C E L E B R AT I N G S U M M E R - T H E B L U E P L U M F E S T K I C K S O F F T H E S E A S O N
TRI-CITIES
@
4 GALS SUCCEEDING IN A GUY’S WORLD
+
LIFE IN A WOMAN’S WORLD
YOU’VE PICTURED IT LONG ENOUGH. Build your dream backyard this spring!
F E AT U R I N G Serenity 200 Fireplace
Paladin Garden Column
Autumn Ridge Weathered Pavers
(Featured products shown above are not to scale)
It’s easy to picture the backyard you’ve always dreamed of. But with General Shale outdoor products, it’s just as easy to make it a reality! Our fireplaces, fire pits, grills, garden benches and columns, accentuated with clay or concrete pavers, will add undeniable value, functionality and enjoyment to your home this spring!
Visit or call our local showrooms today!
423-952-4135
423-245-6131
3015 Bristol Highway Johnson City, TN 37601
925 East Stone Drive Kingsport, TN 37661
www.GeneralShale.com
There’s a story behind every smile...
...and everyone wants a smile they feel good about, no matter your age, gender, profession or circumstance. Understanding that simple fact has allowed us to provide not only exceptional results, but a pleasing experience as well. So whatever your story may be...
...we’d like to be a part of yours. 1599 Fort Henry Drive Kingsport, Tennessee
423.247.8172 W W W . M A R T I N D E N T I S T R Y . N E T
TIMOTHY R. MARTIN, DDS Diplomate of the American Board of Dental Sleep Medicine
KEVIN W. MARTIN, DDS Cosmetic & Conscious Sedation Dentistry
offer expires May 31, 2015
Expert orthopedic care. Unparalleled in the region. Count on the expert, coordinated orthopedic care at Holston Valley and Bristol Regional to help you return to your life as quickly – and fully – as possible.
Whether we’re getting you back in stride, repairing bone breaks or treating complex trauma cases, you can trust our: • Every Step Joint Replacement Centers, with convenient pre-op classes and dedicated nurse navigators • Physical therapy, seven days a week • Level I and Level II trauma centers with 24/7 orthopedic and surgical coverage • Wellmont Orthopedic Residency Program – the only one of its kind from Knoxville to Roanoke
Choose us, and you’re choosing the strongest partnerships with leading orthopedic surgeons and specialists.
Holston Valley Medical Center | Bristol Regional Medical Center
To learn more, call 1-800-464-0520 or visit wellmont.org/MyTeam. Message your doctor.
MyWellmont.org
may 2 0 1 5
| vol. 1 no. 9
features C E L E B R AT I N G S U M M E R - T H E B L U E P L U M F E S T K I C K S O F F T H E S E A S O N
ON THE COVER
making it in a man’s world p32
TRI-CITIES
Gender inequality is a defining @ 4 GALS SUCCEEDING aspect of many careers, even IN A GUY’S WORLD in today’s world of increasing + employment fairness. But these four local women followed their hearts and have succeeded in jobs historically held by men. Find out why they chose these jobs and what it has taken to overcome obstacles in these unofficial boys’ clubs. BY LEIGH ANN LAUB LIFE IN A WOMAN’S WORLD
the wonders (and woes) of womanhood p20
The human body is full of intricate systems, and considering the enormous responsibility of creating new life, it’s not surprising that a woman’s reproductive system is one of the most complex. It’s tasked with one of the human race’s most important jobs, but how does such a sophisticated system function and how can you know if something goes awry?
BY KATIE MCPHERSON
Cover photo by www.freshairphoto.com
a different type of patient p26
Surgical Chloe presents real-life scenarios to resident physicians and medical students.
BY LEIGH ANN LAUBE
take a bite out of summer p28
The Blue Plum Arts and Music Festival—Johnson City’s biggest annual festival and the largest free event in the TriCities—tastes sweet like summer. It draws an estimated 80,000 people downtown to kick off the summer with a celebration of music, food and the arts.
