april 2015
Wellness For Life
YOU CAN MAKE DREAMS COME TRUE PBRC’s Telethon aims to provide for those who deal with challenges and disabilities pg. 12
Sirisha Yarlagadda, MD FACC joined practice in 2009
James Barnett, MD FACC joined practice in 1995
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Visit us at permiancardiology.com for more information. Come visit our office at: 400 Rosalind Redfern Grover Parkway, Suite 240 Midland, Texas 79701 432-683-2723
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We’re in bcampaigns e cy n th ptimizemedia e d g n d osocial a a n g a e is isin building advertising s profile marketing logos monitoring identities alternative advertbrand e expertcorporate y’ n th a p ve a m h co e ur informational materials presentation And w packages business elevate yoand cceed.stationery . sucards ing canbrochures dollarsand rtiscatalogs ve d rtisingindoor A t folders postcards direct mail book publishing ve n d u a H r . u om banners trade n yo pe g.coutdoor f p o a in h is se u rt e e pens show displays and booths th corporate gifts and awards mugs notepads caps ntadvlabels u .h w w w 339 •other promotional materials fleet graphics vehicle vinyl stickers clothing bumper stickers 50–7 2–5 3 4 wraps television spots radio commercials billboards outdoor signage point of purchase displays web site design content developement web site hosting email hosting search engine optimization online advertising facebook advertising campaigns social media site set-up social media monitoring brand building advertising corporate identities alternative marketing logos business cards stationery packages brochures and informational materials presentation folders postcards direct mail catalogs book publishing indoor and outdoor banners trade show displays and booths corporate gifts and awards labels pens mugs notepads caps clothing bumper stickers vinyl stickers other promotional materials fleet graphics vehicle wraps television spots radio commercials billboards outdoor signage point of purchase displays web site design content developement web site hosting email hosting search engine optimization online advertising facebook advertising campaigns social media site set-up social media monitoring brand building advertising corporate identities alternative marketing logos business cards stationery packages brochures and informational materials presentation folders postcards direct mail catalogs book publishing indoor and outdoor banners trade show displays and booths corporate gifts and awards labels pens mugs notepads caps clothing bumper stickers vinyl stickers other promotional materials fleet graphics vehicle wraps television spots radio commercials billboards outdoor signage point of purchase displays web site design content developement web site hosting email hosting search engine optimization online
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OUR ADVERTISERS front inside First Physicians 1 Permian Cardiology, Inc. 2 Hunt Advertising 2 Furst Plastic & Reconstructive Surgery 2 Occasions Fine Jewelry 5 MCH 6 PBRC Telethon 2015 9 West Texas Orthopedics 10 The Odessa Family YMCA 10 Laser & Aesthetic Center 14 Freedom Buick GMC Truck 17 Robotic Surgery MMH 20 Cooking with Kim 20 ORMC 23 Earlene Smith 23 Other Remedies 23 The Springboard Center back inside National Cooling, Heating & Plumbing back cover Permian Basin Chevy Dealers
Wellness For Life
7
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; Joy H. Coleman; Wendy Hilliard; Kathy Y. Hollmann; Tatum Hubbard; Ben McCampbell; Earlene Smith; Steve Thomason Photography PBRC, Studio 7, 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.
8 4 Something New This Spring 7 The Truth About Vaccines
21 Get Fit with Kim: Dreaming of Sleep 22 Health & Beauty: Projecting a Positive Image
8 Playing It Safe 11 Spring Into Action
24 Recipe: Sweet Potato Mash
12 You Can Make Dreams Comes True 15 What is Addiction?
ON THE COVER You can help make dreams come true during PBRC’s Telethon, which aims to provide for those in our community who deal with challenges and disabilities.
READ MORE ON PAGE 12 an apple a day april 2015
3
Something New This Spring by Tatum Hubbard Show Creator, Host, and Producer CBS7 Evening News Anchor
I
don’t know about you but, I’m ready for spring! Warmer weather. More sunshine. New food, new flowers, and new opportunities. For me, April always brings a renewed eagerness to try something new. A few years ago it was family bike riding. (That wasn’t very successful.) Another year it was planting flowers in the beds in front of my house. (Moderately successful.) This year I might try cooking fish! (Renne had some great ideas on our March 9th “Kiss the Cook” segment!) So what’s on your mind this spring? A new activity? A new craft? A new approach to some of life’s challenges? Whoever came up with the phrase “spring cleaning” must have had the same yearly inspiration. The need to simplify things is good for the soul. Here’s a great example: we have one drawer in our bathroom that is a total mess. (Okay…we have several junk drawers but this one really drives me crazy!) It’s filled with earrings, hair clips, and pony tail holders that we’ll never use. Every time I walk by that stupid drawer, it makes me feel out of control and angry. Finally I’d had enough. Without any planning, I started throwing things away. Handfuls of stuff. I even sanitized. It only took 15 minutes but I felt accomplished. Proud of myself. In control! Next week I might just show my pantry who’s boss!
Sometimes all it takes is one drawer, one step, or one conversation to set you on the right path! Take a look at this delicious fish recipe I’m going to try for the very first time. Here’s to a very productive and happy spring!
