march 2014
Wellness For Life
Healthy Smiles For Every Child pgs. 9, 12
E-Cigarettes: Unanswered Questions pg. 6
Y Classes…En Español pg. 11
Changing the Experience of Surgery When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. With the da Vinci Robotic Surgical System, Dr. Van Riper operates through just a few small incisions. The da Vinci System features a magnified 3D highdefinition vision system and tiny-wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables Dr. Van Riper to operate with enhanced vision, precision, dexterity and control.
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Wellness For Life
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To advertise, contact Mary at 432–550–7339 Publisher Mary Hunt, Ha! Publishing Editor Evangeline Ehl Publication Manager Mary Hunt Sales Mary Hunt Writers Kim Clinkenbeard, CPT, FNS; Joy Harriman; Wendy Hilliard; Ben McCampbell; Keliree Mitchell Photography Mark Swindler Design Sarah Fleck, Chantel Miller
Have a great story idea for An Apple A Day? Submit your idea online at www.anapplemag.com. 3527 Billy Hext Road • Odessa, TX 79765 432 550 5998 • 866 550 7329 fax 432 550 7346 www.hapublishing.com The information in this magazine is not meant to treat, diagnose, prescribe, or cure any ailment. Always check with your physician before taking any products or following any advice you have read. Always consult your physician before you start, stop, or change anything that has been previously prescribed. All content herein is the property of Ha! Publishing and may not be reprinted or reproduced in any medium without the written permission of the publisher. Some art work is used at the sole discretion of the advertiser and is not created by Hunt Advertising.
11 4 Heartburrrrn 6 E-Cigarettes: Unanswered Questions
19 Get Fit With Kim: Eat With Your Hands 20 Woof Woof! The Dog Blog by Mindy
9 Children’s Orthodontics 11 Y Classes…En Español 12 A Healthy Smile Right from the Start
23 Health & Beauty: What to Pack for a Cruise Vacation 24 Recipe: 3 Bean Vegetarian Chili
ON THE COVER Start your children out right with beautiful, healthy smiles.
READ MORE ON PAGES 9, 12
an apple a day march 2014
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by Joy Harriman
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Certain foods—such as coffee, fatty foods, chocolate, peppermint, whole milk, citrus fruits, tomatoes, and alcohol—may trigger heartburn. It can usually be treated and prevented through lifestyle modifications as well as medication. Paying attention to what you eat as well as how much you eat will have a major impact on whether or not you Gobbling too much food expands your stomach develop heartburn. In addition, eating smaller and and puts pressure on the valve to the esophagus, more frequent meals, which allows stomach cutting back on drinking acid to splash up into Paying attention to what sodas during the day, your esophagus, giving you eat as well as how much and avoiding a prone you heartburn. When position for several you get that burning you eat will have a major hours after a meal can sensation in the chest impact on whether or not you also help. or throat, sometimes develop heartburn. leaving a sour or bitter Carrying any excess taste in the mouth, it’s body fat provides an extra risk of developing hearttime to do something. burn. For example: a 5-ft 6-in woman weighing 140 pounds, never considered overweight, has a 40% Heartburn and acid regurgitation are the two higher risk of having heartburn than a woman of the main symptoms of gastroesophageal reflux same height who weighs 125 pounds. One reason disease (GERD), which affects one in five people may be that fat increases pressure on the stomach, in the United States weekly and costs the health forcing acid into the esophagus, where heartburn care industry $10 billion a year. Abdominal pain pain starts. is the number one reason for all visits to the emergency room. hh, the spring season! This time of year marks the beginning of picnics, barbecues, family reunions, and other opportunities to eat, eat, eat too much. Fun for you? Of course! Fun for your tummy? Maybe not so much.
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Almost 40% of heartburn sufferers experience heartburn while exercising and many have stopped being physically active as a result. Those suffering from Exertion-Associated Gastro Esophageal Reflux (EAGER) find the contents of the stomach—including acidic digestive juices—move around vigorously inside the stomach walls. The recommendations are to wait an hour after eating before exercising, avoid jogging and heavy lifting that jostles the stomach (try swimming or a stationary bike), drink water before and after exercising, avoid chocolate, fatty meals, and buttery sauces, and carry antacid protection for quick relief. Use this handy reference to help recognize the difference between regular stomach pain and something more serious. NOTE: Head to the emergency room within four hours if your abdominal pain is accompanied by fever, vomiting, blood in the stool or urine, dizziness, or shortness of breath. Symptoms: Searing pain at the base of the esophagus and pressure in the upper abdomen. It May Be: Heartburn
What To Do: Take an antacid, but only occasionally. If pain persists, see a doctor. Prevention: Lose two pounds or an inch off your waist. Take a 500-milligram calcium carbonate supplement daily. Eat six small meals a day. Avoid certain foods. Symptoms: Burning pain in the central abdominal area. May flare up when you lie down or when your stomach is empty. It May Be: Peptic Ulcer What To Do: See your doctor. You may be prescribed antibiotics, antacids, or proton-pump inhibitors. The majority of peptic ulcers are linked to the bacterium Heliobacter pylori and are not caused by diet or stress. However, spicy foods, stress, alcohol, and smoking can make the situation worse. Prevention: Limit alcohol, don’t smoke, and follow your doctor’s recommendations. Symptoms: A sharp, sudden pain that grabs you just below the ribs in the upper-right quadrant. It May Be: Gallstone Continued on page 15
Is your Mohs Surgeon Fellowship Trained? Mohs micrographic surgery has set a new standard in skin cancer treatment. An increasing number of physicians are performing Mohs surgery, which is now widely accepted as the most effective treatment for most types of skin cancer. Not all Mohs surgeons receive the same level of training as Russell Akin M.D., a fellowship trained Mohs surgeon. When it comes to skin cancer treatment, West Texas patients deserve no less than the best. Russell Akin, M.D. has completed an American College of Mohs Surgery credentialed fellowship. This means peace of mind for his patients, as well as an optimal outcome. If you have been diagnosed with skin cancer, ask your dermatologist if Mohs surgery is right for you. MDSCC also has the capability to perform immunostains for more difficult to treat skin cancers. Midland Memorial Hospital West Campus 4214 Andrews Hwy. • Midland
