PINE BELT area
Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
AUGUST 2012
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Forward Health Solutions
Integrative Medicine for a Healthier, Happier You pg.12
Diabetes and Diet
pg. 8
Decoding the Itches and Bumps of Summer pg. 15 Memory Care Support pg. 24
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August 2012 — Pine Belt — Healthy Cells Magazine — Page 3
AUGUST 6
Emotional: Our Family’s Long-Term Care Journey
8
Nutritional: Diabetes and Diet
10
Physical: Skin Cancer: Know Your Risks!
15
Healthy Skin: Decoding the Itches and Bumps of Summer
16
Women’s Therapy: What You Don’t Know About Kegels
17
Find The Hero In You: Blood Donation and Healthy Skin
18
Cataract Awareness: The iCataract Procedure
19
Hearing Instruments: Now Every Day Sounds Even Better
21
Runner’s Fuel: Why Fruits and Vegetables?
22
Structural Strength: Strong Bones are Healthy Bones
24
Quality Care: Skilled Nursing Facilities and Memory Care Support
25
Compounding Supplements: Calcium and Vitamin D3 Dilemma
26
Grief Recovery: “Killer Clichés About Loss”
29
Dental Health: Wisdom Teeth
30
Train Your Body: It’s All in Your Mind
31
Senior Living: Assisted Living – The Perfect Solution?
32
Wound Care: Chronic Wounds Intervention by Several Disciplines
...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 8
This Month’s Cover Story:
Forward Health Solutions
Integrative Medicine for a Healthier, Happier You page 12 Cover story photos by JRichards Originals
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
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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
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emotional
Our Family’s Long-Term Care Journey By Barbara Lofton, Bedford Care Center
I
feel very blessed to have experience in the area of long-term care. I thought my years in state government, working for an elder law attorney, and working with nursing home residents and families prepared me for any event. Just when I think I have heard and seen everything, I get a new revelation. One of my most recent involves my mother-in-law. For thirty-four years, this sweet and gentle lady has been a second mother to me. We, of all the women in the wide world, share knowledge of and love for her son. That has bonded us strongly through the years. Even at my age, I think this loving parent will always be in charge. Not so. Our world changed drastically on March 17 when Mom fell. She had managed to maintain in an independent living facility in Montgomery, Alabama. While we knew she was experiencing some signs of dementia, we felt she was doing great for a 90-yearold. However, the dementia rapidly accelerated following her fall. Upon her discharge from the hospital my husband convinced her to come home with him. We both thought at that point that the time had come for her to move in with us.
In the first two days of her visit, we realized that living with us was not an option. Our most difficult hours were during the night. In the Alzheimer’s world this is called “Sundowner’s.” We would all be settled in for the night only to find that within an hour or two Mom was up rummaging in closets, cabinets, and the refrigerator. She packed bizarre items in her suitcase. She went to the bathroom in inappropriate places. We have come to realize that about 30 percent of the time she is in our world and can carry on a reasonable conversation. But the remaining 70 percent of the time she is somewhere else. We realize that Alzheimer’s is a progressive disease—her condition might be moderate but she will never be able to function on her own. She was admitted to a specialized Alzheimer’s Care Unit. These are the most crucial facts we learned on this journey: • Do not let the dementia patient make her own decisions. When the patient is a parent, he or she will likely feel the need to be the decision maker, regardless of the age of the children. As I tell my
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daughter, “I will always be the Momma.” There may come a day when the child will have to become the decision maker. S eek the best care possible. Fortunately, I work in the nursing home industry and have first hand experience with facilities that provide not only excellent care but also a loving atmosphere and desire to make sure the residents have the best quality of life possible. T ry to make sure in advance that legal documents are in place that give someone access to assets and the ability to make decisions in the event the person becomes incompetent. Thanks to an attorney grandson in Montgomery, my mother-in-law has a General Durable Power of Attorney as well as health care directives in place. T here are many similarities between dementia patients and toddlers. Just like toddlers put a guilt trip on parents as they are left at day care, a dementia patient will put a guilt trip on children. In the last couple of weeks we hear a constant, “I want to go home, I want to go home, I want to go home.” The nursing home staff tells me that Mom never expresses this to them and rarely asks when her family will visit. I am not sure at this point whether she even knows to which home she is referring when she says this. C ommunicate with the nursing home staff. While your loved one is their focus, they also strive to make sure the families are se-
cure in the knowledge that the loved one is getting the best care. If you do not feel your issues are being addressed, move to the next higher level of administration. All the nursing home administrators I know want the resident to get the best care and for the family members to know concerns will be addressed timely and effectively. I deal with residents and families on a daily basis. Yet the world changes dramatically when it is personal instead of professional. I am much more empathetic to the whole picture with our families now—the mental and emotional journey impacts us as much or more than the financial picture. Can this be called a happy ending? Not by a long shot. It is sad to observe this independent, vital lady now needs to be bathed and to have all financial and care decisions made by others, and sad for us to realize that one day she might not even recognize us. But the good news is that Mom is thriving. She is in a safe environment, she has regular meals and meds, she participates in social activities, and the people caring for her truly love her. Barbara Lofton is the Resident Benefits Specialist with Bedford Care Centers. She can be reached at 601-264-3709 or blofton@hmpmc.com. August 2012 — Pine Belt — Healthy Cells Magazine — Page 7
nutritional
Diabetes and Diet Submitted by Southern Star Medical Group
D
iabetes is a disease in which your blood glucose, or sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With Type 1 diabetes, your body does not make insulin. With Type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke, and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes. A blood test can show if you have diabetes. Exercise, weight control, and sticking to your meal plan can help control your diabetes. You should also monitor your glucose level and take medicine if prescribed. Healthy eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes.
Page 8 — Healthy Cells Magazine — Pine Belt — August 2012
Dr. Sivarama Kotikalapudi
A registered dietitian can help make an eating plan just for you. It should take into account your weight, medicines, lifestyle, and other health problems you have. Healthy diabetic eating includes • Limiting foods that are high in sugar • Eating smaller portions, spread out over the day • Being careful about when and how many carbohydrates you eat • Eating a variety of whole-grain foods, fruits and vegetables every day • Eating less fat • Limiting your use of alcohol • Using less salt Diet & Diabetes A healthy and balanced diet is important to everyone, but even more so for diabetics. You can control your blood sugar successfully if you: • Maintain an optimal weight • Pay attention to what you eat • Consider how much you eat
For Type 2 diabetics, diet and lifestyle changes can control blood sugar so well, that for some patients, medication is not needed. A healthy diet provides the nutrients your body needs in sufficient amounts. Different people need different amounts of calories. Here area six general guidelines that applies to all people and more importantly, to diabetics. 1. E at a variety of foods, No single category of food can give you all the nutrients you need. A healthy diet always includes food from each of the different food groups. 2. E at the amount of food your body needs. When you eat more food than your body needs, the extra calories are stored as fat. 3. E at a lot of grain products, vegetable, and fruits. Dietitians recommend plant foods because they include few calories and a lot of fiber, vitamins, and minerals. In addition, they have no cholesterol. 4. Eat a diet low in fat and cholesterol. Less than 30 percent of the calories eaten by diabetics should come from fat. 5. C onsume certain foods and drinks in moderation. Carbohydrates, specifically candy, desserts, sweetened drinks, salt and alcohol should be consumed in moderation. 6. R efrain from smoking!!! My Plate My Plate is a guide for healthy eating that suggests eating a variety of food while eating the appropriate amount from each group of food. Groups include grains, fruits, vegetables, dairy, and proteins. More information on My Plate can be found at www. choosemyplate.gov.
