An Apple a Day February 2013

february 2013

Wellness For Life

SKILLED CARE DIVISION pg.14 Animals That Heal pg. 5 Connecting to the Community for 60 Years pg. 8

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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; Kathy Y. Hollmann, M.S., CCC-SLP; Ben McCampbell; Keliree Mitchell Photography Mark Swindler Design Clay Adams, Sarah Fleck, Chantel Miller

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Wellness For Life

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8 5 Animals That Heal 6 West Texas Amputee Support Group 8 Connecting to the Community for 60 Years

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Get Fit With Kim: Successful Weight Loss Begins With…Your Pen! Woof Woof! The Dog Blog by Mindy

12 Extreme Makeover: Y Edition

27 Health & Beauty: What to Wear for a Job Interview

14 Nurses Unlimited: Skilled Care Division

28 Recipe: Blueberry Breakfast

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.

ON THE COVER Sandy Nease, RN, WCC, Director of Nurses Unlimited Skilled Care Division, discusses their new home monitoring program aimed at providing real-time care for patients with chronic illnesses.

READ MORE ON PAGE 14

an apple a day february 2013

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many things can make us temporarily forget we’re in a hospital, nursing home, or rehab facility. But dogs seem to have just that kind of effect.

by Joy Harriman

O

ur pets make us feel better. It’s as simple as that. For centuries we’ve developed bonds with animals. Pets have always been those we turn to when we can’t speak to anyone else. That bond extends beyond the owner-pet relationship into positive healing created with therapy animals. AnimalAssisted Therapy (AAT) is the process of including a well-trained and well-socialized animal as a therapeutic tool.

Therapy animals are used in health care, social, educational, and recreational settings. They develop deep emotional connections with patients and that is the simple secret to animal-assisted therapy success.

In the Permian Basin, the Caring Paws program brings warmth, comfort, and education to patients by providing a hands-on interaction between them and Rizzo, a trained golden retriever. Rizzo’s human partner, Josie Gans, started the program at Medical Center Hospital in 2004. She has over 20 years of experience as a handler in hospitals, long-term care facilities, and public libraries.

In a positive and nurturing environment, these trained animals help patients cope with loneliness, feelings of isolation, and also stimulate social interaction. Mostly dogs, therapy pets have a calming effect on patients and their presence makes the hospital environment more homelike, bringing some relief to the stress of being ill. Not

Brenda Lummus, MOT, Interim Unit Director at the Inpatient Rehab Unit of Medical Center Hospital has worked for over eight years in the rehabilitation field. She finds there is “something very comforting for a patient who is accustomed to animals—maybe has a pet at home—having Rizzo come for a visit.

The visit adds an element of humanity, the comforts of home, and a reinforcement of hope, especially to those who are here for more than a few days. The little bit of touching and cuddling humanizes the environment and they can relax.”

Interactions with animals provide beneficial effects for people in need of comfort, encouragement, and healing in stressful situations. They can give sick people the energy Rizzo and motivation to get moving and heal faster.

These animals help deTherapy pets have a crease anxiety and the calming effect on patients stress of being hospitalized and enhance and their presence makes self-esteem because the hospital environment they give uncondimore homelike. tional love and offer non-judgmental, nonthreatening attention.

They are exceptional when it comes to establishing an atmosphere of trust and to relaxing, calming, and motivating people. AAT produces results that Continued on page 16 an apple a day february 2013

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WEST TEXAS AMPUTEE SUPPORT GROUP

by Ben McCampbell

H

ave you ever wondered what it would be like to lose an arm? Or both your legs? It’s hard to imagine. Whether it’s from an accident, illness, or the wars in Iraq and Afghanistan, living with amputation is part of life for some people here in the Permian Basin.

The adjustment must be a huge challenge, but luckily there’s an organization here which provides assistance and direction for amputees.

of survival, but since she pulled through, she now considers life with the amputations (which were necessary to save her) just the next chapter in her life. But it’s not a fast process; she is still in physical therapy five years later. Her goal is to walk with her prostheses independent of a walker. She helps amputees with her own first-hand knowledge and experience—and an infectious positive attitude. As Ms. Braunstein puts it, “My biggest thing is for one to get support and see what can be.”

The West Texas Amputee Support Group (WTASG) was established in 1992 as a result of the efforts of Having a Certified Peer Visitor (CPV) available four local residents—Joe Pool, Mike Allen, George to someone who is dealing with limb loss is Taylor, and Joe Ortiz. I spoke with Kathie Braunstein extremely important, because each peer visitor who (kathievb@hotmail.com or 432–550–4371), who is certified by the Amputee Coalition of America is the current president is an amputee and of the group and an Each peer visitor…is an amputee and knows exactly what the investment advisor, and client is going through knows exactly what the client is going she gave me a firstand what feelings through and what feelings they’re hand look at the life of they’re experiencing. experiencing. They’ve been there. an amputee and the They’ve been there. work of the West Texas And the peer visitor Amputee Support Group. She is ideally qualified has adjusted well to their loss (amputation) and for the position; she is one of three Certified Peer is celebrating a full life. Through courses they take, Visitors (certified by the Amputee Coalition of peer visitors learn how to be a genuinely positive America) in the Permian Basin area. Ms. Braunstein force as a visitor. They learn how to recognize lost both her legs above the knee and parts of most the elements of recovery and how to respond in of her fingers from a sepsis infection as a result the most appropriate and helpful manner during of bacterial meningitis. During the worst period of her illness, Kathie was given only a slim chance Continued on page 18 6 february 2013 an apple a day

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by Kathy Y. Hollmann, M.S., CCC-SLP

CONNECTING TO THE COMMUNITY FOR 60 YEARS 8 february 2013 an apple a day

T

he Permian Basin Rehabilitation is celebrating its sixtieth year of providing therapy services to people in the West Texas area.

