June Hattiesburg Healthy Cells 2012

PINE BELT area

Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

JUNE 2012

FREE

HealthyCells

TM

www.healthycellsmagazine.com

JONES COUNTY MEDICAL SUPPLY and HATTIESBURG MEDICAL SUPPLY Your One Source for Total Home Care pg. 12

Don’t Wait for Signs to be Checked for Glaucoma pg. 10

Male Osteoporosis A Real Danger pg. 19 Corrective Jaw Surgery pg. 30

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June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 3

JUNE 5

Compounding Medication: Male Osteoporosis – A Real Danger

6

Emotional: Good Documentation is a Winner!

8

Nutritional: Got Milk? – Celebrate National Dairy Month

10

Physical: Don’t Wait for Signs to be Checked for Glaucoma

15

Prevention: The Importance of Screening Tests for Men

16

Treatment Options: Don’t Let Old Sports Injuries Slow You Down!

20

The Gift of Vision: Age Related Macular Degeneration

21 22 23

Patient Service: Patients To Be Seen Within 15 Minutes Of Their Arrival Hearing Improvements: Move Forward To Better Hearing Your New Life Starts Now Personal Health: The Wellness Journey – What You Put In

25

Men’s Health: Erectile Dysfunction

28 30

2012

the LORD. Joshua24: 15, NKJV

Volume 3, Issue 6

This Month’s Cover Story:

Jones County Medical Supply Your One Source for Total Home Care page 12 Cover story photos by JRichards Originals

Therapy Techniques: Heel Pain – Hands-on Physical Therapy and Stretching Prove Effective for Treating Heel Pain

24 26

...choose you this day whom you will serve, ...But as for me and my house, we will serve

Senior Care: “Yes, But My Mother Will Never Live There” Blood Donations: Dads Who Are Blood Donors – Heroes in More Ways than One! The Right Dose: DNA Drug Sensitivity TestingTM for Heart Disease Medications

31

Because You Can: Finding Your Mojo

32

Dental Health: Corrective Jaw Surgery

Left to right: Ruthie Bicker and Tommy Woolbright 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.

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.

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

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

compounding medication

Male Osteoporosis

A Real Danger

By Robert Donnell, RPh, Vital Care Compounder

R

ecent data indicates that male osteoporosis is becoming more prevalent as the average age increases. This was originally thought to affect only older women but now this condition is showing up in men more often. Osteoporosis is a reduced mineral density of the bone and this may cause an increase in the danger of fractures, etc.

Osteopenia is a condition that is a little better than osteoporosis but is a danger signal that something is not right in our lifestyle. In our country, over half of the population 50 years and older have this condition or worse. Falls or injuries resulting from this condition result in millions of fractures on a yearly basis. This results in increased chances for infections due to the need for surgical repair and loss of employment and reduced quality of life.

Many risk factors influence the increase in the incidence of this condition in men. These are a family history of this problem. A diet poor in calcium and vitamin D, excessive intake of protein, sodium and caffeine, medications such as acid blockers (Prilosec and Nexium) may block dietary calcium. Also, alcohol overuse, smoking, inactive lifestyle, age and low androgen (testosterone) levels can increase the risk.

As men pass age 25, their production of this male hormone begins to fall about two percent per year. So, at age 50 or older, the production is falling past the level that causes the body to pick up and place calcium on the bones. In addition to the testosterone falling, the female hormone estrogen begins to rise when men reach later middle age. Some men actually seem to convert the little testosterone that is produced into estrogen. A hormone called Aromatase causes this conversion and this can be prevented or slowed down by taking a prescription drug called Anastrazole 0.5 mg one to three times daily, or by taking an over-the-counter product called Chrysin.

As mentioned, some drugs called Proton Pump Inhibitors prevent stomach acid from being produced thus improving gastric condition in some patients who may have ulcers and other tummy conditions.

Since acid is necessary for calcium absorption, these patients have been found to have a much higher rate of falls with fractures than patients not taking this medication.

We are also told to avoid sunlight and, if we do go out in the sun, to wear sunscreens. When we do this, we do not get enough vitamin D, which is very necessary for bone formation.

Therefore, patients need to take a wonderful calcium supplement formulated for this very important condition. The nationally marketed products are much better than they were years ago but lack the latest in formulation innovations that a compounding pharmacy can offer. Supplements that patients need to look for is a calcium supplement with the acid mentioned above added, vitamin D3, Vit K3, and the trace minerals boron, manganese and

magnesium. All these have been shown to improve calcium placement onto the bones.

In summary, men are living longer, and are having more and more problems with calcium and bone loss. Thus, more fractures are being reported. Because the aging population heals slower, often a full recovery is never attained. We encourage you to contact your compounding pharmacy or pharmacist and determine if your supplement is adequate for your condition.

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. Call us at 601-261-0503.

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emotional

Good Documentation is a Winner!

By Angela Davis-Morris

G

ood medical records can mean the difference between being award disability benefits and not, and that responsibility is on the claimant. The social security administration requires proof beyond “claiming” he/she can’t work. They have to prove it through medical records.

What most people don’t understand is that just because their doctor “knows” about their particular limitation or medical problem, doesn’t mean that the doctor writes it down every single visit, and if the doctor doesn’t write it down every single visit, to the social security judge, it didn’t happen. So, people go to the doctor for “RX refills” or a “follow up” and that’s what the doctor/nurse writes down.

But, what they are really going for is because they are hurt, or their blood sugar is out of control, or they are swelling up etc., and that is why they might not be able to work.

But, what the doctor writes down might be something like ‘no complaints/changes, needs refills.” It looks like they have nothing wrong or nothing to complain about at the moment, they are just out of medicine. So, when a judge looks at the record, all he sees is that the person is out of meds and has no complaints. It sounds like they are well-maintained when they actually are not.

Also, some people are told that the doctor can’t do anything for their particular problem (either because they don’t

Page 6 — Healthy Cells Magazine — Pine Belt — ­ June 2012

have the insurance or funds to cover testing or meds, because it is not something that can be corrected, or because it is out of the particular doctor’s expertise), but the claimant interprets that as ‘can’t be corrected, no point in complaining” - - and they don’t mention it again. It never gets noted in the medical records. So, to a judge reviewing the case, it isn’t a problem.

People need to point out their medical problems and limitations on each and every office visit with a doctor so that these can be properly documented. Otherwise, they may well be disabled, but a judge wont be able to find them disabled due to lack of documentation.

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rules/regulations are written.

Another issue is documentation from the medical side. Quite often we have situations where there is something ‘inherent” in a particular problem, so the doctor doesn’t specifically write it down, and a judge may miss the fact that it exists because it isn’t detailed in the medical records. I have talked to a few doctors about how to educate the medical community about the importance of noting limitations and things that may be obvious to the medical world, but I am told that habits are hard to change. (I don’t really want to dog doctors or their charting, just point out how extremely important it can be to a patient’s future in more ways than just their health.) Medical records really, really make the difference in the outcome of cases - and this is so due to the way the rules/regulations are written. Well documented records are necessary for a good determination AND they truly can make all the difference in the world to someone who has suffered a significant injury or illness and, because they now can not work, have lost their quality of life and maybe even their possessions, not to mention their pride. The satisfaction of being awarded disability benefits and being able to receive money back from a system that one has long paid into, is a slight consolation for all the time and effort it takes to get it. But, the monthly benefit and the assurance it brings can make all the difference in health, well-being and self-worth to many; not to mention make available necessary treatment for others.

The bottom line bears repeating, the claimant is in the position of proving the need for disability and the best way to meet the requirements is to have well-documented medical records, detailing the cause and treatment for each visit or phone call.

Angela Davis-Morris is the managing attorney for Davis-Morris Law Firm, P.A., Your Disability Law Firm. Angela can be reached at 601-545-3127.

Listen to Angela, Thursday Mornings at 9 a.m. on SuperTalk 97.3 FM. June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 7

nutritional

Got Milk?