Blood Sugar Levels It is important to check your blood sugar levels regularly as directed by your doctor. These checks may be adjusted when changing diet, levels of activities or during sick days. You may need to increase or decrease your medication depending on the blood sugar levels. You should call your doctor if you have any questions. When eating healthy becomes a life habit, it can help prevent diseases. To make a healthy diet part of your life, you need information and motivation. Healthy eating does not have to be difficult. There are lots of tasty and healthy foods. Here are some tips for healthy eating: • Do not skip meals. Eat something every four to five hours. • N o special or diet foods are needed. It is the total amount of carbohydrates per meal or snack that matter. Watch the size of the portion you eat. • Choose foods lower in fat (especially saturated fat), lower in cholesterol and lower in sodium • Cooking and eating healthy so you can control your diabetes is not only good for you; it is also good for your family. For more information on diabetes and diet or other health related concerns, contact Southern Star Medical Group at 601-4502034. They are located at 4 Willow Point, Hattiesburg, MS. Source: http://www.nlm.nih.gov
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physical
Skin Cancer: Know Your Risks! By Mike Cheng, MD, Radiation Oncologist, South Mississippi Associates in Radiation Therapy, Forrest General Cancer Center
S
kin cancer is the number one cancer in the world and the number one cancer in the U.S. Ironically, it is also the most preventable cancer! In the U.S., there will be one million new cases of skin cancer diagnosed this year. Most of them will be either basal cell or squamous cell cancer. However, five percent will be melanoma—one of the most aggressive cancers. Causes of Skin Cancer Most skin cancers are due to sun exposure. Ultraviolet rays damage the skin cells, which leads to cancer. Do you have fair skin or spend hours outdoors for work or play? You could be at risk! Those most frequently affected by skin cancer have a fair complexion or an outdoor occupation or hobby, such as farmers, sailors, or fishermen. Skin cancer can also be caused by: • E xposure to chemical carcinogens like arsenic, anthracene or crude paraffin oil
• Chronic irritation or inflammation of the skin • Ionizing radiation People with defective immune functions, such as immunosuppressed patients who have had organ transplants, patients with chronic lymphocytic leukemia, or those with genetic syndromes like xeroderma pigmentosum or basal cell venus syndrome, are more prone to develop skin cancer. Types of Skin Cancer: The most common types of skin cancers are basal cell and squamous cell carcinoma, and the less common—but most aggressive—is melanoma. Basal cell carcinoma: Most commonly found in the head and neck area of the body. It rarely spreads to the lymph nodes or other parts of the body.
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Squamous cell carcinoma: More aggressive than basal cell carcinoma, can spread to lymph nodes and other organs of the body. Melanoma: The most aggressive skin cancer, the incidence of which has doubled between 1975 and 2000. The incidence continues to rise faster than the other types of skin cancer. In 2011, there were 123,590 cases of melanoma, with 70,000 being invasive melanoma, and 9,200 of those cases resulting in death. The five-year survival rate for patients with invasive melanoma is less than 5 percent, and 75 percent of patients with invasive melanoma will die from the disease. Unlike the other types of skin cancer, which result from chronic exposure to the sun, melanoma could arise from a skin area that was badly sunburned in the past without having recent chronic exposure to the sun. Prevention: • W hen you can, avoid the sun when it is hottest—between 10 a.m. and 3 p.m. • Wear protective clothing like hats, long sleeved shirts, pants, etc.
•A pply sunscreen that protects against both UVA and UVB rays, with SPF 30 or higher. • For children: If at the beach or pool, or in other situations where they are exposed to the sun for a prolonged period of time, make sure to reapply sunscreen on children frequently since it can be washed or sweated off. • Keep a close watch on your skin, and if you notice changes or something abnormal, consult a dermatologist. It’s also good to schedule periodic screenings with a dermatologist, especially if you are in the high-risk category for skin cancer. Treatment: • Surgery: For diagnosis and for definitive treatment • Radiation: As a primary treatment or after surgery For more information on Forrest General’s Cancer Center, or for information on skin and other cancers, call FGH OnCall at 1-800-844-4445 or visit www.forrestgeneral.com. August 2012 — Pine Belt — Healthy Cells Magazine — Page 11
feature story
Forward Health Solutions
Integrative Medicine for a Healthier, Happier You Submitted by Forward Health Solutions
I
magine today is your doctor’s appointment. You drive up a hill into a quiet, wooded, peaceful area and park your car. As you get out, you find yourself surrounded by trees and flowers, and feel the stress leaving you. Glancing up at the beautiful arched doors, you walk in and are greeted by friendly faces. Finding a comfortable chair, you are immediately transported to the Caribbean while watching and hearing the waves on a flat panel TV. As you continue to relax, your name is called. With a lovely smile and bright eyes, you are greeted by your doctor. For the next half hour, the doctor listens to you and begins the process of learning how she can help you best. You leave feeling like finally someone listened to you and really knows how to help you. You feel hopeful again.
Page 12 — Healthy Cells Magazine — Pine Belt — August 2012
That’s what a visit to Forward Health Solutions is like for patients. Dr. Rebecca Boyd is an experienced integrative medical doctor, well loved by those who come to see her from Mississippi, Alabama, Florida, Louisiana, Texas, Kansas, and other states. She listens to her patients and helps them toward optimal health; her patients get better and live happier lives because of her direction. Dr. Rebecca Boyd opened her first clinic near Petro Motors with the purpose to begin treating patients in a more natural way. She began treating hormone imbalances using bioidentical hormones and natural supplements. Bioidentical hormones are hormones made out of wild yams and soybeans and are identical in chemical structure to the hormones that our bodies make.
Dr. Boyd says, “The Women’s Health Initiative scared women off hormones for a time, but women are coming to a better understanding about the differences between synthetic and bioidentical hormones. Women and men shouldn’t just settle for existing when they can possibly feel better using bioidentical hormone replacement therapy.” Women and men have been coming to see her for all types of issues that may be improved by naturally balancing hormones, addressing diet and exercise, optimizing thyroid function, and supporting adrenal function. Symptoms may include lack of energy, hot flashes, night sweats, decreased sex drive, decreased erections, PMS, loss of muscle mass, increased weight gain, mood swings, and irritable bowel symptoms to name a few. She also offers intravenous (IV) vitamins and nutrients to help optimize health. When you are getting vitamins and minerals directly into your bloodstream, you get 100% absorption. With pills/tablets, sometimes it is very tricky for patients who have any gastrointestinal issues, such as diarrhea or constipation, to absorb. Aside from blood tests, her patients can be tested for salivary hormone and cortisol levels, food/chemical sensitivities and heavy metal levels. In October of 2010, Forward Health Solutions moved to a larger, temporary clinic in the Milbranch Office Park, designed by Russell Roberts. After much design and planning, their beautiful clinic was completed in March of 2011. “I can’t imagine practicing in a more incredible location. It’s like being in the country, in the middle of the city,” says Dr. Boyd.
Over the course of these changes and moves, Dr. Boyd has continued her education. In December, she will complete her Fellowship in Anti-Aging, Regenerative and Functional Medicine with the American Academy of Anti-Aging Medicine (A4M). In addition, she is pursuing a Master’s degree in Medical Sciences, with a concentration on Metabolic and Nutritional Medicine through the University of South Florida’s Medical School. Dr. Boyd is also a member of the American Board of Clinical Metal Toxicology.
Fully inflated, mild hyperbaric chamber “diving” to 1.3 ATA (11 feet below sea level)
Hyperbaric Treatment Dr. Boyd has become highly specialized in the field of integrative medicine and, as such, she is able to recommend holistic treatment plans that emphasize a more natural approach. The most exciting new treatment available for her patients is an opportunity to use hyperbaric medicine. While hyperbaric medicine has been around since the 1600’s, and can be of great benefit in treating many diseases, patients needing to use them have had limited accessibility. Patients with conditions such as migraines, diabetes, sports injury, cancer, surgical recovery, autism spectrum disorders, rheumatoid arthritis, stroke, burns, wounds, chronic fatigue/fibromyalgia, traumatic brain injury, and many others have sped up their healing with regular hyperbaric treatments. Some patients experience incredible results.
