Crossroads 2015 Medical Guide
Magazine
Cancer survivor
tells her story
How to do
CPR
Cover story
Leonard Pratt, M.D. www.mycrossroadsmagazine.com
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Dodd Eye Clinic
The most advanced technology to diagnose and treat ocular diseases Including: Glaucoma • Diabetes • Cataracts • Macular Degeneration
Dr. John Dodd
Dr. Nixon Dodd
Wide Range of Frames and Sunglasses • Michael Kors • Tory Burch • Coach • Burberry • Gucci • Ralph Lauren • Nike • Costa DelMar • RayBan All Types of Contact lenses: - Disposable, Bifocal, Colored, Gas Permeable
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Contents Contents
Crossroads Crossroads Magazine Magazine Magazine
Tech gadgets make Leonard Pratt,more M.D Give your home eye great stocking stuffers appeal shares his story — Pages 6-7
A A Daily Daily Corinthian Corinthian Publication Summer 2014 A Daily |Corinthian Publication | Winter 2014 Publication | Winter 2015
Pages6-8 6,7 —— Pages
Continue family through Show your personality MRHC 2014 in review: home furnishings traditions or start A year to be proud — Pages 8-11 a new one — Pages 10
EEDITORIAL DITORIAL Publisher
Publisher EDITORIAL Reece Terry Reece Terry
— Pages 10-11 First impressions mean everything when Stress and theselling heart Fabulous Finds — Page 12 — Pages 11 — Pages 16-17 Calendar of Events Healthy heartCookbook —habits Pages 14-16 Community Pages 12 —— Pages 20-23 Community Cookbook — us Pages 20, 21 When life throws fastballs Calendar of Events — Pages 16-18 Color has the — power to 24-25 Pages enhance mood How to perform CPR — Pages 24, 24 Let’s live every special — Pages 20-22
Publisher Editor Editor Reece Terry Mark Boehler Mark Boehler Editor Contributors Contributors Mark Bill Boehler Avery Bill Beavers Avery Steve Steve Contributors Sue Beavers Elam Mark Boehler Steve Beavers Carol Humphreys TuLambert Cao Jebb Johnston Lisa KrutiLambert Patel Lisa Deborah Jackson Zack Rowland Steen Kimberly Shelton Sarah Zack Steen Jaylene ZackWhitehurst Steen Jaylene Jaylene Whitehurst Whitehurst Cathy Cathy Wood Wood
ADVERTISING
moment ... right now Must see homes in the region
Food preservation remains ——Pages 34-35 Pages 28, 29 key to good health — Pages 13 How to cutout yourthe home’s Picking energy costs perfect Christmas Page tree Eating right still the — core of 30 — Pages 38-39 dietary guidelines Meet & Greet— Pages 23-24 — Pages 36-43; 58-60 Christmas games can
Sales A D VRepresentatives E RT I S I N G ADVERTISING Fallon Coln Sales Skylar McCrimon Sales Representatives Representatives Derinda FallonNunley Coln Fallon Coln Skylar McCrimon Skylar McCrimon Creative DerindaDesigner Nunley DerindaFerreira Nunley Marissa
Creative Designer Designer Creative Marissa Ferreira Marissa Ferreira
add survivor Eloise Cancer Cover story: French chateaux Bowers shares her story fun holiday meets southerncheer charm — Pages —— Pages 40-42 Pages25-26 44-49
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.
www.mycrossroadsmagazine.com pa pag gee 44
Fabulous Meet & Finds Greet
Pages28-29; 54,55 —— Pages 23-33; 46-47; 48-49 How to stretch your travel dollar On The Cover — Page 61 On The Cover Silver, white and black ribbons,
Leonard Pratt, M.D. balls and crystal stems adorn Cover Photo aCircular 15-foot Christmas tree in staircase the Steen Photoinside by Zack the home of Jessica King ofin home of Tim and Tracey Smith Corinth by Sue Elam / On Location Corinth.
Photography Photo by Mark Boehler c r o s s r oc ad s sMs a ga a z i n e a- g m e d i cea l g u i d e crro o s srro o addss M m a gaazziin ne
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Cover Story
family physician Dr. Pratt loves his role as BY ZACK STEEN
zsteen@dailycorinthian.com Pictures of Jesus and the Lord’s Prayer adorn his office walls. His bedside manner is unlike any other physician in the community. His love and compassion extends through his staff and into the waiting room. Patients, some five generations deep, call Joseph Leonard Pratt, M.D. their family doctor and every day he greets them with his signature smile and a pat on the back. “I love people and have always felt in my heart that God called me to do this ... to be a physician and help people,” Pratt said. “I’ve pa g e 6
done this for more than 25 years now, and I’ve never fell out of love with it.” Born at Corinth Community Hospital (now Whitfield Nursing Home), only a stone’s throw from where his family medical clinic now sits off Proper Street, Pratt knew he wanted to be a doctor at a young age. “I had a huge amount of respect for my family doctor, Dr. Frank Davis. I’d say I got the inspiration to be a physician from him,” he said. “I knew I was going to be a physician even as young as nine or ten years old ... and I dreamed of doing it here, in Corinth, my hometown.” Pratt would make those dreams come true after school and a short stint in the military. The 1979 Corinth High School graduate
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studied pre-med at Ole Miss before heading to the University Medical Center in Jackson. He graduated med school in 1987 and entered the military’s Health Professions Scholarship Program. “The military paid for my medical school,” he said. “I owed them a few years of service in exchange.” He spent his residency at Eglin Air Force Base in Fort Walton Beach, Fla., then at a base in Turkey before landing back in Mississippi at Columbus Air Force Base. “When I got out of the military, I joined a family clinic in Booneville, before deciding to move back to Corinth,” Pratt said. “I was ready to be on my own.” Pratt finally made it back to Corinth in 1995 when he opened his first clinic on Shiloh Road with only three full-time employees. He soon outgrew the small space moving across the road to a bigger office, before moving to his newly built office on Pratt Drive off Harper Road about six years ago. With his growing list of customers, more than 20,000 active charts, Pratt sees patients from as far as Memphis, Tupelo, Booneville and Columbus. The Pratt Family Medical Clinic now employees more than 40 people, including a second physician, Dr. Amy Davis, and five family nurse practitioners, Carla Bray, Cayce Redding, Misty Rowsey, Debbie McFalls and Ronja Cole. Pratt’s office hours are unlike any other clinic in town, open seven days a week. “The new concept of medicine is to always be available. I started the full-time weekend clinic because I was losing all my patients to the E.R. I hated to know that my patients were going to the hospital for minor things and having to sit for hours,” Pratt said. “Patients are now happier -- it’s all about convenience.”
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Above Dr. Leonard Pratt checks on patient Agnew Moreland, 82, of Booneville. Opposite page Dr. Leonard Pratt discusses a patent with Ronja Cole, F.N.P. at Pratt Family Medical Clinic. Photos by Zack Steen Unlike some rumors, Pratt has no ill thoughts toward Magnolia Regional Health Center. In fact, he is currently their Chief of Medicine and one of their heaviest referrers. He’s seen daily at the hospital making rounds and seeing his patients. He also visits nursing homes and rehabilitation centers. “I believe in total family care, from the cradle to the grave -- it’s neat and I love it,” he said. Pratt also provided a free clinic for the community for several years. “I had a lot of great help and we were able to help a lot of people
in need. That was real important to me. When Dr. Sweat opened his free clinic, we decided we had to turn everything over to him,” Pratt added. “They now do a great job of providing that important service to the community.” Behind every great man, there’s an even greater woman. Standing at Dr. Pratt’s side for more than 30 years is his wife, Anita. “She’s my soulmate ... I couldn’t do all this without her. I couldn’t live without her,” he said. Anita is the clinic’s office manager and works from home most of the time.
