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Womens October 2014 Features Carin’ and Sharin’ Filling a need Facing the risk New group fitness gym hits East Memphis

Departments Fit to Flatter Food Clues Good Good

Columns A drug-free approach to the fight against osteoporosis - OsteoStrong Collierville

cover story 5 Carin’ and Sharin’

15

9 12

18

from the editor

Sara P. Shirley Good Health Editor

For the second year in a row, we’ve turned our pages pink in honor of Breast Cancer Awareness Month. And this October, we decided to create a special, double cover edition of the magazine in recognition of those who have fought or who continue to fight cancers of any type. One side of the magazine is more focused on women’s health, and the other is more geared toward men. Not that I think you should only read one side! I hope the inspiring stories shared with us by local cancer survivors are enjoyed by every reader who sets eyes on these pages.

Working on this issue has been a true privilege. While I was gathering information for several of the features, I had the opportunity to meet some of the most incredible people in the Memphis area. Theirs are stories of hope, of friendship, of love and of life. If you’re looking for an easy way to support a local cancer organization this month, check out our racing calendar to learn more about fitness events benefiting the search for a cure. We’ve also included many of our other regular features in this issue, such as a heart-healthy recipe, advice from a local nutritionist, answers from a local personal trainer and exercise demonstrations you can try at home.

We, as a society, may talk about cancer more in October than any other month, but for so many of our friends, neighbors and loved ones, cancer is a disease being dealt with day by day. This issue is for them. And as always, please send me any of your thoughts or questions by e-mailing me at patterson@commercialappeal.com.

To good health,

M E M PHI S

Editor Sara P. Shirley patterson@commercialappeal.com

Good Health Memphis magazine is a healthy lifestyle publication from The Commercial Appeal. Good Health is published monthly, with distribution in the paper as well as in area medical practices and other strategic rack locations. All rights reserved. Reproduction in whole or part without written permission is prohibited. Copyright 2014.

Contributors Nathan Berry Jason Terrell Erinn Figg

Pete Wickham Leslie Schilling

For more information on advertising in Good Health magazine, contact Sara Patterson Shirley at 901-529-6513 or e-mail patterson@commercialappeal.com.

495 Union Avenue, Memphis, TN 38103

Carin’ and Sharin’ Story by Sara P. Shirley

• Photos by Jason Terrell

Breast cancer survivors Christine Horrice and Loretta McCoy-Hill with Carin’ and Sharin’ support group founder Gwendolyn Brown

C

hristine Horrice shares her story in church, at the grocery store, the gas station. The 63-year-old Midtown woman talks about her personal battle against breast cancer with anyone who will listen.

“The more you talk, maybe you can reach somebody,” said Horrice. “Cancer is no joke, but it can be beat.”

Nine years ago, when Horrice noticed changes in her breasts, she wasn’t sure what was going on. She certainly didn’t think she had cancer.

“It was like they had started shrinking,” Horrice recalled. She told a coworker about her observations, and the co-worker said it was probably stress. Still

worried, though, Horrice talked to a friend in the medical field. Her friend advised her to get a mammogram as soon as possible.

Horrice was in her mid-50s, but regular annual mammograms weren’t a part of her healthcare routine.

After the mammogram, doctors told Horrice they needed to do a biopsy. It was at that point, Horrice said, that she tried to prepare herself for bad news.

“I was so naïve,” Horrice said. “I didn’t have any history (of breast cancer) in my family, and I said, ‘This can’t happen to me, this is a white woman’s disease!’”

The results came back and Horrice learned she had developed advanced

(Stage IV) breast cancer. Horrice was shocked, scared. She said she had always associated the word cancer with death, and she didn’t want to talk about her situation with anyone.

At the recommendation of a friend, she looked into a local support group called Carin’ and Sharin’.

Founded in 1989, The Carin’ and Sharin’ Breast Cancer Education and Support Group was the first support group for minority and underserved women in the state of Tennessee. The organization was founded by oncology social worker Gwendolyn Brown. Brown has secured non-profit status for the

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After McCoy-Hill learned she had cancer, another the Carin’ and Sharin’ support group number. She did and soon she received a pink envelope in the mail, been a member ever since “I’m so glad to have made this connection,” she said. “There’s a diverse mixture of women, from all ages and socio-economic backgrounds. We talk about cancer, about our situations, and each month an expert comes to talk with the group about the latest developments and research.”

McCoy-Hill said the love and support she received from her friends, family and members of the group helped her during treatment and recovery more than she can put into words.

“I will still listen to that tape and think about how far I’ve come,” she said. “Cancer turned the tide in my life, such that I became more attuned to just how important it is to interact with other people, and to be honest with yourself. I made up my mind that this is not going to bring me down.”

For more information, call the Hot Pink Hotline at 901-484-9624 or visit the website www.carinsharin.org.

organization, which is overseen by Urban Health Education and Support Services (UHESS). Most of the funding for the group comes from the Memphis Mid-South Affiliate of Susan G. Komen for the Cure. It also has research alliances with Notre Dame University, University of Tennessee, Middle Tennessee State University, and the American Cancer Society.

In addition to helping connect women, Brown works to

Smile more often

raise awareness about the high mortality rate among socioeconomically disadvantaged black women in the Memphis area.

Even though white women are more likely to be diagnosed with breast cancer, black women have a higher risk of dying from it, according to a study released in 2013 by the Sinai Urban Health Institute and the Avon Foundation and published in the journal Cancer Epidemiology. The study found that Memphis has the highest cancer disparity rate in the country. Black women are twice as likely to die from breast cancer here as white women are. There’s no genetic explanation for the difference that “readily fits” the data, the study found.

Rather, it seems that as technological advances in screening and treatment have come into use, women who are poor and underinsured have had less of a chance of accessing them. The gap in outcomes, which didn’t really exist in the 1980s, has grown substantially in the last two decades, with no signs of slowing down.

Each Carin’ and Sharin’ monthly group meeting begins with an update on members too ill to attend the session. Women in the group plan visits for sick members, helping them by cooking a meal, throwing in a load of laundry or simply lending an ear.

About 60 women attend the group meetings each month.

While members come from a wide-range of backgrounds, Brown said she’s met many women who struggle to make the choice between continuing treatment and putting food on the table for their families. The organization currently helps pay bills for some of its members while they are in treatment, but Brown said there’s more need than there is funding.

“It my dream that some of these women—the single

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For members such as Horrice, the emotional support provided by the group has helped her cope with the toughest battle of her life. Two years ago, Horrice’s cancer returned in her spine and pelvis.

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a Need Story by Sara P. Shirley Photos by Jason Terrell

Sisters Susan Tanner and Lynn Barcroft own and operate Pink Ribbons boutique, specializing in the needs of breast cancer patients pre- and post-surgery.

B

efore sisters Susan Tanner and Lynn Barcroft opened their East Memphis boutique, breast cancer survivors in need of breast prostheses and supplies had few options regarding the environment in which they were fitted.

More than likely, fittings would be performed in a clinical setting, and the women, often having just undergone surgery, would buy their bras from an orthotic and prosthetic facility or a pharmacy.

“We felt that women deserved more than to be fitted in a sterile sort of setting,” said Barcroft. “We wanted them to feel special, feminine and like they were still a whole woman.”

Seeing an opportunity to improve experiences for local women, the sisters decided to embark on their first business venture. They both brought decades of medical expertise with them; Barcroft’s background is in nursing and Tanner’s is in orthotics. The sisters opened the doors to Pink Ribbons, a mastectomy and lymphedema boutique, in 2011 and have now served more than 1,000 women in

the Mid-South area.

Beautiful bras line the walls of the stylish, feminine store. On a woman’s first visit to Pink Ribbons, whether it’s prior to surgery for a pre-op fitting or for post-surgical garments, the owners begin by explaining the customer’s health insurance benefits.

Pink Ribbons accepts most forms of insurance and they file all of the paperwork for their customers.

“We want women to come in before surgery, because there’s a lot of teaching, and hand-holding, and referrals we provide for them,” said Tanner. “And we always talk to our customers about lymphedema because we have found that the doctors aren’t.”

Anyone who has had a mastectomy, lumpectomy, radiation treatment, lymph node removal surgery, infection or trauma to the limbs may be at risk for developing lymphedema.