Dr. Akin (432) 689-2512 www.midlanddermatology.com • info@midlanddermatology.com Dr. Chandler & Dr. Close (432) 689-2491
E-Cigarettes:
Unanswered Questions by Ben McCampbell
S
ince there are at least 4,000 chemical compounds in cigarettes—and about 70 of them are known to cause cancer—many smokers would like to quit smoking, or at least find a safer alternative to the harmful tobacco habit. Enter the electronic cigarette, commonly referred to as the e-cigarette, or “e-cig.” E-cigarettes were introduced to the American market in 2007. Like gun powder, the e-cigarette is a Chinese invention; it was first sold in 2004. Most e-cigarettes look similar to conventional cigarettes, but they do come in various shapes and sizes. Most have a cartridge (mouthpiece) through which the user inhales, a heating element, a battery, and some electronic circuits. Within the cartridge is a small cup containing an absorbent material drenched in a liquid solution containing nicotine (synthetic). The nicotine is dissolved in propylene glycol (PEG), which also creates the “smoke” which is exhaled, making the e-cigarette experience more like actual smoking. The heating element is called the atomizer; it heats the nicotine liquid, causing it to vaporize so that it can be inhaled. The atomizer needs replacing about every 3 to 6 months. And the e-cig has to be powered, because nothing really burns, so there is also a battery (usually rechargeable) and some other electrical components to make it work. Newer versions have a sensor which automatically activates the heating element as soon as the user sucks on the e-cigarette, while other models have a simple on-off button. E-cigarettes aren’t cheap—when e-cigs were first introduced in the U.S., kits ranged in price from about $65 to about $200. Prices have since dropped drastically. Refill cartridge packs vary in price depending on nicotine content; one cartridge equals about one pack of cigarettes, and a 5-cartridge pack retails for about $10. Doit-yourself refill kits are available which reduce the cost. You can opt for non-nicotine cartridges if you wish. I don’t know why you would, because the whole point of e-cigarettes is to get the nicotine rush without the harmful effects of inhaling burning tobacco and paper. But are e-cigarettes really safe, as the manufacturers claim? A few of you may remember when cigarette manufacturers steadfastly stuck to their claims that
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cigarettes were safe, all the while knowing they were deadly. Once proof of cigarettes’ harm was indisputable, regulation became such a big deal that one-third of a federal agency was named after tobacco (ATF). But so far, e-cigarettes have slipped through the regulatory cracks. Since they contain no tobacco, e-cigs aren’t subject to tobacco laws, and the FDA is still in the process of trying to figure out what to do about them. They are attempting to label the e-cigarette as a drugdelivery device, but a judge has already struck down that classification, citing that the FDA has no basis to treat e-cigarettes as drug-delivery devices since they offer consumers the same recreational effects as regular cigarettes.
e-cigs. Annual sales for e-cigarettes are up to about $1.7 billion in the U.S. There’s also the concern about second-hand “smoke.” Once again, there’s not enough research to determine whether or not the exhaled vapor is harmless or not. And laws which regulate where cigarette smoking can occur don’t apply to e-cigarettes, so it seems one can “light up” almost anywhere, though some cities are beginning to pass laws regulating where e-cigarettes can be used.
Research seems to always lag behind new controversial products, and this is no exception… But some research has been conducted,
Research seems to always lag behind new controversial products, and this is no exception. Not enough time has passed to study the longterm effects of, for example, inhaling pure nicotine. But some research has been conducted, and in 2009 an FDA analysis from two leading brands of e-cigarettes found that the samples contained carcinogens and other hazardous materials, including diethylene glycol, an ingredient in antifreeze. And another study found that inhaling concentrated ingredients in the manner provided by e-cigarettes would, if the ingredients were in an industrial setting (i.e., industrial emissions), be enough to warrant monitoring the health of the exposed persons. Since e-cigarettes aren’t regulated and many customers buy them over the internet, there is nothing to stop children from buying them, unless the kids have very watchful parents. Manufacturers maintain that they’re not marketing to kids, but with nicotine cartridge flavors like chocolate, strawberry, cherry, caramel, even bubble gum and cookies’n’cream milkshake, one wonders. And the e-cigarette companies are spending big bucks on advertising, increasing to $20.8 million in 2012 from just $2.7 million in 2010. Laws that regulate cigarette advertising, including TV, don’t apply to
Then there’s the question of nicotine itself. Nicotine occurs naturally in tobacco, which interestingly enough, is a member of the nightshade family of plants, a family that also includes potatoes, tomatoes, eggplant, and capsicum peppers. Nicotine was widely used as an insecticide in the past. It’s as addictive as heroin and cocaine, making smoking one of the most difficult habits to break. Some people believe that e-cigarettes can help them quit smoking and break the nicotine habit. There’s no scientific evidence of that, but it would seem logical that if you could gradually reduce the nicotine dosage, you could gradually wean yourself off of nicotine dependency. E-cigarettes do offer the user the option to choose the amount of nicotine to use, and so gradually reducing the dosage is certainly possible. On the other hand, the tobacco habit has become even harder to break in recent years because the nicotine content of American cigarettes has increased almost 2% per year from 1998 to 2005. Let’s look at nicotine’s effects on the human body. Just 10 seconds after one inhales nicotine, it is absorbed through the skin and the mucosal linings of the nose, mouth, and lungs, and it travels through the bloodstream to the brain. It stimulates the adrenal glands, and you get adrenaline, which increases the heart rate and blood pressure while Continued on page 17 an apple a day march 2014
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Those first few moments with your new baby are filled with memories that will last a lifetime. Those memories become even more special when you deliver your baby at the Center for Women & Infants. From the moment you step into your beautiful private room – to the moment you settle into our caring capable hands – you’ll know you made the right choice for you and your baby. You can arrange a private tour of Odessa’s new choice for advanced maternity care by calling (432) 640-6000.