In 1953 the doors to a small rehab located on Dotsy Street opened to provide therapy services to children because of the polio epidemic. In 1954 the Permian Basin Crippled Children Rehabilitation Center was incorporated. Since that time thousands of children and adults have come through the doors seeking help and looking for hope.

The success of the Permian Basin Rehab Center has been due to the overwhelming generosity of the people in this community and the dedicated and compassionate staff. For 60 years the mission has been simple and remained the same. The Rehab Center is here to encourage those who face difficult and challenging situations and to give hope and support for people throughout the Permian Basin.

For 60 years therapists have provided treatment to patients that suffer from devastating accidents, birth injuries, syndromes, strokes, and developmental delays. All of the patients that have been seen at the Rehab Center since 1953 have had their own unique story to tell. One common thread shared in each of their stories is the desire for others to look at them and see who is on the inside. They all want others to know…“there is more to me than who you see.”

The therapists at the PBRC look past what they see on the outside and look within the person. They see who they are and all that is possible for them. There is always hope that the patient will make a positive change. Hope is what motivates therapists and their patients. Hope is what connects us, inspires us, and encourages us.

PERSONAL CONNECTIONS: OUR PATIENT REPRESENTATIVE PBRC’s largest annual fund raiser comes in the form of the CBS7 Telethon—Connected to You. Locally owned CBS7 dedicates station time and resources for a nine-hour extravaganza of community involvement, great entertainment, and celebration of the human spirit.

Each year patients and families graciously share their stories of perseverance and hope with the CBS7 viewing audience through the Permian Basin Rehab Center’s annual Telethon. The Telethon raises much needed funds for the Patient Assistance Program. This year we are honored to feature five-year-old Preston Gray, son of Wes and Erica Gray.

Preston represents all of the patients at the Rehab Center and shares the message of “there is more to me than who you see.” At first glance you would assume Preston is like any other five-year-old boy. A boy that can tell you about his interests, ask you questions, tell you what he did at school, and share a silly joke. But Preston is not like any typical 5-year-old. When you try to communicate and interact with Preston, you become aware that something is very different. When Preston was two years of age, his parents were concerned that his speech was not progressing. Preston was frustrated

Preston reminds us that you must look beyond what is in front of you.

Make goals. Watch them be achieved. and had a very limited vocabulary. He had difficulty with his fine motor skills and the way he processed sensory information. He had trouble interacting with people, tolerating different noises, sounds, and textures of clothing, and communicating his needs. During a routine doctor visit, the physician mentioned to Erica that Preston may have autism.

The word autism was devastating to Erica. It was shocking and heart breaking. There was complete disbelief. Erica felt heartache for Preston and fear of the unknown. She felt that their “normal” had been taken away.

Preston has been seen by other physicians in the last three years and a diagnosis of autism has not been confirmed. Wes and Erica believe that this is both a curse and a blessing. Since there is no clear diagnosis, Erica feels that it reduces their worries about the various preconceptions and stigmas associated with autism, but makes it more challenging to find support for an undiagnosed problem. Erica brought Preston to the Permian Basin Rehab Center in October of 2010 for occupational therapy and speech evaluations. Since then, Preston and his mother have come twice a week from Midland to attend treatment sessions.

Erica found hope and a positive attitude for her

family at the Permian Basin Rehab Center. Goals are now set and being achieved. Preston surprises his family constantly and has achieved so much since his first day at the Center.

With the help of his occupational therapist, John Trotman, COTA, Preston has improved with his fine motor skills and tolerates textures, movement activities, and sounds without distress. Monica Pollard, M.S., CCC-SLP, his speech-language pathologist, has seen dramatic improvement with Preston. Initially, Preston had a limited vocabulary and did not interact with her or John during therapy sessions. Now Preston interacts, cooperates, and laughs with his therapists. Monica stated that Preston’s vocabulary has increased and he can answer simple questions and produce basic sentences. Preston has also improved in his social interactions and play skills.

“There is more to me than who you see.” There is more to Preston than he has yet to express.

Preston has taught his family and his therapists to have hope. Preston reminds us that you must look beyond what is in front of you. Make goals. Watch them be achieved. Watch the amazing person inside emerge.

an apple a day february 2013

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TELETHON 2013—CONNECTED TO YOU On March 2 and 3, CBS7 and PBRC host the 2013 Telethon. Funds donated during this year’s event help provide facility improvements, advanced therapeutic equipment, and financial assistance for qualified patients in need. News anchors Tatum Hubbard and Jay Hendricks head the CBS7 team along with dozens of PBRC board members, staff, and community volunteers to create a televised celebration of courage and hope. Corporate, foundation, and individual sponsors and donors are the heart of this effort.

