PINE BELT area
Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
MARCH 2012
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HealthyCells
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www.healthycellspinebelt.com
M A G A Z I N E
Premier Orthopaedics
Premiers in Patient Care pg. 12
Love Changes Everything pg. 6
What is Sleep Apnea pg. 18
Prediabetes,
A Serious Health Problem pg. 20
The
45-MinuteSOr-LeSS er Service Pledge
OnLy at Wesley Medical Center Emergency medicine is about three things: compassion, skilled care and speed. You’ll find these at Wesley Medical Center. Our ER is the only one in the area with Chest Pain Accreditation and physicians who are all Emergency Medicine Residency Trained. Our entire team is committed to having you seen by a doctor or clinical provider* within 45 minutes of your arrival. If you need an ER fast, try Wesley’s fast ER. Once you do, you won’t want to go anywhere else. For more information, visit us online at Wesley.com. *Clinical provider is defined as a physician or nurse practitioner. If you are experiencing a medical emergency, call 911.
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Wesley.com
12/29/11 1:21 PM
Specializing in Integrative Medicine • • • • •
Adrenal Fatigue Therapy Bioidentical Hormone Replacement Therapy Detoxification 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
You Deserve to Look Your Very Best! Jay Lost 50 lbs • Only $135.00 Includes Nutrition Class, Basic Labs, & First Doctor’s Visit.
ore
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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
www.radiantreflections.us • Facials • Massage • Chemical Peels • Microdermabrasion • Botox • Laser Hair Removal • Juvedérm & More
Excellence in Orthopaedics
Office Located on Wesley Medical Center Campus To w e r B • S u i t e 4 0 1 • H a t t i e s b u r g Monday-Friday 8:00a-5:00p S a m e D a y C a r e Av a i l a b l e
601-296-2100
General Orthopedics • Sports Medicine • Arthroscopic Surgery Diseases of Bone and Joint • Total Joint Replacement Dr. Jeffrey Burns is fellowship trained in joint replacement surgery
Dr. Thomas Baylis is fellowship trained in arthroscopy and sports medicine
On Left
On Right March 2012 — Pine Belt — Healthy Cells Magazine — Page 3
MARCH 5
In The Community: Challenge Your Body
6
Emotional: Love Changes Everything
8
Nutritional: Replace Sodium and Empty Calories with Wholesome Foods
10
Physical: If Someone You Love Has a Hearing Problem, Here’s How You Can Help…
15
Involvement: After the Holiday Season The Salvation Army Keeps On Working
16
Procedure Technique: It’s All in the Wrist
18
Medical Condition: What Is Sleep Apnea?
20
Healthy Lifestyle: Prediabetes: A Serious Health Problem
...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 3
This Month’s Cover Story:
Premier Orthopaedics Premiers in Patient Care
page 12
Cover story photos by JRichards Originals
21
Colorectal Cancer: National Colorectal Cancer Awareness Month
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.
22
Nursing Services: Home Is Where The Heart Is
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.
23
Testosterone Replacement: Getting You and Your Heart Back on Track
24
Proper Supplements: Vision Problems May Benefit From Pharmaceutical Grade Supplements
25
Affected Breathing: Living with COPD?
26
Dental Health: Wisdom Teeth
28
New Procedure: New Tips and Technology to Help Relieve Your Pain
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.
For information about this publication, contact Carolyn
Jones-Primeaux
Blue Moon Marketing at 601-467-3487 or healthycellspinebelt@gmail.com www.healthycellsmagazine.com
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
in the community
Challenge Your
Body
I
t is that time of the year again! Forrest General Wellness’ New Year, New You program is underway and off to a great start. The call for entries resulted in an abundance of contest hopefuls, making the selection process very difficult. Out of the many deserving applicants, all were carefully considered and 12 teams were chosen to participate. Team members this year are comprised of the young and young at heart, cancer survivors, new parents, best friends, and spouses. Team members were very busy the first two weeks as they met with Forrest General Wellness staff to have baseline measurements taken, a body scan completed on the new Body Metrix system at Forrest General Wellness, and a meeting with the Registered Dietitian for a personalized meal plan. The real competition kicked off when the contestants entered the gym for the first time on February 6. All participants are required to work out at least three times a week and are encouraged to try out a mix of cardio and strength training for optimal results. There is a lot of fun with exciting activities and challenges ahead for the New Year, New You contestants. The first being the nutrition mentor meeting followed by the nutrition challenge. This year’s nutrition challenge is sure to bring lots of excitement to the table as contestants battle it out in a challenge that looks like the Food Network’s “Iron Chef” meets “Chopped.” Challenges give contestants the opportunity to practice the skills they learn each week
while competing to save themselves from the dreaded elimination. While this challenge is sure to be very entertaining, the weeks to follow will also bring hard work and fun. To keep up with all the fun and excitement, follow contestants and vote to save your favorites, visit www.forrestgeneral.com and click on the New Year, New You link.
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March 2012 — Pine Belt — Healthy Cells Magazine — Page 5
emotional
Staff Relief and Private Duty Nursing
Love Changes Everything By Sandra Bender, BSN, PhD
Dedicated To Cleint Satisfaction By Meeting Your Medical Needs. • Registered Nurses • Licensed Practical Nurses • Certified Assistants • Companions / Homemakers All Available 7 days a week, 365 days per year, 24 hours a day.
124 Walnut Street #5 Hattiesburg, MS 39401 601-271-6004 800-796-1197
Page 6 — Healthy Cells Magazine — Pine Belt — March 2012
“Love changes everything, How you live and how you die.”
