An Apple a Day January 2015

january 2015

Wellness For Life

THE DECISIVE MOMENT

Odessa Family YMCA member Nancy Costilla shares her success story pg. 14

THE ODESSA FAMILY YMCA

David Power, M.D. Specializing in total joint reconstruction

John C. Dean, M.D. Specializing in shoulder and general orthopedics

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Daniel G. Nelson, M.D., P.A. Specializing in general orthopedics

Orthopedics Services

David J. Mallams, M.D. Specializing in wrist and hand surgery

James Adams, M.D. Specializing in hand and upper extremity surgery

David Hester, M.D. Specializing in foot, ankle and general orthopedic surgery

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

#10 Desta Drive, Suite 100E Midland, Texas 79705 432.686.0321

To learn more, visit us at westtexasorthopedics.com

connected to

You

Because of the generous donations from the community, the Permian Basin Rehab Center has completed construction on our new pediatric therapy gym.

The pediatric gym is used with children who are on the autism spectrum, children with cerebral palsy, traumatic brain injury, developmental delay, spinal bifida, and any other physical or cognitive challenges. The pediatric gym is designed to help a child gain coordination, increase gross motor skills, improve motor planning, develop core strength, and acquire confidence in their achievements.

620 N. Alleghaney Odessa, TX 79761 432–332–8244 fax 432–580–7428 connectedtoyou.org

The new pediatric gym is a wonderful childfriendly environment that will make a patient comfortable while working on therapy goals to learn skills lost to an accident or achieve goals that once seemed impossible.

Our therapists and their patients thank the community for making their dream become a reality.

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First Physicians West Texas Orthopedics PBRC MCH ProCare Healthy Kids Clinic Heart Institute MMH The Odessa Family YMCA Furst Plastic & Reconstructive Surgery Other Remedies ORMC Laser & Aesthetic Center Freedom Buick GMC Truck Permian Cardiology, Inc. Hunt Advertising The Springboard Center Cooking with Kim Earlene Smith Occasions Fine Jewelry National Cooling, Heating & Plumbing Permian Basin Chevy Dealers

Wellness For Life

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To advertise, contact Mary at 432–550–7339 Publisher Mary Hunt, Ha! Publishing Editor Evangeline Ehl Publication Manager Mary Hunt Sales Mary Hunt Writers Kim Clinkenbeard, CPT, FNS; Joy H. Coleman; Wendy Hilliard; Tatum Hubbard; Ben McCampbell; Earlene Smith Photography CBS7, The Odessa Family YMCA, Mark Swindler Design Sarah Fleck, Chantel Miller, Whitney Smith

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.

25 5 The Need for Nurses

6 You Can Quit

25 Get Fit With Kim: Do You Really Know How to Set a Goal?

8 Finding Balance in 2015

26 Health & Beauty: Happy New Year!

10 A Closer Look at Glaucoma

28 Recipe: Roasted Chicken and Veggies

12 Homeless in the Permian Basin 14 The Decisive Moment

ON THE COVER Odessa Family YMCA member Nancy Costilla shares her success story and plans for her fitness future.

READ MORE ON PAGE 14

an apple a day january 2015

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Healthy Kids

are Our Specialty

The ProCare Healthy Kids Clinic is offering full service pediatric care right here in Odessa. Come see Omosede Evbuomwan, M.D. and Zhibo Yang, M.D., PhD. They are accepting patients newborn to 18 years of age.

MEET OUR SPECIALISTS Omosede Evbuomwan, M.D., is a member of the American Academy of Pediatrics and is the recipient of various industry awards and honors.

Zhibo Yang, M.D., PhD, is fellowship trained and board certified by the American Board of Pediatrics. He is an active member of the American Academy of Pediatrics (AAP) and is a 2013 recipient of the AAP Award.

These physicians specialize in: • Newborn Care • Well Child Visits • Sick Child Visits • Immunizations • School Physicals • Sports Physicals • Childhood Obesity • Attention Deficit Hyperactivity Disorder (ADHD)

ProCare Healthy Kids Clinic 3001 JBS Parkway Odessa, Texas 79762 (432) 640-6772 www.ProCareOdessa.com Omosede Evbuomwan, M.D. • Zhibo Yang, M.D., PhD

the need for nurses

by Joy H. Coleman

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o keep up with the demand for qualified nurses some national organizations (the Institute of Medicine and the Robert Wood Johnson Foundation) have set a goal for 80 percent of the nation’s nurses to earn their bachelor’s degrees in nursing by 2020. Today the national average of bachelor’s-prepared nurses is 50 percent. Texas is below that at 37 percent.

Nurses with bachelor’s (BSN) or master’s degrees (MSN) are more likely to receive a job offer upon graduation than any other field, according to the American Association of Colleges of Nursing.

How are we doing in the Permian Basin? Read below to learn about nursing education opportunities in our own back yard.

TTUHSC Texas Tech University Health Sciences Center School of Nursing at Odessa is committed to preparing nurses to meet today’s complex health care environment. They offer many options in nursing education and you’ll never have to leave Odessa.

The School of Nursing at the Permian Basin is focused on primary care and rural health, at both the BA and master’s levels. The Traditional BSN program allows students who are not registered nurses to receive the latest in nursing education to prepare them to be nursing leaders.

