CAREmagazine®_SEPT 2015 by CARE magazine®

Care Options and References for a Healthier Life

15 20 R BE TEM P SE

Balancing Your Life Simple Ways to Reduce Fatigue Quick & Easy Exercise Tips for Working Parents

Nip your Nail Biting Habit

Sports and Mental Health A “Must-read” for Helpful, Trustworthy, Up-to-Date Health News, Ideas & Options

• Area Support Groups & Community Events • Regional Blood Drives • Healthy Recipes www.caremagazine.com

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CONTENTS

September 2015

In Every Issue 14

RegionPULSE

Regional Support Groups

Regional Blood Drives

Region Hospitals & Clinics

21 care TALK© Capsules of Healthy Information

Features 4

Community Calendar and Family Events

ParentPULSE -Reduce Pesticide Pollution at home

A Balanced Life is a Better Life —by Lumbie Mlambo

Can a Dentist Resolve Your Headaches?

Simple Ways to Reduce Fatigue

Delicious, Healthy Recipes -Hibiscus Iced Tea Refresher reduces inflammation -Chicken in Cashew Nut Sauce

Quick and Easy Exercise Tips for Busy Parents —by Alissa Robson

Fixes for Smelly Feet

Prevent and Treat Varicose Veins

Nip Your Nail Biting Habit

4 Vaccines for Healthier Teens

Sports and Mental Health —by Judith Treadway, MD

28 2

Not-too-spicy Indian curry

5 Tips for Breastfeeding After Maternity Leave www.caremagazine.com

September 2015

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care magazine

Three Reasons A Balanced Life Is A Better Life

Options and References for Healthier Living

SEPTEMBER 2015 Publisher and Editor:

Karen Mozzo

Associate Editor:

Elizabeth Dardes

Distribution Manager:

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Website Manager:

CyberZoo Ltd.

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

But it is suggested that this a good time to take a step back. Everyone has the potential to shine in life’s darkest moments, but the key to achieving goals and an overall better existence is to maintain a balance so that one aspect of your life isn’t consumed by another.

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Life sometimes can seem off kilter as responsibilities mount and people plow all their physical and mental resources into what seems to be the most pressing crisis of the moment.

While some people might say this is an impossible goal, Lumbie Mlambo, editor of Equanimity Magazine, an online publication that features inspiring stories of life and success, disagrees. For example, look at how we try to deal with our worklife situation. We balance our workload so that we can still make room for other activities, to spend more time with our spouses or our children. We do that because we understand how important it is.

She offers these reasons for why living a balanced life is essential.

• The health factor. Both mental health and physical health benefit, and as a result, so do our overall lives. “When we’re healthy, we’re able to care for ourselves and others in our community,” Mlambo says.

• The empathy factor. We can better understand the importance of helping the underprivileged, says Mlambo, who grew up in a rural area in Zimbabwe. You begin to realize that someday you could be in their situation, which makes you a more empathetic person. “Your economic situation is like your health,” she says. “Nothing is guaranteed.”

• The role-model factor. Sharing our stories—whether it’s a tale of success or even a tale of failure—is important www.caremagazine.com

September 2015

because others can learn from us or be inspired by us as they too strive for a balanced life. “When you tell your story, it empowers, motivates and encourages people to not give up on their dreams and goals,” Mlambo says. “Maybe you think your story is just not that interesting or important. But for someone out there, it may be the spark that ignites them to great things.”

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Mlambo became even more passionate about it after she suffered a stroke in 2001 that left her partially paralyzed. She since has recovered, but says the event had a profound impact on her and she will always consider herself a stroke patient. “Before the stroke, I thought my life was balanced in a way,” she says. “I ate healthy foods, exercised seven days a week. But it was not balanced in the way I wanted. I had been too focused on myself. I realized that life was not just about me, but about others.”

Family & Cosmetic Dentistry Dr. Daniel P. Hughes

It isn’t just a feel-good concept, Mlambo says. As people achieve balance, they realize they have the potential to rise above their circumstances. They can become more productive in their communities and that is good for everyone. “Staying proactive and shifting the way we think can even help the economy to grow and can help create more jobs,” she says. Certainly, maintaining a balanced life may be tougher than ever because technology allows work – emails, text messages, telephone calls – to intrude on people’s “off” hours. But that’s just all the more reason to make a concerted effort to strive for balance, Mlambo says. She says it has become popular in some circles to argue that a balanced life is a myth and can’t be achieved. But regardless of their views, she says, most people seem to be trying to bring balance to their lives, even if they don’t think of it that way. Mlambo believes, “To be successful in anything we do, we must have some sort of balance.”

Lumbie Mlambo is editor of Equanimity Magazine (www.equanimitymag.com), a lifestyle publication that shares the stories of “real people and their search to lead better lives.” September 2015

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WISE

information = a healthier YOU!

Sports eyewear shopping tips Thousands upon thousands of sports-related injuries affect children and adults each year. Prevent Blindness® estimates that water and pool activities, followed by basketball and then baseball/softball account for more sports-related eye injuries than any other sports. Male athletes are twice as likely to suffer from sports-related eye injuries than female athletes, but all athletes should prioritize protecting their eyes during competition and sporting events.

Protective eyewear can help prevent sports-related eye injuries. Many professional athletes don safety eyewear, a trend that has caught on in amateur athletics as well. Many sports feature fastmoving balls or other equipment that pose a potential risk for injury. Should balls strike the eye, considerable trauma can occur. Protective sports eyewear safeguards vision and helps prevent injuries. Goggles and glasses are worn for everything from cycling to baseball to swimming. Choosing protective eyewear or sports goggles is an important safety step. Many types of protective eyewear can guard against the following conditions: • Corneal abrasions: Damage to the front surface of the eye • Blunt trauma: Damage that 6

occurs when the eye is compressed through sudden impact. • Penetrating injuries: Occurs when the eye is poked or foreign objects get pressed into the eye. This can cause long-term damage to vision. • UV exposure: UV radiation can damage the cornea and other components of the eye, which can lead to cataracts, cancer, macular degeneration, or sunburn of the retina. It is best to work with an eye professional to find the right type of protective lenses for a particular sport. Sport goggles may be stronger than sports glasses at resisting impact. Polycarbonate lenses may be recommended for other sports. Eye centers can properly select and fit the eyewear so that it is comfortable for a child www.caremagazine.com

or an adult. Also, staff at such centers can recommend styles that will flatter the wearer’s face. Those who already wear prescription lenses often can have the prescription added to sports eyewear as well. Eyewear retailers are great places to find sports eyewear, but sporting goods retailers also may have relationships with protective eyewear specialists or even have a kiosk in their stores. For those shopping online, be sure to get recommendations on eyewear type and measure correctly for a perfect fit. For children, do not buy a size up to get another year out of the goggles or glasses. This can compromise the fit and level of protection. If you are concerned about buying online but your budget is tight, ask a brick-and-mortar store to price match an online retailer. September 2015

Can a Dentist Resolve Your Headache Symptoms? Relief for the pain of headaches and migraines For millions of people, the pain of frequent headaches is no small matter. In fact, the National Institutes of Health estimates that about 80 million Americans suffer from symptoms which could be described as “headaches.”

many medical specialists. But dentists can often provide the answer using a painless diagnostic procedure that can quickly determine if their symptoms could be dental force related.

These painful signs include chronic headache, migraines, tinnitus (ringing of the ears), vertigo or temporomandibular (TMJ) dysfunction. Many sufferers have seen multiple specialists to try to identify the cause of their symptoms. Few, however, have asked the medical professional who might be most likely to help them—their dentist.

There are solutions for sufferers

For many patients, the only answer has been the use (and overuse) of over the counter pain medications such as ibuprofen, aspirin or acetaminophen. Others have been prescribed more powerful pain medications. However, while these pharmaceutical approaches may temporarily ease the pain, they do not resolve the underlying cause— often untreated damage from trauma.