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“She’s very important to the office -- she actually makes the biggest decisions, pays the bills and keeps everything going,” he added. Pratt’s oldest son Brooks, who is studying pre-med at Ole Miss, will join his dad’s clinic to practice medicine after his residency. Their youngest son, Brady, will graduate from Corinth this May and has joined the U.S. Marines. He has his eye on being a sniper. The true star of the family is well known in her own right. The Pratt’s daughter, Shelby, can sing, dance and act. She is studying recording music management and works as an intern in Nashville. “I love my kids and I’m proud of them all,” added Pratt. “Once Brady goes off to boot camp, we’re going to have a very empty nest around the house.” Pratt said he and Anita plan to move to their Pickwick cabin once
all the kids are gone and just relax. “We’re going to be river rats for awhile and just drive to work everyday,” he said. “I’m looking forward to that.” As for retiring, Pratt wanted to put those rumors to rest. “I’m not planning on giving up anytime soon. Every year that rumor seems to come around, but it’s just not true,” he said. “I’m healthy and ready to keep doing this for a while. It’s what I believe God created me to do and I’m going to do it until I can’t any longer.” Pratt owes his life and his good fortune over the years to the Lord, and keeps God as the focus of everything in his office and his life. “I pray with patients on a daily basis and believe that I attract a lot of my patients because they know this is a Christian oriented office. We go through things together, we find bad stuff, we treat bad stuff
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-- sometimes we get good outcomes and sometimes we don’t. No matter what the outcome is, God is in control,” Pratt said. “Sadly, we diagnose cancer on almost a weekly basis. It’s part of life. Does it make me wish I hadn’t chose to be a physician? No, because if I can still extend the hands of love around those people then I’m doing my job and I’m happy with that.” Pratt lives an honest life based on his favorite scripture from the Bible, Psalm 1:27. “Unless the Lord builds the house, the house shall not stand -- I believe if a person doesn’t put Christ at the foundation of their life, business and their very well being, then they should have never built the house to begin with,” Pratt said. “I know there are some people who don’t believe and that’s fine, they have that right, but it has worked for me.” “God’s been good to me,” he said.
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Comprehensive & Compassionate Healthcare for all ages
Pratt Family Medical Joseph L. Pratt, M.D.&• Compassionate Amy B. Davis, M.D. Comprehensive
Misty Rowsey, FNP-BCfrom • Cayce Redding, FNP-BC Primary Healthcare Birth to Geriatrics
125 Pratt Dr., • Corinth, MS
Carla Bray, FNP-BC • Ronja Cole, FNP-BC Joseph L. Pratt, M.D. • Amy B. Davis, M.D.
662-287-6405 • Fax 662-286-5898
121 Pratt Dr 1A • Corinth, MS • (662) 286-0088
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Corinth —Pulmonary— Clinic
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Colorectal Cancer Screening Saves Lives
Colorectal cancer is the 2nd leading cancer killer in the U.S. But it can be prevented. Screening helps find precancerous polyps so they can be removed before they turn into cancer. Screening can also find colorectal cancer early, when treatment is most effective. • When discovered in its early stages, colorectal cancer is up to 90% curable. • Men and women age 50 and older should be screened regularly. • Colonoscopy is the most effective screening procedure when performed by an experienced gastroenterologist specializing in endoscopy. -ĂŒiÂŤÂ…i˜ /° “>˜˜] ° ° œ…˜ ° Ă›iĂ€iĂŒĂŒi] ° °
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B Wayne McAlpin, MD 209 North Harper Road Corinth, MS 38834 Mon - Fri 8am - 5pm
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GYNECOLOGY Comprehensive Healthcare for
Women of All Ages
Laura J. Crecelius, M.D. 3301 Tinin Drive • Corinth, MS 38834 662-665-9111 Fax: 662-665-9118 Office Hours: Monday - Thursday 9:00-5:00 www.mycrossroadsmagazine.com crossroads Magazine - medical guide
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MRHC 2014 in review A year to be proud By Ben Tucker
For Crossroads Magazine This past year has been a year of many accomplishments for Magnolia Regional Health Center. We were recognized as a 2013 Top Performer on Key Quality Measures by The Joint Commission. By being recognized as part of The Joint Commission’s 2014 annual report “America’s Hospitals: Improving Quality and Safety,” for attaining and sustaining excellence in accountability measure performance for heart attack, heart failure,
pneumonia and surgical care, we elevated our hospital to the ranks that only 1,224 hospitals in the country were able to achieve. MRHC was one of only six hospitals in the state of Mississippi to qualify in four individual areas of quality. We demonstrated our expertise and commitment to quality patient care by receiving Chest Pain Center Accreditation with PCI from The Society of Cardiovascular Patient Care and the Mission Lifeline Gold Receiving Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of patients who suffer severe heart attacks. For the third year in a row, we were included in the list of the top 25 Most Wired Small and Rural Hospitals in the country, as named by the Hospitals and Health Networks magazine, a publication of the American Hospital Association. In order to receive this recognition our hospital had to meet requirements in the areas of infrastructure, business and administrative management, clinical quality and safety and clinical integration. MRHC was also a recipient of one of the Most Improved distinctions, given to the hospitals who improved the most throughout the past year, and one of only four institutions recognized with the Most Wired award in the state of Mississippi. At Magnolia Regional Health Center, we pride ourselves on being an integral part of the community we serve. Since 1965, we have proudly been providing care to the patients in Alcorn County, the five surrounding counties in northeast Mississippi, and three counties in southern Tennessee. Celebrating our 50th anniversary this year, we have been dedicated to improving the health and well-being of community by blending our passion for very good care with the use of advanced medical technology, to deliver the best possible care. You do not have to look elsewhere for your care. Quality healthcare can be found right here at home! (Ben Tucker, M.A., is director of marketing and public relations at Magnolia Regional Health Center.)
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Stress & the Heart By Tu Cao, D.O. Cardiology Fellow
I recently saw a patient in the cardiology clinic for new onset chest pain. The patient has multiple risks for heart disease. Due to the risk factors and the clinical history, he was scheduled for a plain exercise stress test. The stress test was negative; this means that he is unlikely to have heart disease. Perplexed by the scenario, further questioning revealed the patient had a recent tragic event in the family. It became apparent that the patient was under a great amount of stress. Stress often goes along with anxiety and depression which together may exhibit heart attack-like symptoms. Everyone feels stress in different ways and reacts to it in different ways. How much stress you experience and how you react
to it can lead to a wide variety of health problems — and that’s why it’s critical to know what you can do about it. The direct relationship between stress and heart disease is unclear. What we know is a stressful situation sets off a chain of events. Your body releases adrenaline, a hormone that temporarily causes your breathing and heart rate to speed up and your blood pressure to rise. Additionally, when stress is constant, your body remains in high gear off and on for days or weeks at a time. People naturally find coping mechanisms to alleviate the stressor. Some coping mechanisms are healthy such as seeking spiritual care and support groups. However, the majority of the coping mechanisms are unhealthy such as alcohol, tobacco, drugs, reverting back to bad habits, etc. Most often the
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latter coping mechanism is chosen. This leads to adverse health events such as increasing your blood pressure, worsening pre-existing conditions. The adverse health events may lead to heart disease. Dr. Tu Cao Can managing stress reduce or prevent heart disease? There is no direct correlation between heart disease and stress. Managing stress is a good idea for your overall health, as this prevents the adverse health events from occurring. What can you do about stress? Please see stress | 26
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Heart healthy habits • Maintain caloric balance by decreasing typical calorie consumption while also engaging in physical activity • Increase intake of fruits, vegetables, fiber, omega-3 fatty acids, foods with low glycemic index • Avoid red and processed meats • Avoid soft drinks and other sweetened beverages • Quit smoking • Take medications as prescribed
By Kruti Patel, D.O.