The Second Degree BSN program offers a bachelor’s degree in nursing to those who have a bachelor’s

degree in any field and meet certain admissions requirements. This 12-month BSN program uses technologies in clinical competence assessment and web-based curriculum. Students gain clinical experience on-site at Medical Center Hospital, Midland Memorial Hospital, Nurses with and Odessa Regional Medical Center. bachelor’s or

master’s degrees

The RN to BSN web-based program are more is designed for a registered nurse likely to receive to earn a bachelor’s degree in a job offer upon nursing in two semesters. Students graduation than complete class requirements online any other field. and complete clinical requirements within the community. This program is for the busy RN who wants to advance into administration and nursing management.

UTPB The new four-year Bachelor of Science in nursing program at the University of Texas of the Permian Basin plans to graduate its first class in May 2015.

The program at UTPB became the second school to offer a bachelor of nursing degree and provides an opportunity for students residing in both rural and urban areas of the Permian Basin to have access to baccalaureate level nursing education.

UTPB has been preparing for more than a year to open a nursing program that began with 40 Continued on page 16

an apple a day january 2015

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YOU CAN QUIT

by Ben McCampbell

Smoking is a factor in many cancers, not just lung. It greatly increases your risk for emphysema, chronic bronchitis, and other lung diseases. Smokers are twice as likely to die from heart attacks as nonsmokers. Smoking narrows the arteries, increasing the risk for stroke. And it causes bad breath.

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o you know someone who smokes but would like to quit? This article can help.

Quitting smoking can be a matter of life or early death, and if you smoke, you need to know that smoking cigarettes is the single worst thing you can do for your overall health. Quitting is not easy to do, because nicotine contained in tobacco is one of the most addictive substances known. It’s as addictive as heroin. But quitting is possible; millions have successfully stopped smoking, and the number of smokers has declined steadily over the last 50 years. In 1965, 42% of U.S. adults were smokers; now it’s only about 18%, or about 42 million.

You hear complaints about the U.S. health care system. But part of the burden on the system is caused by smoking. Tobacco use is the number one preventable cause of illness and death in the country, accounting for more than 480,000 deaths, or one of every five deaths, each year. Smoking harms nearly every organ in the body. More than 16 million Americans suffer from a disease caused by smoking, and half of all smokers who keep smoking will die from a smoking-related illness. Smokers will lose on average 13–14 years of life.

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Enough to make a smoker really want to quit? Great!

Here are some tips on how. You may not need to try all of them, or you may think of some ways on your own. First, know that the first few days of not smoking are the most difficult. You’ll probably feel irritable, slow, tired, and maybe depressed. But you’ll begin to feel normal after that, though you’ll still crave a cigarette.

There are some really simple ways to get through the quitting process. When you feel the urge to smoke, just put it off for a while, say ten minutes.

Do something during that period to distract yourself from the craving. Then repeat it the next time you want a cigarette. Resist the urge to “have just one;” you know it will lead to another one. Avoid triggers, those times and situations where you automatically reach for a cigarette. Chew on something, like gum, carrots, celery, nuts, or sunflower seeds. I have a friend who quit smoking after 15 years simply by eating more popcorn than is humanly possible during the first three weeks after quitting—and it

Millions have quit smoking over the years, and so can you. It’s a good way to start the new year.

Continued on page 19

“They saved my life. I don’t know how care gets any better than what I had.”

—Bill Coody, Heart attack survivor

Our guests have learned that the Heart Institute provides: • The latest technology in cardiac care • A complete range of services for diagnosis and treatment • A team of healthcare professionals that provide high-quality care • An established history of innovative heart procedures and cardiac awards

Visit viewourstories.com to learn more about Bill Coody’s experience.

HEART INSTITUTE 432.221.4898 | midland-memorial.com

Finding Balance in 2015

by Tatum Hubbard, Show Host, Executive Producer, and CBS7 Evening News Anchor

T

here’s something about the month of What am I thinking about for this year’s goals? Let’s January that just screams “new start.” Yes, see…it’s probably not what you’d expect! I will I know it’s the beginning of a new year, not include losing 10 pounds (although I’d love to but it’s also something more than that. It’s lose 10 pounds). I will not include organizing my a chance to re-frame your life for the better and recipe book (which I’ve been meaning to do for at set some goals for the future. I specifically chose least five years). And I will not include launching the word “goals” and not resolutions. I’m not-soa new show about the topics I want to share with good at resolutions.

West Texas (I’ve already The word itself seems done that and it is I think it’s critically important to so, resolute—and that’s awesome!). Nope, this schedule a little time for ourselves. overwhelming! I’ve year I’m focusing on made resolutions many We need time to think. We need time goals that help me find times, but by February some balance. In fact to get inspired. (and that’s a good that’s my “word” for stretch) I’m burned out.

2015. Balance.

Goals, however, just seem more realistic…more forgiving. I’m good at goals. And I bet you are too!

To that end, one of my goals is to say “no” more Our partners at the Permian Basin Chevy Dealers often. I hope that doesn’t sound bad. I have so many say, “Find New Roads,” and that’s also a good way amazing opportunities and I feel very blessed. But to look at starting the new year! this year I want to free up our family’s schedule just a little so we have more down time to relax and hang Since I was a child, I’ve made a habit of writing my out together. Simple. Fewer entries in my day planner goals down on paper. I like to look at them and day and fewer activities for me and the kids means more dream about them and even make doodles around meals at home and more movie nights! them. I am also a compulsive “list maker”—nothing brings me more satisfaction than crossing things My next goal is to lighten up a little. I take things off one task at a time. So spelling out my goals in way too seriously. And now that I’ve discovered this January just makes sense! fact, I’m going to try to reverse the tide. I’m not Thanks to our partners who keep us going each week:

100% sure it’s possible (I’m pretty hard wired to sweat the small stuff). But I’m going to try. I’m going to forgive myself if I don’t get every single thing on my “to do” list crossed off. I’m going to take deep breaths, give people the benefit of the doubt, and drink hot tea in the afternoon. I’m feeling less stressed already!

