PINE BELT area
Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
JANUARY 2012
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M A G A Z I N E
SafeHeart
Health Screens Offering the Power of Prevention page 12
Habit Change: Six Stages to Success pg. 6 Stress – Can Save Your Life or Kill You pg. 17 Living Better With Oxygen Therapy pg. 20
The area’s only Accredited Chest Pain Center. Knowing where to go for expert cardiac care can make all the difference if you’re having a heart attack. So you should know that Wesley Medical Center is the first and only hospital in this area to be recognized as a nationally Accredited Chest Pain Center. That means we have the doctors, technology and procedures in place to provide lifesaving care fast. For more information on our advanced cardiac care, visit Wesley.com.
When your life’s on the line, choose the area’s only Accredited Chest Pain Center. 57683_WESL_Cardio_7_75x4_918c.indd 1
If you are experiencing a medical emergency, call 911.
10/3/11 8:35 AM
Specializing in Integrative Medicine • • • • •
Adrenal Fatigue Therapy Bioidentical Hormone Replacement Therapy Detoxification hCG Weight Loss Health Testing (Food Allergy, Gastrointestinal, Heavy Metal, and Neurotransmitter for Depression, Sleep and Anxiety) • Hyperbaric Oxygen Therapy • Nutritional Therapy • Thyroid Function Optimization
Rebecca Boyd, D.O., MPH
(601) 450-2077 140 Mayfair Rd., Suite 1500 Hattiesburg, MS 39402 www.forwardhealthsolutions.com Follow us on and
letter from editor Happy New Year! Welcome to the January 2012 issue of Healthy Cells Magazine. I am so happy to be providing this magazine FREE to readers in the Pine Belt. I want to thank each advertiser for supporting the mission of Healthy Cells Magazine in providing timely, informative and much needed information so that you, the readers can make the best health related decisions for you and your loved ones. As I prepared this letter for the January Issue, I reflected back on the many wonderful things that happened through the last year and once again I found myself filled with gratitude for the life God has given me. In November, my husband and I traveled to Haiti on a mission trip to an orphanage with over 100 children who have been abandoned. While the experience was very sad in many ways, it also renewed my faith in “the starfish story”(see story below) where we can make a difference in our little corner of the world. In the past I have contributed financially to “clean water projects” but had no real idea of what that meant until I saw it with my own eyes. I was truly humbled by the level of poverty and the children’s happiness and joy with simple things like animal crackers and finger nail polish. In looking ahead to the new year, after being in Haiti, my “lenses” have been changed. It is my hope that I can continue to provide quality useful information, but also heighten awareness for the needs right in our own backyard. If you know of a group or organization that is truly embracing the needs of the people, send me their story. Each month I will highlight what we Mississippians are doing with our “starfish.”
Be Blessed,
Carolyn Jones - Primeaux Carolyn Jones-Primeaux
The Starfish Story Original Story by Loren Eisley One day a man was walking along the beach when he noticed a boy picking something up and gently throwing it into the ocean. Approaching the boy, he asked, “What are you doing?” The youth replied, “Throwing starfish back into the ocean. The surf is up and the tide is going out. If I don’t throw them back, they’ll die.” “Son, the man said, don’t you realize there are miles and miles of beach and hundreds of starfish? You can’t make a difference!” After listening politely, the boy bent down, picked up another starfish,and threw it back into the surf. Then, smiling at the man, he said, “I made a difference for that one.”
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January 2012 — Pine Belt — Healthy Cells Magazine — Page 3
JANUARY 5
Patient Care: Hospitalists Promote Continuity Consistency in Patient Care
6
Emotional: Habit Change
8
Nutritional: Lifestyle Changes Saved My Life
...choose you this day whom you will serve,
2012
...But as for me and my house, we will serve the LORD. Joshua24: 15, NKJV
Volume 3, Issue 1
This Month’s Cover Story:
SafeHeart Health Screens Offering the Power of Prevention page 12 Cover story photos by JRichards Originals
10
Physical: Headaches!!!
16
A Healthy Balance: A Journey to Fitness
17
The Right Dose: Stress Can Save Your Life or Kill You…
18
Family Health: Home For The Holidays
20
Breathing Treatment: Living Better With Oxygen Therapy
21
Balance Program: Prediabetes
23
Healthy Cells Magazine is available FREE in high traffic locations, including major grocery stores throughout the Pine Belt as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine is published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Pine Belt of Mississippi. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
Insurance: Guide to Medicare Coverage
Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Pine Belt.
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Knowledge Is Power: Stay Healthy at Any Age
Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.
For information about this publication, contact Carolyn
Jones-Primeaux
Blue Moon Marketing at 601-467-3487 or healthycellspinebelt@gmail.com www.healthycellspinebelt.com
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Modern Hearing: Do What is Right for Your Hearing
28
Personal Health Battle of the Holiday Bulge
Healthy Cells Magazine is a division of:
1711 W. Detweiller Dr., Peoria, IL 61615, Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com I wish to thank all the advertisers for their gracious support of Healthy Cells Magazine in our mission to bring positive health related information to our readers. With their generous support we are able to provide this publication FREE to you. —Carolyn Jones-Primeaux
patient care
Hospitalists Promote Continuity, Consistency in Patient Care By James Glisson, M.D., Pharm.D.
I
f you’ve been in the hospital recently, you probably noticed that the medical team who provided your care included many specialists other than your personal physician. At Wesley Medical Center, in addition to the doctors, nurses, case managers, diagnosticians and other specialists, your regular physician may partner with a special type of physician known as a hospitalist. A hospitalist – a physician who practices exclusively in the hospital setting – serves as your personal physician’s right hand and spearheads your care while you are in the hospital. Hospitalists have been a part of the medical field for many years, and are one of the fastestgrowing types of doctors because of their important role in coordinating care and providing continuity for patients during their hospital stay. Like a primary care doctor, hospitalists are trained in general internal medicine, family practice, pediatrics, and other specialties. Some specialize in critical care medicine, cardiology, or other subspecialties. Hospitalists are valuable liaisons for both patients and their physicians. The average primary care physician spends only 12 percent of his or her time seeing patients in the hospital, according to a study by The Advisory Board Company, a Washington, D.C.-based health care consulting organization. Hospitalists, on the other hand, are available 24 hours a day, seven days a week. They are available to monitor patients’ progress, answer questions, and oversee the efforts of other health care professionals involved in patients’ care. Because hospitalists do not maintain medical practices outside the hospital, they can focus their attention exclusively on patients’ medical care while they are inside the hospital. If you are admitted to the hospital for surgery, a hospitalist may coordinate your inpatient care after your procedure. During this time, the hospitalist communicates with your primary care physician. Your physician will consult with the hospitalist to provide background information on your health history and diagnosis. The hospitalist then carries out the plan of care set up by your physician, coordinates your daily care with other members of the medical team, and communicates any changes in your condition to your physician. Once you are discharged home, the hospitalist will communicate with your physician about further treatment needed, help arrange follow-up care or medications needed, and send your hospital records back to your primary care provider. For example, if you are admitted to the hospital due to an unexpected condition such as a hip fracture, you may find that the primary care physician you see for routine care doesn’t make rounds in the hospital setting. If that’s the case, your hospitalist will contact your doctor to learn about your medical history. Then they’ll coordinate your care while you’re in the hospital and then follow up with your physician as you are discharged so that your records can be updated. Hospitalists have a thorough understanding of inpatient medical care, and are uniquely qualified to recognize and diagnose medical disorders, anticipate potential problems and rapidly respond to any sudden change in the patient’s condition. Patients under the care of a medical team led by a hospitalist often have shorter hospital stays and quicker recoveries. A study at the Uni-
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versity of California, San Francisco and Tufts University found that patients under hospitalists’ care had a 12 percent shorter length of stay in the hospital – nearly half a day – as well as better surgical outcomes and fewer return trips to the hospital. At Wesley Medical Center, full-time hospitalists, Dr. Marc Demyun and Dr. James Glisson, care for patients from 7 a.m. - 7 p.m. daily with the help of full-time nurse practitioner, Marti Jordan, NP, PhD. To ensure coverage from 7:00pm – 7:00am, Wesley Medical Center partners with physicians Dr. Gardner Fletcher, Dr. Jerry Hyer, Dr. Jeffrey Morris, Dr. Kurt Bruckmeier and Dr. Sivarama Kotikalapudi. To learn more, call 601-268-8000 or visit Wesley.com, click on the “Services” link and choose “Hospitalists.” About the Author: James Glisson, MD, PharmD , earned his Doctor of Medicine at the University Of Mississippi School of Medicine in Jackson, MS. Before beginning medical school, he earned a Doctor of Pharmacy at the University of Mississippi in Oxford, MS. He completed his Residency at the University of Mississippi Department of Medicine. Sources: The Society of Hospital Medicine www.hospitalmedicine. org, Medical News Today www.medicalnewstoday.com January 2012 — Pine Belt — Healthy Cells Magazine — Page 5
emotional
Habit Change Six Stages to Success By Dr. Bev Smallwood
A
s every New Year approaches, many of us are doing the usual…thinking, “This year will be different. I’m going to change…(fill in the blanks)…my work habits, my attitudes. I’ll lose those pounds; I’ll make that difficult choice that’s long overdue.” We re-make these resolutions throughout the year. But will we really follow through until the goals are accomplished? Or will this new “determination” be like the others…lots of good intentions, plenty of wishes, but basically, life goes on as usual? Research on personal change (Prochaska, Norcross, and Diclemente; “Changing for Good”) has demonstrated that successful change comes in six well-defined stages. Perhaps the failure to recognize these stages has been responsible for your past frustrations and failures in following through on self improvements. You see, each of these stages has a series of tasks that must be completed before you can progress to the next. You set yourself up for failure when you either try to accomplish changes you aren’t