Getting to the root of the problem Many doctors are now learning that dentomandibular sensorimotor dysfunction (an imbalanced or improper bite often resulting from head, neck, face or jaw trauma affecting not only the teeth, but also the muscles, tendons, nerves and ligaments) is often the cause of these long-term pain symptoms. This condition is often evident in patients who have experienced some type of minor or major head trauma, years or even decades ago. Something as simple as a minor auto accident, a fall or playing sports could be the underlying cause of the pain. Unfortunately, these causes often go undiagnosed by

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Dentists and orthodontists have several systems of care options to successfully treat these patients. The treatments use a combination of proven sports medicine technologies and advanced dentistry to rehabilitate the damaged muscles, tendons, nerves and ligaments of the head, neck, face and jaw. Thousands of patients may benefit with lasting relief from chronic pain symptoms with properly trained and equipped dental professionals. Some of the systems available use no drugs or needles and patients often see immediate results even after the first treatment. Patients eligible for the treatment will typically exhibit one or more of the following signs: - Limited mouth opening - Restricted cervical range of motion (the ability to tilt, turn and tip their head) - Clicking or popping of the jaw or clenching and grinding their teeth at night

To learn more, consult with your dental professional. Source: Family Features

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The new school year and a new schedule may leave you feeling more tired than usual

Simple Ways to Reduce Fatigue Fatigue can indicate a host of things. Men and women who are overworked feel fatigue, as do men and women whose diet is low on nutrition. Fatigue can also be the result of a medical condition, which only sheds light on how important it is for men and women dealing with fatigue to speak to their physician about their condition. In addition to working with a physician to fight fatigue, there are steps men and women can take reduce fatigue and to start feeling more energetic.

1. Get off the couch. A sedentary lifestyle will only make it more likely that you will feel fatigued. But including daily exercise as part of your routine will not only boost your energy levels, but also improve circulation, increase your metabolism and relieve tension, an especially valuable benefit for overworked men and women.

2. Get some sleep. The notion that sleep can help fight fatigue might sound simple, but a good night’s sleep can elevate energy levels throughout the day, helping the body rest and recover. Failing to get sufficient sleep, which many people find is seven to eight hours per night, can turn today’s fatigue into tomorrow’s fatigue, and so on.

3. Address any sources of stress. Fatigue can be a side effect of stress. Many men and women find work is their primary source of stress, but finances and relationship issues can be stressful as well. 8

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September 2015

Whatever the source of your stress, address it and don’t allow it to fester. If it’s work, then look for ways to make work less stressful, whether it’s telecommuting more often or sharing more responsibilities. Exercise and meditation are great ways to relieve stress, but men and women fighting stress-related fatigue should address the source of the stress as well.

4. Reduce sugar intake. Sugar might provide an initial burst of energy, especially for people battling fatigue. However, once your blood sugar levels begin to drop, which can happen rather quickly, you will notice a rather steep decline in your energy level. To successfully combat fatigue, avoid relying on quick fixes that only offer temporary relief.

5. Alter your eating habits. If you’re a proponent of three large meals per day but are battling fatigue, then it might be time to alter your eating habits. Replace the large meals with smaller meals, and snack throughout the day to maintain high energy levels. Just be sure to consume healthy snacks, and don’t forget to drink water throughout the day. Doing so will fight dehydration, which can also cause fatigue. September 2015

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6 Quick and Easy Exercise Tips for Working Moms and Dads These six quick and easy tips can help you incorporate exercise into your already jam-packed day

1. Work Out With Your Child Some workouts go hand-in-hand with kids and can actually feel more like bonding time for the two of you than a chore. Consult about age-appropriate exercises for children with your YMCA trainer, or the school physical education teacher. Yoga classes or yoga at home are beneficial for both you and your child and can give you a chance to wind down together after a busy day. If you want something more intense, design a circuit of 1-minute interval exercises for yourself. Burpees and mountain climbers are great cardio, while body weight exercises like planks and push ups are easy for children to experiment alongside you. While you’re paying attention to good form, they’ll love trying to mimic your moves. And by keeping your sets of each exercise short, they won’t have a chance to get bored before you’re ready to move to the next one.

2. Follow Your Child’s Workout Plan Ever notice that kids are always on the move? Just following their lead can be enough to get a cardio burn in and work your muscles. The park or playground are perfect places to test this theory. Parks are full of benches and bars for tricep dips, pull ups, crunches and other easy-to-master moves that you can work on while they play. If you’re not up for a trip to the park, you don’t have to go any further than your backyard for a child-led workout. Strike up a game of soccer or t-ball. If you are feeling creative you can design your own homemade obstacle course with exercise stations to harness their energy and ramp up yours—push ups on a tree, jumping over rocks and high-knee marching or jumping jack stations are just a few examples of moves that will work for both you and your child.

3. Maximize Your Lunch Break at Work You’re probably already thinking about this one, now it’s time to motivate yourself. If you’ve got an hour for lunch, dedicate half of it to a workout. There’s no need to break a heavy sweat that leaves you feeling uncomfortable for the rest of the day—a brisk walk alone can do wonders for getting your body back into the routine of physical activity. If your lunch break is shorter, a 15-minute break is all it takes to do a few laps around the building and get your heart pumping. Does your office have a shower? Or better yet, an onsite gym? Even better. Take full advantage with an outdoor run, 30-minute treadmill session, or some time on the weight machines. There’s plenty of time to clean up and report back to your desk. You’ll be amazed at how refreshed you feel for the afternoon when you’ve taken time to sweat out the stressors of the morning.

4. Fly Solo It might be tempting to motivate yourself with a workout buddy, but it’s harder to coordinate than it seems. Non-parent buddies often run on totally different schedules than parents. Believe it or not, the only person you need to stick to a workout plan is you. You juggle your job, family, emergency cupcakes for a daycare fundraiser and so much more on a daily basis. You owe it to yourself to carve out a half hour of time every day to focus on your goals…and in fact, it might be the most important piece of your day when it comes to keeping you going. —continued on the following page 10

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September 2015

5. Be Accountable This one might feel like someone’s shaking a finger at you (and you certainly don’t need that with all you do in a day,) but it’s actually really important. It takes discipline to carve out time for working out, and there are certainly days where you’re not going to want to do it. So make yourself a plan and stick to it—write it down, share it with your spouse or your friends. Seeing it on paper or knowing you’ve got people in your life who want to see you succeed can do wonders when those nagging thoughts of being too busy or too tired kick in. Being accountable may also mean cutting out a few of the micro time-stealers you don’t even know exist in your day. Like that extra cup of coffee you indulge in before the kids wake up in the morning or the 15-minutes of Facebook time you sometimes get when they’re blissfully occupied with a favorite game. It might feel like punishment, but if you can eliminate those little fragments of time and dedicate them to blasting through your must-do tasks, you might find yourself with a good chunk of overall time savings that you can use for your workout.

