Crossroads 2017 Medical Guide
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INSIDE Treating Carpal Tunnel Get regular checkups Understanding dementia Truth about dieting Depression symptoms Cold, hot therapies Product of the Daily Corinthian
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Crossroads
What's Inside
Magazine
How to reduce childhood weather worries
A Daily Corinthian Publication | 2017 Medical Guide
Treating Carpal Tunnel Syndrome - Page 7
EDITORIAL Publisher Reece Terry
Hospitalists improving health care at MRHC - Pages 8, 9
Editor Mark Boehler
Truth about dieting, weight loss - Page 10 Annual health exams are important - Page 12
Contributors Mark Boehler James Long, M.D. Segar S. Morris, D.O., M.B.A. Metro Services Magnolia Regional Health Center Pediatric Clinic Kimberly Shelton Taylor Hearing
Hearing loss symptoms mimic early onset Alzheimer’s - Page 13 Depression common but treatable - Page 15 Differences abound between cold, not therapies - Page 14
ADVERTISING Magazine Coordinator Skylar Mincey
Understanding dementia a key to compassionate care - Page 16
Advertising Manager Tom Tiernan
Four foods that can boost energy - Pages 16, 17
Sales Representatives Laura Holloway Derinda Nunley
Recognize, avoid youth sports injuries - Page 17 Dr. Robert McKinney of Corinth Medical Specialists shares his story - Pages 20-23
Creative Designer Marissa Ferreira Crossroads Magazine is published by the Daily Corinthian, 1607 Harper Road, Corinth, MS. A complimentary 10,000 issues are distributed in the Crossroads area. The contents of Crossroads Magazine are copyrighted and may not be reproduced without consent of the publisher. Crossroads Magazine shall not be held liable for failure to publish an ad or for typographical or publication errors. Publisher reserves the right to reject any advertsing and to alter advertising copy or graphics deemed unacceptable for publications. For additional copies of Crossroads Magazine, contact the Daily Corinthian at 662-287-6111. PA G E 4
- Page 6
Improve alertness while at work - Page 26 Water has many hidden benefits On the Cover Robert McKinney, M.D. by Sue Elam / On Location Photography
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Pediatricians at Magnolia Regional Health Center Pediatric Clinic include Hannah Beckham, FNP; Blakley Fowler, M.D.; Branson Bolden, M.D.; and Alisha Pressley Moss, M.D.
How to reduce childhood weather worries
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Lightning crashes, thunder quakes, news alerts flash on TV. Tumultuous weather can cause much anxiety for both young and old. An especially important task for parents and grandparents is to help children with their weather worries. With a little forethought and preparation, much of the worry and fear associated with bad weather can be reduced. Here are a few suggestions. • Learn about weather. Helping children to understand what is happening during a thunderstorm can take away some of the fright. A parent might explain to their child that rain is important for watering grass and trees, or explain that lightning and thunder result from electricity build up in the clouds. Books like “Franklin and the Thunderstorm” for younger children and “Thunderstorms” by Chana Stiefel for older children are a couple of good resources for learning about weather.
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Treating Carpal Tunnel Syndrome
BY JAMES D. LONG M.D., F.A.C.S.
Most people have heard of “Carpal Tunnel,” known medically as Carpal Tunnel Syndrome (CTS). But often there is confusion on just what symptoms are associated with the condition. I hope to clear that up. CTS patients complain of stinging or burning pain or numbness in the fingers of their hands. Onset of CTS can occur without any clear inciting event, frequently worsening slowly over time to become unbearable. Patients with CTS complain of being awakened at night with discomfort in their hands that only improves with shaking their hands or opening and closing them. Occasionally, patients have pain that radiates up their forearm and in severe cases the hand can become weaker and the muscles of the hand can begin to shrink in size. For early, milder cases, a combination of anti-inflammatory medications, like Ibuprofen, and wrist cock up splints worn at night provide adequate treatment. In many cases, however, more is needed. In these more severe cases we
evaluate patients by performing nerve studies which are critical in helping to determine that a nerve compression is the true source of the problem and those studies also help to specify the site of the nerve compression. Once a compression is identified, surgical intervention to release pressure on the nerve may be an option to alleviate symptoms. At Magnolia Orthopaedic Center, we offer minimally invasive Endoscopic Carpal Tunnel Surgery for appropriate candidates. With this technique only a very small incision is used to place a thin fiber optic camera into the wrist which permits the ligament (that places pressure on the nerve) to be released. Advantages of Endoscopic Release are: • Less postoperative pain • Much faster healing times The improvement patients can expect to see are equivalent between the older and the newer Endoscopic Technique. For patients who are poor candidates for the Endoscopic Surgery, we also offer the older Open Technique, which is also very effective.
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Hospitalists improving health care at MRHC Health care is changing. At Magnolia Regional Health Center (MRHC), we seek innovative ways to care for our patients and ensure equal access to the best care offered. That’s why we want you to know about a rather new specialty of physicians who help patients hospitalized at MRHC to be cared for quickly, have 24 hour access to a physician, and ultimately get healthy and home sooner. These specialists are called hospitalists.