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CHILDREN’S ORTHODONTICS by Joy Harriman
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s kids grow, their bite and the straightness of their teeth can become an issue. Orthodontic treatment begins earlier now than it used to. Kids as young as age 7 now sport corrective appliances, and efficient, plastic-based materials have replaced old-fashioned metal. Dentists know that manipulation of teeth at a younger age can be easier and more effective in the long run. Younger children’s teeth can be positioned with relatively minor orthodontia, which prevents major orthodontia later on. Don’t be afraid to ask questions. Giving your child an early start on checkups and good dental hygiene is the best way to help prevent extensive dental work. Encouraging kids to use a mouth guard during sports also can prevent serious dental injuries. As kids grow, plan on routine dental checkups anywhere from once every 3 months to once a year, depending on the dentist’s recommendations. Limiting intake of sugary foods and regular brushing and flossing all contribute to a child’s dental health. Your partnership with the dentist will help ensure healthy teeth and a beautiful smile. WHY KIDS NEED BRACES Kids can need braces for any number of reasons, including crooked, overlapping, or overcrowded
teeth, or a “bad bite” (known as malocclusion). Malocclusion is a difference in the sizes of the top and bottom jaws. When the upper jaw is bigger than the lower jaw, it’s called an overbite. When the lower jaw is bigger, it’s called an underbite. Sometimes tooth and jaw problems can be caused by tooth decay, losing baby teeth too soon, accidents, or habits like thumb sucking. Many times they’re inherited, so if you or someone in your family needed braces, it’s likely that your kids will too. Your child’s dentist will probably be the first to notice problems during a regular visit and recommend that you see an orthodontist who specializes in correcting jaw and/or teeth alignment problems. The orthodontist can determine whether your child does indeed need braces and which types of devices would be best. There’s no set age for a child’s first orthodontist visit—some go when they’re 6, some go when they’re 10, and some go while they’re teens or adults. Many orthodontists say kids should see an orthodontist once their permanent teeth start coming in, around age 7. At this age, issues such as uneven bite and overcrowding will become apparent. Continued on page 16 an apple a day march 2014
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by Wendy Hilliard
e habla Español. Spanish is spoken here. Increasingly, more and more businesses are attuning to the largest demographic in the Permian Basin. According to the United States Census Bureau, over fifty percent of Ector County’s population is Hispanic, and the numbers are predicted to rise.
says offering different classes in Spanish is one way to adapt and provide more program options.
Odessa Family Y Customer Service and Community Relations Director Maria Tercero has personally witnessed a dramatic increase in Hispanic members, specifically women. “The Y has had about a 75 percent increase in Hispanic females. They feel more comfortable in classes that use our language and music, like Zumba. It’s like dancing and Latinos like to move.”
Like most new residents to the area, opportunities in the petroleum industry brought Gonzales to Odessa. Her husband Alejandro was offered work maintaining satellite systems in the oilfield.
Odessa Family Y CEO Edward Moreno says the Y reflects the changes in Odessa’s demographics. “We see Hispanics as a majority not a minority. Part of the Y’s mission is to provide a positive impact in the community. That’s why we offer an array of programs to the members in our community.” While Zumba continues to be one of the most popular group fitness classes, Moreno
Early on Monday and Friday mornings, Angela Gonzales makes her way to the Odessa Family Y to teach a 6 am Insanity class in her first language, Español.
Originally from a small gold-mining town, San Francisco del Oro, Chihuahua, Mexico, Gonzales worked as an elementary physical education teacher. She later moved to Bakersfield, California with her husband and raised four children. It was in California the athletic Gonzales discovered Zumba and became certified to teach the Latin-themed class. “When we lived in Bakersfield she sometimes would teach Zumba two times a day and she played on two different soccer teams,” said Alejandro. Continued on page 15
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a healthy smile right from the start by Joy Harriman
O
ne of the most exciting milestones for new parents is seeing your baby’s first teeth appear. To keep those teeth healthy and beautiful, you’ll want to take good care of your baby’s teeth and gums. Proper dental care begins before a baby’s first tooth appears. Just because you can’t see the teeth doesn’t mean they aren’t there. Teeth actually begin to form in the second trimester of pregnancy. At birth, your baby has 20 primary teeth, some of which are fully developed in the jaw.
• Schedule a dentist visit for your baby within the first year.
PARENTS’ GOOD ORAL CARE AND HABITS INFLUENCE THEIR CHILD’S HEALTH Did you know that when you care for your teeth, you’re caring for your baby’s teeth, too? That’s because germs from your mouth can be easily passed to your baby’s mouth through kissing or sharing a spoon. Bacteria causes gum disease and tooth decay. Bacteria from your mouth may end up in your baby’s mouth, causing decay.