August 2012 — Pine Belt — Healthy Cells Magazine — Page 13
feature story continued For example, a young man had experienced severe burns to his face, but was never offered hyperbaric treatments. That patient was referred to Dr. Boyd. She says, “While I expected good results, I didn’t expect such an impressive change after five treatments. Even our staff members commented on the significant improvement.” Another patient had experienced a stroke four years ago affecting the use of his arm. After four treatments in the hyperbaric chamber, he told our nurses, “I can snap my fingers. I haven’t been able to do that since before the stroke.” After twelve treatments he told them that he was able to steer his car and said, “While I was in the shower today, I realized I was shampooing my hair with both hands.” A nurse/patient developed a serious staph infection along her incision after a surgical procedure. She was having a very hard time healing, and started getting into the hyperbaric chamber daily. Dr. Boyd says, “The patient told me that after every treatment she would see a dramatic improvement. Options—that’s what I hope to provide to patients in our area. Options for patients to improve their health.” Her husband, Chris Boyd, PhD, teaches Exercise Science at USM and is an excellent triathlete. He uses the chamber to promote post-athletic recovery and has spent many hours in the chamber. Some of Southern’s women basketball players were treated for injuries and Coach Lee credits one particular player’s ability to quickly return to play by the results she received using the hyperbaric chamber. Steve Freeman (Buffalo Bills/Minnesota Vikings) was first introduced to the hyperbaric chamber in August 2011 just a few short days after surgery to repair his bicep tendon. Steve says “My arm was swollen twice the size and Dr. Boyd suggested I spend two hours in the chamber. When I got out of it, my arm was back to normal size. As a 13-year veteran in the NFL playing as a strong safety I have a lot of wear and tear on my body. On top of that I am about to begin my 12th season as a back judge official in the NFL. Each week I run about 8 miles during an NFL game and only have one week for my body to recover for the next week. I have found the chamber to expedite healing and repair to my body. I purchased one in November 2011 and I have not had joint or muscle pain since I began a regular schedule in the chamber. I am 59 years old and usually spend five to eight hours in it a week. I also have not had to deal with leg cramps during a game since using the chamber. I have also found I have more energy and feel rested since I have begun using it.” While many patients notice a change after five or ten treatments, the number of treatments is dependent on the severity of the condition and the patient’s response. The treatments last one to two hours, are non-invasive, and require no prescription medicines. Hyperbaric oxygen therapy is physics. Any gas under pressure dissolves into a liquid (Henry’s Law). It increases oxygen delivery to the entire body and reduces inflammation. Forward Health Solutions has used portable hyperbaric chambers for over a year. These chambers reach a 1.3 ATA (about 11 feet below sea level). However, the newest addition to their hyperbaric wing is a large, steel chamber (Big Blue), which looks like a submarine and weighs over 1250 pounds. With “Big Blue”,pressures can reach between 1.3 ATA and 2.2 ATA (from 11 to 39.6 feet below sea level). More pressure = more oxygen to the body. Page 14 — Healthy Cells Magazine — Pine Belt — August 2012
For many people traveling significant distances or those needing more frequent treatments, it often becomes advantageous for them to lease a chamber. Many pro-athletes lease and later purchase the same portable hyperbaric chambers Forward Health Solutions uses as they are FDA-approved for home use. Chambers can be leased from Forward Health Solutions for any number of months and, if desired, purchased for permanent home use. The last two years have been exciting for Forward Health Solutions. They have moved to a new location, hired new and additional staff, and have added many new services and supplements for their patients They are continually working to provide excellent care for their patients. Their website www.forwardhealthsolutions. com is a great source of information, as well as their facebook site, www.facebook/forwardhealthsolutions. A patient recently wrote to Dr. Boyd of their experience at Forward Health Solutions, “I wanted to let you know personally, I cannot remember when I have felt this good—physically and mentally. Yesterday, I was trying to relate it to when I was in my 20’s! I cannot think of one negative response to apply to my overall health at this time. Thank you for your practice and your dedication in restoring improved health to me and others.”
For more information contact Dr. Rebecca Boyd at Forward Health Solutions 601-450-2077.
Dr. Rebecca Boyd with her husband, Dr. Chris Boyd, local triathlete and exercise physiologist
healthy skin
What’s That Rash?
Decoding the Itches and Bumps of Summer
By Brandon Coleman, DO
O
ur skin is the body’s largest organ and it serves as a barrier for substances that might hurt or irritate your body. External irritants, allergies, certain diseases or immune system disorders, and your own genetic background can cause skin redness, itching, rashes, or other conditions. A few common conditions include: Eczema or Atopic dermatitis Eczema is a common skin condition, which causes dry, red, scaly, crusty, or itchy skin. Unfortunately, the cause is unknown. It’s thought that eczema develops due to certain genetic factors, combined with exposure to external irritants. In adults, eczema happens in areas that bend, such as the hands/fingers, backs of knees, or inside of elbows. In children, eczema can also form on the face, neck, and scalp. Sometimes, small, fluid-filled blisters can form and skin infections can occur. Triggers include stress, skin irritants, allergens, and the climate—very hot, humid weather or extreme cold. Psoriasis Psoriasis is caused by an immune system disorder in which the body creates new skin cells more quickly than old cells are shed. The accumulated older skin cells appear as lesions or crusty patches. The most common form, “plaque psoriasis,” appears as thick, scaly patches of white or silvery skin. Psoriasis is not contagious and cannot be spread through skin-to-skin contact. There is no cure, but the condition can be controlled. Certain triggers can cause psoriasis flare-ups, including infection, illness, stress, certain medications, or a scratch or wound to the skin. Contact Dermatitis Contact dermatitis is a red, swollen, itchy skin rash caused by an irritating substance to which you have an existing allergy. It is triggered by something in your internal or external environment. Common allergens include plants (such as poison ivy); nickel (a common metal found in household items and jewelry); rubber products; perfumes, lotions and cosmetics; certain medications; and detergents or cleaners. With prolonged exposure to the allergen, the rash can become blistered, crusted, or scaly. Hives Hives are red, itchy bumps, that can burn or sting, usually caused by an allergic reaction, an infection, or stress. People who are allergic to certain substances—foods, medications, or an insect sting, for example—are most likely to get hives. Your body’s production of histamine, a chemical released after encountering a foreign substance, causes the skin to swell and form hives. Usually, hives will go away on their own in a few days or weeks, but a severe case of hives may need medication or a shot of epinephrine, commonly used for severe allergies. If difficulty breathing occurs with hives, this signals a severe allergic reaction that may be life-threatening, and you should seek immediate medical help.