What is a hospitalist?
BY SEGER S. MORRIS D.O., M.B.A.
The term hospitalist was first coined in 1996, but the specialty has been in practice since the early 1990s. Now, there are over 44,000 hospitalists nationwide. Simply put, a hospitalist is a physician who specializes in caring for patients who are hospitalized. At MRHC, all of our hospitalists are trained in Internal Medicine - which makes them the primary care doctors for adults in the hospital.
MRHC Hospitalists M. Hayes Baker, M.D. Amanda Finley, D.O. Michael Hawley, D.O. Seger S. Morris, D.O., M.B.A. Sidney Pace, M.D. J. Peyton Preece, D.O. David V. Pizzimenti, D.O. Rachel Thibodeaux, D.O. Which patients get to see a hospitalist?
There are three main situations you will be treated by a hospitalist if hospitalized: • You do not have a primary care provider • Your primary care provider is in another
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The role of a hospitalist is to get to know you and provide care quickly and safely; but also to ensure every member of your care team is aware of the hospitalization.
town and does not treat patients at MRHC • Your primary care provider has arranged in advance for his/her patients to be treated by MRHC’s hospitalists. Additionally, since hospitalists are in the hospital around the clock, they act as the “first responders” to medical emergencies in the hospital, can perform minor procedures at the bedside, and often provide medical consultation following surgical procedures.
Will I get the same great care I’ve come to expect from my usual doctor?
Absolutely! In fact, some studies show that patients cared for by hospital-
ists are more likely to survive a hospitalization, return home sooner, and have a less costly hospitalization. One of the best things about being cared for by a hospitalist is that your team of doctors is in the hospital around the clock to provide face to face care if needed.
Will my doctor know I’m in the hospital? The role of a hospitalist is to get to know you and provide care quickly and safely; but also to ensure every member of your care team is aware of the hospitalization. Your primary doctor — depending on their communication preferences — will receive electronic, fax, phone and other communication
while you are hospitalized and after you return home. In fact, talking with your primary doctors helps hospitalists ensure they provide you the best care possible — which is what we all want in the first place.
Who are the hospitalists at MRHC?
Most importantly, they are members of the community — some even grew up here. Our hospitalists live, work, dine, worship, shop and serve in and around Corinth, MS. In addition to patient care, our hospitalists serve on many hospital committees, train new physicians and students, and help improve the quality of care at MRHC.
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Get to the truth about dieting, weight loss Weight loss is a popular resolution come the new year. But in spite of that popularity, the resolution to lose weight is no small task. When resolving to lose weight, men and women will encounter an abundance of information about dieting and weight loss. It’s difficult to know who to believe and to determine which plans will be effective. Research published by Shape magazine says nearly one in three young people embark on a new diet each month, but 45 percent give up after one week, and about half abandon their goals within a month. Data released in the Daily Mail in 2013 said that although one in seven (13 percent) women in the United Kingdom stick to a diet for 13 weeks or more, nearly one in five (19 percent) succumb to their favorite food cravings after a month. What’s the magic formula for weight loss? Experts advise that there isn’t any. Weight-loss strategies that require fad dieting or restrict certain foods may not produce long-term success. Rather, a lifestyle overhaul is often the most effective weight loss strategy. • Recognize that quick fixes do not
A person’s first step before dieting or attempting to lose weight should be to consult their physician, who can help men and women achieve their weight loss goals in a way that’s healthy and easy to maintain for years to come. work. Drastic weight loss approaches may produce immediate results, but such plans are not sustainable. Drastic plans include certain detoxes and cleanses; diets that eliminate all but a few foods; some prepackaged foods; and food-replacement strategies. Feelings of deprivation or boredom may make people following these diets unsuccessful
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in the long run. • Eat in regular intervals. Researchers at the National Weight Control Registry offer that spacing food evenly throughout the day is the key to successful, long-term weight loss. People who eat healthy food at regular intervals are better nourished, think more clearly and report fewer mood swings than those who eat erratically. • Recognize that not all carbs are bad. People trying to lose weight often hear that they should increase protein consumption and drastically reduce their intake of carbohydrates. While it’s smart to reduce consumption of processed carbs and those that are made largely of white flour, there are some healthy carbohydrates, including beans, whole grains, fruits, and vegetables. • Be flexible. As a person’s body ages, his or her metabolism will change. Men and women should revisit their recommended caloric intake every few years. In addition, men and women can routinely revisit their exercise routines to determine the efficacy of those routines and alter their workouts to reflect the physical changes their bodies are going through as they age.
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Annual health exams important Annual health exams are a key component of maintaining a healthy lifestyle. A person may not see the need to visit the doctor if he or she is feeling well, but not every disease or condition manifests itself in a way that men and women can detect. According the Unity Point Clinic, nearly one-third of the 133 million Americans living with a chronic disease are unaware of the presence of their conditions. Routine physical exams can detect serious illnesses before they do much damage. No two physical exams will be exactly alike, but many will share some features.