Celebrate National Dairy Month

By Rebecca Turner, MS, RD, CSSD, LD

J

une is dairy month and Mississippi dairy farmers are important for many reasons. In 2010, there were 130 licensed commercial dairy herds operating in Mississippi with an estimated 17,000 milk cows. Our dairy farmers work hard and are deeply invested in Mississippi’s future. They provide naturally nutrient-rich foods, which help contribute to a healthful diet. They contribute to their local communities and economy and they protect the environment. Mississippi dairy farm families are dedicated to their cows, their land and to providing wholesome, fresh dairy foods.

Dairy farmers treat their cows with respect and excellent care every day. They work hard to provide the best possible living conditions for the cows in order to obtain the best possible product for you and your family. Dairy cows have clean, comfortable bedding made of sand, shavings, recycled shredded rubber or even water mattresses. Fans and misters are used for hot weather and protection from the wind during cold weather. Cows have plenty of room to exercise to maintain good health and they can rest comfortably with the benefit of having shade and protection from the elements.

Dairy farmers feed their cows specially formulated diets with the help of an animal nutritionist. These diets are well-balanced combinations of grains like corn, silage, and barley, hay like alfalfa, and vitamins and minerals. They also have constant access to plenty of clean, fresh water. Just like people, cows sometimes get sick. Veterinarians make routine visits to dairy farms. When a cow is treated Page 8 — Healthy Cells Magazine — Pine Belt — ­ June 2012

with medication, she is removed from the healthy herd and does not return until she is well and her milk tests free of antibiotics. When milk does test positive for antibiotics, it is immediately discarded so it does not reach the food supply.

Dairy farmers want to put a safe and wholesome product on your table. After all, that milk is for their families too! Farmers, processors, and government agencies all work together ensure safety and quality in the milk they provide us. Dairy is one of the most strictly regulated industries in all of agriculture. Testing is conducted daily on the milk on the farm and at the processing plants. Processing plants and government agencies make surprise visits to ensure the facilities are in top-notch condition, milking equipment is properly sanitized and the overall safety of the farm.

Every day, you invest in your family’s health. You want value and nutrition; dairy products deliver both. Dairy foods, like milk, cheese, and yogurt, are naturally nutrient-rich providing important nutrients such as protein, vitamin D, potassium and calcium to the diet. Compare the cost per nutrient of dairy products to other food and beverages; you’ll see the enormous value they provide. By investing in your family’s health, you also support your local economy, your community and the environment.

Rebecca Turner, MS, RD, CSSD, LD is a registered dietitian and certified sports specialist in dietetics. For more information and recipes, visit www.southeastdairy.org or email at rturner@sedairy.org

Red, White & Bleu Spinach Salad Ease: Easy Prep time: 10 minutes Cook time: 45 minutes Yield: 4 servings Ingredients: 1 (15-ounce) can of chickpeas (garbanzo beans), rinsed and drained well 2 teaspoons olive oil 1/4 cup olive oil 2 tablespoons balsamic vinegar 1 tablespoon honey 1 teaspoon Dijon mustard 1/4 teaspoon freshly ground black pepper 1 (10-ounce) package fresh baby spinach, thoroughly washed 1 Red Delicious apple, thinly sliced 1 cup freshly slice white button mushrooms 3 ounces crumbled bleu cheese

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Directions: 1. Preheat oven to 350 degrees.

2. T oss chickpeas with 2 teaspoons oil; spread in a single layer on a baking sheet lined with parchment or sprayed with cooking spray. Bake at 350 degrees for 25 to 30 minutes or until browned and toasted. Cool in pan on a wire rack 20 minutes.

3. W hisk together 1/4 cup olive oil, vinegar and next 3 ingredients (through black pepper) until well blended. Layer spinach and remaining ingredients in a bowl; top with roasted chickpeas. Drizzle with vinaigrette and toss to coat.

Nutrition Information: Calories: 400 Saturated Fat: 6g Carbohydrate: 38g Protein: 13g

Fat: 22g Sodium: 642mg Fiber: 7g Calcium: 221mg

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June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 9

physical

Don’t Wait for Signs to be Checked for Glaucoma

By Dr. John Lyon, M.D., Advanced Vision Center

G

laucoma is an eye disease that damages the optic nerve. It doesn’t cause symptoms in most people and by the time one notices that their vision is dim, the damage is severe and impossible to reverse.

Pain is almost never a symptom of glaucoma, and those waiting to “hurt” before they are seen can lose all sight in their eyes and never feel a thing.

The optic nerve is the “cable” that connects your eye to your brain. All the information for vision is carried in these nerves. Fortunately, God gives us a great deal of safety factor in our vision. Each optic nerve is composed of about 1.2 million smaller nerves. We can lose many of these nerves and still see fine. It is during this time that people think they’re fine, when damage is occurring. The first vision loss is side or peripheral vision. This is not noticeable at first. Over time, even the central vision goes away. Once any vision is lost, it is not possible to restore it at the current time. That would require the ability to re-grow nerves, something that is beyond medicine’s technological capabilities.

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Page 10 — Healthy Cells Magazine — Pine Belt ­— June 2012

The main factor causing damage to the optic nerve is high eye pressure. The eye is sort of like a tire. A certain pressure is necessary for good function—not too high or too low. Your eye is always making fluid, and old fluid leaves the eye through small channels in the front, which then empty into the veins around the eye. When all is functioning well, the eye makes fluid and fluid leaves the eye at the same rate, keeping the eye pressure at a normal level.

In the most common type of glaucoma, open angle glaucoma, the small channels that drain the fluid out of your eye become blocked. When this happens, the eye continues to make fluid at the same rate, and the pressure goes up. Pressure inside the eye is measured in millimeters of mercury. Generally, a pressure of 17 or less is normal. One of the difficult things about glaucoma, however, is there is no absolute number that is “safe.” Some people need to have a lower pressure than others to avoid vision damage. Other factors in glaucoma may affect the eye as well, such as blood flow to the optic nerve. In any case, glaucoma treatment, when we know you have it, is to lower eye pressure to a point that damage no longer occurs. It must be stressed that we cannot “undo” any damage already done. The only thing we can do is to stop the damage at the point it has progressed to.

You might think that diagnosing glaucoma is easy—simply check your pressure and see if it is too high. Unfortunately, things are rarely so clear. If a person walks into my office and his eye pressure is 35 or 40, then yes, this person probably has glaucoma. Most people by far, however, have a pressure that is much less elevated.

Some people have normal pressure in the office, but the pressure may vary during the day, with high spikes of pressure when we are not checking. Also, damage is usually done over many years, so a very mildly elevated pressure may cause severe damage over 20 years that may be hard to detect in a few office visits.

GLAUCOMA abnormal pressure inside eye damage to optic nerve

tried. There are many good eye drops available today and if used regularly, can lower the pressure in the eye with minimal side effects.

Laser treatments are used to help open the small channels that drain the fluid. These laser procedures are quick (five minute) office procedures that do not hurt. They are often used in combination with eye drops to lower pressure. Surgery is often necessary when the pressure cannot be lowered with drops or laser. With surgery, pressure can be lowered to a lower level than with utilizing drops/ laser procedures alone.

“It is so important to be diagnosed. Do not wait until you know there is a problem and it is too late. Schedule an eye exam, and find out for sure if you have glaucoma. Your vision may depend on it.”

Checking eye pressure is the first thing that will be done to detect glaucoma. Your eyes will also be dilated to look at the optic nerves.

Damage over time will give the nerves an appearance that can be seen and looks “suspicious” for glaucoma. An additional test often ordered is a visual field test. This test is for your side or peripheral vision. This is a very sensitive test, and can tell if you are not seeing well to the side even if you have not noticed any problem. Since side vision is the first thing to go with glaucoma, we can detect it early and start treatment. Newer laser tests may be done that measure the thickness of the nerves in the back of the eye. As nerves die from glaucoma, the thickness of nerves in the retina (the part of the eye that receives the light) gets thinner. Once detected, treatment can be started.

Treatment consists primarily of three things: eye drops, laser treatments, and surgery. The goal of all therapy is to lower the pressure in your eyes to a level where damage will stop occurring.

Normally, eye drops or laser treatments are the first thing to be

In all cases, it is the goal of the Ophthalmologist to try and stop the damage once glaucoma is diagnosed. With modern medicine, good control of glaucoma is possible. That is why it is so important to be diagnosed. Do not wait until you know there is a problem and it is too late. Schedule an eye exam, and find out for sure if you have glaucoma. Your vision may depend on it.

