Your Health Today - Spring 2017 by Augusta University

your

health TODAY Spring 2017

Against the odds PATTIâ&#x20AC;&#x2122;S STORY OF BEATING INOPERABLE LUNG CANCER

Get Help for Heart Rhythm Problems /////////////////

Can Natural Remedies Help You Sleep Better? augustahealth.org/yourhealthtoday

TABLE OF contents

features 4 5 6 8 9 10 11

Neuroscience Top of Mind Digestive Health Reduce Your Colon Cancer Risk Cancer Prevention Patti’s Story of Beating Inoperable Lung Cancer Heart-Healthy Living Get Help for Heart Rhythm Problems Focus on Women Saying ‘No’ to ‘Going with the Flow’ Family Health Can Natural Remedies Help You Sleep Better?

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Roosevelt Warm Springs Long-Term Acute Care Hospital gets its own rehabilitation Earlier this year, Roosevelt Warm Springs Rehabilitation and Specialty Hospitals completed the first phase of renovations of its Long-Term Acute Care Hospital. Construction began in November 2015 to renovate 90,000 square feet of the structure where clinical long-term acute care and rehab care is provided. A new imaging suite for radiology services and a procedures unit have been added, as well as a “high observation” area with private rooms designed to accommodate as many as 16 critically ill ventilatorassisted patients. “The important work we’re doing with Roosevelt Warm Springs is an excellent example of our commitment to hospitals in rural Georgia,” said Lee Ann Liska, CEO of Augusta University Medical Center, “and we will continue to seek partnerships that increase access and enhance health care quality for all Georgians.”

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Michael J. Fox Foundation says ‘thank you’ to local Parkinson’s disease support group The Michael J. Fox Foundation attended the CSRA Parkinson Support Group’s January meeting to thank the group for its $10,000 donation in support of its mission: finding a cure for Parkinson’s disease (PD). The group raised the money through its annual PD walk, which took place Oct. 1, 2016. Dr. Kapil Sethi, a movement disorders specialist at Augusta University Neurosciences Center of Excellence, started the group 26 years ago, along with several PD patients, caregivers and family members. The donation will fund national research. For more information about our PD services and specialists, visit augustahealth.org/movement.

Share These Games with the Grandkids

The material in Your Health Today is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment. For more information, please call 800-736-CARE (2273) or visit our website at augustahealth.org. Images may be from ©iStock and/or ©Fotolia. Copyright © 2017 Augusta University

Go FISH! [E]

xperts tell us that fish is an important part of a healthy diet, but how can you tell whether the fresh fish you’re buying is safe? Follow these U.S. Food and Drug Administration tips:

• Fresh whole fish should have bright red gills. • Avoid fish that’s slimy, darkened around the edges or has brown or yellowish discoloration.

• A fish’s eyes should be clear and bulge a little. Only a few fish, such as walleye pike, have naturally cloudy eyes. • Whole fish and fillets should have firm, shiny flesh.

• The flesh should spring back when pressed and not appear dry or mushy. • Fish should smell fresh and mild, not fishy or ammonia-like. When in doubt, don’t buy it!

Good Health SPRING INTO

Fancy FISH TACOS Spice up your Taco Tuesday with this delicious, pescatarians’ twist on traditional tacos! Number of servings: 4 Ingredients 4 fresh or frozen tilapia fillets Salt to taste 1 cup quinoa, rinsed 1 large carrot, peeled and thinly sliced 1 large cucumber, thinly sliced ½ cup red cabbage, chopped 1 cup broccoli, chopped ¼ cup fresh cilantro, minced Juice of 1 lime (or 2 tablespoons lime juice) 4 whole-wheat tortillas or wraps Directions 1. Heat the oven to 350° F. 2. On a large baking sheet, place the tilapia, and add salt to taste (if frozen, defrost the fish first).

3. Bake for 25 minutes or until the fish flakes easily with a fork. 4. Meanwhile, in a medium pot, bring 2 cups of water and the quinoa to a boil over medium heat; reduce heat to low, and cook for about 20 minutes or until tender. 5. In a large bowl, combine the vegetables and cilantro. 6. When the fish is done, squeeze lime juice over each fillet. 7. Fill each whole-wheat tortilla with fish and about ¼ cup vegetables. 8. Roll up and serve with quinoa on the side.