MRHC Resident Physician
by doctor (medications for hypertension, dyslipidemia and diabetes) • Diabetics should maintain tight glycemic control • Exercise 30 minutes a day up to 5 days a week • Smile, because a happy heart is a healthy heart!
Dr. Kruti Patel
Corinth - Where Hope Becomes Reality
Sylvia S. Richey, M.D.
Medical Oncology & Hematology
Stephen A. Besh, MD
Medical Oncology & Hematology
Mark E. Reed, MD, FACOG Gynecologic Oncology
David C. Portnoy, MD
Medical Oncology & Hematology
Micah Monaghan, MD Radiation Oncologist
The West Clinic in partnership with Magnolia Regional Health Center established The Cancer Center at Magnolia as a state-of-the-art cancer center unlike any other in the region. Drs. Sylvia Richey, Stephen Besh, Mark Reed, David Portnoy, and Micah Monaghan provide outstanding care to our patients in medical oncology, hematology, gynecologic oncology, and radiation oncology services in Corinth and the surrounding communities. This cancer center is the realization of the West Clinic’s broader mission and ongoing commitment to the residents of Corinth to improve their lives, increase survivorship, and continue to advance care to more patients who face cancer and other disease. This expanded service location offers greater opportunity for patients to access quality medical care.
Humphreys • Midtown Collierville • Brighton Corinth • Southaven Paris • Jackson, TN
Located at the CANCER CENTER at Magnolia • 2001 State Dr. • Corinth, MS • 662-286-3694 pa g e 1 2
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Food preservation remains key to
good health By MSU Extension Service For Crossroads Magazine
Foodborne illness is a major health issue facing Americans. Between 6.5 million and 81 million cases of foodborne illness and as many 9,100 related deaths occur annually. Millions of illnesses and thousands of deaths in the United States can be traced to contaminated food. Illnesses from pathogenic bacteria appear to be increasing each year. The economic devastation of this disease is considerable, with an estimated $420 spent on direct medical costs and $7.3 billion attributed to lost productivity annually. Americans expect many things from their food supply. They want variety and quality; and they want nutritious, safe foods at a reasonable cost. The definition of good quality can be varied depending upon the type of food and the individual’s food preference. Some of the important characteristics of quality include wholesomeness, freshness, nutritional value, texture, color, aroma and flavor. To many consumers, safe food means that there will be no danger from pathogenic mi-
croorganisms, naturally occurring toxins and other potentially harmful chemicals which may be deliberately added to foods. However, scientists generally agree that microorganisms pose a greater threat to human health than other sources of foodborne illnesses. Foods don’t cause illness; bacteria and other pathogens do. However, raw foods of animal origin - meat, poultry, eggs, fish, shellfish - frequently are contaminated with bacteria common in the food chain. In other cases, healthy food handlers may contaminate food with bacteria common in the human body, or diseased food handlers may contaminate food with lesser common pathogens. Recent outbreaks of foodborne illness and deaths associated with commercial food establishments have received widespread media and public attention. As a result, consumers have a heightened con-
cern for the safety of commercially prepared foods. Furthermore, commercial foodservice establishments have a heightened awareness of their role in providing safe food to consumers. The food and beverage industry ranks fourth in size among all the industries of the United States. Americans spend an estimated $145 billion annually for food and beverages consumed both in and out of the home. Presently, 85% of Americans consume at least one meal outside of the home during a two week period. It is expected that by the year 2000, one third to one-half of all meals consumed will be purchased through food service establishments. For Mississippi’s approximately 16,600 commercial foodservice establishments, that equates to an estimated 2.4 - 3.7 million meals annually. An industry of this size cannot afford to lose the confidence of its clientele.
Magnolia Orthopaedic & Sports Medicine Serving The Tri-State Areaa for o 24 Years! eaa s!
• Sports I The Doctors of Magnolia Orthopaedic Welcome Dr. Bruce Senter Dr. Randall Frazier Orthopedic Surgeon
Dr. John Foropoulos Orthopedic Surgeon
Dr. Wendy Nethery Foot & Ankle Specialist
Brittany Bryant FNP
• Fracture
• Physica
• Foot & A Dr. Bruce Senter Orthopaedic Surgeon
• Spine S
Magnolia Hospital (entrance C) • 611 Alcorn Dr., Suite #100 Corinth, MS 662.286.6 www.mycrossroadsmagazine.com
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1001 S OUTH HARPER ROAD CORINTH , MS 38834 662-287-6913
662-287-6913
Nurse Practitioners Hannah Beckham, FNP-C Magnolia Pediatric Clinic 401 Alcorn Drive, Suite 2B Corinth, MS 38834 662-293-7390
1001 S OUTH HARPER ROAD Amanda Ham, ANP CORINTH , MS 38834 The Heart Valve Clinic of Magnolia 662-287-6913 611 Alcorn Drive, Suite 200 662-287-6913 Corinth, MS 38834 Nurse Practitioners 662-665-4660
Deborah K. Moore, FNP-BC King Family Healthcare, Inc. 2006 Roberson Drive Corinth MS 38834 662-665-0006
Hannah Beckham, Carla Bray, FNP FNP-C Magnolia Pediatric Clinic Pratt Family Medical Clinic 401 Drive, Suite 2B 121 Alcorn Pratt Drive Corinth, Corinth, MS MS 38834 38834 662-293-7390 662-286-0088
1001 Hamlin, SHam, OUTH H ARPER R OAD Melinda CFNP Amanda ANP CORINTH , MS 38834 The Heart Valve Medical Clinic of Magnolia Pratt Family Clinic 662-287-6913 611 Pratt AlcornDrive Drive, Suite 200 121 Corinth, 662-287-6913 MS 38834 38834 Corinth, MS 662-665-4660 662-286-0088 Nurse Practitioners
DeborahA. K.Reaves, Moore, FNP-BC FNP-BC Melanie KingFamily FamilyClinic Healthcare, Inc. The 2006Pickwick Roberson Drive 545 Street Corinth MSTN 38834 Savannah, 38372 662-665-0006 731-925-3354