6. Cut Yourself Some Slack Even though being accountable is important, you’re still only human. And being a working parent is tough. If you’re a mom, when you put too much pressure on yourself to get back to your pre-baby size—or even just your pre-baby workout routine—chances are, you’re setting yourself up to fail. Your whole life has changed, so it’s okay to change the way you think about exercise. When you’re busy and stressed, all you want to do is put your feet up and relax, but try to keep in mind that doing anything is always better than doing nothing. There are going to be days where you feel like you can’t take on one more thing, but even just adding an extra run or two up the stairs or a quick walk around the block will definitely count for something. And if a sick kid, messy house, or big assignment at work does manage to derail you altogether on occasion? Forgive yourself. Tomorrow is another day to make the most of the time you can find. By: Alissa Robson, http://www.activebeat.com/your-health/women/, 6-quick-and-easy-exercise-tips-for-working-moms/

September 2015

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Fixes for smelly If you’ve ever had smelly feet and especially if it happens often, odds are you’ve tried one or several of these tricks to try to reduce the smell in your shoes and on your feet, cover it up, or hide it from those around you. Unfortunately, many of these tricks simply delay the inevitable or don’t work at all. Smelly feet aren’t something people like to advertise or discuss, but it’s a common problem. And it’s not just something athletes or those with manual jobs have; anyone is at risk. The good news is there are many effective solutions for preventing smelly feet. So get ready to take a deep breath—without worrying what you’ll smell—and check out these ten fixes for smelly feet…

Wear the Right Socks Smelly feet are often caused by bacteria that forms as a result of your feet sweating, and choosing the right socks to wear can help reduce that sweat—and in turn, the unpleasant odor. To help your feet breathe when wearing socks, go for cotton—it naturally allows more air to get through, keeping your feet cooler. Avoid synthetic socks

feet

like polyester. As well as natural, breathable materials, look for ‘active’ or ‘sportswear’ socks that contain special ventilation materials strategically placed in areas prone to sweat. Wear Socks with Shoes Some socks can increase the amount your feet sweat, trapping moisture that leads to bacteria and odor, so it may be surprising to know that wearing socks can actually fix smelly feet. How? People who wear closedshoes like sneakers, dress shoes, and boots without socks can end up with some pretty foul odors because a good portion of shoes aren’t any more breathable than socks. Add in the fact that you don’t wash your shoes after each use like you do socks, and there can be a ton more bacteria as you go barefoot in them. If you find your feet are sweaty by early afternoon, instead of skipping socks you should keep a few fresh pairs in your car or at work. By switching into something fresh partway through the day it could be more comfortable and make wearing socks with closed-shoes more tolerable. —continued on the following page

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September 2015

benefits of the healing salts. Follow the ratio for water to Epsom salts on the packaging and soak your feet up to 3 times a day, depending on how smelly they are.

Wash Running Shoes Not all shoes can be washed, but it’s worth checking if the sneakers you wear can be. Many sports stores offer washable styles because the fact is, if you’re active and spend a lot of time in your sneakers, your whole body, including your feet, is going to sweat. Washing your running shoes in hot water every month or so can help rid your shoes of the smell, which can go a long way in fixing smelly feet. Rotate Shoes Rotating the shoes you wear can fix and prevent foot odor. Everyone should have more than one pair of shoes that they wear on a regular basis to give them a chance to air out, as well as dry if your feet have been sweating in them. The longer shoes are damp, the better chance of bacteria growing and causing both your feet and shoes to smell. Soak Feet in Epsom Salts Smelly feet can be difficult to effectively clean and get the odor completely off of your skin. Often a shower isn’t enough, even when you spend a lot of time scrubbing at your feet with a cloth and an excessive amount of soap. Instead of intense scrubbing, try fixing your smelly feet by soaking them in a simple mixture of hot water and Epsom salts. By soaking your feet—or even your whole body—in warm water that contains Epsom salts, you could break through the foot odor and enjoy the other

Use Oils On top of Epsom salts and other salt soaks available, there are many oils you can soak your feet in that provide natural relief for foot odors. Use oils in either your bathtub or in a basin big enough for your feet. Fill it with warm water and add a few drops of oil. Many oils also have antimicrobial properties, including tea tree, thyme, eucalyptus, and peppermint. Use Deodorizing Powder or Antiperspirant Special deodorizing powder and antiperspirant work just like the deodorant you use on your armpits, providing protection from sweat and in turn, bacteria that causes odor. Deodorizing powders typically go in your shoes and work as a way to absorb moisture throughout the day. Dry Feet Thoroughly While you might not mind throwing clothes over your damp body because it will dry fairly quickly or if you’re simply forced to because you’re running late, not thoroughly drying your feet could be the cause contributing to your foot odor. Drying your feet—even between your toes—really doesn’t take long, but could make a big difference by reducing the chance of bacteria growing from the moisture on your feet. Source: http://www.activebeat.com/fitness/

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RegionPulse

healthy news + community happenings

BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES INC., RECEIVES GRANT FROM KOMEN LOWCOUNTRY AFFILIATE TO SUPPORT COMMUNITY BREAST CANCER SERVICES The Lowcountry Affiliate of Susan G. Komen® has awarded a $80,000 grant to BJHCHS for reducing the barriers to screening and treatment for African Americans and Hispanics covering the lack of local medical facilities, patient navigation and translation services, and treatment support services, to increase education about breast health, breast cancer screening, and available resources. At BJHCHS, the grant from Komen Lowcountry Affiliate will support “Reach Out to Care”, an initiative to provide and educate the African Americans and Hispanic women in the importance of screening mammogram. The program will involve screening mammograms, follow up services and education materials. “Reach Out to Care” is a program that saves lives and provides the needed services the uninsured and underserved women in need; says Sory Reyes of BHOC (843) 812-4374. “At Komen Lowcountry Affiliate, we conducted a needs assessment of our community and saw that more than 59 percent of our residents live in medically underserved areas.” said Lucy Spears, Mission Programs Manager. “Not only is it difficult to find breast health care, but these women and men face numerous financial barriers. We are confident that through BJHCHS, Inc; program “Reach Out to Care” the African American and Hispanic women in our community will have a low-cost access to the care they need.

About Susan G. Komen® and the Komen Lowcountry Affiliate The Lowcountry Affiliate Susan G Komen is part of the world’s largest and most progressive grassroots network fighting breast cancer. Through events like the Komen Lowcountry Affiliatte Race for the Cure, the Lowcountry Affiliate has invested more than $6.5 million in community breast cancer programs in the coastal and PeeDee regions. Up to 75 percent of net proceeds generated by the Affiliate stays in the 17 county service area. The remaining 25 percent funds national breast cancer research. Komen Lowcountry Affiliatte has invested more than $2.5 million in breast cancer research. For more information, call 843-556-8011 or visit komenlowcountry.org. 14

SunGate Medical Group Welcomes New Ophthalmologist SunGate Medical Group has welcomed Dr. David “Drew” Hunter to the group’s thriving multispecialty practice. Dr. Hunter received his undergraduate degree from the University of North Carolina, where he also completed his ophthalmology residency. He earned his Doctorate of Medicine in 2011 from the Medical University of South Carolina. Dr. Hunter was recently awarded the Senior Surgical Excellence Award. He has undergone extensive volunteer hours at eye clinics serving low-income residents, as well as a children’s hospital. Dr. Hunter has served as an adaptive ski-coach, assisting physically and mentally handicapped children, and took a mission to West Africa, where he treated patients in a primary-care facility and educated local residents on public-health issues. Dr. Hunter is now accepting patients at the Hilton Head, Okatie and Lady’s Island locations. For more information, please visit www.sungatemedicalgroup.com or call 843-842-2020. *********** Ann Gilbert, a practice administration professional with 30 years experience, has been named Beaufort Memorial Hospital’s vice president of physician services, responsible for managing the largest multispecialty physician group in the area. With the acquisition last year of the Lowcountry Medical Group and Harrison Peeples Health Care Center, Beaufort Memorial Physician Partners now includes 40 physicians and 21 advanced care practitioners in 12 locations throughout Beaufort and Hampton Counties. Gilbert comes well prepared for the job. Her extensive resume includes a three-year stint as director of network operations for New York’s Mount Sinai Medical Center, where she managed operations for 21 sites with 80 providers and 200 employees. Most recently, she served as vice president of operations for Trinity Mother Frances Hospitals and

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September 2015

RegionPulse

healthy news + community happenings

Clinics, planning, organizing and directing all clinical operations for a 350-physician group with 28 locations in East Texas. A graduate of New York’s Union College with a Masters in Health Systems, Gilbert served seven years as director of ambulatory care for St. Peters Health Care Services in Albany, NY. During her three-decade career, she also was chief operating officer for a 100-physician primary care group in Maryland and assistant vice president of operations for a 40-physician multi-specialty group in Connecticut.

