Learn more about ways to take charge of your breast health from a team of Beaufort Memorial physicians and breast health experts. The free seminar, "Docs & Dolls: New Advancement in Breast Health" is part of the hospital's Wellness Wednesday series, and will be held in Magnolia Hall in Sun City at 5 PM on October 8. The hospital will host a reception prior to the seminar at 4:30 PM. Topics will include: • Advancements in identifying and treating high risk patients
• New information about prevention and treatment • Current technology in breast imaging/ mammography
• Role of the nurse navigator in guiding patients through diagnosis and treatment
The seminar is free and open to the public (both Sun City residents and non-residents) but registration is required. For more information or to register, call (843) 522-5585 or toll-free (888) 522-5585. 6
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OCTOBER 2014
Newer Imaging Tests for Detecting Breast Cancer Newer imaging methods are now being studied or used for evaluating abnormalities that may be breast cancers.
Scintimammography (molecular breast imaging) In scintimammography, a slightly radioactive tracer called technetium sestamibi is injected into a vein. The tracer attaches to breast cancer cells and is detected by a special camera. This technique is still being studied to see if it will be useful in finding breast cancers. Some radiologists believe it may be helpful in looking at suspicious areas found by regular mammograms, but its exact role remains unclear. Current research is aimed at improving the technology and evaluating its use in specific situations such as in the dense breasts of younger women. Some early studies have suggested that it may be almost as accurate as more expensive magnetic resonance imaging (MRI) scans. This test, however, will not replace your usual screening mammogram.
Tomosynthesis (3-D mammography) This technology is basically an extension of a digital mammogram. 3-D mammography is another way to refer to digital mammography with tomosynthesis, in which a machine takes many low-dose x-rays as it moves over the breast. The images taken can be combined into a 3-dimensional picture, which may allow doctors to see inside the breast more clearly than with a standard 2-view mammogram, and possibly find more cancers. These 3-D mammograms expose the breasts to more radiation than standard mammograms, but remain within FDAapproved safe levels for radiation from mammograms. Researchers note that more studies comparing breast tomosynthesis to standard 2 view mammograms are needed to know what role this technology will have in screening and diagnosis of breast cancer. Source: www.cancer.org
Glossary of terms: A mammogram (X-ray of the breast) is the most valuable tool available at this point to assist in early detection of breast cancer. Mammography can allow doctors to find a cancer before it is felt and is more easily treatable. We know mammograms save lives. A screening exam is a yearly test performed to screen for breast cancer for women age 40 and over. A diagnostic exam is performed when there is a problem with the breasts or to follow up on a previous abnormal mammogram. An aspiration is a simple, often therapeutic procedure performed to remove fluid from a cyst. Core Needle Biopsy is a diagnostic procedure performed to determine if a mass is benign or malignant.
OCTOBER 2014
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Breast Thermography The Mammography Alternative? By Moshe Dekel, MD
If you ask ten women, or men, if they are familiar with Breast Thermography, nine would say no. This is a surprising fact, since medical thermography has been in use since the early 1970’s, and the modality was approved by the FDA in 1982 for breast cancer detection and risk assessment as an adjunct to mammography. The reason why so few people know about Breast Thermography is because the medical establishment, the American Cancer Society and most women’s organizations are still very comfortable recommending mammography. The difference between the two modalities is profound. Mammography, like MRI and sonography, is an anatomical study; it looks at anatomical changes of the breast. It may take up to ten years for the tumor to grow to a sufficient size to be detectable by either a mammogram or a physical examination. By that time, the tumor has achieved more than 25 doublings of the malignant cell colony and may have already metastasized. Thermography is a physiological study performed with an infrared camera. The camera detects heat, which may be emitted by the breast. There is no physical contact with the breast (no compression) and no radiation. Thermography can detect increased risk of breast cancer much earlier, because it can image the early stages of increased blood supply to cancer cells. This is a necessary step before the cells can grow into a detectable size tumor. Another reason for increased temperature in the breast is rapid cell division, which is a part of cancer growth. Physiological changes detected by a thermography can precede anatomical mammographic detection by seven to ten years, therefore allowing us to react early in a preventative mode that may stop the development of overt cancer. The study is interpreted with the help of computer analysis of the 75,000 temperature pixels displayed in each of the 12 digital images that are taken in every study. The study can be interpreted to show normal, low, moderate or higher risk. 8
A holistic protocol is then implemented in order to prevent the formation of overt cancer. One of the major limitations of mammography is its inability to diagnose cancer in the case of dense breast tissue. I am sure that some readers will identify with the inconclusive reading of their mammography and their “invitation” to take another one in six months. The patient may or may not know that the density of the breast will not change in that period of time. For more than three decades, the medical establishment, the National Cancer Institute, the American Cancer Society, and the media have promoted mammography as the main screening procedure for breast cancer. The current recommendation is to have a base line mammogram at the age of forty and for women with family history of breast cancer to start as early as age thirty. In September 2000, a large, long-term Canadian study found that an annual mammogram was no more effective in preventing deaths from breast cancer than periodic physical examinations for women in their 50’s. Half of the almost 40,000 women ages 50 to 59 received periodic breast examinations alone and half received breast examinations plus mammograms. All learned to examine their own breasts as well. By 1993, 13 years after the study began; there were 610 cases of invasive breast cancer and 105 deaths in the women who received only breast examinations, compared with 622 invasive breast cancers and 107 deaths in those who received breast examinations and mammograms. Alternative Medicine has maintained for years that mammograms do far more harm than good. Their ionizing radiation mutates cells, and the mechanical pressure on the breast can spread cells that are already malignant (as can biopsies). In 1995, the British medical
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OCTOBER 2014
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journal, The Lancet, reported that since mammographic screening was introduced in the 1970’s, the incidence of ductal carcinoma in situ (DCIS), which represents 12% of all breast cancer cases, had increased by 328% and that 200% of this increase was due to the use of mammography. Since the inception of widespread mammographic screening, the increase for DCIS in women under the age of 40 has risen over 3000%. Eighty percent of the 1.4 million breast biopsies performed each year in the US, because of a suspicious mammography, are negative. Why, then, does mainstream medicine keep recommending mammograms? A $300 mammogram for all 62 million U.S. women over 40, and a $1,000+ biopsy for 1- to 2-million women, is an $8 billion per year industry. Thermography can be used as an adjunctive (additional) exam to provide a more comprehensive picture of your on-going breast health. Monthly self-exam, annual physician check-up, yearly Thermography and Ultra-Sound increase the effectiveness of early prevention/detection to greater than 95%. Breast Thermography is not promoted here as a replacement for mammography, but rather to inform women about their options regarding the prevention of breast cancer.