Dr. Lyon provides general and urgent eye care for patients of all ages, as well as screenings for such conditions as cataracts, glaucoma, diabetic retinopathy, and macular degeneration. He is highly skilled in cataract and intraocular lens implant surgery. Dr. Lyon is a member of the American Academy of Ophthalmology and is board certified by the American Board of Ophthalmology. For more information, please visit Advanced Vision Center located at 1431 West 10th Street in Laurel or call 601-649-2450.

— Taken from nps.org/au June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 11

feature story

Jones County Medical Supply Your One Source for Total Home Care

By Carolyn Jones-Primeaux

Hattiesburg Medical Supply staff: Left to right: Melissa Wood, Kim Palermo, Kristin Claytor, Diane Blount, Mandy Shows, Leslie Dearman, Jan Russell, Martha McLain, Monique Barnes, Robert Holland, Kelli Bufkin, Tommy Woolbright, Matthew Boyd

C

lay Johnson opened Jones County Medical Supply in Laurel, Mississippi, in 1978 to bridge the gap for patients, who after being discharged from the hospital, still needed hospital equipment in order to continue recovering safely at home. With two part-time employees, he started delivering hospital beds. As the needs of the patients grew, so did his business. He added additional medical equipment and supplies and now decades later, they offer a full line of home medical equipment and supplies in the original location in Laurel with two additional locations at Hattiesburg Medical Supply and Covington County Medical Supply along with Quinn Pharmacy in Laurel. The company’s slogan rings true, “Your One Source for Total Home Care.”

Page 12 — Healthy Cells Magazine — Pine Belt ­— June 2012

The staff grew from 2 to 75 medical supply professionals specifically trained and certified to provide superior knowledge on specialty items such as wheelchairs, hospital beds, wound pumps, diabetic supplies, respiratory and oxygen equipment, and a variety of other quality equipment, patient needs and safety. The staff includes eight Respiratory Therapists, two Registered Pharmacists, four Certified Pharmacy Technicians, one Certified Environmental Access Consultant, one RESNA Certified Assistive Technology Specialist, two ABC Certified Pedorthists and several certified shoe and post-mastectomy fitters. They also provide after-hour care 24/7 in the event that any equipment needs servicing.

Matthew Boyd, who is the Director of Patient Services, not only manages patient care but also ensures the company’s accreditation and compliance issues are up to date. He says, “We feel the key attribute that sets us apart with our clients is our accessibility and dedication to patient care. Customers who come to us, are able to ‘test drive’ any product that they need.

Whether customers are paying twenty-five or several thousands of dollars for a specific piece of equipment or product, they want to see it, touch it, know how it works before it is delivered to their home. Patients want the comfort and security of knowing that we are just a phone call away. Additionally, they want help in navigating through all the paperwork attached to Medicare and insurance billing.”

In 1998, Mr. Johnson opened the Hattiesburg Medical Supply, and recently has added a 5,000 square foot warehouse behind the building. With the addition, they were able to expand the respiratory department that provides much needed life-saving equipment for oxygen and sleep apnea patients. The eight full-time respiratory therapists provide education, follow-up calls and home visits with patients. They also work with the pharmacists and patients on proper dose medications for nebulizers.

All of the updates and additions are with the customer’s needs in mind. Matthew says, “We absolutely have the most comprehensive product line when it comes to medical supply needs. We have aids to daily living such as canes and walkers, mobility devices such as wheelchairs and scooters, home accessibility equipment like lift chairs, ceiling lifts and hospital beds, and everything in between.”

Home care versus hospital care is by far the most desired way to convalesce. But sometimes the home is not set up or equipped to handle the patient’s needs.

“A part of what we do is in-home evaluations to determine what will be needed to provide the customer and his care giver with the tools and equipment to meet the needs and conditions while providing emotional and safety needs. The home is where they want to be and where they will thrive if they are set up to succeed. That is what we pride ourselves in—setting the whole team up to succeed.”

Matthew gives an example of a man who had a stroke. While he was recovering, it became clear his very petite wife was not going to be able to move his 200-pound frame for necessary hygiene and exercise purposes. “We were able to install a ceiling lift which enabled his wife to move him safely and easily.”

Robert Holland, a Certified Environmental Access Consultant (CEAC) is a specialist in independent living strategies, universal design, barrier free access and design, assistive technology, retrofitting, home modifications, and medical remodeling. This credential is invaluable for the families that are faced with making decisions about living space. Holland states, “Baby boomers will represent 45 percent of the population by the year 2015, and home accessibility will become even more important. The average life expectancy continues to rise, creating a large group of people who will be living independently, not to mention the 22 million Americans who are currently caring for an older person in their homes.”

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 13

feature story continued

Patient Robert Miller and Jan Russell Another key element to home care is personal mobility inside and outside the home. Not only does the store have a wide selection of scooters and motorized wheelchairs, they also supply specialty power wheelchairs. Brian Shoemaker, ATS (Assistive Technology Specialist which is a registered certification of the Rehabilitation Engineering and Assistive Technology Society of North America) customizes wheelchairs and adaptive seating systems for children and adults challenged with severe disabilities in order to maximize their ability to function in their environment. This includes a wide variety of other specialized rehabilitative equipment such as standers, gait trainers, adaptive strollers and special needs car seats.

With so many types of equipment, one may wonder how it could all be perfect quality all the time. Matthew explains, “We have people who have bought the ‘very expensive’ mobility or other type of device elsewhere, and when it needs maintenance and/or repair, we will repair it at the customer’s expense. All equipment must be serviced and maintained to continue to operate safely and efficiently, and we have the qualified technicians to repair it. When that time comes the customer who purchased ‘elsewhere’ is the one who pays extra. What we sell, we service, period.”

Another area of health care that hits home for many Mississippians is comprehensive diabetes care. In a recent study, Mississippi ranked second highest in overall diabetes prevalence accounting for 12 percent of the adult population. The staff works with each patient to translate his or her doctor’s orders and aids in monitor selection, usage and proper

Page 14 — Healthy Cells Magazine — Pine Belt ­— June 2012

footwear. Jones County Medical Supply stands out from the crowd by having two Certified Pedorthists (C.Peds.) on staff, who specialize in footwear and supportive devices addressing complications with the lower limbs. This is a vital resource for patients who have neuropathy and foot complications that may or may not be related to diabetes.

As is the case with most companies that deal with Medicare and Medicaid, the medical supply industry has been faced with budget cuts that challenge the industry’s ability to provide customers with the equipment and services they need. Matthew says, “While it is a challenge to operate with tighter and tighter guidelines, we continue to keep our focus on providing the best products and equipment available, and as always, with superior customer service.”

Mr. Johnson stated, “I attribute the success of the medical supply and pharmacy to the hard work and dedication of all the employees.”

Johnson continues to work in the company he founded over three decades ago, and his philosophy, “always put the patient first,” remains the same—a philosophy that seems to work.

For more information, please contact Jones County Medical Supplies, Inc. at 601-426-2575 located at 104 South 13th Avenue, Laurel, MS. Or Hattiesburg Medical Supply at 601-296-6000 located at 1301 S. 28th Ave., Hattiesburg, MS. www.jonescountymedical.com

prevention

The Importance of

Screening Tests for Men

By James Glisson, MD, PharmD

•T esticular exam To detect testicular cancer a physician should check the testicles with each physical exam. Men should examine their testicles monthly, looking for changes in size, shape or consistency.

•E ye exam These exams are important in determining whether glasses or contacts are needed, as well as in identifying vision problems like glaucoma or cataracts. Until age 39, men should only be tested once, but from age 40 to 64 testing should occur every two to four years.

After age 65, testing is recommended once a year.

• Hearing exam Until age 50, men should have their hearing tested every 10 years. After 50, testing should increase to once every three years.

“the top health threats for men are mostly preventable, making the need for routine visits very important.”

E

ach year, men make only about half as many physician visits for prevention as women. The irony of this is that the top health threats for men are mostly preventable, making the need for routine visits very important.