Longtime Beaufort OB-GYN Dr. Glenn Werner has reopened his private practice and is back delivering babies and performing surgeries at Beaufort Memorial Hospital. Among the first physicians to perform robotassisted hysterectomies at BMH, Dr. Werner rejoins the hospital staff after working the last 10 months at Coastal Carolina Hospital. “I wanted to get back to doing what I had been doing,” said Werner, a board-certified OB-GYN who has practiced in Beaufort for 24 years. “I’ve always felt at home at Beaufort Memorial. Both my children were born in this hospital, and I feel this is where I can deliver, and patients can receive, the best health care in Beaufort County.” A graduate of Wake Forest with a B.S. in Biology, Werner also earned his medical degree at Wake Forest University’s Bowman Gray School of Medicine. He completed a one-year internship in Internal Medicine, and then a four-year residency in Obstetrics and Gynecology, both at Norfolk General Hospital in Virginia. Dr.Werner has a special interest in dealing with abnormal pap smears, performing minimally-invasive surgeries and resolving issues with heavy menstrual bleeding. Dr. Werner’s practice, located at 1264 Ribaut Rd., offers same-day appointments. To schedule a visit, call (843) 524-2466.

Beaufort Memorial Wins Top National Honor for Its Cardiovascular Services Just two years after attaining state approval to perform emergency interventions on patients suffering deadly heart attacks, Beaufort Memorial Hospital has earned the American College of Cardiology’s top honor for cardiac care. The 2015 ACTION Registry “Get with the Guidelines” Gold Performance Award from the National CardioSeptember 2015

vascular Data Registry recognizes Beaufort Memorial for consistently following the treatment guidelines and recommendations of the American College of Cardiology (ACC) and American Heart Association (AHA) for eight consecutive quarters. BMH is one of only 78 hospitals nationwide to win the prestigious award.

Beaufort Memorial Hospital opens new expanded intensive care unit Members of the ICU staff get ready to move into their new expanded facility. Pictured are (front row) Netasha Singleton and Linda Arp; (back row) Jennie Szalay, Debra Gresham, Debbie Murray, Bill Chapman, and the hospital's director of critical care, Diane Razo.

To meet the growing demand for critical care services, Beaufort Memorial Hospital has opened a new, expanded Intensive Care Unit (ICU) able to accommodate 50 percent more patients. As part of an extensive $5 million ICU renovation project, the number of rooms dedicated to patients with life-threatening injuries or illnesses was increased from eight to 12. Equipped with state-of-the-art cardiac monitors, lift equipment and special beds, the rooms are now larger, making it easier for medical staff to perform procedures and move equipment around as needed.

Beaufort Memorial Sea Island Psychiatry has a new physician on staff. John Melbourne McGraw, MD, has joined Medical Director Wynn Hill, MD, in the growing practice. Dr. McGraw, who is board certified in both psychiatry and neurology, was in private practice in California for 23 years before moving to the Lowcountry to join Beaufort Memorial Physician Partners. In his former practice, he specialized in treating patients with co-occurring psychiatric illnesses, including major depression, bipolar, post traumatic stress, obsessive compulsive and panic disorders. Sea Island Psychiatry is located on the Beaufort Memorial campus at 989 Ribaut Rd., Suite 330. To make an appointment with any of the practitioners, call (843) 522-5600.

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Prevent and Treat Varicose Veins The circulatory system is quite remarkable, pumping oxygenated blood throughout the body to keep cells alive and organs operating properly. According to The Franklin Institute’s human heart data, if every capillary, artery and vein were laid out in a straight line, the average adult has 100,000 miles worth of blood vessels. Although the vessels in all areas of the body work hard, those in the legs and feet are susceptible to a lot of pressure, as walking increases the stress put on these vessels. In turn, varicose veins are common in the lower limbs. Veins can become varicose when one-way valves in the veins do not function properly. The valves are designed to keep blood flowing back up to the heart. If the valves weaken or fail, blood can pool in the veins, causing them to bulge or appear misshapen. The Society of Interventional Radiology says varicose veins affect one out of two people age 50 and older and 15 to 25 percent of all adults. Varicose veins are not often a health risk, but they can sometimes be troublesome. Severe cases may be a cosmetic issue, with gnarled and bumpy veins criss-crossing the legs. For others, the affected veins can cause aching pains and discomfort. Some varicose veins may indicate a larger risk of other circulatory problems, advises The Mayo Clinic. Varicose veins often can be alleviated with self-care methods. Others may require some more invasive therapies. • Elevating the legs and feet can relieve pressure on veins in the legs. This may help alleviate some of the swelling. • Compression stockings can ease the pain of varicose veins and prevent them from getting worse. • Sclerotherapy, or the injection of saline into the varicose vein, can harden the vein and make it disappear. Laser treatments also may make varicose veins shrivel up and no longer pose a problem. • Larger veins may require phlebectomy or ablation. Phlebectomy involves removal of the vein through small cuts. Ablation uses intense heat to treat the vein. Varicose veins are often a side effect of getting older, when veins lose elasticity, causing them to stretch. Those with a family history of varicose veins may be more susceptible. Being over-weight or standing and sitting for long periods of time also can lead to varicose veins. Exercising, eating a high-fiber diet and changing sitting or standing positions regularly can help. If varicose veins are unsightly or prove painful, speak with a doctor about the treatment options available. 16

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September 2015

Nip the Nail Biting Habit Nail biting, also known as onychophagia, is a common habit that affects people of all ages. Biting your nails usually stems from stress or forms as a nervous habit. Most research says that children and teenagers make up the greatest number of regular nail biters. On the surface nail biting may seem like a trivial thing in terms of affecting your health. Although it can seem like biting your nails does nothing more than make the hands look less attractive, there are actually other dangers to repeated nail biting that people prone to the habit should consider. Firstly, fingers can pick up all sorts of contaminants, and the nails can be an ideal location for bacteria to thrive since nails are more difficult to keep clean than the surface of the hands. According to the American Academy of Dermatology, bacteria like E. coli can live beneath the tips of your nails. When you bite your nails, those bacteria end up in your gastrointestinal system and can lead to infection. The nails also can harbor fecal matter and many other unsavory microscopic particles, even parasites. Biting your nails gives these tiny invaders easy access to your body. Nail biting also may lead to infections on the fingers around the nail bed. The infection, called paronychia, causes redness, swelling and pain around the nail. Microorganisms can get into the skin through tiny tears and abrasions that occur while biting the nails and cuticles, says The Mayo Clinic. If the infection damages the nail bed, you can end up affecting nail growth.

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While biting your nails may seem like a harmless habit, it actually can affect personal health in a number of ways. Explore the different ways to keep from biting your nails to improve the health of your fingers, your teeth and the rest of your body.

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Nail biting also can cause problems to your teeth. Prolonged nail biting may affect how the teeth form in children. It can interfere with dental occlusion, or the manner in which the upper and lower teeth come together to bite. Eventually teeth can shift out of position. The Academy of General Dentistry estimates that nail biting can result in thousands of dollars of extra dental work.

Should you have warts on your hands or fingers, they easily can be transfered to your lips and mouth through nail biting.

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

JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adult1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton MENTAL HEALTH • Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536. • Depression & BiPolar Support Alliance: Hilton Head: 682-2900 • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : Hilton Head every Monday, 5:307:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Bluffton/Okatie every Wednesday, 6:30 pm8:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Beaufort, noon – 1:30pm: at Beaufort Medical Plaza, 989 Ribaut Rd., Rm. 350, Call for info: 843-681-2200 ext. 1. • NAMI Caregiver Support Groups: 7:00 p.m. St. John’s Lutheran Church, Lady’s Island; Contact: John Aiello, 843-597-8122. 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Contact: Betty & Ted Cooley, 843-757-8597. Evening group in Bluffton by appointment only, 6:00-7:00 pm; Unitarian Universalist Church, 110 Malphrus Rd., Bluffton; Norma Van Amberg 843-681-2200 .