In private practice for 34 years, Dr. Moshe Dekel is a Board Certified MD, in OB/GYN and Breast Thermography. He was an assistant clinical professor at Stony Brook Medical Center and served as the Chief of GYN surgery at the Long Island Surgi-Center. Dr. Dekel transitioned to holistic/integrative medicine in 2000 and focuses on prevention, bio-identical hormone replacement for men and women, Quantum Biofeedback, and Breast Thermography. Web site: www.drdekel.com Tel: 516-208-6617 email: doc@drdekel.com OCTOBER 2014
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2-D Mammography
Thermography
Ultrasound
Uses X-rays to produce an image that is a shadow of dense structures.
Medical Infrared Imaging uses infrared sensors to detect heat and increased vascularity (angiogenesis) as the byproduct of biochemical reactions. The heat is compiled into an image for computerized analysis.
High frequency sound waves are bounced off the breast tissue and collected as an echo to produce an image.
Structural imaging. Ability to locate the area of suspicious tissue
Functional imaging. Detects physiologic changes. Cannot locate the exact area of suspicion inside the breast.
Structural imaging. Ability to locate the area of suspicious tissue.
Early detection method.
Early detection method. Used as an adjunctive imaging test.
Lower spatial resolution (cannot see fine detail). Good at distinguishing solid masses from fluid filled cysts. Used as an adjunctive imaging test.
Findings increase suspicion. Cannot diagnose cancer.
Findings increase suspicion. Cannot diagnose cancer.
Findings increase suspicion. Cannot diagnose cancer.
Can detect tumors in the preinvasive stage.
May provide the first signal that a problem is developing.
Ability to detect some cancers not detected by mammography.
Cannot detect exponentially fastgrowing tumors in the pre-invasive stage.
A positive infrared image represents the highest known risk factor for the existence of or future development of breast cancer—10 times more significant than any family history of the disease.
Typically, used only to investigate an area already detected by mammography, thermography or physical examination.
Average 80% Sensitivity (20% of cancers not detected), in women over age 50. Sensitivity decreases in women under age 50.
Average 90% Sensitivity (10% of cancers not detected) in all age groups.
Average 83% Sensitivity (17% of cancers not detected) in all age groups.
Hormone use decreases sensitivity.
No known effect.
No known effect.
Large, dense, and fibrocystic breasts cause reading difficulties.
No effect.
No known effect.
© 2014. This infographic redesigned and researched by The Catalyst Media Group, Inc. for Care magazine ®
A biopsy is the only test that can determine if a suspected tissue area is cancerous.
Sources: Index Medicus – ACS, NEJM, JNCI, J Breast, J Radiology, J Clin Ultrasound; Index Medicus – Cancer, AJOG, Thermology; Text – Atlas of Mammography: New Early Signs in Breast Cancer; Text – Biomedical Thermology
Majd Chahin, MD Katy Jones, FNP
Sea Island Medical Oncology Located in Keyserling Cancer Center
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5 Tips On Talking To Doctors About Opioid Prescriptions By Dr. Kurt Hegmann, Medical Advisor, Reed Group DisabilityGuidelines Professor and Center Director, Rocky Mountain Center for Occupational and Environmental Health
Are you a working-age person who’s been prescribed opioids? Opioids (for example, hydrocodone or oxycodone) are potent medicine prescribed for short-term treatment of pain. For certain conditions, opioids can help markedly reduce acute pain. However, opioid use comes with real risks. The Centers for Disease Control reports that, in the US alone, opioids cause over 16,000 deaths annually. Anyone taking opioids needs to be
12
aware of the risks; if you’re working, or planning to go back to your job, and you’re taking opioids, you also need to know how opioid use can affect your work. Recently, Reed Group published new opioid treatment guidelines in their DisabilityGuidelines™ based on research from the American College of Occupational and Environmental Medicine (ACOEM) that raises new questions about safe opioid use. —continued on next page
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If you need to talk to a doctor about opioids, here are a few questions you should ask: 1. Are opioids the clear choice to treat my pain, or are there alternatives that may be as effective? Opioids are powerful, but they’re not always more effective at reducing pain than other, less risky alternatives. For example, non-steroidal antiinflammatories (NSAIDS) like ibuprofen and naproxen can help patients manage chronic pain without impairing ability to drive a car or work. In fact, recent reviews of opioids trials found no evidence showing long-term efficacy of opioids—the longest placebo controlled trial lasted only 4 months. 2. What is the morphine equivalent to the dose that you have prescribed to treat my pain? To avoid overdoses and other potential problems, it’s best to take the lowest dose of opioids that can sufficiently control your pain. ACOEM examined opioids research and their resulting guidance challenges longheld assumptions regarding the appropriate morphine equivalence: 50mg is effective for many patients, and is safer than the 100-120mg that many physicians routinely prescribe. Your doctor can help with evaluating dosages.
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3. Here’s what I do in the course of my job. Is it safe for me to work while I am taking opioids? People in safety-sensitive jobs should not perform their jobs while under the influence of opioids. Twelve studies of motor vehicle crashes found an elevated risk of crashes among drivers taking opioids. 4. What are some symptoms of opioid dependence? Opioids are potentially addictive. Ask your doctor to help you identify signs of dependence. Some symptoms of dependence (for example, evidence of tolerance, where increased doses of the drug are required in order to achieve effects originally produced by lower dose) could be monitored by you; others, like behavioral changes, may require observation by your doctor or family. 5. Can you outline realistic goals for improved function if I take opioids for my condition? If you’re looking for pain relief so that you can return to work or resume daily activities, you should have a clear sense of what kind of function you should expect to regain through opioid use. You can also ask your doctor to tell you how long it typically takes people with your condition, doing the same kind of work, to make a full recovery, so that you can have a general idea of when you could realistically hope to regain full functionality. OCTOBER 2014
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Professional Forum
news from + about our regional healthcare professionals
Hilton Head Hospital Welcomes Rochelle Ringer, MD, Specializing in Breast Health and Surgical Oncology Hilton Head Hospital welcomes Rochelle (Shelly) Ringer, MD to its nationally accredited Breast Health Center. Dr. Ringer is a fellowship trained breast surgeon dedicated to caring for patients with breast disease. She earned her medical degree from the Indiana University School of Medicine and completed a residency in general surgery at Good Samaritan Hospital in Cincinnati, Ohio. She went on to complete a breast surgical oncology fellowship at the University of Pittsburgh Medical Center. Dr. Ringer is also an Associate Clinical Professor of Surgical Oncology at the Medical University of South Carolina and a member of the MUSC Hollings Cancer Center Comprehensive Breast Care Team. She is a member of the American Society of Breast Surgeons and is board certified by the American Board of General Surgery.