A variety of routine screenings should be done on men to ensure good health and prevent a variety of sicknesses and diseases. If a family member has a history of any of these conditions, talk to your physician about your screening schedule. If a close relative has colon cancer, for example, your doctor may recommend screening more frequently and/or beginning at an earlier age. The following is a listing of some of the major screenings that men should have: • Body measurement Measuring a man’s height, weight, and waist will help a physician determine if he is overweight or obese. Those who are overweight have a higher risk of type 2 diabetes or high blood pressure and are vulnerable to a variety of other diseases. This simple test should be done with each physician visit.

• Blood pressure It is important for men to have their blood pressure tested to ensure early detection of high blood pressure. If high blood pressure goes untreated for an extended period, the risk of heart attack, stroke, heart failure and kidney damage increases. Testing should occur at least once every two years.

• Colorectal exam Designed to examine the colon and rectum, colorectal exams include several tests. Each test helps detect cancer and growths on the inside colon wall. Men should begin being tested for colon cancer at age 50. The frequency that each test should be performed varies.

• Prostate cancer screening Men should also begin having yearly prostate cancer screenings at age 50. During these screenings, a physician check for any abnormalities that may signal the beginning stages of prostate cancer.

Although there are ways to reduce risks, close to 80 percent of men die from one of the following causes of death: • Heart disease • Cancer • Unintentional injuries • Stroke • Chronic obstructive pulmonary disease • Diabetes • Influenza and pneumonia • Suicide • Kidney disease • Chronic liver disease and cirrhosis Scheduling regular physician visits and getting appropriate tests will help men detect serious conditions early. For more information on what you can do to make healthy lifestyle choices, talk with your physician or visit www.Wesley.com.

Dr. Glisson earned both his Doctor of Medicine and Doctor of Pharmacy from the University of Mississippi Medical Center. His research in the area of Dietary Supplements has been published in the American Journal of Medicine, and other medical publications. Dr. Glisson is a fulltime Hospitalist at Wesley Medical Center. Ranked as the number one hospital in Mississippi for Cardiac Care, Major Orthopedic Surgery, Joint Replacement, Spinal Surgery and GI Care by Carechex, a medical quality rating service of the Delta Group, Wesley has earned its reputation as an outstanding provider of medical care. Wesley also has been recognized

by The Joint Commission as a Top Performer in Key Quality Measures and operates the area’s first and only accredited Chest Pain Center.

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 15

treatment options

Don’t Let Old Sports Injuries Slow You Down!

By Brenda Cain, PT, C/NDT, Forrest General Rehabilitation Services

H

ave an old sports injury that’s causing you trouble again?

Don’t just chalk it up to aging! Old sports injuries can lead to problems that are more serious so don’t brush it off or try to live with the discomfort—make an appointment with your doctor and check it out!

Call a doctor when: • The injury causes severe pain, swelling, or numbness • You can’t put any weight on the area • An old injury swells • An old injury hurts and aches • The joint doesn’t feel normal or feels unstable If you don’t have any of these signs, it may be safe to treat the injury at home using the RICE method (rest, ice, compression and elevation) to relieve pain, reduce swelling and speed healing.

One of the most common problems that physical therapists address with patients with old/chronic sports injuries is some type of knee pain. Knee pain results in over 1 million trips to the ER annually. Often, injuries resulting from a chronically overused tendon, such as tendinosis, are the culprit in many of these cases. Individuals that have this type of knee pain may begin to overcompensate and put more weight on their other leg when walking, climbing stairs or carrying out other daily activities. This can create a muscle imbalance and lead to risk for further injury.

“Patellar tendonosis presents itself with knee pain affecting the front of the knee joint,” said neurologist Josh Maksi, M.D. “It can be seen with jumping or climbing activities or in daily tasks. If pain continues or begins to interfere with routine daily activities, or there is any swelling or redness, those are signs to seek medical attention. You might need NSAIDS, physical therapy, injections or further workup with X-rays or MRI’s to determine the problem.”

Physical therapy can help to identify and correct improper movement patterns, reducing pain and allowing you to return to your daily activities. Therapists can help by performing exercises such as dynamic and static stretching, gradual progression of eccentric strengthening (muscle lengthening) in pain-free ranges and strengthening of muscles that stabilize and support the problem area.

New Treatment Option for Osteoarthritis of the Knee More than 15 million Americans suffer with painful osteoarthritis of the knee, which often affects their quality of life. Many of those suffering from this painful condition are benefiting from a new treatment option that increases their chances of returning to an active lifestyle—the RIO Robotic Arm Interactive Orthopedic System.

The RIO system, now available at Forrest General in Hattiesburg, offers a new treatment option for osteoarthritis of the knee called MAKOplasty®, a Partial Knee Resurfacing procedure. The Page 16 — Healthy Cells Magazine — Pine Belt ­— June 2012

“This technologically-advanced procedure is ideal for patients who have early stages of osteoarthritis or localized arthritis in the knee.” most common surgical treatment for the disease is a total knee replacement, where the natural knee is removed and replaced with an artificial implant. However, this is not always the best option for patients with early to mid-stage osteoarthritis that has not affected their entire knee. For those patients, MAKOplasty® Partial Knee Resurfacing may be the more appropriate solution. “We are pleased to bring this technology to the Pine Belt area,” said Southern Bone and Joint board-certified orthopedic surgeon James Sikes, M.D. “We want to offer this minimally invasive procedure with precision to our patients with knee pain who do not need total knee replacement.”

MAKOplasty® has been shown to improve surgical results and shorten hospital stays, thanks to the less-invasive surgical procedure that uses smaller incisions, reduces blood loss and leaves less scarring. “This technologically-advanced procedure is ideal for patients who have early stages of osteoarthritis or localized arthritis in the knee. However, not everyone is a candidate,” said Michael Stonnington, M.D., board-certified orthopedic surgeon at Southern Bone and Joint. This new procedure is proven to give patients more natural knee function after surgery, helping them get back to an active lifestyle. In many cases, patients are allowed to walk soon after surgery, drive a car in the first few weeks and return to normal daily activities shortly thereafter. Anyone interested in this procedure should first talk with their doctor to see whether they may be good candidates.

“Makoplasty is an innovative bone sparing reconstructive procedure performed with robotic assistance,” said Hattiesburg Clinic board-certified orthopedic surgeon, Raymond Whitehead, M.D. “This will translate into a shortened hospital stay and a faster functional recovery for selected patients who meet the operative criteria.

I am very excited to have the opportunity to offer this emerging technology to my patients.”

For more information on this new treatment option, call FGH OnCall at 1-800-844-4445 or visit www.ForrestGeneral.com.

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June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 17

On your list of things to do, finding a family doctor that you can trust should not be hard.

Walk-ins are welcomed everyday, or call for an appointment.

With 14 family health centers in 8 cities, you will not have to leave your hometown to see a doctor. We even have a family health center open on nights and weekends.

Absolutely no insurance is required to receive care. Uninsured individuals may qualify for a special discount based on income. For your convenience, we operate an in-house pharmacy to fill prescriptions after seeing one of our providers.

Call 601-545-8700 to find a SeMRHI family health center near you.

You can also visit our website www.semrhi.com for additional information.

An equal opportunity service provider.

Page 18 — Healthy Cells Magazine — Pine Belt ­— June 2012

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601.264.8000 June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 19

the gift of vision

Age Related Macular Degeneration

By Dr. Jaime Jiménez, Southern Eye Center

A

ge related macular degeneration (ARMD) is the leading cause of blindness in all age groups in the United States. It can be divided into two general stages: • Dry ARMD: There is progressive deterioration of several retinal layers that typically results in difficulty with reading. Usually it progresses slowly and very rarely causes blindness.

• Wet ARMD: There is fast loss of central vision associated to bleeding and/or fluid accumulation in the central part of the retina. This requires prompt diagnosis and treatment.

• Fluorescein Angiography (FA): A special yellow dye is injected in a vein in the arm and as it circulates through the retina, images can be obtained that demonstrate the microcirculation on the superficial retinal layers. This test helps in deciding the most appropriate treatment for ARMD. • Indocyanine Green Angiography (ICG) A special green dye is injected and images are taken to demonstrate the circulation of the deeper layers of the retina. This test helps in accurately diagnosing certain variants of wet ARMD.