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

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

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

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

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Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; • Overeaters Anonymous (continued), Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347 • Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm; OTHER MEDICAL • Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635 • Better Breathers: Hilton Head: 877-582-2737 • Cardiac Support Group: Beaufort: 522-5635 • Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569 • Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118. • Lowcountry Huntington Disease support: Sandra, 912-964-0455 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505 • Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org

OTHER SUPPORT GROUPS • CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350 • CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com • Meals on Wheels: Hilton Head: 689-8334 • Nursing Mothers of Beaufort: Third Friday, 9:30 – 11:00 am; 508 Scott St, BFT; 524-3566 • Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org • Survivors of Suicide: Renee Pigat, HHI: 681-7814

September 2015

BLOOD CENTERS ANNOUNCE MERGER— Two independent, not-forprofit blood centers, OneBlood, Inc., and The Blood Alliance, Inc., recently merged to operate as one integretive service. The Blood Alliance will undergo a rebranding phase in the coming months and transition to the OneBlood brand. The newly formed organization will distribute more than one million blood

products annually, serve over 210 hospitals throughout most of Florida, parts of Georgia, Alabama and South Carolina and employ more than 2,400 people. More stringent transfusion protocols, health care reform and advances in medical science are all helping shape a new era of blood banking. Dr. Marsha Bertholf, Medical Director of The Blood Alliance, says, “...Hospitals

Regional Blood Drives

want larger scale blood centers to serve their multiple locations and the merger will allow us to accommodate their needs and still keep the hometown connection.” In addition to mitigating cost to hospitals and patients, the merger is expected to further stabilize the blood supply, especially in times of natural disasters such as hurricanes and enhance donor outreach initiatives.

SEPTEMBER 2015

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

The Blood Alliance/OneBlood LOWCOUNTRY Donor Center 1001 Boundary St., Suite A 843-522-0409 or, use free app at iDon8 BEAUFORT Tuesday, Sept 1 Technical College of the Lowcountry 921 Ribault Rd. Wednesday, Sept 2 Whale Branch Early College High School 169 Detour Road/Parking lot Saturday, Sept 5 Harmony Lodge 2710 Depot Road Monday, Sept. 14 Beaufort High School 85 Sea Island Parkwa Monday, Sept. 21 Battery Creek High School 1 Blue Dolphin Dr. Wednesday, Sept. 23 Beaufort/Port Royal Boots and Badges Community Bowling Center 1140 Ribaut Road Sunday, Sept. 27 Tidal Creek Fellowship Church 290 Brickyard Point Road S. September 2015

Saturday, Oct. 3 Lowes of Beaufort 207 Robert Smalls Parkway

SUN CITY Monday, Oct. 5 114 Sun City Lane Portable Pinckney Hall

BLUFFTON Thursday, Sept. 3 eviCore Healthcare (CareCore National) 400 Buckwalter Place Blvd. Wednesday, Sept. 30 Boots and Badges Blood Drive Buckwalter Place

HILTON HEAD ISLAND Tuesday, Sept. 22 Hilton Head Hospital

The American Red Cross For appointments, please call 843-757-7437 (ARC local office) "Saving Lives Never Looked So Good” campaign planned to encourage September donations. American Red Cross, Sport Clips Haircuts offer freehaircut coupon to blood, platelet donors Donors of all blood types— especially types O negative, A negative and B negative— and platelet donors are urged to give. To make an appointment to donate, visit redcrossblood.org/ sport-clips or call 1-800-RED CROSS (1-800-733-2767).

RIDGELAND Tuesday, Sept. 8 1 - 6pm Church of Jesus Christ of Latter Day Saints 917 Grays Road Friday, Sept. 11 12 - 6pm Step of Faith Christian Academy 9009 Malphus Road

SUN CITY Tuesday, Sept. 15 9am - 3pm. 114 Sun City Lane

HARDEEVILLE

HILTON HEAD ISLAND

Thursday, Sept. 10 Coastal Carolina Hospital 1000 Medical Center Drive

September 21, 2015 10am – 3pm Hilton Head BMW 1230 Fording Island Road

OKATIE

BLUFFTON

Friday, Sept. 11 Beaufort Jasper Water & Sewer Authority 6 Snake Road

Wednesday, Sept. 2 11am - 5pm ARC Palmetto Donation Center 39 Sheridan Park Circle, #10

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October 21, 2015 10am – 2pm Hilton Head Island Town Hall 1 Town Center Court

Regional Hospitals, Centers and Clinics BEAUFORT–JASPER–HAMPTON COMPREHENSIVE HEALTH SERVICES www.bjhchs.com

PORT ROYAL Port Royal Medical Center, 843-986-0900 ST. HELENA ISLAND Leroy E. Browne Medical Center, 843-838-2086 CHELSEA Ruth P. Field Medical Center, 843-987-7400 HARDEEVILLE Donald E. Gatch Medical Center, 843-784-2181 HAMPTON 200 Elm St., 803-943-2233 RIDGELAND Ridgeland Family Medical Center, 843-726-3979 SHELDON Elijah Washington Medical Center, 843-846-8026 ESTILL Estill Medical Center, 803-625-2548

BEAUFORT MEMORIAL HOSPITAL www.bmhsc.org

BEAUFORT

995 Ribaut Road, 843-522-5200

KEYSERLING CANCER CENTER: (Affiliated with Duke University Medical Center)

PORT ROYAL

1680 Ribaut Road, 843-522-7800

COASTAL CAROLINA HOSPITAL www.coastalhospital.com

HARDEEVILLE 1000 Medical Center Drive, 843-784-8000

HAMPTON REGIONAL MEDICAL CENTER www.hamptonregional.com

VARNVILLE

HILTON HEAD HOSPITAL www.HiltonHeadRegional.com

HILTON HEAD ISLAND 25 Hospital Center Blvd., 843-681-6122

MUSC–Medical University of South Carolina www.MUSChealth.com

CHARLESTON

171 Ashley Avenue, 843-792-1414

HOLLINGS CANCER CENTER at MUSC http://hcc.musc.edu

CHARLESTON

86 Jonathan Lucas Street, 843-792-0700

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

PORT ROYAL

1 Pickney Blvd, 843-228-5600

SCDHEC LOWCOUNTRY PUBLIC HEALTH REGION www.scdhec.net/health Hours: 8:30am – 5:00pm

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

BEAUFORT COUNTY 601 WILMINGTON ST., 29902 843-525-7615 BLUFFTON CLINIC 4819 BLUFFTON PKWY., 29910 843-757-2251 JASPER COUNTY 651 GRAYS HIGHWAY, 29936 843-726-7788

GOOD NEIGHBOR MEDICAL CLINIC gnmc1402@embarqmail.com

BEAUFORT

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

30 Professional Village Dr., 843-470-9088

September 2015

care TALK capsules of helpful health information Picky Eating in Preschoolers Linked to Depression and Anxiety Selective eating—also known as picky eating—is associated with psychological problems in preschoolers, according to a Pediatrics study. Selective eating was associated with increased risk for symptoms of depression, social anxiety, and generalized anxiety, compared with children without restricted diets. In addition, children with restricted diets were at risk for reduced growth as well as taste and texture hypersensitivity. The authors say that the enhanced sensory sensitivity could make it difficult for children to regulate their emotions or attention, “providing a common vulnerability to disorders of eating and affective experience.” They conclude: “Findings suggest that health care providers should intervene at even moderate levels of [selective eating]. [Selective eating] associated with impairment in function should now be diagnosed as avoidant/restrictive food intake disorder, an eating disorder that encapsulates maladaptive food restriction, which is new to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.” http://www.jwatch.org/fw110476/2015/08/03/ picky-eating-preschoolers-linked-depressionand-anxiety?query=pfw#sthash.gdhlclRQ.dpuf

A lack of regular exercise can be more harmful than previously thought. According to a study published in The Lancet in 2012, across the globe sedentary lifestyles are now causing as many deaths as smoking. Data indicates that a lack of physical activity is causing 5.3 million deaths per year and that the problem is so bad some believe it September 2015

should be treated as a pandemic. Exercise can reduce rates of obesity, strengthen bones, help a person manage stress, and reduce a person’s risk for cardiovascular disease and diabetes.