Getting Help Some conditions can be helped with over-the-counter medications and topical creams, while others require a visit to the doctor
Psoriasis on the Elbow for diagnostic testing and treatment recommendations. A severe or recurring skin condition may require a visit to a dermatologist. Treatment for skin conditions may include topical creams applied on top of the skin, oral, or injected medications, or phototherapy (light therapy). Your doctor can prescribe a course of treatment to ease your symptoms and help control future outbreaks, as well as make recommendations for modifications in your diet and other substances, or “triggers”, to avoid. Dr. Brandon Coleman is a Family Practice physician at Wesley Medical Group – Oak Grove. He earned his medical degree at Des Moines University and completed his residency at University Community Hospital Carrollwood in Tampa, Florida, where he served as Chief Resident. Wesley Medical Group – Oak Grove is newly opened and located on Hwy 98, across from Corner Market. August 2012 — Pine Belt — Healthy Cells Magazine — Page 15
women’s therapy
What You Don’t Know
About Kegels By Jan Tregre, DPT, Women’s Therapy Center
W
omen have been instructed to do Kegel exercises by their doctors since the 1950’s to treat pain or weakness in their pelvic floor muscles as a result of childbirth or other pelvic conditions. Squeeze…relax, squeeze…relax. Most of the time this is actually harder to do than it sounds, especially after the muscles of the pelvic floor and abdomen have been stretched to the limit during pregnancy. Later in life, some women find that unexpected problems can occur in the form of stress incontinence or even bladder prolapse. Doing Kegel exercises is the best way to prevent these kinds of problems, but doing them effectively is important. Kegel exercises are simply an isometric contraction (squeezing) of the pelvic floor muscles, which hold up the bladder, rectum,
and vaginal wall. Women who find it difficult to even produce a Kegel contraction are advised to seek the help of a women’s health physical therapist to teach them how to do the exercise correctly. Start by following these simple steps: • I dentify the correct muscle: Practice stopping the flow of urine by contracting the “PC” (pubococcygeus) muscle. If you tighten your stomach or buttocks, you are not exercising the correct muscle. • Empty your bladder before doing exercises: Never do Kegel exercises with a full bladder or this may cause urinary retention and could even lead to bladder spasms. • Do two types of isometric exercises: Fast contractions (hard squeeze and quickly let go, repeat every 5 seconds for 10 repetitions) and slow sustained contractions (squeeze and hold for 10 seconds, rest for 10 seconds, repeat 10 times). • Schedule a regular time to exercise: Don’t try to do Kegels while driving or doing other activities. Concentrate on doing the exercise correctly in a quiet place without distractions. • Stick with it: Don’t give up too soon and don’t skip workouts. Start your routine slowly and build up for best success. You may only be able to do two or three contractions and hold for three seconds at first, but keep trying. Track your results as you are able to do more exercises. • Avoid: Straining on the toilet, putting off going to the bathroom, lifting heavy objects, or continuous chronic coughing. Practice good pelvic health for the best results possible. As important as these exercises are, many women are never taught how to do them correctly. Over half of all women are not able to produce an effective contraction, and therefore, are not able to successfully integrate this simple exercise into their daily routine. Kegel exercises done correctly is the only non-surgical and non-pharmaceutical solution that can overcome leakage associated with stress urinary incontinence, a common disorder experienced by over 40 million women caused by weakness of the pelvic floor muscles. Doing Kegel exercises can not only prevent and improve incontinence, but it can also prepare the pelvic floor for pregnancy and childbirth and improve sexual function by strengthening the pelvic floor muscles. You can find more information on Kegel exercises online at reputable sites such as webmd.com and mayoclinic.com, or contact Women’s Therapy Center at 601-336-8287 for more information. Jan Tregre is a Doctor of Physical Therapy who specializes in pelvic rehabilitation and women’s health. She is licensed by the MS State Board of Physical Therapists and is a member of the American Physical Therapy Association Section on Women’s Health. For more information, please visit Women’s Therapy Center located at 7 Willow Bend Drive in the North Lake Serene Office Park on Hwy 98 W in Hattiesburg, MS, or visit our website at www.womenstherapycenter-sm.com.
Page 16 — Healthy Cells Magazine — Pine Belt — August 2012
find the hero in you
Blood Donation and Healthy Skin How are They Related? By Christina Ghents, MSAS, MT (ASCP)
W
hy would blood donation guidelines have anything to do with having healthy skin? It may have to do with the drugs being taken to treat a skin condition, its location on the body, or even the possibility that there is a risk that something could be passed on to the recipient of the blood. Let’s explore each of these possibilities, one by one. Location: Before we can perform the phlebotomy (the technical term for the “stick” to obtain the blood donation), the skin must be thoroughly cleaned. Blood itself is sterile while circulating in the body and care must be taken to maintain that sterility during the donation process. We do this by vigorously scrubbing the phlebotomy site with an antiseptic solution, and using a new, sterile needle to take the blood. If you have a rash (dermatitis) of any kind or poison ivy/oak at this site, we would be unable to clean the area thoroughly. You would be deferred temporarily, until the rash is healed at the phlebotomy site.
Medication: Certain drugs that are taken for acne can cause birth defects in unborn children. Donated blood could contain high enough levels of these drugs to cause damage if transfused to a pregnant woman. Isotretinoin (most commonly sold as Accutane) given to treat severe acne is one of these drugs. Potential donors must wait at least one month after your last dose before donating blood, to allow time for the drug to clear from the body. Antibiotics such as tetracycline taken to control acne do not defer donors from giving blood. Discuss any acne medication use with the technician during the screening interview. Etretinate, commonly sold as Tegison, is used to treat severe psoriasis. This drug can also cause birth defects in unborn children. If you have ever taken Tegison, you are permanently deferred from donating blood for others. Medical Conditions: There are several conditions affecting the skin that can be transmitted though the blood. Cold sores or fever blisters are a viral infection caused by the Herpes simplex virus, and this virus can be transmitted through the blood. Potential blood donors who have a cold sore or fever blister will be temporarily deferred from donating blood until the lesion is crusted, and therefore no longer capable of being transmitted through the blood. Skin cancer has many different forms, only some of which are cause for deferral for blood donation. First let’s look at the types of skin cancer that are not deferring. Having had Basal Cell Carcinoma will not keep
you from donating blood. You can also be accepted for blood donation if you have had Squamous Cell Carcinoma of the skin, provided it was localized and completely removed and healed. Malignant Melanoma, on the other hand, requires that you postpone blood donation for one full year after the last treatment, and you must have no known recurrence of the melanoma. Please discuss all types of skin cancer with the technician during the screening interview. In closing, healthy skin and blood donation are related, so please use sunscreen to protect your skin, stay healthy, and continue to “Find the Hero in You!” Find the Hero in You, Donate Blood! For more information, contact Christina Ghents, Center Director of United Blood Services at 601-264-0743. August 2012 — Pine Belt — Healthy Cells Magazine — Page 17
cataract awareness
The iCataract Procedure By Dr. Kiper Nelson, Southern Eye Center According to the American Heart Association, Mississippi is #1 in the nation in deaths from heart disease and stroke.
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cataract is the clouding of the clear lens inside the eye and is a part of the body’s normal aging process affecting virtually everyone. Trauma, diabetes, and other diseases may cause a cataract to form prematurely. Once the lens begins to cloud, changes in the quality of their vision occur and because cataracts form slowly, often the change in vision goes unnoticed. Cloudy or hazy vision, trouble with glare, and halos at night are a few of the signs that a cataract is present. To restore clear vision, the cloudy lens is replaced with a clear lens implant.