The PBRC is celebrating its 60th Anniversary this year. As one of West Texas’ oldest non-profit organizations, the Rehab Center continues today what was started so long ago. All funds raised through the Telethon support the needs of the patients at the Permian Basin Rehabilitation Center and stay right here in West Texas. Your charitable gift is put to good use in your community.

The therapists and staff hope that you or your loved one never need the services provided at the PBRC. However, it is reassuring to know that the PBRC is close at hand when life presents challenges to your independence, health, quality of life, and opportunities for recovery. We will continue what was started 60 years ago.

There is always hope that the patient will make a positive change. Hope is what motivates therapists and their patients.

Hope is what connects us, inspires us, and encourages us.

We invite the entire Permian Basin to join us in our work to continue what was started 60 years ago. We will continue to provide quality therapy services to our families and neighbors who deal with challenges and disabilities. Please show your support. Make your pledge today by calling 432–332–8244, or watch CBS7 and pledge during the Telethon. Your gift can make a difference in the lives of ordinary people facing extraordinary challenges.

PBRC Telethon—Connected to You Saturday, March 2, 7:00 pm–11:00 pm Sunday, March 3, 1:00 pm–6:00 pm For more information or to make a pledge by phone, call 432–332–8244.

10 february 2013 an apple a day

EXTREM

E MAKE OVER:

R

eality TV host Ty Pennington may not have been in town, but the Odessa Family Y did experience an extreme makeover.

Entering to the whoosh of automatic doors, members and visitors are treated to a spacious and visually stunning lobby.

“The front lobby has looked the same for over 15 years,” said Y CEO Edward Moreno. “The biggest issue we had with the old lobby was a bottleneck effect. We would have members checking in, others trying to pay for memberships, plus parents signing their kids up for sports programs.”

Y EDITIO

by Wendy

Hilliard

N

Costing around $126,000, the project began right before Thanksgiving and was completed just before Christmas. In order to facilitate additional efficiency, suggestions from the front desk staff were implemented into the design.

To relieve overcrowding, the larger front desk is divided into several multipurpose areas. The south side of the desk is designated for youth sports registration. The center section is for member services and the north side for member check in. Each of the three areas has registers which are linked into the Y’s operating system called Active Net. This enables every register to perform needed membership tasks, program registrations, and accept water and snack purchases.

By the end of the first week of January the renovation was put to the test. “Fifteen people were lined up and we were able to take care of them quickly. The lobby is more free flowing now. When there’s youth sports registration, it can build up pretty quickly. Now instead of waiting,

12 february 2013 an apple a day

“The remodeling not only offers a modern look, but more importantly it gives us a chance to provide services for members in a way they deserve.” members can walk around the lines and check in,” said Front Desk Supervisor Heather Solis.

Another added amenity is the Y computer kiosk, located to the south of the front desk. Connected only to the Y’s Active Net, the computer allows members to make credit card payments for memberships and adult specialty programs such as the Big Loser and Boot Camp. Likewise, personal training sessions and swim lessons can be paid there too. “If the lines are long, the kiosk is available.

This is another facility feature to assist in speeding the process of taking care of business,” Solis said.

“It’s a nice update and needed to happen,” said Odessa Family Y member David Baldwin. “The Y needed to appeal to a wider clientele, step it up for the community.”

Certainly the nicest element to the lobby is the Hospitality Center. Upon entering the Y, everyone is greeted by an effervescent Maria Tercero.

Continued on page 21

for youth development for healthy living for social responsibility

there’s no better time to join the odessa family y

The Odessa Family Y offers the latest in technology and equipment, well-equipped facilities, nursery care for members, certified instructors and personal trainers, and dozens of exciting classes to fit anyone’s schedule…among many other amenities!

And we have no initiation fees, no hidden fees, and no contracts.

Come see why the Odessa Family Y is the #1 choice for your health and wellness.

for more information call 432–362–4301 odessaymca.org our new extended fitness hours Mon–Thurs, 5 am - Midnight • Fri, 5 am - 10 pm Sat, 7 am - 7 pm • Sun, 1 pm - 7 pm

Mindy Chris

Gabriel

NURSES UNLIMITED: Skilled Care Division

by Joy Harriman

N

urses Unlimited is using the remote Philips Patient Monitoring Service as a tool in their Disease Management Program, to help those with chronic illnesses monitor their vital signs at home, ease the burden on families and crowded hospitals, and build a safer home environment where patients can live with more confidence. The goals of this program include teaching patients and caregivers to manage their chronic diseases, reducing the need for re-hospitalizations and improving their quality of life.

The telemonitor helps detect changes in a patient’s condition at an early stage which may change the need for an emergency room admission. The telemonitor is an at-home device that measures weight gain, increased blood pressure, shortness of breath, fatigue, or edema. The results are checked by Nurses Unlimited daily or more often if necessary—any troublesome changes can be

addressed quickly. The monitor is to supplement nursing care, not replace it.

Sandy Nease, RN, WCC, Director of Nurses Unlimited Skilled Care Division, shared, “Home monitoring and real-time care for patients with chronic illnesses usually result in timely discharge from the hospital and better outcomes for the patients. This can reduce re-hospitalizations and visits to the ER. Our ability to treat patients where they live increases patient satisfaction, increases the care quality in the community, and builds better health care services throughout West Texas.”

A healthcare professional schedules a visit to the patient’s home to install the measuring devices and teaches the patient how to use them. Patients take their own measurements and answer surveys.