MEMORY HEALTH . . . NIH-Reviewed Groundbreaking Life Enrichment Program for Dementia The results of a recently completed three-year clinical trial funded by the National Institutes of Health and the National Institute on Aging demonstrate that an innovative new approach to dementia care has proven successful in significantly increasing levels of social engagement and quality of life for individuals living with Alzheimer’s, while also reducing their apathy and symptoms of depression. Called Scripted-IMPROV™, this non-pharmacological treatment was developed by John Zeisel, PhD, and the Research Division of Hearthstone Alzheimer Care near Boston with the goal of improving the lives of the five million Americans currently living with memory disorders. The unique therapy uses participative drama techniques to achieve significantly higher levels of engagement and reductions in apathy thanconventional treatment programs, and serves as an effective, side-effect-free depression treatment. For more information about Scripted-IMPROV™, visit scriptedimprov@thehearth.org.

Researchers reveal the science behind emotional eating Research by food scientists reveals how a person's emotional state— www.caremagazine.com

particularly in the competitive, wide world of sports—affects the perception of taste. In particular, people in negative emotional states tend to crave sweets more than those in a positive frame of mind. Researchers explained, "In times of negative affect, foods of a less pleasurable nature become even more unappealing to taste, as more hedonically pleasing foods remain pleasurable. www.sciencedaily.com/releases/ 2015/07/150709093313.htm

How accurate are online symptoms checkers? Turns out, millions of people are entrusting their health to some pretty incompetent diagnostic systems. Researchers tested 23 online symptom checkers and found that the correct diagnosis was provided first on a list of potential illnesses only about a third of the time. That means symptom checkers are spitting out wrong diagnoses twothirds of the time. "People who use these tools should be aware of their inaccuracy and not see them as gospel," says Dr. Ateev Mehrotra, who led the research and is a professor of health care policy at Harvard Medical School. "They shouldn't think that whatever the symptom checker says is what they have." However, that doesn't stop Husain—an ER doctor at Wake Forest Baptist Medical Center—from recommending online systems and apps like symptom checkers. "Symptoms checkers shouldn't be for getting that final diagnosis," he says. "We spend upwards of seven years in medical school and residency to figure out how to diagnosis effectively and an application isn't going to replace that." 21

Do you know which vaccines your teen needs?

4 Vaccines for a Healthier Teen School has started and if you haven’t done so, now is the perfect time to take care of your teen’s health needs. Most of these vaccinations are required by law for your child to attend school, plus it’s an important task to do before extracurricular activities begin.

When our children are small, there are a lot of vaccinations on the schedule. Hepatitis, rotavirus, diphtheria, measles, mumps, rubella—when our children are little, they’re vulnerable to so many things. But once they are in school, they’re done with all of that, right? Not true! There are several vaccines preteens and teens need to stay healthy. Here’s the list of four vaccines recommended for almost all adolescents: Tdap. All 11- and 12-year-olds should get this vaccine. It protects them from three diseases: tetanus, diphtheria, and pertussis (Tdap). Tetanus is a toxic bacteria you can get when a cut or wound gets infected (like stepping on a rusty nail). Diphtheria and pertussis (also known as whooping cough) are spread through the air with coughs and sneezes. Whooping cough can be especially deadly for babies. If your child babysits or has a younger sibling, Tdap can keep her from passing the pertussis bacteria on to them. The Tdap vaccine acts as a booster for the DTaP kids get as babies, since its protection wears off over time. While your child is getting her Tdap, talk to your doctor about getting a Tdap or Td booster for yourself—adults need a booster shot every 10 years. 22

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September 2015

—continued from page 20

need different vaccines than others her age. Talk to your child’s doctor about what other vaccines she may need.

HPV. All adolescents (girls and boys) should receive the human papillomavirus (HPV) vaccine at age 11 or 12. This vaccine protects against the virus that causes cervical cancer and several other cancers including cancers of the penis, vulva, vagina, anus, and throat. The vaccine also protects against genital warts. Vaccinating boys and girls helps keep them healthy, and it makes them less likely to spread the virus to others. For full protection, your child needs three doses of the vaccine over six months. If you have teenagers, it’s not too late to protect them. Talk to your health care provider about Meningococcal meningitis. The meningococcal vaccine protects against diseases like meningitis, a rare but very serious illness where illness strikes quickly and unexpectedly and deaths can occur in as little as a few hours. Teens and young adults are at increased risk of infection, so children should receive the first dose of the vaccine at 11–12 years and a booster dose at age 16. If your teenager missed getting the meningococcal vaccine when she was younger, you can do a catch-up vaccination. Children with certain conditions should be on a modified dose schedule. Talk to your health care provider about which schedule is right for your child. Flu. Everyone needs a flu vaccine every year. The flu vaccine is the single best way to prevent flu, for kids and adults. It not only protects against influenza, it can also prevent complications like dehydration and pneumonia. If your child has asthma or diabetes, it can help keep her from getting worse if she does get the flu.

OK, now you know which vaccines your preteens and teens need. What about cost? The Affordable Care Act insurance plans must cover many of the vaccinations adolescents need, without any extra cost to you. That includes Tdap, HPV, meningococcal, and flu vaccines. Check with your insurance provider to find out exactly what is included in your plan. If you don’t have health insurance, your child might qualify for free vaccinations through the Vaccines for Children Program. You can also contact your state health department to learn more about where to get free or low-cost vaccines in your area.

What should I expect after my child gets a vaccine? Most children have no apparent side effects following vaccines. Sometimes you’ll see minor reactions such as pain at the injection site, a rash, or a mild fever. Very rarely are there more serious reactions, like an allergic reaction. Before your child gets a shot, be sure to tell her doctor about all of her allergies. Vaccines keep us safe and healthy, so make sure your child gets all the vaccines she or he needs.

Additional shots. If your child has long-lasting health problems, is getting some kinds of medical treatment, or will travel abroad in the coming months, she might September 2015

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SOURCE: http://womenshealth.gov/blog/ 4-vaccines-healthier-teens.html

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

Get up and Go with Brain Boosters! Fall session begins September 17 Thursdays, 3:15 - 5:00 PM $199.00 for 10 week course This course teaches you tools to help keep your brain functioning on all cylinders. With up to 500 trillion synaptic connections, your brain is easily the most powerful machine in the world! It is never too late to learn new techniques to keep your brain sharp, tools that you can apply everyday to help with memory, focus, and relaxation.

For more information or to make a reservation call Memory Matters 843-842-6688

******** Annual Art Show September 29 6:00 PM till 9:00 PM 110 William Hilton Pkwy Hilton Head Island

AARP CHAPTER OF THE LOWCOUNTRY Thursday, September 10, 1:00 PM Pinckney Hall, SUN CITY (guest pass available at main gate)

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

For Fascinating Fall programs and current events at all Country Branches Call 843-255-6430, or visit beaufortcountylibrary.org Saturday, September 19 11am - 2pm MAY RIVER CLEAN UP The Outside Foundation (www.outsidehiltonhead.com) will host this litter clean-up event. It will be a gathering of volunteers to explore the marshes of the May River while collecting litter. All ages are encouraged to volunteer. Meet at Wilson Village, Palmetto Bluff. If you would like to use one of Outside Palmetto Bluff kayaks (free of charge) for the event, please call 843.686.6996 to register.

Friday and Saturday, Sept. 25 & 26 The Old Village Association of Port Royal will host a two-day celebration of OktoPRfest "Party Port Royal Style". Celebrate the end of summer with great food and good friends. Friday, Sept. 25, 6-10 p.m.: This adults-only event will feature beers from both local and national craft breweries. Live entertainment. Tickets are $30 per person at the door; $25 in advance. Each admission includes a commemorative glass.