Even though babies eventually lose their first teeth, tooth decay in baby teeth is serious. If left untreated, decayed teeth can cause pain and make it difficult to chew and eat. Also, baby teeth serve as “space savers” for adult teeth. If baby teeth are damaged or destroyed, they can’t help guide permanent teeth into their proper position, possibly resulting in crowded or crooked permanent teeth. Badly decayed baby teeth could lead to an abscessed tooth, with the possibility of infection spreading elsewhere.
CHILDREN’S DENTAL HEALTH How to take care of your baby’s teeth and gums: • Take care of your own teeth so you don’t pass decay‑causing bacteria to your baby. • Never put your baby to bed with a bottle of milk, formula, fruit juice or sweetened liquids. • Brush your baby’s teeth as soon as they come in. 12 march 2014 an apple a day
AVOID BABY BOTTLE TOOTH DECAY Baby bottle tooth decay happens when your baby’s teeth are exposed to sugary liquids for long periods of time. It can occur when babies suck on a bottle all day or are put to bed with a bottle. If the bottle contains milk, formula, juice or other sweetened liquids, it leaves a sugary film on the teeth, leading to decay and infection.
Tips to prevent baby bottle tooth decay: • During the day, to calm or comfort your baby, don’t give a bottle filled with sugary liquids or milk; instead, give plain water or substitute a pacifier.
• Don’t dip your baby’s pacifier in sugar, honey, or any sugary liquid. • At bedtime, don’t put your baby to bed with a bottle of sugary liquids (watered-down fruit juice or milk still increases the risk of decay) Give plain water. • Don’t allow your baby to nurse continuously throughout the night while sleeping, since human breast milk can cause decay. Use a pacifier or give a bottle filled with plain water instead. • Don’t add sugar to your child’s food. • Teach your baby to drink from a cup by his or her first birthday. GENTLY CHECK AND CLEAN YOUR BABY’S TEETH AND GUMS Healthy teeth should be all one color. If you see spots or stains on the teeth, take your baby to a dentist. Clean your baby’s teeth as soon as they come in with a clean, soft cloth. Clean the teeth at least once a day, usually right before bedtime. This helps remove any bacteria-forming plaque and excess sugar that have built up on the teeth and gums. By about age 2, a child will have most of his or her baby teeth. At this age, you can start brushing their teeth with a small drop of fluoride toothpaste and a child’s soft toothbrush. Very young children cannot get their teeth clean by themselves. Until your children are about 7 years old, you should brush their teeth after they do. THUMB SUCKING Generally, it’s normal and healthy for infants to suck their thumbs, fingers, pacifiers, or toys. However, if this continues beyond the age of 5 when the permanent teeth begin to come in, dental problems may occur. The teeth can be pushed out of alignment, causing them to protrude and create an overbite or have difficulty with the correct pronunciation of words. The upper and lower jaws can become misaligned and the roof of the mouth might become malformed. Some tips to help stop thumb sucking: • First, know that thumb sucking is normal and should not be a concern of parents unless the habit continues as the permanent teeth begin to emerge. • The child must make the decision to stop
sucking their thumb or fingers before the habit will cease. To help, offer encouragement and positive reinforcement. Because thumb sucking is a security mechanism, negative reinforcement (scolding or nagging) is ineffective. Instead, give praise or rewards for time successfully avoiding the habit. Gradually increase the time needed without sucking to achieve the reward. • Cover the finger or thumb with a Band-Aid as a reminder. • Take the thumb or finger out of the mouth after the child falls asleep. TONGUE THRUSTING Tongue thrusting is the habit of sealing the mouth for swallowing by thrusting the top of the tongue Even though babies forward against the lips. eventually lose their first Just like thumb sucking, teeth, tooth decay in tongue thrusting puts baby teeth is serious. If pressure against the left untreated, decayed front teeth, pushing teeth can cause pain and them out of alignment. make it difficult to chew This causes them to and eat. protrude, creating an overbite and possibly interfering with proper speech development. If you notice symptoms of tongue thrusting, consult a speech pathologist. They can develop a treatment plan that helps your child increase the strength of the chewing muscles and to develop a new swallowing pattern. LIP SUCKING Lip sucking involves repeatedly holding the lower lip beneath the upper front teeth. Sucking of the lower lip may occur by itself or while thumb sucking. This practice results in an overbite and the same kinds of problems as with thumb sucking and tongue thrusting. Stopping the habit involves the same steps as described for stopping thumb sucking. EARLY TOOTH LOSS Premature loss of a child’s primary teeth can occur due to tooth decay, injury, or lack of jaw space. If teeth are lost before the permanent teeth emerge, the nearby teeth can tip or shift into the space Continued on page 17 an apple a day march 2014 13
Home Is Where Your Health Is
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overeating of fatty foods, eggs, onions, and garlic. Prevention: Lose weight and avoid all fried and fatty foods, while increasing the amount of fruits, vegetables, unprocessed grains, monounsaturated oils, and water you consume. Symptoms: A dull ache in the lower-left quadrant that becomes increasingly sharper. It May Be: Diverticulitis What to do: Go to the emergency room. Diverticulitis requires immediate treatment with antibiotics. It happens when marble-size pouches form along the walls of the large intestine and fill with waste, turning to infection. Prevention: A high-fiber diet of vegetables, nuts, fruits, beans, bran cereals, and whole grains.
Continued from page 5 What To Do: See your doctor. Gallstone attacks are usually caused by normal digestive processes not acting normally due to dehydration and the
Symptoms: Sharp pain that starts at the navel and moves to the lower-right quadrant, becoming more intense. It May Be: Appendicitis What To Do: Rush to the emergency room. The cause is unclear, but the symptoms indicate that this may be a serious situation.