These surveys teach the patient about their disease, and provide important information to the nurse about the patient. All information is automatically transmitted right away to Nurses Unlimited for review.

The patient, the physicians, and Nurses Unlimited work together to determine how often and when readings should be taken. They also work together to come up with realistic goals for the patient. All care plans revolve around how the patient defines quality of life. Chronic care patients and their families are able to play a more active role in their own health by measuring their vital signs daily and having meaningful electronic conversations with their health care team. This personal involvement, combined with teaching and quality care, helps patients regain and maintain better health.

One of the great things is the immediate feedback the patient gets: it’s a direct causeand-effect way of learning.

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Managing a chronic illness is difficult. What to do and what not to do can be confusing when a patient has to change the habits of a lifetime. Patients often don’t

understand why they end up in the hospital again or what they need to do to prevent re-hospitalization.

The advantage of home monitoring is they learn quickly what works (and doesn’t work) as a nurse talks about what the daily readings mean. One of the great things is the immediate feedback the patient gets: it’s a direct cause-and-effect way of learning. Most patients love it because it gives them a sense of security knowing that someone is keeping an eye on them without being too invasive.

It gives families confidence that their loved one is being watched appropriately in a way that doesn’t invade their privacy.

Even those non-compliant patients see the immediate effect. For example, if they eat pizza, they may see a three-pound weight gain the next day which can put them in jeopardy as it means they may be retaining fluids. It may be hard to breathe or their legs may be swollen. The nurse can explain this to them at that time. Plus, patients can call anytime to talk about their readings or to ask questions.

“The monitoring works to prevent problems and to educate patients. It helps us catch things before their condition worsens. The monitoring lets us know that something may be wrong,” said Nease, Director of the Skilled Care Division.

“Most patients will have the monitor for about 60 days. If there is a problem, the nurse calls and asks the person how they’re feeling. The patient may be asked to take blood pressure or other vital signs again. At that point the nurse determines whether the situation needs a home visit, a call to their doctor, or a trip to the ER. Telemedicine also helps physicians as they can see two months of daily monitoring without having to keep the patient in the hospital.”

Because most patients with chronic illnesses also have more than one diagnosis, the whole situation can be overwhelming. Home monitoring can make a huge difference in teaching them and their family members how to manage a condition, giving them more control in their own care—which means they have a better quality of life with more time Telemonitoring helps at home and not alleviate the burden of living with fear due to home health care providers, their illness. Everyone decreases hospital and ER benefits from being given the opportunity visits, and allows patients to to live independent have a better quality and lives in the community.

more active life.

The rise of chronic conditions and the rapid aging of the population has shifted medical care from traditional hospital setting to the home. Telemonitoring helps alleviate the burden of home health care providers, decreases hospital and ER visits, and allows patients to have a better quality and more active life. This technology allows people to stay safely in their homes when otherwise they might have to remain in a facility.

Each Nurses Unlimited Clinician associated with this program has at least two years of direct care experience before completing extensive specialized training to understand the care protocols of the people they support. Staff members work directly with physicians, clients, and their families to develop customized care plans that can be scaled to fit any situation or budget. This program is fully supported by CMS. Continued on page 21

an apple a day february 2013 15

Continued from page 5 frequently cannot be achieved by any other methods; animals are able to bring people out of their shells and get them motivated to recover.

There are stories of children who learned to walk again because a dog was there to walk with them or learned to dress themselves because they acquired the necessary fine motor skills by grooming a therapy cat. Last week Josie and Rizzo were visiting the pediatrics unit and spent time with a three-yearold boy. Rizzo had been cuddling and leaning with the child. Later, in the hallway, the mother shared with Josie that their visit was the first time her son had smiled in a week.

Josie says, “Some patients are thrilled when they see Rizzo coming. A smile breaks out on their face and they’re so happy. It’s a total distraction from the

The sound of a cat purring can be as soothing to the heart as classical music; a dog wagging his tail at the sight of his owner can make him feel special and loved.

Rizzo takes a break at the end of the day

16 february 2013 an apple a day

regular events of being in the hospital for both the patient and their families. But we always check first to make sure it’s okay to come into the room. MCH has a wonderful program for so many reasons.

One of the main reasons is that someone from the hospital always goes with us for the whole hour; they check to see if we can go in and they stay with us. It frees us up so Rizzo can really bond with the patient.”

The benefits occur across a wide spectrum of people with severe and chronic depression who begin to talk, to approach others, to have hope because a therapy pet laid its head in their laps and “understood” or was loving and non-judgmental. A trained therapy pet can gently coax a patient into performing everyday duties, such as getting out of bed and out of the house to purchase pet food and other necessities. In return, a companion can offer emotional support and understanding. The sound of a cat purring can be as soothing to the heart as classical music; a dog wagging his tail at the sight of his owner can make him feel special and loved.

The protective effect of pets reduces cardiovascular complications due to the required exercise in walking or caring for an animal. More importantly, the companionship and relationship of therapy animals help reduce blood pressure, slow heart rates, and lower corrosive hormones generated by stress that damage arteries and play a part in so many diseases and disorders. Interestingly, it’s been found that dogs themselves undergo a 50 percent decrease in blood pressure when petted by humans, suggesting that the benefits of the human/animal bond are not in just one direction.