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ready for or when you stay so long on tasks you’ve mastered (such as understanding your problem) that you become stuck indefinitely. Think about your past experiences as you read what happens in these six stages. Stage 1: Precontemplation When you’re at this stage, you aren’t even admitting you have a problem. We’ve all seen unhealthy denial in others. We often have trouble seeing it in ourselves. Writer G.K. Chesterton said, “It isn’t that they can’t see the solution. It’s that they can’t see the problem.” Precontemplators don’t want to change themselves. They think others are to blame for their difficulties. Likely, others are experiencing the precontemplator’s problem and may be applying pressure for him or her to change. The responses…denial and resistance. Are you in this stage? Chances are, you are with at least one of the destructive and self-defeating behaviors you need to change. Stage 2: Contemplation When you move to the Contemplation stage, you acknowledge you have a problem, and you want to get unstuck. You begin to think seriously about solving your problem. You try to understand its causes, and you begin to investigate your options. At this point you have indefinite plans to take action within the next few months. However, you can stay stuck in this stage for months or years. (Is this where you are now?) You know you need to change, and you intend to…someday…just as soon as…after…when the rush is over (when would that be?). You know your desire and your destination, but you’re not quite ready to go. Fear of failure can keep you searching for an easier, more dramatic, or more complete solution to your problem. The irony is, failure is guaranteed if you don’t move on to the next stage. Stage 3: Preparation “If you fail to plan, you plan to fail.” You greatly reduce your success probability if you suddenly wake up one morning, say “This is the day,” and dive headfirst into a change without realistically and specifically planning how you will make the change happen. At Stage 3, you develop a detailed plan of action and you may announce your intentions publicly. Your awareness is high, and you may have already begun small behavioral changes. Before moving ahead, however, you need to know exactly how you will keep your awareness and commitment high throughout the struggles of the next stages. Stage 4: Action This stage is the one that requires the most commitment and energy. It’s where you actually DO IT! You receive the most recognition and support during this stage, because others can see that you’re working at it. You follow the plan you’ve made in Stage 3, make revisions as necessary, and “keep on keeping on” even when it’s inconvenient or difficult. Here’s a caution: Action doesn’t necessarily mean that lasting change has been made. It’s an essential part of the process, but the failure to do what’s necessary in the next stage, Maintenance, can sabotage the progress you’ve made so far. Stage 5: Maintenance The maintenance stage is a long, ongoing process. From my experience, it’s the most difficult. (How many times have I dieted, for example, only to gain the weight back?) www.healthycellspinebelt.com
“Don’t give up! If you have a setback, don’t stay there. Pick yourself up, dust yourself off, and try again…this time with a revised and better plan.” The Action stage must be followed by constant vigilance and a systematic plan for dealing with those temptations that can draw you back into the old, destructive pattern. It’s hard work to consolidate the gains you’ve made during the first four stages and to prevent relapse. Celebrate achieving your goals, but don’t relax and tell yourself, “Whew! I’m glad that’s over!” Develop a menu of mental and behavioral coping strategies that will take you through the times when your feet begin to slip. (More on that in the next article.) Stage 6: Termination There is lively debate about whether this stage is possible when the behavior you’ve changed is an addictive habit. The ideal would be that you no longer feel tempted, and the habit is absolutely not a problem for you. Some say, however, that you must always maintain a life of vigilance. I tend to agree. Some can progress to the point that they are not constantly tempted, nor do they think about it every day. However, I believe that once you’ve had a deeply ingrained habit or addiction, you are always more vulnerable than if you’d never had it. Keep a level of awareness, especially in times of stress. Studies show that in times of stress or conflict, people are most likely to slip. Not a Linear Progression Wouldn’t it be nice if we smoothly progressed from one stage to the next? It’s possible, but not probable. Most people have episodes of backsliding into Contemplation or even Precontemplation before trying again. In fact, studies show that New Year’s resolutions are made, on average, five times before the changer moves all the way to Maintenance! (That’s average. You don’t have to do it that many times if you know how to move more effectively through these six stages.) Don’t give up! If you have a setback, don’t stay there. Pick yourself up, dust yourself off, and try again…this time with a revised and better plan. Dr. Bev Smallwood is a psychologist and professional speaker who is the author of “This Wasn’t Supposed to Happen to Me.” Visit her website, www.DrBevSmallwood.com; or contact Bev at 601.264.0890 or by email, Bev@DrBevSmallwood.com. Also connect with Bev on Twitter, Facebook, Linkedin, and her blog, Shrink Rap.
January 2012 — Pine Belt — Healthy Cells Magazine — Page 7
nutritional
Lifestyle Changes Saved My Life By Sandra Bender, BSN, PhD
W
here were we before the holidays? Oh, yes, I was discussing how your diet can prevent cancer as you were chewing on a pasture-fed turkey leg with a side of whole-grain stuffing seasoned with onions sautéed in olive oil, turmeric, parsley, coriander, ground flax seeds, mushrooms, cranberries, and celery. The meal was rounded out by roasted, herbed Brussels sprouts, avocado-tomato salad, and a glass of red wine. Dark chocolate pudding with strawberry garnish and a cup of green tea completed it. You ate just enough and did not gain an ounce. “That wasn’t me,” did you say? Perhaps the story about food, inflammation and my cancer will encourage you to eat healthy. Inflammation can save your life or promote cancer, heart disease, and diabetes, depending on its balance in your body. Cancer begins with the assistance of inflammation produced by the immune system. Cancer can occur at the place of inflammation or wherever your body is weak. The wound that does not heal and becomes cancer is not new information. But new details about inflammation reads like science fiction. Well-documented information is found in Mastering Leptin: Your Guide to Permanent Weight Loss and Optimum Health by Byron J. Richards, CCN. Here is my cancer story as I understand it through the lens of inflammation. White adipose tissue, where fat resides in your body, is 30 percent immune cells. Surprised? As your body increases in fat, it also increases in immune cells that produce inflammation signals. During the five years prior to my retirement I gained 35 pounds. More immune cells may sound like a good thing. But it isn’t. Leptin, a hormone discovered in 1994, is released by white adipose tissue, the stuff on your belly, butt, and thighs that you have been trying to get rid of. Leptin is the body’s master hormone that tells the others--insulin, Page 8 — Healthy Cells Magazine — Pine Belt — January 2012
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thyroid, estrogen, testosterone, adrenaline, for example--what to do. Now, fat has a more prestigious purpose as the organ that produces the most powerful hormone in your body. Briefly, fat cells secrete leptin which goes to the hypothalamus in your brain to tell it how much fat is stored. If enough fat fuel is in storage, leptin sets metabolism faster and you feel ready to take on the day. If fat storage is low and you are chronically hungry, such as when you are on a low-calorie diet, low leptin levels in your hypothalamus tell you to eat and rest. When food is plentiful again, leptin levels rise to tell fat cells to fill up. Leptin balances energy use and food in a healthy person. I felt a lot of stress at the peak of my career. High calorie food was readily available and I did not have time to cook or explore nutritional information. As I ate more than my body needed, I ignored leptin’s messages to stop eating. My hypothalamus, being overloaded with leptin, locked out the messenger. Leptin resistance developed so that I felt hungry when I was gaining weight with loads of circulating leptin. Oh, and leptin and insulin communicate with each other so that they balance food intake and stabilize energy. When cells become resistant to leptin, insulin levels hit the roof and eventually cells lock out insulin, too. The hypothalamus thinks it is starving because it does not respond to leptin and your cells think they are starving because they have locked out insulin. Before long, the pancreas wears out and stops making insulin, which creates type II diabetes. I did not get diabetes. I got cancer first. Let’s see how my weight gain set the stage for cancer. My fat tissue was making too much leptin which, in turn, produces too much inflammation. The immune cells of my fat tissue went into high gear and made an excess of the inflammatory molecule, tissue necrosis factor alpha (TNFa), which kills cancer cells when it is in balance. When a surplus of fat cells produces too much TNFa, it will generate excess gene signals that increase production of NF-kappaB, an immune system signal residing in every cell of our bodies. Normally, when NF-kappaB senses an invader such as a toxin, injury, infection, or emotional stress, it tells the DNA of the cells what proteins to make to fight the stress. Cells’ survival depends on it. If a cell is overwhelmed and likely to mutate, NF-kappaB will initiate cell death. In a state of balance, health is maintained perfectly. But in a surplus state, NF-kappaB uses the body’s antioxidant defense system and the production of growth hormone to protect cancer cells from destruction. And TNFa activates a growth factor that can make cancer cells extremely difficult to kill with treatment. With the assistance of excess fat, these two sophisticated immune system warriors and protectors can turn traitor. Excess fat, poor diet, inadequate sleep, and work stress probably caused my immune system to betray me, leading to my ovarian cancer. But the story does not end there. Before I knew anything about fat and leptin resistance, I read that being thin increased one’s ability to survive cancer. Being in survival mode, I disciplined myself to lose two pounds per month during the eighteen months I took chemotherapy. Integrative cancer treatment from the Block Medical Center in Skokie, IL, taught me a diet rich in antioxidants and other nutrients which may have normalized leptin and insulin, making my cancer more responsive to medical treatment. I had retired to a nurturing environment. There was time to cook and spend time with my husband and family. At my five year anniversary, I have no evidence of cancer. The next article will be about how to master your leptin and insulin so that you can come back to balance and health. Sandra Bender, BSN, PhD, is a retired psychologist living in Petal. She can be reached at HYPERLINK “mailto:sandrabender@att.net” sandrabender@att.net. www.healthycellspinebelt.com
The Medical Center Of Petal R. Mike Weaver, M.D.