Continued from page 11 Since moving to Odessa, Gonzales has earned not one but two additional fitness certifications not related to Zumba.
saying, If Angela is happy then everyone is happy,” laughed Alejandro. Speaking only Spanish has not diminished Gonzales’ career in fitness. In fact, with the number of diverse certifications she has earned, Gonzales can teach a variety of classes, making her even more marketable as an instructor, especially in areas like the Permian Basin.
Alejandro acted as interpreter for his wife. When asked if she was anxious about passing the exams in English for RIPPED and Insanity, she responded, “Nope, I wasn’t nervous. It was difficult on the writing part but the physical part of the test Offering different was no problem.”
classes in Spanish is one way to adapt and provide more program options.
While Gonzales continues to learn and teach other fitness genres, she seeks to expand her Zumba qualifications. Currently she wants to earn a Zumba Step certification, a new Zumba format implementing a trademarked round step. Zumba certification events are costly, fill up quickly, and usually require travel. Her supportive husband expressed a universal sentiment. “I believe in English you have a similar
Regardless of the varied types of classes she can teach, she is addicted to Zumba. On cold wintery mornings when Insanity class attendance wanes, Gonzales may, with members’ permission, teach Zumba instead. “Basically I like to have fun and dance,” she said. For more information on Group Fitness classes and schedule, contact the Odessa Family Y at 432–362–4301.
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Continued from page 9 Starting the process early doesn’t mean a child will get braces right away. It just means the orthodontist will be able to determine which problems exist and assess the best time to start treatment. THE FIRST ORTHODONTIST VISIT At the first visit, the orthodontist will thoroughly examine your child’s teeth, mouth, and jaw. He or she may ask your child to bite the teeth together and will also ask questions about whether your child has problems chewing or swallowing, or has ever had clicking or popping of the jaw. The orthodontist may take X-rays of the mouth and teeth to see how the teeth are positioned and whether any permanent teeth still need to come in. A mold (or impression) Many orthodontists say kids may be made of your child’s teeth by pressing should see an orthodontist once a tray of gooey material their permanent teeth start into the top and bottom coming in, around age 7. At teeth. When the mold this age issues such as uneven is removed and the bite and overcrowding will material hardens, the result is a replica of your become apparent. child’s teeth that will allow the orthodontist to decide which treatment options are best. TYPE OF BRACES Braces correct alignment problems by putting steady pressure on the teeth, which eventually moves them into a straighter position. Most kids just need braces with wires and rubber bands. The wires help to move the teeth, and the rubber bands (which come in fun colors) help to correct alignment. Though metal braces are still used, so are clear or white ceramic braces, which are much less noticeable. Some even go behind the teeth.
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In the last decade, clear removable braces that move teeth with plastic trays called aligners (rather than wires and rubber bands) have become available, but these are usually only for people without bite problems. The orthodontist also might recommend that your child have one or more teeth removed to create more space in his or her mouth. Once the braces are on, your child will have to visit the orthodontist every few weeks for monitoring and adjustments. How long your child will need to wear braces depends on the problems you’re trying to fix, but the average is about 2 years. After that, your child might wear a specially molded retainer, a small, hard piece of plastic with metal wires or a thin piece of plastic shaped like a mouth guard. Retainers keep the teeth from wandering back to their original places. CARING FOR BRACES Because it’s so easy for food to get stuck in wired braces, kids who wear them need to work extra hard to keep their teeth clean. Brushing after meals is essential, as is daily flossing. The orthodontist can give your child a special flosser to use in and around braces. Regular dental cleanings and checkups to look for cavities are also a must. Your child should avoid certain foods, such as popcorn, hard and sticky candy, and gum, because they can damage braces. Sugary sodas and juices can be a problem, too, because they can contribute to tooth decay. Because braces put pressure on the teeth, they can feel uncomfortable once in a while, especially after the orthodontist makes adjustments. Over-the-counter pain relievers can help if this happens. See the orthodontist right away if your child has a loose wire or bracket, or a wire that is poking his or her mouth. If the orthodontist can’t find a problem, your child might use some soft wax to cover any sharp spots on the braces that are rubbing against the inside of the mouth or gums.
Continued from page 13 now unoccupied. When a permanent tooth tries to emerge into its space, there may not be enough room. The new tooth may emerge tilted. Crooked or misaligned teeth can cause a range of problems from interfering with proper chewing to causing jaw joint problems. If your child loses a tooth prematurely, your dentist may recommend a space maintainer. This is a plastic or metal device that holds open the space left by the missing tooth. It’ll be removed by your dentist once the permanent teeth begin to erupt.
By about age 2, a child will have most of his or her baby teeth. At this age, you can start brushing their teeth with a small drop of fluoride toothpaste and a child’s soft toothbrush.
VISIT WITH THE DENTIST Ask your dentist when they would like to see your child for a first visit. Usually this will be when the first tooth comes in, between six and 12 months of age. Ask your dentist about your baby’s fluoride needs. If your drinking water is not fluoridated, fluoride supplements or fluoride treatments may be needed.
Continued from page 7 constricting blood vessels. One of the reasons that smokers enjoy smoking is that nicotine also stimulates the production of dopamine, which is a neurotransmitter that controls the brain’s pleasure center. It’s relaxing; it makes you feel good. But paradoxically at the same time, nicotine actually increases physical stress. It causes the body to release the hormone epinephrine, which is the “fight or flight” hormone. Epinephrine activates the sympathetic nervous system, causing more rapid and shallow breathing and the aforementioned increase in heart rate and blood pressure. The difference is in the dosage. Short, quick puffs result in a low level of nicotine in the blood, which stimulates nerve transmission—a stimulating effect. Long, deep puffs produce a high blood nicotine level, which depresses the passage of nerve impulses, resulting in a mild sedative effect. It’s unique among drugs in that it produces totally opposite effects depending on dosage.