BY DEBRA MCCOWN
departments
7
HE ALT H Y
beat
TRENDS | NEWS | PEOPLE
B Y K A R I N FA B R Y- C U S H E N B E R Y, L A U R E L G I L L U M , LEIGH ANN LAUBE AND DEBR A MCCOWN
8 10 12
Peace through health care. Surviving the Broken Skull Challenge. Taking a bite out of business.
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dose
INSIGHT | ADVICE | SOLUTIONS
B Y L AU R E L G I L LU M & B R O C K S E N G
16 18
4
Coping with celiac disease. Swish out those toxins.
tchealthyliving.com | MAY 2015
37
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body
NUTRITION | FITNESS | BEAUT Y
BY K ARIN FABRY-CUSHENBERY, LAUREL GILLUM AND K ATIE MCPHERSON
38 40 42
Beauty through ACV. Servin’ up (healthy) breakfast. Get fit the smart way.
45
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balance
MIND | SPIRIT | FINANCE
BY LAUREL GILLUM & BROCK SENG
46 48
Protect your home. Weeding out the worst.
{re}novus Medical Spa
complete
Long-lasting nonsurgical facial rejuvenation
The Tri-Cities most
medical spa
“Look 7 years younger for 7 years longer” Offering the newest and most effective products and services to restore the health and beauty of your skin and hair.
RENOVUS MEDSPA DEEP FOLDS • WRINKLES • ACNE SCARS The ONLY FDA-approved PERMANENT FILLER for these conditions administered by the regions MOST QUALIFIED injector.
Before & After
Dr. Donald Clemons
DEEP FOLDS/ WRINKLES
Board-certified dermatologist with over 40 years experience in skin care and cosmetic procedures
ACNE SCARS
Call now for a free consulation.
4 2 3 . 6 3 1 . 0 4 7 0 39 80
B ris t ol
|
r e n o v u s b e a u t y. c o m
H i g h w a y,
J oh ns on
C i t y,
TN
3 7 6 0 1
tchealthyliving.com / 423.794.8780
publisher
MARK BAGGARLY mark@tchealthyliving.com EDITORIAL
Welcome
editorial@tchealthyliving.com
executive editor
KARIN FABRY-CUSHENBERY managing editor
MELISSA PETERSON contributing writers
JOANN GUIDRY LESLEY JONES BONNIE KRETCHIK LEIGH ANN LAUBE DEBRA MCCOWN CYNTHIA MCFARLAND CARLTON REESE associate editor
KATIE MCPHERSON editorial assistant
BROCK SENG
editorial interns
CEALIA ATHANASON LAUREL GILLUM
ART & PRODUCTION Douglas New, MD Dermatologist
art@tchealthyliving.com
creative director
JASON FUGATE
production manager
CYNTHIA BROWN
Mountain States Medical Group Dermatology proudly welcomes Douglas New, MD, FAAD, to its staff. He is board certified in dermatology and is a Fellow of the American Academy of Dermatology. He is also a member of the National Psoriasis Foundation, Dermatology Foundation, American Medical Association and the Medical Society of Virginia. Dr. New is dedicated to providing excellent dermatology care to his patients. He is now accepting new patients at Mountain States Medical Group Dermatology. For more information or to make an appointment, call 276-619-2416.
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DERMATOLOGY
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tchealthyliving.com | MAY 2015
Healthy Living Tri-Cities, May 2015. Published monthly by Healthy Living Media, LLC and distributed by The Caddy Group, Inc. 2332 Volunteer Parkway, Bristol, TN 37620. All contents copyright 2015 by Healthy Living Media, LLC. All rights reserved. Nothing may be reprinted in whole or in part without written permission from the publisher. For back issues or advertising information, call (423) 794-8780. Return postage must accompany all unsolicited manuscripts and artwork if they are to be returned. Manuscripts are welcomed, but no responsibility can be assumed for unsolicited materials. “Promotional” and “Promotional Feature” denote a paid advertising feature. Publisher is not responsible for claims and content of advertisements.