Health history
A crucial element of a physical exam will include a thorough health history if the physician doesn’t already have one on file. The doctor will take time to ask questions about family history of illness, health habits, any vices (smoking, drinking alcohol, etc.), exercise schedule, and diet. If there is a possible hereditary health condition running through your family, the doctor may suggest certain testing and make note of potential signs to look for in the future.
Current ailments
After discussing a patient’s history, the doctor may ask if they are having any problems they cannot explain. These can include changes in eating or sleeping patterns; aches and pains; lumps or bumps and other abnormalities. Again, the presence of symptoms may be indicative of illness or physical changes, but not all diseases produce obvious symptoms.
Vital signs
A doctor will check a patient’s vital signs during the physical. Areas the doctor will look at include but are not limited to: • Heart rate: This measures the speed at which the heart is pumping. Normal
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resting heart rate values range from 60 to 100 beats per minute. • Blood pressure: A blood pressure cuff (sphygmomanometer) will measure systolic and diastolic pressure. Systolic pressure measures the force with which the blood is pushing through the arteries. The diastolic blood pressure is the pressure in the arteries between beats, when the heart rests. The systolic (top number) should be below 120, while the bottom should be less than 80, according to the Mayo Clinic. • Respiration rate: The doctor will measure the number of breaths taken in a minute. WebMD says between 12 and 16 breaths per minute is normal for a healthy adult. Breathing more than 20 times per minute can suggest heart or lung problems. • Pulse oximetry: Pulse oximetry is a test used to measure the oxygen level (oxygen saturation) of the blood. It is a measure of how well oxygen is being sent to the parts of your body furthest from your heart. Normal pulse oximeter readings usually range from 95 to 100 percent. Values under 90 percent are considered low.
Physical exam
The examination will also include physical components. The doctor will perform a visual inspection of the skin and body for any abnormalities, such as the presence of skin cancer. The physician may feel the abdomen to check that internal organs are not distended. Females’ physical examinations may include breast and pelvic exams.
Comprehensive testing
In addition to the exam at the office, the physical may include an electrocardiogram, or EKG, to check electrical activity of the heart; blood count and cholesterol checks through bloodwork; body mass index testing; X-rays or MRIs and bone-density tests.
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Hearing loss symptoms mimic early onset Alzheimer’s DR. ANGELA CISSOM Taylor Hearing Centers At any stage of life, memories are some of the most important things you can make. If losing those memories, or losing the process of making those memories is avoidable, don’t you think you should take note? According to a study by Johns Hopkins and the National Institute on Aging, seniors with hearing loss are significantly more likely to develop dementia over time than those who retain their hearing. The findings, the researchers say, could lead to new ways to combat dementia, a condition that affects your memories and the way you process events that happen around you. Although the reason for the link between the two conditions is unknown, the investigators suggest that a common pathology may underlie both or that the strain of decoding sounds over the years may overwhelm the brains of people with hearing loss, leaving them more vulnerable to dementia. They also speculate that hearing loss could lead to dementia
by making individuals more socially isolated, a known risk factor for dementia and other cognitive disorders. Hearing in the brain doesn’t work in isolation. That part of the brain also plays a role in memory and sensory integration and has been shown to be involved in the early stages of mild cognitive impairment and Alzheimer’s disease. “If you want to address hearing loss well, you want to do it sooner rather than later,” said study leader Frank Lin, an assistant professor at the Johns Hopkins schools of medicine and public health. “If hearing loss is potentially contributing to these differences we’re seeing on MRI, you want to treat it before these brain structural changes take place.” Whatever the cause, the scientists report, their finding may offer a starting point for interventions — even as simple as hearing aids — that could delay or prevent dementia by improving patients’ hearing. “Researchers have looked at what affects hearing loss, but few have looked at how hearing loss affects cognitive brain function,” Lin continued. “There hasn’t been much crosstalk between otologists
and geriatricians, so it’s been unclear whether hearing loss and dementia are related.” To make the connection, Lin and his colleagues used data from the Baltimore Longitudinal Study on Aging (BLSA). The BLSA, initiated by the National Institute on Aging in 1958, has tracked various health factors in thousands of men and women over decades. Even after the researchers took into account other factors that are associated with risk of dementia, including diabetes, high blood pressure, age, sex and race, Lin explained that hearing loss and dementia were still strongly connected. “A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” Lin said. “Even if people feel as if they are not affected, we’re showing that it may well be a more serious problem .” (The research was supported by the intramural research program of the National Institute on Aging; Hub staff report / January 24, 2014; Hearing Loss and Dementia Linked in Study/ February 2011, Johns Hopkins.)