PARMESAN GARLIC SALMON PACK 6 oz. portion of salmon 7 fresh asparagus spears 1 Tbsp. whipped light butter 1 Tbsp. grated parmesan cheese 1 clove fresh garlic, pressed 2 tsp. lemon juice Black pepper to taste Preheat oven to 375˚F. Arrange asparagus spears on foil and top with salmon. Mix remaining ingredients in bowl to make a paste. Smear on top of salmon. Top with another piece of foil and cover everything and fold up the sides. Place on cookie sheet and bake for 25–30 minutes. Enjoy!
Join Us! • Weekdays 4:30 pm on CBS7 • Mondays 9 pm on MyTV 16 4 april 2015 an apple a day
Thanks to our Studio 7 partners!
Remember when everyone wanted to look like this? Been a smoker all these years? You’re probably due for a lung screening.
National studies show significant reduction in death from lung cancer among current and former heavy smokers when they are regularly screened using a low-dose CT (computed tomography) scanner.
The Lung Screening Program at Medical Center Hospital: • Medicare and most private insurance companies cover this exam • Assistance from a dedicated Nurse Navigator • Support for people wanting to quit smoking It’s safe, effective and could be a real lifesaver.
Medical Center Hospital is proud to offer this safe and effective screening through our unique Lung Screening Program.
Make Your Screening Appointment Call the MCH Nurse Navigator at (432) 640-1578 to make your appointment. A physician referral is required.
• 500 West 4th Street • Odessa, Texas 79761 • (432) 640-6000 • mchodessa.com
Making dreams come true… As one of West Texas’ oldest non-profit organizations, you can help the Rehab Center continue its original mission of helping children and adults who face difficult and significant challenges. Your donations to our Telethon support the needs of our patients at the Permian Basin Rehabilitation Center and stay right here in West Texas. You have the opportunity to make your community stronger. With your gift, you are recognized as a strong community supporter and receive ongoing television exposure via our 9 hour televised event on CBS7. Critical to the Rehab’s success are the many people, like you, who take an active role in helping patients reach their goals and achieve their dreams through generous donations. We ask that you consider joining our corporate sponsors that make our community strong:
Saturday, April 18 7:00-11:00 pm Sunday, April 19 1:00-6:00 pm
• Bobby Cox Companies • Any Seasons Travel • Betenbough Homes • H.E.B. • Frost Bank • Lithia Toyota of Odessa
• Security Bank • Southwest Bank • RK Pump & Supply • Kent Companies • McAlister’s Deli
Permian Basin Rehabilitation Center is a 501 (c) 3 organization. Your gift is tax deductible as allowed by law and 100% of donations stay right here in our community.
6 2 0 No rth A l l eg haney, O dessa, T X 432-580-4304 www.pbrehab.co m facebo o k. co m/ pbrehab
the truth about vaccines by Ben McCampbell
T
here have always been opposing sides in the vaccination debate, but the recent rash of measles outbreaks has intensified the discussion. It’s nothing new. As far back as 1855 Massachusetts passed a law mandating vaccinations for schoolchildren. Other states followed, and it didn’t take very long for opposition to the practice to become organized. The Anti-Vaccination Society of America was founded in 1879 in response to states enacting vaccination requirements. Federal participation in vaccinations started in 1813 when President James Madison signed a law encouraging vaccination, but not requiring it. And to this day, the U.S. government has plenty of guidelines and recommendations, but there are no federal laws requiring vaccinations. However, all 50 states require certain vaccinations for children entering public schools. All 50 states issue medical exemptions, 48 offer religious exemptions (all but Mississippi and West Virginia), and 19 states allow exemptions for philosophical reasons. You might assume that vaccination against disease is a recently developed practice. In fact, the Chinese used inoculation techniques against smallpox as early as 1000 AD, and similar techniques were used in Africa and Turkey. The first record of vaccine promotion in the United States was in 1721, when Cotton Mather, a Puritan minister, encouraged his congregation to get vaccinated in response to a smallpox outbreak. Vaccination as we know it was developed by Edward Jenner, an English physician and scientist, in 1796. Jenner’s innovation, with refinements, was used for 200 years, and it eradicated smallpox. In 1801, Benjamin Waterhouse, a physician and one of the founders of the Harvard Medical School, began using Jenner’s “Cowpox Vaccine,” which led to Massachusetts becoming the first state to promote the practice of vaccination.