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Page 18 — Healthy Cells Magazine — Pine Belt — August 2012
The iCataract Procedure Years ago having a cataract procedure meant a stay in the hospital and quite a bit of recovery time. Today patients are able to come in, have their exam, special testing, and procedure all in the same visit. The eye is numbed with drops and the procedure takes only a few minutes. Patients are able to resume normal activities the following day. Innovation in laser technology now allows the microscopic incisions made during a cataract procedure to be performed by a laser rather than a blade. This advancement has very significant advantages: precision – the most skilled surgeon with the most advanced equipment is not as precise as the IFS Intralase laser and the use of laser incisions offers patients quicker visual recovery and better visual acuity following the procedure. This is because the laser-created incisions are more precise and stable than traditional blade incisions. Southern Eye Center is proud to be the first in Mississippi to offer iCataract, a blade-free, laser assisted cataract removal. Dr. Kiper C. Nelson and Dr. Cameron S. Griffith performed the first iCataract procedures in Mississippi. For more information or to schedule a cataract evaluation, please call 601-264-3937 or visit our website www.SouthernEyeCenter.com.
hearing instruments
Now Every Day Sounds Even Better Submitted by HearingSolutions of The Pine Belt, LLC
T
ravis is a retired machinist who came by his hearing loss honestly. “For 26 years, I worked around loud machines in noisy factories,” says Travis. “And for at least 15 years, my wife and daughters have been telling me I’ve got to do something about my hearing. I did have to listen real close and pay attention. Words weren’t always distinct and sometimes I would have to guess at what was being said.” Travis convinced himself that since he preferred to avoid crowds and noise, his hearing difficulties weren’t affecting his lifestyle. “It was a situation where you learn to live with it and don’t mind asking ‘what?’ But in the last year, I finally had to admit to myself that my hearing was really going downhill—fast,” he explains. Clear, crisp and immediate Since he began wearing his new hearing devices, Travis acknowledges, “It’s amazing that I can hear sounds I had lost and didn’t realize it.” He has worn his new hearing devices for eight months but experienced their benefits almost immediately. “When my hearing professional put them in my ears and started talking to me, right away I could hear him so clearly. Everything was crisp,” I said, “This is good. I knew I made the right decision.” Size wasn’t an issue for Travis but he was amazed by his device’s small, sleek design. “I would have worn them anyway because I needed them, but I was really happy to see they were so small. I don’t know how they can make anything so small do such a good thing.” On the way home from his appointment, Travis and his wife stopped for dinner at a busy restaurant to test his new hearing devices. Seated near the kitchen, Travis was able to hear all of the activity in the kitchen and still carry on a conversation with his wife. Better than ever Even everyday sounds are coming in clearly for Travis. “In the warm weather, I can have the doors open and hear the birds chirping. I can locate where sounds are coming from. When I hunt, I can hear the deer and turkeys and tell where they are. I live in an older home and when I go up and down the stairs, I can hear them creaking. When I turn the water on, I can hear it hitting the kitchen sink. Sounds are crisper. Everything just sounds better,” he notes. Travis is also more aware of his own voice. “I don’t have to talk as loud. Before I was shouting because I couldn’t hear my own voice,” he says. “I figured my new hearing devices would be somewhat uncomfortable,” explains Travis. “But they’re not. I don’t even know I have them on and I wear them almost all the time, about 14 hours a day.” Given his history of avoiding dealing with his hearing loss, Travis’ wife predicted that even if he got hearing aids, he wouldn’t wear them. He is happy to have proved her wrong. “I could have gone on without hearing devices,” he admits. “But
now that I have them, I’m very glad I didn’t go on just coping with my hearing loss. I realized what I’ve been missing. I can hear a lot of things that I hadn’t heard for a long time. And it’s a nice world out there!” “If you got a problem hearing, don’t wait. Get it fixed. It really is a nice world out there!” Dr. Michael Hunt, PhD, ACA, AAS, who wears hearing instruments, is a nationally board-certified Audioprosthologist with 26 years of functional rehabilitation experience. He limits his practice to educating patients about their hearing loss and the options they have about correcting that loss. For more information, or to schedule a complimentary consultation with Dr. Hunt, contact HearingSolutions of The Pine Belt at 601-450-0066.
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Page 20 — Healthy Cells Magazine — Pine Belt — August 2012
runner’s fuel
Why Fruits and Vegetables?
Phytonutrients! By Rebecca Turner, MS, RD, CSSD, LD
B
efore plants are picked for our eating enjoyment, phytonutrients are acting as their home security services—think of them as the plant police department. As defenders, phytonutrients protect their plant from free radical attacks from ultraviolet rays (the sun) and from predators (insects and bugs). Phytonutrients also provide plants with their color, flavor, and smell. Like plants, we are exposed to the sun, pollution, and create damaging free radicals. Unlike plants, these same free radicals in humans can cause both chronic diseases (such as arthritis, atherosclerosis, diabetes and cancer) and other signs of aging, such as the loss of skin elasticity and memory loss. Unfortunately, we cannot produce our own phytonutrients, but we can eat plants! The phytonutrients of plants can also protect us when we eat them often. Some researchers estimate up to 40,000 phytonutrients will someday be recognized. That’s a lot of policeman out there serving and protecting the produce kingdom and ripe for our picking and eating. Here are some of the chief police you should get to know and love. Fruit Anthocyanins are what give the purple-blue pigments in fruits such as blueberries, blackberries, raspberries, black currants, and red and purple grapes their beautiful color. Studies show anthocyanins have positive influences on a variety of health conditions including anti-inflammatory properties, which can relax blood vessels improving blood pressure. Vegetables Members of the brassica family of vegetables, including broccoli, brussels sprouts, cabbage, kale, and bok choy appear to have significant cancer-preventive properties. Studies have shown that
people who consume these vegetables frequently have a lower risk of developing a variety of cancers, including cancers of the colon, stomach, and lung. Whole Grains Whole grains are also a source of these key nutrients. The germ and bran (outer layer) of whole grains such as wheat, rice, barley, and oats contain a concentrated amount of important phytochemicals. The medical evidence is clear that whole grains reduce risks of heart disease, stroke, cancer, diabetes, and obesity. This is why choosing whole grain bread, pasta, and rice over refined is superb. How much do we need? At this time, phytochemicals have no set recommendation. One reason it is difficult to set a level is that there are so many. New research shows that many of these phytonutrients work as a team and eating them together provides the most health benefit. You can’t just single out one as the superstar. That is why as a registered dietitian, I always recommend eating whole foods over supplements. For better health, learn to put more power on your plate with vibrant colored fruits, vegetables, and whole grains to reap the potential benefits associated with phytonutrients. Whether fresh, frozen, canned, dried or 100% juice, work on making fruits and vegetables a part of every meal. Rebecca Turner, MS, RD, CSSD, LD, is a registered dietitian and certified sports specialist in dietetics and founder of Runner’s FUEL. Follow her on Facebook and Twitter@RunnersFuel. For more information, visit www.runner-fuel.com. Text runnersfuel to 601-863-8370 for health news and nutrition tips. August 2012 — Pine Belt — Healthy Cells Magazine — Page 21
structural strength
Strong Bones are Healthy Bones Submitted by Spiers Chiropractic Pain & Wellness Center
E
xercise is a key component in the lifelong endeavor of achieving and maintaining vibrant good health. An immediate benefit of regular exercise is healthy bones. Other action steps we can take to help ensure that our bones stay healthy are getting sufficient calcium in our diet and, wherever possible, getting 15 to 30 minutes of unprotected sunlight several times per week. Chiropractic care is an important part of this equation. By getting regular chiropractic care we help ensure that our nerve system is functioning at peak efficiency. When our nerve systems are fully online, all our cells, tissues, and organs are able to do what they’re supposed to do when they’re supposed to do it. With a properly functioning nerve system, bone cells are enabled to build solid, dynamic structures that will last. Thus, chiropractic care helps support all the other good things we’re doing for ourselves, including regular exercise, a healthy diet, and proper rest. Make sure that regular chiropractic care is part of your plan for maintaining strong, healthy bones. As with the rest of our physical selves, we don’t think about our bones until something goes wrong. Bones are just there, under the surface and unseen, normally never taking up space in our conscious thought processes. Trauma, of course, can injure a bone. But in most circumstances a bone bruise or a fracture heals on its own in due course. You might need a brace, sling, or cast to protect the bone while it’s rebuilding, but within four to six weeks everything is back to normal. On the other hand, many actual diseases can affect bones for a very long time, perhaps even for the rest of your lifetime. Some of these serious conditions are preventable. Some are not. Osteoporosis is a disorder that may have serious consequences, including disabling hip fractures and crippling fractures of the lumbar verte-
bras. For many people, however, osteoporosis is preventable, and it’s very important to know how to do that. Osteoporosis involves loss of bone substance and disorganization of bone structure. “Osteo” means bone and “porosis” means pores or passages. In osteoporosis the biochemical bony matrix is broken down and bony tissue itself is resorbed, creating “passageways” or holes in the affected bone. Metabolic factors involved in the process of osteoporosis include calcium levels and vitamin D levels, as well as the activity of bone cells (osteoblasts), which produce bone matrix. As with everything else in the human body, if you don’t use it, you’ll lose it. Bone appears to be hard and durable, a finished product, but in fact bone tissue is highly dynamic. Bone is continually being built up in response to physiologic, weight-bearing stresses such as exercise. But bone is continually being broken down in response to metabolic needs elsewhere in the body. A dynamic tension exists between these two processes, and in osteoporosis the pendulum has swung to the side of breaking down bone tissue. The obvious consequences include weakening of bone’s structural strength. Eventually, long bones such as the thigh bone or strategically located bones such as the lumbar vertebra have lost so much structural integrity that they break under pressure of previously normal weight-bearing loads. Like the rest of the components of our bodies, our bones are a precious natural resource. Unlike gas or coal, our bones are a renewable resource. But we must pay attention to the need for these structures to renew themselves. If a bone isn’t being used efficiently, higher-priority metabolic needs in other locations will cause important biochemicals to be taken out of the bone. The bone, such a thigh bone, will begin to lose its structure.