ARMD is diagnosed by inspection of the retina with a dilated fundus exam. As part of proper diagnosis, special tests can sometimes be ordered. These may include: • Optical Coherence Tomography (OCT): This non-invasive test provides an exquisite microscopic view of the retinal tissues. No injections are necessary for this test.

Treatment In the dry form of ARMD, treatment is aimed at decreasing the rate of progression and severity. Genetics certainly are important in the development of ARMD, but certain lifestyles will increase the odds for trouble. Cigarette smoking greatly increases the risk for wet ARMD as well as uncontrolled blood pressure and cholesterol.

Following the recommendations of the Age Related Eye Disease Study (AREDS), vitamin supplements may decrease the risk for progression and severity. Recent studies also suggest that supplementation of Omega-3 Fatty Acids, as well as supplemental Vitamin D, may help. Smoking is the most important risk factor and cessation of it is advised. A word to smokers: Do not use regular AREDS formula since high doses of Beta-carotene increase the risk of lung cancer, use the AREDS-2 formula that replaces this with other carotenoids (Lutein and Zeaxanthin).

The wet form of ARMD can be treated in several ways. In all of these, the aim is at stopping the growth of abnormal new vessels.

Regular thermal lasers may work for small lesions peripherally but they can leave blind areas in the vision; this modality is seldom used presently. Non-thermal photodynamic therapy with Visudyne (Verteporphin) can stabilize vision but does not tend to improve it; it is used for selected cases.

Intravitreal injections of compounds can shrink abnormal vessels.

These include the FDA approved Macugen (Pegaptanib), Lucentis (Ranibizumab) or the off-label Avastin (Bevacizumab). Usually the decision of which compound is used is based on very specific circumstances.

These have the best outcomes and are the preferred treatments at present. Several other compounds are being evaluated and may become available in a near future. These injections are done in the office under topical anesthesia as outpatient.

Age related macular degeneration is by far one the leading causes of blindness in the USA. Early diagnosis and treatment are essential to improve the visual outcomes. Regular dilated eye exams by an eye doctor are recommended. Newer available technologies and treatments are available to ensure the best possible outcome.

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Hours: Mon-Fri 9am-6pm Sat 9am-5pm Page 20 — Healthy Cells Magazine — Pine Belt ­— June 2012

At Southern Eye Center, we are equipped with the latest diagnostic and treatment equipment and have highly trained professionals to help you preserve your gift of vision. For more information on ARMD or Dr. Jaime Jiménez, please contact Southern Eye Center at 601-264-3937 or visit us on the web at www.SouthernEyeCenter.com.

therapy techniques

Heel Pain Hands-on Physical Therapy and Stretching Prove Effective for Treating Heel Pain

By Care Physical Therapy

D

o you ever wake up with pain in the heel of your foot first thing in the morning? If so, you may have plantar fasciitis, the most common type of heel pain. People with heel pain typically report a sharp pain under their heel that may spread into the arch of the foot. The pain is often worse when the person stands after lying down or following a period of sitting—for example, taking the first couple of steps in the morning or standing up after watching TV. Although the pain may actually decrease with activity, such as walking, it tends to return at the end of the day. Plantar fasciitis is not typically the result of an injury. Instead, this condition usually develops gradually and, if untreated, may get worse over time. By current estimates, two million Americans develop heel pain each year, and about 10% of all people will have heel pain at some point in their lives.

New Insights In a recent study (JOSPT, February 2011), 60 patients with heel pain were randomly placed into one of two treatment groups. One group of patients performed calf and foot stretches and had hands-on therapy provided by a physical therapist, while the other group only performed the stretches. The treatment performed by the physical therapist focused on treating sore points, sometimes called “trigger points.” Trigger points are small sections of muscles that feel “knotty” and, when pressed, become more painful. The researchers found greater improvements in patients who both performed the stretches and received hands-on therapy. This finding is important because it suggests that people who are not getting better on their own may benefit from hands-on treatment.

Although stretching the calf and foot can reduce heel pain, the addition of hands-on physical therapy resulted in better pain relief and greater improvements in function during the first month of treatment. The three stretches in this study were performed using a 20-second hold, 20-second recovery time and were repeated 3 times, twice a day. If you have heel pain, you may wish to seek the help of a physical therapist who can instruct you on the proper stretching techniques to perform. The physical therapist can also determine if you are a candidate for trigger point soft tissue techniques applied to your calf muscles, as were used in this study. For more information on the management of heel pain, contact your physical therapist specializing in musculoskeletal disorders.

For more information on this or other physical therapy questions, contact Care Physical Therapy at 601-296-0199 or sign up for the newsletter at www.carephysicaltherapy.net.

FOOT STRETCH. While seated, grab the base of your toes and pull them toward your shin.

HANDS-ON THERAPY. An example of a trigger point pressure release technique that can be performed on your calf muscles by your physical therapist.

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 21

patient service

Patients To Be Seen Within 15 Minutes Of Their Arrival

By South Central Regional Medical Center

T

he time it takes to get treated at emergency rooms in the United States is on the rise, but hospitals like South Central Regional Medical Center in Laurel, Mississippi are trying new methods to reduce the wait. Connie Vincent, RN, ED staff nurse educator for South Central Regional Medical Center’s emergency department, said, “The key role of emergency departments at hospitals is to treat emergent conditions. However, emergency departments around the country treat a variety of non-urgent conditions because of the lack of access to medical clinics and urgent care centers primarily after clinic hours.”

More than 40,000 patient visits are made to South Central Regional Medical Center’s emergency department each year, with 60% of the conditions being emergent and 40% being non-urgent. “As with all emergency departments,” Vincent said, “patients with life threatening and more urgent conditions are seen first.” According to Vincent, when you first arrive at an emergency department, you are “triaged” by an emergency room registered nurse. After a thorough evaluation, the nurse will assign you a classification to help determine the order in which you will be taken to the treatment area. Your medical condition will be classified as either emergent, urgent or non-urgent.

Emergent Classification This includes patients who have a potential life-threatening condition or require immediate medical attention. For those patients, a time delay could be life threatening. Emergent patients are taken immediately to the treatment area. They are often brought in through the ambulance entrance; this means we may have more patients in the treatment area than it seems from the waiting room.

Urgent Classification This classification is given to patients who require medical attention within a period of a few hours because they face further injury or infection if they are not treated. Urgent patients are brought to the treatment area in the order of their arrival, after all emergent patients.

Non-urgent Classification Non-urgent patients have relatively minor conditions or ones that do not necessarily require the resources of an emergency department.

Many non-urgent patients come to the emergency department in the evening or weekends when their physicians’ offices are closed. These conditions can include the flu, sore throats, fevers and the like. These patients are seen in the order of their arrival after the emergent and urgent patients.

“As you can see, non-urgent conditions are treated after emergent and urgent patients are seen, which can cause long waits for these patients,” she said. To improve patient satisfaction, South Central Regional Medical Center implemented InQuicker, an innovative approach to emergency department and urgent care access for non-urgent patients.

Patients can simply go on line to www.scrmc.com (South Central Regional Medical Center’s website) and select InQuicker. Two options

Page 22 — Healthy Cells Magazine — Pine Belt ­— June 2012

of locations will be available to you—South Central Regional Medical Center’s Emergency department or South Central Urgent Care in Laurel. Select the facility of your choice and complete a brief registration form, which includes the choice of a treatment time.

InQuicker: • Does not skip the emergency department or urgent care clinic waiting line, patients are given an estimated time to come to the ER or urgent care center so that they can wait in the comfort of their own home, at their office, etc.

• Users are sent real-time notifications via phone call and email so they can continue waiting at home in the event of a projected treatment time delay.

• Is intended for individuals with non-life and non-limb threatening medical conditions. Vincent added, “It’s simply a way for people with busy lives and busy families to conveniently access care for minor medical needs. If you’re in doubt about the severity of your condition, you should always seek care immediately.”