Lymphedema is a build-up of lymph fluid under the skin that can cause significant, painful swelling, usually in one arm or leg.

It’s a condition that is treatable but not curable.

“We talk at length about lymphedema with our customers because they are at risk and we want them to be aware of the causes and know what to look for,” said Tanner. “We also tell them about steps they can take to protect themselves against activities that we know are triggers.”

women to wear during the reconstruction

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The mastectomy bra selection in One trigger, for example, is being stuck with a needle in an arm where you’ve had a lymph node removed. Tanner and Barcroft advise their customers to tell their healthcare providers to find another vein to work with.

For customers who have already

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careers to open this business.

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“We’ve seen a lot of blessings

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“There’s so much more available than there used to be,” said Barcroft.

when we cry with them, but we laugh a whole lot more.”

developed lymphedema, Pink Ribbons offers compression sleeves in a wide range of colors and patterns that look much more stylish than a routine fleshcolored sleeve.

The options for prostheses are also plentiful. The boutique sells enhancers for

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ANSWERS From Your Hearing Doctor Is it true that Hearing Loss can mimic early symptoms of alzheimer’s & dementia?

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

Michael Steer

Doctor of Audiology

RELIEF

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,” study leader Frank Lin, an assistant professor at the Johns Hopkins schools of medicine and public health said. “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.

“A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” Lin says. “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.

For more information, please contact Dr. Michael Steer, Taylor Hearing Centers.

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“I

Facing The Risk was always convinced cancer would get me.”

Irene Rodda grew up in a family of

teachers, a family who taught her to equate knowledge with power. And for

Story by Sara P. Shirley

for developing breast cancer was

women can lower the risk of developing

84 percent, and she began having

cancer by 90 percent, according to the

mammograms every six months. After a

National Cancer Institute. Rodda also

few years, the anxiety associated with the

spoke with women who had tested

frequent testing began to wear on her.

positive for the mutation but had decided

“I was having these mammograms—

not to have the surgery. Many women

the 35-year-old Collierville mother of

what felt like constant exams—to try to

who have the mutation never develop

two, the knowledge that she possessed

catch it as early as possible,” she said. “I

breast cancer, and every person’s risk

a gene mutation linked to a high-risk of

couldn’t deal with the worry, every time I

level is different. The decision to have

breast cancer gave her the power to take

had an appointment.”

gene testing, or to go a step further and

preventive measures.

have prophylactic surgery, said Rodda, is

Rodda has a history of cancer in her

an extremely personal one.

family. Her maternal grandmother died

Yet after the conference, Rodda said

from breast cancer at the age of 36. Her father passed away from leukemia in 1998. Ten years after her father’s death, Rodda’s mother was diagnosed with early stage breast cancer.

After her mother’s diagnosis, Rodda

she felt better informed and ready to

Irene Rodda with her husband, Ben, and two children.

Photo courtesy of Irene Rodda.

make a decision for herself.

“Surgery isn’t for everyone,” said Rodda, “but I felt it was my best option.”

With her mind made up, Rodda began planning for her surgery. Then, Rodda’s

decided to have a BRCA gene test.

husband, Ben, accepted a job in Memphis

The genes called BRCA1 and BRCA2

and the family moved. She had a double

are mutations known as breast cancer

mastectomy here in January of 2013. Her

“susceptibility” genes, and they can

Rodda was convinced, as she puts it,

risk for developing breast cancer has now

be passed down from parents to their

that the cancer was going to get her. The

dropped to less than one percent, she

children.

New York native was living in the Boston

said.

Rodda’s results came back. They

area at the time, and she joined a support

The recovery process was incredibly

were positive. She carries the BRCA2 gene

group there called Facing Our Risk of

difficult, both physically and emotionally,

mutation.

Cancer Empowered, or FORCE.

said Rodda. She opted for reconstruction,

“When I found out, I actually felt a

In 2012, she attended the annual

and complications led to her having to

sense of relief,” said Rodda. “It was like,

FORCE conference and met several

receive emergency surgery in May of last

‘OK, I know the enemy I’m facing, and I

women who had undergone prophylactic

year. Her implants, by choice, are smaller

know what I can do about it.’ It made me

double mastectomy, a surgical procedure

than her former breasts, and she no

feel more in control.”

in which both breasts are removed.

longer has nipples.

Doctors told Rodda that her risk

Prophylactic mastectomies in high-risk

“There were moments after the

surgery when I looked at myself in the mirror and I didn’t really feel like a woman,” said Rodda. “I didn’t feel that way too much, but it is emotionally

Who should consider genetic testing for BRCA1 and BRCA2 mutations?

difficult, and it’s not a choice for

Most experts agree that gene testing should only be

everyone.”

performed when a person’s family history suggests the

Now that more than a year has passed since her surgery, Rodda says she is at peace with her choice and ready to move on with the rest of her life. Seven months ago, she gave birth to her second child.

“I’ve lowered my risk to a number that I can live with,” said Rodda. She added that the love and support she received from her family, and especially from her husband, helped her through the process.

“I’m so lucky to have a husband who said, ‘I liked your boobs, but I love

possible presence of a harmful mutation. Family history factors that are associated with an increased likelihood of having a harmful mutation in BRCA1 or BRCA2 include: • Breast cancer diagnosed before the age of 50 • Cancer in both breasts • Both breast and ovarian cancers • Multiple breast cancers

• Cases of male breast cancer • Ashkenazi Jewish ethnicity • Two or more primary types of BRCA1- or BRCA2-related cancers in aå single family member

you more.’”

Source: www.cancer.gov

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New group fitness gym hits East Memphis Story by Sara P. Shirley Photos by Brandon Dill

J

ohn Irvine likes to ask people when they were in the best shape of their lives. He can usually guess the answer.

“For almost everyone it goes back to high school or college, when they were part of an athletic team,” said Irvine, who is the owner of the new Iron Tribe Fitness gym in East Memphis.

Irvine, a native Memphian, said he fell in love with the Iron Tribe philosophy while he was a student at Samford University, in Birmingham, Ala. Iron Tribe gyms are focused on creating a team atmosphere for its members. The first Iron Tribe gym was conceived in a garage in Birmingham in 2008 and the Birmingham Business Journal recently named it one of the fasted growing businesses in the city.

More than 50 franchises have opened around the country, with Irvine’s being the first in Memphis.

John Irvine opened the doors to Iron Tribe Fitness in East Memphis in mid-September.

“We’re working to help people transform their lives, to reach goals they never even thought possible,” said Irvine.

“And in group settings, where you have accountability built in to the program, that’s the best approach.”

All new Iron Tribe members go through a 30-day fundamentals program, learning the training techniques while also getting a great work out.

“We’re not going to throw you in and let you hurt yourself,” said Irvine. “We’re really focused on getting results in a safe way.”

Fundamentals classes last an hour and regular classes last 45 minutes. Each class, which is capped at 20 people, is led by two coaches and involves highintensity interval training. The classes consist of a warm up, a workout of the day and a cool down. Every day it’s something different.

A unique offering of the Iron Tribe gym is its nutrition plan, called InnerFire.

Members can prescribe to a paleo diet and pick up meals at the gym that are prepared by Whole Foods Market.

This is Irvine’s first business venture.

After graduating with a degree in Sports Medicine from Samford, he returned to Memphis, worked at a local hospital and planned to go to medical school. But while waiting on his acceptance letter, he began to rethink the path he was pursuing. The week after he closed on the franchise deal, he was accepted to medical school.

“I don’t regret it one bit,” he said.

“I’m so excited to be a part of this.”

The gym, located at 454 Perkins Extended, offers classes from 5:45 a.m. to 7 p.m. For more information on Iron Tribe, which is now open and accepting new members, call 901-371-6170 or visit irontribefitness.com.

A Drug-Free Approach to the Fight Against Osteoporosis Story by Mark Partlow

consists of four isometric exercises, which last five to 10 seconds a piece and have been proven to trigger the body’s own adaptive responses that can grow bone and muscle tissue. Once the process of tissue growth has been triggered, your body does the rest of the work for you.