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The appropriate question is how can we ensure that our bones are being used efficiently. How can we ensure that our bones are in fact dynamic structures, rather than merely cages to protect our vital organs or coat racks on which to hang our muscles? One of the main answers to these questions, which really are after all questions regarding how to achieve good health, is regular exercise. Bones will retain their metabolic structure if they are required to do so. The body is very smart and locates precious resources where they are needed. If weight-bearing loads are consistently placed on your spine and long bones, these dynamic structures will not only retain their shape and strength but, in fact, will build more bony layers and become stronger. And of course, if we want to have a lifetime of vibrant, vital health, we want to have strong, healthy bones that will help us make it so. For more information on this article or other chiropractic-related issues, contact Spiers Chiropractic Pain & Wellness Center at 601-261-9495 or www.spierschiropractic.com.
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quality care
Skilled Nursing Facilities and Memory Care Support Submitted by Lamar Healthcare & Rehabilitation Center
A
skilled nursing facility is a facility or a distinct part of an institution, whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness that require a hospital stay, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards set forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation. It provides non-acute medical and skilled nursing care services, therapy, and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Women’s Therapy Center
North Lake Serene Office Park 7 Willow Bend Drive Hattiesburg, MS 39402 Office 601-336-8287 Fax 1-800-324-1856 www.womenstherapycenter-sm.com woman2woman@wtc-sm.com Page 24 — Healthy Cells Magazine — Pine Belt — August 2012
More and more skilled nursing facilities now have what we call a Memory Care Unit, which is a secure locked unit within the long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of a Memory Care unit set it apart: 1) admission of residents with dementia (including those with Alzheimer’s disease); 2) staff who are specially selected, trained, and supervised; 3) activities that are specifically designed for the cognitively impaired; 4) a marketing of a special care unit in brochures; 5) a high level of family involvement; and 6) a physical environment designed to keep residents safe and segregated from other populations. Top 10 Signs & Symptoms of Alzheimer’s: • M emory Loss: Begins to forget more often and is unable to recall the information later. • Difficulty performing familiar tasks: Loses track of the steps involved in preparing a meal, placing a telephone call, or playing a game. • Problems with language: For example, unable to find the word for toothbrush and asks for “the thing for my month.” • Disorientation to time and place: Forgets where she is and how she got there, and does not know how to get home. • P oor or decreased judgment: May dress inappropriately; wear several layers on a warm day or little clothing in the cold. May show poor judgment, like giving away large sums of money to telemarketers. • Problems with abstract thinking: Have unusual difficulty performing complex mental tasks, such as forgetting what numbers are for and how they should be used. • Misplacing things: May put things in unusual places: an iron in the freezer, a wristwatch in the sugar bowl. • C hange in mood or personality: May show rapid mood swings—from calm to tears to anger—for no apparent reason. May become extremely confused, suspicious, fearful, or dependent on a family member. • Trouble understanding visual images: May pass a mirror and think someone else is in the room, sees images on TV and thinks they are talking to her. • Loss of initiative: May become very passive, sitting in front of the TV for hours, sleeping more than usual, or not wanting to do usual activities. Lamar Healthcare & Rehabilitation Center is under new management and is in the process of construction on our new Memory Care Unit in our facility. For more information, please contact us at 601794-8566 or by email at dpr@LamarHRC.com…or just come stop by for a tour! We are located at 6428 US Hwy 11, Lumberton, MS. Source: USA Health Care Guide
compounding supplements
Calcium and Vitamin D3
Dilemma By Robert Donnell, RPh
T
he latest headlines and news stories on TV announced that women would not benefit from taking calcium and vitamin D as supplements. This is just another example of the news media reporting partial stories and creating questions for patients. The actual story said taking vitamin D and calcium supplements provides no more than the usual recommended daily allowance and does not prevent bone fractures in older women and may actually cause harm. The medical community has encouraged the public to use these supplements when bone loss is evidenced during medical exams and lab tests. The formula studied therapy consisting of 400 international units of vitamin D and 1,000mg of calcium. When we, as compounding pharmacists, review results of a test like this, we ask what kind of vitamin D was used and what calcium salt was used. We also look at the quality of the supplements and the compliance of the study participants. The final line of the report did say, “The USPSTF also noted that a 2011 institute of Medicine report indicated that the daily intake of 600 international units of vitamin D and 1,200 mg of calcium for women ages 51-70 had a clearer net benefit in fracture prevention.” Vitamin D3, also known as cholecalciferol is best and the quality of that product even has a dramatic effect on results. We suggest that, if taking that supplement separately, it should be in capsule form or liquid form to enhance absorption. This supplement is inexpensive with a really good quality product costing about $6.00 per month. The calcium of choice is more complicated since there are several types of calcium on the market and these vary by absorption and results over a period of time. The calcium carbonate or TUMS brand is often used but may be the poorest choice since calcium requires acid in the tummy to be absorbed. Being an antacid and reducing acid by its very nature, very little of this is absorbed. Calcium citrate or Citracal is one of the national brands and does a good job. However, patients report constipation, bloating and gas when just one type of calcium is used. Calcium lactate is good but people that are allergic to milk cannot take this and the list goes on and on… Vitamin D is absorbed by the small intestine and is made by an enzyme system after sun exposure. We are told to stay out of the sun to prevent skin cancer, we are also told to wear clothing such as cover-ups and hats to minimize exposure and to apply sunscreens liberally when prolonged exposure is expected. This prevents Vitamin D from being at its optimum levels due to all this prevention that we are trained to achieve. We have patients that take 50,000 units a week and some take 5,000 per day. After your physician runs your labs, you will be encouraged to take the proper dose.