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Differences abound between cold, hot therapies Inflammation can affect anyone, and those who have battled it likely have nothing positive to say. But while few people may associate inflammation with something good, inflammation is actually a process by which the body’s white blood cells and the substances those cells produce protect the body from infection at the hands of bacteria, viruses and other foreign organisms. While inflammation is protective by nature, sometimes an inflammatory response is triggered by mistake. When that happens, the body’s immune system, which is designed to protect the body, begins to damage its own tissues. The resulting symptoms of this faulty immune system response may include joint pain, joint stiffness, loss of function in the joints, and swelling of the joints. None of those symptoms are comfortable, and people suffering from them may be on the lookout for ways to alleviate their pain and suffering. While anyone battling persistent inflammation should speak with their physicians to explore their treatment options, a preliminary search of how to best
Heat and cold therapies can effectively combat symptoms associated with inflammation, but such treatments should always be discussed with a physician before being instituted.
treat inflammation will no doubt turn up information about heat therapy and cold therapy. The following breakdown should not replace a physician’s advice, but it can help patients battling inflammation better understand both treatment options.
Heat therapy
According to the Merck Manual, a reference book for physicians and patients alike, heat works against inflammation
by increasing blood flow and making connective tissues more flexible. Heat also can be used to combat edema, a condition characterized by an excess of fluid in the tissues of the body. Upon application, heat can temporarily reduce pain and alleviate stiffness in the joints. Heat also may temporarily relieve muscles spasms. The Cleveland Clinic notes that heat can be effective at relieving pain associated with worn-away cartilage in the joints because it eases chronically stiff joints and relaxes tight muscles. In addition, moist heat can relax painful neck spasms linked to nerves or blood vessels in the head or pain emanating from muscles in the neck. Heat can be applied via hot packs, infrared heat, paraffin baths, and hydrotherapy.
Cold therapy
Cold therapy, sometimes referred to as “cryotherapy,” can relieve pain associated with inflammation that has developed recently. Cold can help numb tissues and relieve muscle spasms and can also be used to alleviate pain associated with injuries. The Merck Manual notes that ice bags or cold packs can be used to apply cold. In addition, fluids that cool by evaporation, including ethyl chloride, may be applied topically. Some medicines may interact with ethyl chloride spray, so inflammation sufferers should consult their physicians before applying such sprays. According to the Cleveland Clinic, ice can be used to calm flare-ups and numb pain associated with chronic, inflammatory arthritis. Ice also can ease inflammation and numb pain linked to pulled muscles or injured tendons. Pain and inflammation resulting from the stretching or tearing of ligaments in the joints may also be eased by applying ice to the affected area.
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Depression common but treatable It’s normal to experience feelings of sadness and grief from time to time. But when these feelings are prolonged or interfere with daily life, they may be symptomatic of depression. Depression can affect anyone regardless of age, gender or economic status. The National Institute of Mental Health says around 350 million people worldwide suffer from depression. Understanding depression can help those dealing with the disorder.
What is depression?
Depression is a mood disorder that causes persistent feelings of sadness and loss of interest. The Mayo Clinic says depression can produce a variety of symptoms and affect the way a person thinks, acts and feels. Symptoms may include changes in sleeping patterns, anxiety, fatigue, weight gain or weight loss, unexplained aches and pains, and difficulty concentrating.
What causes depression?
Although the cause of depression remains a mystery, certain distinguishing factors are common among those who have the condition. People with clinical depression appear to have physical changes in their brains. In addition, naturally occurPlease see DEPRESSION | 23
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FOUR FOODS that can boost energy levels Diet can go a long way toward increasing or lowering energy levels. No one wants to consume foods that will make it harder for them to get through the day, so the following are a handful of foods that pack an energetic punch. 1. Cashews: Cashews, which are high in magnesium, help to convert sugar into energy. Magnesium deficiency can lead to low energy levels, so nuts that are high in magnesium, including cashews, can provide that mid-afternoon jolt that some people are seeking. Cashews are high in calories, so it’s best for those looking to lose weight or maintain healthy weights
A proper diet can help boost energy levels.
Understanding dementia a key to compassionate care Alzheimer’s disease is one of the more prominent forms of dementia, but there are many additional types of dementia that also can cause both physical and cognitive alterations. Understanding the complexity of dementia can be beneficial to both dementia sufferers and their caregivers. Dementia is a general term used to define a decline in mental ability severe enough that it can interfere with daily life, offers the Alzheimer’s Association. Alzheimer’s disease is the most common type of dementia. Dementia is not a disease but a term used to describe a wide range of symptoms. The words “senility” and “dementia” often are incorrectly used interchangeably. However, serious mental decline is not a normal part of aging. Dementia presents itself through various symptoms, and memory loss alone is not enough to lead to a dementia diagnosis. Dementia can affect thinking and social abilities, but the Mayo Clinic notes that some dementias may be reversible. The following are some common symptoms of dementia: • Trouble communicating or finding words. PA G E 1 6
• Difficulty completing complex tasks. • Challenges with planning and organization. • Episodes of confusion and disorientation. • Memory loss, which is often noticed by a third party. • Personality changes that can include agitation, anxiety, inappropriate behavior and even hallucinations.