Carla Bray, FNP FNP-C S. Michelle Brooks, FNP-BC Hannah Beckham, Pratt Family Medical Clinic Physician’s Urgent Care Magnolia Pediatric Clinic 121 Pratt Drive 2668 South Harper Road, 401 Alcorn Drive, SuiteSuite 2B 4 Corinth, MS 38834 Corinth Corinth,MS MS38834 38834 662-286-0088 662-287-7138 662-293-7390 S. Michelle Brooks, FNP-BC Brittany Bryant, Carla Bray, FNP CNP Physician’s Urgent Care Magnolia Orthopaedics & Sports Pratt Family Medical Clinic 2668 South HarperPA Road, Suite 4 Medicine 121 Pratt Clinic, Drive Corinth MSDrive 38834Suite 100 611 Alcorn Corinth, MS 38834 662-287-7138 Corinth, MS 38834 662-286-0088 662-286-6369 Brittany Bryant, CNP S. Michelle Brooks, FNP-BC Magnolia Orthopaedics & Sports Sherry Callahan, FNP Physician’s Urgent Care Medicine Clinic, PA North Corinth Family 2668 South Harper Road,Clinic Suite 4 611 Alcorn Suite 100 383B Highway 2 NE Corinth MSDrive 38834 Corinth, MS Corinth, MS 38834 38834 662-287-7138 662-286-6369 662- 396-4733 Brittany Bryant, CNP Sherry Callahan, Ronja Cole, NP FNP & Sports Magnolia Orthopaedics North Corinth Family Clinic Pratt Family Medical Medicine Clinic, PA Clinic 383B Highway 2 NE 121 Drive 611 Pratt Alcorn Drive Suite 100 Corinth, Corinth, MS MS 38834 38834 662396-4733 662-286-0088 662-286-6369 Ronja Cole, NP FNP-BC Anna Erwin, SherryK. Callahan, FNP Pratt Medical Clinic Corinth Medical Specialists NorthFamily Corinth Family Clinic 121 Pratt Drive 3301 Tinnin Street 383B Highway 2 NE Corinth, MS 38834 Corinth, MS 38834 662-286-0088 662-665-9111 662- 396-4733
Melinda Hamlin, CFNP Amber C. Janzen, FNP-BC Amanda Ham, ANP Pratt Family Medical Clinic Corinth Specialists The Heart Medical Valve Clinic of Magnolia 121 Drive 3301 Tinnin StreetSuite 200 611 Pratt Alcorn Drive, Corinth, MS MS 38834 Corinth, 38834 662-286-0088 662-665-9111 662-665-4660
Melanie A. FNP-BC Cayce Redding, FNP-BC Deborah K.Reaves, Moore, FNP-BC The Pratt Medical Clinic KingFamily FamilyClinic Healthcare, Inc. 545 Pickwick Street 121 Drive 2006Pratt Roberson Drive Savannah, TN 38372 Corinth, MS 38834 Corinth MS 38834 731-925-3354 662-286-0088 662-665-0006
Amber Jobe, C. Janzen, FNP-BC Sherry ACNP-BC Melinda Hamlin, CFNP Corinth Medical Specialists Midsouth Spine and Pratt Family Medical Clinic 3301 Tinnin Street Pain Associates, PLLC 121 Pratt Drive Corinth, MS 3196 Highway 72 W Corinth, MS 38834 662-665-9111 Corinth MS 38834 662-286-0088 662- 284-8565 Sherry ACNP-BC Amber Jobe, C. Janzen, FNP-BC Midsouth Spine FNP and Cindy Pearson, Corinth Medical Specialists Pain PLLC Trinity Health Clinic 3301 Associates, Tinnin Street 3196 Highway 72 W 123 Alcorn Drive Corinth, MS Corinth MS Corinth, MS38834 38834 662-665-9111 662284-8565 662-286-2866 Sherry Jobe, ACNP-BC Cindy Pearson, Laquita G.Spine Bain,FNP FNP-BC Midsouth and Trinity Health Clinic Magnolia Medical Clinic Pain Associates, PLLC 123 Alcorn Drive 502 Drive 3196Alcorn Highway 72 W Corinth, MS 38834 38834 Corinth, MS 38834 Corinth MS 662-286-2866 662-287-5216 662- 284-8565
Cayce Redding, FNP-BC Cassie C.A. Robinson, FNP-BC Melanie Reaves, FNP-BC Pratt Family Medical Clinic Corinth Medical Specialists The Family Clinic 121 Drive 3301 Tinnin Street 545 Pratt Pickwick Street Corinth, MS 38834 Corinth, MS Savannah, TN 38372 662-286-0088 662-665-9111 731-925-3354
Laquita G. Bain,FNP FNP-BC Mark FNP CindyLothenore, Pearson, Magnolia Medical Clinic Inc. Treesap Medical Center, Trinity Health Clinic 502 28301 Hwy.Drive 15 123 Alcorn Alcorn Drive Corinth, MS 38834 Walnut, Corinth, MS MS 38683 38834 662-287-5216 662-223-0063 662-286-2866
Anna Erwin, FNP-BC Patricia Floyd, RonjaK. Cole, NPNP Corinth Medical Specialists The Family Clinic of Rienzi Pratt Family Medical Clinic 3301 Tinnin Street 82 Street 121Main Pratt Drive Corinth, MS Rienzi, 38865 Corinth,MS MS 38834 662-665-9111 662-462-8600 662-286-0088
Mark Lothenore, FNP Kimberly FNP Laquita G.Marlar, Bain, FNP-BC Treesap Medical Center, Inc. Magnolia Cardiology Associates Medical Clinic 28301 Hwy.Drive 15 Suite 230 611 502 Alcorn Walnut, MS Corinth, MS 38683 38834 662-223-0063 662-287-5218 662-287-5216
Patricia NP Jacqueline Fraiser, FNP-BC Anna K.Floyd, Erwin, FNP-BC The Family ClinicSpecialists ofCare Rienzi Physician’s Urgent Corinth Medical 82 Main Street 2668 South Harper Road, Suite 4 3301 Tinnin Street Rienzi, MS 38865 Corinth MS 38834 Corinth, MS 662-462-8600 662-287-7138 662-665-9111 1001 S OUTH HARPER ROAD Jacqueline Fraiser, FNP-BC C ORINTH , MS 38834 Patricia Floyd, NP Physician’s Care The Family Urgent Clinic 662-287-6913 of Rienzi 2668 South Harper Road, Suite 4 82 Main Street 662-287-6913 Corinth MS 38834 Rienzi, MS 38865 662-287-7138 Nurse Practitioners 662-462-8600 1001 S OUTH HARPER ROAD CORINTH , MS 38834 Amanda Ham, ANP Jacqueline Fraiser, FNP-BC The Heart Valve Clinic of Magnolia 662-287-6913 Physician’s Urgent Care 611 Alcorn Drive, 200 662-287-6913 2668 South Harper Road, SuiteSuite 4 Corinth, Corinth MS 38834MS 38834 Nurse Practitioners 662-665-4660 662-287-7138
Kimberly Marlar,FNP FNP Debora McFalls, Mark Lothenore, FNP Magnolia Cardiology Associates Crossroads Health Clinic Treesap Medical Center, Inc. 611 Alcorn Drive SuiteSuite 230 7 1801 South Harper 28301 Hwy. 15 Road Corinth, MS38834 38834 Corinth Walnut, MS MS 38683 662-287-5218 662-286-2300 662-223-0063
Debora McFalls, FNP Deborah K. Moore, FNP-BC Kimberly Marlar, FNP Crossroads Health Clinic Magnolia Cardiology Associates 1801 South Harper Road Suite 7 611 Alcorn Drive Suite 230 Corinth MS 38834 Corinth, MS 38834 662-286-2300 662-287-5218 Deborah K. Moore, FNP-BC Deborah K. Moore, FNP-BC King Family Healthcare, Inc. Debora McFalls, FNP 2006 Roberson Drive Crossroads Health Clinic Corinth MS 38834Road Suite 7 1801 South Harper 662-665-0006 Corinth MS 38834 662-286-2300 Deborah K. Moore, Melanie A.FNP-BC Reaves, FNP-BC AmandaMelinda Ham, ANP Hamlin, CFNP King Family Healthcare, Inc. FNP-BC The Family The Heart Valve Clinic of Magnolia Deborah K. Clinic Moore, Pratt Family Medical Clinic 2006 Roberson Drive 545 Pickwick Street 611 Alcorn Drive, Suite 200 121 Pratt Drive Corinth MS 38834 TN 38372 Savannah, Corinth, MS 38834MS 38834 Corinth, 662-665-0006 731-925-3354 662-665-4660 662-286-0088