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CAPA (Child Abuse Prevention Association) Announces Christina Wilson named as new Executive Director Beaufortonian Christina Wilson has been named executive director for the Child Abuse Prevention Association according to CAPA board chairman Dawn Freeman. The 34 year old organization is a local United Way agency whose mission is to break the destructive cycle of child abuse and neglect. "Christina brings compelling knowledge about the child welfare system as well as the personal experience of having worked within the legal system to advocate for one child at a time," said Stacey Canaday, search committee chair. Wilson, a graduate of Clemson University with a bachelor's degree in finance, is a current master's degree candidate at South University in public policy. She has worked primarily in real estate law for the past 14 years. She and her husband Jason are foster and adoptive parents. "The only way to insulate a child from the disastrous effects of abuse and neglect is to prevent it from happening in the first place," said Wilson. "I am humbled and honored to be able to serve CAPA, its partners and its volunteers in continuing the association's mission of breaking the cycle of abuse in our community." Wilson will follow Susan Cato's 29 year legacy of leadership and compassion. Cato will stay on board through the transition. "Christina knows who we are and why we do what we do," said Cato. "Her boundless energy, knowledge, team spirit and passion for advocacy are valuable assets to take CAPA to the next level." For more information about CAPA, visit their webpage at capabeaufort.org or call 843-524-4350.
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Professional Forum
continued from previous page
Cardiologist Dr. David Harshman Joins Beaufort Memorial Physician Partners
nd dodontics a l s I EnPeter Murphy, DDS, MS S ea State of the Art Facility Specializing in Root Canals
Dr. David Harshman, part of the team that helped Beaufort Memorial Hospital win state approval to perform lifesaving emergency cardiac interventions, has joined Beaufort Memorial Physician Partners. An interventional cardiologist, board certified in cardiology, internal medicine and interventional cardiology, Harshman has been a member of BMH’s medical staff and has been performing diagnostic catheterizations in the hospital’s Cochrane Heart Center since 2010.
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He served as co-chair of Beaufort Memorial’s STEMI committee, charged with helping the hospital attain a Certificate of Need from the state to treat patients suffering an ST elevation myocardial infarction or STEMI—the most dangerous type of heart attack. He is one of three cardiologists now performing emergency interventions at the hospital.
FREE, CONFIDENTIAL MEMORY SCREENINGS are available by appointment
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Harshman received his B.S. in biology from Northern Illinois University and his medical degree from the University of Illinois College of Medicine. He completed his internship, residency and fellowship at Saint Louis University Hospitals in Missouri.
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Prior to joining Beaufort Memorial Physician Partners, Harshman was employed by Roper St. Francis Health Care System. A native of Illinois, he was in private practice in Missouri and Illinois for over 30 years before moving to the Lowcountry.
Swierk Associates, Inc.
Harshman’s practice, renamed Beaufort Memorial Cardiology, will remain at its current location in suite 300 of Beaufort Medical Plaza, 989 Ribaut Rd. For more information, call 843-522-7110.
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OCTOBER 2014
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Regional Hospitals, Centers and Clinics
16
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
OCTOBER 2014
Jamison Consultants Behavioral Health Center:
New Help, and Hope, for People with Mental Health Issues
Behavioral Health Center
By Stephanie Jamison-Void
Jamison Consultants, a South Carolina licensed provider for Rehabilitative Behavioral Health Services (RBHS) therapy with facilities in Bluffton, Holly Hill and Hilton Head Island, offers a wide range of behavioral health services for children, adolescents, adults and families throughout the region. All three facilities accept a wide variety of insurances, including Medicaid, making it an important option for all those who need behavioral health services to have access to the help they need. Since its launch, Jamison Consultants Behavioral Health Center has helped more than 100 individuals enhance their lives through the Center’s rehabilitative behavioral health services and programs. The Center specializes in a number of conditions affecting families today, including ADHD, oppositional defiant disorder (ODD), bipolar disorder, depression, eating disorders and grief/loss, as well as help with self-esteem issues and stress management. Children and adolescents with a diagnosable mental health condition who have problems functioning successfully in school or at home may be eligible for these services, and Jamison accepts a wide range of insurance, including Medicaid, for these services. ADHD continues to be one of the biggest behavioral health issues for today’s families, and is something that Jamison Consultants Behavioral Health Center specializes in treating and managing. ADHD is one of the most common childhood disorders and which often lasts into adolescence and adulthood. It is a condition of the brain that makes it difficult for children to control their behavior, and is marked by symptoms that include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity (or “over-activity”). Since there is no single test to determine whether your child has ADHD, diagnosing the condition requires a complete evaluation and a careful look at the child’s behavior over an extended period of time, and is something that Jamison Consultants can both effectively identify and help manage. With data indicating that ADHD behaviors often begin during the preschool years, many experts believe that children can benefit from behavioral treatments before they even enter school—increasing their chance of school success. If you think your child might have a behavioral health issue such as ADHD, oppositional defiant disorder, depression or any other mental health condition, talk to your child’s pediatrician or a child behavioral health specialist about your child’s symptoms. These conditions can be effectively treated and managed using a combination of behavioral strategies and medication—and your doctor and a behavioral health center such as Jamison Consultants Behavioral Health Center can work closely with you to develop a specific treatment plan for your child. For more information about Jamison Consultants Behavioral Health Center, call 843-757-7500. To view a complete list of Jamison Consultants Behavioral Health Center’s programs and services, visit www.jamisonconsultants.com. Stephanie Jamison-Void is the owner of Jamison Consultants Behavioral Health Center, where she oversees all programs at the Holly Hill, Bluffton and Hilton Head Island locations. Stephanie, a native of Vance, SC., has more than 16 years of experience in the area of mental health and human resources management. Stephanie received her Bachelors of Science Degree in Management and Organizational Development at Mount Olive College, and completed her Masters in Human Resources Development from Webster University. She is currently a PhD candidate in Organizational Psychology at Walden University. OCTOBER 2014
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Mental Health Services Include The Treatment of: • ADHD • "«« Ã Ì > `iw> Vi disorder (ODD) • Bipolar disorder • Depression • Eating disorders • Grief and loss • Self-esteem issues • Stress management • *À>VÌ V> ÌiÀÛi Ì «À }À> Ã] V Õ` } ÃV ÌiÀÛi Ì Ã] «Ài ÌÀ > ÌiÀÛi Ì Ã® NOW ACCEPTING REFERRALS! We accept a wide variety of insurances, including Medicaid
Call Us Today!