Nicotine has some definite positive effects. It can enhance concentration, alertness, and memory. Pain and anxiety can be reduced with its use. Nicotine also extends the duration of the positive effects of dopamine and increases sensitivity in brain reward systems, so its effects aren’t all negative. But since there are no laws preventing minors from purchasing e-cigarettes, what might be the effects of inhaling pure nicotine on young people? What nicotine dosage is the safest level? Is there a safe level of nicotine consumption? The bottom line is that not enough is known about the effects of e-cigarettes to determine whether or not they are safe in the long term. They do appear to be safer than traditional cigarettes, but just how much safer is an unanswered question. And the long-term effects on kids? Parents, be vigilant.
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Cooking With Kim
2014 Spring Class Schedule
March 6th & 7th - Breakfast Made Easy Fast breakfast bowls that will start your day off right. No more cereal during the week. Plus, biscuits and gravy that you can eat any day of the week without sacrificing your health or your waistline. March 20th & 21st - Weeknight Gourmet Meals You can make gourmet meals in less time than ordering out. Lobster just became a weeknight option! This class will be $30 April 3rd & 4th - Dress It Up with Flavor NOT Fat Learn how to flavor your salads and entrées without fat and calorie-laden salad dressings or spreads. Lowcalorie dressings, sauces, toppings, condiments, and more are made. April 24th & 25th - Stock Your Pantry & Freezer: SIMPLY SIDES Learn how to keep foods on hand to prepare quick meals for your family when you didn’t have time to prepare. It’s faster than the drive-thru! Each class is $25 (payment and registration required prior to class). To register and pay, or ask questions, contact me at 432–557–5001 or getfitwithkim@cableone.net. Classes are filling up quickly! Classes for private groups and parties are also available–choose your own menu and class date! You can also prepay and register for every scheduled class and you are guaranteed the recipes for those classes whether you can attend or not. Contact me for details!
get fit with kim EAT WITH YOUR HANDS
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opular belief is that as long as you are eating whole foods and plenty of fruits and vegetables, you can eat as much as you want without gaining weight. But don’t fall into that trap! The idea behind that statement is that one cannot possibly eat enough fruits and vegetables to gain weight because they are so low in calories. (16oz. of raw spinach is only 100 calories.) However, other higher calorie foods also make the “healthy whole foods” list like avocado (1 small avocado is 260 calories), nuts, seeds, nut butter, fatty fish, whole grains, dried fruits, honey and agave, olives, coconut and olive oils, etc. Even some fruits and veggies are pretty high in calories like potatoes, bananas, and pineapple. While very nutritious, these higher calorie foods make up the bulk of most peoples’ diets. Therefore, portion control is critical (even with fibrous green veggies) for weight control and overall health. Too much fiber is no fun either. Weight control is classified by weight loss as well as weight maintenance. How much should you eat? It is different for everyone depending on their size, activity level, age, gender, and genetic makeup. But for the average, exercising individual here’s is an easy way to estimate how much protein, carbohydrate, and fat you specifically should eat at each meal. Use your hand as your guide. The amounts of foods will be proportionate to your size and frame if you will measure according to your own hand instead of generalized items like a baseball or deck of cards. If you are very active you may need to increase your portions slightly. (Note: continue to weigh yourself to make sure you are not over-estimating your calorie needs. If you are gaining weight despite high levels of exercise, then you are eating too much.) Protein: (chicken, fish, steak, eggs) Use the palm of your hand to determine the size and thickness of protein.
Fruit: (limit high calorie fruits such as banana, pineapple, and mango for weight loss) You should be able to hold the piece of fruit in your hand with a loosely closed fist. Starch and Grains: (includes potatoes, rice, oats, squashes, corn, breads, beans, etc.) Use the size of your palm again. But if you are trying to lose weight or stabilize blood sugar, pick breakfast and/or lunch to incorporate these foods. Aim for more fibrous veggies to fill your plate later in the day. Veggies: Use your entire open hand to size up your vegetables. If you are eating fresh leafy greens (salad greens), you can use both hands. But remember to keep the portions in check. Fats: (nuts, nut butters, seeds, olives, avocado, oils, butter, coconut) 1–2 thumb-sized portions.
Portion control is critical… for weight control and overall health.
Don’t skimp on fiber. Fiber helps stabilize blood sugar, keeps you full, and aids in digestion. Nuts, nut butters, whole grains, and seeds are all good sources of fiber. But they are also high in calories. So, opt for lowercalorie fibrous veggies and fruits like spinach, apples, green beans, peppers, jicama, and berries to fill you up without filling you out. Some say money makes the world go ‘round. Others will say it’s love. I believe love makes the world go ‘round, but fiber definitely helps! (For more specific dietary help, feel free to contact me.) Special thanks to this month’s contributor: Kim Clinkenbeard, CPT, FNS getfitwithkim@cableone.net
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woof, woof! Keliree Mitchell founded Petspotters, a Facebook site dedicated to connecting lost pets with their owners after losing her own pet Chihuahua, Mindy. Woof, Woof! represents stories related to this site and is dedicated to Mindy.