Nutritional information per serving: 393 calories; 5 g total fat; 3 g saturated fat; 48 mg cholesterol; 33 g protein; 56 g carbohydrates; 9 g dietary fiber; 5 g total sugars; 298 mg sodium. Recipe courtesy of the U.S. Department of Agriculture, recipefinder.nal.usda.gov.

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neuroscience

Top OF MIND

Empowering those affected by movement and memory disorders with education and support

[M]

ost people can say

that they know someone who has struggled with a memory disorder, like Alzheimer’s disease and dementia, or movement disorder, like Parkinson’s disease. “A growing number of individuals are impacted by Alzheimer’s disease, related dementia, Parkinson’s disease and other movement disorders,” said Kathy Tuckey, patient educator and outreach coordinator for Augusta University Movement and Memory Disorder Center of Excellence. “The diseases are often age-related, so as the baby boomers age, we’re seeing a larger number of people who are affected.” This is why Augusta University Movement and Memory Disorder Center of Excellence works to educate consumers and patients, family and professional caregivers, and allied health care professionals on treatment options and the latest research.

Join us for the Brain Health Symposium The Brain Health Symposium will take place Saturday, June 24. The event is free, except for those who are registering for continuing education and continuing medical education

REGISTER FOR THE BRAIN HEALTH SYMPOSIUM TODAY! To register,* visit augustahealth.org/adpd-symposium, or call 706-721-4895. For more information, email brainhealth@augusta.edu. To make an appointment and learn about our services and providers, call us at 706-721-4581 or visit augustahealth.org/neuro. * Registration is required.

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credits, and includes a continental breakfast and lunch. “We look forward to offering an in-depth focus on neurodegenerative diseases and helping individuals navigate through the challenges associated with having a chronic disease,” Tuckey said. “A person living with a chronic disease looks for ways they can have purpose. Part of that purpose may include participating in clinical trials and research. We want attendees to leave with knowledge of the life-changing innovations we have right here, as well as new ideas, a strategy, hope and understanding that they’re not alone.” Tuckey speaks from a wealth of both personal and professional experience. “I’ve walked this path both personally and professionally,” Tuckey said, “so I really see the need for programs like this and the amazing things being done here.” In addition to working in the field of movement and memory disorders, her mother-in-law and aunt suffered from Alzheimer’s disease and father-in-law suffered from Parkinson’s disease. “When someone is diagnosed with a memory or movement disorder, it doesn’t affect only that person,” said Tuckey. “It impacts their entire network. This symposium not only offers a venue for all to hear the same message together, but it also allows us to gain a better understanding of what it’s like to live with this disease. We’re removing the stigma of having a memory or movement disorder so people can feel empowered to reach out for help.”

DIGESTIVE health More ways to prevent colon cancer Along with a healthy diet, here are five more ways you can reduce your risk of colon cancer:

Reduce YOUR

COLON CANCER RISK

A reason to go vegetarian?

[C ]

olorectal cancer remains

the second most deadly cancer in the U.S., behind lung cancer, responsible for nearly 50,000 deaths each year. When it comes to protecting your colon, a recent study found that eating a vegetarian diet can give you an edge. Just how much does diet affect your risk? According to the study, across all types of vegetarians there was a 22 percent overall reduced risk for colorectal cancers when compared with nonvegetarians. “What we eat has been shown over and over to have an impact on our health,” said Nicole Moore, clinical dietitian at Augusta University Center for Obesity and Metabolism, “including the prevention and treatment of many chronic diseases, like heart disease, obesity, diabetes and cancer.”

Perks highest for those who eat fish Vegetarians who showed the highest protection against colon cancer in the study were fish-eating vegetarians, or pescatarians. This group showed a 43 percent lower

risk of colorectal cancers than nonvegetarians. The addition of fish to a vegetarian diet ensures receiving all of the health benefits of omega-3 fatty acids, which includes reducing risk factors for heart disease. Also included in the study were vegans, those who avoid all animalrelated foods, including dairy. This group had a 16 percent lower risk of colon cancer. Finally, lacto-ovo vegetarians, those who avoid meat but eat eggs and consume dairy, had an 18 percent lower risk than nonvegetarians. Overall, the study suggests that limiting red meat and focusing on fruits, vegetables and whole grains likely can help reduce your colon cancer risk. These foods are high in fiber, an important element of digestive health. “The results of this study highlight the potential benefits of a wholefood, plant-based diet that limits carcinogens from red and processed meats and increases beneficial nutrients like fiber and antioxidants, and with the inclusion of fish a few times a week, omega-3 fatty acids.”