601.582.7755 Now Accepting New Patents and Same Day Appointments 111 Morris Street – Petal, MS 39465
January 2012 — Pine Belt — Healthy Cells Magazine — Page 9
physical
Headaches!!! A Real Pain! Submitted by Spiers Chiropractic Pain & Wellness Center.
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eadaches affect just about everyone at some point and they can present themselves in many different ways. Some people only experience pain in one part of their head or behind their eyes, other’s experience a pounding sensation inside their whole head, and some people even experience nausea. The pain itself may be dull or sharp and may last for anywhere from a few minutes to a few days. Fortunately, very few headaches have serious underlying causes, but those that do require urgent medical attention. Headaches can be due to a variety of causes, such as drug reactions, temporomandibular joint dysfunction (TMJ), tightness in the neck muscles, low blood sugar, high blood pressure, stress and fatigue. The majority of recurrent headaches are of two types: Page 10 — Healthy Cells Magazine — Pine Belt — January 2012
tension headaches and migraine headaches. A third, less common, type of headache is called a cluster headache that is a cousin to the migraine. Let’s start out by taking a look at each of these three types of headaches. Tension Headaches Tension headaches are the most common, affecting upwards of 75% of all headache sufferers. Described as a constant dull, achy feeling either on one or both sides of the head, often manifests as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches usually begin slowly and gradually and can last for minutes or days, and tend to begin in the middle or toward www.healthycellspinebelt.com
the end of the day. Tension headaches are often the result of stress or bad posture, which stresses the spine and muscles in the upper back and neck. In some cases, chronic tension headaches may persist for months. Although the pain can at times be severe, tension headaches are usually not associated with other symptoms, such as nausea, throbbing or vomiting. The most common cause of tension headaches is subluxations in the upper back and neck, especially the upper neck, usually in combination with active trigger points. When the top cervical vertebrae lose their normal motion or position, a small muscle called the rectus capitis posterior minor (RCPM) muscle goes into spasm. The problem is that this small muscle has a tendon which slips between the upper neck and the base of the skull and attaches to a thin pain-sensitive tissue called the dura mater that covers the brain. Although the brain itself has no feeling, the dura mater is very painsensitive. Consequently, when the RCPM muscle goes into spasm and its tendon tugs at the dura mater, a headache occurs. People with desk jobs tend to suffer from headaches for this reason. Another cause of tension headaches comes from referred pain from trigger points in the Sternocleidomastoid (SCM) or levator muscle on the side of the neck. These are much more common in people who suffer a whiplash injury due to the muscle damage in the neck region. Migraine Headaches Each year, about 25 million people in the U.S. experience migraine headaches, and about 75% are women. Migraines are intense and throbbing headaches that are often associated with nausea and sensitivity to light or noise. They can last from as little as a few hours to as long as a few days. Many of those who suffer from migraines experience visual symptoms called an “aura” just prior to an attack that is often described as seeing flashing lights or that everything takes on a dream-like appearance. Migraine sufferers usually have their first attack before age 30 and they tend to run in families, supporting the notion that there is a genetic component to them. Some people have attacks several times a month; others have less than one a year. Most people find that migraine attacks occur less frequently and become less severe as they get older. Migraine headaches are caused by a constriction of the blood vessels in the brain, followed by a dilation of blood vessels. During the constriction of the blood vessels there is a decrease in blood flow, which is what leads to the visual symptoms that many people experience. Even in people who don’t experience the classic migraine aura, most of them can tell that an attack is immanent. Once the blood vessels dilate, there is a rapid increase in blood pressure inside the head. It is this increased pressure that leads to the pounding headache. Each time the heart beats it sends another shock wave through the carotid arteries in the neck up into the brain. There are many theories about why the blood vessels constrict in the first place, but no one knows for sure. What we do know is that there are a number of things that can trigger migraines, such as lack of sleep, stress, flickering lights, strong odors, changing weather patterns and several foods; especially foods that are high in an amino acid called ‘tyramine.’You can reduce the likelihood of migraine headaches by making some lifestyle changes.
“Each year, about 25 million people in the U.S. experience migraine headaches, and about 75% are women.” Cluster headaches affect about 1 million people in the United States and, unlike migraines, are much more common in men. This is the only type of headache that tends to occur at night. The reason that they are called ‘cluster’ headaches is that they tend to occur one to four times per day over a period of several days. After one cluster of headaches is over, it may be months or even years, before they occur again. Like migraines, cluster headaches are likely to be related to a dilation of the blood vessels in the brain, causing a localized increase in pressure. Next Month we will discuss Headache Trigger Points and Care for Headaches. For more information on this article or other chiropractic related issues contact Dr. Denton Spiers at Ph. 601-261-9495 or email at Spiers Chiropractic Pain & Wellness Center.
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Cluster Headaches Cluster headaches are typically very short in duration, excruciating headaches, usually felt on one side of the head behind the eyes. www.healthycellspinebelt.com
January 2012 — Pine Belt — Healthy Cells Magazine — Page 11
feature story
SafeHeart Health Screens Offering the Power of Prevention
Stacee Myrick, Marcie Haddad, Karen Wilkins, and Susan Myrick
S
afeHeart Health Screens is a unique life-saving business that allows health-conscious individuals to obtain high-quality, safe and affordable diagnostic screening tests to detect cardiovascular disease (CVD) at an early or asymptomatic stage. Karen Wilkins is the owner and founder of SafeHeart Health Screens, but this is not where her education and career started. Karen was a practicing attorney with an established law firm. She and her husband moved to Hattiesburg in 1995. Karen continued to practice law until the birth of her third son, Bo. It was at this time she left the field of law to be a full-time mother to Bo, and his two older twin brothers, Jack and Chris. After years of being a stay-at-home mom, Karen decided to go back to school and take some MBA courses, one of which was a
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technology entrepreneurship class at USM. In the course of this class, students were required to develop and draft a business plan for a new entrepreneurial business. With the help of two team members, Karen drafted a business plan for SafeHeart Health Screens, designed to offer affordable heart attack/stroke screens to communities in Mississippi, Louisiana and Alabama. The plan was presented at an event called the “Golden Eagle Challenge” and was judged by a panel of business professionals and venture capitalists. Their business plan won the challenge, and SafeHeart Health Screens was launched in 2008. SafeHeart Health Screens offers the power of prevention to those who wish to be proactive about their cardiovascular health. One out of every two heart attack victims and four out of every five stroke victims has NO apparent warning signs or symptoms. SafeHeart Health
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Screens can help change these statistics. Karen says, “We offer affordable, high-quality, fast and painless cardiovascular disease screening tests that assess for risk of stroke, aneurysm, atrial fibrillation and peripheral vascular disease. This information can be life-saving. If our tests show the presence of advanced disease, or even the presence of early vascular disease, participants and their physicians then have the opportunity to manage/treat that condition. Whatever the results, participants gain peace of mind through knowledge, and that knowledge really can save lives.” Overall, 1 in 4 participants SafeHeart has screened have been found to have some degree of vascular disease. One in thirty has been found to have a significant degree of disease. This hit very close to home this summer when SafeHeart Health Screens was a participant in Healthy Cells Women’s Expo held in August 2011. During the screenings, Susan Myrick’s mother, Barbara Gaertner, came to the expo and signed up for the Five Screens to Good Health. It was during these tests that an incidental finding was made which resulted in Barbara having surgery within a few weeks of the screening. Susan says, “I have always felt this is such a rewarding job, because we help save lives with our testing, but when the incidental finding was with my mother, that really drove home the value of what we do”. That was not the only time this happened. Earlier this year, another ultrasound technician employed by SafeHeart took the portable GE Vivid i ultra-sound machine home to train another ultrasound tech. She used her father as the “patient,” and they discovered he had a critical 5.9cm abdominal aortic aneurysm for which he had no symptoms whatsoever. He had emergency surgery within just a couple of weeks to correct the aneurysm, and credits the screening with saving his life. SafeHeart’s Five Screens to Good Health test for early risk of stroke are peripheral vascular disease, atrial fibrillation and ab-
Karen Wilkins Carotid Artery Disease Screen: The Carotid Artery Disease Screen uses ultrasound and Doppler technology to screen for plaque buildup and blockages in the carotid arteries. Carotid artery disease is the leading cause of stroke. In addition, the presence of even minimal carotid artery plaque is associated with a much higher long-term risk of cardiovascular disease. Carotid Intima Media Thickness Screen: The Carotid Intima Media Thickness Screen uses ultrasound technology to obtain a measurement of the thickness of the wall of the carotid arteries. Carotid artery thickness (CIMT) is a validated non–invasive method to assess for early atherosclerosis. An abnormal CIMT is associated with an increased risk of heart disease and stroke. Abdominal Aorta Aneurysm Screen: The Susan Myrick demonstrates screening equipment Abdominal Aorta Aneurysm Screen uses ultrasound technology to evaluate for an abnormal enlargement of the abdominal aorta. Aortic aneurysms are usually asymptomatic dominal aortic aneurysm. All five screens are non-invasive, require until advanced when a rupture can be a catastrophic event. no disrobing, and are painless. SafeHeart Health Screens has de Atrial Fibrillation Screen: The Atrial Fibrillation Screen uses a veloped a unique screening procedure that enables participants rhythm strip analysis to evaluate the presence of atrial fibrillation, a comto have all five screens done in one location and in less than 15 mon and often asymptomatic abnormal heart rhythm, which can lead to minutes. The price for all five screens is $129, with corporate disblood clot formation in the heart chambers leading to increased risk of counts offered. These costs are significantly less than what would stroke. Approximately 15% of strokes are a result of atrial fibrillation. typically be charged in a hospital or clinic setting.