Finally my last goal for 2015 is to spend a little more time alone. As moms or working women we rarely have this luxury. But I think it’s critically important to schedule a little time for ourselves. We need time to think. We need time to get inspired. And we need time to relax. So this year I’m going to block out a few minutes each week to read a magazine, take a walk, or play in my craft room. (Okay. I’d also like to watch the Real Housewives of just about anywhere.

Every girl has a guilty pleasure right?)

So what’s your “word” for 2015? We’d love for you to share that with us along with some of your goals!

Stop by our Studio 7 Facebook page and tell us what you’re focusing on! Let’s inspire each other with some great goals for 2015!

for youth development for healthy living for social responsibility

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

New on Studio 7

"Ask Your Jeweler"—Write in with your jewelry questions and they'll be answered either on-air or on our Facebook page.

New Home and Garden segment with more in depth education and inspiration for both indoors and outdoors.

Stay tuned for Studio 7's new "Daily Dose" to air on Tuesdays through Fridays at 4:30 beginning January 13.

a closer look at

GLAUCOMA

by Joy H. Coleman

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hen it comes to aging and eye care we can all be a little more alert. Our eyes can change and sometimes disorders develop without symptoms. The second leading cause of adult blindness is glaucoma. This results from the pressure of the fluid in the eye itself that is too high for the optic nerve to handle.

About 2.2 million Americans age 40 years and older have glaucoma. Another three to six million people have elevated fluid in the eye that could easily lead to glaucoma. The risk of glaucoma changes with race and age. It is more common in

Glaucoma is a group of diseases damaging the eye’s optic nerve. It usually happens when the fluid pressure inside the eyes slowly rises, damaging the optic nerve. The optic nerve is a bundle of more than 1 million nerve fibers. It connects the retina to the brain.

THE OPTIC NERVE Eye pressure is a major risk factor for optic nerve damage. In the front of the eye is a space called the anterior chamber. A clear fluid flows continuously in and out of the chamber and nourishes nearby tissues. The fluid leaves the chamber at the open angle where the cornea and iris meet. When the fluid reaches the angle, it flows through a spongy meshwork, like a drain, and leaves the eye.

In open-angle glaucoma, even though the drainage angle is “open,” the fluid passes too slowly through the meshwork drain. Since the fluid builds up, the pressure inside the eye rises to a level that may damage the optic nerve. When the optic nerve is damaged from increased pressure open-angle glaucoma and vision loss may result.

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blacks and Hispanics than in whites, and occurs more frequently with increasing age.

Early detection and consistent treatment can help prevent optic nerve damage. Glaucoma can also be caused by having thin corneas, heredity, some medications, and a partial blockage in the drainage mesh works located behind the eye. Another risk factor for optic nerve damage relates to blood pressure. It’s important to make sure your blood pressure is at a proper level for your body.

There are two types of glaucoma: • Open-angle: Makes up 90% of all glaucoma cases, progresses slowly, and produces no obvious symptoms until its late stages. It’s equally common in women and men.

• Closed-angle: Occurs more often in people of Chinese descent and some other Asian groups. Women are at a greater risk than men.

Open-angle glaucoma usually affects both eyes, although the damage to the optic nerve is different between eyes. When pressure builds in the eye fluid, the first nerve fibers damaged are those used for peripheral vision. Without treatment, people with glaucoma slowly lose their side vision.

They seem to be looking through a tunnel. Over time, straight-ahead vision may decrease until no vision remains.

The damage is often not detectable on visual field tests until as much as 40% of the optic nerve fibers are destroyed.

Closed-angle glaucoma occurs when the optic fluid is blocked at the pupil. The acute attack causes a sudden increase in optic pressure that can lead to severe, permanent vision damage within just 1–2 days if not treated immediately. Signs of an attack include severe pain in the eye, nausea and

vomiting, blurred vision, and rainbow-colored halos around lights.

Acute closed-angle glaucoma is a medical emergency. Anyone having the symptoms should contact an ophthalmologist immediately.

Diagnosing glaucoma requires measuring the intraocular pressure, viewing the optic nerve, and testing the visual fields. These will be performed in an ophthalmologist’s office as some Diagnosing of the tests require dilating the pupils.

glaucoma requires measuring the intraocular pressure, viewing the optic nerve, and testing the visual fields.

Not every person with increased eye pressure will develop glaucoma.

Some people can tolerate higher levels of eye pressure better than others. A certain level of eye pressure may be high for one person, but normal for another. That’s why a comprehensive dilated eye exam is very important. People at risk should get eye exams at least every two years.

Anyone can develop glaucoma but some are at higher risk than others: • African Americans over age 40 • Everyone over age 60, especially Mexican Americans • People with a family history of glaucoma Most forms of glaucoma are chronic conditions that can’t be cured. Open-angle glaucoma can often be treated safely and effectively with medication or surgery, but lifelong use of medication is almost always necessary. Decisions on when to start treatment are based on the amount of optic nerve damage and visual field loss, as well as risk factors such as the optic pressures, age, and race or ethnic background.