Proponents contend that vaccinations are safe and are one of the greatest health developments of the 20th century. They maintain that many serious illnesses, such as rubella, diphtheria, smallpox, polio, and whooping cough, are now prevented by vaccination and that millions of children’s lives are saved. And they say that adverse reactions are rare. Opponents insist that children’s immune systems can hold off most infections naturally, and that injecting a vaccine may cause side effects, including seizures, paralysis, and even death. They also say that numerous studies show that some vaccines may trigger problems like autism, ADHD, and diabetes. Let’s look at the details of both sides of the debate. Those who support vaccination, including the U.S. Centers for Disease Control (CDC) and most physicians, mid-level providers (nurse practitioners, physician assistants), and nurses who work in conventional medicine, claim that vaccines can save lives. According to the American Academy of Pediatrics, most childhood vaccines are 90%-99% effective. The United Nations says that vaccines save the lives of about 2.5 million children every year. Childhood deaths from measles have declined by 74% due to the use of the vaccine. Proponents say that the ingredients in vaccines are safe in the amounts used. Thimerosal (a mercury compound), formaldehyde, and aluminum can be harmful in large doses but are present in very Continued on page 16
an apple a day april 2015
7
Playing It Safe by Joy H. Coleman
W
elcome spring! And welcome a return to kids of all ages going outside and returning to sports activities. But getting hurt doesn’t have to happen: it’s estimated that half of all sports and recreation-related injuries can be prevented. Here is some useful information to help you reduce the possibility of injury. WARM UP AND COOL DOWN If a warm up and cool down are important before and after a game, then they’re equally important before and after a practice session, too. Before any activity, get your muscles warm and flexible by running and stretching. Then, cool down with stretching. Warming up prepares the body, especially the cardiovascular and musWhen placing your child in culoskeletal system, youth organized sports or for conditioning or the leagues, be sure to have stimulus phase of a them grouped by size and sport. The cool-down not just ability. phase assures venous return to heart is maintained in the face of significant amounts of blood going to previously worked muscles. BECOME MORE ATHLETIC Pay attention to which muscles you use when mowing the lawn, washing windows, or challenging a friend to a race. Focusing on specific body parts will increase your muscle strength, flexibility, and speed. Never play through an injury. Get immediate help from a coach and mention everything that hurts.
are associated with certain injuries. Make sure your child starts each season in a new pair of cleats. When placing your child in youth organized sports or leagues, be sure to have them grouped by size and not just ability. This is especially important in contact sports: a 9-year-old, 70-pound child should not be playing against an 11-year-old who weighs 100 pounds. PRE-SPORTS PHYSICAL Every child should have a pre-season physical, says the American Medical Association and according to the American Academy of Pediatrics, that physical should be sports-specific. The emphasis should be on quality, not quantity—once a year is enough if the physical is done properly. SUN BLOCK Always apply waterproof sun block with a Sun Protection Factor (SPF) rating of 15 or greater to exposed skin at least every two hours. If a child is sweating a lot or swimming, it may be necessary to reapply the sun block more frequently. SPF numbers refer to the product’s ability to block out the sun’s burning rays (UVB). If your child has skin that burns easily, you may need to use a sun block with a higher SPF or reapply more frequently. Look for newer sunscreens containing the highly effective UVA blocker Mexoryl SX, titanium dioxide, zinc oxide, or avobenzone, all of which block UVB and UVA rays. Continued on page 18
SAFETY GEAR AND FOOTWEAR Always wear appropriate protective gear for the activity—for practices as well as games—and make sure it’s the right size and properly adjusted. As a parent, it’s your direct responsibility to make sure your child plays in a good pair of soccer cleats. Old, worn-out cleats 8 april 2015 an apple a day
David Power, M.D. Specializing in total joint reconstruction
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WE HAVE SIX REASONS TO COME TO WEST TEXAS ORTHOPEDICS We’re West Texas Orthopedics. Our team has more than 100 years of combined experience as well as two locations serving the area. That all rolls up into one focus: you. We expertly and compassionately treat all sorts of injuries and orthopedic problems, helping our patients regain a quality of life and live pain free. OUR TWO LOCATIONS: 4214 Andrews Highway, Suite 208 Midland, Texas 79703 432.686.0321
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experience fitness at the odessa family ymca • Latest equipment and technology • Nursery care for members • Certified instructors and personal trainers • Fun classes to fit your schedule • No initiation fees or contracts 3001 e. university odessa, tx 79762 432–362–4301 • www.odessaymca.org
It’s All About You When you feel good about yourself, you have a better outlook on life. Our caring and professional staff uses the best science has to offer to help you look and feel your best. We have many great options for every need and every budget. We also offer thorough, private consultations with a medical professional and every client is treated like an individual.
Dr. Robert L. Chappell, Jr. Dr. Ritchie O. Rosso, Jr. 432–580–8060 • www.lacpb.net
Spring Into Action
P
by Wendy Hilliard
arents, mark your calendars. The Odessa Family Y has two fun events that will get kids hopping, skipping, and jumping into spring!