A
ndrew Lloyd Webber’s lyrics express the vitality of the loving experience. Science confirms that love can make a difference in life or death. This article establishes the human spirit as essential for healing. But we don’t need to be told about the healing power of love by poets or science we know it in our heart and at the deepest level of our cells. Five years ago, after my oncologist told me my cancer could not be cured and that it would shorten my life, my husband, Nate, extended his hand to me and said, “I want us to agree not to stop until we find a cure for your cancer.” Such audacity! A cure for my cancer that we have just been told is incurable. Yet, I felt with his love, commitment, and hope. We would survive cancer. Dr. Dean Ornish’s book, “Love and Survival”, reviews the scientific literature regarding emotional connection. Ornish describes love and intimacy broadly as being able to share thoughts and feelings with another person with an “open heart,” being able to be vulnerable without protecting yourself, and having a feeling of belonging. Research has shown that persistent loneliness is a more powerful predictor of health and longevity than age, gender, race, socioeconomic status, physical health status and health practices such as smoking, alcoholic beverage consumption, overeating, physical activity, and utilization of preventive health services. For example, although husbands and wives respond differently to emotions, married men and women have a lower premature mortality rate from all causes than people who are single, separated, widowed or divorced. Married people are more likely to survive at least five years after cancer diagnosis compared to unmarried people in the same stage of disease and the same treatment. In a study of older people, those who perceived themselves to have inadequate social support were 340% more likely to die prematurely from all causes. In another study of seven thousand people living near San Francisco, the absence of social and community ties was a powerful predictor of health and premature death. How does an open heart and positive human contact protect and heal us? According to “Anticancer: A New Way of Life”, by David Servan-Schreiber, MD, PhD, health seems to be related to our immune system’s ability to handle the emotional experience of helplessness. Emotional distress can lead to over production of inflammatory chemicals which, in turn, can actually influence the body’s response to disease and will to live. In the face of a life-threatening disease, my husband’s love protected me from helplessness. Changing yourself to include open, vulnerable expression of feeling can take effort but can make you happier and save your life. In 1989, Dr. David Spiegel published a landmark study in the medical journal, The Lancet, in which two groups of women with metastatic breast cancer were given standard medical care. In addition, one group was given a support group once a week for a year in which
the women talked about feelings about their disease and eventually included other important issues in their lives. At five-year follow-up phone calls, the results shocked Dr. Spiegel, who did not believe that emotions could affect survival. Three of the group participants answered the phone themselves. The support group lived twice as long as those without a group. None of the comparison group was living after five years. These results have been repeated several times. In addition to finding a support group, a delightful place to begin is by reading “Kitchen Table Wisdom: Stories That Heal” by Rachel Naomi Remen, MD. Dr. Remen learned to love from her grandfather as, “I would sit at the kitchen table talking about the holy nature of the world.” She writes from her personal experience of living with her own life-long illness and from the perspective of a physician. Drs. Ornish and Servan-Schreiber describe many pathways to an open heart including close neighbors, an involved extended family or religious community, trusted friends, prayer and meditation, volunteer activities, and yes, a loving marriage. Methods of attaining emotional connection are also described by Keith Block, MD, in Life Over Cancer. My emotional development has been a life-long trek. I moved from my tight-knit family in Mississippi to Cleveland, Ohio, for graduate school. I was terrified of failure. I studied constantly, made it to a PhD, and joined a prestigious private practice. Toward the end of my career I received a grant to develop a marriage education curriculum. It was
the pinnacle of my career, but the price was intense pressure, little time with my family, fast food, and weight gain. Just as this project was completed, my aging parents needed care. We moved back to Mississippi to parents who were mature enough to show their love unconditionally. I had developed sufficiently to appreciate them for the trajectory on which they sent me and their support that made it happen. I returned home with the seed of cancer and was diagnosed two years later. The warmth of the people I grew up with, along with diet, exercise, and sunshine (vitamin D) has created a healing environment. The loving and open-hearted conversations with my social worker at the Block Medical Center in Skokie, Illinois, facilitated my recovery. Although I do not know the future of my health, my cup runs over with a loving husband, three children and their spouses, rambunctious grandchildren, friends, a church, and a sense of purpose. I’m optimistic. I believe that you can protect yourself and your family from cancer and heart disease (which is caused by the same factors as cancer). You need a healthful diet, exercise, and sunshine in addition to loving relationships. Please see my previous articles in Healthy Cells for more information. Begin now, before you are forced as I was. Besides, being healthy makes life more fun! Sandra Bender lives in Petal and can be reached at sandrabender@att.net.
March 2012 — Pine Belt — Healthy Cells Magazine — Page 7
nutritional
Replace Sodium and Empty Calories with Wholesome Foods
G
rocery store shelves and restaurant menus are often crowded with foods containing solid fats, added sugars and high levels of sodium. During National Nutrition Month ®, the Academy of Nutrition and Dietetics (formerly the American Dietetic Association) is helping Americans understand how to get the most nutrients they need from the foods they eat, all surrounding this year’s theme: “Get Your Plate in Shape.” “When people eat foods that have added sugars and solid fats, they are consuming extra calories they don’t need,” says registered dietitian and Academy Spokesperson, Angela Ginn. “These ‘empty calories’ are found in a number of foods and drinks and offer little-to-no nutritional benefits.” Foods high in solid fats (like sausage, shortening and cream) and added sugars (such as regular soda and pastries) should be considered occasional treats rather than regular options. Eating these foods on a regular basis can cause you to consume more calories than your body needs in one day. “Replace these foods with nutritionally sound choices, like fruits and vegetables, whole grains, lean protein and low-fat dairy,” Ginn says. “Eating occasional treats is okay. Just make sure to balance out those treats with healthier options and get plenty of exercise.”
Page 8 — Healthy Cells Magazine — Pine Belt — March 2012
In addition to limiting foods high in solid fats and added sugars, consumers should also be aware of high levels of sodium in foods, especially pre-made options like frozen meals and canned soups and vegetables. Foods containing high levels of sodium are contributors to high blood pressure, heart disease and stroke. “The 2010 Dietary Guidelines for Americans recommend consuming only 2,300 milligrams of sodium per day, which is about one teaspoon of salt,” Ginn says. “While meeting this recommendation may seem hard at first, choosing foods that are lower in sodium is one big step you can take towards meeting this goal.
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Ginn offers tips to choose healthier options and “Get Your Plate in Shape”: Choose foods and drinks with little or no added sugars. “It is smart to look for foods that have no added sugars, like unsweetened apple sauce or unsweetened whole-grain cereals,” Ginn says. • Drink water throughout the day. For variety, add lemons, limes or cucumbers to your water or try carbonated water. • C hoose low-fat or fat-free milk or 100-percent fruit juices. • Eat fresh fruit salad for dessert.
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Eat fewer foods that are high in solid fats. “Solid fats can increase your risk for heart disease,” Ginn says. “You can reduce this risk by choosing healthier oils and lean meats.” • Instead of regular ground beef, opt for extra-lean ground beef. Ground turkey and chicken are also available in lean options. • Grill, broil, bake or steam your foods instead of frying. • C ook with healthy oils like olive, canola and sunflower oils in place of hydrogenated and partially-hydrogenated oils. • Opt for fat-free or low-fat milk, yogurt and cheese. Cut back on sodium. “Much of the sodium we eat comes from prepared meals and foods eaten away from home. This can be significantly reduced by eating fresh foods,” Ginn says. • Instead of salt, use herbs and spices to season foods, and avoid salting food before tasting it. • D o not add salt when cooking pasta, rice and vegetables. • R ead the Nutrition Facts Panel to compare sodium content of foods such as soups, broths, breads and frozen dinners, and choose the healthiest option. • E at fresh fruits and vegetables, fresh meats, poultry and fish, beans and peas, unsalted nuts, eggs and low-fat or fat-free milk and yogurt. Ginn also recommends cooking different dishes at home. “This allows you to control what you put in your meal,” she says. For more information on how to “Get Your Plate in Shape,” visit the Academy’s National Nutrition Month website for a variety of helpful tips, fun games, promotional tools and nutrition education resources. The Academy of Nutrition and Dietetics (formerly the American Dietetic Association) is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving the nation’s health and advancing the profession of dietetics through research, education and advocacy. Visit the Academy of Nutrition and Dietetics at www.eatright.org.
March 2012 — Pine Belt — Healthy Cells Magazine — Page 9
physical
If Someone You Love Has a Hearing Problem, Here’s How You Can Help… Submitted By HearingSolutions Of The Pine Belt, LLC
S
eeing a spouse or loved one suffer with hearing loss can be frustrating and heart breaking. And, if it seems to you that they are avoiding the problem, you’re probably correct. About 40 million people in our great country experience hearing loss and nearly 80% (32 million) of them do not seek help. (By comparison, imagine if 80% of those people with poor eyesight did not receive treatment!) Let’s face it; no one looks forward to dealing with hearing loss, much less wearing hearing aids. I certainly didn’t. Detected early enough however; hearing loss can be treated. Since hearing problems only get worse over time, it is crucial the person gets help as quickly as possible. The longer they wait, the more expensive rehabilitation becomes. Of course it’s not always easy to convince a loved one to seek help. Here are some of the more common reactions from those reluctant to address their hearing problems: “My family doctor would have told me” Only about 14% of physicians routinely screen for hearing loss during a physical. Since most people with hearing loss hear just fine in a quiet setting, like a doctor’s office, it can be nearly impossible for their physician to recognize a hearing problem. Page 10 — Healthy Cells Magazine — Pine Belt — March 2012
“I can have minor surgery like my friend did.” Many of us know others whose hearing improved after medical or surgical treatment. Unfortunately with adults, only about 2-5% of hearing loss can be improved with surgery. “A hearing aid will make me look old.” Some think that wearing a hearing aid is a sign of “weakness,” or that it will make them look old, less competent, or “handicapped.” You should stress that others will be much less aware of the hearing aid than the wearer will. Also, misinterpreting words, responding incorrectly, if at all, and being left out of conversations are much, much more obvious to people than the hearing aid itself. “I don’t want some big chunky thing in my ear!” Some fear that a hearing aid will be big, bulky, cumbersome, and make them look unattractive. Actually, most hearing aid models today are quite discreet, colored to match hair and complexion, and are essentially invisible to the average person. It is also very likely that once your loved one gets a hearing aid, their quality of life will be enhanced so that appearance will be of no concern.