Most people with glaucoma have to use eye drops daily depending on the type of drop. In some cases, it may be necessary to use one or more types of drops at the same time. The purpose of the eye drops is to lower the optic pressure and keep it at a level that prevents damage to the optic nerve and Continued on page 20

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by Ben McCampbell

I

magine finding yourself without a place to live.

No friends or relatives to offer you a place to lay your head until you get back on your feet.

No one to turn to. What would you do? Where would you sleep? Where would your next meal come from? Your next drink of water? It’s especially heart-wrenching to see people on the street during the holiday season and the onset of winter, when simple shelter is essential.

of care services to homeless individuals which has been identified as a prevailing problem in producing favorable outcomes for the homeless population. Odessa Links provides service agencies with the HMIS component to offer comprehensive case management to all their clients, including homeless individuals. HUD has specifically recognized HMIS for its ability to directly improve the effectiveness of community homeless shelters and service delivery systems. With the Homelessness occurs incorporation of HMIS, The recent oil-boosted growth in for a lot of reasons, but the Odessa community the area’s economy has actually none of them matter to has a stronger applicaworsened the homeless situation. the person on the street tion when seeking fedwho needs help today. eral assistance for the And the reasons also don’t immediately matter to homeless population. the person who provides that bed, that hot meal, that welcome cup of coffee, or that smile. The Individuals who are homeless are helped by a case Permian Basin, even with the recent upswing in the manager. The case manager helps provide access to local economy, still has hundreds of people who available resources to homeless people and families don’t have a home. You can help them. and assists them in establishing self-sufficiency.

The main responsibility of the case manager is to Odessa Links is the lead agency for the Odessa serve as a central advocate for homeless persons Homeless Coalition, and it’s the organization in the who need the support service and housing options City of Odessa with an HMIS (Homeless Managecurrently available in the community and to work ment Information System) license. Its existence is cooperatively with homeless service providers and a response to the inability to provide continuum the Odessa Homeless Coalition. The case manager 12 january 2015 an apple a day

evaluates the client and implements a personal care plan to insure that the client’s needs are met.

Long term case management ensures that clients have the resources and support network to become successful and self-sufficient.

There are a number of organizations in Odessa which provide services to the homeless, and Odessa Links helps coordinate the work of helping the homeless among many of these groups.

One is the Salvation Army (810 East 11th Street, 432–332–0738), which has been working in Odessa since 1951 and provides emergency shelter and meals to men, women, and families every day of the year. Hope for the Homeless is a program of the Odessa Tabernacle Family Life Center (2406 Oakwood Drive, 432–368–0240), and it offers hot home-cooked meals, showers, haircuts, clothing, and job leads for those homeless who are unemployed. Odessa Links also coordinates with the City of Odessa Community Development Department in helping to find permanent housing for people who need it.

Two other groups in Odessa which provide services to the homeless but operate independently are the Door of Hope (200 West 1st Street, 432–337–8294), which offers help to men and women 18 years or older, and Faith Temple Fellowship (1335 East 6th Street, 432–337–7195), which provides warm meals and coffee, showers, clothes, haircuts, and help in finding employment.

All the organizations mentioned in this article will welcome volunteers to help.

There are many reasons for homelessness. In the Permian Basin, the main reason is unemployment, followed by domestic violence, inability to pay rent, family breakup, and having moved here but being unable to find work. Surprisingly, almost 40% of Odessa’s homeless population is employed full time, and another 10% have a regular part time job. About 27% are unemployed, and 17% have a temporary job. The recent oil-boosted growth in the area’s economy has actually worsened the Continued on page 23

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E H T IVE S I C E D MENT O M d illiar

H endy W y b

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athed in the holiday afterglow, an Odessa mom smiled as she viewed cheerful family moments captured in photos.

Then, in a blink, all the warm fuzzy feelings vanished as she gazed at a photograph of herself.

“My sister took a picture of me on Christmas. I was wearing a red sweater and sitting sideways posing for the camera. I did not like what I saw,” said Nancy Costilla.

Mortified by the less than flattering image, Costilla viewed the picture as a hard wakeup call and used it as a catalyst for personal transformation. This would be her “before” photograph.

“Here I was another year older and still young enough to do something about it. I wasn’t happy with myself and I wanted a more satisfying life. ” 14 january 2015 an apple a day

The year was 2012 and Costilla had experienced several milestone moments.

“Everything happened at the same time. I turned 30, my son started Pre-K and I was still a stay-at-home mom. I had let my real estate license go and I was more overweight than ever. I began questioning myself, ‘What have I done with my life?’”

As the Christmas decorations came down, the dispiriting photograph was prominently placed up on the family’s refrigerator. It became a source of inspiration.

Costilla became a member of the Odessa Family Y and booked sessions with a personal trainer. She quickly shed 74 pounds and felt better than ever.

“Going to the gym helped me deal with depression and anxiety. Exercising became a big part of my life.”

Having successfully lost the weight, Costilla also earned back her real estate license. Working once more, the busy mom of three continued pursuing her passion for fitness.

“At first, after I lost the weight my husband didn’t get why I was still all about working out, but he noticed the positive changes in me both physically and mentally. Now he is very supportive. He helps me by researching the most effective workouts and sends me screen shots of what information he finds.”

It’s been two years since Costilla began her transformation. She loves lifting weights and now trains with Odessa Family Y trainer Kevin Homsey.

“Here I was another year older and still young enough to do something about it.