Apart from Alzheimer’s disease, which is a progressive disorder most common in people age 65 and older,
there are other types of dementia. The second most common is called “vascular dementia.” This results from damage to vessels that supply blood to the brain. This damage can be the result of stroke, smoking and other blood vessel conditions. Brain imaging can often detect blood vessel problems implicated in vascular dementia. Dementia with Lewy bodies, or DLB, is another dementia that laymen may mistake for Alzheimer’s disease. The Alzheimer’s Association notes that people with DLB often have not only memory loss and cognitive problems common in Alzheimer’s, but they also display initial or early symptoms such as sleep disturCROSSROADS MAGAZINE
bances, well-formed visual hallucinations, slowness, gait imbalance or other Parkinsonian movement features, which can lead to misdiagnosis. If physicians suspect dementia was caused by various factors, a person may be diagnosed with mixed dementia. Unfortunately, there are no cures for progressive dementias that are linked to plaque tangles in the brain and changes in the way the brain processes the protein alpha-synuclein. Patience and various medications may be needed to help those with dementia live fuller lives. Cholinesterase inhibitors are mainstays in dementia treatment. These medications prevent the breakdown of acetylcholine, a chemical messenger important for learning and memory. Acetylcholine supports communication among nerve cells by keeping acetylcholine levels high. Physical therapy and cognitive therapy may be used in conjunction with medication to assist those with various dementias. Helping individuals with dementia remain comfortable is a priority for caregivers, and understanding the symptoms and treatments can help caregivers make patients and loved ones as comfortable as possible. www.mycrossroadsmagazine.com
to adhere to serving suggestion guidelines. 2. Skinless chicken: A study from researcher Judith Wurtman of the Massachusetts Institute of Technology Clinical Research Center found that alertness tends to increase when the brain produces the neurotrans-
Recognize, avoid youth sports injuries Children benefit in various ways from their involvement in youth sports. Being part of a team fosters feelings of belonging, inspires collaborative play and strategy and can be an excellent form of exercise. Still, despite the benefits, parents often worry about the injury risk their children face on the playing fields. Those fears are justified. A Safe Kids Worldwide survey of emergency room visits found that a young athlete visits a hospital emergency room for a sportsrelated injury more than a million times a year, or about every 25 seconds. The Centers for Disease Control and Prevention says more than 2.6 million children 0 to 19 years old are treated in the emergency department each year for sportsand recreation-related injuries. Some of the more common injuries young children face have to do with the skeletal and muscular systems of the body. The American Academy of Orthopaedic Surgeons stresses that children’s bones, muscles, tendons, and ligaments are still growing, making them more susceptible to injury. Fortunately, with some www.mycrossroadsmagazine.com
mitter dopamine and the hormone norepinephrine. Skinless chicken contains an amino acid known as tyrosine that helps in the production of both dopamine and norepinephrine. If skinless chicken is not available, other foods that may provide this same effect include fish, lean beef and eggs. In addition, lean meats like skinless chicken contain enough vitamin B to help ease insomnia. 3. Salmon: Omega-3 fatty acids can help the body fight inflammation, which has been linked to a host of ailments, including chronic fatigue. Salmon is also high in protein, which can eliminate the mid- to late-afternoon hunger pangs that can derail healthy diets and contribute to weight gain. 4. Beans: Beans are load-
education, many youth-sport injuries can be prevented.
Sprains and strains
Sprains are injuries to ligaments, or the bands of tough, fibrous tissue that connect two or more bones at a joint. Strains impact a muscle or a tendon, which connects muscles to bones. Clinical research has linked acute strains and sprains to improper warm-up before sports, fatigue and previous injuries. Preparticipation conditioning and stretching can help reduce the risk of injury.
Periostitis
Periostitis is commonly known as “shin splints.” This is an overuse injury that occurs in athletes who are engaged in activities that involve rapid deceleration. Periostitis causes inflammation of the band of tissue that surrounds bones known as the periosteum, and typically affects people who repetitively jump, run or lift heavy weights. To head off potential pain in the shins, young athletes can gradually build up their tolerance for physical activity. Supportive shoes or orthotic inserts may also help. Incorporating cross-training into a regimen also can work.
Repetitive use activities
Swimmers, tennis players, pitch-
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ed with fiber, and that’s a good thing for energy levels. Like magnesium, which can also be found in beans, fiber takes awhile to digest, extending the energy-boosting properties of foods loaded with fiber. In spite of the growing movement to eat and live healthier, many adults still do not include enough fiber in their diets. Men and women can consult with their physicians to determine how to make that happen, but eating more beans is a good start.
ers, and quarterbacks may experience something called a repetitive use injury. This is pain in an area of the body that is used over and over again. Inflammation of muscles and tendons may appear, but repetitive use injuries also may result in stress fractures, which the National Institute of Arthritis and Musculoskeletal and Skin Diseases defines as hairline fractures in bones that are subjected to repeated stress. Rest between exercises can help alleviate these types of injuries. Ice, compression, elevation and immobilization may be used if pain is persistent.