Cassie C.Rowsey, Robinson, FNP-BC Misty FNP-BC Cayce L. Redding, FNP-BC Corinth Medical Specialists Pratt Family Medical Clinic 3301Pratt Tinnin Street 121 Drive Corinth, MS MS 38834 Corinth, 662-665-9111 662-286-0088 Misty FNP-BC Sheila Settlemires, FNP-BC CassieL. C.Rowsey, Robinson, FNP-BC Pratt Family Medical Clinic Morgan Cardiovascular PC Corinth Medical Specialists 121 Drive 2427 Proper 3301Pratt Tinnin Street Corinth, Corinth, MS MS 38834 662-286-0088 662-665-0151 662-665-9111 Sheila Settlemires, FNP-BC Ginger A.Rowsey, Shook, FNP-BC Misty L. Morgan Cardiovascular PC Corinth Medical Specialists Pratt Family Medical Clinic 2427 Proper Street 3301 Tinnin Street 121 Pratt Drive Corinth, MS MS 38834 Corinth, 662-665-0151 662-665-9111 662-286-0088 Ginger A. Shook, FNP-BC Theresa Stricklen, CFNP Sheila Settlemires, FNP-BC Corinth Specialists Medistat Morgan Medical Cardiovascular PC 3301 Tinnin Street 703 Suite 109 2427Alcorn ProperDrive Street Corinth, MS MS 38834 Corinth, 662-665-9111 662-286-1499 662-665-0151 Theresa Stricklen, CFNP Ashley FNP-BC Ginger Talley, A. Shook, FNP-BC Medistat Magnolia Cardiology Associates Corinth Medical Specialists 703 611 Alcorn Drive Suite 109 230 3301Alcorn TinninDrive StreetSuite Corinth, Corinth, MS MS 38834 38834 662-286-1499 662-287-5218 662-665-9111
1001 S OUTH HA CORINTH, M 662-287-
Jimmy "Jim" Wigginton, FNP Ashley FNP-BC TheresaTalley, Stricklen, CFNP Corinth Family Medical Center, PC Magnolia Medistat Cardiology Associates 1921 Droke Road Suite 230 611 703 Alcorn Alcorn Drive Drive Suite 109 Corinth Corinth, MS 38834 Corinth,MS MS38834 38834 662-287-5218 662-286-3520 662-286-1499
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Melanie A. Reaves, FNP-BC Cayce Redding, FNP-BC Melinda Hamlin, Amber CFNP C. Janzen, FNP-BC The Family Clinic Pratt Family Pratt Family Medical Clinic Corinth Medical Specialists 545 Pickwick Street Medical Clinic 121 Pratt Drive 121 Pratt 3301 DriveTinnin Street TN pa g eCorinth, 14 cSavannah, rossro a d 38372 s M a g38834 azine - Medical Guide Corinth, MS MS 38834MS Corinth, 731-925-3354 662-286-0088 662-286-0088 662-665-9111
BC CNP paedics & Sports te 4 PA
Amber C.Sherry Janzen, FNP-BC Jobe, ACNP-BC Corinth Medical Specialists Midsouth Spine and 3301 Tinnin Street Pain Associates, PLLC
Cayce Redding, FNP-BC Cassie C. Robinson, FNP-BC Pratt Family Medical Clinic Corinth Medical Specialists 121 Pratt 3301 DriveTinnin Street Corinth, MS 38834
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1001 S OUTH HARPER ROAD CORINTH, MS 38834 662-287-6913 Anesthesiology Anthony Armstrong, MD Magnolia Anesthesiology 401 Alcorn Drive, Suite 1E, Corinth, MS 38834 662-665-0605 James Jacque, MD Magnolia Anesthesiology 401 Alcorn Drive, Suite 1E Corinth, MS 38834 662-665-0605
Joseph L. Pratt, MD Pratt Family Medical Clinic 121 Pratt Drive Corinth, MS 38834 662-286-0088
Julian Hill, MD N MS Hematology & Oncology 961 S Gloster Tupelo, MS 38801 662-844-9166
Baron Herford, DO Herford Internal Medicine, PLLC 508 Alcorn Drive Corinth, MS 38834 662-286-9255
William Ross, MD Medistat 703 Alcorn Drive Suite 109 Corinth, MS 38834 662-286-1499
Andrew Kellum, MD N MS Hematology & Oncology 961 S Gloster Tupelo, MS 38801 662-844-9166
Valerie D. Norton, D.O. Magnolia Specialty Clinic 1001 South Harper Road Corinth, MS 38834 662-665-8041
Gastroenterology
Charles Montgomery, MD N MS Hematology & Oncology 961 S Gloster Tupelo, MS 38801 662-844-9166
Tim Noyes, MD Corinth Family Care Center 2000 Shiloh Road Corinth, MS 38834 662-287-6999
David C. Portnoy, MD West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694
Sidney Pace, MD Magnolia Hospitalist 703 Alcorn Drive, Corinth, MS 38834 662-293-1680
Sylvia Richey, MD The West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694
David V. Pizzimenti, DO Magnolia Wound & Hyperbaric 611 Alcorn Drive Corinth, MS 662-293-1320
Bradley Somer, MD The West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694
Rachel L. Thibodeaux, Magnolia Specialty Clinic 1001 South Harper Road Corinth, MS 38834 662-665-8041
Jiahuai Tan, M.D. N MS Hematology & Oncology 961 S Gloster Tupelo, MS 38801 662-844-9166
Internal Medicine/ Pediatrics
Tina Jobe, MD Magnolia Anesthesiology 401 Alcorn Drive, Suite 1E Corinth, MS 38834 662-665-0605
Fred Corder, MD Magnolia Gastroenterology 3050 Corder Drive Corinth, MS 38834 662-284-9902
Angel Rodriguez, MD Magnolia Anesthesiology 401 Alcorn Drive Suite 1E Corinth, MS 38834 662-665-0605
General Surgery
Cardiothoracic/Vascular Surgery James C. Gilmore, MD Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Drive, Suite 200 Corinth, MS 38834 662-665-4660 Billy Parsons, MD Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Drive, Suite 200 Corinth, MS 38834 662-665-4660 Family Medicine/General Practice George L. Cain, MD 506 Alcorn Drive Corinth, MS 38834 662-286-0976 Amy Davis, MD Pratt Family Medical Clinic 121 Pratt Drive Corinth, MS 38834 662-286-0088 Thomas Draper, M.D. Avalon Medical Clinic 1413 W Quitman Street Iuka, MS 38852 662-424-9550
James Edmonson, MD Corinth Surgical Clinic, PA 703 Alcorn Drive, Suite 111 Corinth, MS 38834 662-286-3735 Andy W. Holley, D.O. Magnolia Surgical Group 703 Alcorn Drive, Suite 102 Corinth, MS 38834 662-286-2522 Mathew Johnson, Jr., MD Magnolia Professional Asso 703 Alcorn Drive, Suite 102 Corinth, MS 38834 662-286-2522 General/Vascular Surgery Robert P. Mathis, MD Magnolia General and Vascular Surgery Clinic 611 Alcorn Drive, Suite 210 Corinth, MS 38834 662-284-9910 Gynecology Laura J. Crecelius, MD Corinth Medical Specialists 3301 Tinin Street Corinth, MS 662-665-9111 Gynecology/Oncology
Alphonsus Flannery, MD Flannery Medical Clinic 703 Alcorn Drive, Suite 106 Corinth, MS 38834 662-284-9906 William G. Jackson, MD 202 Alcorn Drive Corinth, MS 38834 662-287-4481 Erica Noyes, MD Corinth Family Care Center 2000 Shiloh Road Corinth, MS 38834 662-287-6999
Mark Reed, MD The West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694 Hematology/Oncology Stephen Besh, MD West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694 Christopher Croot, MD N MS Hematology & Oncology 961 S Gloster Tupelo, MS 38801 662-844-9166
Radiation Oncologist Micah Monaghan, M.D. The West Clinic, PC 2001 State Drive Corinth, MS 38834 662-286-3694 Internal Medicine Marissa O. Cruz, DO Magnolia Regional Community Care Clinic 703 Alcorn Drive Suite 109 Corinth, MS 38834 662-293-1680 Jeanette Dilan-Koetje, D.O. Magnolia Regional Community Care Clinic 703 Alcorn Drive Suite 109 Corinth, MS 38834 662-293-1680 Amanda J. Finley, D.O. Magnolia Regional Community Care Clinic 703 Alcorn Drive Suite 109 Corinth, MS 38834 662-293-1680 Michael Hawley, D.O. Magnolia Regional Community Care Clinic 703 Alcorn Drive Suite 109 Corinth, MS 38834 662-293-1680
Suite
109
D.O.