BLUFFTON 843-757-7500 HILTON HEAD 843-681-4004 www.jamisonconsultants.com 17
NationPulse
national news + concerns affecting your health + family
New CDC Diabetes Report
Continued Increase in Rates of Diabetes and Prediabetes
Diagnosed and undiagnosed diabetes in the United States: Total: 29.1 million people or 9.3% of the population have diabetes. Diagnosed: 21.0 million people. Undiagnosed: 8.1 million people (27.8% of people with diabetes are undiagnosed).
The number of cases of diabetes and prediabetes among Americans of all ages and ethnicities continues to increase, according to the National Diabetes Statistics Report, 2014 (based on health data from 2012), recently released by the Centers for Disease Control and Prevention. People with diabetes are at increased risk of serious health complications including blindness, heart disease, stroke, kidney failure, amputation of toes, feet or legs, and premature death. Diabetes: Twenty-nine million people in the U.S. have diabetes aged 20 years or older (12.3% of the adult population), and 1 in 4 do not know it. This number has increased from 26 million in 2010. In 2012 alone, 1.7 million people aged 20 years or older were newly diagnosed with diabetes and 208,000 people younger than 20 years have diabetes (type 1 or type 2).
! 18
Prediabetes: Eighty-six million people—more than 1 out of 3 people—aged 20 years and older have prediabetes. The percentage of U.S. adults with prediabetes is similar for non-Hispanic whites (35%), non-Hispanic blacks (39%), and Hispanics (38%). Without weight loss and moderate physical activity, 15-30% of people with prediabetes will develop type 2 diabetes within 5 years. Cost: Diabetes and its related complications account for $245 billion in total medical costs and lost work and wages. This figure is up from $174 billion in 2010. People with diabetes are at increased risk of serious health complications including blindness, heart disease, stroke, kidney failure, amputation of toes, feet or legs, and premature death. Prevention efforts nationwide are crucial to combat serious health risks. Individuals can learn more about diabetes and prediabetes by talking to a healthcare provider about the risk to them and their families. Learn more about diabetes and CDC’s evidence-based and cost-effective interventions through the National Diabetes Prevention Program. Visit this web site: www.cdc.gov/diabetes/prevention/
Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height. Obesity occurs over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might affect your weight include your genetic makeup, overeating, eating high-fat foods, and not being physically active. Obesity increases your risk of diabetes, heart disease, stroke, arthritis, and some cancers. If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases.
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OCTOBER 2014
WISE
information = a healthier YOU!
Too Young for Hot Flashes? When menopause-like symptoms come too soon
See a health care provider if you’re a woman under age 40 and you experience these symptoms: • • • • • •
Absent or irregular periods Hot flashes or night sweats Irritability or poor concentration Decreased sex drive Painful sex, drying of the vagina Infertility
Hot flashes, night sweats, loss of regular menstrual periods and sleep problems. These familiar symptoms of menopause appear in most women around age 50. But if they arise before age 40—which happens for about 1 in 100 women—it’s a sign that something’s wrong. Early symptoms like these could be a sign of a little-understood condition called primary ovarian insufficiency (POI). Most women with POI are infertile. They’re also at risk for bone fractures and heart disease. And many aren’t aware they have POI. “Symptoms of POI can be missed because young women may not realize they’re having symptoms similar to menopause. They may not think hot flashes are worth mentioning to a doctor,” says Dr. Lawrence M. Nelson, a researcher and physician at NIH. “Some teens and young women think of the menstrual cycle as a nuisance, and they don’t mind missing periods. They don’t take it seriously, and that’s a mistake.” Missing or irregular periods are a major sign of POI. When young women have POI, their ovaries don’t work normally. They stop regularly releasing eggs and cut back production of estrogen and other reproductive hormones. These same things happen when older women go through menopause, which is why the symptoms are similar. As with menopause, POI symptoms can often be relieved by hormone replacement therapy, usually an estrogen patch. And as with menopause, POI puts women at risk for bone loss. But with a proper diagnosis of POI and early treatment, bone health can be protected. OCTOBER 2014
POI was previously known as “premature menopause” or “premature ovarian failure.” But research has since shown that ovarian function is unpredictable in these women, sometimes turning on and off, which is why many physicians now prefer the term primary ovarian insufficiency. Many aspects of POI remain mysterious—including its cause. Only 10% of cases can be traced to either to a genetic condition or to autoimmunity—a disorder in which the immune system attacks the body’s own tissues. Nelson’s research has shown that the unexpected loss of fertility often leads to grief and symptoms of anxiety and depression in women with POI. But a recent study from his lab suggests that most young women and teens with POI still have immature eggs in their ovaries. The finding raises the possibility that future treatments might be developed to restore fertility to some affected women. Even without treatment, up to 1 in 10 women with POI may unexpectedly become pregnant after their condition is diagnosed. Irregular or stopped periods might be a sign of other conditions, including eating disorders or too much exercise. A simple blood test for elevated levels of a molecule called follicle stimulating hormone (FSH) can help to confirm a diagnosis of POI. “Having regular menstrual periods is a sign that the ovaries are working properly,” says Nelson. “If that isn’t happening, it’s important for girls and young women to talk to their health care provider and find out why.”
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Source: NIH.gov
19
RegionPulse
news, healthy happenings + ‘save the date’ events
Registration now open for Memory Matters 15th Annual Charity Golf Tournament Monday, November 3 at Moss Creek Golf Club Call 843-842-6688 for more details Beaufort Memorial to host joint pain seminar November 5 Free lecture by two of the area’s top orthopedic surgeons Beaufort Memorial Hospital will present "Solving Hip and Knee Pain," a free lecture by two of the area's top orthopedic surgeons, Drs. Edward Blocker and Kevin Jones, as part of the hospital's Wellness Wednesday series on November 5 at 5 PM in Magnolia Hall. There will be a reception prior to the seminar at 4:30 PM. The two orthopedic surgeons will discuss common causes of joint pain, how early diagnosis can solve pain issues, effective non-surgical treatments for joint pain, and the latest innovative, minimally invasive surgical procedures. In addition, they will provide information about the hospital's state of the art Joint Replacement Center. Drs. Blocker and Jones, both board certified in orthopedic surgery, are with Beaufort Memorial Orthopaedic Specialists. The seminar is free and open to the public (both Sun City residents and non-residents) but registration is required. For more information or to register, call 843-522-5585 or toll-free 888-522-5585.
PaddleFest 2014 Benefiting Friends of Hunting Island The 12th annual PaddleFest paddle sport race will be held at November 1, 2014 at 12:00 p.m., at Hunting Island State Park in Hunting Island, SC. Paddlers of ALL skill levels are encouraged to participate. All net proceeds will benefit Friends of Hunting Island (www.friendsofhuntingisland.org). Registration for PaddleFest is ON-LINE only, and available at: www.paddlefestsc.org. For additional information contact Tim Lovett at: timjlovett@gmail.com or call 843-379-4327 or 843-252-5924.