Growth plate injuries
Kids Health says growth plates are the areas of growing tissue near the ends of the long bones in the legs and arms in children and adolescents. A growth plate produces new bone tissue. If the growth plate is injured, it cannot do its job properly. That may contribute to deformed bones, shorter limbs or arthritis. Growth plate injuries most often result from falling or twisting. While there’s no surefire way to prevent growth plate injuries, getting proper and immediate care after an injury can help prevent future problems. An orthopedic surgeon has the expertise to diagnose and treat these injuries. PA G E 1 7
Jason Murphree, MD
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Accepting Patients:
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20-DR MCKINNEY
Cover story
Local physician follows his BY KIMBERLY SHELTON For Crossroads Magazine
M
aking a difference one patient at a time, Robert H. McKinney, M.D. of Corinth Medical Specialists says he always knew deep down that he wanted to be a doctor. “I don’t think I ever really seriously considered any other career paths,” he said. After graduating with honors and earning his Doctorate of
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heart
Medicine from the University of Tennessee School of Medicine in June of 1992, the busy med student moved on to the University of Tennessee Residency Program (from July 1992–June 1996) where discovered he had a passion for both pediatrics and internal medicine. “It was during my third and fourth year of medical school when we were doing rotations through sub-specialties that I decided what I wanted to specialize in,” he said. “While I was intrigued by several areas, I decided
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those were the two which most fascinated me.” Discovering where his heart truly lay, Dr. McKinney turned to private practice, co-founding Booneville Medical Specialists the same year he finished his residency. A native of Prentiss County, the now 50-year-old remained with Booneville Medical Specialists until 2000 when he founded his current private practice – Corinth Medical Specialists. Voted most likely to succeed in his high school class, the 1984
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Dr. McKinney works with four Family Nurse Practitioners, including Cassie Robinson. Opposite page: Dr. Robert McKinney and Amber Janzen, FNP treat oneyear-old Emma Kline at Corinth Medical Specialists. Emma is with her father, Matthew Kline. Dr. McKinney checks a patient’s record with Amber Janzen, FNP.
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Booneville High School Valedictorian and Star Student faithfully serves patients at CMS with the help of his four FNP’s – Cassie Robinson, Amber Janzen, Melinda Hamlin and Ginger Shook. Formerly called Harper Acute Care, Dr. McKinney’s practice also offers an acute care side which specializes in the treatment of acute illnesses and minor injuries. The first private practice in Northeast Mississippi to have electronic medical records, CMS readily embraced the new technology, making the switch somewhere around 2004. A member of the prestigious Alpha Omega Alpha Medical Honor Society, the pediatric specialist cited interaction with patients as the most rewarding part of practicing medicine. “I think that’s the bedrock of why folks decide to become doctors,” he said. “That and because they love science and learning about concepts related to the body and its development.” Also married to a physician, Dr. McKinney’s wife, Laura Crecelius, M.D. has a gynecology clinic right next door to Corinth Medical Specialists. An OBGYN, Dr. Crecelius opened her own private practice after years of practicing with Bobby Kennedy, M.D. at the Woman’s Clinic of Tupelo. Affiliated with Magnolia Regional Health Center, CMS is one of the few remaining physician-owned doctor’s offices in Corinth. “We treat everyone from young babies to adults with maladies such as hypertension, diabetes and arthritis,”
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said Dr. McKinney. With a 50/50 patient ratio of adults and children, the Booneville resident often treats entire families. “The most common complaints we are seeing this time of year are sinusitis and bronchitis,” he said. “Adults as well as children are coming in as a result of it.” A graduate of the University of Mississippi, the medical specialist earned his B.S. degree in Biology in 1988 and his A.A. degree from Northeast Mississippi Junior College in 1986 where he was inducted into the Hall of Fame. Formerly employed as a laboratory assistant for Walter T. Hughes, M.D. and with St. Jude Children’s Research Hospital in 1989, Dr. McKinney is a member
of the American Medical Student Association, the American Medical Association and the American College of Physicians. Married to his wife Laura for 20 years now, the busy physicians have two daughters, Emily, 18, who is a freshman at Mississippi College and Madeline, 15, who is a sophomore at Booneville High School. In his spare time, the Booneville native enjoys doing yard work around the house such as growing various plants and flowers and getting a change of scenery. “Both Laura and I love to travel,” he said. “I like to be outdoors and see new things, but my biggest hobby is genealogy because I feel it’s important to know where you come from.”
“
“It was during my third and fourth year of medical school when we were doing rotations through sub-specialties that I decided what I wanted to specialize in. While I was intrigued by several areas, I decided (pediatrics and internal medicine) were the two which most fascinated me.”
Dr. McKinney looks over an X-ray with Ginger Shook, FNP.
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DEPRESSION CONTINUED FROM 15
ring brain chemicals known as neurotransmitters likely play a role in depression. The Mayo Clinic states changes in the function and effect of these neurotransmitters and how they interact with neurocircuits involved in maintaining mood stability may play a significant role in depression and its treatment. In addition to biological factors in the brain, hormones can impact rates of depression or even trigger it. These hormone
shifts may be a leading reason why women have higher incidence rates of depression than men. Depression is more common in people whose blood relatives also have the condition. Therefore, those with a family history of depression may
be more likely to get it than those without such a connection.