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ickey and Missy would always love to go for a ride. Even to this day if you said those words at a whisper, they would hear you and jump up ready to go. They would be so excited, they would bounce from you to the door until you finally got up and let them go outside. Riding in the car was more bouncing around as they would go from one open window to the other open window. And I just really wanted them to sit and be still. Even though we were taking them joyriding, there would be no joy for me, though they loved it. Having my dogs in the car, unrestrained, is a surefire way to have me stressed out in no time. Even though the window isn’t down too far, I feel like they might fall out. Plus, they won’t be still. I see people driving with cute little dogs in their arms and I think that dog is sitting still. If Mickey tries to sit with me when I drive, I can’t get him to sit still. He wants to jump around from me to the passenger seat then to the back seat. I don’t know how other people do it, but I can’t. There have been a few posts on Petspotters where people have lost their dogs because they were in a car accident and the dog ran away before anyone could do anything. That’s what dogs do when they are startled or traumatized. They run. Before you
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the dog blog by mindy
take your pet in the car, even for a short trip like to the vet, think of their safety first. Several great tips I learned about transporting my dogs came from asking others what works for them. I was surprised how many people I know use a crate. I think that is a great idea if you have already introduced the crate to your dog and he is used to being in a crate. My dogs have never even seen a crate, so I don’t think that would work well for me. I also found a harness system that you can use with your seatbelt in your car. It allows them to move around in the seat they are in but not roam throughout the vehicle. There are some systems that come with a booster basket for the smaller dogs too. Mickey and Missy have a harness for walks, so it should work fine for them in the car as well. Safety and my peace of mind is the most important thing when I am traveling with my dogs. If we were to be in an accident, I wouldn’t want Mickey and Missy lost because they took off running away. Driving is stressful enough around here, so having them loose in the car is no longer an option for me. All of us deserve a greater peace of mind knowing that our loved ones are safe and protected, wherever they are. –Unknown Author Special thanks to this month’s contributor: Keliree Mitchell Founder, Petspotters www.facebook.com/petspotters
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Because of the generous donations from the community, the Permian Basin Rehab Center has completed construction on our new pediatric therapy gym. The pediatric gym is used with children who are on the autism spectrum, children with cerebral palsy, traumatic brain injury, developmental delay, spinal bifida, and any other physical or cognitive challenges. The pediatric gym is designed to help a child gain coordination, increase gross motor skills, improve motor planning, develop core strength, and acquire confidence in their achievements.
620 N. Alleghaney Odessa, TX 79761 432–332–8244 fax 432–580–7428 connectedtoyou.org
The new pediatric gym is a wonderful childfriendly environment that will make a patient comfortable while working on therapy goals to learn skills lost to an accident or achieve goals that once seemed impossible. Our therapists and their patients thank the community for making their dream become a reality.
At Odessa Regional Medical Center, we have spent over 35 years caring for the mothers and babies of the Permian Basin. We offer the safety and security of state-of-the-art equipment in a home-like atmosphere, and we provide board certified neonatologists and high-risk pregnancy specialists 24/7 along with the most experienced and compassionate nursing and support staff around. We are the exclusive provider of a High-Risk Obstetrics Unit, and we also have the highest level Neonatal Intensive Care Unit available in the Permian Basin—a Level III NICU. We are proud to announce that we have renovated and expanded these patient care areas. However, above all we recognize that it’s the experience and compassion of our physicians and staff that set us apart. When it comes to delivering babies, it is more than just our job. It is our Passion. And for our new mothers, that means peace of mind. When experience counts, Choose Odessa Regional Medical Center. ORMC is directly or indirectly owned by an entity that proudly includes physician owners, including certain members of the hospital’s medical staff.
(432) 582-8677 • odessaregional.com
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Welcome Dr. Ritchie O. Rosso Jr. Dr. Robert L. Chappell Jr. welcomes Dr. Ritchie O. Rosso Jr. as his new associate. Dr. Rosso is originally from Virginia and received his M.D. with distinction from the University of Virginia. He then completed a clinical research fellowship at the National Institutes of Health, followed by an internship in Internal Medicine at St. Lukes-Roosevelt Hospital Center in New York City. He completed his dermatology residency with a focus in dermatological surgery at the University of Miami in Miami, FL. Dr. Rosso specializes in the diagnosis and treatment of skin cancer, including Mohs surgery. He also has a focus in cosmetic dermatology including laser resurfacing, fillers, and other specialized procedures. Dr. Robert L. Chappell, Jr., M.D., PA 2487 E. 11th Street Odessa, TX 79761 432–580–6605
Ritchie O. Rosso Jr., M.D.
health & beauty WHAT TO PACK FOR A CRUISE VACATION
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f you’re planning to vacation on your first cruise this year, chances are you’re a little overwhelmed about what types of clothing you should bring along on the ship. While many cruises will give you a weekly schedule of events and allude to what types of clothing you should wear to each one, others give very little guidance on the most appropriate cruise clothing to bring. Use these tips to help you figure out the most appropriate attire for your upcoming cruise adventure. CRUISE CLOTHING YOU SHOULD NOT LEAVE HOME WITHOUT Instead of packing a variety of clothes and figuring out what you’ll wear along the way, it’s important for you to be intentional with your packing for a cruise. Many cruise lines will only allow you a small amount of luggage, so make each piece count! Bathing Suit Even if you typically don’t like to swim and would rather be shot than wear a bathing suit in public, be sure you bring a swimsuit with you on the cruise. After all, most cruises travel through tropical weather areas and if you want to stay cool, chances are you’ll be more than tempted to take at least a small dip in the pool. Keep in mind, you’ll likely never see your shipmates ever again, so dare to wear your swimsuit with pride! Formal Dress Most cruises have at least one night throughout your stay where there will be a formal dinner event. Check with your cruise travel agent before you go, to see if you might have a need for a formal dress. Packing your favorite little black dress is always a great idea, because most little black dresses can be dressed up or down, as needed. If you get to the cruise and realize they have a casual formal dinner event, you can pair your dress with sandals and simple jewelry. However, if you get on the boat and realize you need a fancy dress, you can slip on your heels and spice it up with rhinestone accessories!