The equipment used during a oncea-week 10-minute session records each user’s performance so you can see your progress at the conclusion of each session. More than 25,000 people have tried the OsteoStrong system since it hit the market in 2011, and the number is

A

growing as more OsteoStrong facilities s women increase in age, so does the risk for bone loss. In fact, a

States, and can result in severe injuries

open around the country.

such as hip fractures and head traumas.

If you’re interested in learning more

woman’s risk of breaking a hip is the same

Many older adults, even if they have not

about the system and the opportunity to

as her combined risk of breast, uterine

suffered a fall, become afraid of falling

increase your bone density and strength,

and ovarian cancer. As women approach

and restrict their activity, which drastically

please come see us for a free initial

and reach menopause the chance of

decreases their quality of life.”

assessment.

developing osteoporosis escalates due to

If your healthcare provider hasn’t

the sharp decrease of estrogen produced

talked to you about your bone health, I

by the body during this time.

urge you to bring it up, no matter your

The Surgeon General states that “each year an estimated 1.5 million people suffer an osteoporotic-related fracture,

age. It’s never the wrong time to take care of your bones.

At OsteoStrong in Collierville, our

an event that often leads to a downward

clients utilize advanced equipment to

spiral in physical and mental health. In

strengthen the spine, increase bone

fact, 20 percent of senior citizens who

density and improve balance and aid in

suffer a hip fracture die within one

fall prevention—all using the body’s own

year. One out of every two women over

mechanisms for healing. We use a system

50 will have an osteoporosis-related

called Osteogenic Loading to achieve

fracture in their lifetime...”

results.

The Centers for Disease Control

About the author

What is Osteogenic Loading, you ask?

and Prevention confirms that “Falls are

It’s a technical term used to describe how

the leading cause of injury among adults

our machines facilitate a powerful, self-

aged 65 years and older in the United

induced stimulus to the body. The process

Mark Partlow is the owner of OsteoStrong Collierville, located at 255 New Byhalia Road, Suite 109.

For more information, visit www.osteostrong.me.

The Food Factor

food clues

honest nutrition advice

Story by Blair Mize, MS, RDN, LDN, CLC The American Cancer Society estimates that up to one-third of all cancer deaths in the United States are related to lifestyle factors including diet, physical activity and weight. The foods and beverages used to fuel your body and the amount of movement incorporated into your daily routine affect your cancer risk, so what can you do to lower your cancer risk?

1. Eat Real Food.

No single miracle food exists; however, whole or minimally processed foods serve as extra protection against cancer. Plant-based foods like fruits, vegetables and whole grains contain antioxidants. Just as avocados begin to turn brown after slicing due to oxidation, our cells also undergo oxidation. Environment, genetics, age and lifestyle factors cause the body to produce varying numbers of free radicals as by-products of oxidation. The good news: Plant-based foods provide antioxidants to arm our bodies and strengthen our cells against free radicals in the fight against cancer. You’ve heard how important it is to eat fruits and vegetables, but how can you be certain you’re eating enough of them? Here’s a start…make half of each meal fruits, vegetables or a combination of both. If this seems like an overwhelming goal, try these simple ideas for incorporating more fruits and vegetables into your diet.

• Breakfast: Use pineapple and mango to create a Greek yogurt parfait. Stir a big handful of berries into a bowl of oatmeal.

•

Lunch: Make a big salad with plenty of vegetables, beans, and fresh or dried fruits at the beginning of each week.

Cover and chill the salad. When lunchtime comes, grab some salad and add a little protein and salad dressing for a balanced meal.

•

Dinner: Roast a pan of your favorite vegetables drizzled with olive oil. Carrots, broccoli, brussel sprouts and sweet potatoes are all delicious choices. Make extra to serve with lunch the next day or to repurpose for future dinner meals.

number on the scale. If you are eating “real” food, honoring your body’s natural hunger and fullness cues, hydrating and incorporating physical activity, weight will usually fall into an appropriate range for your body type. While research has suggested that a percentage of cancer-related deaths may be prevented through lifestyle changes, avoiding cancer is not always possible. Cancer prevention remains important. Take control of your health now by focusing on foods that protect you, drinking water and incorporating movement into your routine.

2. Drink Water.

Water is essential for transporting nutrients and oxygen into cells and moving waste out. Carry a refillable water bottle with you daily and aim to fill, drink and repeat this routine with your water bottle several times throughout the day.

3. Get Moving.

Find activities you enjoy. Running a marathon or participating in extreme weight-lifting is not necessary to meet physical activity recommendations.

Dance, swim, garden or walk the dog.

The choices are limitless, and variety is helpful in sustaining motivation to move.

Although weight is noted as a lifestyle factor that may affect cancer risk, health is more important than a

About the author Blair Mize is a Registered Dietitian with Schilling Nutrition Therapy. She believes in a non-diet approach and loves helping people fuel well to achieve a healthy lifestyle. Visit schillingnutrition.com for more information.

Classic Margherita Pizza with Whole Wheat Pizza Crust

FROM THE AMERICAN HEART ASSOCIATION American 8 servings About $2.09 per serving Ingredients: Pizza Sauce 1 (8 oz.) can no salt added tomato sauce ¼ cup onion (or ½ of one small onion), chopped 1 teaspoon garlic (1 clove) from jar, minced 2 tablespoons fresh basil, chopped (or 2 teaspoons dried) 1 teaspoon extra virgin olive oil ¼ teaspoon crushed red pepper (can add more or less, depending on your preference of spice level)

Pizza and Toppings 1 12” whole-wheat pizza crust ¼ cup low-fat, part skim ricotta cheese ¾ cup low moisture, part-skim mozzarella cheese, shredded

Cooking Instructions: Pizza Sauce: 1.

2.

off using a knife. Add both types of flour, oil and salt to yeast mixture. Stir with spatula or wooden spoon until all ingredients are mixed well.

In a small saucepan, over medium heat, cook garlic and onion in olive oil until soft, but not brown.

Add remaining sauce ingredients, reduce heat and simmer for about 15 minutes.

3.

Pizza and Toppings: 1.

Preheat oven to 450° F.

2.

In a small saucepan, over medium heat, cook garlic and onion in olive oil until soft, but not brown. Add remaining sauce ingredients, reduce heat and simmer for about 15 minutes.

3.

4.

Carefully transfer pizza dough (if using homemade raw dough, see recipe below) onto a baking sheet lined with foil and sprayed with cooking spray.

Or if using store-bought, transfer to baking sheet lined with foil. Layer dough or crust with pizza sauce, cheese, tomatoes and basil. Bake 10-20 minutes.

Pizza is ready when crust is golden brown and cheese is bubbly. Cooking time will be slightly longer with raw, homemade dough. Watch closely!

Homemade Pizza Crust: 1.

In a large bowl, dissolve yeast and sugar in warm water. Let stand 5 minutes.

2.

When measuring flour, lightly spoon flour into measuring cups and level

5.

6.

On a well-floured surface (use allpurpose flour), turn dough out and knead with hands until dough is smooth and elastic, about 10 minutes. While you are kneading the dough add additional flour, 1 tablespoon at a time, so the dough is more manageable. Dough should feel slightly sticky and tacky.

Place dough in a large bowl that is coated well with cooking spray. Sprinkle rosemary and garlic over dough and knead lightly one more time, until slightly incorporated into dough. Spray once more over dough ball and cover.

Let dough rise in a warm place (85° F), like a cupboard or pantry for about 45 minutes. Dough is ready when it has doubled in size and when you place two fingers into dough, the indention remains. When it is ready, punch down dough by inserting fist into dough ball and releasing some of the air.

1½ cup diced fresh tomatoes or 1 (8 oz.) can no salt added petite diced canned tomatoes, drained

2 tablespoons fresh basil, roughly chopped or hand torn or 1 teaspoon dried

Cooking spray

Homemade Pizza Crust 1 package dry yeast (about 2¼ teaspoons) ¼ teaspoon granulated sugar 1½ cups warm water 2½ + ¼ cups all-purpose flour, divided 1 cup whole-wheat flour 1 tablespoon extra virgin olive oil (or vegetable or canola oil) ¼ teaspoon salt 1 tablespoon fresh rosemary, finely chopped or 2 teaspoons dried 4 teaspoons garlic, minced Cooking spray

Per serving

Homemade Crust

Store Crust

Calories

170

153

Total Fat

4.5 g

5.5 g

Saturated Fat

2.0 g

2.5 g

Trans Fat

0.0 g

0.0 g

Polyunsaturated Fat

0.5 g

0.0 g

Cover and let rest another 5 minutes.