Different types of depression
There are different types of depression. A person may have a single bout of major depression or recurring episodes. Depression that lasts two or more years is called persistent depressive disorder. A less common type of depression is called manicdepressive illness. This involves cycles of depression that alternate with extreme highs, or manias.
Treating depression
Depression is a very treatable condition. Psychotherapy (talk therapy), medications
The sooner action is taken, the more quickly the condition can be addressed. or a combination thereof can be very effective in managing symptoms. Mental health professionals can work with individuals to find the right therapy based on symptoms and severity of the depression. Also, it may take some time to find the right medication or treat-
ment; therefore, people are urged to remain patient and hopeful. The National Institute of Mental Health says people who suspect they may be suffering from depression should make an appointment to see a doctor or health care provider.
WEATHER • Prepare for a storm. Depending on the severity of the storm, different actions will need to be taken. If no severe threat is present, try to continue home life as usual. Always have a safe place in the home picked out in case weather worsens. This may be an inner closet or bathroom. Practice going into those areas with children. Singing songs or placing teddy bears and soft toys in the safe place can help children relax. Having a game plan and knowing what do if bad weather strikes will reduce anxiety for both parent and child. • Watch the storm. This has to be done cautiously and
only if there is no severe warning. Always view weather from a safe place. Watch the child’s reaction. If the child becomes upset or scared, back away. It’s important to let children know that storms can be dangerous, but it’s also important for them to understand that storms are a part of nature. • Provide distraction when needed. Play a game or watch a movie. Parents can keep track of weather alert on their phone or computer while children are engaged in some other activity. If the lights go out, play with flashlights or make a living room camp out. • Keep calm. Children react to adult’s facial expressions, tone of speech and actions. They
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are especially susceptible to learning fear from their parents. Calm and poised parents reassure their child that they are safe and protected. Following the above steps will help parents feel prepared and confident when bad weather strikes, which in turn will provide reassurance and comfort to children. Children thrive in a loving and nurturing environment. If a child expresses fear about bad weather, be near and listen to his or her concerns, let them know that everyone struggles with fear and reassure them that they are safe, protected and loved. Lastly, when the storm passes, go outside and play in the puddles. After all, children are waterproof.
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“One of the Area’s Best Health and Rehabilitation Facilities” TISHOMINGO MANOR NURSING HOME, well-known for being of one of the areas best health and rehabilitation facilities, is well suited for short term rehab and long term care. The facility specializes in Skilled Nursing, Physical, Occupational and Speech Therapy, Hospice Services, SubAcute Care and Restorative Therapies. The facility operates with a skilled, caring and compassionate staff dedicated to the well-being of your loved one. For more information about our facility or to tour our facility, please contact Tina Stevens, Administrator or Diane Borden, Admission Coordinator at 662-423-9112. The Staff at Tishomingo Manor would like to say THANK YOU to the families for placing their trust and confidence in us. 230 Kaki St. • Iuka, Ms. • 662-423-9112
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Water helps the body in myriad ways, many of which might surprise people unaware of just how valuable water can be to the body.
Water has hidden benefits Dehydration is a dangerous condition that can cause a host of complications and even prove fatal in severe cases. But as dangerous as dehydration can be, many cases are entirely preventable. The best way to prevent dehydration is to drink enough water. When the body does not take in as much water as it puts out, it can become dehydrated. People who live in warm climates or in elevated altitudes may lose more water than those who do not. In addition, water loss is accelerated during strenuous exercise, highlighting the emphasis men and women must place on drinking enough water during their workouts. But water does more for the body than prevent dehydration. The following are a handful of lesser known ways that water benefits the body. • Water can help people maintain healthy weights. Dieting fads come and go, but water is a mainstay for people who want to control their caloric intake in an effort to maintain healthy weights. Water has zero calories, so reaching for a bottle or glass of water instead of a soda, lemonade or another caloric beverage can help people keep the pounds off. A study from researchers at the University of Texas Health Science Center found that even diet soda enhances weight gain by as much as 41 percent. In addition, soda has been linked to conditions such as obesity, diabetes and tooth decay. No such association exists with water.