“My father had one and it never worked!” Hearing aid technology has improved immensely in recent years. Most hearing instruments are now digital models which can be programmed to meet one’s specific needs in different hearing environments. Other advances have resulted in greatly reduced background sounds, a sense of clearer, more natural sound, and the virtual elimination of “whistling” and “buzzing” (feedback). Recent research shows that nearly 80% of current hearing aid wearers are either “satisfied” or “very satisfied.” This nearly doubles the results of five years ago. Left untreated, hearing loss can affect a person’s quality of life in many ways. Yet without even realizing it, you may be making it easier for someone not to seek help. Such well intentioned effort such as repeating yourself or “translating” what others are saying may be preventing your loved ones from realizing how much communication they fail to understand or miss completely. The following are some positive steps you can take in order to help them find the help they need: Don’t raise your voice. Shouting will only strain your voice, distort what you’re trying to say and make you even more difficult to understand. Speak in a normal voice, making sure you get your loved one’s attention before you speak. Don’t be the messenger for everyone else. As tempting as it is, interpreting for a loved one what others are saying may be enabling them to avoid seeing the magnitude of the problem. This always delays them getting the help they so desperately need. Call a hearing professional for an appointment. You need to call a hearing professional who understands today’s technology to schedule a confidential consultation and complete hear-
ing evaluation. This facility should be clean with state-of-the-art equipment which has been calibrated and serviced on a regularly scheduled basis. The clinician should be licensed, certified, and thoroughly trained. Sound rooms or acoustical chambers must be utilized in the evaluation procedures and they should meet all the ANSI and OSHA requirements. Beware of the “audiometer in a room” approach. Don’t trust your hearing problems to just anyone. The professional will know the right questions to ask and the correct evaluation to perform. If, in fact, your loved one does require hearing rehabilitation, they will be able to discuss the options and the model or models that will provide the best results for their needs. Be sure your hearing professional offers follow-up care and long term warranty protection. Go to the hearing evaluation with them. It is crucial that you or another family member attend the appointment with them. Hearing loss affects all involved and hearing professionals like to get input from other family members regarding the scope of the problem. In my practice, I insist the patient be accompanied for the evaluation. If a hearing aid is required, it’s equally important that you participate in the fitting in order to understand many procedures involved with wearing a hearing aid. As you are well aware, the person who has the hearing problem is not the only one affected.—It takes its toll on you and the entire families so DON’T delay. It’s essential that you assist your loved one in finding the help they need right away. For more information, or to schedule a complimentary consultation with Dr. Hunt, contact HearingSolutions of The Pine Belt at 601-450-0066.
March 2012 — Pine Belt — Healthy Cells Magazine — Page 11
feature story
Premier Orthopaedics Premiers in Patient Care By Carolyn Jones-Primeaux
W
hen Dr. Jeffrey Burns and Dr. Thomas Baylis formed a partnership over three years ago, they shared a common philosophy for treating their patients. Dr. Burns expressed their feelings about their chosen life’s work, “Providing the best patient care requires spending time with each patient – as much time as it takes to identify the problem, discuss treatment options, and formulate the best treatment plan for the individual. Located in Wesley Towers, Dr. Burns and Dr. Baylis opened Premier Orthopedics & Sports Medicine with the idea of providing more personalized care in a smaller clinic. They were impressed with Wesley Medical Center’s outstanding medical reputation in the area and wanted to become part of that effort. The two doctors met several years before opening their clinic after completing the requisite education and training for orthopedic surgeons. Each had also pursued additional fellowship training: Dr. Burns in joint replacement surgery and Dr. Baylis in arthroscopy and sports medicine under renowned surgeon Dr. James Andrews, who has performed successful surgeries on many top professional athletes. Dr. Burns and Dr. Baylis both believe that every patient, no matter his/her status, deserves the same treatment as any athlete. These two specialized areas of orthopedics obviously complement one another, offering these dedicated young doctors a chance to join forces and invest themselves in quality care for the Hattiesburg and Pine Belt community. It was a gutsy move for two basically conservative guys, but has proven to be a successful choice.
Neither Dr Burns nor Dr Baylis believe in the label “minor surgery.” If a patient is having surgery for whatever reason, it is important. Both doctors believe in exhausting all other options before resorting to surgery. Those options include the proper use of medications, physical therapy, and other non-surgical treatments. When these options have been eliminated and the need for surgery is evident, the doctors discuss the patient’s individual situation, educating him/her as much as possible on the benefits and risks involved plus the actual procedure and rehabilitation process after the surgery. Both doctors believe in taking as much time as necessary with surgical procedures in order to do it right the first time. No patient wants to have a “do-over” when it comes to surgery. Lastly, they pose two questions: “Will you be better off after the surgery?” and “Are you aware of and willing to take the risks involved?” Knowing what to expect before and after surgery, the patient can then make an informed choice. Each doctor has a special passion for his field. Dr. Baylis is a big advocate of sports safety and enjoys spending time at local schools providing care for their athletes. “I think these visits keep me grounded in some way. They bring back some of my old high school memories of playing ball and makes me remember who I am at heart,” explains Dr. Baylis. He also uses this time to get across some key points to both coaches and players, stating, “It is crucial that the parents, coaches, and athletes understand the value of sports safety. This includes appropriate conditioning and training,
L to R: Dr. Thomas Baylis, Dr. Jeffrey Burns, Amber McJunkin, Justin Newell, Wendy Cain, Ryan Cole, Cheryl Heidelberg, and Michelle Cobb Page 12 — Healthy Cells Magazine — Pine Belt — March 2012
appropriate equipment, and most importantly for young athletes, supervision. This may also include interval training and breaks from certain sports that are now being played year round. Time is often needed for proper rehabilitation and healing before returning to a sport.” He adds, “One of the biggest problems we now see is overuse injuries in young athletes.” Every spring the same situation occurs. Doctors use film and digital technology to read x-rays. Baseball becomes the focus of sports, and with many young people playing on multiple teams, Dr. Baylis begins watches the pitch count and makes sure that each pitcher gets to see an increase in throwing injuries. To offset this, he feels very enough rest. He must also realize that players in any position strongly that all players need to be supervised by a responsible throw the ball as well. adult because kids all think that nothing is ever going to happen Another problem during baseball season is lack of communicato them. Pitchers, especially, think they can go out and throw tion between school coaches and those who coach special teams several days in a row without harming themselves. A good coach that play on weekends only. School coaches have to understand March 2012 — Pine Belt — Healthy Cells Magazine — Page 13