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HE ALT H Y
beat TRENDS | NEWS | PEOPLE
seasonal suffering
Source: Weather.com
Allergies flaring up lately? You’re not alone. Scientists are already labeling 2015 as one of the worst allergy seasons on record. Dr. Clifford Bassett, founder and medical director at Allergy and Asthma Care of New York, says there are several contributing factors, including rising levels of carbon dioxide in the atmosphere, increasing temperatures and our unusually wet winter. Another factor is the “priming effect,” when temps make big leaps (say from 40 at night to 70 in the day) in short periods of time. Dr. Basset says this is when people “really start to suffer.” So stock up on the tissues and allergy meds. We may be in for a bumpy ride this season.
MAY 2015
| tchealthyliving.com
7
beat good deeds
working for ‘peace through health care’ A fter a dozen trips to Iraq to help improve maternal health care, Dr. Martin Olsen understands how important health can be to achieving peace. BY DEBRA MCCOWN
8
tchealthyliving.com | MAY 2015
“In some areas of the world, the maternal mortality rate is still 1 percent per pregnancy—so that’s one in 100 women,” says Olsen, a professor and director of the OB/GYN residency program at East Tennessee State University’s Quillen College of Medicine. “If you think about the toll on a family, of women who have young children who lose their mother, they’re the ones that are at risk. Maternal safety is, in my opinion, the most critical component of a peace-through-healthcare initiative.” On the ground in Iraq, what that means is training doctors—who can then train other doctors and traditional birth attendants—on how to recognize and treat post-partum hemorrhage, which is often the biggest killer of women giving birth. “Recognizing post-partum hemorrhage and reacting to it quickly are critical components of decreasing maternal mortality,” he says. But Olsen’s team, made up of two Americans and two Brits, also has to face another type of wound: the psychological impact on a country that’s suffered decades of war. “I am giving a course, and this female physician walks up to me, and she shows me a picture of a gentleman, and she says, ‘This is my husband that the Americans killed. They shot him in the street when his car broke down.’” Olsen says.
PHOTOS COURTESY OF EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
HE ALT H Y
“‘And how do you feel about that?’ was her question. And of course you’ve got to say, ‘This is a terrible thing, and I’m so sorry about what you went through.’” They also must teach the Iraqi doctors to constructively challenge each other, which can help reach the best outcome for a patient but was severely punished under Saddam Hussein’s rule. Returning at least once a year, Olsen says he’s impressed by the resilience of the Iraqi people, from the Kurdish city of Erbil, which has made great strides in development over the last 20 years, to hunkered-down Baghdad, where life goes on even when bombs are falling. “Even with all the disruption that ISIS is creating in Iraq right now, they are continuing to have monthly courses and to fight the battle of decreasing maternal mortality,” Olsen says. “The doctors there are really, really impressive. They’ve decided that they’re not going to let politics stop them or let war stop them; they’re just going to continue with their mission.” For Olsen, his travel and correspondence with Iraqi doctors is a calling; it’s something he can’t not do. “I hear some people asking for help, and I have the ability to help them,” Olsen says, “so it would be wrong to not share that knowledge.”
PROMOTIONAL FEATURE
OUTDOOR
[Healthy]
LIVING
T
hink about the words “healthy living.” What do they mean to you? Maybe they mean eating better and exercising more; or perhaps you define it simply as laughing more often and worrying less. Either way, those are good things that will likely impact your health and daily living in a positive way. But have you ever considered that your environment could contribute to your health? Nature is known to be quite helpful in lifting one’s spirits and making a person feel better. There’s just something about the outdoors that brings a sense of invigoration and rejuvenation to the mind and body. But it’s not just about being outside; it’s also about enjoying your time outside! We’ve taken our own passion for the outdoors and designed a product line with an important goal in mind: to help you enhance and enjoy your outdoor environment even more!