For ticket information, contact Cathee Stegall

cathee@memory-matters.org 843-842-6688, ext. 104 24

Saturday, Sept. 26, 11 a.m.–5 p.m.: Festival continues on Paris Avenue. Activities for all ages include a variety of food vendors, craft booths, a Kid’s Fun Zone, a classic car show, live music . Presenting sponsor of OktoPRfest is the Town of Port Royal. For more information, visit www.oldvillageportroyal.com, call Brooke Buccola (239) 777-0761 or email brooke.buccola@gmail.com. www.caremagazine.com

September 2015

Third annual CURE Kids’ Party Saturday, Sept. 5, 10 am to Noon at JCPenney Court at Oglethorpe Mall, Savannah The event will launch “CURE’s Kids Conquer Cancer One Day at a Time,” which will honor several local children as part of a National Childhood Cancer Awareness Month in September. Each day that month, CURE’s website will feature a few special children from throughout the state who are currently battling cancer or are childhood cancer survivors, all to generate awareness of the disease and raise funds to support childhood cancer research. The event at Oglethorpe Mall will feature face painting, a photo booth, gold nail painting, costumed characters and more fun for families. Face and body painting is free for CURE kids and a $10 donation to CURE for others. For more information about the event, please contact Mandy Garola, CURE’s Patient Family Services/Community Engagement Manager, at 912-507-9897 or mandy@curechildhoodcancer.org.

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

Shrimp Trawling Expedition Saturdays starting September 12 and ending November 28 Times vary for these cruises. This interactive cruise will take you from Hudson’s Dock out into Port Royal Sound where you’ll have a chance to see how a shrimp trawler work—and find out about all the critters that can be found in its nets. An informative and fun experience—plus, you’ll have a chance to share in the ‘catch’ and might take some shrimp home! Cost is $40 adult and $20 child, with reservations required.

Lowcountry Dragonflies September 16 at 3 pm A presentation on the dragonflies inhabiting the lagoons of Hilton Head will be presented. Biologist Vicky McMillan, on the faculty of Colgate University for 30 years, will present how these fascinating insects feed, find mates, defend territories, and reproduce. If possible, live dragonfly larvae will be shown and a handout will be given to those attending regarding the most common Hilton Head Island species. After the program, participants are invited to join an exploration of the dragonfly pond on the Museum’s grounds. Reservations are required for the program, as there is limited seating.

Marine debris and the impact in our local and global environment September 23 at 3 pm The contamination of natural ecosystems through the “escape” of man-made plastics and other items has

September 2015

become an increasingly important subject of study and a matter of concern—not only here in the southeast, but around the globe. Join this lecture on the topic marine debris in coastal systems. The types, sources, movement and impacts of marine debris will be discussed, and more importantly, showcase a local citizen science project; marine debris shoreline surveys, which are used to enhance understanding of marine debris, engage the public in stewardship activities and educate citizens on what they can do on a daily basis to alleviate the impacts of marine debris. Sanders is a marine educator at the University of Georgia’s Marine Education Center and Aquarium (MECA) located on Skidaway Island GA. MECA is part of UGA’s Marine Extension, a unit of the University’s Public Service and Outreach, which provides outreach, education and research experiences to the public to enhance coastal environmental, social and economic sustainability. The cost is $7 per person and is appropriate for ages 12 and older. Reservations required.

Dolphin and Nature Cruises through Oct. 30 on Wed. and Fri. at 3:00pm 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—a well preserved example of a Civil War Era coastal artillery battery—will be offered. Reservations are requested for this tour. $12 per adult, $7, children ages 6-12.

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Sports and Mental Health

By Judith Treadway, MD, Psychiatric Service Chief Coastal Empire Community Mental Health Center

What is the benefit of sports on mental health? Much is heard in the media about the dangers of head injury potentially leading to dementia and/or other problems in certain contact sports, notably football (after repeated head injuries), but what can be said about the benefits of sports? Playing sports can lead to weight control and overall better flexibility and cardiovascular fitness. Teens that play team sports in grades 8-12 have less stress and improved mental health according to research in the Journal of Adolescent Health. It is controversial whether the effects are protective for mental health for the future. Those involved in school sports in one study had better scores on assessments when rating their mental health compared to those who did not play sports. Moderate levels of exercise have been shown to help mood and also improve sleep. Even single sessions of exercise have been shown to reduce anxiety and raise energy levels per information from University of Indiana Department of Kinesiology. 26

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September 2015

Playing sports affects your mental and emotional health due to the physiological effects that exercise has on the body. Exercise can help reduce depression and anxiety, and can be especially beneficial to people who lack access to traditional treatments, such as drugs or counseling.

Of course for some children who are not adept athletes, sometimes sports are a source of stress (fear of failure, poor body image, social anxiety and so on). However, in many situations, there is a suitable sport for most children. Some children do better with team sports, and some excel more with solo type exercise.

may be more temptations to use sport-enhancing substances and/or illegal substances, many of which have negative mental health effects. For example, anabolic steroids that sometimes are used to build more muscle may lead to psychosis and/or aggression. Getting treatment for mental illness can allow athletes to recover and resume training.

Sports can increase a sense of self-esteem and fitness, along with a sense of belonging and tolerance of not always winning. Gaining a new skill can increase feelings of mastery and help with socialization and sharing.

Exercise, with the right precautions and safety measures, is in general, beneficial to health.

Unfortunately, many people think that mental illness in athletes is rare, and athletes do not want to appear frail or weak. Athletes suffer from the same mental illnesses at the same rate as the general population according to the APA. In addition, there September 2015

Resources: NAMI- National Alliance for Mental Health: 1-800-950-6264

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International Society for Sports Psychiatry HHS, Substance Abuse and Mental Health Services Administrationâ&#x20AC;&#x201D;Anti-stigma Program

5 Tips for Breastfeeding After Maternity Leave What's one of the biggest hurdles mothers face when breastfeeding? Returning to work. Having regular breaks to pump or breastfeed your baby is a basic need for nursing mothers who work away from their infant. You need to breastfeed your baby or pump every few hours to maintain your milk supply. Working at a restaurant, retail store, factory, or other hourly wage job, it may be more challenging to create a private place or a schedule that allows you to take a break to pump. But there's good news: There are easy, low-cost ways to make it work. If you're pregnant or recently gave birth and you want to continue breastfeeding after you go back to work, here are five things that will make it easier.

1. Know the law is on your side. You may know that the Affordable Care Act provides greater access to health coverage, but it also includes provisions around breastfeeding. Break Time for Nursing Mothers law requires most employers of hourly workers to provide basic breastfeeding accommodations like time to pump and a functional, private space other than a bathroom. Many states also have laws that protect your right to pump, or "express milk," while at work. Check with your human resources department for more information and show them the rules at the Department of Labor's â&#x20AC;&#x153;Nursing Mothers" website at http://www.dol.gov/whd/regs/compliance/hrg.htm 2. Plan ahead. If you think you will need to pump at work, talk to your supervisor sooner rather than later. If possible, make a plan together before you go on maternity leave, so that things will be set up when you return. But if you're already back at work, talk with your employer. 3. Think outside of the box. Some workplaces may face more challenges than others when carving out adequate time and space for moms to pump. Supporting Nursing Moms at Work: Employer Solutions, http://womenshealth.gov/breastfeeding/employer-solutions/index.html, can help you and your employer navigate this issue. 4. Practice before you go back to work. It's a good idea to practice pumping at home before you return to work. Once you're back at work, you'll probably need to pump two to three times during a typical eighthour workday, or the number of times your baby needs to feed while you're away. Be sure to properly store your milk after each pumping session in clean glass or BPA-free plastic bottles or milk storage bags. Then keep it cool in a refrigerator or a cooler with ice packsâ&#x20AC;&#x201D;you can even freeze it! For a detailed guide to pumping and storing your milk, check out "http://womenshealth.gov/ breastfeeding/pumping-andbreastmilk-storage.html 5. Support nursing moms. You may not need to pump at work, but someone else in your life or workplace might. Your support can make a big difference to a nursing mom. If you've had to pump at work in the past, talk to new moms about what worked and didn't work for you. 28

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September 2015

ParentPulse

helpful insights and tips for effective parenting

Reduce Pesticide Pollution at Home for the Safety of Your Family Data from Green-NetWorld (www.green-networld.com), an environmental advocacy group, indicates Americans use approximately 2.2 billion pounds of pesticides every year. More than 100 active pesticide ingredients are suspected of causing cancer, gene mutations and birth defects. In addition, a growing list of pesticides may disrupt the immune and endocrine systems and have long-term impacts on infants and young children. Research indicates that many pests targeted by pesticides will eventually develop resistance to these pesticides, rendering the chemicals useless.