Get screened. The American Cancer Society recommends colon cancer testing beginning at age 50 for most people.

Exercise regularly. Living a sedentary life can increase your risk for colon cancer, as well as heart disease and other dangerous conditions.

Maintain a healthy weight. Carrying excess weight increases your risk of both getting and dying from colon cancer.

Quit smoking. Smoking is a known risk factor for many forms of cancer, including colon cancer.

Drink responsibly. Heavy drinking can also put you at risk for colon cancer. The American Cancer Society recommends no more than two drinks per day for men and one drink a day for women.

DID YOU KNOW? About half of the colon cancer deaths in the United States could be prevented if everyone age 50 and older got screened. To make an appointment and learn about colorectal cancer screening or our digestive health services and providers, call us at 706-446-4887 or visit augustahealth.org/digestivehealth. augustahealth.org

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CANCER prevention

Against the odds

Patti’s Story

OF BEATING INOPERABLE LUNG CANCER

[ “] I’

m the only person I’ve heard of who had a good time

during cancer treatment.” Even through a difficult but successful battle with inoperable lung cancer, Patti Callan of North Augusta, South Carolina, radiates positivity. “I was having fun, and I wasn’t supposed to be,” Callan said with a cautious smile. Callan attributes all of the fun she was having to eating anything she wanted to during treatment without gaining weight.

The diagnosis, treatment and ‘miracle drug’ In December 2014, Callan visited her primary care physician at Augusta University Health for relief from what she thought was a sinus infection. Following a review of her chest X-ray results, her physician referred her for further testing, and she was diagnosed with lung cancer shortly after. Upon diagnosis, Callan’s primary care physician referred her for treatment at the Georgia Cancer Center at Augusta University. During her six-week chemotherapy and radiation treatment, her thoracic oncologist, Dr. Zhonglin Hao, who’s also the leader of the thoracic oncology program at the Georgia Cancer Center, introduced her to a clinical trial from which he believed she could benefit. Two weeks after completing treatment, she started on the trial for a drug called Medi4736, which involved a 12-month course that she completed in April 2016.

IF IT’S CANCER, SEE US FIRST. To learn about our cancer specialists and services, visit augustahealth.org/cancer. To read other stories like Patti’s, visit augustahealth.org/stories.

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Exercise: ‘The best drug out there, but you can’t put it in a capsule’ Patti is convinced that her active lifestyle also aided in her successful treatment. “I’d get off the radiation table and go and work out,” Callan said. “Working out is the best drug out there, but you can’t put it in a capsule.” Callan looks forward to continuing to advocate for her own life with healthy living, as well as on a larger scale for lung cancer awareness. “This experience has made me an advocate,” Callan said. “I want people to know how very little funding goes into lung cancer research, that it’s our No. 1 cancer killer and that it’s not always caused by smoking. I also want people to know there’s always a silver lining; believing in this has helped me cope with having lung cancer.”

INCREASING LUNG CANCER SURVIVAL WITH EARLY DETECTION Lung cancer is the leading cause of cancer death in the United States. One reason is that those with lung cancer don’t show symptoms in the early stages, when they have the best chance at survival. This underscores the importance of diagnosing and treating thoracic cancers — cancers of the chest, which include lung cancer — quickly and precisely. The Georgia Cancer Center at Augusta University works to detect lung cancer quickly and precisely by offering low-dose computed tomography (CT) scans, which are painless and take about 10 to 30 minutes. They combine a series of images taken from different angles into one image that shows a slice of the part of the body being screened. This allows physicians to see a certain part of the body without having to cut into it. “If we find the cancer early, then we can treat it with minimally invasive surgery,” said Dr. Carsten Schroeder, director of the Georgia Cancer Center thoracic oncology surgery service. “Detecting lung cancer early is the best way to increase survival of this deadly disease.”