feature story continued that these weekend pitches count as well. If the school coach is focusing only on the time the athlete plays for him, then the parents should step in and protect their children. Teamwork among family members, coaches, and organizations is the best way to go. All adults must understand the consequences of overuse of an athlete and the importance of rest. For Dr. Burns, the HANA Table used in performing anterior approach hip replacements is a modern miracle. It has been a true blessing, greatly benefitting the patient. He performed his first hip replacement using the HANA Table in January of 2009 at Wesley Medical Center, the only hospital in the area to have this advanced piece of equipment. While using this anterior approach method might take longer than a standard hip replacement surgery, this only goes to reinforce Dr. Burns’ philosophy of being more concerned with the patient’s care than with speed. The HANA Table allows the surgeon to manipulate the patient’s legs to allow for the movement of muscles versus cutting and detaching muscle around the hip joint. This results in less recovery time and a smaller incision. The patient is up and moving around in a shorter amount of time, able to move on with the business of living. Dr. Burns also gets great feedback on the HANA Table from the therapists who work with the patient after surgery. He regularly checks with the therapists to see their reactions to use of the anterior approach with the HANA Table, and they assure him that patents recover faster using this method. Because of this, Dr. Burns recommends using the HANA Table to just about all of his patients needing a hip replacement. Most patients with hip arthritis
make good candidates for total hip replacement using the anterior approach on the HANA Table. A patient with gross deformities of the hip joint may not be as suitable a candidate, and Dr. Burns always reminds his patients that hip replacement surgery using any approach has risks. This goes for anterior hip replacement utilizing the HANA Table as well. Many of the same parts are used in the anterior approach as in any other approach, but Dr. Burns is able to use a smaller part inserted into the thigh bone, making it easier to insert the part. Residents of the Pine Belt are fortunate to have Dr. Jeffrey Burns and Dr. Tommy Baylis and Premier Orthopedic & Sports Medicine Clinic associated with Wesley Medical Center. With their dedication and concern for high quality patient care, the time they spend with patients insures that each person is knowledgeable about his conditions and comfortable with every decision made concerning his health care. The combined orthopedic expertise and experience of these two doctors creates an ideal setting for patients to make informed health choices with confidence. Dr. Burns and Dr. Baylis have successfully treated a wide variety of patients in the past, and they plan to continue to offer the same level of quality care in the future.
For more information on Premier Orthopaedics & Sports Medicine contact their office at 601-296-2100.
Ultra sound technology helps doctors in diagnosis. Page 14 — Healthy Cells Magazine — Pine Belt — March 2012
involvement
After the Holiday Season
The Salvation Army Keeps On Working Editors Note:—I stated in the January issue, that each month Healthy Cells will highlight an organization or business responding to the needs of others. If you have a story, please send it to healthycellspinebelt@gmail.com
A “
fter the holiday season some people think The Salvation Army takes a break,” says Captain Andy Gilliam of Hattiesburg. “No more bell ringing no more Christmas kettles we just wait until next year to help those in need. But nothing could be further from the truth!” “Every day The Salvation Army is there to assist those in need with food, clothing, emergency assistance and a safe environment after school for children. With the help of our supporters, in 2011, we provided life-saving services to thousands of families in desperate need,” says Captain Gilliam. “With persistently high unemployment, rising living costs and stagnating wages, there are many in our community who are hurting and will need assistance more than ever this year,” says Captain Gilliam. The Salvation Army of Hattiesburg wants to be ready to respond to those who need our help in 2012 and with the help and support of our friends in the Pine Belt area, we will.”
The Salvation Army welcomes anyone in the community to tour our facilities to see firsthand how lives are being changed. We offer many opportunities for involvement: • Emergency Shelter • Utility, rent and food assistance • Boys & Girls Club • Food Pantry • Senior Citizen programs To donate to The Salvation Army, please call 1-800-SAL-ARMY, mail your gift to 5670 US Hwy 49 Hattiesburg, MS 39401 or make a donation online at www.salvationarmyhattiesburg.org. Please call our local office at 601-544-3684 to see how you can help those in need.
March 2012 — Pine Belt — Healthy Cells Magazine — Page 15
procedure technique
It’s All in the Wrist
Hattiesburg Heart and Vascular Team Offers Cardiac Catheterization Options to Patients
D
uring the 1950s, cardiac care was revolutionized through a new technique used to detect blockages in the heart. Catheterization, a procedure in which a physician threads a tiny line through a patient’s artery to the heart, was born out of a need to reach the heart to clear blockages, deliver life-saving medication and position stents. Using a catheter afforded doctors the option of taking a minimally invasive approach when treating their patients. Since then, physicians have performed millions of cardiac catheterization procedures. For the majority of those procedures, physicians make their way to the heart through the femoral artery in the groin. However, a growing number of physicians are switching to a new access point. The radial artery, which is located in the wrist, offers patients procedures that often result in less pain, less bleeding and a shorter recovery time. Page 16 — Healthy Cells Magazine — Pine Belt — March 2012
Though the procedure is often a better option for patients, there are challenges associated with the radial approach. The size of the artery at the wrist is only about half the size of the femoral artery at the groin, the traditional access point. Accessing the heart through the radial artery is also more challenging for physicians to learn, so fewer cardiologists have been trained in the technique. Dr. Charles Mayes and Dr. Mark Campbell, of Hattiesburg Heart and Vascular are both fellowship trained in using the radial access point for heart catheterizations and are offering the option to their patients in the Hattiesburg area. “The procedure is technically more difficult than going through the femoral artery, but it is often a better option for the patient,” says Mayes. “Dr. Campbell and I knew when we came to Hattiesburg last year that we wanted to implement this program for our patients here.”
Physicians utilize heart catheterization for a variety of reasons. For instance, balloon angioplasty is a common procedure in which a catheter is inserted through an artery and maneuvered through the circulatory system to the heart to reach a blockage. Once there, a balloon on the end of the catheter is inflated to clear the blockage in order to increase circulation. One reason that the groin access point is used more often than the wrist is that the instruments used for many interventional cardiology procedures simply fit better through the larger route provided by the femoral artery.—Through better design, smaller and easier to maneuver instruments are now available for most procedures. Balloons, stents and catheters can all now be accommodated by the radial artery, but experience is key for physicians navigating the circulatory system through the wrist.
“Major studies have shown that the radial artery approach is as successful as using the femoral artery entry point, but with lower rates of bleeding and other complications,” says Mayes. “Our patients deserve the least painful and most effective procedure we can give them. Ten years of experience with radial catheterization has shown Dr. Campbell and I that this is the right way to go for many patients and we’re glad to have partnered with Wesley Medical Center to offer this option in the Pine Belt.” Despite the larger size of the femoral artery, accessing the heart via that route comes with unique complications. In particular, bleeding risk is a concern. To stop bleeding after a catheter procedure through the femoral artery, very heavy pressure must be applied at the insertion site. Additionally, patients must lie still on their backs for hours. This can be difficult and painful for some patients, particularly the elderly or those with hip or back pain. The radial artery in the wrist, by comparison, requires only a band similar to a wristwatch to be placed around the wrist. This provides enough pressure to prevent bleeding at the insertion site. Patients are able to sit, or even get up and walk. Hattiesburg Heart and Vascular, a division of Wesley Medical Group, is committed to providing superior cardiac care to the Pine Belt. Wesley Medical Center, the only accredited Chest Pain Center in the Pine Belt, has also been recognized as a Top Performer on Key Quality Measures in the areas of Heart Attack and Heart Failure. To learn more about the cardiologists of Hattiesburg Heart and Vascular, visit Wesley.com.