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January 2012 — Pine Belt — Healthy Cells Magazine — Page 13
feature story continued
Peripheral Vascular Disease Screen: The Peripheral Vascular Disease Screen measures the Ankle-Brachial Index (ABI) to evaluate for decreased circulation to the lower extremities. Persons with abnormal ABI and peripheral vascular disease have a higher risk of heart disease and stroke. Catch 22 But getting the tests paid for is a real Catch 22. Karen explains, “The problem is that since 80% of all strokes occur without warning, many people would like to know if they are at risk for stroke, and many would like to be screened to find out. But physicians may not order cardiovascular screens for asymptomatic individuals because they know that those tests won’t be covered precisely BECAUSE there are no symptoms. The solution to the CATCH 22 problem is SafeHeart, with affordable screens which provide valuable information and peace of mind no matter what the results.” • Mississippi leads the nation in deaths caused from heart disease and stroke. • 50 % of all victims of heart attack and 80% of all stroke victims have NO warning-the first symptom is the last. • More than one million people have undiagnosed aortic aneurysms, 95% of which could be successfully treated if detected. These are just a few of the facts regarding heart disease and stroke that drive SafeHeart Health Screens to continue with its education and partnering efforts. These are also the reasons why many of SafeHeart’s corporate partners choose to offer these screens to their employees. One such example is Viking Range in Greenwood, MS, where SafeHeart has screened at the Employee Health Fair for the last 3 years. In the first year, 477 of 600 employees had screens and:
Page 14 — Healthy Cells Magazine — Pine Belt — January 2012
• 24% showed varying degrees of vascular disease. • 2 employees underwent carotid artery surgery with 2 weeks of the Health Fair as a direct result of their screening results. These employees credited SafeHeart with saving their lives. The company saved short and long-term medical costs associated with potentially catastrophic events now avoided. In another corporate screening, SafeHeart screened over 2200 higher risk Mississippi state employees (over 40 years old with certain risk factors present) from 30 randomly selected state agencies between October 2010 and January 2011. • 1 in 4 showed varying degrees of vascular disease. • 1 in 50 had significantly abnormal findings requiring follow-up medical care. • 4 state employees were considered “critical” and each underwent life-saving carotid endarterectomy procedures within 4-6 weeks of being screened. In any SafeHeart screening event, SafeHeart handles all the supplies and equipment, scheduling of appointments and all payment collection. SafeHeart now offers a four screen package (all screens except atrial fibrillation) for only $99.00. In addition to SafeHeart corporate screens and hospital partnership/ community events, screenings are held once a month at SafeHeart’s office at 610 Adeline Street in Hattiesburg. Their next screening will be held on January 27, 2012.
For more information on SafeHeart Health Screens, visit their website at www.safehearthealthscreens.com or call them toll-free at 866-548-3006, or 601-450-5483.
www.healthycellspinebelt.com
HUB CITY
Making a Difference. One Patient at a Time. 6798 Highway 98, Ste. 30, Hattiesburg (601) 264-6735
PHYSICAL THERAPY & HAND REHABILITATION
20 Parkway Blvd, Hattiesburg (601) 544-6727
Hub City Physical Therapy is a private, locally owned free-standing outpatient physical therapy clinic offering both spinal and extremity rehabilitation in a state of the art facility.
Needing Home Medical Equipment? Choose Your One Source For Total Home Care
· Oxygen Therapy Products · Respiratory therapy products/services · CPAP and BiPAP · Home medical equipment/supplies · Prevention and Treatment Mattresses · Wound Care Products (Negative Pressure Wound Therapy) · Diabetic monitors and supplies · Diabetic/Therapeutic shoes and inserts
· Stair Lifts and Ceiling Lifts · Vehicle Lifts and Ramps · Lift Chairs · Nutrition supplies/equipment · Incontinent supplies · Mastectomy supplies · Orthopedic supplies/products · Compression Hosiery · Breast Pumps
7 Resiratory Therapist • 2 Certified Pedorthists • 7 Certified Shoe Fitters 1 Assistive Technology Professional / Certified Rehabilitation Technology Specialist 11 Certified Mastectomy Fitters
Jones County Medical Supplies, Inc.
Hattiesburg Medical Supply
Covington County Medical Supply
104 South 13th Avenue Laurel, MS 39440 Phone 601-426-2574 Fax 601-649-3185
1301 South 28th Avenue Hattiesburg, MS 39402 601-296-6000 Fax 601-296-2020
205 Main Street Collins, MS 39428 Phone 601-765-3277 Fax 601-765-3270
www.healthycellspinebelt.com
Locally Owned & Operated for 32 Years
January 2012 — Pine Belt — Healthy Cells Magazine — Page 15
a healthy balance
A Journey to Fitness By Jayne Richards
I
usually submit an article about photography each month, but this month’s article is going to be about another passion of mine: running. I started running a number of years ago, as a stress reliever, and I quickly fell in love. Learning to balance family, work, and exercise is a constant struggle, but one that I am determined to overcome. In the early days of my love affair with running, I saw a news show highlighting the New York City marathon, held each year on the first Sunday of November. I was captivated, and a dream was born. I began to train with that goal in mind, but battled injury and scheduling conflicts to the extent that the dream was put on hold. In 2008, I began to see the effects of putting my exercise habits on hold in my lack of energy and endurance. I began to slowly ease back into exercise, first working with a trainer, then on my own. In 2010, I ran three half marathons, each one a little faster than the one before. When I began running again, I knew that I would like to eventually run a marathon, and my race of choice was NYC. I looked into the registration procedures and discovered that the NYC marathon is lottery based: you register for a chance to enter. If you register three years in a row without being selected, you are guaranteed entry the next. Knowing that I wanted to run the race when I turned 50, I registered, thinking it would take three years to be selected. I was selected the first year, but I was not ready. I found out that if I cancelled before the race, I would be guaranteed for the next year. I ended up doing that two more times before I felt I was ready. For most of 2011, I trained for the marathon. I’m a loner when it comes to exercise, so I mostly trained on my own. I used Jeff Galloway’s Run/Walk/Run program and in August of this year, went to a retreat led by him in Blue Mountain Beach, Florida. Training through the heat of a Mississippi summer is tough on anyone, and the wisdom he gave me through his years of experience was invaluable to my training program. On November 6, 2011, all the blood, sweat, and tears paid off when I crossed the finish line at the ING New York City marathon. It was a day that I will always remember, a triumph that I will always treasure. As a new year approaches, I hope you will consider setting a goal for yourself to improve your fitness level. You may never desire to run a marathon, but improved fitness will benefit every area of your life. If I can do it, you certainly can, too. Dream big, but start small. Remember to ease into a training program, and train smart. Seek guidance from professionals to help you with your journey.