Homes for the Holidays Beaufort’s 14th annual Homes for the Holidays tour, Distant Island, November 23 and 24. Tickets are $25 and may be purchased at various businesses in downtown Beaufort, through participating designers, and on the campus of St. Peter’s, and on site the days of the tour. Friday, November 21, enjoy the gala “A Night Under the Stars.” on the St. Peter's campus. Gala tickets are $75 per person. For tickets, please call 843-522-6510. All proceeds benefit St. Peter’s Catholic School tuition assistance fund. 20
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OCTOBER 2014
RegionPulse
continued
PUZZLE SOLUTION
Beaufort County Library “For Learning. For Leisure. For Life” October events at County Branches: Call 843-255-6430, or visit beaufortcountylibrary.org
OCTOBER 2014
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Community Calendar & Healthy Events Please e-mail your healthy events a month in advance of publication date to editor@caremagazine.com
The AARP Chapter of the Lowcountry Thursday, Oct. 2, 2014 at 1:00 PM Community Room, Palmetto Electric Coop Bldg (off 278) Contact President Chris Olsen, 843-705-5097. www.aarp.org
Brain Boosters Fall Classes at Memory Matters Tuesdays through November 25 2:30-4:30pm: Sign up today for the next Brain Boosters class. Our brains are amazing at any age; however it does take a bit more effort to keep an aging brain in tiptop shape. To sign up call Karen at Memory Matters, Call 843-842-6688; or email karen@memory-matters.org.
COASTAL DISCOVERY MUSEUM Fall Programs:
Dr. Ringer will also encourage women to adopt preventive habits in detecting breast cancer: clinical breast exam, selfexam and mammography. This seminar is free and open to the public, refreshments will be served. For more information or to register, call 1-877-582-3737. Thursday, October 9 The Pink Tea (Columbia, SC) 2:00pm–3:30pm: This important event will be held at the Palmetto Breast Health Center Auditorium, 1501 Sumter Street, Columbia. The Pink Tea will celebrate survivorship, offer hope to women living with metastatic breast cancer. The Pink Tea is a free, educational event organized by the American Cancer Society Cancer Action Network (ACS CAN). Speakers include Gerald Wilson, M.D., peripheral and vascular surgeon with Midlands Surgical Associates, P.A., and clinical instructor at University of South Carolina Medical School’s Department of Surgery; and Pat Fenters, two-time cancer survivor. To reserve a seat for the Pink Tea event, or become a sponsor, please contact Beth Johnson at beth.johnson@cancer.org or call 843-858-2310.
Visit www.coastaldiscovery.org for event listings 70 Honey Horn Drive on Hilton Head Island Reservations required for most events. Call 843-689-6767 ext 223 or go to web site. Saturday, October 4
NAMI Walks - 2014 5K event Check-in: 8:30am; Start Time: 10:00am: Coligny Beach, Hilton Head Island. Join hundreds of local NAMI Walkers as they raise awareness and funds for their free Beaufort County mental health programs. For more information please contact: Jill Saba, Walk Manager, 843-681-2200, or email walk@namibeaufortcounty.com Saturday, October 4 Making Strides Against Breast Cancer walk JOIN LOCAL FIGHT TO END BREAST CANCER 10:00am: at Ellis Square, Savannah. Residents of the Coastal Empire and South Carolina Lowcountry will unite with the American Cancer Society in their fight against breast cancer. Learn more about Making Strides at www.makingstrideswalk.org/savannahga Thursday, October 9 Breast Cancer Awareness—Know Your Risk 5:30pm–7:00pm: Hilton Head Hospital Breast Health Center presents this seminar at The Lakehouse at Sun City. Early detection is key to prevention and effective treatment. Join Dr. Shelly Ringer, a board certified and fellowship trained breast surgeon in a discussion on the importance of knowing your risk factors for breast cancer. This seminar will provide an opportunity for participants to ask questions and dispel any possible myths regarding breast cancer. 22
Saturday, October 25 2014 TheraFest: Healing Arts Fair noon-5:00pm: at TheraVista Conscious Community Haven, 263 Brickyard Point Rd S, Ladys' Island. A premier mid-Fall health and wellness event, featuring a diverse gathering of local and near-by artists and craftspeople, musicians, healing arts practitioners, bodyworkers, intuitives, wellness coaches, healthy food vendors and live music. For more event information: email neesamoon@gmail.com or call 843-271-1923. To obtain a vendor's application: email theravista@gmail.com or call 843-812-1328. Saturday, October 25th Bluffton Zombie Run 5:00pm: The 5th Annual Subaru of Hilton Head Bluffton Zombie Run departs from The Calhoun Street Promenade in Downtown Bluffton. The ghostly 1 Mile & 5K family twilight fun run and walk through the streets of Historic Bluffton will have a Halloween theme and end with a post race block party. Awards will be presented to top finishers in both races and for best costume for groups, individuals and pets. The event will benefit two local charities. To register on line or for additional information please visit: www.bearfootsports.com
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Saturday, October 25 2014 Walk to End Alzheimer's Old Town Bluffton, Calhoun St. Promenade Registration at 10:15am; Ceremony at 10:45am; Walk at 11:00am. Route Length: 1.5 miles. Contact: Ashton Houghton, 843-614-6606; email ahoughton@alz.org OCTOBER 2014