Gather ‘Round With Friends & Family
Often, a small change can make a big impact on your general health and enjoyment of life. Something as simple as adding a fire pit to your home environment can provide an area to reminisce, share some laughs, enjoy time with the people you care about and, perhaps best yet, grill up a healthy snack for everyone to enjoy.
Create A Healthy Glow
We can’t help but be drawn in by a warm environment. It’s one of the reasons we love the spring and summer so much. There’s just something about it that makes us worry less and live more. This inspired us to engineer a series of fireplaces that bring friends and family together and keeps the spirit of the outdoors burning long after the sun goes down.
Do-It-For-Your-Health
After a long, cold winter, our mind and body is just aching to get outside and do something! The mental and physical benefits to feeling accomplished and enjoying a job well done are priceless. For that reason, we’ve engineered each of the aforementioned products for those wanting to get their hands dirty and do it themselves. There’s something for everyone to enjoy, from the novice with limited building knowledge to the experienced landscaper. What’s more, we’ve designed our products with your time in mind, which means you won’t need weeks but merely a day or two to get the job done and start enjoying your outdoor life more than ever!
Your Health Is Worth It
It’s not always easy, but a healthy lifestyle is always worth the effort. Enjoy the reward this spring in the most natural place possible—the great outdoors!
Retreat To Comfort
Having comfort in life is important to our mental and physical well-being. Naturally, the ultimate comfort zone will always be our home. It’s why we’ve worked so hard to make every home as enjoyable and beautiful as can be. Products like our garden bench invite you to relax, kick back and enjoy the fruits of your labor, while our garden columns accentuate all that hard work put into your beautiful garden bed or the entrance to your home.
Visit or call our local showrooms today! 423-952-4135 3015 Bristol Hwy., Johnson City, TN | 423-245-6131 925 East Stone Dr., Kingsport, TN www.GeneralShale.com
beat people PHOTOS COURTESY OF RON JAFFE/CMT
HE ALT H Y
one tough mama L
ocal wrestler/MMA fighter uses experience to conquer Broken Skull Challenge
BY LEIGH ANN LAUBE
“I went to practice one afternoon and got my butt kicked, I was hooked.”
busy, she signed up for the toughest show on The first time Jacqueline “Jackie” Abshire television right now—CMT’s Steve Austin’s attended wrestling practice at her Texas high Broken Skull Challenge. school could have easily been her last time. The show, in its second season, pits eight “I went to practice one afternoon and got elite athletes against one another in physical my butt kicked,” she says. “From then on, I challenges. The top contestant of the episode was hooked.” will have the chance to try their hand at the So hooked that she gave up all other — JACQUELINE ABSHIRE Skull Buster, a half-mile course with 10 obstasports during her senior year to focus cles. There, the athlete attempts to complete the on wrestling. The move paid off, and she course and defeat the reigning champion’s time for the chance earned a scholarship to the University of the Cumberlands to win $10,000. in Kentucky, which had the top-rated women’s wrestling “I knew I would be a great competitor for the show program. After graduation, she was hired as an assistant because of my huge wrestling background and my newlycoach for women’s wrestling at King University in Bristol, the found MMA career. I knew I had the mental and physical No. 1 women’s program for the past two years. toughness the show called for. I knew if I could make it to the “My third year there got very difficult, as I was about to third challenge with ‘The Pit,’ I would win the whole thing,” have our second child. With that job comes a lot of traveling. she says. “As far as the Skull Buster, that was definitely the I switched jobs a couple times, all the while my husband was hardest thing I’ve done. I came out on top for two straight building his CrossFit Gym, CrossFit TFB,” she says. episodes, in which I earned a total of $20,000.” It was at the gym that she became interested in mixed With Broken Skull behind her, she’s back to living what martial arts (MMA). she calls “an ordinary life.” But she hopes this exposure will “With my extensive wrestling background, I felt that I bring more opportunities. could be really successful in this sport. So I trained for about “I do plan on having about four more MMA fights by six months on and off and had my first amateur MMA fight. the end of the year as well as competing in some CrossFit I have also started this career off with a bang, as I won my competitions. I have a huge support group as far as training fight with an 11-second knockout. I recently had a fight and partners, friends and family. I know whatever else I do, I will received another win by TKO (technical knockout).” have them behind me,” she says. As if a full-time job (coaching at CrossFit TFB in Bristol), a family and training wasn’t enough to keep Jacqueline
10
tchealthyliving.com | MAY 2015
Neuro-Spine Solutions, P.C. TRUST YOUR
Areas of Treatment GENERAL ORTHOPAEDICS | HAND AND SPINE Neck Pain Low Back Pain Thoracic Pain Herniated Disc Occupational Injuries Pinched Nerves Degenerative Arthritis Scoliosis Failed Previous Neck/Spine Surgery Steroid Injections
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We provide spine care excellence with a caring touch using cutting-edge technology. We believe in providing state-of-the-art spine care, including microsurgery, discectomy, laminectomy, minimally invasive, artificial disk, motion-sparing technology, fusion and kyphoplasty.