Divide dough ball in half.

Monounsaturated Fat

1.5 g

1.5 g

Cholesterol

9 mg

9 mg

On a floured surface roll one half into a 12” circle. Top with ingredients above and bake.

Sodium

123 mg

258 mg

Carbohydrates

25 g

21 g

Dietary Fiber

2g

4g

Total Sugars

3g

4g

Protein

8g

8g

Recipe copyright © 2014 American Heart Association. This recipe is brought to you by the American Heart Association’s Simple Cooking with Heart Program. For more simple, quick and affordable recipes, visit heart.org/simplecooking.

O

ER B O CT

14 0 2

MEM P HIS

Life

after

CHILDHOOD CANCER

Why Being proactive

Pays Off

​When it comes to prostate cancer detection

Memphis Grizzlies

Former St. Jude patient who now works at hospital shares his story

Bring Fitness to Riverfront with trail and pop-up park Special Pink Double Issue, Flip Over for Women’s Health

Life is even better with the peace of mind that comes with good vision.

Make your eye examination appointment today.

1225 Madison Ave., in the Midtown Medical District

901-722-3250 www.eyecentermemphis.com

Mens October 2014

Features Life after childhood cancer The RiverFIT project Could treatment for kids with congenital heart defects put them at risk for cancer?

Treating cancer with the CyberKnife System

Departments Ask Corey Kid Yoga Part II Racing Calendar Good Food

Columns Is it time for a colonoscopy? - Horizon Gastroenterology & Neurology

cover story 4

Being proactive pays off for men - Atlas Men’s Health

ife after childhood L cancer’

High occurrence of eyelid skin cancer shows importance of sun protection Toyos Clinic The role of pharmacists in cancer patient care - Champion’s Pharmacy and Herb Store

7

10

11

18

Life after childhood cancer

Carlos Rodriguez, pictured here with his family (including his grandmother, Rosa Muller; his mom, Maria Rodriguez; and his 7-year-old sister, Gaby Rodriguez) is a longterm pediatric cancer survivor. Photo courtesy of St. Jude Children’s Research Hospital.

Story by Sara P. Shirley Photos courtesy of St. Jude Children’s Research Hospital

C

arlos Rodriguez was only fouryears-old when he walked into St.

Jude Children’s Research Hospital for the

referred to St. Jude, and his chances,

currently work for ALSAC, the hospital’s

which were 60 to 65 percent at that time,

fundraising arm. Rodriguez is a bilingual

seemed much better.

contact center specialist and his mom is a

first time, but he remembers it vividly.

Carlos participated in the one of the

“It was my first time in the United

hospital’s clinical trials for ALL. The trials

quality service representative.

“Even though I grew up in El Salvador,

States and it was Mother’s Day, 1996,”

helped lay the foundation for today’s

I felt like Memphis was home,” said

Rodriguez recalled. “I remember what felt

treatment regimen, which boasts a 94

Rodriguez. “We’d been through so much

like this row of doctors waiting at the door

percent survival rate.

here, and the hospital had done so much

for us. They already knew who I was, and

After two and a half years of

for us and for me, I felt a calling to come

what they were going to do. They talked

treatment, Rodriguez returned home with

back and do what I can to help St. Jude.

to my mom, and I started therapy the

his family. Every six months, he came

I know what a tough experience it is for

following day.”

back to the hospital for checkups. Several

patients and families, and I want to do

years later, his family relocated to the

whatever I can to help other people be

living in El Salvador when he was

United States, and in 2010, Rodriguez

success stories like I was.”

diagnosed with a high-risk form of acute

had his very last check up at St. Jude. It

lymphoblastic leukemia (ALL). Doctors

wasn’t, however, the last time he would be

in El Salvador gave the boy a 20 percent

walking through the doors.

Rodriguez and his family were

chance of survival. Rodriguez was then

Rodriguez and his mother both

Besides working at ALSAC, Rodriguez, who recently turned 23, is also helping the hospital by participating in the St. Jude LIFE study, an unprecedented look into the long-term impact of childhood cancer and its treatment. Childhood cancer survivors around the world are already reaping the benefits of the ongoing project, which began in 2007.

The LIFE Study’s principal investigator, Melissa Hudson, said the study’s goal is to improve the “quality of survival” for all pediatric cancer patients.

“Now we have cure rates for some types of cancer that are over 80 percent— for some its 90 percent—so we’re thinking,

‘What is this person’s life going to be like as an adult, or in elderly life even?’ We’re trying to highlight their vulnerabilities to health issues that we all face as we age.”

St. Jude has enrolled about 3,000 participants in its study, and these former patients are returning to the hospital in order to help.

In July, the study announced that 73 percent of adult survivors who failed to follow a heart-healthy lifestyle had double the risk of developing metabolic syndrome and related health problems.

Metabolic syndrome is a term used to describe health risk factors that often occur together. The syndrome is associated with an increased risk of developing heart disease, diabetes, stroke and other potentially fatal health problems.

Even with the best cancer treatment and therapies, said Hudson, some

survivors are vulnerable to health problems such as infertility, hearing loss and neurosensory disorders due to their exposures to certain drugs during childhood. Results from the study have already been used to help new patients, by lowering the dosage of certain drugs that have been shown to cause negative side effects later on in life. Results and risks vary from patient to patient based on the different cancers and treatments used to fight them.

“The most common events we’re seeing are not so much life threatening as altering,” said Hudson. “I think it’s important to note that despite these

Back in 1998, confetti drifted onto Carlos’ head, shoulders and bed as he celebrated his last chemotherapy treatment, surrounded by his family and ebullient medical staff. Photo courtesy of St. Jude Children’s Research Hospital.

issues, our survivors are incredibly resilient. After what has been a potentially traumatic experience, they move on and proceed with their lives, have families, work in the community and contribute to society.”

Is it time for a colonoscopy?

C

olorectal cancer, also called colon cancer, is the third most commonly diagnosed cancer in males and the second in females. Yet the chance of developing colon cancer is 25 percent higher for men than for women, with 90 percent of cases occurring after the age of 50. Colon cancer is influenced by both environmental and genetic factors.

Here’s the good news: Colonoscopy has been shown to be very effective in preventing colon cancer. Death rates have declined significantly due to the increased availability of screening colonoscopies (where polyps are often removed on the spot), early detection of the cancer and more effective treatments. The majority of colon cancer cases are sporadic rather than familial.

Colonoscopies are generally recommended by all cancer societies at age 50 for people without any risk factors.

Screening recommendations are modified based on family history of colon cancer or

Story by Dr. Muhammad Siddiq, MD polyps and for patients with inflammatory bowel disease. Two hereditary conditions – familial adenomatous polyposis and Lynch syndrome – account for 5 percent of all colon cancer cases and patients with either of these conditions require early screening.

What are some of the risk factors for colon cancer?

The biggest risk factors are a family history of colon cancer in what we call a first-degree relative, or immediate family member, and personal history of colon cancer or polyp(s). Large polyps greater than one centimeter in size and polyps with villous or tubulovillous histology also increase one’s risk. Screening is recommended at an earlier age (40 years) for people with a family history of polyps in relatives. Alcohol consumption, smoking, a diet high in fat and red meat, sedentary lifestyle and obesity are other risk factors.

How effective is screening?

Most colorectal cancers develop from precancerous growths called polyps. Polyps can be detected during a screening colonoscopy and can often be removed completely and effectively. Regular screening for and removal of polyps reduces your risk of developing colon cancer by up to 90 percent.

Screening methods and techniques for colonoscopies have been improved a lot and it’s quite painless. With

About the author Dr. Muhammad Siddiq is a Graduate of Dow University of Health Sciences in Karachi, Pakistan.