One way to reduce chemical pollution at home is to find alternatives to pesticides. • Investigate reduced-risk pesticides. Homeowners concerned about pesticides can visit www.epa.gov to learn more about reduced-risk pesticides. • Use biopesticides. Biological products, also known as biopesticides, can play a role in a more sustainable food chain. These control agents include fungi, bacteria or viruses and can be applied like chemical pesticides but do not leave toxic residues. Furthermore, they are relatively inexpensive to produce. • Look to the kitchen. Dish soap can be an effective pest killer. Fill a spray bottle with soapy water and spray around the exterior of your house and on plants that have a pest problem. The soapy water can kill ants and roaches. It also can coat the wings of small flying insects. Catnip is another natural pesticide. Planting catnip in a garden can repel mosquitoes. • Use Epsom salt. Sprinkling this salt on the leaves of plants in the garden can keep away animals, such as deer or groundhogs, that would otherwise devour plants. Epsom salt also can repel beetles, slugs and snails. September 2015

Before homeowners turn to chemical pesticide applications, they can explore many natural remedies to keep unwanted pests at bay. When shopping, look for: Organic, non-toxic pesticides. Generally, organic pesticides are those that come from natural sources. You can use plant-based natural pesticides with pyrethins, rotenone, or essential oils. Or you can try boric acid or diatomaceous earth, which are also natural products. Just because a pesticide is natural doesn’t mean it’s safe, however. Pyrethins, which are derived from flowers such as chrysanthemums, have been linked with autism. Read labels carefully and follow directions. And don’t put your faith in claims of “environmentally safe,” “environmentally friendly,” “eco-safe,” or “eco-friendly.” They are not regulated terms.

Avoid Organophosphates. This class of pesticides has been phased out of residential use, but is still found in products for pets. Skip products containing chlorpyrifos, dichlorvos, phosmet, naled, tetrachlorvinphos, diazinon and malathion. Antibacterial products. There’s no reason to use the potentially harmful antibacterial products, and lots of reasons not to use them. Studies have consistently shown that antibacterial products are not any more effective than plain soap and water. The most common antibacterial ingredient, triclosan, has been linked to cancer, developmental defects, and liver toxicity in animals. It also may be a hormone disruptor in humans, as it is in frogs. Sprays. Pesticides that are sprayed into the air should be avoided. They pollute indoor air and coat surfaces, and usually are overkill. http://www.scgh.com/go-green/pest-controlindoors/safe-indoor-pest-control/ http://www.epa.gov/oppfead1/Publications/Cit_Guide/citguide.pdf

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Delicious recipes for your health . . .

Help Heal Your Inflammation By Cherie Calbom, MSN Sizzle isn’t just about Lowcountry late summer weather or the patio grill. Inside your body, where you can’t see the “smoke and fire,” there may be an internal slow simmer or a rolling boil at work called inflammation. It is the engine that drives the most feared illnesses of middle and old age. It is estimated that more than half of all Americans are inflamed, with most people not knowing they are. Most ailments associated with chronic inflammation, such as lupus, rheumatoid arthritis, diabetes, fibromyalgia, atherosclerosis, inflammatory bowel, chronic pancreatitis, obesity, heart disease and Alzheimer’s disease, could be helped with an anti-inflammation diet. If inflammation has been turning up the heat inside your body, you can cool the simmer with a few key changes to your diet and lifestyle. Certain foods, such as dark red cherries, ginger, dark chocolate, berries and hibiscus, offer superior antiinflammation properties. The following delicious recipe will not only spark your taste buds, it will dial down inflammation:

Hibiscus Iced Tea Refresher Hibiscus has powerful antioxidants, even more than green tea. It has been shown to lower high blood pressure and uric acid for people with gout. It also helps to quench the fires of inflammation. Serves 6 Chopped hibiscus flowers or 5 hibiscus herbal tea bags 12 mint leaves (optional) Juice of 1 lime (optional) 2 quarts purified water Steep hibiscus tea or flowers in water. Put it all in the refrigerator. for about an hour. This tea would go well with the Chicken in Cashew Nut sauce recipe on the next page.

Cherie Calbom, MSN, (http://www.juiceladycherie.com/Juice/), is the author of 28 books, including her most recent The Juice Lady’s Anti-Inflammation Diet (Siloam 2015), which gives readers scores of tips on inflammation and the factors that contribute to it, along with a 28-day menu plan and recipes prepared with the assistance of Chef Abby Fammartino. Cherie earned a master of science degree in whole foods nutrition from Bastyr University. She has practiced as a clinical nutritionist and currently offers Jumpstart Healthy & Fit online e-courses and health and wellness juice retreats.

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September 2015

A traditional Indian dish without heavy spiciness In spite of its reputation, Indian food is not always spicy. For example, Northern Indian cuisine uses cashews to make a sauce that’s complex despite its minimal ingredients. Those who love Indian food but want to scale back on the spice can consider the following recipe for “Chicken in Cashew Nut Sauce” from Ruta Kahate’s “5 Spices, 50 Dishes” (Chronicle Books).

Chicken in Cashew Nut Sauce Serves 4 3

tablespoons pressed grapeseen or canola oil, divided

large yellow onion, thinly sliced

3⁄4

cup water, divided (1/2 + 1/4 cup)

ounces finely ground raw unsalted cashews

teaspoon finely grated fresh ginger

teaspoon finely grated garlic (about 2 large cloves)

1⁄2

teaspoon cayenne

tablespoon unsalted butter

11⁄2 teaspoons salt 4

skinless, boneless chicken breasts (about 11⁄2 pounds), tenderloins removed

1⁄2

cup plain whole or low-fat yogurt, whisked

Heat 2 tablespoons of the oil in a medium skillet and fry the onion until well browned. Cool slightly and then use a food processor to grind the browned onion with 1⁄4 cup of the water, the cashews, ginger, garlic, and cayenne until it forms a smooth, thick paste.

Chicken in Cashew Nut Sauce

In a large saucepan, heat the remaining 1 tablespoon oil along with the butter. Add the cashew-onion paste and stir constantly over medium heat, deglazing the pan by adding a quarter cup of water and using a spatula to loosen the browned bits until the sauce has browned evenly. This should take about 5 minutes. Thin out the sauce with the remaining 1⁄2 cup water and stir in the salt. Add the chicken and turn to coat well with the sauce. Simmer, covered, over low heat until the chicken is cooked through but is not overdone, 8 to 10 minutes. You can discreetly pierce the thickest part of a breast with a paring knife and check for doneness. Carefully turn the chicken breasts over once during cooking. Turn off the heat. Remove the chicken breasts to a serving platter, gently stir the yogurt into the sauce and mix well. Immediately pour the sauce over the chicken and serve. If the dish has to sit for a while, return the chicken breasts to the pan after you have stirred in the yogurt and cover to keep warm. September 2015

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a healing bond To John Nieson, the relationship between horse and owner is unique, a connection that demands a high degree of nuance and direction. When considering knee replacement surgery, he found the same level of skill and dexterity at the Joint Replacement Center. A cartilage-sparing surgical technique put John on the path to regained mobility, allowing him to continue riding and living well.