Regional Support Groups To have your free listing included in this column, email info to editor@caremagazine.com. The information updated at the time of printing. Please check with individual organizations or groups for updated times, dates and locations. AREA CODE is 843, unless otherwise noted. AIDS • HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554 ALZHEIMER’S + DEMENTIA • Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 9:45 –11:15 a.m. for caregivers of someone with Alzheimer’s; Men’s Support Group, 1st + 3rd Mon. each month, 9:45 –11:15a.m. at Memory Matters, 117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org. • Alzheimer’s Association Caregiver Support: 2nd Tues. each month, 2–4 PM at NHC of Bluffton, 705-8220 or email memorycare@nhcbluffton.com AND 2nd and 4th Thurs. each month, St. Andrews Methodist Church, Hilton Head, 671-5696. • Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: 12:30-1:30 p.m., Wednesdays, Helena House, Port Royal, 521-9190 or 252-8754. • Alzheimer’s Family Services Education & Social Day Programs: BFT: Mon., & Wed., 10:00 am-1:45 pm; Port Royal United Methodist Church, Friday, 10:00 am-1:45 pm, Summit Place; AFS services call: 521-9190. • Early Diagnosis Support Group: 1-2PM 1st Tuesday of each month at Memory Matters. Are you 65 or under and been diagnosed with some form of dementia? We help with support and resources. Please call if you are coming: 843-842-6688. Call 757-9388 for information. • Early Memory Loss Group: 2nd and 4th Thur., 10:00 am–noon, Helena House, Port Royal, Call Louise Blanchard, 521-9190. BEREAVEMENT • Grief support for recently bereaved: All situations–United Hospice, Contact Bereavement Counselor, 522-0476. Beyond Now: 6 p.m. first Thursday, Island Hospice, Hardeeville, 208-3660. Friends of Caroline Hospice, 525-6257; Tidewater Hospice, 5 p.m., Thurs., 757-9388. CANCER • Cancer Care Connect: (through BMH), 1-800-813-4673 or 1-212-712-8080 • Cancer support groups: - Keyserling Cancer Center, 4 p.m. first Wednesday, Beaufort: 522-7807 - Friends of Caroline Hospice, Port Royal: 525-6257; WISH - Women in Search of Help, a breast cancer support group for the newly diagnosed; 3rd Monday of each month: 5:30 PM, Keyserling Cancer Center. Call 522-5897. • I Can Cope Cancer Support: HHI: 842-5188; • Prostate Cancer: Beaufort Co.: John Grauer, 681-5646, Dan Ruth, 689-3129 DIABETES • Diabetes support groups: Beaufort, 522-5560; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172; JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adultt1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton
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MENTAL HEALTH • Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536. • Depression & BiPolar Support Alliance: Hilton Head: 682-2900 • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : Every Mon. 5:30-7 p.m.; Hilton Head, Palmetto Elec. Comm Rm; Hardeeville/Bluffton, Every Wed., 6:30 pm–8:00 p.m. USCB library rm. 144; Beaufort: 2nd Mon noon-1:30 p.m., Beaufort Medical Plaza Rm 350. Info. call 681-2200, ext.3# • NAMI Caregiver Support Groups: Every Wed., 6:30 pm - 8:00 p.m. USC-B Gateway to Hilton Head (Hardeeville), Library Room 144; Tuesday, May 27, 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Monday, May 19, 7:00 p.m. St. John's Lutheran Church, Lady's Island NEW: Bluffton/Hilton Head-evening. By appt. Call 843-681-2200. Info. call 681-2200, ext.3# SUBSTANCE ABUSE • Adult Children Of Alcoholics: Noon Wednesday, 6:30 p.m. Thursday, YANA club. Mary, 290-8774. • Al-Anon: 8:00 p.m. New Beginnings, Alano Hall, Port Royal; 6:30 p.m. Sunday, YANA club, HHI; Noon Monday Brown Bag, St. Helena Episcopal Church, Beaufort; 7:00 p.m. Monday, YANA club, HHI; 10:30 a.m. Wednesday, St. Luke’s United Church, Bluffton; Noon Wednesday, Sea Island Presbyterian Church, Beaufort; 7:00 p.m. Thursday, St. Luke’s Episcopal Church, HHI; 7:30 p.m. Thursday, St. Peter’s Catholic Church, Beaufort; 7:30 p.m. Thursday, United Methodist Church, Bluffton; Friday, 12:15 p.m. YANA club, HHI. • Alateen: 8:00 p.m. Monday, Alano Hall, Port Royal; 7:30 p.m. Tuesday, United Methodist Church, Bluffton; Al-Anon + Alateen, 785-9630. • Alcoholics Anonymous: Meeting info: 785-2921 or 888-534-0192; en Español: 247-2713; visit www.area62.org. YANA club, 681-9262. • Crossroads Addiction/Dependency Christ centered Recovery & Support program: Grace Coastal Church, Okatie; lapgar@hargray.com • Narcotics Anonymous: Hilton Head, Bluffton and Lowcountry environs: 852-3001. • Smoking Cessation Classes: Freedom from Smoking: Beaufort: 522-5635; 522-5200; Hilton Head: 681-5651. WEIGHT ISSUES • Community Health/ Weight Loss Classes Fun, Supportive and Educational: Tuesdays, 6:00pm; Bluffton and soon in Beaufort. For information, call Sheila 843-644-1991 • Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606; Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347 • Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm;
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OTHER MEDICAL • Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635 • Better Breathers: Hilton Head: 877-582-2737 • Cardiac Support Group: Beaufort: 522-5635 • Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569 • Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118. • Lowcountry Huntington Disease support: Sandra, 912-964-0455 • Liver Transplant support group: Savannah: SJCH 912-819-8350 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • Myositis Association: Danielle Haines, RN; 341-7737 • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Neuropathy Support: Hilton Head: 705-5878 • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505 • Pulmonary Disease Support Group: BMH Call Toni Rehkop at 522-5830 • Stroke Support Groups: Hilton Head: 689-2095; Savannah: 912-598-1766; Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org OTHER SUPPORT GROUPS • CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350 • CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com • Meals on Wheels: Hilton Head: 689-8334 • Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org • Survivors of Suicide: Renee Pigat, HHI: 681-7814
OCTOBER 2014
Regional Blood Drives OCTOBER 2014
Give Blood. Save Lives.
Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID
FACT: Your donation of BLUFFTON
Thursday, October 16 CareCore National 400 Buckwalter Place Blvd.
The Blood Alliance For appointments, please call
LOWCOUNTRY Fixed Site Donor Center 1001 Boundary St., Suite A
843-522-0409 iDon8
or, use free app at
BEAUFORT
Thursday, October 09 Beaufort County School District 2900 Mink Point Blvd. Tuesday, October 21 Joint Rotary Drive - Quality Inn 2001 Boundary Street
Monday, November 03 The Haven 103 Whistler’s Walk
one pint of whole blood takes about an hour and
can save three lives .