Challenge us to solve your therapy problems Natural Hormone Restoration Therapy Natural Supplements
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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
V i ta l C a r e
Compounder A Specialty Pharmacy
March 2012 — Pine Belt — Healthy Cells Magazine — Page 17
medical condition
What Is Sleep Apnea?
5128 Old Hwy 11 • Suite 6d Hattiesburg, MS 39402 P. 601-264-7286 • F. 601-450-4640
Enhanced
Submitted by Southern Star Medical Group
Specializing in: Family Practice Womens Health Food Allergy Testing Adrenal Testing Hormone Balancing Medical Weight Management Laurie Ryba, MSN, CFNP
Celebrating Ov
ars of er 100 Ye
Service
Hulett~Winstead Funeral Home, Inc.
205 Bay Street Hattiesburg, MS 39401
601.582.1571
Page 18 — Healthy Cells Magazine — Pine Belt — March 2012
S
leep apnea (AP-ne-ah) is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep. Breathing pauses can last from a few seconds to minutes. They often occur 5 to 30 times or more an hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound. Sleep apnea usually is a chronic (ongoing) condition that disrupts your sleep. You often move out of deep sleep and into light sleep when your breathing pauses or becomes shallow. This results in poor sleep quality that makes you tired during the day. Sleep apnea is one of the leading causes of excessive daytime sleepiness. Sleep apnea often goes undiagnosed. Doctors usually can’t detect the condition during routine office visits. Also, there are no blood tests for the condition. Most people who have sleep apnea don’t know they have it because it only occurs during sleep. A family member and/or bed partner may first notice the signs of sleep apnea. The most common type of sleep apnea is obstructive sleep apnea. This most often means that the airway has collapsed or is blocked during sleep. The blockage may cause shallow breathing or breathing pauses. When you try to breathe, any air that squeezes past the blockage can cause loud snoring. Obstructive sleep apnea is more common in people who are overweight, but it can affect anyone. For example, small children may have enlarged tonsil tissues in their throats, which can lead to obstructive sleep apnea. Central sleep apnea is a less common type of sleep apnea. This disorder happens if the area of your brain that controls your breathing doesn’t send the correct signals to your breathing muscles. As a result, you’ll make no effort to breathe for brief periods. Central sleep apnea can occur in anyone. However, it’s more common in people who have certain medical conditions or use certain medicines. Central sleep apnea often occurs with obstructive sleep apnea, but it can occur alone. Snoring doesn’t typically happen with central sleep apnea. This article mainly focuses on obstructive sleep apnea. Untreated sleep apnea can: • Increase the risk of high blood pressure, heart attack, stroke, obesity, and diabetes • Increase the risk of, or worsen, heart failure • M ake arrhythmias (ah-RITH-me-ahs), or irregular heartbeats, more likely • Increase the chance of having work-related or driving accidents Sleep apnea is a chronic condition that requires long-term management. Lifestyle changes, mouthpieces, surgery, and/or breathing devices can successfully treat sleep apnea in many people.
Other Names for Sleep Apnea • C heyne-Stokes breathing • S leep-disordered breathing
Dr. Kotikalapudi
Doctor Comments: In anesthesia, the Mallampati score, also Mallampati classification, is used to predict the ease of intubation. It is determined by looking at the anatomy of the oral cavity; specifically, it is based on the visibility of the base of uvula, faucial pillars (the arches in front of and behind the tonsils) and soft palate. Scoring may be done with or without phonation. A high
Mallampati score (class 3 or 4) is associated with more difficult intubation as well as a higher incidence of sleep apnea. Number Modified Mallampati Scoring is as follows: Class 1: Full visibility of tonsils, uvula and soft palate, Class 2: Visibility of hard and soft palate, upper portion of tonsils and uvula, Class 3: Soft and hard palate and base of the uvula are visible, Class 4: Only Hard Palate visible. For more information on Sleep Apnea contact Southern Star Medical Group at 601-450-2034. They are located at 4 Willow Point, Hattiesburg, MS. Source: nhlbi.nih.gov
March 2012 — Pine Belt — Healthy Cells Magazine — Page 19
healthy lifestyle
Prediabetes: A Serious Health Problem
Obesity and diabetes share common risks and solutions By Hannah Thompson, Wesley Diabetes Center Coordinator
I
t’s no secret that our nation has a weight problem. The climbing rates of obesity and weight-related diseases are among the most frequently discussed topics by news media, health organizations, employers, schools and families. Despite its prominent position in national health conversations, as our nation’s obesity epidemic has grown, so has the number of people with diabetes. Diabetes doesn’t happen overnight. A person with a diabetes diagnosis has exhibited warning signs for up to 10 years. This warning period before a diabetes diagnosis is known as called prediabetes – and an incredible 57 million people age 20 or older in the United States fall into this category.* The main culprit for prediabetes is being overweight. According to the National Institutes of Health, more than 65 percent of U.S. adults are overweight or obese. Being obese increases the risk not only of diabetes, but also heart disease, stroke, arthritis and cancer. Prediabetes means that a person exhibits all the risk factors for developing diabetes: being overweight or obese, and exhibiting elevated blood glucose levels (between 100 and 125 mg/dl). If you are 45 years old or older, overweight and inactive, your doctor may recommend a test for prediabetes. Even if you are under 45, it’s a good idea to be tested if you have other risk factors such as low levels of HDL cho-
Page 20 — Healthy Cells Magazine — Pine Belt — March 2012
lesterol, high triglycerides, high blood pressure or a family history of diabetes (see related sidebar), or you are a member of an ethnic or minority group with increased risk (African American, American Indian, Asian American, Hispanic or Pacific Islander). Historically, Type II diabetes has been an adult disease, but the fastest-growing group exhibiting signs of diabetes – and prediabetes – are children and teens. Childhood obesity has more than tripled in the past 30 years, according to the Centers for Disease Control & Prevention. The prevalence of obesity among children aged 6 to 11 years increased from 6.5% in 1980 to 19.6% in 2008, and among adolescents aged 12 to 19 years, from 5 to 18.1 percent in the same time period. The silver lining is that a prediabetes diagnosis doesn’t mean diabetes is inevitable; in fact, it can be a valuable wakeup call. By making changes in nutrition and lifestyle habits – even if you already are prediabetic – you can actually reverse the disease and put off developing full-blown diabetes – and in some cases, prevent diabetes entirely. Losing just 5 to 10 percent of your body weight can delay or prevent the onset of diabetes, reducing your risk of developing diabetes by nearly 60 percent, according to the Diabetes Prevention Program (DPP), a study sponsored by the National Institutes of Health. You can reduce your risk of diabetes with some simple lifestyle modifications: • Get a blood glucose test. If your blood glucose levels are in the normal range, you should be re-checked every three years. If you have prediabetes, get test for type 2 diabetes every one to two years after your diagnosis. • Lose weight. Just a modest amount of weight loss (5-10 percent of total body weight) can reduce your risk of developing diabetes by 60 to 70 percent, according to the DPP study. • Eat healthy. A nutritious diet will help with weight loss and other diabetes risk factors, such as high cholesterol. You may want to consult with a nutritionist who can help design a healthy eating plan with appropriate calorie and fat intake for your goals. • Exercise. If you’re not already active, a modest amount of cardiovascular exercise – 30 minutes a day, five days a week – will reduce your risk.