Robert McKinney, MD Corinth Medical Specialists 3301 Tinin Street Corinth, MS 662-665-9111 Interventional Cardiology Emad H. Mohamed, MD Corinth Cardiology PLLC 401 Alcorn Drive, Suite 1A Corinth, MS 662-284-9541 Kerry Morgan, MD Morgan Cardiovascular PC 2427 Proper Street Corinth, MS 662-665-0151 Nanni Pidikiti, MD Cardiology Clinic 703 Alcorn Drive, Suite 104 Corinth, MS 662-286-9393 John W. Prather MD Magnolia Cardiology Assoc 611 Alcorn Drive Suite 230 Corinth, MS 38834 662-287-5218 Nemalan Selvaraj, M.D. Magnolia Cardiology Assoc 611 Alcorn Drive Suite 230 Corinth, MS 38834 662-287-5218
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When life throws us fastballs ...
I looked up in the Campbell’s Clinic waiting room to see a boy, ten years old or so, with his gaze on me. He looked over his left shoulder from a row of chairs that faced the same direction as mine. His was a soft gaze, as if I were a older woman he was glad to see, a grandmother or a beloved great-aunt. When I caught his eyes fixed on me, I expected him to avert his look, embarrassed at being caught, but he was too innocent for that. Instead he smiled, as much with his crinkly eyes as with his mouth. Shy, yet
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direct. And then the boy I imagined was his brother, sitting barely an inch shorter, was smiling at me too. The same bluegreen eyes, the same wave to his sandy hair, the same sprinkling of freckles, marked them as more than friends. I returned their warmth with a nod and a smile, glad to be the recipient of their charm. The older boy hopped up when the name Ethan was called, the lime green cast on his right arm now visible, embellished with an exuberance of neon permanent markers. Ah, he’s the
By Jaylene Whitehurst
For Crossroads Magazine patient. A woman with the same eyes and loose tendrils herded Ethan, his brother, and a sleepy-headed toddler girl aroused from her mother’s lap, toward the waiting nurse. Ethan glanced back at me, with the slightest deliberate nod, before his smiling eyes disappeared from the waiting room into the depths of the clinic. As our wait stretched toward an hour, we moved to more comfortable seats with a different view, my husband with his new knee, and me.
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The rambunctious liveliness of Ethan and his family was replaced by the slender dignity of a matron in a beige Chanel suit, ever so slightly frayed at the cuffs. Her long thin fingers were manicured with classic red polish that matched her almost smudged lipstick. Her hands were unsteady, wearing the thin skin and blue veins of age. A single diamond ring was on her right hand, tasteful but not tiny. In her younger years, the hair she wore in a classic bob might have been true auburn, but on this day white roots marked the crooked part, an awkward track across her crown. She wore hose. Subdued nude stockings. Beige pumps. I scanned my inner timeline and I couldn’t recall how long it’d been since I’d seen a woman wearing hosiery and closed toe heels. In the summer. To the doctor’s office. Sitting across from her erect posture, I sat up straighter, suddenly selfconscious. Her legs were crossed at the ankles, the way I was taught by Mrs. Underwood in Home Ec., circa 1969, and her barely trembling hands rested
in her lap. No magazine to thumb through, no phone to fiddle with. I had no idea how long she’d been sitting there, but I was sure her composure was long practiced and unconscious. I’d given up practicing at about sixteen years old. This woman clearly had not. Beside her sat a tidy woman wearing comfortable pants and a cotton blouse, maybe ten years younger, maybe twenty. There was no chair left open between them, though there were more vacant chairs than occupied, so I supposed they were together. The companion read a magazine with one eye and dozed with the other. The matron tilted her head toward us in acknowledgment, a graceful movement with a wordless smile. She made eye contact and I saw that her glasses (on a pearly eyeglass chain, of course) needed a quick cleaning. It was only a few minutes later she arose, her companion reaching out to steady her, when the name Miz Marjorie was called. The way we Southerners drag out the titles of address for our matrons made it impossible to tell
if she was Miss or Mrs. Marjorie. She drew herself up to her full height, her bearing telling her attendant to allow her the privacy of her doctor’s visit. Hers was a story I’d never know, yet her composure touched me. Intrigued, I wondered what changes Miz Marjorie has experienced in her lifetime and what changes lie ahead for young Ethan, so bright and perky. All I know for sure is that yet more changes lie ahead for both of them and for each of us. It’s the inevitable reality. What would Miz Marjorie share with Ethan if she could leave him a set of informal instructions to refer to when life is throwing him curve balls? If she could leave him gentle guidelines from her lifetime of experience, she might pen something like this: My Dear Ethan, Perhaps you can use a bit of what I want to share with you now but I suspect that, in a future day, it will be of greater help to you. As you grow, there’ll be more chang-
Harper Acute Care NO APPOINTMENT NEEDED
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Amber Janzen, FNP pa g e 1 7
es come at you than you can imagine, some expected ones and others that will leave you feeling as if your life is out of control. And indeed, it may be. You don’t have to like it. In fact, I have found there’s an odd strength to admitting I don’t like certain things. I’m not thrilled with all the changes I’m dealing with right now, but honesty is always preferable to denial. So be honest about what you’re feeling. Maybe you didn’t ask “Why?” when you broke your arm because the reason was clear: your arm came in contact with a surface that didn’t give way and something had to give. Result: a broken arm. In your future, however, there’ll be things happen that don’t have clear causes. You may find yourself asking “Why? Why? Why?” when the unforeseen comes. It’s that way for most of us. I’ve learned from experience to ask “what?” and “how?” and “who?” more often than “why?” I ask myself questions about what I can do, how I can help myself, and who is a good resource, and I begin to make a plan. It doesn’t always work perfectly, but even an imperfect plan gets me closer to what might work. You’re an active boy. Good for you! Keep that up. I totter around but I still make myself move. Get outdoors as much as you can when you’re under stress. Feel the sun and the rain and fully occupy your space on this Earth. Take care of pets, tend a garden, hike, walk barefoot. Nature is a natural therapist and she’s free. Spend some time each day being still, too. Take quiet time to simply
breathe in the experience you’re living in. Pray, meditate, breathe, read. I like to start my day with quiet time and end it the same way, but, I imagine, you’ll find what works for you. I used to be hard on myself when I couldn’t get used to changes as fast as I thought I should or as fast as others thought I ought to. Eventually, I got it that change is a process. It takes time and many steps to change. Some changes will take longer than others to get absorbed into your life story and that’s okay. Be gentle with your spirit when others push you to be where you can’t be yet. Ease up. Even when change is painful, maintain a gratitude practice. Note one thing each day, no matter how large or tiny, that you are glad to have in your life. When I’ve gone through the hardest changes of my life, this one thing has consistently reminded me that life holds more than the yucky place I’m in at the moment. And speaking of the moment, Ethan, stay with your feelings as they arise. They are temporary. Whether happy or sad, confused or serene, they will change. Acknowledge all of your feelings. They are valuable messengers from deep inside you. You’ll be glad to know that acknowledging them doesn’t make them the “boss of you.” They’re only part of your experience, not the core of who you are. Question whether your decisions are for your wellbeing or whether you somehow hope to change others. The sooner you learn that you can make effective choices only for yourself, not for others -- no matter how much you
love them -- the clearer your choices will be. When life comes at you hard, surround yourself with people who sustain you. This is not a time to force yourself to be with draining sorts. Be cautious when making decisions, because the stress of change may cloud your reasoning. Seek wise counsel. Even then, go to more than one source. I’ve found that advice isn’t always good advice. Finally, as you grow up, you’ll learn what is deeply satisfying to you. When you feel the stress of change, look toward the activities that have comforted you in the past. Do more of those things. If you neglect those activities, you neglect yourself, so remember that your life is precious. Take responsibility for it. Care for it. Tuck this letter away, Ethan, and use it when you need it. It is offered with love. Miz Marjorie Though I’m decades past ten years old, I’m reading over Ethan’s shoulder. When change comes at me fast and I’m not sure I’m thinking clearly, I still want the wise counsel and living example of a Miz Marjorie to show me how to live above my present circumstances. (Alcorn County resident Jaylene Whitehurst is an artist and Licensed Professional Counselor. She may be reached at 662-286-5433 or jaylene@ heartworkccl.com. She contributes to Crossroads Magazine and the Daily Corinthian.)