Page 16 — Healthy Cells Magazine — Pine Belt — January 2012
Jayne Richards during the NYC Marathon. Jayne Richards is a professional photographer and running enthusiast. She lives and runs in the Hattiesburg/Petal area. You can follow her journey to fitness on her blog “Faith and Fitness at 50” at www.jrichardsoriginals.blogspot.com.
www.healthycellspinebelt.com
the right dose
STRESS
Can Save Your Life or Kill You…. By Robert Donnell, RPh
A
new year is approaching, and most people feel more pressured by external forces, seemingly out of our control. The current economy and it’s many shortfalls, starting a new year, resolutions we promised to try, maybe the addition of expenses incurred during the giving holidays, and busier and more harried schedules all play a part in causing stress during this time of year and all year long. Activation of the stress response can lead to some adverse effects. Some of the effects are the release of epinephrine (adrenaline) from the adrenal gland. This is known as the fight or flight syndrome. Our ancestors, the cave man, survived by this release of the hormones that helped him survive when prehistoric critters were out to cannibalize them or their families. These hormones caused wonderful effects by allowing the body to perform superhuman events that may have saved their lives. However, the cave man, knowing the saber toothed tiger lived in the cave, would not enter that cave every day. So the cave man was only exposed to stress occasionally, not everyday. We push ourselves to do more, schedule more and produce more and thus expose our bodies to adrenaline constantly. No wonder people feel stressed out… we all have cell phones, Ipads and e-mail, among other gadgets all in an effort to be more efficient and save time. We may be saving time but in the process, we are placing a higher than ever level of stress that our bodies were not built to endure. Cortisol is the stress hormone, that when elevated, causes variances in blood sugar, stomach acid, blood pressure, immune response, nervousness and sleep and wake cycles. Stress increases appetite and fat deposits. When we are stressed we have a big appetite and eating seems to help us temporarily feel better. Comfort foods, fast foods, foods high in calories and fats and foods with high sugar content are the ones we crave. For me its Kettle chips and Bluebell ice cream. Ha… We all have our vices. If we can learn to control them we will survive all the entanglements of life. The quality and quantity of sleep is very important when we are stressed. A vicious cycle is started when you have less sleep then your body needs causing you to have poor quality sleep. This results in a general feeling of nervousness. Poor memory, difficulty in learning and mood changes follow as a result. The urgency of a tight schedule and impatience increases the variances in blood pressure, thus affecting your cardiac output. This can damage the arteries, blood vessels and put more work on your heart. Along with these fluctuations comes reflux of stomach acid which causes heartburn. Researchers say that this may result from the blood going to the cardiac system instead of to your gastric system. We did not even cover all the effects, but you see that stress can really be a problem for lots of patients and most people do not know that there are items sold over the counter that may help in adjusting to these stressful situations. Of course, exercise and living a more relaxed life would be wonderful, but often is not possible. When patients ask for suggestions, we as compounding pharmacists are able to suggest items that are made of pharmaceutical grade materials that actually help patients heal the adrenal gland and adjust to some of these stressful stimuli. www.healthycellspinebelt.com
Dr James Wilson has written books and presents national seminars that have been very helpful to us in knowing what to suggest to patients. His book, Adrenal Fatigue, offers a very good insight to just what may be happening in your body. He has formulated several supplements that seem to help patients in this dilemma. Some items that also seem to help are sold over the counter and help the body increase levels of seratonin. Theanine is the most popular of these to help with the stress as well as a product called Kavinace. Magnesium glycinate 400mg 3 times daily has proven to be wonderful for ladies who may be low in hormones. Bioidentical hormone restoration has also been very helpful for men and women. So in summary, if you think stress is a problem for you, there is something that you can do about it. Calm down, slow down and ignore that cell phone and those e-mails… Happy New Year… For more information contact the staff at Vital Care Compounder ph. 601.261.0503
Billy Cochran, PT, CSCS Craig Morris, LPTA Kacee Rose, LPTA
52 98 Place Blvd. Hattiesburg, MS 39402
(601) 296-0199
www.carephysicaltherapy.net January 2012 — Pine Belt — Healthy Cells Magazine — Page 17
family health
Home For The Holidays -
And Mom Is A Mess! By Barbara Lofton, Resident Benefits Specialist with Bedford Care Centers
‘
T
is the holiday season. Many families are blessed to live near to aging loved ones. When you live nearby a gradual decline in the health of a senior may be hard to recognize. But for those children and other family members who live away and only get to visit once or twice a year, the decline may be startling. Many visits are made during the holidays and many of these are a time of eye-opening doubts about the loved one’s ability to maintain day to day. WARNING SIGNS The first warning sign that comes to mind is mom’s or dad’s physical appearance. If mom or dad is refusing to bathe or to change clothes there could be a physical or mental cause. My mother in her later years bathed only every other day. She was quick to tell us that
her doctor said that bathing too much caused her skin to dry out. We were never sure as to whether the doctor told her this as a health fact or whether he realized that bathing daily was too much for her. We do know that she feared being at home alone when bathing as she feared a fall. That is a very realistic fear but such reasoning coming from our parents who taught that “cleanliness is next to Godliness” might raise a red flag. Another warning sign is the state of the home. Has mail been allowed to accumulate unopened? Is the sink full of dirty dishes? Do the refrigerator and pantry contain an adequate supply of food? Is the food outdated? Has a very neat home suddenly become so cluttered that a person may trip and fall? One fall can change a person and her needs forever. Safety in the home is a major consideration.
Challenge us to solve your therapy problems Natural Hormone Restoration Therapy Natural Supplements
115 South 40th Avenue | Hattiesburg, MS 39402
40th Ave at O’Ferrell near Home Depot
www.vitalcarecompounder.com
601-261-0503 1420 South 28th Ave Hattiesburg, MS 39402
601-264-3937
Page 18 — Healthy Cells Magazine — Pine Belt — January 2012
V i ta l C a r e
Compounder A Specialty Pharmacy
www.healthycellspinebelt.com
this document is more important than a will. An estate can be probated and distributed with or without a will. But if a person has financial accounts or other assets held only in his or her name, only a court order can provide access to them. In the event Mom or Dad loses capacity a conservatorship or guardian would be required. That gives a judge authority over assets and other decisions needed. While this process serves the purpose, most of us would agree that decisions usually are best made by those who know and love us. Would Mom and/or Dad benefit from companion services or help in the home? Has the situation reached a point where your parent is no longer safe living at home? Is it time to consider assisted living or nursing home care? What will happen if you leave and Mom suffers a broken hip or Dad has a stroke? Have you made arrangements for their needs to be met before and after your arrival? The top two crises we see in family situations are: 1. How is needed care accessed? 2. Who pays for long term care?
Many times those who are facing issues of aging become paranoid to the point where they do not want children or family members questioning finances or the ability to manage their own affairs. The fear of loss of control is very real and very difficult to address. If your parent will allow you to review bank statements, look for warning signs there. Many seniors are vulnerable to abuse by lotteries, cash prizes, magazine sales, or televangelists. Some of these might be worthy causes but many of them prey on those whom they can pressure into purchases or contributions they can ill afford to make. The Attorney General’s website, www.ago.state.ms.us provides a great brochure with information about financial abuse of seniors. OPPORTUNITIES While the holiday visit home may be a time to realize that things are not what they should be, it can also give a time to address issues that need to be addressed. Do Mom and Dad have a general durable power of attorney? Believe it or not, some elder law attorneys feel www.healthycellspinebelt.com
Many are shocked to learn that Medicare does not cover long term facility care. Medicaid is the program on which many rely for long term care. But Medicaid is a needs based program with both income and asset limits. The moment of crisis is not the best time to consider what will happen if or when a parent needs care. These are situations that families face every day. When an event occurs and a parent requires a hospital stay, the hospital social workers will assist in the referral process for home health services or facility care. When a parent has declined to the point where facility placement is needed without a hospital stay, families can begin the process by contacting local nursing homes. Several websites give information to look for when touring a facility. Ask the facility what services are provided and whether the facility will assist you with the Medicaid application. Take advantage of your holiday visit to address the needs of your parents or other loved ones. Do some basic research. Care may not be needed right this minute. But you and your loved one will benefit greatly from an investment of time. Have a plan in place to make sure Mom or Dad receives the best possible care in the shortest period of time. Barbara Lofton is the Resident Benefits Specialist with the Bedford Care Centers. She can be reached by phone at 601-264-3709 or by e-mail at blofton@hmpmc.com.