Visits from therapy dogs markedly reduced patients’ pain levels. Blood levels of endorphins generated by the body increase dramatically after dog visits—endorphins block stress chemicals and are the body’s natural narcotic. Pet companions reduce stress and alienation of old age and illness.

Alzheimer’s patients with a therapy pet have shown

increased positive social behaviors and decreased aggressive, agitated, and disruptive behaviors.

Therapy pets are tested and certified to meet specific behavioral, socialization, and health standards. The most important quality is the animal’s temperament; they must be predictable, steady in the face of unexpected events, and friendly. The human partner directs the behavior of the animal in a knowledgeable and safe method. Certification generally involves passing both a knowledge test and an animal-handler performance test. Written material is usually available for therapy pet handlers to study and many evaluators have classes available for those who wish to prepare for testing.

Here are two of the many therapy pet programs available: Therapy Dogs International and Delta Society. Therapy Dogs International, a non-profit that credentials dogs, reports that it has fielded 20,000 teams in the US and Canada. The Delta

Society, a non-profit organization that tests and certifies animal-human teams across the US, has gone from 700 animal-assisted therapy teams to over 10,000 teams in less than 20 years.

Love heals. No scientific study has identified exactly why pets boost our well-being, but for most of us that doesn’t matter. It’s enough to know that an animal’s affection is simple, easy and unconditional.

Continued from page 6 the phases of the emotional adjustment to limb loss. Ms. Braunstein brings that background and training to her work with the West Texas Amputee Support Group.

and practice skills in a supportive environment. The meetings are also useful for the caregivers, who are often the spouses; they can share information and their experience and can learn of issues about which they may not be aware. The meetings are valuable peer support.

Asked to name the main challenges an amputee faces, Ms. Braunstein listed four: 1) transportation, 2) employment, 3) housing, and 4) support to The West Texas Amputee Support Group is “find one’s way.” The West Texas Amputee Support associated with the Amputee Coalition of America, Group addresses these issues and more in its and here in the Permian Basin it works closely work with amputees in with the ABLE Center the Permian Basin and (info@ablecenterpb.org The meetings are also useful for beyond. For example, or 432–553–0953), the caregivers, who are often the help with transportation a local non-profit spouses; they can share information can include finding the organization in Odessa and their experience and can learn of most affordable and dedicated to helping issues about which they may not practical way to equip people with disabilities. be aware. a car with hand controls ABLE helps amputees so that an amputee can in many ways—from drive. WTASG meets monthly at the HealthSouth something as simple as getting a more comfortable Rehabilitation Hospital in Midland, where they cushion for a wheel chair to helping someone find gather for lunch and usually have a program with employment or locate assistance with utilities or a guest speaker. Participants also discuss issues in medications. ABLE is a source for information and their lives, such as phantom pain (pain which feels referral, it helps teach independent living and job like it is in the missing limb) and what medications skills, it advocates for people with disabilities, and work best. They also learn healthy coping strategies it offers peer support. The ABLE Center is also

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an Employment Network for the Social Security Administration. SSA pays ABLE to help people find work through the Ticket-to-Work program. This program offers recipients of SSI or SSDI a means of transition from government dependence to financial independence.

Another important program that the WTASG and ABLE Center work together on is the Texas Ramp Project. The volunteers of the Texas Ramp Project here in the Permian Basin build ramps in 17 West Texas counties for disabled or elderly people who need a ramp but otherwise can’t afford one. They built the first one in May, 2011, and they recently completed their 19th installation. The Texas Ramp Project only accepts client referrals from social service agencies and health care professionals— social workers, therapists, home health workers, etc.

Since its incorporation in 2006, the Texas Ramp Project has built more than 3,000 safe and durable ramps across the state.

The Amputee Coalition of America is the national advocate organization for amputees. It promotes

the interests of amputees in such areas, among many others, as fair insurance in both private and government insurance programs, travel accessibility, and supporting amputee armed forces personnel, both active and retired, and their families. It offers a series of reading materials on limb loss in addition to a bi-monthly magazine. And the coalition also offers a wealth of resources for amputees on its website (http://www.amputee-coalition.org).

West Texas Amputee Support Group’s only function is to serve the needs and offer assistance and resources for amputees in the Permian Basin area.

As you can see, it is associated with groups which can be a huge help to an amputee who doesn’t know where to turn. Kathie Braunstein’s work as a financial advisor was interrupted by the meningitis, the sepsis infection, and subsequent amputations, but in keeping with her attitude of “can” rather than “can’t,” she is resuming her career as she continues her work with WTASG. One hopes her attitude toward life rubs off on all the amputees she helps with the West Texas Amputee Support Group.

Lance E. Davis, MD Dr. Robert L. Chappell Welcomes

Dr. Lance Davis is a native of Dallas, and graduated summa cum laude from the University of Texas at Austin. He received his medical degree from the University of Texas Southwestern Medical Center of Dallas, graduating at the top of his class with distinction. He is a member of Alpha Omega Alpha Medical Honor Society. Dr. Davis completed his internship in internal medicine at Presbyterian Hospital of Dallas. He subsequently completed his dermatology residency at Scott and White Hospital, Texas A&M Medical Center in Temple, Texas. There, he served as Chief Resident of his residency program and had extensive training in clinical and surgical dermatology for patients of all ages. Dr. Davis is Board Certified by the American Board of Dermatology.