Do I need to be screened?

About 90 percent of all lung cancers are related to smoking and tobacco use; it’s estimated that 1 in 9 smokers will develop lung cancer at some point. To determine whether or not you should be screened, ask yourself the following:

Am I:

¨ 55 – 80 years old; ¨ A current smoker or have quit within the past 15 years; and ¨ Have smoked at least a pack of cigarettes a day for 30 or more years;

Or:

¨ 50 – 80 years old; ¨ Have smoked at least a pack of cigarettes a day for 20 or more years; and ¨ Have additional lung cancer risks listed here: augusta.edu/cancer/lung-screening.

See Us First for Your Free Lung Cancer Screening To schedule your lung cancer screening today, call 706-721-4726 or email lung@augusta.edu.

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“Medi4736 is a monoclonal antibody,” said Hao. “It disables cancer cells of their ‘Tasers’ so patients’ immune systems can detect and kill tumors easily. Ms. Callan responded very well to the drug she received.” Callan served as one of about 265 subjects at 47 sites across the United States to participate in the clinical trial and about 972 subjects in 27 countries worldwide. Access to clinical trials is one of the many unique benefits of the Georgia Cancer Center. “They gave me a 10 percent chance of survival with chemo and radiation and 25 percent with the drug,” Callan said, “but I knew right away that it was working.” Callan said she started gaining weight again. This was one of the signs that led her to believe she had received the drug versus the placebo. “Cancer is sneaky and can outsmart many of the drugs. But this ‘miracle drug’ is smarter than the cancer, and that’s such incredible news for the world.”

HEART-HEALTHY living

GET HELP FOR HEART

RHYTHM PROBLEMS

Learn the symptoms and your treatment options

[I]

n the song “Why

Do Fools

Fall in Love?” Diana Ross asks, “Why does my heart skip a crazy beat?” For at least 2.7 million Americans, it’s not love but atrial fibrillation (AFib) that causes an irregular heartbeat. Normally, your heart pumps blood through its four chambers by contracting and relaxing to a regular beat. With AFib, the upper chambers of the heart (the atria) beat irregularly or quiver instead of beating effectively to move blood into the lower chambers (the ventricles).

AFib symptoms Some people don’t notice any symptoms, but AFib often feels like a fluttering in the chest. Other symptoms may include: • Chest pain or pressure (This is a medical emergency, since it may indicate that you’re having a heart attack. Call 911 immediately.) • Dizziness, fainting or confusion • Fatigue (tiredness) • Feeling that your heart is skipping a beat, fluttering or beating too hard or fast • Shortness of breath and anxiety • Sweating • Weakness “If you experience any of these, you should visit your cardiologist or primary care physician,” said Dr. Haitham Hreibe, an electrophysiologist — a cardiologist who is specially trained to care for [ 8 ]

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heart rhythm problems — at Augusta University Heart and Cardiovascular Services. “Earlier recognition and diagnosis of AFib significantly improves the treatment outcomes.” Augusta University’s state-ofthe-art Heart Rhythm Center was designed in conjunction with its patients. It provides the most advanced technology in the region to treat AFib and other heart rhythm conditions in both adults and children. Hreibe and his colleagues are fellowship-trained and provide a complete and thorough evaluation to diagnose and treat heart rhythm conditions.

Treatment options AFib is a serious condition that requires treatment. Left untreated, AFib doubles the risk of heart-related death and increases your risk of stroke five times. Now, a new study indicates that AFib is also associated with heart failure, sudden cardiac death, heart attack and chronic kidney disease. Treatment varies for each patient, but options may include: • Lifestyle changes, such as reducing or eliminating caffeine or alcohol in your diet and losing weight

• Medications, including blood thinners, heart rate controllers and heart rhythm controllers • Nonsurgical procedures, such as ablation, which destroys malfunctioning heart tissue with bursts of energy delivered through a catheter • Surgical procedures, such as implanting a pacemaker (small electrical device) under the skin to regulate the heartbeat

DON’T IGNORE AFIB! Our experienced electrophysiologists can help you get back to your life without skipping a beat. Call us today at 706-721-2426, or visit augustahealth.org/cardio to learn about our heart rhythm services and providers.