January 2012 — Pine Belt — Healthy Cells Magazine — Page 19
breathing treatment
Living Better With Oxygen Therapy Submitted by Forward Health Solutions
W
hat do athletes Lance Armstrong, Sidney Rice, Terrell Owens, John Smoltz, Sylvester Stalone, Eric Johnson, Reggie Bush, Sedrick Ellis, Eric Johnson, and Mario Lamieux all have in common? They all own hyperbaric chambers. The players that use them, swear by them… and the ones that don’t, haven’t used them. So why would athletes use a hyperbaric oxygen chamber? Hyperbaric oxygen therapy (HBOT) reduces pain and swelling, helps oxygen get to traumatized tissue, speeds up healing of ligaments and broken bones, reduces scar formation, and helps players return to the game sooner. Saints receiver Marques Colston uses a hyperbaric chamber to enhance performance and speed recovery. After he broke his collarbone in the season-opener against Green Bay, he attributed his fast healing to his hyperbaric chamber. “I don’t let my body heal; I heal my body,” said Colston. He doesn’t generally bring the chamber on the road with him, but he said he took it to Super Bowl XLIV in Miami. Both Tim Tebow and Hinds Ward also use their own personal hyperbaric chambers to help speed recovery and increase performance. Eagles wide receiver, Terrell Owens showed his hyperbaric chamber in 2003, when he appeared in MTV’s reality show, Cribs. He was told it was impossible to play with his ankle sprain which “had a tremendous amount of damage” before Super Bowl XXXIX, and yet he did. He credits his hyperbaric chamber for his quick recovery as well. The coaches and players of the University of Georgia Football team refer to the hyperbaric chamber as “the miracle bed” and have experienced great results. If athletes benefit from using hyperbaric oxygen therapy, we should consider this a treatment option for common medical problems that involve inflammation as well. Traditionally, hyperbaric chambers have been restricted to large hospitals to treat a specific list of medical conditions, including the “bends” (decompression sickness), diabetic ulcers, and to treat advanced burns. You cannot request to be treated with hyperbaric oxygen if you have something that is not on the “list”, even though it may respond to HBOT (i.e. multiple sclerosis). Several European countries, like England, consider hyperbaric oxygen therapy a primary treatment for MS, and insurance covers treatments in many cases. So what is so special about hyperbaric oxygen therapy (HBOT)? Well, it is not just the increased oxygen that makes it helpful, but it is the oxygen under pressure. Hyper means increased, and baric means pressure. The ambient air (the air we breathe) contains roughly 21% oxygen, 78% nitrogen and 1% lesser gases such as carbon dioxide, helium and others. The chamber is filled with compressed ambient air and, with the oxygen concentrator, provides about 93% oxygen. When undergoing a HBOT treatment, the compressed air is 2 to 4.5 pounds per square inch (1.3 ATA max) which is about the same as being 11 feet below sea level. What makes HBOT so useful is that any gas under pressure will dissolve into liquid (Henry’s Law of Physics). Oxygen, when pressurized, dissolves into your red blood cells and plasma (the liquid portion of your blood), nourishing the cells, tissues, organs – your whole body! This is why HBOT is helpful for people who have had a lack of oxygen to Page 20 — Healthy Cells Magazine — Pine Belt — January 2012
their brains, such as stroke patients. Hyperbaric oxygen is a tsunami of oxygen for the brain, helping to awaken stunned or sleeping brain cells and, for some people, recover function. A stroke survivor writes (about HBOT): “After several months of other therapy I was introduced to your [hyperbaric] oxygen therapy. I have seen what I consider a GREAT improvement in the following: My general strength has improved … I feel more invigorated … I am getting more movement in my right hand … I was able to hold a pen in my right hand for the first time yesterday.” Nurse Pam Floener, at the age of 53 suffered a brain aneurysm and two subsequent strokes. She was paralyzed on her left side and could not walk or talk. After more than 100 hyperbaric treatments you would never know it today! There are many non-traditional indications for using Hyperbaric Oxygen Therapy (HBOT) and I anticipate over time the list will only grow. Several problems/diseases that may benefit from HBOT are listed below: • Stroke (even old strokes) • Traumatic Brain Injury • Sports Performance and Recovery • Autism • Asperger’s • Cancer • Recovery after Surgery • Multiple Sclerosis (MS) • Headaches • Pre and post surgery
• Lyme’s Disease • Fibromyalgia • Rheumatoid Arthritis • Cerebral Palsy • Chronic Fatigue Syndrome • Osteoarthritis • Crohn’s/Ulcerative Colitis • Gout • Multiple Chemical Sensitivity • Immune Deficiency
One fibromyalgia patient writes (about HBOT): “Within one week, my energy level shot up. The terrible pains in my arm and leg ceased. The brain fog and disorientation that I had experienced for 7 years left and my mind cleared. I had never thought that I would be free of these depressing symptoms again.” One physician who has a hyperbaric chamber in his office states, “I have been experiencing some excellent outcomes with my surgical patients.” Another surgeon noted that “we have noted less swelling, bruising, and overall discomfort in patients who undergo HBOT.” HBOT can be described as a treatment for any kind of inflammation. Oxygen is instrumental in achieving wellness and, as we know today, most diseases are caused, either directly or indirectly from inflammation. HBOT cuts down on the inflammation that occurs with disease, and helps to allow the body to heal itself. To learn more about hyperbaric oxygen therapy, please call Forward Health Solutions at 601-450-2077 to register for one of our free information sessions on: Monday, January 9th at 6:00pm Monday, January 23rd at 6:00pm
www.healthycellspinebelt.com
balance program
Prediabetes The Pine Belt’s
Hidden Health Challenge
A
s the time for New Year resolutions approaches, The Family YMCA wants residents of Hattiesburg, Petal and the surrounding areas to be aware of their risk for prediabetes and type 2 diabetes and preventative steps they can take in 2012 to reduce that risk. Currently, nearly 26 million Americans have diabetes and a staggering 79 million people have prediabetes, a condition where blood glucose is elevated, but not high enough to be diagnosed with diabetes. While the nation’s struggle with obesity and type 2 diabetes is wellchronicled, the amount of people with prediabetes is a growing and often underreported issue that can be prevented with changes in eating and physical activity habits. People with prediabetes are at risk for not only developing type 2 diabetes, but cardiovascular diseases, stroke and other conditions. “Learning that you have prediabetes does not necessarily mean you will develop type 2 diabetes. In fact it may be the first step in preventing type 2 diabetes, through changes in healthier eating and regular physical activity,” said Nan Bryant, RN, BSN, Director of Health and Wellness for The Family Y. “You don’t have to make the changes alone. The Family Y can help through our “Group Lifestyle Balance Program” which will begin this January. GLB is a special program, developed by the University of Pittsburgh Diabetes Prevention Support Center and research team, that is geared specifically for those diagnosed with prediabetes or the metabolic syndrome.” As one of the nation’s leading nonprofits dedicated to strengthening community through healthy living, The Family Y is urging residents of Hattiesburg, Petal and the surrounding areas, to assess their risk for prediabetes and type 2 diabetes by visiting YMCA.net/diabetes-prevention. Individuals can learn how background and lifestyle choices help determine the ultimate risk for prediabetes and type 2 diabetes. Several factors that could put a person at risk for type 2 diabetes include family history, age, weight and activity level, among others. Some basic lifestyle changes that contribute to weight loss and healthy living can decrease the risk for type 2 diabetes. Among these are: • eat fruits and vegetables every day • choose fish, lean meats, and poultry without skin • aim for whole grains with every meal • be moderately active at least 30 minutes per day five days a week • choose water to drink instead of beverages with added sugar • speak to your doctor about your diabetes risk factors, especially if you have a family history or are overweight To learn more about The Family Y’s “Group Lifestyle Balance Program”, please contact Nan Bryant at The Family Y, 601-583-4000, nan.bryant@ ymcahattiesburg.org. The Y is one of the nation’s leading nonprofits strengthening communities through youth development, healthy living and social responsibility. Across the U.S., 2,700 Ys engage 21 million men, women and children – regardless of age, income or background – to nurture the potential of children and teens, improve the nation’s health and well-being, and provide opportunities to give back and support neighbors. Anchored in more than 10,000 communities, the Y has the long-standing relationships and physical presence not just to promise, but to deliver, lasting personal and social change. www.ymcahattiesburg.org YMCA Mission: To put Christian principles into practice through programs that build a healthy spirit, mind and body for all. www.healthycellspinebelt.com
601-270-2756 January 2012 — Pine Belt — Healthy Cells Magazine — Page 21
Page 22 — Healthy Cells Magazine — Pine Belt — January 2012
www.healthycellspinebelt.com
insurance
Guide to Medicare Coverage Part 2 of 2 Submitted by Hattiesburg Medical Supply Durable Medical Equipment (DME) Defined • In order for any item to be covered under Medicare, it typically has to meet the test of durability. Medicare will pay for medical equipment when the item: ∙W ithstands repeated use (excludes many disposable items such as underpads) ∙ I s used for a medical purpose (meaning there is an underlying condition which the item should improve) ∙ I s useless in the absence of illness or injury (thus excluding any item preventive in nature such as bathroom safety items used to prevent injuries) ∙ Used in the home (which excludes all items that are needed only when leaving the confines of the home setting) Understanding Assignment (a claim-by-claim contract) • When a provider accepts assignment, they are agreeing to accept Medicare’s approved amount as payment in full. • You will be responsible for 20 percent of that approved amount. This is called your coinsurance. • You also will be responsible for the annual deductible, which is $162.00 for 2011. • If a provider does not accept assignment with Medicare, you will be responsible for paying the full amount upfront. The provider will still file a claim on your behalf and any reimbursement made by Medicare will be paid to you directly. (Providers must still notify you in advance, using the Advance Beneficiary Notice, if they do not believe Medicare will pay for your claim.) Mandatory Submission of Claims • Every provider is required to submit a claim for covered services within one year from the date of service. The role of the physician with respect to home medical equipment: • Every item billed to Medicare requires a physician’s order or a special form called a Certificate of Medical Necessity (CMN), and sometimes additional documentation will be required such as copies of office visit notes from prior visits with your physician or copies of test results relevant to the prescription of your medical equipment. • Nurse Practitioners, Physician Assistants, Interns, Residents and Clinical Nurse Specialists can also order medical equipment and sign CMNs when they are treating you. • All physicians have the right to refuse to complete documentation for equipment they did not order, so make sure you consult with your physician about your need for medical equipment or supplies before requesting an item from a provider. Prescriptions Before Delivery: • For some items, Medicare requires your provider to have completed documentation (which is more than just a call-in order or a prescription from your doctor) before they can deliver these items to you:
www.healthycellspinebelt.com
∙ Decubitus care (wheelchair cushions and pressure-relieving surfaces placed on a hospital bed) ∙ Seat lift mechanisms ∙ TENS Units (for pain management) ∙ Power Operated Vehicles/Scooters ∙ Electric or Power Wheelchairs ∙ Negative Pressure Wound Therapy (wound vacs)
• Your provider cannot deliver these products to you without a written order from your doctor, nor can they get the documentation at a later date because if they do, Medicare can never make payment for those products to you or your provider. So please be patient with your provider while they collect the required documentation from your physician. How does Medicare pay for and allow you to use the equipment? 1. Typically there are four ways Medicare will pay for a covered item: • Purchase it outright, then the equipment belongs to you, • Rent it continuously until it is no longer needed, or • Consider it a “capped” rental in which Medicare will rent the item for a total of 13 months and consider the item purchased after having made 13 payments. ∙ Medicare will not allow you to purchase these items outright (even if you think you will need it for a long period of time). ∙ This is to allow you to spread out your coinsurance instead of paying in one lump sum. ∙ It also protects the Medicare program from paying too much should your needs change earlier than expected.