I wasn’t happy with myself and I wanted a more satisfying life.”

“Kevin is amazing as a trainer. He has changed my fitness level. He has me doing serious workouts. I have seen huge changes. Kevin also changed my mindset. It’s a lot like therapy. He got to the source of my issues.”

“I have a free app called My Fitness Pal that helps me keep track of what I eat. Sometimes I can even enter foods by scanning bar codes with my phone.

The app definitely makes keeping track much easier,” says Costilla.

Exercise alone will not deliver results like Costilla’s.

Diet is fundamental to changing body composition.

Homesy has a very succinct philosophy on the subject. “You can either eat delicious or look delicious,” he says.

Costilla’s healthy lifestyle has not gone unnoticed by her children, ages 5, 11, and 13.

The Odessa Family Y trainer said he sees too many people view food as the enemy. “If you eat something bad, it’s not the end of the world. Don’t go crazy. Start again tomorrow,” Homsey said.

Castillo herself had an antagonistic relationship with food. “Before I started the macro nutrient diet, Kevin called me out saying how I tortured myself Monday through Friday, and starved myself when I had a cheat meal. Now there is no such thing as a cheat meal, it’s just food. I calculate the nutrient count and adjust for the day. I can have my five chicken wings or eat a hamburger and not feel guilty.”

Detailed food intake logs and meal planning are essential to track the amount of proteins, carbohydrates, fats, and fiber that are consumed.

And yes, there is an app for that.

“I think it’s really important to stay healthy. Because of what my mom does, you can’t help thinking more about what you eat,” said 13-year-old Jasmine Costilla.

Costilla does not forbid certain snacks the children can have, but she does provide healthier choices like fiber bars and popcorn. She also noticed their soda consumption has reduced while their water intake has increased. In all, she sees her children making good nutritional choices.

“My daughter was bad about running off to school without eating breakfast. Now she has a protein drink every morning. She’s learning it’s not about not eating.”

The fit mom says her pantry looks like everyone else’s. Costilla does buy some sugary snacks for the Continued on page 23 an apple a day january 2015 15

is both theoretical and practical.

Students are prepared to problemsolve—based on evidence and research—while including the patient as the main source of information.

Strong clinical experiences are provided in the community and regional healthcare facilities and in the use of technology in UTPB’s state of the art Nursing Simulation Center.

Graduates of the BSN program will be prepared to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). For more information contact the Department of Nursing, 4901 E. University Blvd. or 432­–552­–2560.

Experienced key nursing staff has been identified to help newer professionals through the 6- to 9- month crucial period after graduation when they need support to learn to manage stress.

Continued from page 5 students in the Fall of 2013. The 2,000 ­square­ foot Mesa center has 47 spaces and labs that will simulate a hospital facility, according to the Odessa newspaper.

UTPB’s start­up projections for the first five years are outlined: in the first year, there will be space for up to 75 students (or 59 full­time equivalents) and four core faculty full­time equivalents. By the fifth year, there will be space for up to 145 students and nine staff members.

UTPB provides a generic pre-licensure Bachelor of Science degree in Nursing (BSN). The curriculum consists of four years. In the first two years the students take science courses. The degree also includes courses in social sciences to help students understand human behavior and gain insight into the human spirit.

Nursing courses are taken during the third and fourth years of the curriculum. The nursing curriculum 16 january 2015 an apple a day

ODESSA COLLEGE Through its Nursing Program, Odessa College offers an Associate Degree in Nursing (A.D.N.) The curriculum of the Odessa College Nursing Program prepares graduates to assume beginning staff positions under supervision as providers of care, coordinators of care, and members of the nursing profession.

Upon successful completion of the licensing examination, NCLEX-RN, the graduate becomes a Registered Nurse.

Odessa College offers generic and transition option tracks to obtain the associate degree in applied science for nursing. Both tracks require the same non-nursing courses to complete the requirements.

Generic students are those without licensure as a licensed vocational nurse, LVN, and are admitted to the day or evening option. The day and evening option require the same nursing courses. The transition track allows the LVN to receive credit for selected nursing courses through advanced placement. Transition students must hold a current license to practice nursing in the state of Texas.

For more information contact Barbara Stone, Interim Director, at 432–335-6458 or go to www.odessa.edu/dept/nursing.

MIDLAND MEMORIAL HOSPITAL: VERSANT RN RESIDENCY The Versant Residency program originated in

California where hospitals staffs there noticed new nurses would sign on for employment, attend the six week orientation course, and then leave one hospital to take a position at a different hospital and attend their six week orientation. The long and short of it was that new graduate nurses felt undertrained and wanted more orientation to increase their confidence and develop a good foundation for working with patients. Current tracking indicates it takes from 18 to 22 weeks to establish confidence and a solid professional footing. In Midland, the Versant Residency program was adjusted and rebuilt by Aline Fuselier BSN, RN, Manager, who rolled it out in January 2014.

The Versant Residence program also provides mentoring and professional development for each nurse. The “Tools for Success” helps prepare nurses for grieving or emotional issues with patients.

Experienced key nursing staff has been identified to help newer professionals through the 6- to 9month crucial period after graduation when they need support to learn to manage stress.

This is a true residence program and the only one in the Permian Basin. Comments from nurses in the program are that they feel it bridges the gap from nursing school to the real world; their skills are validated allowing them to focus on the patient and not the technique of care. This helps them feel much more prepared to work. They’re not as nervous knowing they have a support system to reduce the stress of being “new.”