FOCUS ON women

Saying ‘No’

TO ‘GOING WITH THE FLOW’

Anne’s story of breaking free from urinary incontinence

[“]I

wore a beautiful couture

gown at my son’s wedding,” Anne recalled fondly. “I remember dancing and laughing and feeling beautiful in every way.” But every time Anne moved, she was reminded by painful chafing and crinkling sounds that she was wearing incontinence underwear. She knew that she’d be dancing and laughing and that she needed more protection. “I bought the wrong size,” Anne said with a giggle, “and they were drooping down the entire night!” Anne burst out with laughter — because that’s one of the ways she copes with urinary incontinence and other uncomfortable situations in life. Anne has a last name. But, like most other women in her situation, struggling with a pelvic floor disorder (PFD) is very personal to her. In fact, 1 in 3 women will experience a PFD in her lifetime, but nearly 60 percent of women may wait up to five years or more to talk to their doctor about it. PFDs include loss of bladder or bowel control caused by weakening or tearing of the muscles, ligaments and connective tissues that support organs like the bladder, bowels, vagina and uterus.

‘Some women can tolerate this until they die. I couldn’t.’ It was this very thought that encouraged Anne — a wife, mother of two sons and grandmother who lives an active lifestyle comprised of boating, downhill skiing, gardening

and traveling to visit her sons and granddaughter — to get far enough past her embarrassment to seek help. After 20 years of struggling in silence, Anne talked to her gynecologist and was referred to Dr. Barbara Henley, a urogynecologist with Augusta University Women’s Health. At Anne’s first appointment with Henley, she received information on various options, from Kegel exercises to surgery. “It’s important to my team and me that our patients feel informed about their condition and their options,” Henley said. “After a thorough but painless exam, we talk about treatments and work together to create a care plan that works for them.” A year later, after caring for her husband through two surgeries, Anne decided it was time for surgery, herself.

want the pack of pads sitting around for anyone, even caretakers, to see.” Anne also feels encouraged by another female family member: her granddaughter. “When I get on the floor to play with my granddaughter, I don’t want to be wearing a diaper like her,” Anne erupts with laughter again. “You can still do that with pads, of course, but it’s just not the same.” Anne’s successful surgery allowed her to go “cold turkey” on pads immediately after. She looks forward to continuing to live her active lifestyle, playing with her granddaughter and future grandchildren and laughing through whatever situation life throws her way.

Feeling empowered to take action “I looked at this as something to improve my everyday living,” Anne said. “And it did. How is this different from having a runny nose? You would do something about it!” Anne’s female family members have also influenced her decision to seek help, including her sisters, all of whom have dealt with PFDs. “I remember putting my mother’s clothes away and noticing that she put pads in her underwear before folding them,” Anne said. “That’s how embarrassed she was; she didn’t

DON’T WAIT. TURN TO THE AREA’S ONLY BOARD-CERTIFIED UROGYNECOLOGIST. Dr. Barbara Henley and her team can help diagnose and treat these difficult problems with sensitivity and compassion. For more information or to make an appointment, visit augustahealth.org/urogyn or call 706-446-5901.

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FAMILY health

CAN NATURAL REMEDIES HELP YOU Sleep Better? [I]

f you’re like most

Americans, you’re probably not getting enough sleep. According to a study from the Centers for Disease Control and Prevention (CDC), more than a third of American adults aren’t getting the recommended seven to nine hours of sleep each night on a regular basis. Getting enough sleep isn’t only important for feeling energized each day, but it’s also important for staying in good health. “Sleep is not just a time out,” said Penny Mehaffey, clinical coordinator for Augusta University Sleep Center, “but it is also an active state that is important for the renewing of our minds and bodies.” Regularly sleeping less than seven hours each day is associated with an increased risk for obesity, diabetes, high blood pressure, heart disease, stroke and frequent mental distress. But getting enough sleep each night can be tough with the stresses of daily life, let alone when you just can’t get your body to power down for the night. While there are plenty of prescription drugs that can help with insomnia, natural sleep remedies available overthe-counter may offer help with fewer side effects. But what are these natural sleep remedies and how can they help? • Melatonin is a natural hormone that helps control your sleep-wake cycle. Melatonin supplements have been found to be helpful for treating jet lag and reducing how long it takes to fall asleep. Unfortunately, the safety of long-term use of melatonin has not been established. [ 10 ]