On Saturday, April 4th, the Odessa Family Y is hosting an Easter egg hunt. 10,000 eggs will be scattered and stuffed to the brim with goodies and prizes. “Some of the eggs will contain a Y family membership. We have some that include certificates for Y Youth programs like summer camp, flag football, soccer, T-ball, basketball and swim lessons,” said Odessa Family Y CEO Edward Moreno. The hunt begins at 10 am at Mike Neeley Park, located on Dawn Avenue across the street from the Y. The event is open to the community and children of all ages are welcomed. The fun continues on Saturday, April 25th. For the second year, the Spanish TV station Entravisión and the Odessa Family Y are combining resources to host Día De la Niños and Healthy Kids Day. Entravisión General Manager Letticia Martinez says it’s a chance for families to come together to play, learn, pick up product samples, and win prizes. “The first 1,000 kids will get a free hot dog and a drink. Coca-Cola will be giving away samples of Tum-E Yummies, their new healthier product. We will have jumpers, games, and lots of fun interactive activities. Inside the gym we will have information for children about healthy eating and dental hygiene. We will offer health screenings and the Ector County Library will be there to talk about their summer reading program,” Martinez said. In addition, entertainment will be provided by the Mariachi youth group and youth Folclórico dancers. The Odessa Family Y will have a booth with information about youth sports and summer
programs, to keep kids off the couch and staying active. “It’s important to dedicate a day to kids. To make them feel special. It’s also important that the day is not only about fun, but health too,” said Odessa Family Y Customer Service/Public Relations Director Maria Tercero. Thanks to many generous sponsors in the community, the seemingly endless amount of prizes is definitely a huge highlight of the event. “Last year we gave away 20 bicycles. It’s our 12th year to do the event. It seems to get bigger every year,” Martinez said. As children enter, they receive a numbered wristband. A matching numbered stub is then entered into the drawing. Last year, Tercero wrapped tiny wrists at warp speed. “I was trying to hurry to get the bands on fast so the kids could have fun!” Tercero laughed. Tercero’s 11-year-old granddaughter, Yamillie, assisted at the event last year. She plans to be at her grandmother’s side again this year. “I helped hand out bracelets and booklets. It was a lot of fun. There were a lot of activities, the jumpers were fun. The prizes were great! They gave away an Xbox. I liked seeing all the kids smiling,” she said. Family fun and fitness is an important message the Y’s CEO wants the community to embrace. “We want to promote healthy, active lifestyles. Our community’s health statistics rank the lowest in the state. Events like these give families, and especially children, the tools to reverse those statistics.” Día De la Niños/Healthy Kids Day is Saturday, April 25th, from 8 am to noon at Floyd Gwin Park. For more information contact the Odessa Family Y at 432–362–4301.
an apple a day april 2015 11
YOU CAN MAKE DREAMS COME TRUE by Kathy Y. Hollmann, M.S. CCC-SLP Director of Clinic Development & Marketing- PBRC
A
car accident. Learning your child has autism. An unexpected stroke to your loved one. These realities hit families every day in the Permian Basin, but amongst life’s unexpected challenges, we want you to experience hope at the Permian Basin Rehabilitation Center (PBRC). Being a part of the changes in the lives of our patients has been a joy for the therapists and their families at the Permian Basin Rehabilitation Center for 62 years. Whether the changes are small or great each is celebrated as a victory. Change happens every day. It can be a child with autism saying their first word or a deaf child hearing sounds after getting hearing aids. There is a great change for a child with cerebral palsy when their wheelchair is replaced with a walker or seeing an adult who suffered a stroke regain their independence. The success of the PBRC has been due, in large part, to the overwhelming generosity of the people in this community and the dedicated and compassionate staff. The mission has been simple and remained the same for the past 61 years. The Rehab Center is here to provide the highest quality of therapy to those who face difficult and challenging situations 12 april 2015 an apple a day
and to give hope and support for families throughout the Permian Basin. The Permian Basin Rehab Center is a multi-disciplinary facility that provides occupational, physical, speech, and audiological therapy services to people ranging in age from birth to geriatrics. Our mission is to facilitate continuity of care. The Telethon raises much needed funds for the Patient Assistance Program. The Assistance Program is supported by donor dollars and allows the Rehab Center to provide therapy and equipment, as well as make facility improvements to benefit our patients. 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. This year we are honored to feature seven-year-old Diana Venegas. Diana was born prematurely at 27 weeks gestation and weighed 2lbs., 6oz. She was diagnosed with cerebral palsy and started coming to PBRC when she was three years old. Basic skills like standing, holding a spoon, or dressing herself were incredibly challenging. After four years of intense therapy, we are proud that Diana is walking and running through our hallways at PBRC. Although she has achieved these great victories, she still faces the challenge of keeping her balance and controlling where she goes. She has gained some independence and a lot of confidence with her self-help skills and this is a source of great pride and joy for Diana and her family. Her therapy team is amazed at how much she has changed since her first day of therapy in July 2011. Cerebral palsy is a lifetime battle and as she meets each milestone and victory there will be more complicated skills that will challenge her. The PBRC team will be with her each step of the way.