As a Board Certified Dermatologist, Dr. Davis enjoys complex medical and surgical dermatology diagnosis and treatment. When he is not working, he enjoys spending time with his wife, Lauren, and their son, Grayson. His hobbies include snow skiing, fishing, and hunting.

2487 E. 11th, Odessa 432-333-6603

Time: 9:00 am – 1:00 pm Screenings begin at 9:00 am Location: MCM Grande Fun Dome 6201 East Business 20 Odessa, TX 79762 Admission Fee: $10.00 To Register: Call (432) 640-6000 RSVP required for luncheon Web: www.mchodessa.com More Information: Join us for a special luncheon with LaDonna Gatlin as she presents Tune Up Your Life. LaDonna will sing her message about handling anything life throws at us.

Get Your Dance On! Saturday, February 23, 2013 Across the United States and in your community —

dance, learn simple ways to stay healthy, enjoy music and participate in health screenings.

© 2012 Spirit Health Group. All rights reserved.

CHIROPRACTIC -

without the crunch!

Rowland Chiropractic, PC

• LOW E R BAC K PAIN

• SH O U LDE R PAIN

• HE ADAC HE S

• K NE E PAIN

Matthew B. Furst, m.d., p.a.

Diplomate American Board of Surgery Diplomate American Board of Plastic Surgery

Providing specialized assessment & treatment through a full range of plastic surgery solutions.

Come visit us at our new location!

Santa Fe Square

•

3952 E. 42nd, Ste J

(432) 617-4564

•

BREAST SURGERY • Augmentation • Reduction • Reconstruction • Lift

BODY CONTOURING • Abdominoplasty • Liposuction

Odessa, TX 79762

w w w. ro w l a n d c h i ro . c o m

(432) 580-8044

318 N Alleghaney, Suite 400 Odessa, TX • 79761

Continued from page 13 Tercero, also known as the Y’s Customer Service/ Community Relations Director, when not at her desk, can be seen throughout the Y giving tours. She also visits area businesses distributing information about the Y’s quality programs and competitive corporate pricing. Class schedules and most Y information can be found at the Hospitality Center.

Stationed at the center, Tercero sees everyone. She also knows their workout habits. “I know who’s missing, who comes and who doesn’t.” Tercero said. “I like to give them a hard time and make them feel guilty, but with love,” she added impishly.

New wheelchair ramps have also been installed to make the Odessa Family Y easily accessible for all members of the community.

A stranger to no one, Tercero is the ideal person when it comes to Y hospitality. “Maria personifies what the Y is about. She always has a smile and exudes everything about the Y,” Baldwin said.

Pleased with the finished product, Moreno watches as the front desk staff swiftly handles the Y’s dayto-day business. “The remodeling not only offers a modern look, but more importantly it gives us a chance to provide services for members in a way they deserve,” Moreno said.

Continued from page 15 The following suggested guidelines help identify those who could benefit from participation in the home telemonitoring program: • Patients with cardiac, respiratory and/or diabetic disease processes • Patients with complex medical problems • Patients with multiple hospitalizations or frequent emergency room visits • Patients or caregivers with the ability to learn how to correctly use the devices • Poor compliance with physician prescribed treatment plan (including, but not limited

to, self-reported measurements, diet, and/or medications) • Patients newly diagnosed with a disease, or medication changes Links to information and other awareness resources can be found on the Nurses Unlimited web site at www.nursesunlimited.com.

an apple a day february 2013 21

POINT.

CLICK.

BANK.

Pay bills or run your business on our all new simple, yet sophisticated, online banking platform 7281 Tres Hermanas Boulevard | Odessa, Texas

aimbankonline.com

Cooking With Kim Winter 2013 Class Schedule February 7 – “Valentine’s Day Special” Learn to cook a romantic dinner for two instead of fighting the crowds this Valentine’s Day. Make this year a special night in.

February 21 – “Mama Mia! It’s Italiano! Part 2” Italian made simple, healthy, and full of flavor. Have guilt-free meatballs and pizza with these recipes.

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 SUCCESSFUL WEIGHT LOSS BEGINS WITH…YOUR PEN!

I

approach every January with the thrill and anticipation I remember as a child on the first day of school. I will admit that I loved all of the new school supplies. I would (and still do) spend hours organizing my new notebooks, pens, highlighters, and folders in preparation for the new school year. Now, I feel the same about January. I buy myself brand new spiral notebooks and begin writing all of my goals for the New Year. What does this have to do with weight loss and success?

The key is “journaling.” There is no greater accountability tool than writing down a goal you want to achieve. There’s something about putting your goals on paper that makes them either seem attainable or unimportant. It’s an easy way to begin sorting which goals are at the top of your priority list so you can develop a plan to accomplish them.

For many of you, this is as far as you get, and your hopes of lowering your cholesterol, losing 10 pounds, running a marathon, learning Spanish, or taking a family vacation simply slip away by February.

For journaling to help you, you must actually rethink the way you write down your goals. This is a revelation that I personally had this year!

Yes, I’m still learning and fine tuning my processes of gaining success right along with you.