colorectal cancer Approximately 57 million people age 20 and older have prediabetes. The fastest growing group with signs of diabetes and pre-diabetes are children and teens. • Take heart. People with pre-diabetes have twice the risk of heart disease and stroke, so cardiovascular health is very important. If you smoke, quit. Lifestyle modifications such as diet and exercise, and medication, if necessary, can help control high blood pressure and high cholesterol. The Diabetes Center at Wesley Medical Center is an education center accredited by the American Association of Diabetes Educators. The Diabetes Center is located at the Institute for Wellness and Sports Medicine on the Wesley campus and offers education classes for diabetics. To learn more about classes, call 601-268-8095. For more information about your risk of diabetes, visit Wesley.com; click on “Health Resources,” “Interactive Tools,” and “Risk Assessments,” to take our Type 2 Diabetes Risk Assessment, or “Interactive Tools,” then “Quizzes” to take the Pre-Diabetes Quiz. Remember that this information is not intended to replace the advice of your doctor, but rather to increase awareness and help equip patients with information and facilitate conversations with your physician that will benefit your health. * U.S. Department of Health and Human Services, 2007 figures
By the Numbers – Are you at Risk? Are you at risk for prediabetes? At your next annual physical, be sure that your doctor includes the following health tests. It is important that you fall within following ranges for optimal health: Body Mass Index:
25 or greater
Total cholesterol:
200–239 mg/dl: moderate to high risk 240 mg/dL and over: high riskl
HDL (good) cholesterol: Less than 40 mg/dl (men) Less than 50 mg/dl (women) LDL (bad) cholesterol:
130 – 159 mg/dL: borderline high 160 – 189 mg/dL: high 190 mg/dL and over: very high
Trigylcerides
150 mg/dL or higher
Blood pressure 120/80mm Hg - 140/90 mm Hg (prehypertension) or 140/90 mm Hg or higher (hypertension)
National Colorectal Cancer
Awareness Month
I
n the early stages of the disease, colorectal cancer symptoms may be minimal, or not present at all. As the disease progresses, symptoms may increase in quantity and degree of severity. Because symptoms often do not present themselves until the disease has progressed past the initial stage, regular screening for colorectal cancer is recommended. Regular screening of colorectal cancer should be part of a continued health plan for anyone over 50. If you are under 50 and have a family history of colorectal cancer or other risk factors, you should talk with your doctor about when you should start regular screening.
Types of Colorectal Cancer Symptoms
Colorectal cancer symptoms can be broken down into two general categories: local and systemic. Local Colorectal Cancer Symptoms Local colorectal cancer symptoms are those that have a direct effect on the colon or rectum. If you experience any of these symptoms for an extended period of time, it is important that you visit your healthcare professional. Common local symptoms include: • Changes in your bowel habits • Constipation • Diarrhea • Alternating diarrhea and constipation • Rectal bleeding or blood in your stool • Abdominal bloating, cramps or discomfort • A feeling that your bowel doesn’t empty completely • Stools that are thinner than normal Systemic Colorectal Cancer Symptoms Systemic colorectal cancer symptoms are those that affect your entire body. If you experience any of these for any length of time, even for only a couple of days, it is important to have your doctor or healthcare provider diagnose your symptoms. Common systemic symptoms include: • Unexplained weight loss • Unexplained loss of appetite • Nausea or vomiting • Anemia • Jaundice • Weakness or fatigue Although the symptoms of colorectal cancer can be numerous, and often attributed to other less serious conditions, only a medical professional can make a diagnosis. If you experience any of these symptoms, it is important that you seek medical attention. For more information go to www.preventcancer.org/colorectal.
American Heart Association www.heart.org American Diabetes Association www.diabetes.org March 2012 — Pine Belt — Healthy Cells Magazine — Page 21
nursing services
Home Is Where The Heart Is By Jay E. Slaughter, Director, HMP Nursing Services, Inc
H
ome is a place of love, warmth and encouragement. A place of fond memories and familiar surroundings, where the joys of everyday living help ease the burden of illness. The comfort, security and independence of being home during an illness or recuperation can have a healthy effect on the entire family. Today is a time of change for the home health industry. With the implementation of a prospective payment system for acute care hospitals, patients are being discharged earlier. The so-called sicker and quicker syndrome has heightened the need for support services in the home. Physicians, families, patients and third party payers are now recognizing the value of having a broad range of home health services. Private Duty Nursing plays a large part in the value of care in the home, hospital or long term care facility. Reasons for the increasing demand for in home care include an expanding older population with disposable income, the dramatic longevity of children with chronic and debilitating health conditions, and the continued shift of healthcare delivery to the home setting. The 70 million Baby Boomers will create an increased demand for aging related services and the need for home health and private duty nursing services. Many individuals will choose to live in their homes longer as technology within the home helps to monitor the individual’s health. The continuum of care will become increasingly defined in terms of service provision. An overall shift to independence and residential settings will take place.
Page 22 — Healthy Cells Magazine — Pine Belt — March 2012
HMP Nursing Services, Inc. is sensitive to the value of warm, personal care for each patient. We bring to the home the same high level of medical care patients can receive in the hospital. We exist to improve the quality of people’s lives in our community, with particular emphasis on the needs of those facing a change in life style due to disease, disability, infirmity or advanced age. Causes for each home based situation can vary: •A n aging parent can no longer handle activities of daily living •A baby needs special respiratory care •A spouse suffers a stroke •A n accident results in partial disability •A reprieve for the nurturing family Home care and Private Duty Nursing choices can be difficult. HMP Nursing Services, Inc. is here to help. It is important that peace of mind is offered. Confidence that each patient and family will be afforded superior service and that every treatment will be administered to the very highest standards of medical and personal care. Being home during an illness or recuperation can and should have a healthy effect on the entire family. Barbara Lofton is the Resident Benefits Specialist for the Bedford Care Centers. She can be reached at 601-264-3709 or by e-mail at blofton@hmpmc.com.