Improving alertness during the workday A long workday can be both mentally and physically draining. As a result, office workers and professionals whose jobs are more physically demanding than office work may find themselves less alert at the end of the workday than at the beginning. A loss of alertness as the workday draws to a close might be unavoidable. But professionals whose sense of alertness begins to dwindle in the thick of the workday might need to take steps to improve their alertness to protect themselves from injury and to ensure the quality of their work does not suffer. • Avoid caffeine in the late afternoon. Some professionals rely on caffeinated beverages such as coffee or energy drinks to combat afternoon drowsiness. While that afternoon caffeine fix might provide an immediate, if temporary, jolt of energy, it
Professionals who find their alertness levels waning in the afternoons can combat such drowsiness in various ways. PA G E 2 6
might also affect a person’s energy levels the following day. A 2013 study published in the Journal of Clinical Sleep Medicine found that caffeine consumed as early as six hours before bedtime can significantly disrupt sleep. • Avoid high-fat foods at lunchtime. Foods that are high in fat negatively affect energy levels when consumed in the middle of the day. The University of Rochester Medical Center notes that the body digests and absorbs high-fat foods very slowly. That means workers who eat high-fat foods for lunch won’t get the afternoon energy boost that low-fat, healthy lunches will provide. • Snack healthy. Professionals who find themselves needing a snack in the mid- to late-afternoon can sate their hunger and give themselves an energy boost by snacking healthy. Avoid snacks like potato chips that tend to be high in fat and low in nutrition. Foods that are high in fiber and/or protein can provide a longer energy boost and quell the afternoon hunger pangs at the same time. Fresh fruit and Greek yogurt fit the bill. • Change your workout schedule. Regular exercise improves short- and long-term health while also increasing daily energy levels. Professionals who include exercise in their daily routines yet still suffer from a lack of alertness in the afternoon may need to alter their workout schedules. A 2011 study published in the Journal of Occupational and Environmental Medicine found that participants who were assigned afternoon exercise programs during work hours reported increased productivity versus those who were not assigned afternoon workouts. If working out in the afternoon is not feasible, avoid working out too late at night, as the National Institutes of Health note that exercising within two to three hours of bedtime can disrupt sleep, ultimately having a negative impact on energy levels the following day.
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• Water helps to fight fatigue. The fatigue-fighting properties of water are another of its lesser known benefits. When the body is not adequately hydrated, it can experience muscle soreness. And fitness enthusiasts who do not drink enough water may notice their bodies require extensive recovery time after working out. Each of those consequences can be prevented by drinking enough water, and doing so can even improve performance, as studies have shown that just a 3 percent loss of body weight due to dehydration can cause as much as a 10 percent drop in performance level. • Water can improve the appearance of the skin. Skin that does not get enough water can turn dry and flaky and feel tight. In addition, dry skin is more likely to wrinkle than adequately hydrated skin. Getting water to the skin can be tricky, as the University of Wisconsin-Madison School of Medicine and Public Health notes that water will reach all the other organs of the body before it reaches the skin. But the school recommends applying a hydrating moisturizer within two minutes of leaving the bath or shower and drinking at least eight glasses of water a day to ensure the skin is getting enough water. • Water helps the gastrointestinal tract. Water can help maintain normal bowel function. When the body lacks sufficient fluid, the colon will pull water from stools in an effort to stay hydrated. That can lead to constipation, a condition in which people experience difficulty emptying their bowels. By drinking enough water, people can ensure their colon will not have to pull water from stools to stay hydrated, thereby helping them stay regular.
Five to 10 minutes of light aerobic exercise before working out can help men and women avoid injury. www.mycrossroadsmagazine.com
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Simple ways to avoid injuries when working out A desire to live a healthy, active life compels many people to include exercise in their daily routines. Numerous studies have shown that regular workouts that include a combination of strength training and cardiovascular exercise can make bodies less susceptible to injury while reducing a person’s risk for conditions such as heart disease, stroke and diabetes. Exercising is most effective when it’s part of a daily routine, but that routine can be derailed if men and women are not taking the appropriate measures to avoid injury while working out. While even professional athletes succumb to injury from time to time, there are steps everyone can take to avoid injury when working out. • Confirm your technique is the right one. Exercise science is continuously evolving, and that means workouts and fitness machines are evolving as well. When using a piece of equipment for the first time or altering a workout routine, consult with a gym employee or personal trainer to learn the correct technique. Incorrect technique can lead to minor and serious injuries because muscles are used in ways they are not intended to be used when exercises are performed properly. Research appropriate techniques, taking advantage of online video tutorials if you don’t exercise at a gym, to ensure the exercises you want to perform are done properly. • Be patient. Lifting too much weight or pushing yourself too hard will increase your risk of injury. This is especially true for men and women working out for the first time or after lengthy stretches of inactivity. Men and women who are elderly, inactive and/ or overweight are likely to suffer from poor balance because their muscles are weak. Those muscles can be strengthened over time, but remain patient and stick to light weight during initial workouts so lack of balance does not lead to pain or injury. Take the same approach with aerobic exercise to prevent muscle strains and pulls. Increase weight and the intensity of cardiovascular exercises as muscles gradually strengthen and become accustomed to exercise. • Allow for adequate time to warm up. Before diving into a workout routine, spend between five and 10 minutes warming up your body with some lowintensity exercises. This increases blood flow to the muscles and makes them more elastic and pliable than cold muscles, thereby improving flexibility. • Vary workouts and exercise regularly. Varying workouts is a good idea because doing so can prevent repetitive-use injuries and prevent overuse of muscles. Repetitive-use injuries such as shin splints and tendinitis require extended rest to heal, and that can derail your routine and nullify your progress. Vary workouts so you are not always working the same muscles, and don’t mistake varying workouts for varying workout schedules. Working out five days one week and one day the next increases your risk of injury. PA G E 2 7
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