He completed his residency in Internal Medicine from St. Vincent’s Medical Center in Staten Island, N.Y., and completed a Fellowship in Gastroenterology at Cook County Hospital in Chicago.

new sedation medications, most of the time patients do not even know that their procedure has been completed. Now, we can even remove large and sessile polyps with less risk of complications, which can help a patient avoid major surgery or a colon resection. Even if the cancer is detected, it may be at a very early stage when patients are not symptomatic and there’s a good chance of complete recovery without any chemotherapy. Once symptoms develop, including tiredness, rectal bleeding, anemia or weight loss, the likelihood of advanced tumor increases and may impact survival rate, recovery time and may also require chemotherapy.

In essence, a colonoscopy is very effective in detecting and removing precancerous polyps; early detection of colon cancer when it is potentially curable; and preventing future development of colon cancer.

Could treatment for kids with congenital heart defects put them at risk for cancer?

E

ight out of every 1,000 babies born each year are diagnosed with congenital heart defects, and many spend years undergoing procedures and tests – many of which contain radiation – to monitor the issue.

Could that exposure to radiation cause potential harm years later? That is the

question that Dr. Jason Johnson, a cardiologist with Le Bonheur Children’s Hospital and assistant professor of pediatrics and radiology with the University of Tennessee Health Science Center, set out to answer in his research project while studying advanced imaging at Duke University.

“We do a lot of imaging tests in heart patients, which is essentially just taking

pictures,” Johnson said. “And in some cases, the tests required to get those images require radiation.”

Johnson and his fellow researchers decided to look into how much radiation the average child with heart disease was exposed to over a specific time period. They followed 337 children under age 6 who had surgery for heart disease at Duke University Medical Center and collected almost 14,000 imaging procedures, including X-rays, computed tomography (CT) scans, and cardiac catheterization procedures using video X-rays called fluoroscopy.

The research team reviewed medical records to find the most common imaging procedures, calculated how much radiation organs absorb during each procedure, then used a National Academy of Sciences report to analyze lifetime cancer risks based on the amounts of each procedure’s exposure.

“The good news is that for most children with heart disease, the radiation exposure – and therefore the cancer risk – was relatively low,” Johnson said. “The average exposure for each patient was about three millisieverts (mSv) over the course of the six-year study.

Putting that in perspective, the average American is exposed to three mSv of radiation each year.”

Story from the American Heart Association-Memphis

However, in patients with more severe forms of heart disease – transplant recipients and those diagnosed with hypoplastic left heart syndrome – the radiation exposure and cancer risk was higher.

“With patients with hypoplastic left heart syndrome, we saw an average exposure of 26 mSv over the course of the study,” Johnson said. “In the transplant patients, the average exposure was 64 mSv.” Using the information from the National Academy of Sciences report, the research team determined that the average cancer risk for transplant patients was two percent higher than the baseline average and one percent higher for the hypoplastic left heart patients.

In certain high-risk patients the cancer risk was 6 percent higher than the baseline average.

Johnson hopes the study will encourage parents of patients with heart disease to understand the potential risk of every test done on their child and discuss all options with their cardiologist.

“Most of the time, the benefit of the images outweigh the potential risk of cancer,” Johnson said. “Talk to your physician about the risks and benefits of the procedure and make sure it is the right choice for your child.”

Get to Know Dr. Jason Johnson TITLE: Cardiologist with Le Bonheur Children’s Hospital

FAVORITE THING ABOUT MEMPHIS: I love the food

and Assistant Professor of Pediatrics and Radiology at

and diversity of the city. Downtown is different than

the University of Tennessee Health Science Center

Midtown, which is different than East Memphis. I like

HOMETOWN: Pineville, La.

that it is still a southern city, where people are polite

SCHOOL: I received my bachelor’s degree in biological sciences from Louisiana State University and my doctorate in medicine from the Louisiana State University Health Science Center in New Orleans. I earned my master’s in health science through Duke University and also completed my residency and fellowships with Duke University Medical Center.

FAMILY: My wife’s name is Natasha and we have a nine-year-old daughter named Eden who just started fourth grade.

and courteous.

WHY PEDIATRIC CARDIOLOGY? I have always been interested in cardiac physiology, and I also have a family history of pediatric heart disease. My brother was born with a severe congenital heart defect and passed away when he was 11 months old. For years, I tried to stay away from cardiology because it was too close to home, but I found it too interesting to not pursue.

The RiverFIT Project Story by Erinn Figg

M

emphis often is described as a city on the move as it

Corporation and the city’s Department of

obstacle course. Meanwhile, the Pop-Up

Parks and Neighborhoods.

Park element incorporates two full-sized

continuously advances toward bigger and

“It’s the shared vision of a whole

beach volleyball courts and a lined soccer

better developments, innovations and

community of folks who both live

field into the space. Also included are

improvements. Now, the city can add a

downtown and use the park for both

open green areas for other urban sports,

more vibrant fitness profile to its list of

fitness purposes and recreation,” said

such as rugby, disc golf, bike polo and

big ideas, thanks to the new Memphis

Diane Terrell, executive director of the

rowing.

Grizzlies Riverfront Fitness Trail and Pop-

Grizzlies Foundation and the Memphis

Up Park.

Grizzlies Community Investment team.

exciting aspects,” Terrell said. “The six

Also known as RiverFIT, the 30-acre

“The diversity is one of the most

“The Grizzlies have been dedicated to

fixed fitness stations connect to existing

experiential urban fitness and recreation

enabling access to healthy choices since

assets, and that’s where this notion of a

project, located along the western edge

season one, so for us this is really the

trail comes in.

of Tom Lee Park between the sidewalk

evolution of a long-term commitment to

and riverbank, runs through November

enhancing green spaces and parks across

but it also takes in the stairs, the slope

and serves to engage the Memphis

Memphis.”

along Beale Street Landing and the

community in a variety of free, healthy and fun activities.

The action-packed space is

Designed by Memphis-based ANF Architects, RiverFIT’s Fitness Trail includes six fixed fitness stations: monkey

sponsored by The Grizzlies in partnership

bars, pull-up bars, abdominal benches,

with the Riverfront Development

plyometric boxes, battle ropes and an

“It includes those fitness stations,

bike lane, so it really incorporates those elements that users already enjoy and enhances them.”

With its temporary pop-up concept, RiverFIT’s greater goal is to spark conversation about how Memphis can optimize its urban green spaces to best serve the community.

“We really wanted the community – users alongside experts alongside engineers – to be able to co-create the space through use during this time, so that’s where the whole notion of pop-up comes in,” Terrell said. “Along the way, we’re gathering data. We want to know how people are using the park – whether they’re using some pieces more than others – and we’re getting anecdotal and survey feedback on all facets of it. That data will later become available to the

Map of the Riverfront Pop-Up park, provided by The Memphis Grizzlies.

public to fuel potential projects down the road.”

Ab Station

Monkey Bars

Plyoboxes

Pull Up Station

ethnicities smiling, sweating, having a

allows trainers like himself to interact

owner of Envision Memphis fitness center

good time and being friendly. It’s like a

with people along the trail and help them

on Monroe Avenue, is one of many local

perfect microcosm of what Memphis

fitness experts who are enthusiastic

really is. And now we’ve got these free

use the equipment, potentially attracting

about the concept.

tools down there and it’s unbelievable.

Mark Akin, personal trainer and co-

“This is the most excited I’ve been about something Memphis is doing in a

new clients or even just inspiring people

We’re bringing a gym to people who may not be able to afford to join one.”

“Memphis needs people coming together helping each other out,” Akin

Akin not only is utilizing RiverFIT’s

very long time,” he said. “For the past

to expand their fitness routines.

two years, I’ve been going down to Tom

fitness stations to train clients, he’s also

said. “I think in a very small way this is

Lee Park to ride my bike and train clients,

filming YouTube videos to show the public

a golden opportunity for something like

and I always see people of all ages and

how to use them. He says the trail also

that to happen.”

What is OsteoStrong®?

OsteoStrong is the once-a-week solution that thousands of people have discovered for strong bones, healthy joints, better balance, and increased strength - Naturally!

BETTER BALANCE | STRONG BONES HEALTHY JOINTS

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OsteoStrong is for everyone. Try it free and share your success story. See details on back.

ACTIVE ADULTS: REGAIN YOUR EDGE

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I tell everyone about it.