• If you have oxygen therapy, Medicare will make rental payments for a total of 36 months during which time this fee covers all service and accessories. ∙ Beyond the 36 months (for a period of 2 additional years), Medicare will limit payments to a small fee for monthly gas or liquid contents and a limited service fee to check the equipment every six months. 2. After an item has been purchased for you, you will be responsible for calling your provider anytime that item needs to be serviced or repaired. When necessary, Medicare will pay for a portion of repairs, labor, replacement parts and for temporary loaner equipment to use during the time your product is in for servicing. All of this is contingent on the fact that you still need the item at the time of repair and continue to meet Medicare’s coverage criteria for the item being repaired. For more information, please contact Jones County Medical Supplies, Inc. 601-426-2574, Hattiesburg Medical Supply 601-296-6000 or Covington County Medical Supply 601-765-3277 or visit us on the web at www.hattiesburgmedicalsupply.com.
January 2012 — Pine Belt — Healthy Cells Magazine — Page 23
knowledge is power
Stay Healthy at Any Age U
se the information here to help you to get healthy and stay healthy in the new year. Learn about which screening tests to get depending on your gender, whether you need medicines to prevent diseases, and steps you can take for good health. Screenings are tests that look for diseases before you have symptoms. Blood pressure checks and mammograms are examples of screenings. You can get some screenings, such as blood pressure readings, in your doctor’s office. Others, such as mammograms, need special equipment, so you may need to go to a different office. After a screening test, ask when you will see the results and who to talk to about them. Abdominal Aortic Aneurysm If you are between the ages of 65 and 75 and have ever been a smoker, talk to your doctor or nurse about being screened for abdominal aortic aneurysm (AAA). AAA is a bulging in your abdominal aorta, the largest artery in your body. An AAA may burst, which can cause dangerous bleeding and death. Breast Cancer Ask your health care team whether a mammogram is right for you based on your age, family history, overall health, and personal concerns. Page 24 — Healthy Cells Magazine — Pine Belt — January 2012
Cervical Cancer Have a Pap smear every 1 to 3 years if you are 21 to 65 years old and have been sexually active. If you are older than 65 and recent Pap smears were normal, you do not need a Pap smear. If you have had a hysterectomy for a reason other than cancer, you do not need a Pap smear. Chlamydia and Other Sexually Transmitted Diseases Sexually transmitted diseases can make it hard to get pregnant, may affect your baby, and can cause other health problems. •H ave a screening test for Chlamydia if you are 24 or younger and sexually active. If you are older than 24, talk to your health care team about being screened for Chlamydia. •A sk your doctor or nurse whether you should be screened for other sexually transmitted diseases. Colorectal Cancer Have a screening test for colorectal cancer starting at age 50. If you have a family history of colorectal cancer, you may need to be screened earlier. Several different tests can detect this cancer. Your health care team can help you decide which is best for you.
www.healthycellspinebelt.com
Depression Your emotional health is as important as your physical health. Talk to your health care team about being screened for depression, especially if during the last 2 weeks: • You have felt down, sad, or hopeless. • You have felt little interest or pleasure in doing things. Diabetes Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medication for high blood pressure. Diabetes (high blood sugar) can cause problems with your heart, brain, eyes, feet, kidneys, nerves, and other body parts. High Blood Pressure Starting at age 18, have your blood pressure checked at least every 2 years. High blood pressure is 140/90 or higher. High blood pressure can cause stroke, heart attack, kidney and eye problems, and heart failure. High Cholesterol Starting at age 20, have your cholesterol checked regularly if: • You use tobacco. • You are obese. • You have diabetes or high blood pressure. • You have a personal history of heart disease or blocked arteries. • A man in your family had a heart attack before age 50 or a woman, before age 60. It’s Your Body! You know your body better than anyone else. Always tell your doctor or nurse about any changes in your health, including your vision and hearing. Ask them about being checked for any condition you are concerned about, not just the ones here. If you are wondering about diseases such as glaucoma or skin cancer, for example, ask about them. HIV Talk with your health care team about HIV screening if any of these apply to you: • You have had unprotected sex with multiple partners. • You have injected drugs. • You exchange sex for money or drugs or have sex partners who do. • You have or had a sex partner who is HIV-infected, bisexual, or injects drugs. • You are being treated for a sexually transmitted disease. • You had a blood transfusion between 1978 and 1985. • You have any other concerns. Osteoporosis (Bone Thinning) Have a screening test at age 65 to make sure your bones are strong. If you are younger than 65, talk to your health care team about whether you should be tested. Overweight and Obesity The best way to learn if you are overweight or obese is to find your body mass index (BMI). You can find your BMI by entering your height and weight into a BMI calculator, such as the one available at: http:// www.nhlbisupport.com/bmi/. A BMI between 18.5 and 25 indicates a normal weight. Persons with a BMI of 30 or higher may be obese. If you are obese, talk to your doctor or nurse about seeking intensive
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counseling and help with changing your behaviors to lose weight. Overweight and obesity can lead to diabetes and cardiovascular disease.
Take Preventive Medicines If You Need Them Aspirin If you are 55 or older, ask your health care team if you should take aspirin to prevent strokes. Breast Cancer Drugs If your mother, sister, or daughter has had breast cancer, talk to your doctor about whether you should take medicines to prevent breast cancer. Estrogen for Menopause (Hormone Replacement Therapy) Do not use estrogen to prevent heart disease or other diseases. If you need relief from symptoms of menopause, talk with your health care team. Immunizations • Get a flu shot every year. • If you are 65 or older, get a pneumonia shot. • Depending on health problems, you may need a pneumonia shot at a younger age or need shots to prevent diseases like whooping cough or shingles. • Talk with your health care team about whether you need vaccinations. You can also find which ones you need by going to: http://www2. cdc.gov/nip/adultimmsched/.
Take Steps to Good Health
• Be physically active and make healthy food choices. Learn how at www.healthfinder.gov/prevention. • Get to a healthy weight and stay there. Balance the calories you take in from food and drink with the calories you burn off by your activities. • Be tobacco free. For tips on how to quit, go to www.smokefree. gov. To talk to someone about how to quit, call the National Quitline: 1-800-QUITNOW (784-8669). • If you drink alcohol, have no more than one drink per day. A standard drink is one 12-ounce bottle of beer or wine cooler, one 5-ounce glass of wine, or 1.5 ounces of 80-proof distilled spirits. Questions Are the Answer Information on how to get involved in your health care by asking questions, understanding your condition, and learning about your options. Go to: www.ahrq.gov/questionsaretheanswer. If you don’t have access to a computer, talk to your local librarian about health information in the library. Sources This information is based on research from the U.S. Department of Health and Human Services and the U.S. Preventive Services Task Force (USPSTF). The USPSTF, supported by AHRQ, is a national independent panel of medical experts that makes recommendations based on scientific evidence about which clinical preventive services should be included in primary medical care and for which populations. For information about the USPSTF and its recommendations, go to: http://www.uspreventiveservicestaskforce.org. U.S. Department of Health and Human Services
January 2012 — Pine Belt — Healthy Cells Magazine — Page 25
modern hearing
Do What is Right for Your Hearing Submitted by HearingSolutions of the Pine Belt, LLC.
T
ake control of your Hearing and your Life! Your first step is to have a complete hearing consultation and evaluation. This starts you on your way to better hearing and understanding. Your Hearing Loss is like any other health-related issue; it should not be neglected. Even a mild to moderate hearing problem can cause you to retreat from the world around you. Studies show untreated Hearing Loss can have a negative effect on your health and attitude, even resulting in stress, depression, isolation and reduced earning power. However, doing something to address your Hearing Loss can change your life for the better. The good news is today’s hearing instruments are discreet, light weight, water resistant, reliable and high performance. This means hardly anyone will notice you’re wearing them. Today’s advanced technology has evolved to meet the needs and demands of active people with hearing loss. Most people find them so comfortable and effective; they even forget they are wearing them. Most important-better hearing helps you get more out of life. Don’t wait to do something about your Hearing Loss. We can help you find the solution that best suits you and your lifestyle.