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How to perform CPR Learning how to perform cardio-pulmonary resuscitation (CPR) saves lives. While no statistics are available on the exact number of lives sudden cardiac arrest claims per year, approximately 335,000 people die annually of coronary heart disease without being hospitalized – or about 918 Americans each day, according to the American Heart Association (AHA). Conventional CPR consists of chest compressions and rescue breathing. The American Heart Association continues to support this approach to CPR, but recent research demonstrates that rescue breathing may be unnecessary and potentially detrimental in cases of cardiac arrest. In the interest of presenting complete information, however, ACEP is including instructions on how to provide rescue breaths in this guide for laypersons who choose to employ them. The tips provided are based on procedures recommended by the AHA and are not a substitute for formal training in CPR. Magnolia Regional Health Center, the American Red Cross and Northeast Mississippi Community College offer CPR courses. Check MRHC’s website at www.mrhc.org and go to classes and events to see if one is available. Check Northeast at www. nemcc.edu, go to continuing education and click on Health Care. There, you will see a CRP button to see if a class is available. Go to www.redcross.org, click on CRP class and enter your zip code to find out if a class is available within a 50-mile radius. Everyone in your family should take one of these courses, and you should have your CPR skills pa g e 2 0
tested at least every two years. Automated External Defibrillators (AEDs) are increasingly available at many locations, such as shopping malls and airports. They are small, lightweight devices used to assess a person’s heart rhythm. An AED can detect the need for and administer an electric shock to restore a normal heart rhythm in people with sudden cardiac arrest. ACEP supports widespread distribution of AEDs, as long as it is coordinated with existing EMS systems and includes proper training. Logical places for AEDs include police cars, theaters, sports arenas,
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public buildings, business offices and airports. An increasing number of commercial airplanes are now equipped with AEDs and enhanced medical kits. CPR is typically administered in cases of cardiac arrest. Signs of cardiac arrest include an absence of heartbeats, blood flow and pulse. When blood stops flowing to the brain, the person becomes unconscious and stops regular breathing. The ABCs of CPR are Airway, Breathing, and Circulation. This acronym is used to help you remember the steps to take when performing CPR.
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Step 1: Airway
If a person has collapsed, determine if the person is unconscious. Gently prod the victim and shout, “Are you okay?” If there is no response, shout for help. Call 911 or your local emergency number. If the person is not lying flat on his or her back, roll him or her over, moving the entire body at one time. Open the person’s airway. Lift up the chin gently with one hand while pushing down on the forehead with the other to tilt the head back. (Do not try to open the airway using a jaw thrust for injured victims. Be sure to employ this head tilt-chin lift for all victims, even if the person is injured.) If the person may have suffered a neck injury, in a diving or automobile accident, for example, open the airway using the chin-lift without tilting the head back. If the airway remains blocked, tilt the head slowly and gently until the airway is open. Once the airway is open, check to see if the person is breathing. Take five to 10 seconds (no more than 10 seconds) to verify normal breathing in an unconscious adult, or for the existence or absence of breathing in an infant or child who is not responding. If opening the airway does not cause the person to begin to breathe, it is advised that you begin providing rescue breathing (or,
minimally, begin providing chest compressions).
Step 2: Breathing (Rescue Breathing)
Pinch the person’s nose shut using your thumb and forefinger. Keep the heel of your hand on the person’s forehead to maintain the head tilt. Your other hand should remain under the person’s chin, lifting up. Inhale normally (not deeply) before giving a rescue breath to a victim. Immediately give two full breaths while maintaining an air-tight seal with your mouth on the person’s mouth. Each breath should be one second in duration and should make the victim’s chest rise. (If the chest does not rise after the first breath is delivered, perform the head tilt-chin lift a second time before administering the second breath.) Avoid giving too many breaths or breaths that are too large or forceful.
Step 3: Circulation (Chest Compressions)
After giving two full breaths, immediately begin chest compressions (and cycles of compressions and rescue breaths). Do not take the time to locate the person’s pulse to check for signs of blood circulation.
Kneel at the person’s side, near his or her chest. With the middle and forefingers of the hand nearest the legs, locate the notch where the bottom rims of the rib cage meet in the middle of the chest. Place the heel of the hand on the breastbone (sternum) next to the notch, which is located in the center of the chest, between the nipples. Place your other hand on top of the one that is in position. Be sure to keep your fingers up off the chest wall. You may find it easier to do this if you interlock your fingers. Bring your shoulders directly over the person’s sternum. Press downward, keeping your arms straight. Push hard and fast. For an adult, depress the sternum about a third to a half the depth of the chest. Then, relax pressure on the sternum completely. Do not remove your hands from the person’s sternum, but do allow the chest to return to its normal position between compressions. Relaxation and compression should be of equal duration. Avoid interruptions in chest compressions (to prevent stoppage of blood flow). Use 30 chest compressions to every two breaths (or about five cycles of 30:2 compressions and ventilations every two minutes) for all victims (excluding newborns). You must compress at the rate of about 100
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times per minute. Continue CPR until advanced life support is available.
Step 2: Breathing
Using an AED in conjunction with CPR
If using an AED in the case of a heart attack or cardiac arrest, single shocks should be followed by immediate CPR for two minutes. Heart rhythm checks should be performed every two minutes (or after giving about five cycles of CPR); the AED will provide audible prompts at the appropriate intervals. See AED section for details. If using an AED on a one- to eight-yearold child, use a child-dose-reduction system if available. (However, do not use child pads or a child dose on adults in cardiac arrest because the smaller dose may not defibrillate adults properly.)
CPR for Infants (Up to One Year Old)
Step 1: Airway
block breathing passages instead of opening them.
With infants, be careful not to tilt the head back too far. An infant’s neck is so pliable that forceful backward tilting might
Do not pinch the nose of an infant who is not breathing. Cover both the mouth and the nose with your mouth and breathe slowly (one to one and a half seconds per breath), using enough volume and pressure to make the chest rise. With a small child, pinch the nose closed, cover the mouth with your mouth and breathe at the same rate as for an infant. Rescue breathing should be done in conjunction with chest compressions. (See next section.)