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ANTI-AGING: RESTORE YOUR YOUTH

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After 6 sessions, the pain is now completely gone

FATIGUE

Ruth W (87 years): Last year, I couldn’t even clean my house without getting tired. Last week I cleaned my house, vacuumed my car and cleaned my garage and still felt great.

JOINT PAIN Vicky W: Years of knee and back pain gone in just four sessions. My golf game is better too!

OSTEOPOROSIS Lynn H: I had osteoporosis, but was able to increase my bone density by over 10% in 6 months without medication! See Lynn’s bone scan at www.osteostrong.me/faq/testimonials/

SENIORS: BALANCE & AGILITY Cher K: My knees used to creak when I went down the stairs, and my balance was bad.

Now my knees feel great and balance is so much better!

Sandra M: My bone density scan shows an increase of over 10% after 5 months, and I don’t take any medication!

A STRONGER PAIN FREE YOU

How does it work?

Your body has natural adaptive responses for many functions such as sweating to cool your body or dilating your pupils to let in more light. Adaptive responses occur automatically without any effort on your part. Your muscles and bones also have natural adaptive responses that help them strengthen with the right stimulus. Surprisingly, this can happen with very little effort. With the right stimulus, your own natural adaptive responses will signal your muscles and bones to strengthen at any age without hours of effort in the gym. The unique patented system at OsteoStrong is designed to safely create the right circumstances in order to trigger your own natural adaptive response with four brief, but very unique exercises that will not leave you sweaty, fatigued, or sore the next day. In fact, your session takes less than 10 minutes, once a week.

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Being Proactive Pays Off for Men

“G

uys take their cars into the shop more than they take

themselves to the doctor.”

Haynes Knight knows what he says is true. The 54-year-old Memphis man was

prostate cancer than a woman is to be diagnosed with breast cancer.

“This is more of a

diagnosed with prostate cancer earlier

preventative medicine

this year, and the road to diagnosis didn’t

environment,” says

start at his doctor’s office. In fact, Knight

Booth of Atlas Men’s

admits that he hadn’t been to see a

Health. “The majority

doctor in years.

of our patients are

While visiting a local festival late in

who are just looking

to get a B-12 shot. Under the Atlas Men’s

to feel better, which

Health tent, Knight met Rob Booth. Booth

TRT can help do.” To

suggested he have his testosterone levels

determine if a man is

checked while he was there. Knight got

a good candidate for

his B-12 shot and went home. He then

TRT, several different

returned to the Atlas tent deciding to

levels are checked with a simple blood

have the test done, thinking he might try Testosterone Replacement Therapy.

draw. One of the levels checked is PSA, which can be an indicator of prostate cancer if elevated. These preliminary

later. Booth was on the other end. “Before

evaluations have also led to the detection

we start therapy you need to go see a

of early high blood pressure and high

urologist for some more tests,” Booth

cholesterol in some patients long before

said.

they become a problem. Once a patient Knight saw a urologist and was

begins TRT, levels are checked every three

ultimately diagnosed with early-stage

months to ensure all levels are at their

prostate cancer. Knight now sits, cancer

most effective for the individual.

free, and tells Booth, “You were one of the

Haynes Knight, 54, and Bryant Scallorn, 57, are both prostate cancer survivors and patients of Clinic Director Rob Booth of Atlas Men’s Health.

Photo provided.

generally healthy men

2013, Knight stopped by a vendor’s tent

The phone rang a couple of days

Story by Lisa Creswell Busby

Booth says that men prefer to come

Memphis, Atlas Men’s Health offers several special services and accepts most insurance. Booth urges all men to get their testosterone levels checked. He sees men ranging from ages 25 to 75 and says, “A large percentage of our patients are healthy guys who don’t normally go to the doctor.”

Another of Booth’s patients is 57-year-old Bryant Scallorn, a cancer survivor who started Testosterone Replacement after feeling worn down

to Atlas over a traditional doctor’s office

post-treatment. Since coming to Atlas,

for a few reasons, one being that the

Scallorn has gained back 20 pounds of the

non-skin cancer in America, affecting

environment is very “laid back.” He also

weight he had lost during treatments.

one in six men, according to the Prostate

points out that most people are in and out

Cancer Foundation. In fact, a man is 35

in about 15 minutes, and appointments

Scallorn said. “One day I noticed I was

percent more likely to be diagnosed with

are not necessary. Located in midtown

sitting up better and stronger.”

miracles in my life.”

Prostate cancer is the most common

“This is medicine and science,”

High occurrence of eyelid skin cancer shows importance of sun protection Story by Dr. Melissa Toyos, MD

W

hen you think about skin cancer, you don’t always think about

studies now show the protective benefits from prescription eyewear and sunglasses

the eyes, but you should. Skin cancers of

in preventing cataracts as well as

the eyelid account for 5 to 10 percent of

eyelid cancers. The American National

all skin cancers that occur in Americans,

Standards Institute (ANSI)’s criteria for

primarily because sun exposure makes

sunglasses and fashion eyewear require

eyelids susceptible to developing cancer.

less than 1 percent transmission of light

Because of the high rate of occurrence,

wavelengths less than 310 nanometers.

you should be aware of the most common

Wearing glasses that block 99 to 100

types of eye cancer and their warning

percent of UV radiation is an important

signs.

way to ensure good ocular health. Less

The great majority of eyelid cancers

expensive sunglasses that lack proper UV

are not hereditary but are related to

protection and don’t meet ANSI standards

excessive sun and UV exposure. Fair-

can actually be worse for your eyes than

skinned individuals are more at risk than

wearing nothing at all, as eyes are fooled

darker skin types but everyone should

by the colors and pupils will dilate and let

use good sun protection for their face

in more harmful rays.

and eyes when outdoors. Most everyone

Ninety-five percent of eyelid cancers

the office or may require more extensive surgery for optimal results. Our new MIXTO CO2 laser is available to remove certain lesions in the office and to help improve the appearance of any scarring after the healing process.

I specialize in ophthalmology and facial cosmetic surgery, and I have more than 15 years of experience biopsying, removing and repairing lesions like these.

Prevention is the best medicine, and at Toyos Clinic we carry a full line of ANSI certified sunglass wear and prescription glasses to serve your needs. Our top of the line iScience skin products can help prevent and repair photodamage caused by the sun and our surgical team is prepared with the latest technologies including MIXTO laser to serve your needs.

knows that a good quality sunscreen

are tumors known as basal or squamous

consists of an SPF of at least 30 combined

cell cancers that most commonly grow

with a physical UV light blocker containing

on lower lids but can be found anywhere

zinc or titanium dioxide or chemical

around the eye. They can look like lumps,

blockers like avobenzone or oxybenzone.

ulcers, scars or areas that are slow to

is a board-certified

Toyos Clinic iScience sunscreen

heal. In other cases, cancer can look like

ophthalmologist,

incorporates clear titanium and zinc

a red or brown spot on the eye or lids. A

specializing in cataract

dioxides as well as a microencapsulated

professional should check out areas of

surgery, glaucoma and

melanin, which is our body’s natural

concern that bleed or cause an absence

cosmetic procedures of

sunblock ($51.)

of lashes or ingrown lashes. Cancers

the face. She is a former

Even the best sunscreen can’t

that grow in or near our tear ducts have

always be used near the sensitive eye

a higher risk of spreading to other parts

area as potential irritation can occur if

of our bodies, which can be especially

the sunscreen is accidentally introduced

concerning in the case of melanomas.

into the eye. This makes high quality sunglasses even more important. Many

Depending on the size and type of cancer, some cancers can be removed in

About the author Dr. Melissa Toyos

President of the Missouri Society of Eye Physicians and Surgeons and has served as a mentor to young female surgeons, helping them understand how to balance a career and motherhood.

Treating cancer with the CyberKnife System

Ask Corey I

Story from Saint Francis Healthcare

t is the one word no one ever wants to hear their doctor say – cancer. But according to the American Cancer Society, more than 1.5 million Americans received that diagnosis

in 2012 alone. Being diagnosed or having a loved one diagnosed with cancer is frightening,

Fitness advice from a local personal trainer ask the trainer reader Q&A

Corey Klein is the owner and operator of Klein Fitness located at 338 South Main Street. For more information on these exercises or for other fitness inquiries visit www. kleinfitnessmemphis.com

Editor’s Note: Would you like to send a question to Corey? E-mail your question to the editor at Patterson@ commercialappeal.com or send us a Facebook message at www. facebook.com/ goodhealthmemphis

Q: I started running (2-3x a week) several months ago to prepare for a race, but admittedly, it was also because I also wanted to lose some weight. And I’m not. I’m not really seeing results at all and I don’t understand why?