Here’s what I have changed (hence one of my new goals) for this year. I tend to place very high expectations on myself from the beginning and write goals that are only long term, too general, and even maybe too ambitious, setting myself up for failure from the beginning. For instance, one of my goals for 2013 is to do another 70.3 Ironman

Aqua-bike in June (Great! Now I have to do it!). I must interject here that two years ago I had major reconstructive foot surgery that I am still recovering from now. My last triathlon of any distance was three years ago. So, this is a very big challenge and long term goal. I realized that mentally I need to set several short term goals (monthly) and even “micro” goals (weekly and daily) for me to stay on track and not get overwhelmed. When we set our sights too far into the future (lose 50 pounds) or be too general in our goal setting (lower my cholesterol), we get discouraged easily and quit before we ever really get started.

I realized that I needed to set myself up for success—not failure. We as humans need more of the positive feedback that short term successes give us on a regular basis in order to keep going.

It’s like mile markers in a marathon. If you don’t know how far you’ve come, it’s hard to keep going.

Many would quit at mile 25 not knowing they were around the corner from the finish. We can all say to ourselves “just one more mile!”

Therefore, I encourage you to dig out your 2013 goals (resolutions) that some of you have already given up on and put in the drawer. Set specific daily or weekly steps to help you achieve your long term vision. This will not only help you stay motivated by giving you a sense of accomplishment, but over the long term help you achieve those goals that may seem a little out of your reach!

If you need help restructuring your goals into more manageable attainable ones, email me. I’m glad to help.

Special thanks to this month’s contributor: Kim Clinkenbeard, CPT, FNS getfitwithkim@cableone.net

an apple a day february 2013 23

woof, woof!

the dog blog by mindy

Keliree Mitchell founded Pet Spotters, 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.

P

etspotters is starting the year off great with so many great rescue stories. I know that I always say this, but people are incredible. It’s amazing to see the effort strangers will put forth to help someone find their lost pet. The caring and commitment that goes into each success story will often cause me to be teary eyed. It’s like a puzzle, only way better when you find that missing piece that connects the owner to the animal. The wonderful people on Petspotters page—who care about you and your pet—are who make it work.

I’m sure everyone knows the page was started when I lost Mindy, and I have talked about my other two dogs Mickey and Missy quite a bit. They have been with our family a long time. Missy is almost 15 years old and Mickey is almost 12. They are pretty good dogs that don’t usually cause any trouble, however once in a while they will do something that shocks me.

They are pretty good dogs that don’t usually cause any trouble, however once in a while they will do something that shocks me.

After the holidays, I was cleaning house and putting all the decorations back in the attic. I was in the garage, sweeping up, when I moved a few shelves and swept behind them. I noticed that I had swept up a blue brick of mouse poison that I had put there in the spring. Not really thinking about what I was doing, I swept all the dirt into the dust pan and then I casually tossed the blue brick back behind the shelves just because it still looked new. I continued with my chores and about an hour later, I noticed that Mickey was

24 february 2013 an apple a day

coughing. I went over to him and he was chewing on the blue brick of mouse poison. I was instantly in a panic. My husband grabbed him up and I looked up the SPCA Poison control phone number that I had written about. Thank goodness I still had the phone number. However, when I called it they wanted a $39.95 credit card payment to give any information. So I hung up and called the Permian Basin Emergency Vet Clinic.

I wasn’t sure they would even be open because it was a holiday and after hours as well. But a very friendly lady answered the phone and my husband took him in right away. Thanks to the caring ladies at the Permian Basin Emergency Vet Clinic, Mickey is doing fine. They saved his life. Those are the type of people on Petspotters. People that will take charge when it matters and step up and save a life.

Strangers caring about my dog and showing that his life was important.

As for me, I learned a big lesson. Just because my dogs are older, I can’t assume they won’t bother things that aren’t good for them. I still need to be cautious and remember they are dogs and don’t know what poison is. I learned that it only takes a second to do something you will regret.

Special thanks to this month’s contributor: Keliree Mitchell Founder, Pet Spotters www.facebook.com/petspotters

I’m

Playing My Best

Game Ever.

“Two heart attacks, an emergency flight to Odessa and a life-saving heart catheterization - all in less than 24 hours.

If it didn’t happen to me, I wouldn’t have believed it.

What the Cardiac Team at Medical Center Hospital did to save my life was… simply amazing.”

Mike Emmerson MCH Cardiovascular Patient

The MCH Center for Heart Disease features a complete cardiovascular treatment, diagnosis and rehabilitation program, including: • The only Accredited Chest Pain Center with PCI in Odessa • Peripheral Vascular Suite • Region’s only Electrophysiology Suite • State-of-the-art Cardiac Catheterization Labs • Most experienced Catheterization Lab in the region - 40 years experience - Over 65,000 cases • Cardiac Rehabilitation certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)

www.mchodessa.com

(432) 640-6000

health & beauty WHAT TO WEAR FOR A JOB INTERVIEW

C

ongrats! You have a job interview scheduled, your resume edited and printed out, and now all you need to do is find an outfit that is sure to make an excellent first impression. While some people don’t give much thought to what they wear on a first job interview, the truth is how you initially appear to the hiring manager in the first few seconds upon your meeting can make or break your chances of having a career with the company. If you want to be sure you dress in the most appropriate manner, use these job interview attire tips and advice to learn how!