Step 3: Chest Compressions on Infants
If alone with an unresponsive infant, give five cycles of CPR (compressions and ventilations) for about two minutes before calling 911 or your local emergency number. Use only the tips of the middle and ring fingers of one hand to compress the chest at the sternum (breastbone), just below the nipple line, as described in the table below. The other hand may be slipped under the back to provide a firm support. (However,
if you can encircle your hands around the chest of the infant, using the thumbs to compress the chest, this is better than using the two-finger method.) Depress the sternum between a third to a half the depth of the chest at a rate of at least 100 times a minute. Two breaths should be given during a pause after every 30 chest compressions on all infants (excluding newborns). Continue CPR until emergency medical help arrives.v
Small Children (ages 1 to 8)
Give five cycles of CPR (compressions and ventilations) for about two minutes before calling 911. Use the heel of one or two hands, as needed, and compress on the breastbone at about the nipple line. Depress the sternum about a third to a half the depth of the chest, depending on the size of the child. The rate should be 100 times per minute. Give two breaths for every 30 chest compressions (30:2 ratio). Continue CPR until emergency medical help arrives.
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Eating right still at core of dietary guidelines By Mary Clare Jalonick (AP) For Crossroads Magazine
WASHINGTON — Dietary advice can be confusing. Is it OK to eat meat and eggs? Is fat in or out? What about grains? How much salt? An advisory committee’s recommendations for the nation’s dietary patterns are due soon, and some advice may be changing. The committee is expected to downplay the importance of lowering cholesterol intake and may put less emphasis on eating lean meats. The panel could also tweak its recommendations on exactly how much salt is too much and put limits on sugar consumption for the first time. Still, despite some revisions, the main advice never changes: eat
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more fruits and vegetables and whole grains, and eat less saturated fats, salt and sugar. The Agriculture and Health and Human Services Departments will use the advisory committee’s report to write the final version of the 2015 dietary guidelines, due by the end of this year. A look at the upcoming dietary guidelines, and what they mean for consumers:
Why they’re important
The dietary guidelines are issued every five years. The federal government uses them to set standards for school lunches and other federal feeding programs, and they serve as the basis for information on the nutrition facts panel on the backs of food packages.
They’re also used to create the government’s “My Plate” icon, which replaced the food pyramid and recommends a variety of fruits and vegetables, whole grains, lean proteins and low-fat dairy. Doctors and nutritionists use the guidelines when giving advice, and food companies use them to make claims about their food.
Evolving with science
The guidelines evolve as science evolves. Take cholesterol. In December, the advisory panel said in its preliminary recommendations that cholesterol is no longer “considered a nutrient of concern for overconsumption.” That would be a change from previous guidelines, which said Americans eat too much cholesterol. This follows in-
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creasing medical research showing how much cholesterol is in your bloodstream is more complicated than once thought, and depends more on the kinds of fats that you eat. Medical groups have moved away from specific targets for cholesterol in the diet in recent years. It’s unclear if the recommendation will make it into the final guidelines. Dr. Robert Eckel, a professor of medicine at the University of Colorado in Denver who is a past president of the American Heart Association, says there’s not enough evidence to make good recommendations on cholesterol right now, but “no evidence doesn’t mean the evidence is no.” People can enjoy high-cholesterol egg yolks in moderation, he advises, but “a three- to four-egg omelet isn’t something I’d ever recommend to a patient at risk for cardiovascular disease,” he says. There’s also some new science on salt. The 2010 dietary guidelines
recommend that people eat less than 2,300 milligrams a day. That is reduced to 1,500 milligrams for some people at risk of heart disease. A 2013 report by the Institute of Medicine said that while lowering salt intake is important for heart health, there is no good evidence that eating less than 2,300 milligrams a day of sodium offers benefits. The advisory panel’s discussions hint that they may not include the lower recommendation for certain groups.
addition, the draft recommendations say a healthy dietary pattern includes fewer “red and processed meats” than are currently consumed. The meat industry called the draft recommendations absurd. The committee has also discussed the idea of including sustainability as a dietary goal. The advisory panel said in its draft recommendations that there is “compatibility and overlap” between what is good for health and what is good for the environment.
Political battles
The “My Plate” isn’t expected to change much — the guidelines issued at the end of the year will most certainly recommend putting fruits, vegetables, whole grains and lean proteins on your plate, accompanied by low-fat dairy. In its draft recommendations, the panel said the problem it is trying to solve is high rates of “preventable chronic disease” and obesity.
While they are based on dietary science, the guidelines aren’t immune to politics. This year, the battles have already started over meat. Current guidelines advise that people eat lean meats as a healthy way to get protein, but the advisory panel has debated whether lean meats should be included. In
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West Clinic Oncology Nurse Jerri Simpson does a routine check-up on cancer survivor Eloise Bowers. Photos by Steve Beavers Six months or two years. Those were the two choices facing Eloise Bowers after she learned she had lung cancer. Bowers went with another option. The 62-year-old decided she was going to make it. She took on an attitude to defeat Stage IV non-small cell lung cancer. “I was told I had six months without treatment or two years with treatment,” said the Hinkle woman. Bowers underwent 19 rounds of radiation then chemotherapy in her battle with the disease. “I would have done anything for life,” she said. “Whatever they told me, I was going to do.” Bowers, a 39-year smoker, wasn’t feeling well in 2010. She thought she just had a round of bronchitis. “I had never been sick a day in www.mycrossroadsmagazine.com
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my life,” said the cancer survivor. Four rounds of antibiotics still didn’t make her feel any better. Bowers, the mother of Frank and Emily, was diagnosed with having Chronic obstructive pulmonary disease (COPD). Her health still didn’t improve. “I went to work one day and still didn’t feel well,” she said. “I thought it was just the COPD.” Days of testing showed something else for the then 57-year-old. Bowers found out in August of 2010 she had Stage IV cancer. “It came on so fast,” she said. “It’s so terrifying when you hear the ‘C’ word.” Her thoughts turned to her children. Frank had just graduated college and Emily was going into her senior year at college. “I was more worried about them than myself,” said Bowers. Bowers was part of a chemical trial to be given the experimental drug Erbitux for a year. She also underwent three rounds of Radiofrequency ablation – a treatment were doctors are guided by imaging techniques and insert a thin needle through the skin and into the tumor – to get rid of a spot. “I went almost two years were I had nothing then they found a spot,” said Bowers, who is married to Eddie – a cancer survivor himself. Bowers’ outlook on life has changed since 2010. “I am more patient now,” she said. “In 2010, my thought was will I be around next Christmas? … you can’t think that way.” Attitude is everything, according to
stress
the cancer survivor. “You have to believe you are going to make it,” she said. A great support cast is also vital. “I don’t know what I would have done without Eddie and the outpour of love from family and friends,” said Bowers. Bowers said she should have known something wasn’t right in 2010. “I should have known something was wrong,” said Bowers, who quit smoking cold turkey in June of 2010. “But I never thought it would be cancer.” Today, Bowers has to have a CAT
scan every three months to make sure the cancer hasn’t returned. “She is a walking miracle,” said West Clinic Oncology Nurse Jerri Simpson. “Eloise is our poster child for lung cancer.” “She was our first research patient and now she is our pride and joy,” added West Clinic Oncology Nurse Penny Hare. Bowers said her physician, Dr. Sylvia Richey, is amazed how far she has come. “She calls me her miracle and I want to continue to be her miracle,” said Bowers. “Just one day at a time.”
Labs-N-Lace
Continued from 11
The first thing you should do is admit that you’re under stress and you need help. There are multiple avenues you may pursue, such as spiritual care, family care, exercise, community care, etc. Medicines are helpful for many things, but usually not for stress. For more information, talk to your doctor or visit www.heart.org. pa g e 2 6
Eloise Bowers has her heart checked by West Clinic Oncology Nurse Penny Hare.
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