Diana will be joined by amazing patients with a variety of diagnoses that share her same spirit of determination, hope, and perseverance during their lifetime journey towards these small victories. We love to share their stories and will feature some of our most inspiring patients during our nine-hour telethon April 18th and 19th on CBS7. Tune in to see Diana and meet: • Annabell, a four-year-old girl with cerebral palsy with a chromosomal defect is nothing short of a miracle. Her story is one of great change. • J.J. is a five-year-old boy with autism. His story shows us the complexity of autism and the amazing things that he is capable of. • John Hunter, a 52-year-old man who became a paraplegic after a motor vehicle accident last year. His attitude will inspire you. TELETHON 2015: I WANT TO HELP MAKE DREAMS COME TRUE On April 18 and April 19, CBS7 and PBRC host the 2015 Telethon. Locally-owned CBS7 dedicates station time and resources for a nine-hour extravaganza of community involvement, great entertainment, and celebration of the human spirit. 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, hope, and determination. Corporate, foundation, and individual sponsors and donors are the heart of this effort. As one of West Texas’ oldest non-profit organizations, the Rehab Center continues today what was started in 1953. All funds raised through the Telethon support the needs of the patients at
Diana Venegas at PBRC the Permian Basin Rehabilitation Center and stay 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 needs 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 invite the entire Permian Basin to join us in our work. We will continue to provide quality therapy services to our families and neighbors who deal with challenges and disabilities. Please show your support by watching us on CBS7 and making a pledge during the Telethon. Your gift can make a difference in the lives of ordinary people facing extraordinary challenges and give hope that dreams can come true. PBRC Telethon-Making Dreams Come True Saturday, April 18, 7:00pm-11:00pm Sunday, April 19, 1:00pm-6:00pm CBS7 Studio – Music City Mall To make a pledge before the Telethon by phone call 432–332–8244. For more information, to schedule a tour of our center, or to make a general donation to our Patient Assistance Program visit our website at www.pbrehab.com or like us on Facebook.
The success of the PBRC has been due, in large part, to the overwhelming generosity of the people in this community and the dedicated and compassionate staff. an apple a day april 2015 13
What is Addiction? by Steve Thomason, LMSW, LCDC Executive Director- The Springboard Center
A
ccording to the American Society of Addiction Medicine (ASAM), “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. A breakdown in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors” (ASAM, 2014). “Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.” (ASAM, 2014).
Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.
“Genetics account for about half of the likelihood that an individual will develop an addiction.
Environmental factors make up the other half. (ASAM, 2014) Coping Skills the individual acquires (through parenting or life experiences) can affect the extent to which genetic predispositions lead to addiction. (ASAM, 2014) Other factors that can contribute to addiction: • The repeated engagement in drug use or other addictive behaviors, causing neuroadaptation in motivational circuitry leading to impaired control over further drug use or engagement in addictive behaviors; • Cognitive and affective distortions, which impair perceptions and compromise the ability to deal with feelings, resulting in significant self-deception; • Disruption of healthy social supports and problems in interpersonal relationships which impact the development or impact of resiliencies; • Exposure to trauma or stressors that overwhelm an individual’s coping abilities; • Distortions in a person’s connection with self, Continued on page 19 an apple a day april 2015 15
Continued from page 7 small amounts in vaccines. The major medical organizations state that vaccines are safe. The list includes the CDC, the Food and Drug Administration (FDA), the Department of Health and Human Services (HHS), the American Medical Association (AMA), the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), UNICEF, and the World Health Organization (WHO), among others. Supporters of vaccination say that adverse reactions to vaccines are extremely rare, the most common being anaphylaxis (a severe allergic reaction), which occurs in about one in every million vaccinations. You’re more likely to be struck by lightning than have a reaction to the measles vaccine. Vaccines also protect the “herd.” Herd, or community, immunity means that when a substantial enough portion of a population is vaccinated against a contagious disease, it is unlikely that an outbreak will occur, which means that almost everyone in the group is protected. In a practical sense, vaccinations save families time and money. Children who have the flu or measles, for examples, require medical care and parents’ time off from work to care for the child. A vaccination which would prevent the disease is much cheaper than medical expenses and work time lost. Another benefit of vaccination is the protection of future generations. Vaccinated mothers are unlikely to pass viruses on to their unborn children. Vaccine can actually eradicate a disease. The last case of smallpox in the U.S. was in 1948, and the last case in the world was in Somalia in 1977. According to UNICEF, there were 500 cases of polio in the world in 2014 (in only three countries: Afghanistan, Nigeria, and Pakistan), down from 350,000 cases in 1988, due to vaccination programs. But all vaccinepreventable diseases have not disappeared, so vaccination is still necessary. Unvaccinated people who travel to vulnerable places can bring disease back to their home country. The opponents of vaccination make an argument, too. They point out that there are sometimes serious—and even fatal—side effects. Anaphylaxis, mentioned earlier, is a rare (one per million vaccinations) but life-threatening allergic reaction. And there are other possible rare side effects of all vaccinations, including seizures, coma, brain damage, learning disabilities, asthma, autism, 16 april 2015 an apple a day
diabetes, chronic inflammation, and other conditions. Vaccines contain harmful ingredients, but in miniscule amounts. Some physicians believe that thimerosal is linked to autism. In large doses, aluminum and formaldehyde are harmful to humans, as are other ingredients in some vaccines. One of the non-medical arguments against vaccination is that of individual rights and the prerogative of parents to decide what’s best for them and their children. Others object to mandatory vaccination on religious grounds. And some, for various reasons, object to the ingredients used in vaccinations, including chicken eggs, bovine casein, pig gelatin, and cells from insects, dogs, aborted fetuses, and monkeys. There are those in the opponent contingent who claim that vaccines are unnatural and that natural immunity, which children develop over time, is more effective than vaccination. Some of those point out that it’s best to wait to vaccinate while the child’s immune system builds up; you can always get vaccinated, but you can’t undo a vaccination. Others point to studies that say that vaccines boost immunity only temporarily, and that many vaccines have actually caused an increase in already-declining diseases. Some who are against vaccination feel that pharmaceutical companies are in business only to make a profit and cannot be trusted to make and regulate safe vaccines. Opponents of vaccination have many valid arguments against the practice, but there’s one that just doesn’t hold water—that the diseases that are targeted by vaccines have essentially disappeared. That’s certainly true, but wouldn’t one consider that the possible reason for the eradication could be vaccinations?