Blaire T., Cordova

A: There could be

several reasons you are not losing weight. Running can build muscle, which weighs more than fat so you may not see the scale drop while your body changes. Another reason is that your diet may not be what it should. Running burns calories but it takes a lot of running to make up for poor diet choices.

If you want to lose weight you may want to add strength training into your race prep.

stressful and overwhelming. The good news is that the majority of Americans can now continue to live full lives following their initial diagnosis thanks in large part to the new medical technology and treatments now available.

In the past, having a cancerous tumor removed meant undergoing invasive surgery and recuperating in the hospital for days. Thankfully, today doctors have access to leading-edge technologies that target and eliminate many types of cancerous tumors without cutting into the patient or requiring an overnight hospital stay.

The CyberKnife® Radiosurgery System was the first, and remains the only, fullbody radiosurgery device designed to help destroy tumors with intense, highly-focused beams of radiation. The CyberKnife System can treat tumors anywhere in the body, from the brain to the lung to the prostate, and is the best radiation oncology solution for treating, tracking and adjusting in real-time to moving targets with extreme precision and accuracy. The CyberKnife System is able to treat patients in one to five days as opposed to what can be months of other forms of daily radiation treatment. This is because of the CyberKnife System’s extreme accuracy, which enables it to deliver the maximum dose very precisely.

Not only do most CyberKnife patients avoid surgery and finish treatment in a week, their brief course of treatment is pain-free and typically lasts an hour or less per treatment. The majority of patients go about their daily routine during treatment.

A unique feature of the CyberKnife System is its tracking that enables continuous coordination with a patient’s tumor movement during treatment. This is crucial for patients receiving treatment for lung and prostate cancer – two areas that are in constant motion. Because of the CyberKnife System’s ability to continuously track and adjust in real-time in combination with its sub-millimeter accuracy, patients can be confident their tumors are being treated while the surrounding healthy tissue and organs are spared.

What is a CyberKnife treatment like?

When receiving treatment, patients simply lie down on a

Q: What’s your favorite fitness app to recommend to

padded table and breathe normally while the CyberKnife

clients? Marcus B., Collierville

System quietly moves around them. Once treatment is

A: My Fitness Pal is what I would recommend. It’s a

complete, a patient has follow-up appointments with

great app for keeping track of calories, fat, carbs and protein intake. The more you know about what you eat the better choices you can make. Your diet is going to be what really helps you lose weight and make changes in your body. Another great thing about My Fitness Pal is that you can track your workouts as well so you have a pretty good idea of how many calories you burned and can change your eating accordingly.

their doctor as they follow the destruction of the tumor.

The CyberKnife System is a great option for patients who are unable to receive surgery, have surgically complex tumors or are seeking an alternative to surgery that will allow them to continue their active lifestyle with minimal disruption.

The Saint Francis Cancer Center offers CyberKnife technology. For information, call 901-765-3600 or visit www.SaintFrancisCancerCenter.com.

The Role of Pharmacists in Cancer Patient Care Story by Dr. Charles A. Champion, D. Ph.

S

ometimes, I feel pharmacists are overlooked in the care of cancer patients. There are oncology pharmacists, who are experts on cancer medications and medications used to treat side effects, but oncology pharmacists are most often seen working in a hospital setting. Community pharmacists also have an important role to play on a cancer care team.

A pharmacist’s role is to be aware of the different side effects of all of the different medications a cancer patient may be prescribed. It is the duty of the

pharmacist to help patients understand how to safely take their cancer medications and to counsel patients when they are in doubt about chemotherapy or any other treatment ordered by a physician.

The pharmacist shares a vital role on the patient’s health care team by educating him or her on what to expect during treatment. The pharmacist also ensures that the medication is given at the right time and dosed correctly.

The pharmacist’s role is also of value in advising patients about herbal or alternative medicine.

I encourage all cancer patients to talk

The pediatric orthopaedic team at Campbell Clinic knows kids from head to toe.

When my son broke his ankle during a high school soccer game, we headed straight to Campbell Clinic. They have a team of doctors fully dedicated to treating simple and complex pediatric orthopaedic problems. Campbell Clinic is great with kids – from infants to teenagers – and knows how to treat a wide range of injuries and conditions. In fact, Le Bonheur Children’s Hospital chose Campbell Clinic as their orthopaedic partner.

Today, my soccer star is feeling better, and back on the field.

OFFICIAL ORTHOPAEDIC PROVIDER

Collierville Germantown Medical Center Southaven

| CampbellClinic.com

©2014 Campbell Clinic P.C. All rights reserved. Campbell Clinic is a registered trademark of Campbell Clinic P.C.

About the author Dr. Charles A. Champion, better known as the herbal pharmacist, fuses modern pharmacy with his belief in the healing powers of herbs. He is the owner of Champion’s Pharmacy and Herb Store on Elvis Presley Boulevard and he has received numerous accolades over the years including: the Bowl of Hygeia Award for outstanding community service by a pharmacist; the 1987 Pharmacist of the Year Award; the Dr. Henry L. Starks Distinguished Service Award; and the Outstanding Service Award, presented by the National Pharmaceutical Association.

For more information, visit www.theherbalman.com or call 901-948-6622.

with their pharmacists during treatment.

It’s important for patients to tell their pharmacists about all of the medications they are taking, or plan on taking, even if some of them are over-the-counter. This will help the pharmacists better serve patients.

work it out |

step-by-step moves for a healthy body

KID YOGA PART 2

Tree 1. Stand with the bases of your big toes touching, heels slightly apart. Begin by shifting weight onto your left foot. Bend your right knee and pick up your right ankle with your right hand and lift your foot up and against your left thigh.

2. Lift your arms toward the sky and lengthen your tailbone toward the earth. Step down and repeat on the other side.

PHOTOS BY JASON TERRELL

W

e’re continuing this month with the second part of our kid-friendly yoga

tutorial. Yoga is a great activity to practice at home at any age. The following moves, which can be paired with last month’s for a

Superman 1. Lie on your stomach with your toes flat on the floor and rest your chin on the ground. Zip your legs together.

2. Stretch out your arms as far as you can and lift your chest, arms, legs and thighs off the floor. Smile and breathe as you fly!

more complete routine, are demonstrated by instructor Greta Hauberg and 6-year-old star student Jay Clark.

Hauberg is a licensed massage therapist at Fundamental Fitness in East Memphis.

She also teaches yoga to children in afterschool programs and summer camps throughout the greater Memphis area.

Banana (from Superman) 1. Roll over from onto your back, keeping your arms and legs outstretched and off the ground.

2. Breathe.

Gastroenterology & Neurology

Now Accepting New Patients At All Locations

Boat 1. Sit on your basement with your knees bent. Lift your legs with knees bent and bring your arms forward, balancing on your basement.

2. Straighten your legs, keeping your back straight.

Table Top 1. Sit with legs straight in front of you and arms at your sides. Bend your knees and place your feet flat on the floor.

2. Place your hands several inches behind your hips, shoulder-width apart, with your fingers facing your basement.

3. Lift your hips to the sky and try to bring your chest, middle and knees into one straight line. If comfortable, gently drop your head back. Breathe.

Champion’s Pharmacy and Herb Store Dr. Charles, A. Champion, D. Ph. An Internationally Known Pharmacist

SPECIALIZING IN PHARMACOGNOSY Y (Herbal Medicine)

FREE BROCHURES

On Herbs And Health Topics

Health Professionals Referrals Invited

2369 Elvis Presley Blvd. - 38106

901-948-6622 • theherbalman.com

Colon cancer is the third leading cause of cancer related deaths in America.

It is recommended that everyone over the age of 50 should get a colon screening done once every ten years, or earlier with family history of colon cancer or polyps. Schedule an appointment to see our Gastroenterologist today.

Our Patients, Our Priority.