PROPER GROOMING IS A MUST: HAIR & NAILS The first thing you need to worry about when dressing for a job interview is not necessarily what you’re wearing, but how you look. Be sure your hair is neat, clean, and tidy. If you are a woman applying for a business job and have long hair, pin it up. Most people don’t feel flowing hair is appropriate on ladies in a business environment.

Something as simple as pinning up your hair can allow the hiring manager to take you more seriously as a business woman. Don’t forget to also consider your nails. Most hiring managers will be looking at your hands when you shake hands as you meet. So be sure your manicure is fresh and your nails are painted with a neutral polish. Your first appearance can be everything so prepare for it!

IT’S BETTER TO BE OVER-DRESSED! When you’re dressing for the interview, think about a few things. First, consider the dress code of the current employees and try to mimic it without falling under it. In

fact, it’s best to always dress a little sharper than current employees without going overboard. A classic suit is often a great choice for any business or office job. Of course, even if there are uniforms for those who are employed, try to dress your best for an interview. There are very few managers complaining when a potential employee is overdressed.

HOW TO USE ACCESSORIES: KEEP IT CLASSIC AND SIMPLE For the most appropriate interview style, be sure not to overdo it on accessories. Unless you are applying for a fashion industry job you’ll want to stick to minimal accessories. Perhaps a single necklace, small earrings, and your wedding rings might do the outfit justice. If you tend to overdo it with accessories, think about putting on what you think looks good and then always taking off at least one jewelry piece before leaving the house.

On another note, while a nice watch can certainly complement a business look, if you have a habit of glancing at your watch when you get nervous be sure to leave it off during the interview. Otherwise, you’ll simply look as if you don’t want to be there or don’t have time to invest in the interviewing process. Either way, you won’t look professional and you won’t get the job.

WHAT FASHIONS TO AVOID FOR AN INTERVIEW Under no circumstances should you ever wear any type of clothing which may expose your body unnecessarily. Conservative clothing is a must during any type of job interview. Even if you feel those who work at the office dress less conservatively, it’s always best to err in the side of caution when dressing for a job interview. Never wear mini skirts, tight-fitting or low-cut blouses, or heels you can’t comfortably walk in (for women). Simple, closed-toed heels that are less than two inches in height are best.

This month's article courtesy of www.freebeautytips.org

an apple a day february 2013 27

Blueberry Breakfast

by Kim Clinkenbeard, CPT, FNS Start your day right on track with this hearty breakfast packed full of protein and healthy omega-3s.

1 cup quinoa, rinsed 1 cup frozen blueberries (or fresh if in season) 2/3 cup honey 1/4 cup walnuts 1 tsp. nutmeg 1 tsp. cinnamon 2 cups water 1 cup plain unsweetened Greek or Bulgarian yogurt In a medium saucepan, bring the water to a boil. Stir in the quinoa, cover and reduce heat. Simmer for about 10 minutes, or until water is absorbed (or follow the directions on your package). Remove from heat and add blueberries, walnuts, 1/3 cup of honey, nutmeg, and cinnamon. Let cool. Divide the blueberry quinoa into 5 bowls and top each with a spoonful of the yogurt and drizzle with the remainder of the honey. Serves 5.

distribution points MIDLAND Flat Belly Organics 3326 N. Midkiff Rd.

28 february 2013 an apple a day

ODESSA University Pharmacy and Medical Supplies 4850 E. University Blvd.

Graham Pharmacy 1601 W. Wall St.

Fit Family Fitness 3404 N. Midland Dr.

Harmony Health Food Shoppe 3110 E. University Blvd.

Suite A

HEB Pharmacy 3325 W. Wadley Ave.

HEB Pharmacy 3801 E. 42nd St.

Albertsons Pharmacy 1002 Andrews Hwy. 4706 N. Midkiff Rd. 3317 N. Midland Dr.

Albertsons Pharmacy 1350 E. 8th St. 4950 E. 42nd St. 2751 N. County Road W.

Walgreens Drug Store 330 N. Midland Dr. 215 Andrews Hwy. 4313 Andrews Hwy.

Walgreens Drug Store 801 Maple Ave. 2161 E. 42nd St. 1305 W. University Blvd.

The Odessa Family Y 3001 E. University Furr’s Music City Mall Smith’s Shoes 5101 Twin Towers Super Shapes 5000 E. University Blvd.

Hunt Advertising 3527 Billy Hext Rd.

It feels that good.

Air Conditioning HeAting Plumbing ro WAter insulAtion

residentiAl & CommerCiAl serViCes

Plumbing License #M17232 TACLA 018669E

An indePendent trAne deAler

MIDLAND/ODESSA

Remodeling & Conversions • New Construction • Complete Repair Services • Heat Pumps

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

Shortness of Breath Center Can’t do as much as you used to do?

Is shortness of breath slowing you down?

Midland Memorial Hospital’s Shortness of Breath Center is designed to help people who have difficulty breathing.

Get some quick answers to this common and potentially serious problem.

Possible causes of shortness of breath: • Heart valve problems • Weakened heart muscle • Blockages in heart arteries • Emphysema • Asthma • Sleep apnea

• Lung Disease • Blood Clots to lungs • Anemia • Thyroid disease • Metabolic disorders • Obesity

If you or someone you know has been troubled by shortness of breath, or has been told they have a heart murmur, call 432-221-2AIR or 432-221-2247.

400 Rosalind Redfern Grover Parkway Midland, Texas 79701 www.midland-memorial.com