Midland Memorial Hospital has measured good outcomes in reducing nursing staff turnover, reducing falls and incidence rates, and reducing late or missed medication errors. Somewhere around 300 hospitals across the nation use the Versant Residence program, increasing satisfaction scores of both patients and nurses.

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

Continued from page 6 worked! She hasn’t smoked in 35 years and to this day is repulsed by the smell. By the way, she still loves popcorn.

Physical activity can help you quit. It can distract you from tobacco cravings, and you’ll also benefit from the exercise at the same time. Take a walk or jog, do some squats or pushups, or just walk up and down the stairs for a few minutes. Mental exercise may also help. If smoking has been your way of dealing with stress, replace the cigarette with some relaxation techniques, including deep-breathing exercises, muscle relaxation, hypnosis, or yoga.

While you’re at it, remind yourself of the benefits of being smoke-free: better health, more cash in your pocket, simply feeling better. Congratulate yourself when you resist the urge to smoke in those situations where you normally would.

If the tips mentioned above aren’t enough to help you kick the habit, the wonders of modern pharmaceuticals may be the ticket. Talk with your doctor or health care provider about nicotine replacement therapy (NRT). Nicotine nasal spray and nicotine inhalers, plus the medications bupropion (Zyban) and varenicline (Chantix) are all available by prescription. And some types of NRT, such as patches, gum, and lozenges, are available over-the-counter (OTC). You may also be able to combine treatment methods to increase your chances of successfully quitting; ask your doctor.

know that the first few days of not smoking are the most difficult.

What happens when you quit? Some really good things, and some of them happen almost immediately! Your heart rate and blood pressure drop within 20 minutes of quitting. After 12 hours, the carbon monoxide level in your blood drops

to normal. Your circulation improves and your lung function increases between 2 weeks and 3 months after quitting. Between 1 and 9 months after quitting, the coughing and shortness of breath decrease, cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, which cleans the lungs and reduces the risk of infection. After only one year, your risk of coronary heart disease is half of what it was when you were smoking. Five years after quitting, your risk of mouth, throat, esophageal, and bladder cancers is cut in half. Cervical cancer and stroke risk fall to that of a non-smoker. After 10 years of living smoke-free, your risk of dying from lung cancer is half that of a person who is still smoking. And finally, 15 years after quitting, your risk of coronary heart disease is that of a nonsmoker. It takes a while, but the human body has amazing recuperative abilities.

And there are other benefits as well. You have fresher breath. Food tastes better. Your stained teeth become whiter, and the yellow on your fingers and nails disappears. Your sense of smell returns to normal.

If you work in a smoke-free building, you no longer have to stand outside in the rain on your break. Your health insurance won’t cost as much. And if you smoked a pack a day and live in the Permian Basin, you’ll keep about $2,000 in your pocket that you used to spend on cigarettes every year. $2,000 a year!

Convinced? I hope so. Millions have quit smoking over the years, and so can you. It’s a good way to start the new year. Good luck, and enjoy all the popcorn!

an apple a day january 2015 19

About 2.2 million Americans age 40 years and older have glaucoma. Another three to six million people have elevated fluid in the eye that could easily lead to glaucoma.

Continued from page 11 visual field. Make sure your eye care professional shows you how to put the drops into your eye.

with a different dose or a new medicine may be possible.

Before you begin treatment tell your ophthalmologist about other medicines and supplements that you are taking. Sometimes the drops can interfere with the way other medicines work.

Because glaucoma often has no symptoms, you may be tempted to stop taking or may forget to take the medicine. You need to use the drops or pills as long as your physician asks you to. Regular use is very important.

The aim of treating glaucoma—either open-angle or closed-angle—is to prevent damage to the optic nerve by lowering the intraocular pressure and keeping it at a level that is unlikely to cause further damage. Once its lowered, medication can keep the pressure down, but treatment can’t reverse optic nerve damage once it’s happened and can’t improve vision.

Glaucoma medicines need to be taken regularly as directed by your eye care professional. Most people have no problems. However, some medicines can cause headaches or may cause stinging and redness in the eye. Many medicines are available to treat glaucoma so if you have problems with one medicine, tell your eye care professional. Treatment

20 january 2015 an apple a day

Once diagnosed, it’s important to regularly visit your ophthalmologist to have your condition monitored. It is also very important take medication as prescribed.

Individuals with glaucoma must learn how to protect themselves from falls and how to reduce the probability of having a car accident. People with glaucoma have worse visual clarity, sensitivity to contrast, and field of vision than others. With glaucoma, it’s a good idea to make your home more fall-proof by removing small rugs and objects that may cause a fall. If you do drive, consider limiting your driving to the daytime and to places you are familiar with.

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Continued from page 13 homeless situation. With so many people moving to the area looking for housing, rents have increased— some dramatically—pricing some residents out of their dwellings and onto the street.

A case manager evaluates the client’s needs and implements a two-year plan for the client to become self-sufficient. It may include help with personal finance management/credit counseling, job skills, life skills, parenting classes, and health Odessa Links introduced a new program called literacy. Each client is required to abide by the Project HOPE (Homeplan in order to remain less Opportunities for in the Project HOPE All the organizations mentioned Personal Excellence) in program. The program in this article will welcome January of 2012 to adis still young, and its volunteers to help. dress a need that has long-term success existed in the City of can’t be completely Odessa for over ten years and is listed as a high measured just yet, but there are some success priority in the city’s consolidated plan. stories, including graduates and stable families.