HILTON HEAD ISLAND
Wednesday, November 05 Sea Pines Community Center 71 Lighthouse Road
If you’re already a blood donor,
THANK YOU! SUN CITY
Tuesday, October 14 Hidden Cypress Golf Club 672 Cypress Hills Drive Savannah & Okatie Room
LADYS ISLAND
If you’re not, we ask that you please consider it. Make your appointment TODAY. Call the Lowcountry Donation Center
Wednesday, October 22 Joint Rotary Drive - St Peter’s Church 70 Lady’s Island Drive St Peter’s Catholic Church
843-522-0409 SAVANNAH
CALLAWASSIE
Friday, October 31 Callawassie Island 22 Callawassie Club Drive
HARDEEVILLE
Thursday, October 02 Coastal Carolina Hospital 1000 Medical Center Drive
OCTOBER 2014
Thursday, October 30 Savannah College of Art and Design 231 W. Boundary Street Wednesday, October 15 Georgia Regional Hospital 1915 Eisenhower Drive
Providing Outstanding Blood Service in South Carolina, Georgia and Florida
Monday, October 06 South University 709 Mall Boulevard
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care magazine
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Options and References for Healthier Living
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OCTOBER 2014 Publisher and Editor:
Karen Mozzo
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Mind and Body Therapy for Fibromyalgia Fibromyalgia is a long-lasting disorder marked by widespread pain, tenderness, fatigue, and other symptoms that can interfere with daily life. An estimated 5 million American adults have the condition. It most often affects women, although men and children also can have the disorder. Unfortunately, despite ongoing research, its causes remain unknown. Fibromyalgia can be difficult to diagnose and treat. Individualized therapy may include conventional medications as well as mind and body approaches, such as exercise, strength training, massage, and acupuncture. But what does the science say about mind and body practices for fibromyalgia? To help you learn more, NIH developed an easy-to-read list—6 Things To Know About Mind and Body Practices for Fibromyalgia—that outlines the current evidence. The research is still preliminary, but encouraging results suggest that tai chi, qi gong, yoga, massage therapy, acupuncture, and balneotherapy (hydrotherapy) may help relieve some fibromyalgia symptoms. Be sure to speak with your health care provider before starting to use any mind and body practice. http://newsinhealth.nih.gov/issue/aug2014/capsule2
care magazine
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Where can you get help with mammogram costs? Medicare, Medicaid, and all private health insurance policies created after March 23, 2010 cover screening mammogram costs. The new health care law (2013) requires that health insurance companies pay for screening mammograms. Insurance coverage is different for diagnostic mammograms, which usually cost more than screening mammograms. Low-cost mammograms are available in most areas. See list of regional breast care centers on page 6, or call the American Cancer Society at 1800-227-2345 for information about facilities in your area. The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) also provides breast and cervical cancer early detection testing to women without health insurance for free or at very little cost. To learn more about this program, please contact the Centers for Disease Control and Prevention (CDC) at 1-800-CDC INFO (1-800-232-4636) or visit their website at www.cdc.gov/cancer. www.caremagazine.com
OCTOBER 2014
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Patients with Celiac Disease at Greater Risk for Developing Coronary Artery Disease A recent study found that people with celiac disease are two times more likely to develop coronary artery disease compared with those without the disease. Researchers analyzed 22.4 million electronic health records between January 1999 and September 2013 and found 24,530 patients diagnosed with celiac disease. The prevalence of coronary artery disease was 9.5 percent and 5.6 percent in the celiac and control groups, respectively Risk for stroke was also comparatively higher for people with celiac disease. The researchers, who presented the study at the American College of Cardiology’s 63rd Annual Scientific Session, said these findings reinforce the idea that chronic inflammation can adversely affect heart health.
Vitamins and your heart Do vitamin and mineral supplements really promote heart health? Some studies have suggested that calcium supplements have heart health benefits, and many have shown that fish oil is good for your heart, too. But calcium supplements have recently come under scrutiny following a report that men who took more than 1,000 milligrams of supplemental calcium daily over a 12-year period were 20% more likely to succumb to heart disease than those who didn’t take the pills. And while some studies have found that popping fish oil capsules lowers the chance of having a heart attack or other related problem, others have failed to find such benefits. Some observational studies have also shown links between heart health and higher intakes of certain vitamins —specifically, vitamins C and E, beta OCTOBER 2014
capsules of healthy + helpful information
carotene, and three B vitamins (folic acid, B6, and B12). But more rigorous studies that compared people who took specific vitamins with those who took placebos have come up short. In fact, guidelines from the American Heart Association state that supplements of the vitamins listed above should not be taken to prevent heart disease. Not only do they not help, there’s even some suggestion that taking vitamin E supplements may slightly raise the risk of heart failure and hemorrhagic (bleeding) strokes. The bottom line? It’s better to get your nutrients from foods, not pills. When you eat whole, healthy foods, you don’t get individual nutrients in isolation—you get a blend of vitamins, carbohydrates, fiber, and some fat, all of which have been proven to be beneficial for heart health. For more on the latest advances in treating coronary artery disease, call 1-877-649-9457, or visit http://www.health.harvard.edu to find reports of interest to you and your family. www.caremagazine.com
Extra exercise helps depressed smokers kick the habit faster People diagnosed with depression need to step out for a cigarette twice as often as smokers who are not dealing with a mood disorder. And those who have the hardest time shaking off the habit may have more mental health issues than they are actually aware of. Those insights were among the collective findings recently published in the journal Nicotine & Tobacco Research by a team of researchers based in part at Concordia University. While nearly one in five North American adults are regular smokers, a figure that continues to steadily decline, about 40 per cent of depressed people are in need of a regular drag. The statistic motivated the researchers to investigate what was behind that higher percentage. The findings revealed that those who struggle with mental illness simply have a tougher time quitting, no matter how much they want to. The anxiety, cravings or lack of sleep that accompany typical attempts to quit cold turkey will have them scrambling for the smokes they might have sworn off earlier that evening.
Yet a bit more exercise has been shown to reduce the compulsion to reach for a cigarette—even if it is not enough to alleviate the symptoms of the depression itself. Based on an 18-month study, quitting was found to be easier in the midst of even the most basic workouts, since withdrawal symptoms were reduced in the aftermath of regular walks. 27
ParentPulse
helpful insights and tips for effective parenting
Depression Problems after Having a Baby by Judith Treadway, MD, Psychiatric Services Chief Coastal Empire Community Mental Health Center
Ten percent of females experience depression in the year after they deliver a baby. This is due to chemical imbalances that the brain experiences after the delivery. This can range from minor feelings of the blues to a full-blown psychosis (a variety of symptoms involving loss of touch with reality). The most frequent condition, however, is postpartum depression. Genetic factors probably play a part in why some women develop it. It is also suggested that fluctuations in estrogen and progesterone after delivery play a part in provoking the mood symptoms. Women more likely to get depression after giving birth are those with: 1. A prior history of depression 2. A history of depression during pregnancy 3. Lack of support for their emotions 4. High stress at home 5. Struggling with their identities versus the new role as a mother Anyone with postpartum depression may not be able to eat, or sleep, or may sleep too much. The mother may be hopeless and/or feel worthless and desperate. She may be agitated, pace the floor, be restless or jumpy. If the depression progresses to psychosis, she may hear “voices� telling her things or calling her name. She may have obsessional thoughts. 28
There may be other symptoms. She may have serious suicidal thoughts and plans and/or thoughts of harm towards the baby. In this event, it is an emergency and immediate evaluation should be sought for the mother. The mother may feel totally ashamed and hide symptoms as people around her may expect her to cope or feel capable at this time, or at least that may be her perception. Treatment is available and works. Medications like antidepressants that help boost serotonin in the brain may help to support mood and well-being. Supportive talk and other support are often needed urgently. For psychosis and severe cases, other medication, and sometimes hospitalization, is needed. If you or someone you know is suffering from postpartum mental health issues, talk to your doctor or call a mental health center.