A Hearing Solution For Everyone Some people think hearing loss is just part of the aging process It is common to experience Hearing Loss as we get older. But did you know the majority of people with Hearing Loss are actually below the retirement age? Whatever age you are there is no need to withdraw from conversations, friends and family. The right hearing solution can help you stay active and participate fully in the things you enjoy. Perhaps you think hearing instruments won’t help you or they are too expensive Today there are hearing instruments designed to help all degrees of Hearing Loss. The technology is designed to help reduce unwanted noise, help you focus on sounds of interest and locate where they are coming from. There are even different levels of technology available to meet different budget needs. For many, the thought of getting a hearing instrument, simply says “I’m getting too old.” People with Hearing Loss often seem less confident in conversations and may tend to withdraw or be slower on the up-take. Hearing better will help you feel more confident and others will notice you are more involved. Not only do they look great, but these high technology devices allow you to participate fully in conversations and your life.
Page 26 — Healthy Cells Magazine — Pine Belt — January 2012
Your next step
Modern hearing care combines sophisticated easy-to-use technology with discreet design to empower you to participate actively and confidently in communication situations. Making the decision to have your hearing consultation and evaluation is the first step towards improving your quality of life. Just take a minute to consider how your Hearing Loss has affected you and your family. Consider the following: • Are you withdrawing from conversations? • Do you feel frustrated trying to communicate in group situations? • Are you beginning to limit or modify your social activities? • Is your family playing interpreter? Are they getting annoyed? Take a minute to think about what it would mean to you and your family if you could: • Hear and understand much more • Laugh with and get closer to the people you love • Feel relaxed rather than drained after a long conversation • No longer be embarrassed by misunderstandings or having to ask people to repeat themselves • Get connected to people and modern lifestyle devices • Hear and understand the soft voices of children • Enjoy the birds singing and the rustle of leaves in the wind • Tell where sounds are coming from and know which way to look • Listen to radio or TV with others at a volume that suits them • Be the first to answer the telephone instead of the last • Re-gain energy with your new listening ease • Keep up and participate in meetings Call us with any questions you have or to schedule a consultation. We can help you find a solution that best suits your hearing and your lifestyle. You can take advantage of a full range of hearing instrument styles and prices to suit your budget and hearing requirements. Dr. Michael Hunt, Ph.D., A.C.A., AAS, who wears hearing instruments, is a Nationally Board Certified Audioprosthologist with 26 years of functional rehabilitation experience. He limits his practice to educating patients about their hearing loss and the options they have about correcting that loss. For more information, or to schedule a complimentary consultation with Dr. Hunt, contact HearingSolutions of The Pine Belt at (601) 450-0066.
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January 2012 — Pine Belt — Healthy Cells Magazine — Page 27
personal health
Battle of the Holiday Bulge
How to break the cycle once and for all! By Lauren Fremin, M.S., Exercise Physiologist & Health Mentor, Forrest General Wellness
Page 28 — Healthy Cells Magazine — Pine Belt — January 2012
www.healthycellspinebelt.com
Through a State Funded Program
A
s we begin to dig for our warm, comfy jackets, sweaters and scarves, we are reminded once again of the holidays – a time of comfort and joy spent with loved ones and filled with vacation, chocolate covered cheese cake, warm turkey gravy and how can we forget that deliciously creamy eggnog! Once those yummy treats and holiday activities have passed, many turn to New Year’s resolutions – good intentions that that seem like a masterpiece of new beginnings, but too often end as deflated goals. If this sounds all too familiar, know you are not alone – statistics reveal weight loss as one of the top three resolutions chosen each January, yet, the most commonly broken. Unfortunately, the other top picks, exercise and tobacco cessation, yield the same results. Improving one’s health positively affects just about every aspect of living, and although it is desired by most, countless failed attempts prove this simple fact: we must be going about this all the wrong way! So instead of giving in to that urgent, impulsive feeling to start that soup diet your friend lost 50 pounds on, along with a daily run of 5 miles, let’s try another approach that begins within the mind. We all have the brain power to alter our perception of a lifestyle change, thus resulting in attitude adjustments and behavior changes, all of which determine our success or failure in our ability to adopt a healthier lifestyle forever. If you are ready to put an end to this vicious cycle, follow these strategies below and go for it! Evaluate, Evaluate, Evaluate: Before making any changes, evaluate your life right now – every aspect of it – and try to determine some of the reasons why you have failed at making healthy lifestyle changes. When we evaluate our behavior patterns, we also determine our strengths and weakness/barriers to change, aiding in the creation of more effective strategies to overcome these barriers. Embrace not only the part of you that wants to change, but also the part that is resisting change. Try to alter what you are already doing versus making drastic, unfamiliar changes that may or may not be maintainable. There is always a healthier alternative to what you are already doing. Journals, food/exercise diaries, planners and to-do lists are all effective and necessary tools when evaluating and creating your weight loss plan. Write down positive, realistic, behavior-specific goals Understand the concept of “Caloric Balance:” Managing your weight is all about maintaining balance – balancing the number of calories you consume with the number you use or burn off through exercise or daily activities. • Establish a foundation of knowledge you can build on • Don’t focus on the “all or nothing” rule • Create a social support system New Year, New You! If you are still overwhelmed and need a starting point, let us help you. Forrest General Wellness offers more than just a fitness center through our LifeStyle Management program. Personalized assessments and one-on-one meetings with our Dietitian, Exercise Physiologist and Wellness Counselor can help you plan out your strategies for success. Need that extra motivation? We also invite you to apply for our New Year, New You contest. Compete for great prizes and win a “new you” in the process. Go to HYPERLINK “http://www.forrestgeneral.com” www. forrestgeneral.com and click on the New Year, New You icon for contest details and application or call 601-288-1360 for more information. Before you decide to wave your little white flag in defeat, ask yourself: “What can I do to improve my health today?” www.healthycellspinebelt.com
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January 2012 — Pine Belt — Healthy Cells Magazine — Page 29
A Toast to making 2012 look EVEN better!
re
Befo
After Let Radiant Reflections weight loss clinic help you lose weight this year call: 601-268-7777
6600 US Hwy. 98, Hattiesburg, MS 1/4 mile west of Old Hwy. 11 in Oak Grove
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Keeping Tomorrow’s Leaders Healthy One Child At A Time... Southeast Mississippi Rural Health Initiative, Inc. A Network of Community Health Centers 5488 US Highway 49
Hattiesburg, MS 39401
www.semrhi.com
Hattiesburg Family Health Center
Minor Care Clinic
601-544-7500
Seminary Family Health Center
Sumrall Family Health Center
601-450-3030
601-722-3208
601-758-4214
Women's Health Center
Picayune Family Health Center
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Brooklyn Family Health Center
New Augusta Family Health Center
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Hattiesburg High School and Community Clinic
Hattiesburg Public School
Hattiesburg Family Health Center Downtown
Hattiesburg Community Dental Center
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and Community Clinic (Lillie Burney) 601-450-6500
An Equal Opportunity Service Provider
Page 30 — Healthy Cells Magazine — Pine Belt — January 2012
Lumberton Family Health Center 601-796-4215 Beaumont Family Health Center 601-784-3922 Pharmacy Assistance Center 601-544-4163
We accept Medicaid, Medicare, Private Insurance and Private Pay.
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HEAR FOR THE NEW YEAR! FREE YOURSELF FROM LIVING WITH A HEARING LOSS Do You Ask People to Repeat Themselves? Do You Have Difficulty Understanding Conversations? Do You Have Trouble Hearing on the Telephone? Does Your Family Complain About the TV Being Too Loud? We Can Help! HearingSolutions of The Pine Belt understands how living with hearing loss can make life difficult, impairing your ability to communicate clearly and easily. We now offer the most advanced hearing instruments with wireless technology designed to improve the way you hear and understand. Dr. Michael Hunt, Hattiesburg’s only Nationally Board Certified Audioprosthologist, has been rehabilitating hearing for over 26 years and wears hearing instruments. Dr. Hunt and his staff are dedicated to providing the best possible hearing care to the Pine Belt area. Call us today to schedule a complimentary consultation and evaluation.
Let us Help you Hear for the New Year!
(601) 450-0066 or Toll Free (877) 450-0066
J.J. Hunt, Charlotte Hunt, Dr. W. Michael Hunt, Karen Zumbro Ph.D., A.C.A, AAS We would like to welcome our new Audiologist: Dr. Amy Holden, Au.D., CCC-A, FAAA
of The Pine Belt, llc
Call to Schedule Your Appointment Today.
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General Orthopedics • Sports Medicine • Arthroscopic Surgery Diseases of Bone and Joint • Total Joint Replacement Dr. Jeffrey Burns is fellowship trained in joint replacement surgery
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