According to the American Academy of Pediatrics, most childhood vaccines are 90%-99% effective.
The debate is far from over, and both sides have their points—some strong, some suspect. But it would seem to me, if I may inject a bit of editorializing here, that it might be better to err on the side of caution and conventional medicine. It just seems like the benefits of vaccination outweigh the risks by a long shot.
“Robotic surgery is a great choice. I was in the hospital for one day, recovery was quick, and then I was back to living life.”
—Christine Morgan, Midland, Texas Robotic Surgery Patient
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Continued from page 8 JUMP WITH CAUTION When using a backyard trampoline, only allow one person on at a time and make sure the trampoline frame is covered entirely with shock-absorbing padding and enclosed by a mesh wall to reduce the chances of falling off. FLUIDS AND HYDRATION Protect yourself against any heat-related illnesses by prevention. Stay hydrated by drinking on a schedule—not just when thirsty. Encourage a child to drink 8 ounces of water or sports drink 15 to 30 minutes before a workout and take breaks every 15 to 20 minutes to drink about half that amount. After any activity, encourage drinking 8 to 12 ounces of fluid for each pound of fluid lost through sweat. As little as 10% dehydration can significantly affect rational thinking and kids get overheated more quickly than adults and can’t cool down as easily. Early signs of dehydration are: thirst, headache, dizziness or light-headedness, rapid heart rate, dry mouth, fatigue, muscle cramps, dark-colored urine, or no need to urinate. Those who are overweight or take medicine for asthma, attention deficit hyperactivity disorder, or allergies are at an increased risk of dehydration. At a minimum, a 5-year-old needs about 6 cups of fluids a day; a15-year-old, about 8. DENTAL INJURIES Many sports-related injuries affect the upper front teeth. Children who play sports without mouth protection are particularly prone to “knocked-out” (avulsed) teeth, chipped or broken teeth, and root canal treatment or capped teeth. Athletes are also more prone to the condition called “attrition,” the wearing away of teeth under physical pressure. Tooth injuries are more common in soccer, hockey, baseball, and basketball with the lowest reports of tooth injury occurring in football because of mandatory helmets, face guards, and mouth guards. 18 april 2015 an apple a day
Key to preventing any sports-related dental injury is athletic mouth guards which come in three types— only one is favored by dentists. Stock mouth guards can be purchased at any sporting goods store and only offer minimal protection. Mouth-formed mouth guards are the “boil and bite” type. These usually provide a false sense of protection and are generally ill-fitted and bulky in the mouth. The custom-fitted mouth guards are considered optimal due to their intimate fit against the teeth and soft tissues, enhanced retention and comfort, and minimal interference with breathing and speech. DON’T COUNT ON THE LIFEGUARD Drowning is the second-leading cause of accidental death in children ages 1 to 14. It most often happens when parents lose track of their kids for less than five minutes. If you’re around or near swimming pools make sure you have finished swim lessons, learned CPR, and have checked to see if the pool is child-proofed. Because the drowning process is very quick, it is not enough to rely on the lifeguard at a public pool to save your child. CONCUSSIONS Concussions occur when the brain crashes into the skull after a jarring impact. Initial symptoms are dizziness, headache, slurred speech, and confusion. In the long term concussions can cause extended memory loss, depression, and other symptoms of brain dysfunction. When experiencing a concussion, always tell the coach immediately, sit out the rest of the game, and see a physician. REST AND OVERUSE INJURIES Playing one sport year-round is rough on anybody. In taking breaks of various lengths you will help your body recover. Try to take at least two to four weeks off from competitive training each year. The point of being outside is to enjoy yourself and have fun. But go prepared and follow these guidelines!
Continued from page 15 with others and with the transcendent (referred to as God by many, the Higher Power by 12 steps groups, or higher consciousness by others); and • The presence of co-occurring psychiatric disorders in persons who engage in substance use or other addictive behaviors. (ASAM, 2014) Addiction is characterized by ABCDE: • Inability to consistently Abstain; • Impairment in Behavioral control; • Craving; or increased “hunger” for drugs or rewarding experiences; • Diminished recognition of significant problems with one’s behaviors and interpersonal relationships; and • A dysfunctional Emotional response. Addiction is also defined by problems with perception, learning, impulse control, compulsivity, and judgment. People with addiction often show a low readiness to change their behaviors despite increasing concerns from family and display a lack of appreciation of the severity of their problems. The extreme craving to use substances which is seen in many patients with addiction, underscores the compulsive aspect of this disease. “This is the connection with “powerlessness” over addiction and “unmanageability” of life, as is described in Step 1 of 12 Steps programs.” (ASAM, 2014)
Addiction is also defined by problems with perception, learning, impulse control, compulsivity, and judgment.