About 99 percent of calcium and 85 percent of phosphorous in the body is held in the bones. When these elements are needed by the body, the enzyme system can take it from the bones and use it when and where it is needed. Thus, if proper levels are not maintained, your body can take so much calcium that your body is left with honeycombed type bone that has very little strength. This condition is called osteoporosis. When the bones are thinning and borderline osteoporosis is discovered, the condition is called osteopenia. We as compounding pharmacists have studied this situation and will continue to monitor the latest research about this and other preventable conditions. We have developed a calcium supplement that has the acid needed for absorption in the form of ascorbic acid, 1200 mg of five different kinds of calcium, 2,000 international units of vitamin D, vitamin k3 as well as the trace elements various research suggests to enhance calcium absorption and placement onto the bones. Give us call with any questions and especially topics such as this that vitally impact quality of life. Until further info becomes available, we think we have a solution for this bone loss condition. For professionally compounded prescriptions and pharmaceutical grade supplements mentioned in this article, please refer to Vital Care Compounder, 115 South 40th Ave Hattiesburg, MS, near Home Depot. Call 601-261-0503. August 2012 — Pine Belt — Healthy Cells Magazine — Page 25
grief recovery
“Killer Clichés About Loss” Submitted by Hulett Winstead Funeral Home
W
e have all been educated to acquire things. We have been taught how to get an education, get a job, buy a house, etc. There are colleges, universities, trade schools, and technical schools. You can take courses in virtually anything that might interest you. What education do we receive about dealing with loss? What school do you go to learn to deal with the conflicting feelings caused by significant emotional loss? Loss is so much more predictable and inevitable than gain, and yet we are woefully ill-prepared to deal with loss. One of the most damaging killer cliches about loss is time heals all wounds. When we present open lectures on the subject of Grief ❣ Recovery®, we often ask if anyone is still feeling pain, isolation, or loneliness as the result of the death of a loved one 20 or more years ago. There are always several hands raised in response to that question. Then we gently ask, “if time is going to heal, then 20 years still isn’t enough?” While recovery from loss does take some time, it need not take as much time as you have been led to believe. Recovery is totally individual. There is no absolute time frame. Sometimes in an attempt to conform to other people’s time frames, we do ourselves great harm. This idea leads us to another of the killer cliches — you should be over it by now. It is bad enough that well-meaning, well-intentioned friends attack us with killer cliches, but then we start picking on ourselves. We start believing that we are defective or somehow deficient because we haven’t recovered yet. If we take just the two killer cliches we’ve mentioned so far, we can see that they have something in common. They both imply that a nonaction will have some therapeutic or recovery value. That by waiting, and letting some time pass, we will heal. Let’s add a third cliche to the batch — you have to keep busy. Many grievers follow this incorrect advice and work two or three jobs. They fill their time with endless tasks and chores. At the end of any given day, asked how they feel, invariably they report that their heart still feels broken; all they accomplished by staying busy was to get exhausted. Page 26 — Healthy Cells Magazine — Pine Belt — August 2012
Now, with only three basic killer cliches we can severely limit and restrict our ability to participate in effective recovery. It is not only that people around us tell us these cliches, in an attempt to help, but we ourselves learned and practiced these false beliefs for most of our lives. It is time for us to learn some new and helpful beliefs to assist us in grieving and completing relationships that have ended or changed. QUESTION: I have heard that it takes two years to get over the death of a loved one; five years to get over the death of a parent; and you never get over the death of a child. Is this true? ANSWER: Part of the problem is the phrase get over. It is more accurate to say that you would never forget a child who had died, any more than you would ever forget a parent or a loved one. Another part of the problem is one of those killer cliches we talked about, that time, of itself, is a recovery action. Although recovery from loss does take some time, it is the actions within time that lead to successful recovery. The primary goal of Grief ❣ Recovery® is to help you “grieve and complete” your relationship to the pain caused by the emotional changes caused by death, divorce, and other losses. Successful application of the principles and actions of Grief ❣ Recovery® allow you to have fond memories not turn painful and help you retake a happy and productive place in your own life. In addition, you regain the ability to begin new relationships, rather than attempting to replace or avoid past relationships. Next month: “Less Than Loved Ones — Hopes And Dreams” For additional information you may contact Hulett Winstead Funeral Home at 601-582-1571. Source: Written by Russell P. Friedman, Executive Director and John W. James, Founder, The Grief Recovery Institute, www.griefrecoverymethod.com.
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Page 28 — Healthy Cells Magazine — Pine Belt — August 2012
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dental health
Wisdom Teeth 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 14 and 25, a time of life that has been called the “Age of Wisdom.” A tooth is said to be “impacted” when it is unable to fully enter the mouth. 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 periodontal disease is established in the third molar areas, the problem is persistent and progressive, but may improve following extraction 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 your annual dental check-ups. In general, dental and medical professionals agree that wisdom teeth should always be removed in the following instances: • Infections and/or periodontal disease • Cavities that cannot be restored • Pathologies such as cysts and tumors • Damage to neighboring teeth Wisdom teeth that are completely erupted and functional, painless, cavity-free, in a hygienic environment with healthy gum tissue, and are disease-free may not require extraction. They do, however, require regular, professional cleaning, annual check-ups, and periodic radiographs to monitor for any changes. Wisdom teeth are easier to remove when the patient is younger, since their roots are not completely formed, the surrounding bone is softer, and there is less chance of damaging nearby nerves or other structures. Removal of wisdom teeth at a later age becomes more complicated as the roots have fully developed (may involve the nerve), and the jawbone is denser. If your dentist or healthcare professional recommends that your wisdom teeth be removed, you will most likely be referred to an oral
and maxillofacial surgeon for the procedure. Before surgery, your oral surgeon will discuss the procedure with you and tell you what to expect. This is a good time to ask questions. Also talk to your surgeon about any concerns you have. Be sure to let your doctor know about any illness you have and medications you are taking. There are several conditions that affect how easy it will be to remove a wisdom tooth. These conditions include how the tooth is positioned and the stage of root development. If the wisdom teeth are impacted, the surgery might be more complicated. Most of the time third molars can be removed with little or no pain. Usually they can be extracted at the oral and maxillofacial surgery of-
fice. Patients are either given local anesthesia, intravenous sedation, or general anesthesia. Your surgeon will recommend the anesthetic option that is right for you. Following surgery, you may experience some swelling and mild discomfort, which are part of the normal healing process. Cold compresses may help decrease the swelling, and medication prescribed by your Oral and Maxillofacial Surgeon can help manage the discomfort. You may be instructed to modify your diet following surgery and later progress to more normal foods. If, after discussing your situation with your family dentist or oral and maxillofacial surgeon, you decide to keep your wisdom teeth, be sure to take particular care in cleaning and flossing your teeth, especially the molars. Your third molars must be professionally examined regularly, and X-rays of your wisdom teeth should be taken every year to make sure that the health of your teeth and gum tissue does not change. For more information on wisdom teeth or other concerns with teeth, contact Hattiesburg Oral Surgery at 601-265-7611. Source: The American Association of Oral and Maxillofacial Surgeons (AAOMS)
August 2012 — Pine Belt — Healthy Cells Magazine — Page 29
train your body
It’s All in Your Mind By Jayne Richards, JRichards Originals
F
or years, I’ve watched elite runners as they perform feats of running the likes of which we mere mortals only dream. Geoffrey Mutai, Ryan Hall, Meb Keflezighi, Deena Kastor, Paula Radcliffe, Grete Waitz. The names and faces change over the years, but one thing remains constant. They’re fast; and, the question is always in my mind, “How do they do that?” How do you train your body to run a 2:03 marathon (Geoffrey Mutai— Boston, 2011, a 4:42 pace), or a 2:15 (Paula Radcliffe—London, 2003, a 5:09 pace). How do you make your body run a 5-minute mile for 26.2 miles? The answer is that you don’t just train your body; you train your mind. Now, don’t misunderstand me. There’s no way I could ever train my body or mind to run at a pace like that for one mile, let alone 26.2 miles. But, I’ve learned that it’s not just about getting your body to move over that distance. You have to make your mind understand that it can. Here’s the thing about running. A good run makes you feel strong and look forward to the next run. But, a bad run gets in your head, whispers mean things to you, makes you believe you’ll never have another good run.