Project HOPE is a program which helps the homeless transition into self-sufficiency. Its main goals for clients are 1) the ability to obtain and retain permanent housing, 2) to increase skills and income, 3) to achieve greater self-determination.

Continued from page 15 kids but she doesn’t worry, because she prepares family meals that include healthy staples like quinoa, sweet potatoes, and fish.

“I don’t want my kids to think this food is bad or this food is good. Everything is okay in moderation.

I want them to make decisions on their own. If they don’t learn how to control serving portions now, how will they act as adults? I want them to learn to be responsible.”

Dedication to diet and exercise has sculpted and transformed the 32-year-old’s body. So much so, that in September 2015, Costilla will enter her first physique competition. “I love working out, and thought, why not try the stage?”

There are four distinctive divisions when it comes to female stage competitions; bikini, figure, physique, and bodybuilding.

“The bikini category has women that are small and svelte, like Sports Illustrated models. Figure is similar to bikini, but contestants are a little more conditioned and have more muscle definition.

Odessa Links can use your help. If you’d like to donate or volunteer, contact Erika Chavez at 432–582–0099 at Odessa Links. Homeless Coalition Meetings are held every month in the City Municipal Plaza board room.

“I went from having a negative body image to a positive one. I love my body and strive to make it better all the time.”

In the physique division—what Nancy will be competing in—women have more muscle, but not big and massive like bodybuilders. She will need to work on posing, looking fluid, and moving like a living work of art,” Homsey said.

Oddly enough, Costilla received some strange responses when telling people about her goal to compete.

“I heard things like ‘that’s nasty’ or ‘that’s gross.’ I was shocked, I was experiencing fit shaming. It seems people like to bully others for what they think are body flaws. I am doing this for myself, it makes me happy. It doesn’t matter how well I do, I went from having a negative body image to a positive one. I love my body and strive to make it better all the time. There is nothing on my body that I hate.

It’s been exciting to see all the improvements. I already won.”

an apple a day january 2015 23

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

432–620–0255 • springboardcenter.org 200 corporate drive Midland, tX 79705

Cooking With Kim

Winter 2015 Cooking Class Schedule

January 8th - DETOX: Solutions to the Holiday Bulge Learn my tips, tricks, and recipes for getting your diet back on track after indulging during the Holidays, vacation, or any time you need a little push.

January 22nd - Soup-er Hearty Meals Winter chowders and stews are quick and healthy weeknight meal. The leftovers make great lunches.

February 5th - 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 19th - KNIFE SKILLS 101 Each class is $30 (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 DO YOU REALLY KNOW HOW TO SET A GOAL?

I

f you truly want to accomplish something significant in life, you must set “it” as a goal.

I believe one way of tapping into the gift of self-control is in setting goals, because goals are simply statements of faith; faith that you can and will achieve “it.” I’ve set goals all my life, but not everyone has. What I mean by that is if you don’t have a date in which you intend to accomplish your goal, it’s not a goal. It’s a wish. It’s a dream. It’s a desire. But wishes are a dime a dozen; they’re worthless. The only thing that will change your life is setting a goal. You must wake up from the dream and get to work!

Make sure the goals you set are for yourself and not for someone else. If your heart’s not in it, you won’t accomplish it.

What constitutes a true goal other than setting a date of accomplishment?

• It must be specific. For example: “I want to lose weight,” “I want to get in shape” or “I want to start my own business” are not specific goals.

Your goal should be “I want to lose 20 lbs. in 16 weeks” (insert a specific start and end date, too!). Or “I want to be in shape for the ski trip this Spring Break.”

• It must be attainable. You will not be able to lose 20 lbs. for your class reunion in 2 weeks.

And you won’t be able to get in shape for the

ski trip next weekend if you’ve been sitting on the couch all year. Give yourself a reasonable amount of time to accomplish your goals. But also, set goals that are realistic for you. If you say you are going to never eat bread or candy again for the rest of your life, you’re setting yourself up for failure. Set goals that are going to challenge you and possibly seem a little out of your reach, but are still realistic. Family, friends, professionals in the field, and faith will help you achieve your realistic goals.

• It must be measurable. You need bench marks along the way to help keep you focused and motivated. If you can’t see how much you have improved then you will likely not accomplish your goal. It’s easy to lose sight of how far you’ve come when frustration or temptation creep up on you. For example: if weight loss is your goal, be sure to weigh yourself before you begin and periodically along your journey. Also, taking measurements and “before” pictures are great ways to track your progress.

It must be personal and passionate. Make sure the goals you set are for yourself and not for someone else. If your heart’s not in it, you won’t accomplish it. Even if the goal is something you know you must do (like spending more time with family, quitting smoking, losing weight, exercising…), wait until you are 100% passionate about achieving it before you set that goal.

Wishing won’t make it so. You must set a goal. Contact me if you need help with setting or achieving your goals.

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

an apple a day january 2015 25

health & beauty HAPPY NEW YEAR!

A

fresh new year is a time for resolutions, some of which we will actually keep. For instance, many of us woke up on the morning of 2015, and took a long, hard look in our mirrors. After several weeks of sleep deprivation, eating all the wrong foods, and the stress of the holiday season, it is no wonder that we look tired and haggard. It is time to set up a sound plan to achieve a clear, glowing complexion, but how?

Maintaining a good skin is not out of reach for most of us; however, beyond the mid-twenties, it requires a commitment of time, patience and, of course, some expense. Of primary importance are the products you use.