PRINCIPLES OF EFFECTIVE TREATMENT According to the National Institute on Drug Abuse (NIDA) scientific research since the mid–1970s shows that treatment can help patients addicted to drugs stop using, avoid relapse, and successfully recover their lives. Based on this research, here are a few of the key principles that should form the basis of any effective treatment programs: • Addiction is a complex but treatable disease that affects brain function and behavior. • Remaining in treatment for an adequate period of time is critical. • Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment. • Many drug–addicted individuals also have other mental disorders. • Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long–term drug abuse. • Treatment does not need to be voluntary to be effective. • Drug use during treatment must be monitored continuously, as lapses during treatment do occur. (NIDA, 2015) “Addiction professionals and persons in recovery know the hope that is found in recovery”. (ASAM, 2014) Recovery is available to everyone. Peer support such as that found in various “Twelve Step” groups is important to optimize treatment and recovery outcomes. “Recovery from addiction is best achieved through a combination of self-management, mutual support, and professional care provided by trained and certified professionals” (ASAM, 2014).
REFERENCES American Society of Addiction Medicine (2011, April 19). Definition of Addiction. Retrieved March 15, 2015, from http://www.asam.org/for-the-public/definition-of-addiction National Institute on Drug Abuse (2009, September). Treatment Approaches for Drug Addiction. Retrieved March 15, 2015, from http://www.drugabuse.gov/related-topics/treatment
an apple a day april 2015 19
Cooking With Kim Spring 2015 Cooking Class Schedule April 16th - Pizza Party You’ll never order out again with these grown-up pizzas the kids love to make and eat! April 30th - Veggie Delight A hearty vegetarian meal that even meat-eaters will love! Each class is $30–$40 (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!
We are an
Family
You’ve always been there for each other. It’s hard to trust the ones you love this much to the care of strangers, but at Odessa Regional Medical Center, you’ll find the desire to help others in the hearts and minds of our people. Our doctors and nurses are experienced in all areas of healthcare. Just as importantly, we treat our patients with kindness and respect. So when it comes to choosing a hospital, choose the one where people really care. At ORMC, we love what we do and we think it shows. Comprehensive Hospital Services: • Cardiac • Inpatient Rehabilitation • Critical Care • Mobile Health Screenings • Digital Imaging • Neonatal Intensive Care • Emergency • Pediatrics • Maternity • Surgery • High Risk Obstetrics • Weight Loss
In Partnership with Physician Owners
520 East Sixth | Odessa 582-8677 www.odessaregional.com
• Complete Care Clinics • Odessa Fertility Lab • Regional Perinatal Center • Women’s Center • Wound Care Center
The Castillos Odessa
get fit with kim DREAMING OF SLEEP
C
an you remember the last time you woke up feeling well rested and ready to tackle the day? If you answered, “no” you are not alone. Insomnia is rapidly becoming an epidemic affecting 48% of Americans, with the majority being women. Many things can contribute to sleepless nights: stress, medications, medical conditions like restless leg syndrome and sleep apnea, depression and anxiety disorders, etc. Pinpointing some of these can help you and your doctor diagnose possible causes for insomnia. However, once the above mentioned are ruled out as causes of your sleeplessness, it’s time to address your habits and lifestyle. Even if you do not suffer from chronic insomnia, it’s worth taking a closer look at your habits and lifestyle now, before you develop any sleep issues. Proper nutrition, hydration, and exercise all contribute to the quality of sleep you get—or don’t get. What you eat and drink, as well as when you eat and drink, all affect your sleep. Going to bed on a full stomach with hard-to-digest foods like red meat, cheese, and nuts will lead to disrupted sleep. You can expect to experience at best discomfort and bloating and at worst, acid reflux. Long-term consequences of acid reflux can lead to insomnia and even esophageal cancer. I recommend eating your last substantial meal at least 3 hours prior to bedtime to allow for proper digestion. A small snack like a green smoothie or easily digestible fruit will keep you satisfied without interfering with your sleep. The magnesium found in many fruits and vegetables also helps you relax and get better quality sleep. Dehydration is a leading cause of IBS and other digestive issues, restless leg syndrome, headaches, muscle cramps, etc. which all contribute to insomnia. Making sure you stay hydrated throughout the day (especially after exercise) will help ensure dehydration isn’t causing your ailments. If it’s hard for you to drink enough water throughout the day, try to get some of your hydration through your foods.