MUHAMMAD S. SIDDIQ, M.D. Gastroenterology • Endoscopy Colonoscopy Colon Cancer Screening ERCP • Stents • Hepatology

*WE ACCEPT ALL INSURANCES

901-755-3790 www.horizondoctors.com CORDOVA Cordova Medical Plaza 8066 Walnut Run, Ste 105 Cordova, TN 38018

MIDTOWN 1325 Eastmoreland Ste 510 Memphis, TN 38104

COVINGTON 1995 Highway 51 South Ste 104, South B Covington, TN 38019

October

racing calendar Are you participating in any of these races? Send us a picture and tell us about your experience. E-mail the editor at patterson@commercialappeal.com.

10/3 Haiti Medical Missions of Memphis 24 Hour Tour d’Esprit Holy Spirit Catholic Church haitimedicalmissionsofmemphis.org

10/4 Donna’s Run for a Remedy Latimer Lake Park, Horn Lake, Miss. racesonline.com

10/4 Robert G. Atkins Making Tracks for Education 5k Downtown Memphis thelpbc.com

10/4 Greyhound 5k Mid-South Community College, West Memphis, Ark. greyhound5k.racesonline.com

10/4 Kidzu Playhouse 5k Drama Dash Hernando High School, Hernando, Miss. kudzuplayers.com

10/4 Eye 5k Southern College of Optometry svoshsco.org/eye5k.html

10/4 Tap ‘N’ Run 4k

10/11 Hernando Water Tower 10k

10/18 WMCS Color of the Knights 5k

Hernando Town Square hernandowatertower10k.racesonline.com

Worthington Park, West Memphis, Ark. wmcs.com

10/11 Bryant Kite 5k

10/18 The Fast and the Furriest 5k

Shelby Farms Park bryantkitememorialfund.com/BK5K.html

Humane Society of Memphis and Shelby County fastandfurriest5k.racesonline.com

10/11 Delta Technical College 5k

10/18 Super Hero 5k

Delta Technical College Campus, Horn Lake, Miss. deltatech5k.racesonline.com

Herb Parsons State Park, Collierville racesonline.com

10/12 Shelby Farms Greenline Half Marathon

10/18 Spike’s Sprint 5k

Shelby Farms greenlinehalfmarathon.racesonline.com

10/17 National Kidney Foundation Wolf Mash Dash Memphis Farmers Market racesonline.com

10/18 Ashley Scott Memorial 5k Bartlett Baptist Church, Bartlett racesonline.com

10/18 Noah’s Gift Memorial 5k

Beale Street, Memphis tapnrun.com

Maddox Foundation, Hernando, Miss. noahsgiftmemorial5k.racesonline.com

10/5 Camp Good Grief 5k

10/18 D.I.V.A.S. and D.U.D.E.S. Race for Life

Memorial Park Cemetery campgoodgrief5k.racesonline.com

10/11 Ride to Fight On FedExForum ridetofighton.com

Snowden Grove Main Pavilion, Southaven, Miss. racesonline.com

10/18 Mark Walden Memorial Sickle Cell 5k AutoZone Park sicklecellwalk.racesonline.com

Ellendale Elementary School, Bartlett spikessprint5k.racesonline.com

10/19 HomeRun for Habitat 5k Snowden Grove Park, Southaven, Miss. homerun5k.racesonline.com

10/19 Making Strides Against Breast Cancer Liberty Bowl Memorial Stadium makingstrideswalk.org/memphistn

10/25 Komen Memphis-MidSouth Race for the Cure Carriage Crossing, Collierville komenmemphis.org/komen-race-for-the-cure

10/25 Color Me Quistor 5k Old Towne, Olive Branch, Miss. racesonline.com

10/26 Great Amazing Race – Memphis Aycock Park, Millington greatamazingrace1.info/memphis.html

HOW’S YOUR HEARING? Eyes Checked!

Teeth Checked!

Hearing Checked?

We believe everyone over the age of 55 should have their hearing checked as part of their overall health and wellness program.

Call Hearing and Balance Centers of West Tennessee at 901-842-4327 to schedule your

FREE HEARING SCREENING. Offer expires September 15, 2014.

hearingmemphis.com

6242 Poplar Avenue, Memphis, TN 38119

Call 901-842-4327 Today!

DELIVERING

Confidence

Don’t let incontinence alter your lifestyle!

Call today for FREE SAMPLES and $5 off your first order.

ADULT BRIEFS LINERS & BED PADS SPECIALITY SKIN CARE CUSTOM SIZES

Locally Owned & Operated • American Made • Free Delivery

901-373-9653

Easy

Editor’s note:

Incorrect instructions accompanied this recipe in our September issue. We sincerely apologize for the error.

FROM THE AMERICAN HEART ASSOCIATION

Chicken Pot Pie American • 4 servings • About $3.08 per serving

Ingredients: 1 pound chicken tenderloins, skin and visible fat removed, cut into 1-inch cubes

1 small Idaho potato (about ¾ cup), peeled and diced into bite size pieces

2 garlic cloved, minced or 2 teaspoon from jar ¾ cup frozen peas, thawed ½ small onion, chopped ¾ cup chopped carrots (about 2 small carrots) 1 cup fresh corn, cut off cob (about one ear), or 1 (8 oz.) can no salt added corn

Get the Kids Involved Scattering the biscuit dough and watching as it puffs up and turns golden brown in the oven while it cooks if a safe and fun step to involve kids in the cooking process.

Cooking Instructions: 1.

Preheat oven to 350° F.

2. Place chicken in medium saucepot and fill about halfway with water (enough to completely cover chicken).

Bring to a boil, cover and reduce heat to a simmer and cook about 20 minutes. Remove from water, cool slightly and dice into bite size pieces cover and place in refrigerator. (Can be prepared a day ahead.)

3. In a medium saucepot, place potato pieces in cold water, turn heat on high and bring to a boil. Boil potatoes until fork tender, about 20 minutes.

Remove from water and set aside.

4. Heat olive oil in a large saucepot, over medium low heat. Add garlic, peas, onion, carrots, corn, and celery. Cook, stirring frequently, for 5 minutes. Add chicken broth and herbs and continue cooking for 5-7 more minutes, until most of cooking liquid has been absorbed.

5. In a medium mixing bowl, stir together milk, yogurt, chicken and potatoes. Add yogurt mixture to hot vegetable mixture and remove from heat.

6. Keep biscuits cold until ready to use. Cut 5 biscuits into small ½ inch cubes.

7. Place mixture in a 9 x 9 baking dish coated with cooking spray. Scatter biscuit pieces, evenly spaced, over top of pot pie mixture.

8. Bake for about 20 minutes, or until biscuit dough is golden brown.

Cook’s Tip Frozen vegetables can be substituted for all vegetables in this dish. To thaw, measure out correct amounts of each vegetable and place in a bowl of lukewarm water. In about 10 minutes they will be ready to use.

½ cup celery (about 2 stalks), chopped ½ cup low-sodium chicken broth ½ teaspoon dried herbs, salt free added Italian blend

¼ cup skim milk 1½ cups fat-free, plain Greek yogurt 1 teaspoon extra-virgin olive oil 1 (7.5 oz) can 10 count refrigerated low-fat buttermilk biscuits (try to look for whole wheat)

Cooking spray

Per serving Calories Total Fat Saturated Fat Trans Fat Polyunsaturated Fat Monounsaturated Fat Cholesterol Sodium Carbohydrates Dietary Fiber Total Sugars Protein

366 8.0 g 2.5 g 0.0 g 1.0 g 2.5 g 79 mg 519 mg 37 g 4g 12 g 38 g

Recipe copyright © 2014 American Heart Association. This recipe is brought to you by the American Heart Association’s Simple Cooking with Heart Program. For more simple, quick and affordable recipes, visit heart.org/simplecooking.

Guiding Your Path to Oral Health

Dental Implant • Bone Grafting • Crown Lengthening & More!

Enjoy Care-Free, All Inclusive Procedure Planning, No Hidden Fees or Unexpected Costs

NO COST Dental Implant Consultation.

Dr. Michael M. Perry Dr. Brenda L. Fowler 5 Locations to Serve You Bartlett | Collierville | Memphis | Oxford | Southaven