The system is designed to filter certain symptom key words that may indicate a life- or limb-threatening medical condition, in addition to a review of a user’s symptoms by a health care professional. Those indicating a life- or limb-threatening medical condition are prompted to dial 911 or go immediately to the nearest emergency department.

Vincent concluded by saying, “We are always looking for new ways to provide excellent service to our patients and our patients appreciate the new InQuicker program.”

So, the next time you are sick, go to www.scrmc.com and get InQuicker.

hearing improvements

Move Forward To Better Hearing Your New Life Starts Now

By Dr. Michael Hunt, Ph.D., A.C.A., HearingSolutions

“I Wear Hearing Aids” Your sense of hearing is a vital link to your world—a source of pleasure, information and communication.

If you have a hearing loss you can take control of the situation.

Hearing loss should not get in the way of enjoying your life.

Hearing Instruments as Individual as You Are. The path to better hearing starts with your positive decision to take action. Whatever your age or life style, you have important personal goals. You have decided not to let your hearing loss stand in the way of what you want in life. Today’s hearing instruments are more effective than ever and can help you maintain important activities and relationships and a greater sense of “belonging.”

Hearing losses are individual and fortunately most can be helped with today’s hearing instruments. Your ideal solution will address your unique hearing needs as well as your personal preferences.

Did You Know?

People who decided to move forward with amplification report overall improvement with friendships and intimate relationships.

Your hearing care professional is your most valuable resource along the way – to help you understand your hearing needs, recommend the most appropriate hearing solution, adapt your hearing instruments for your personal hearing profile and provide suggestions and support.

Here are a few key facts about hearing instruments to help you off to a successful start.

It’s a whole new world. The past few years have witnessed a transformation in the performance and appearance of hearing instruments. Stateof-the-art microchip technology and sophisticated electronic design allow hearing instruments to work better than ever before and help you do more.

Design advancements have also changed hearing instruments in a positive way. Today they are more attractive, stylish and designed to match your needs and lifestyle. People enjoy solutions that fit and perform well and help them feel comfortable both physically and emotionally.

Today’s solutions are smaller and look better. Overall satisfaction experienced by hearing instrument wearers has never been higher.

Thanks to these major strides in the field of hearing care, life can change for the better.

What you can do with better hearing: • Feel more confident in social situations • Participate much more easily in conversations in noisy places • Feel less stressed, and more relaxed • Hear what people are saying in meetings or in religious gatherings • Understand television, even when others are in the room • Use your telephone more easily • Talk on your cell phone • Connect more to other people – feel included If you, a loved one or a friend suspect hearing and/or understanding problems, call HEARINGSOLUTIONS at 601-450-0066 for your personal, confidential complimentary hearing evaluation. Email: theclinic@hearingsolutuionsms.com.

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Your contribution to our Church Sale for Missions was greatly appreciated.

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Did You Know?

Modern hearing aids are rated as No. 24 on the CNN list of Top Innovations, the Internet being No. 1, the cell phone No. 2 and personal computers as no. 3. (Source: CNN.com 2005) So, if you are a new hearing instrument candidate, or if you are ready to upgrade your current ones, rest assured that there is a solution for you.

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 23

personal health

The Wellness Journey

What You Put In

By Spiers Chiropractic Pain & Wellness Center

I

n continuing with the goal of achieving overall wellness in your life, it is very important to be aware of not just what you eat, but of what you are putting into your body and what the benefits are for overall wellness.

Some things listed below will help to contribute to your overall wellness.

Essential Fatty Acids One component of nutrition that deserves significant attention is essential fatty acids (EFAs). EFAs cannot be produced by the body and therefore must come from the food we eat. They are the main structural components of our cell membranes, and keep our cell walls healthy by allowing nutrients to flow in and toxins to flow out. The three main essential fatty acids are Omega 3, Omega 6 and Omega 9. Most people consume enough Omega 6 and 9 fatty acids in the form of vegetable oils. However, we are often deficit in Omega fatty acids that come from foods such as flax seed, fish and borage oil. Omega 3 fatty acids are known to help with cardiovascular, joint and skin health, and to improve mood. Supplementing daily with an EFA capsule or liquid oil is essential to properly nourish your body.

Vitamins and Supplements Unless you live on an organic farm, most experts agree that we should take a daily supplement in order to ensure that our bodies are receiving the nutrients necessary to promote our optimum health. Multivitamin supplements help your body stay nourished to keep healthy and strong. One of my favorite products is the NutriWell Pack formulated

by Biotics Research. Besides being a high quality blend of basic wellness nutrients formulated by scientists they are conveniently packaged in individual daypacks eliminating the need for multiple bottles and pill counting. Also, they are easy to take with you, on the go or on a trip.

Greens Dietary essentials for wellness include getting the five to ten servings of vegetables and fruits per day that will provide you with antioxidants, fiber, vitamins, and minerals necessary for optimum functioning at the cellular level. To help you achieve this goal, we suggest a whole food phytonutrient blend, often called “green powder.” Of course, please remember it’s best for you to eat real fruits and vegetables.

Proteins Protein is another nutritional foundation essential to building and maintaining muscle during every stage of life. Protein provides a num-

Page 24 — Healthy Cells Magazine — Pine Belt ­— June 2012

ber of benefits in the areas of weight management, immune support, and bone health. As you know, it is always best to nourish your body with natural organic foods, but you may also benefit by adding a protein powder to your supplement routine. This is recommended especially for people who are on vegetarian diets, the elderly, and for those striving for maximum energy.

Detox Every person should cleanse the system of toxins and let the digestive tract rest at least once each year. Cleansing is one of the most direct and effective ways to improve your overall health quickly. Free radicals and toxins can build up in your body over time and may cause fatigue, poor immune function, sleep disturbances, aches, pains, and low energy. There are cleansing programs and supplements available that help the body repair and remove toxins from the body. It is generally recommended that you contact a nutrition professional when choosing a program.

Spiers Chiropractic Pain & Wellness Center is dedicated to helping you achieve your wellness objectives—combining skill and expertise that spans the entire chiropractic wellness spectrum. Dr. Denton Spiers is committed to bringing you better health and a better way of life by teaching and practicing the true principles of chiropractic wellness care. For more information on this article or other chiropractic related issues contact at Spiers Chiropractic Pain & Wellness Center at 601-261-9495.

men’s health

Erectile Dysfunction

By Southern Star Medical Group

E

rectile dysfunction (ED) is when a man has trouble getting or keeping an erection. ED becomes more common as you get older, but male sexual dysfunction is not a natural part of aging.

Some people have trouble speaking with their doctors about sex, but if you have ED, you should tell your doctor. ED can be a sign of health problems. It may mean your blood vessels are clogged. It may mean you have nerve damage from diabetes. If you don’t see your doctor, these problems will go untreated.

Your doctor can offer several new treatments for ED. For many men, the answer is as simple as taking a pill. Getting more exercise, losing weight or stopping smoking may also help.

ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Because an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases—such as diabetes, high blood pressure, nerve disease or nerve damage, multiple sclerosis, atherosclerosis, and heart disease—account for the majority of ED cases. Patients should be thoroughly evaluated for these conditions before they begin any form of treatment for ED. Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of ED. Smoking, drinking alcohol in excess, being overweight, and not exercising are possible causes of ED. Surgery—especially radical prostate and bladder surgery for cancer—can also injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and the fibrous tissues of the corpora cavernosa.

In addition, ED can be a side effect of many common medicines such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine, an ulcer drug.

Psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure can also cause ED. Even when ED has a physical cause, psychological factors may make the condition worse.

Hormonal abnormalities, such as low levels of testosterone, are a less frequent cause of ED. Tests for underlying problems may include: • Physical exam: Includes careful examination of penis and testicles and nerves for feeling.

• Blood tests: A blood sample may be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health problems.

• Urine tests (urinalysis): Urine tests are used to look for signs of diabetes and other underlying health conditions.

• Ultrasound: This test can check blood flow to penis. It involves using a wand-like device (transducer) held over the blood vessels that supply the penis. It creates a video image to let the doctor see if there are blood flow problems. This test is sometimes done in combination with an injection of medications into the penis to determine if blood flow increases normally.