testosterone replacement
Getting You and Your Heart
Back on Track By Dr. Rebecca Boyd
P
art 2 Last month we discussed testosterone and its effects on men as they age. This month continues with some solutions. The good news is that your testosterone level can be restored using a number of methods, such as: • Gels • Troches (lozenges that go in cheek) • Injections (testosterone cypionate is usually used) • Implants (www.hormonebalance.org) Everyone asks me which method of replacement is the best. Everyone is different. Some people respond great with gel. Some feel their best with injectables, and some like the convenience of pellets. I also want to address a belief that most health professionals regard as truth - that testosterone increases your risk for prostate cancer. I had the opportunity to attend a seminar given by Dr. Abraham Morgentaler, a Harvard urologist, who has done a great amount research on testosterone therapy in men. When he started treating men with testosterone, he found that they had more energy, they slept better and felt more alive. He ran into one of his former teachers at a meeting who had heard he had been giving testosterone to men. His professor told him that he should stop because he had given someone testosterone and within a year was diagnosed with prostate cancer. “If you are going to continue to treat men with testosterone, and I recommend you don’t, you should at least do a biopsy to make sure they don’t have cancer.” Well, it really bothered Dr. Morgentaler coming from a man he respected, so he followed his suggestion and started to do a prostate biopsy before initiating testosterone therapy.—Of the first 33 men with low testosterone he biopsied, with a PSA (prostate specific antigen which is a blood test we use to watch for prostate cancer) under 4 ng/ mL (which is considered normal) and a normal rectal exam to check the prostate – six had cancer. By the time he reached 75 patients, he had 11 patients who had prostate cancer (14%). In 2006, Dr. Morgentaler and Dr. Rhoden published a larger study of prostate biopsies of 345 men with a normal PSA. The cancer rate was 15% which was similar to the previous study. What they found in the study was that the lower the testosterone, the higher the risk for prostate cancer, and specifically, more aggressive prostate cancer. As with any medication, there can be side effects. They are usually infrequent if monitored appropriately. These should be discussed with your doctor at the time of your visit. Testosterone replacement to restore optimal levels is nothing to fear. As doctors, we learn little, if anything about helping men optimize testosterone levels. Do not be surprised if your doctor is concerned about giving you a testosterone replacement. As I said, most physicians are not well trained in its use, and it makes us uneasy. I know I sure used to be. Consider getting your testosterone checked – your heart and your body may thank you. For more information contact Dr. Rebecca Boyd at Forward Health Solutions 601-450-2077. March 2012 — Pine Belt — Healthy Cells Magazine — Page 23
proper supplements
Vision Problems May Benefit From Pharmaceutical Grade Supplements Submitted by Vital Care Compounder
T
he gift of vision by our eyes is one of the most remarkable and complex systems in the body. The eye collects light from our surroundings, regulates the amount of light, focuses light to form an image and converts these images to electrical signals to the brain. Then wonder upon wonder, the brain determines the image and recognizes the signals from the eye in something we call sight. The eye is made up of many components that have been studied for centuries. The components are the retina that receives the light signal and sends it on to the brain through the optic nerves. The macula is the yellow colored area near the center of the retina that controls high resolution or good vision. The yellow is made up of lutein and zeaxanthin that are carotenoids that will be mentioned later. The lacrimal glands secrete the fluids we call tears that lubricate the eye and makes blinking easier, thus insuring some measure of safety. In some cases these visual systems may not work properly and this causes many conditions that interfere with good vision. In all cases your physician should be seen on a regular basis and your eyes examined to Page 24 — Healthy Cells Magazine — Pine Belt — March 2012
find small problems that may be prevented or treated early. There are many treatments that are done in a physician’s office both with medication and with very specialized surgery. Researchers have found that oxidative stress in ocular tissues may be a cause of poor vision. Antioxidants might have some effect in good vision by balancing eye tissue oxidation. Ginkgo has been shown to reduce oxidative stress and some protection in tears. Some investigation has also shown that low glutathione levels may have an influence in below normal vision. Supplements that promote glutathione levels, such as n-acetyl cysteine and lipoic acid, may be beneficial. Both have been shown to increase these glutathione levels . One study reports that after only 2 months of therapy, 45% of patients showed improvement in vision and symptoms. Macular degeneration is a problem for many and occurs when there is excessive blood vessel growth under the macula. Often these new vessels are very fragile and leak fluid and blood, which affects the central vision. This is reported as blurred spots in the center of the
affected breathing visual field. This is reported especially in diabetics when glucose levels are high which causes increased oxidative stress. Again, research has shown n-acetyl cysteine may improve this oxidation process. Bilberry has also shown to maintain the strength and integrity of the retina and improve eye blood vessel health. Lutein and zeaxanthin have also proven beneficial to patients who suffer with this problem. Twenty million people suffer from dry eyes in this country alone. Taking the proper high quality supplements has been shown to improve lubricant production and thus improve the quality of life for these patients. Supplements such as vitamin A, C, E,D, and evening primrose oil have all proven beneficial in research around the globe. So what can we do to improve eye function? You may want to consider taking a pharmaceutical grade supplement that has most of the items mentioned above in the proper strength and ratios. Of course, we as compounding pharmacists have studied this issue and have selected what we believe to be the best available. Our selections are based on quality and value. We did not mention any prescription products for issues such as dry eyes, but compounded products are available that may be beneficial. Educate yourself, read all you can about your condition, ask your physician or you may contact Vital Care Compounder with questions. For more information please contact Robert Donnell, RPh, Jimmy Rodgers, RPh, Ron Edwards, PharmD or Missy Collum James at Vital Care Compounder-A Specialty Pharmacy located at 115 South 40th Ave., Hattiesburg, MS Ph. 601-261-0503.
Living with COPD? Part 1
Submitted by Hattiesburg Medical Supply
C
hronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that block airflow and make it increasingly difficult for you to breathe. Emphysema and chronic bronchitis are the two main conditions that make up COPD, but COPD can also refer to damage caused by chronic asthmatic bronchitis. In all cases, damage to your airways eventually interferes with the exchange of oxygen and carbon dioxide in your lungs. COPD is a leading cause of death and illness worldwide. Most COPD is caused by long-term smoking and can be prevented by not smoking or quitting soon after you start. Damage to your lungs can’t be reversed, so treatment focuses on controlling symptoms and minimizing further damage. Symptoms and Facts In general, symptoms of COPD don’t appear until significant lung damage has occurred, and they usually worsen over time. People with COPD are also likely to experience episodes called exacerbations, during which their symptoms suddenly get much worse. Beyond this, signs and symptoms of COPD can vary, depending on which lung disease is most prominent. It’s also possible to have many of these symptoms at the same time. Emphysema Signs and symptoms of emphysema include: • Shortness of breath, especially during physical activities • Wheezing • Chest tightness Chronic bronchitis Chronic bronchitis occurs mainly in smokers. It’s defined as a cough that you have at least three months a year for two consecutive years. People who continue to smoke may go on to develop emphysema, but in smokers who are able to quit, the cough may clear in a few days or weeks. Signs and symptoms of chronic bronchitis include: •H aving to clear your throat first thing in the morning, especially if you smoke • A chronic cough that produces yellowish sputum • Shortness of breath in the later stages • Frequent respiratory infections Chronic asthmatic bronchitis Chronic asthmatic bronchitis is usually chronic bronchitis combined with asthma. Asthma can occur when inflamed and infected secretions irritate the smooth muscles in your airways. Symptoms are similar to those of chronic bronchitis, but you’re also likely to have intermittent — or even daily — episodes of wheezing. Next month in Healthy Cells we will discuss treatment option and living your life.
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. March 2012 — Pine Belt — Healthy Cells Magazine — Page 25
dental health
Wisdom Teeth “Age of Wisdom” Submitted by Hattiesburg Oral Surgery
W
isdom teeth, or third molars, are the last teeth to develop and appear in your mouth. They come in between the ages of 17 and 25, a time of life that has been called the “Age of Wisdom.” When a tooth is unable to fully enter the mouth, it is said to be “impacted.” In general, impacted teeth are unable to break through the gums because there is not enough room. Nine out of ten people have at least one impacted wisdom tooth. If left in the mouth, impacted wisdom teeth may damage neighboring teeth, or become infected. Because the third molar area of the mouth is difficult to clean, it is a site that invites the bacteria that leads to gum disease. Furthermore oral bacteria may travel from your mouth through the bloodstream, where it may lead to possible systemic infections and illnesses that affect the heart, kidneys and other organs. Research has shown that once periPage 26 — Healthy Cells Magazine — Pine Belt — March 2012
odontal disease is established in the third molar areas, the problem is persistent and progressive, but may improve following removal of the teeth. In some cases a fluid-filled cyst or tumor may form around the base of the untreated wisdom tooth. As the cyst grows it may lead to more serious problems as it hollows out the jaw and damages surrounding nerves, teeth and other structures. Many people believe that as long as they are not in pain, they do not have to worry about their wisdom teeth. However, pain free does not mean disease or problem free. In fact, wisdom teeth that come in normally may still be prone to disease, according to a study by the American Association of Oral and Maxillofacial Surgeons and the Oral and Maxillofacial Surgery Foundation. It is, therefore, important that your dentist monitors the health of your wisdom teeth during yours semi-annual dental check-ups.