Excursion Outfit Options If you plan on taking any excursions off the boat, you’ll need to ensure you know what to wear. Most excursions will require you to walk quite a bit, seeing a resort, a landmark, or other location. So, be sure you pack some comfortable shoes you can walk easily in. You may also want to be sure you pack a few pairs of lightweight capris or pants for these outings, as they can be deep within the tropical natures of primitive countries and you might need the extra clothing protection from insects or bushes. Sweater or Cardigan Many cruise travelers think since they’re traveling in tropical areas, the weather will always be very hot. But, during the nights on your cruise, you’ll likely need a light sweater to stay comfortable. So, don’t forget to pack at least one! DESIGNER ACCESSORIES AREN’T REQUIRED While you probably want to bring along a few accessories to coordinate with your cruise attire, it’s not very safe to travel on a cruise with a large amount of designer accessories or jewelry pieces. Limit yourself to some you could live without, if they were to accidentally get lost on the boat. Be sure what you bring isn’t incredibly expensive or sentimental, just in case you do misplace something. Now that you know what you should not leave home without, start packing and enjoy yourself upon the ocean wide!
This month's article courtesy of www.freebeautytips.org
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3 Bean Vegetarian Chili by Kim Clinkenbeard, CPT, FNS 28 oz. can Organic Glen Muir fire roasted crushed tomatoes 1/8 tsp. cayenne pepper* 1 Tbsp. paprika 4 Tbsp. chili powder 1 tsp. black pepper 2 tsp. kosher salt 8 oz. can organic tomato sauce 1/2 tsp. Liquid Smoke 1 tsp. low sodium Worcestershire sauce 1 Tbsp. organic ketchup *optional
15 oz. organic pinto beans, drained (rinsed if using canned) 15 oz. organic black beans, drained (rinsed if using canned) 15 oz. organic dark red kidney beans, drained (rinsed if using canned) 1/2 large yellow onion, small chopped 1–2 jalapeños, seeded and diced* 1 green bell pepper, small chopped 2 cloves garlic, minced 2 chilies in adobo sauce, seeded and diced 1 tsp. adobo sauce
In a non-stick skillet, cook onions, peppers, and garlic until soft. Combine the cooked veggies mixture and all other ingredients in a large pot Cook on low for at least 30 minutes. (The longer it simmers, the better!) You can also put all of the ingredients in a 6 qt. crockpot and cook on low for 2–3 hours. Makes approximately 10 (1 cup) servings.
distribution points MIDLAND Albertsons Pharmacy 1002 Andrews Hwy. 4706 N. Midkiff Rd. 3317 N. Midland Dr.
Midland Memorial Hospital Scharbauer Patient Tower 400 Rosalind Redfern Grover Parkway
First Baptist Church 709 N. Lee
Mission Fitness 8050 Hwy. 191
Furr’s Music City Mall
The Odessa Family Y 3001 E. University
Fit Family Fitness 3404 N. Midland Dr.
Midland Memorial Hospital West Campus 4214 Andrews Hwy.
Harmony Health Food Shoppe 3110 E. University Blvd., Ste. A
Odessa Regional Medical Center 520 E. 6th St.
Heaven Bound Daycare 507 Elliot
Permian Basin Rehab Center 620 N. Alleghaney
Flat Belly Organics 3326 N. Midkiff Rd. Graham Pharmacy 1601 W. Wall St. HealthSouth 1800 Heritage Blvd. HEB Pharmacy 3325 W. Wadley Ave. Midland Memorial Hospital 2200 W. Illinois Ave.
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St. Joseph’s Home Health 24 Smith Rd., Ste. 500 Walgreens Drug Store 3221 W. Wadley Ave. 215 Andrews Hwy. 4313 Andrews Hwy. 3201 N. Big Spring St. ODESSA Albertsons Pharmacy 1350 E. 8th St. 4950 E. 42nd St. 2751 N. County Road W.
HEB Pharmacy 3801 E. 42nd St. Hunt Advertising 3527 Billy Hext Rd. Medical Center Hospital 500 W. 4th St.
River of Life Health Food Shop 2601 N. Grandview Ave. Smith’s Shoes 5101 Twin Towers Super Shapes 5000 E. University Blvd.
University Pharmacy and Medical Supplies 4850 E. University Blvd. Walgreens Drug Store 801 Maple Ave. 2161 E. 42nd St. 1305 W. University Blvd. 1707 W. 8th St. Walmart Clinic 4210 JBS Parkway 2450 West Loop 338 Wendover Family Medicine 4222 Wendover, Ste. 600 Westview Medical Clinic 1220 W. University Blvd. Wheatley Stewart Medical Pavilion 574 W. 5th St.
• Heating • Air Conditioning • Plumbing • RO Water • Insulation
Residential & Commerical Services • Remodeling & Conversions • New Construction • Complete Repair Services • Heat Pumps
Midland/Odessa 432–580–3342 www.nationalplumbing.us
3527 Billy Hext Road • Odessa, TX 79765 432 550 5998 • 866 550 7329 fax 432 550 7346 www.hapublishing.com
with every new GMC Sierra 1500 Crew Cab Two year/24,000 mile maintenance on oil & filter change Four wheel tire rotation 27 point vehicle inspection
2014 Sierra Crew Cab
5251 E. 42nd St. • Odessa (432) 550–9950 • www.freedombg.com Visit us on Facebook