• Overnight erection test: Most men have erections during sleep without remembering them. This simple test involves wrapping special tape around the penis before going to bed. If the tape is separated in the morning, the penis was erect at some time during the night. This indicates the cause of the erectile dysfunction is most likely psychological and not physical.

• Psychological exam: The doctor may ask questions to screen for depression and other possible psychological causes of erectile dysfunction.

For more information on Erectile Dysfunction or other health related concerns contact, Southern Star Medical Group at 601.450.2034.

They are located at 4 Willow Point, Hattiesburg, MS.

Sheri Ezell

601-606-1081

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 25

senior care

“Yes, But My Mother Will Never Live There” And Other Things You Tell Yourself About Nursing Homes Part Three of a Three Part Series

By Pam Mckee Kelly, MS, LPC, NHA, Bedford Alzheimer’s Care Center – Hattiesburg, MS

I

n my previous two articles, I discussed the issues that many families encounter when they are faced with a decision regarding long term care for their loved one.

Grief, loss, guilt, self-doubt, and a sense of panic are just some of the things that family members experience. The struggle between the reality of the situation, the stereotypes you have developed, the earlier promises voiced to parents, and the potential conflict among siblings are also very real and challenging obstacles.

No matter what was said or done in the past—your current duty, obligation, and goal is to make sure that your loved one will receive the best care possible for the situation at hand. An expected or unexpected change will occur at some point and it is always better to be prepared. And I don’t mean you should start “cruising” through the nursing homes on the weekends just to see what’s going on!! You could—and I would be happy to see you—but what I mean is that discussion regarding the “what ifs” of life should begin now.

However, should you decide to take a moment and “cruise” through the nursing home, I will tell you how to make the best use of your visit. It costs nothing and you already have all the equipment with you… or, rather, on you!

Use all your five senses when touring a nursing facility.

EYES: Look at the residents: hair, nails, clean clothes, facial expressions, are they out of their rooms or mostly in bed. Look at the facility: clean, neat, organized, decorated with current seasonal items, secured exit doors. Look at the staff: are they professional in dress and mannerism, do they look like they enjoy their job, do they interact with the residents, do they speak or acknowledge you as you tour the facility.

Page 26 — Healthy Cells Magazine — Pine Belt ­— June 2012

EARS: Listen to the sounds within the home. Listen to the comments and conversations being held by the residents, the visiting family members, and the staff on duty. Listen for excessive noise such as paging, buzzers, alarms, etc. Listen to the tone used by the staff when addressing residents – it should be relaxed, friendly, sincere, and always respectful. Staff should exhibit professional speech to each other and to residents. Do they speak to each resident individually with respect and dignity?

TASTE: Accept food or drink if it is offered to you. If their dietary staff will be responsible for feeding your loved one, you need to make sure that the food is attractive, appetizing, and tastes good. If you go during mealtime, observe the dining room and see how the food is served and delivered. See if the residents are eating and enjoying their mealtime.

Nursing home food isn’t supposed to taste bad...seriously. (I eat my lunch here and am proud to do so.)

SMELL: There is another myth that nursing homes are supposed to smell bad. This is a myth created by those nursing homes that choose to smell bad. Nursing homes may unfortunately have an odor in a certain section for a short period, but a nursing home is not supposed to smell bad. And if during a tour, someone tells you that a nursing home is supposed to smell bad then you need to tell them that you will find one that doesn’t.

TOUCH: This sense of touch is not in the sense of physically feeling the nursing home, but in another sense. During the tour, feel your “gut.” You will get a gut feeling as to whether the nursing home will be a good “fit” for you and your loved one. On the other hand, you will also get a definite signal if it is not compatible. Follow this instinct. Follow your “gut.”

As stated in the beginning of this article, no one looks forward to nursing home placement in general. However, nursing homes can provide a very necessary need at a very critical time. Some nursing home stays are relatively short and some are for long term care. Either way, the decision is a big one and the more information that you have prior to making your decision, the better.

There are several websites that you can access regarding nursing homes and their ratings within the town, the state, or the nation. A little homework ahead of time can save you a lot of legwork later on.

Although you may spend hours on the internet researching homes, the very best option is to go and tour the facility. I would plan to be there for about 30 minutes to an hour and I would not go later than four in the afternoon. You do want to pop in, but you also want to speak to someone who can answer your questions in one visit.

Begin having discussions with your loved ones regarding the “what if’s.” Talk to your spouse, your children, your parents.

Take control now so that when the unexpected emergency does happen, you have a sense of control and some input. Today’s consumers are more educated than ever before. Information is everywhere. Figure out your questions then find your answers.

After all, shouldn’t you put more time into selecting a nursing home than selecting your next vehicle?

The nursing homes of today are not the nursing homes that may be negatively etched in your memory. Today’s nursing homes are more sophisticated than ever. And remember, if you really want to live dangerously, come cruise by my nursing home and take a pop-in tour just for fun. We can even do lunch….

Pam McKee Kelly is the Administrator for the Bedford Alzheimer’s Care Center, Hattiesburg’s only Alzheimer’s dedicated nursing facility. She is a Licensed Professional Counselor and has been working with cognitively challenged older adults for 15 years. Should you have questions, please feel free to contact her at pkelly@hmpmc.com or 601-582-9157.

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 27

blood donations

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Page 28 — Healthy Cells Magazine — Pine Belt ­— June 2012

J

une is the beginning of the summer holiday and my favorite month of the year. The days are not too hot, strawberries and peaches fill the fruit stand, and the crack of the bat can be heard at baseball fields across the Pine Belt. With family vacations, sporting events, and all the extra activities in the yard, June is a great month to enjoy a vacation from the cares and worries of the school year.

Unfortunately, the need for blood does not ever take a vacation. The summer has three major holidays where the roadways are crowded and the chance for an accident is increased. In many cases, surgeries are performed over the summer while school is out, and the students won’t miss valuable time in the classroom. As people get busy with their summer plans, blood donation may get pushed down on the list of priorities. Since June is also the month we salute our fathers, let’s take a moment to look at special blood donor considerations that affect the men in our lives.

Certain drugs that are taken for BPH (an enlarged prostate gland) or baldness can cause birth defects in unborn children. Donated blood could contain high enough levels to cause damage if transfused to a pregnant woman. Finasteride (most commonly sold as Proscar or Propecia) is one of these drugs. You must wait at least 1 month after your last dose before you donate blood. Dutasteride (most commonly known as Avodart or Jalyn) can also cause the same issues in unborn

children, but is somewhat slower to clear from your blood. You must wait for 6 months from your last dose of these drugs to donate blood.

Platelets are the portion of the blood that function to plug any hole in the vascular system, and stop the bleeding if you are cut or injured.

Plavix, Ticlid and Effient (having the generic names of clopidogrel, ticlopidine and prasugrel respectively) are drugs taken to reduce the chance of a heart attack or stroke. These drugs are acceptable if you are donating whole blood or double red cells. Since they work by inhibiting the action of platelets, you must wait at least 14 days after your last dose before you are able to donate platelets.

All blood donors must be well and healthy, be at least 16 years old and weigh at least 120 lbs. By nature, men tend to have more lean muscle mass than women, and therefore have a larger volume of blood than women of the same size. Therefore a man will qualify to donate two units of red cells at one donation if they are 5’1” tall and weigh at least 130 lbs. Donating a “double” means that we can save you time: There is only one trip to the center or blood drive, you complete the

“Since June is also the month we salute our fathers, let’s take a moment to look at special blood donor considerations that affect the men in our lives.” questionnaire only once, and there is only one needle stick. The best news is that you get twice the warm fuzzy feeling of helping a friend or neighbor! Find the Hero in You, Donate Blood!

For more information contact Christina Ghents, Center Director of United Blood Services at 601-264-0743.

June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 29

the right dose

DNA Drug Sensitivity Testing™ for Heart Disease Medications

By Advantage Medical and Pharmaceutical, LLC

A

re you taking or considering medication to treat or prevent heart disease? Have you experienced side effects? Has the medication not had the desired effect?

If you answered yes to any of these questions, you are not alone.

Millions of Americans currently take cardiovascular medications to treat or prevent heart disease and many have had problems finding the right drug and dose.