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After a recent spate of bad runs, those whispers started. You’re not a real runner. A real runner would never walk. A real runner runs through pain, pushes past all discomfort. All lies, of course. People who believe those things are running straight to long-term injury or burnout. But, still. The lies work a number on your mind. After a couple weeks of mind games, doubts set in about my ability to run long. Motivation deserted me and the voices in my head threatened to overwhelm my shaky desire to run. When I feel like that, I make myself run. No music or chatter, just a long talk with God. The stillness of the early morning, the sounds of birds, crickets, the steady plop of my feet, and the occasional cyclist whizzing by work their magic, and before I know it, ten miles are done, and I realize I really can still do this. Running is an exercise for the mind, body, and soul. It’s vital that all those elements are engaged if you’re going to be successful for the long term. Visualization of who you are and who you want to be play an important role. Be realistic, but dream big. I’ll never be an elite runner; will never even be highly competitive in my age group. But, I’ll be the best that I can be. I’ll constantly toe the line to see how far and how fast I can go. One of my favorite quotes is: “The only thing that keeps us from running farther (or faster) is the belief that we can’t.” Don’t listen when your mind tells you that you can’t do it. You can. Make your mind a believer. 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.
senior living
Assisted Living The Perfect Solution? By Mark Francis, Vice President Sales and Marketing, Emeritus Senior Living
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here does aging America go when it needs more assistance than is available in a retirement community, but doesn’t require the heavy medical and nursing care provided in a nursing facility? They turn to the increasingly popular long-term care alternative—assisted living. More than 900,000 seniors have chosen to balance their independence with the security and companionship found in “worry-free” assisted living communities across the country. For seniors in the right stage of life, it is not hard to see why these communities are growing more common. They seem to offer something for everyone. Many offer warm and friendly environments—full of new friends and social activities, yet seniors can still live in their own private accommodations and manage their own daily schedule. Apartments vary in size and features. Need furnishings? Have your own? Either way, you have options in most assisted living communities. Courtyards, libraries, entertainment rooms, beauty and barber shops are also common amenities.
Standard services provided by assisted living communities usually include three meals a day in the dining room, and services that promote a high quality of life, including personal care services, medication management, exercise and educational opportunities, social and religious activities, transportation, laundry, and housekeeping services. As boomers turn gray and require more help with daily living, expect to see many families opt for assisted living facilities. Who can argue with great options, paired together in the same place? Independence and security. Meals and medication help. Privacy and activities. For more information visit us at www.Emeritus.com or call us directly at 888-776-6811 for Emeritus at Forrest Park (Retirement, Assisted Living, Short Stay & Respite Care) or 888-348-4453 for Emeritus at Pine Meadow (Alzheimer’s & Memory Care, Short Stay & Respite Care), 107 Fox Chase Drive, Hattiesburg.
August 2012 — Pine Belt — Healthy Cells Magazine — Page 31
wound care
Chronic Wounds Intervention by Several Disciplines Submitted by South Central Regional Medical Center
A
merica has 1.8 million new cases of chronic wounds currently, and the rate is expected to double in the next decade. Of the 1.8 million wounds, only 500,000 received treatment. Nationally, healthcare organizations are seeing a global population increase of long-term illness and disease, many of which result in dealing with chronic wounds.
•N egative Pressure Debridement: Removal of dead tissue using negative pressure to promote healing performed with a wound VAC. • Vascular Ultrasound: Establishment of vascular etiology to appropriately address underlying causes • Compression Therapy: Multi-layer wrap/Unna Boot gives consistent graduate pressure to limbs • H yperbaric Oxygen Therapy: Pure oxygen at high pressure fights infection and induces wound healing. A treatment plan is designed to optimize the therapies best suited to address each individual patient’s needs. Wound size and depth are documented in the initial visit and each subsequent visit. To find out more about wound care services in Laurel, contact South Central Wound Care and Hyperbaric Medicine by calling 601-426-4739.
What is a Chronic Wound? A chronic wound is a wound that does not heal under normal medical treatment within 30 days. Chronic wounds are a manifestation of one or more underlying conditions that become visible on the skin including pressure ulcers, venous or vascular ulcers, and diabetic foot ulcers. Certain wounds may not become visible on the skin. Although many physicians routinely treat acute wounds in their day-to-day practices, the variety and complexity of chronic wounds present a particular challenge for providers without access to all the equipment, expertise, and support available in a comprehensive wound care program. Effective Wound Care Requires Comprehensive Approach to Treatment As with any chronic disease process, a chronic wound, regardless of its case, requires intervention by multiple health care disciplines to address the many conditions and co-morbidities that impact wound healing. Services include: • E valuation and Management/Determination of wound etiology: Establish a treatment protocol and provide follow up care to the patient. • Surgical Debridement: Removal of dead tissue to reduce blood flow and promote healing. Page 32 — Healthy Cells Magazine — Pine Belt — August 2012
T. Luke Thompson, MD now offering cosmetic services at
The Abbey Cosmetic services: • Botox • Restylane • Dysport
Consultations: • Facelifts • Browlifts • Blepharoplasty • Rhinoplasty
Dr. Thompson is fellowship trained in facial plastic and reconstructive surgery and a board-certified otolaryngologist. He is now holding office hours at The Abbey Salon in Oak Grove. For more information or to make an appointment, call 601.579.3310. *Botox, Restylane and Dysport injections can be performed at The Abbey Salon. All other procedures will be referred to Hattiesburg Clinic Ear, Nose & Throat following consultation.
1605 S. 28th Ave., Hattiesburg, MS 39402 // 601.579.3310 www.hattiesburgclinic.com
Office Located on
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August 2012 — Pine Belt — Healthy Cells Magazine — Page 33
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Southeast Mississippi Rural Health Initiative, Inc. is a proud participant in National Community Health Center Week. We invite you to bring your family and join us as we celebrate by giving back to the communities which we serve. We will offer FREE health screenings and door prizes at each one of our fourteen clinics throughout Southeast Mississippi. Please visit our website at www.semrhi.com to find the clinic nearest you.
Page 34 — Healthy Cells Magazine — Pine Belt — August 2012
HERE TO HELP YOU HEAR… Do You Have Difficulty Understanding Conversations? Do You Have Trouble Hearing on the Telephone? Does Your Family Complain About the TV Being Too Loud? WE CAN HELP. If you have ever considered new hearing aids, you need to call TODAY. The ALL-NEW Digital Hearing Aids are built with NEW Bluetooth Technology which gives you a much clearer, more precise sound. The NEWER Digital Buetooth Technology allows you to understand better in noisy environments, on the telephone and most importantly, the voices of your family and friends! Remember, there is no cost for your hearing evaluation. Dr. Michael Hunt, Ph.D., A.C.A., who is a nationally Board Certified Audioprosthologist, has been rehabilitating hearing for over 26 years and wears hearing instruments. Dr. Hunt and his staff are dedicated to providing the best possible hearing healthcare to the Pine Belt. Reconnect with the voices, music and sounds that enrich your life. Please contact our office TODAY to make an appointment.
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• Dental Implants • Wisdom Teeth Removal (Impacted and Erupted) • Removal of Cysts and Tumor • Reconstruction for Dentures • Corrective Jaw Surgery / Jaw Deformities • TMJ Diagnosis and Treatment • Treatment of Oral and Facial Infections • Oral Pathology (Biopsy, Diagnosis and Treatment) • Laser Surgery • IV Sedation *American Board of Oral & Maxillofacial Surgery + Board Certification Pending
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