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Raymond Whitehead, M.D. PA Southern Bone and Joint Specialists, In general, dental and medical professionals agree that wisdom Hattiesburg Clinic teeth should always be removed in the following instances: Thursday, March 22 • Pain Forrest General Elm & Hickory Raymond Whitehead, M.D. Rooms • Infection Hattiesburg Clinic 6:00 – 7:00 p.m. • Cavities that cannot be restored Forrest General Elm & Hickory Rooms • Pathologies such as cysts, and tumors At these FREE seminars you you will: will: At these FREE seminars • Damage to neighboring teeth • Learn more about–osteoarthritis of the knee • 6:00 7:00 p.m. • Crowding of teeth • Learn more about osteoarthritis of the knee •• • Receive information aboutFREE MAKOplasty® partial resurfacing At these seminars you will:knee Wisdom teeth are easier to remove when the patient is younger, A light mealosteoarthritis will be provided. since their roots are not completely formed, the surrounding bone • Learnabout more about of the knee • knee resurfacing • • Receive information MAKOplasty® partial is softer, and there is less chance of damaging nearby nerves or • Receive information MAKOplasty® partial knee To register, call FGHabout OnCall at 1-800-844-4445, thenresurfacing press 1. • other structures. Removal of wisdom teeth at a later age becomes light meal provided. ForAmore visitbebe forrestgeneral.com. Ainformation, light mealwill will provided. more complicated as the roots have fully developed (may involve the *Individual results may vary. There are risks associated with any knee surgical procedure, including MAKOplasty®. Your doctor can explain these risks andathelp determine if MAKOplasty® nerve), and the jawbone is denser. Tocall register, callOnCall FGH OnCall 1-800-844-4445, thenis right pressfor 1.you. press 1. To register, FGH at 1-800-844-4445, then © MAKO Surgical Corp. If your dentist or healthcare professional recommends that your For more information, visit forrestgeneral.com. Forresultsmore information, impacted wisdom teeth be removed, you should see an oral and max*Individual may vary. There are risks associated visit with any forrestgeneral.com. knee surgical procedure, including MAKOplasty®. Your doctor can explain these risks and help determine if MAKOplasty® is right for you. illofacial surgeon for the procedure. Before surgery, your oral surgeon © MAKO Surgical Corp. *Individual results may vary. There are risks associated with any knee surgical procedure, including MAKOplast will discuss the procedure with you and tell you what to expect. This Your doctor can explain these risks and help determine if MAKOplasty® is right for you. is a good time to ask questions. Drs. York, Cockerham and Nichols © MAKO Surgical Corp. remove wisdom teeth in their surgery clinic under IV sedation.
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In next month’s issue we will discuss wisdom tooth surgery. For more information on wisdom teeth or other oral surgery concerns, contact Hattiesburg Oral Surgery at 601.264-7611 to schedule a consult with Drs. York , Cockerham or Nichols. Source: The American Association of Oral and Maxillofacial Surgeons (AAOMS) March 2012 — Pine Belt — Healthy Cells Magazine — Page 27
new procedure
Osteoarthritis
New Tips and Technology to Help Relieve Your Pain Submitted by Forrest General Hospital 3. T ake your prescribed medications and follow your doctor’s instructions. 4. If advised, use a walker or cane to put less stress on your joints. 5. Maintain good posture to reduce the strain placed on your joints. 6. Wear comfortable, properly-fitting shoes that support your weight. 7. K eep a positive outlook to help manage stress and maintain control of your OA treatment. 8. Keep a proactive role in managing your disease so that you can live as close to your normal lifestyle as possible without aggravating your condition. Many of those suffering from osteoarthritis of the knee in the Pine Belt can now benefit from a new treatment option that increases their chances of returning to an active lifestyle – the RIO Robotic Arm Interactive Orthopedic System at Forrest General Hospital. The RIO system brings a new treatment option to Forrest General Raymond Whitehead, M.D., Hattiesburg Clinic board-certified orthopedic surgeon, called MAKOplasty®, a Partial Knee uses the system’s display to demonstrate to Forrest General employees how the Resurfacing procedure designed to RIO system completes a MAKOplasty partial knee replacement. relieve the pain caused by osteoarthritis. During MAKOplasty®, the RIO® resurfaces the diseased portions of the patient’s knee, sparing the ore than 15 million Americans suffer with painful osteoarthritis healthy bone and surrounding tissue. Then, an implant is secured in of the knee, which often affects their quality of life. In fact, osthe joint to allow the knee to move smoothly again. MAKOplasty® is teoarthritis is the most common form of arthritis and a leading powered by MAKO’s robotic arm system, which allows for consiscause of disability worldwide, according to the American Academy tently reproducible precision. The most common surgical treatment of Orthopaedic Surgeons. Osteoarthritis (OA) is a degenerative joint for the disease is a total knee replacement, where the natural knee is disease that causes the breakdown and eventual loss of joint cartilage removed and replaced with an artificial implant. However, this is not – the protein substance that serves as a cushion between the bones always the best option for patients with early to mid-stage osteoof a joint. With OA, the top layer of cartilage breaks down and wears arthritis that has not affected their entire knee. For those patients, away, allowing bones under the cartilage to rub together. Symptoms MAKOplasty® Partial Knee Resurfacing may be the more appropriate of OA include joint pain with activity, including climbing stairs; joint solution. MAKOplasty® offers many benefits over traditional total stiffness after getting out of bed or up from a sitting position, swelling knee replacement. It has been shown to improve surgical results or a grating sensation in the knee during use. If you have any of these and shorten hospital stays, thanks to the less-invasive surgical prosymptoms, talk with your doctor, who can pinpoint the source of your cedure that uses smaller incisions, reduces blood loss and leaves pain and get you on the road to resuming an active lifestyle. less scarring. This new procedure is proven to give patients more 8 Tips to Help Manage Osteoarthritis natural knee function after surgery, helping them get back to an ac1. Maintain a healthy weight to reduce levels of painful swelling in tive lifestyle. In many cases, patients are allowed to walk soon after the joints. surgery, drive a car in the first few weeks and return to normal daily 2. Know your physical limitations and how to reduce activity when activities shortly thereafter. pain persists.
M
Page 28 — Healthy Cells Magazine — Pine Belt — March 2012
Through a State Funded Program
According to the American Heart Association, Mississippi is #1 in the nation in deaths from heart disease and stroke.
Southern Bone and Joint board-certified orthopedic surgeon James Sikes, M.D. demonstrates the precision provided by the robotic arm system during a MAKOplasty open house for Forrest General employees. Community Seminar A community seminar will be held on Monday, February 27 with James Sikes, M.D. and Thursday, March 22 with Raymond Whitehead, M.D. The seminars will take place from 6 – 7 p.m. in Forrest General’s Hickory/Elm meeting rooms. The physician and a representative from MAKO will be available to answer any questions about the procedure and demonstrate how the technology works.
For more information on this new procedure or for physician referrals, visit forrestgeneral.com or call FGH OnCall.
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March 2012 — Pine Belt — Healthy Cells Magazine — Page 29
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Page 30 — Healthy Cells Magazine — Pine Belt — March 2012
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