This is not surprising to people that study genetics – research shows that of all the clinical factors such as age, sex, weight, general health and liver function that alter a patient’s response to drugs, genetic factors account for a significant proportion. Three enzymes in the liver

called CYP2D6, CYP2C9, and CYP2C19 metabolize over half of all medications, including the majority of heart disease medications.

Genelex, a DNA testing laboratory, refers to the testing of these enzymes as DNA Drug Sensitivity Testing™, also known as pharmacogenetic testing. Your genes are the main factor in determining the level of these enzymes in your liver – if you have too much of the enzyme, you process the medication too quickly; too little of the enzyme and the medication builds up in your bloodstream potentially causing adverse reactions or side effects. Without knowing your genetics, your physician may need to go through months of trial-and-error prescribing to find the right drug and dosage for you.

Affected Cardiovascular Medications Plavix® (clopidogrel) Coumadin® (warfarin) Alfeprol® (alprenolol) Coreg® (carvedilol) Cardizem® Dilacor® Tiazac® (diltiazem) Copaxone® (flecainide) Lopressor® Toprol XL® (metoprolol) Mexitil® (mexiletine) Rythmol SR® Rytmonorm® (propafenone) Blocadren® (propranolol) Cardioquin® (quinidine) Now your healthcare provider can help optimize your response to cardiovascular drugs and many other medications by ordering DNA testing. Your results will be entered into a personalized medication management software, GeneMedRx. You or your healthcare providers can log in to see if current or future medications are predicted to cause drug-drug or drug-gene interactions so dosage and selection can be catered to your needs. You receive a 90-day subscription free with your testing; additional one-year extensions are available for a nominal fee.

Of course, your DNA never changes so the testing only needs to be done once in a lifetime.

The testing process is simple. Your healthcare provider can request testing for you through your pharmacy. They will submit a cheek swab sample and results are provided in ten days or less. Faster testing is available for an additional charge. Medicare and most private insurances will pay for these results.

For more information, please contact Advantage Medical and Pharmaceutical at 601-268-1422. We are located at 6375 US HWY98 West, Suite 50, Hattiesburg, MS, 39402.

Page 30 — Healthy Cells Magazine — Pine Belt ­— June 2012

because you can

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By Jayne Richards

M

otivation is one of those elusive things that we all seek, but seldom catch for long. We too often let motivation define us or excuse us from something we don’t want to do. Motivation is like that popular girl we knew in high school, the one we all wanted to be friends with. When we were invited into her magic circle, we discovered that she wasn’t who we thought she was, after all.

Motivation is a lot like that. She’s a mean, fickle girl who flits in and out of my life with reckless abandon. She sometimes wakes me up at four am for a run, urging me to slap on my shoes and head out to get the best of the day. The very next morning, she sleeps in and encourages me to do likewise. Last summer, when I was training for my first marathon, she completely left me to battle the long runs in the Mississippi summer heat alone. It wasn’t motivation that kept me going that long, hot summer. It was something else, maybe grit and determination. Whatever it was, motivation didn’t play a big part in it.

So what keeps you going when you really don’t want to? It’s different for all of us, but here are some of my tricks.

•M ix it up. You may be getting bored with your workout, so try something different. It can be as simple as a new route, or you could add some cross training. Cross training will become your best friend if you’re in this for the long haul.

• Sign up for a race. That will get you focused quickly. Nobody wants to be the last one across the finish line.

• Get techy. A new toy may be just what you need, a GPS or an Ipod, or download a new playlist to your existing MP3, or maybe a new audiobook or…

• Run naked. No, not like that, but I got your attention, didn’t I? Maybe you’re too caught up in your technology, worrying about pace or distance too much. Leave it at home and just run for the joy of running.

• Read something inspirational. There are lots of blogs that are there to inspire and motivate (including mine), and many great books and magazines that will get you excited again.

• Find a workout buddy. Lots of people find the accountability of knowing someone is depending on them for their workout makes a big difference.

• Join a running group. There are many great clubs and groups you can join, some sponsor races and have group runs throughout the week.

If you’re in a rut, I hope something here helps you. I think that what helps me the most is remembering that I’m a grown up now and, occasionally, in real life, we have to do things that we’re really not in the mood for. When your exercise becomes a habit, it is much easier to just do it. As in running—as in life.

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 at www.faithandfitnessat50.wordpress.com.

Center Hours • Effective June 1st Sunday 12PM - 4PM Monday 12PM – 5PM Tuesday 11AM – 7PM Wednesday 9AM – 4PM

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June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 31

dental health

Corrective Jaw Surgery

Do I have an overbite or an underbite?

By Drs. York, Cockerham & Nichols, Hattiesburg Oral Surgery

C

orrective jaw surgery, also known as orthognathic surgery, is performed by oral & maxillofacial surgeons to correct a wide range of major and minor skeletal and dental irregularities, including the misalignment of jaws and teeth. While the patient’s appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems, such as chewing, speaking and breathing.

When an overgrowth of the upper jaw causes it to protrude while the lower jaw is in a normal position, we call this an overbite. When the upper jaw is normal but the lower jaw is underdeveloped, we call this an underbite. It is also possible to be affected by both an overbite and an underbite at the same time.

Following are some of the conditions that may indicate the need for corrective jaw surgery: • Difficulty chewing, or biting food • Difficulty swallowing

“Your dentist, orthodontist, and oral and maxillofacial surgeon will work together to determine whether you are a candidate for corrective jaw, or orthognathic, surgery.”

• Chronic jaw or jaw joint (TMJ) pain and headache • Excessive wear of the teeth • Open bite (space between the upper and lower teeth when the mouth is closed) • Unbalanced facial appearance from the front or side • Facial injury or birth defects • Receding chin • Protruding jaw • Inability to make the lips meet without straining • Chronic mouth breathing and dry mouth • Sleep apnea (breathing problems when sleeping, including snoring) Who Needs Corrective Jaw Surgery?

People who may benefit from corrective jaw surgery include those with an improper bite resulting from misaligned teeth and/or jaws. In some cases, the upper and lower jaws may grow at different rates. Injuries and birth defects may also affect jaw alignment. While orthodontics can usually correct bite or “occlusion” problems when only the teeth are misaligned, corrective jaw surgery may be necessary to correct misalignment of the jaws.

Evaluating Your Need for Corrective Jaw Surgery Your dentist, orthodontist, and oral and maxillofacial surgeon will work together to determine whether you are a candidate for corrective jaw, or orthognathic, surgery. The oral and maxillofacial surgeon determines which corrective jaw surgical procedure is appropriate and performs the actual surgery. It is important to understand that your treatment, which will probably include orthodontics before and after surgery, may take several years to complete. Your oral and maxillofacial surgeon and orthodontist understand that this is a long-term commitment for you and your family. They will try to realistically estimate the time required for your treatment.

Corrective jaw surgery may reposition all or part of the upper jaw, lower jaw and chin. When you are fully informed about your case and your treatment options, you and your dental team will determine the course of treatment that is best for you.

Billy Cochran, PT, CSCS Craig Morris, LPTA Kacee Rose, LPTA

52 98 Place Blvd. Hattiesburg, MS 39402

(601) 296-0199

www.carephysicaltherapy.net Page 32 — Healthy Cells Magazine — Pine Belt ­— June 2012

For more information on jaw surgery 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

Monroe Hall, LLC Quality of Life Services Including: Physician – Each Facility has a Medical Director Bedford Care Center Nursing – Rehabilitative Services – Psychiatry – Dietary – Pharmacy 300 Cahal St. • Social workers on staff Hattiesburg, MS 39401 • Recreational activities Ph: 601 .582.9157 • Medicaid/ VA Counseling services www.be dfordcare centers .com Bedford Care Center offers a skilled staff to meet the physical, emotional and rehabilitation needs of residents needing short-term or long-term care. Our rehabilitative care includes aggressive therapy service with consistent nursing care.

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June 2012 — Pine Belt — ­ Healthy Cells Magazine — Page 33

The Pinebelt’s Only Fellowship-Trained, Full Time

RETINAL SURGEON Jaime Jiménez, M.D. • 601.246.3937 Page 34 — Healthy Cells Magazine — Pine Belt ­— June 2012

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