Always do your homework and select those that have been researched and scientifically-proven to slow the signs of aging by reducing lines and wrinkles, thus giving the skin a firmer, soother texture. According to the “Harvard Women’s Health Watch,“ only products containing retinoids or retinol have been proven to reduce lines and wrinkles and increase skin’s firmness.

Maintaining a good skin is not out of reach for most of us; however, beyond the mid-twenties, it requires a commitment of time, patience and, of course, some expense.

More research must be done; however, the value of antioxidants, primarily A, C, and E, appears to be extremely promising. They are already being used in many skin care regimens. Another recent article in AARP Magazine stressed the importance of exfoliation and moisturizing. This article urged readers to “pick products with antioxidants and glycolic acid, which promote skin thickening and increase collagen production.”

Unfortunately, simply having the best products in your cabinet does your skin no good. They must be 26 january 2015 an apple a day

used consistently and correctly. Living skin is rather like a child. It will never thrive if treated with abuse and/or neglect. It is important to set a routine and adhere to it. Mornings and evenings wash with a soap-less cleanser on both your face and neck, and rinse thoroughly with tepid water. Both soap and hot water are great for your dishes and clothes—not for your face. Cleansers that also exfoliate are good.

After washing, apply an alcohol-free toner that is targeted to firm the skin and reduce the appearance of pores. Each morning apply a rich moisturizer containing an SPF sunscreen of 30. In the evenings apply a restorative cream containing a retinol product and the antioxidants. The best night creams

have time release components so they work while you sleep. Your skin (face and neck) will feel and look refreshed when you wake up. Both morning and evening use a good eye cream. After a few weeks of adhering to this routine, which includes cleansing, hydrating, and protecting, I believe you will be delighted with the observable changes in your skin.

I welcome your comments and questions. We learn by sharing our knowledge with one another.

-Earlene PS: Always remember—a smile is an instant face lift.

Special thanks to this month’s contributor: Earlene Smith

Earlene Smith Executive Consultant 432-563-0682 432-553-9957 earlenes@cableone.net

“Changing skin.

Changing lives.”

Roasted Chicken and Veggies

mix (see below), then drizzle with olive oil. Lay lemon slices on top of chicken pieces, scatter sliced garlic and black olives into pan and tuck in a few fresh thyme sprigs. Finally, pour broth into the pan.

by Kim Clinkenbeard, CPT, FNS Roast chicken for 15 minutes at 425° F, remove from oven, and baste with pan juices. Reduce temperature to 375° F, return chicken to oven.

Roast chicken for about an hour more, until juices run clear and temperature reaches 165° F in the thickest portion of the chicken. Let rest 10 minutes before serving. Garnish with sprigs of fresh thyme.

1 onion, cut into 8 wedges 2 stalks bok choy, cut into 1 inch pieces 1 orange bell pepper, cut into 1/2 inch thick strips 1 rutabaga, peeled, halved and cut into 1/2 inch slices 1 skinless chicken, cut into 8 pieces 2 Tbsp. Italian Seasoning Mix (see below) 2 Tbsp. olive oil 1 lemon, cut into 1/4 inch slices 6 cloves garlic, peeled and thinly sliced 1/2 cup Kalamata olives 1 bunch fresh thyme sprigs 1 cup low sodium organic chicken or vegetable broth

Italian Seasoning Mix 1 Tbsp. sweet paprika 1 tsp. garlic powder 1 tsp. onion powder 1 1/2 tsp. salt 1/2 tsp. black pepper 1 tsp. dried rosemary 1 tsp. dried oregano 1/2 tsp. cayenne (optional) 1 tsp. dried basil

Preheat oven to 425° F. Spread all cut vegetables evenly in the bottom of a large roasting pan, creating a bed. Arrange chicken pieces on top of vegetables, sprinkle with seasoning

Combine all ingredients in a jar. Put a lid on the jar, and then shake until well mixed.

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

Medical Center Hospital 500 W. 4th St.

First Baptist Church 709 N. Lee

The Odessa Family YMCA 3001 E. University

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

1707 W. 8th St.

Odessa Regional Medical Center 520 E. 6th St.

Walmart Clinic 4210 JBS Parkway 2450 West Loop 338

Permian Basin Rehab Center 620 N. Alleghaney

Wendover Family Medicine 4222 Wendover, Ste. 600

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.

Furr’s Music City Mall

Graham Pharmacy 1601 W. Wall St.

St. Joseph’s Home Health 24 Smith Rd., Ste. 500

HealthSouth 1800 Heritage Blvd.

Walgreens Drug Store 3221 W. Wadley Ave. 215 Andrews Hwy. 4313 Andrews Hwy. 3201 N. Big Spring St.

Harmony Health Food Shoppe 3110 E. University Blvd., Ste. A

HEB Pharmacy 3325 W. Wadley Ave. Midland Memorial Hospital 2200 W. Illinois Ave.

Heaven Bound Daycare 507 Elliot HEB Pharmacy 3801 E. 42nd St. Hunt Advertising 3527 Billy Hext Rd.

28 january 2015 an apple a day

University Pharmacy and Medical Supplies 4850 E. University Blvd.

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

Mission Fitness 8050 Hwy. 191

River of Life Health Food Shop 2601 N. Grandview Ave. Smith’s Shoes 5101 Twin Towers

Westview Medical Clinic 1220 W. University Blvd.

Wheatley Stewart Medical Pavilion 574 W. 5th St.

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