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OCTOBER 2014
Children Face the Highest Health Risk From Cell Phones and Digital Toys Current consenus suggests that children and unborn babies
Safer Use of Cell Phones Keep the distance: The intensity of radiation decreases as the square of the distance from the source increases (the inverse-square law). Holding a cell phone 15 cm (6 inches) from your ear "provides a 10,000-fold reduction in risk”. Unless a cell phone is turned off, it is always radiating. When not in use, it should not be kept on the body. The best place for a cell phone is somewhere like a purse, bag, or backpack. Devices should be kept away from a pregnant woman's abdomen, and a mother should not use a cell phone while nursing, baby monitors should not be placed in an infant's crib. Children and adolescents need to know how to use these devices safely. Cell phones should not be allowed in a child's bedroom at night. The Pew Research Center has reported that 75% of preteens and early teens sleep all night with their cell phone under their pillow. This is not healthy. Boys should not keep a cell phone in their front pants pockets or use a laptop computer placed directly over their genitals (use a book or lap desk). There is a potential harm to sperm. Girls should not place their cell phone in their bras. This recommendation was based on a case study of 4 young women with a history of putting cell phones in their bras and who developed breast cancer—two at the age of 21 years. Risk is cumulative—more radiation is absorbed with more hours of use, children should be taught to minimize their wireless phone use. Landlines, Skype, and computer phone services (when connected to the Internet with a cable) do not emit radiation and their use should be encouraged. Wi-Fi routers in the home should be placed away from where people, particularly children, spend the most time. OCTOBER 2014
face the highest risk for neurologic and biologic damage that results from MWR emitted by wireless devices The rate of absorption is higher in children than adults because their brain tissues are more absorbent, their skulls are thinner, and their relative size is smaller. The fetus is particularly vulnerable because microwave radiation (MWR) exposure can result in degeneration of the protective myelin sheath that surrounds brain neurons. It is important to note that current exposure limits were established based on the erroneous assumption that tissue damage from overheating is the only potential danger of wireless devices. However, extensive scientific reports have documented nonthermal biologic effects from chronic (long-term) exposure. Although government warnings have been issued worldwide, most of the public is unaware of such warnings. If you were wondering, current models of microwave ovens for domestic use are shielded to reduce microwave radiation levels to very small levels. Microwave ovens are safe to use during pregnancy because the radiation is nonionizing. For good measure, make sure the microwave door closes completely and securely, and step away during operation. MWR exposure limits have remained unchanged for 19 years, and that smartphone manufacturers specify the minimum distance from the body that their products must be kept so that legal limits for exposure to MWR are not exceeded. For laptop computers and tablets, the minimum distance from the body is 20 cm (8 inches). Parents should have appropriate concerns related to the everincreasing role of technologies that emit nonionizing radiation, including cell phones and certain toys. A problem known as "digital dementia" has been reported in school-aged children and the term is used to describe how the overuse of digital technology is leading to a breakdown in cognitive abilities. It is sometimes also referred to as FOMO—fear of missing out—which is considered a form of social anxiety and is a compulsive concern about missing an opportunity for social interaction. It seems unlikely that the use of cell phones will diminish; cell phones have saved more lives than will ever be lost. However, concerns related to the greatly expanded use of digital toys in childhood clearly warrant better science and, for the time being, appropriate vigilance. Source: article adapted from the review, by L. Lloyd Morgan, senior science fellow at Environmental Health Trust, and colleagues, was recently published online in the Journal of Microscopy and Ultrastructure www.caremagazine.com
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Chicken Chili + Citrus Salad Chili lovers will enjoy this thick chili. It is so simple and tasty. Serve with this citrus salad that give this meal an interesting and refreshing taste. Citrus salad photo by Gary Dolgoff
ingredients:
1/2 pound skinless, boneless chicken breasts 3/4 cup chopped onion 2 teaspoons chopped garlic 2 cans (15 ounces each) kidney beans, drained & rinsed 1 can (14.5 ounces) diced tomatoes, not drained* 1 can (4 ounces) diced green chiles 1 cup water 1 tablespoon dried cilantro 2 teaspoons chili powder 1/2 teaspoon ground cumin preparation: Cut chicken into bite-size pieces. Brown chicken in a saucepan that has been sprayed with nonstick cooking spray. Add remaining ingredients. Cover and simmer for 30 minutes or until chicken is tender.
Note: One serving is an excellent source of fiber. *Sodium is figured for no added salt.
NUTRITION FACTS Chicken Chili Makes 5 servings (6 cups) Serving size: 1 1/4 cup Carb Servings: 2 Exchanges: 1 1/2 starch 1 vegetable 2 lean meat
Nutrient Analysis per serving calories: 236 total fat: 2 g saturated fat: 0 g cholesterol: 28 mg sodium: 64 mg
total carbohydrates: 33 g dietary fiber: 10 g sugars: 3 g protein: 21g
Citrus Salad 1 grapefruit, peeled 1 orange, peeled 1 1/2 quarts of greens (12 ounces) 1 red onion, sliced thin (1 1/4 cups) 2 tablespoons cider vinegar 1 tablespoon lime juice 1 tablespoon canola oil 1 tablespoon water 1/4 teaspoon ground black pepper 1/4 teaspoon ground cumin 1/8 teaspoon salt (optional) Cut fruit in bite-size pieces. Toss with lettuce and onion. Mix remaining ingredients for dressing. Drizzle over salad and toss just before serving. Makes 8 cups 5 servings Each Serving about 1 1/2 cups
Source: Quick & Healthy Volume II, 2nd Edition, Š Brenda J. Ponichtera, R.D., www.QuickandHealthy.net, Published by Small Steps Press, publishing health conscious books for the general population, a division of the American Diabetes Association. Ordering: Individual orders (retail $18.95): call 1-800-232-6733 or visit http://www.QuickandHealthy.net. Also available at local and online bookstores. Health professionals: Bulk orders (6 or more) 40% discount - call 703-299-2046 or e-mail: booksales@diabetes.org. Reprinted with permission.
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OCTOBER 2014
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Crossword Puzzle solution on page 21 OCTOBER 2014
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