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• Valerian supplements have been found in some studies to help you fall asleep faster and sleep better. However, not all studies have shown it to be effective, and it could create side effects like headache, dizziness and stomach problems. • Hops, the fragrant flowers used in beer making, may have a use beyond lending bitter taste to libations. Hop extract used in combination with valerian has been shown in some studies to help people fall asleep faster and have better sleep quality. • Aromatherapy, particularly with pure lavender essential oil, may be helpful in your pursuit to sleep more soundly. In one small study, smelling lavender at night increased slow-wave sleep, the deep slumber that helps you feel refreshed in the morning. “All of these remedies should be considered short term,” Mehaffey said. “You should talk with your doctor about your symptoms and get to the root of your sleep problems. Mehaffey also recommends not watching television or using other electronic devices with screens an hour before bed and keeping them out of the bedroom. “If you are experiencing difficulty falling or staying asleep on a regular basis, there is likely a deeper issue that needs to be addressed,” Mehaffey said. “Seeing a sleep professional can help to get to the bottom of issues, because they are highly trained and specialize in many different sleep disorders.”

STILL STRUGGLING WITH SLEEP? If you have trouble falling or staying asleep or experience problems with excessive daytime drowsiness, you may suffer from a sleep disorder. To make an appointment with our sleep experts, call 706-721-2273, email zzzz@augusta.edu or visit augustahealth.org/sleep.

10 FAMILY GAME IDEAS These tried-and-true games get muscles moving, encourage critical thinking and let everyone enjoy the outdoors:

Hopscotch. Get some sidewalk

chalk to draw your board, and start hopping.

Jump rope. Sing along to rhymes

Share THESE

GAMES WITH THE GRANDKIDS

[T]

he news is full of reports that say today’s kids aren’t getting enough physical activity. The American Academy of Pediatrics (AAP) offers some eye-opening statistics: • Less than half of time spent in sports practice and physical education class gets kids moving enough to be considered physical activity. • Children and teens spend an average of seven hours or more each day engaged with TVs, computers, phones and other electronic devices. • One in three children in the U.S. is overweight or obese. So what’s a grandparent to do? Why not channel your inner child and introduce your loved ones to activities you once enjoyed? Not only will it benefit everyone physically, but it can also help to strengthen family bonds.

like “Three Blind Mice” or “Jack Be Nimble.” If you’re up to it, challenge older kids to double Dutch.

Hide-and-seek. Ready or not!

Don’t be too quick to find your little ones — they’ll be thrilled to outsmart grandma or grandpa.

Fly a kite. While you could buy an

inexpensive kite, why not spend some time building one together, then see how long you can keep it aloft. Visit Pinterest for ideas.

Wiffle ball. An alternative to

baseball; strike up some fun while honing eye-hand coordination.

Four square. Brush up on the rules,

The power of play Need more encouragement? The AAP and Centers for Disease Control and Prevention (CDC) say an hour of active play every day can help children and teens: • Reduce stress and increase mental well-being • Increase energy and endurance • Improve ability to sleep • Boost self-confidence and decision-making abilities • Achieve or maintain a healthy weight • Avoid type 2 diabetes and heart disease Don’t worry about being active for the full 60 minutes at once — it’s OK to break it up into 20- or 30-minute blocks of time.

and get the family or neighborhood kids together for some fun.

Badminton. You can set up

indoors or out, and let the shuttle fly.

Hula-hooping. Play some tunes,

and see whose hoop can stay moving the longest.

Tag. You’re it! Your favorite toddler

will enjoy this game, especially if he or she has just learned to run.

Marbles, jacks and pick-up

sticks. Boost kids’ dexterity and counting skills.

HERE FOR YOU IN GOOD TIMES AND BAD For all of your pediatric and adolescent needs, trust the experts at Children’s Hospital of Georgia. For the latest and greatest in kid’s health and parenting tips, visit blog.gachildrens.org.

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