Soups, smoothies, watery foods like cucumbers, watermelon, and other fruits and veggies; and herbal teas are great ways to stay hydrated in addition to water. Relaxing teas like chamomile and “sleepy time tea” also help you sleep. Just try to drink them about an hour before bed so you don’t wake up in the middle of the night to go to the bathroom. Lack of vigorous exercise and physical activity throughout the day can actually cause fatigue and lead to sleepless nights. We should be moving as much as possible during the day and incorporate at least 30 minutes (I recommend an hour) of vigorous exercise six days a week. We will metabolize our food, oxygenate our bodies, and get quality deep sleep if we are active. However, vigorously exercising within two hours of bedtime can cause a spike in blood pressure and heart rate as well as dehydration which will disrupt your sleep. If you are unsure if you have good sleep habits or if you are getting enough deep sleep, there are several phone apps and trackers on the market. I personally use the Jawbone UP fitness tracker for myself and my clients. This particular tracker will tell me how long it took me to fall asleep, how many hours of light and deep sleep I got, how many times I woke up during the night, and more! It’s well worth the small investment to learn your sleep habits. Knowing what works for you is great. But sometimes knowing what does not work is even more helpful in conquering insomnia. Before trying temporary solutions like OTC or prescription sleep aides, try some of the techniques and gadgets mentioned above and in my previous articles first. In the long run, it will be a healthier option for your body and benefit your sleep long term. Special thanks to this month’s contributor: Kim Clinkenbeard, CPT, FNS getfitwithkim@cableone.net
an apple a day april 2015 21
health & beauty PROJECTING A POSITIVE IMAGE
O
ther than differences in coloring and the presence or absence of patches of hair on their wrinkled little heads, human babies all look about the same. Their movements and response to stimuli are also very similar. However, as they begin to mature, major differences develop. By the time they reach adulthood, these variations become remarkable. Some of the differences are beyond human control; however, many are the result of choices made by individuals. For this article, let’s focus on only the physical changes that emerge and how they are in our power to control. What about your overall health? When you eat foods rich in the required nutrients, and maintain a balanced pattern of rest and physical activity, you increase your chances tenfold of remaining in good health. Exercising and eating right are vital in maintaining good health and remaining active and alert into our later years. However, despite the best of lifestyles, weight may continue to be a problem, so most of us must count calories and reduce food portions to maintain an ideal weight. Remember the clean plate club reward of dessert ended about fifty years ago. Every extra pound you carry increases your chances of developing a chronic illness which greatly limits your life options. Why reduce your chance for a full happy life by continuing to make unwise food choices? Another major difference that occurs in our appearance as we mature, is, like a healthy life style, 22 april 2015 an apple a day
a matter of choice. Some individuals apparently just do not care how they look. They seem to take no pride in themselves, but are upset when treated with little respect by those around them. I have noticed, more than once, that the way a person presents himself in dress and grooming often dictates how he will be responded to by those around him. If several people walk into a crowded restaurant at the same time, I can almost assure you that the one who is well dressed and the most appealing in appearance will be seated first. Anyone who has ever applied for a job, as most of us have, has been told that appearance and conduct are the key to getting hired. We are all drawn to those who we admire, and those we admire are generally presenting themselves to the world as the best they can be. Take a minute to look at yourself in a mirror (ideally a full length) any time you are leaving the house. Would you want this image of you to be the one your family and friends carry with them? Most of us want those we care about to be proud of us and like to be seen with us. That most often happens when we care enough about ourselves to strive to be our best and present that best to our own corner of the world. Just for fun, dress in your most flattering color and outfit; spend some time on your appearance and go somewhere with a confident attitude. See if you notice a difference in the way others responded to you. Even if they fail to notice, don’t you feel better and more content with yourself? And remember to always smile. A smile is an instant face lift. I welcome your questions and comments at earlenes@cableone.net. Special thanks to this month’s contributor: Earlene Smith earlenes@cableone.net
Earlene Smith Executive Consultant 432-563-0682 432-553-9957 earlenes@cableone.net
“Changing skin. Changing lives.”
Are drugs or Alcohol destroying your life?
There is hope! Call today for help. Programs and services: • Medical detoxification • inpatient residential • intensive outpatient • Aftercare Program • family Program • Alumni Program
Admissions: 432–620–0255 • springboardcenter.org 200 corporate drive Midland, tX 79705
Sweet Potato Mash by Kim Clinkenbeard, CPT, FNS 1 medium sweet potato, peeled 1 Tbsp. unsweetened almond milk 2–3 tsp. organic minced ginger, jar ½ tsp. cinnamon Sea salt and cracked black pepper to taste Bake the sweet potato or cook in the microwave until soft. In a bowl, mash the sweet potato with the other ingredients. Makes: 1 serving. Tip: you can also use 1 cup of canned organic sweet potato or pumpkin.
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
Fit Family Fitness 3404 N. Midland Dr.
Midland Memorial Hospital West Campus 4214 Andrews Hwy.
Flat Belly Organics 3326 N. Midkiff Rd.
Palmer Drug Abuse Program 1208 W. Wall St.
Graham Pharmacy 1601 W. Wall St. HealthSouth 1800 Heritage Blvd. HEB Pharmacy 3325 W. Wadley Ave. Midland Memorial Hospital 2200 W. Illinois Ave.
24 april 2015 an apple a day
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.
First Baptist Church 709 N. Lee Furr’s Music City Mall Harmony Health Food Shoppe 3110 E. University Blvd., Ste. A Heaven Bound Daycare 507 Elliot HEB Pharmacy 3801 E. 42nd St. Hunt Advertising 3527 Billy Hext Rd. Medical Center Hospital 500 W. 4th St. Mission Fitness 8050 Hwy. 191
The Odessa Family YMCA 3001 E. University Odessa Regional Medical Center 520 E. 6th St. Permian Basin Rehab Center 620 N. Alleghaney 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.
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