A graduate of Louisiana State University,
Morgan P.
Lorio
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Dr. Lorio completed his general surgical internship and orthopedic residency at the State University of New York at Buffalo. Dr. Lorio is double board certified in spine and hand surgery along with general orthopaedics. Dr. Lorio completed the Simmons Spine Fellowship and a clinical practice fellowship with Dr. Hanson Yuan at the Health Science Center Syracuse. He is a member of the American Boards of Orthopedics and Spine Surgery the North American Spine Society, among others. Recognized by the Profiles of Hand Surgery in North America, Dr. Lorio is an assistant clinical professor at East Tennessee State University.
240 Medical Park Blvd. Suite 2700 Bristol, TN 37620 | (423) 844-0501
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HE ALT H Y
beat business bites
grow, eat, repeat!
Awarded $39,483 from Grow Appalachia, Appalachian Sustainable Development is ready to expand its horizons into new regions and make a change with the Grow Your Own food access program. Grow Your Own teaches families how to grow their own food in land-based gardens, and in 2014, the organization worked with over 150 people to grow over 15,000 pounds of food.
leading ladies Whether they excel in arts, business, education or volunteer work, these ladies have managed to turn heads. The YWCA’s annual Tribute to Women awards program recognizes the outstanding achievements of individuals throughout East Tennessee and Southwest Virginia. The 12 award recipients exemplify those working to enrich the region’s arts, education, business and community service efforts. This year’s winners are: Jan Hurt, Joy McGinnis, Louise Ammons, Cathy Lowe, Dru Malcolm, DNP, Cari Parker, Beth Page, Tammie Davis, Cecilia McIntosh, Ph.D., Catherine Brillhart, Jane Crawford and Clarinda Jeanes.
the doc is in! As of February, Watauga Orthopaedics was honored to announce the arrival of Dr. Kent Lord, who will be seeing patients at their Kingsport location at 117 West Sevier Avenue, Suite 200. A 2006 graduate from the University of Alabama School of Medicine, he completed his orthopaedic surgery residency at Medical College of George in 2011. Board certified by the American Board of Orthopaedic Surgery, Dr. Lord is also fellowship trained in foot and ankle and hand/upper extremity.
living the life
a major merger Wellmont Health System and Mountain States Health Alliance have agreed to explore the creation of a new, integrated and locally governed health system designed to address the serious health issues affecting the region and to be among the best in the nation in terms of quality, affordability and patient satisfaction. In early April, the boards of directors of both organizations agreed to explore combining the assets and operations of both organizations into a new health system. “Northeast Tennessee and Southwest Virginia disproportionately suffer from serious health issues—cardiovascular disease, diabetes, addiction and access to mental health services, to name a few—and they must be addressed,” said Alan Levine, president and CEO of Mountain States, who would become executive chairman and president of the combined system. “Together, we’ll work alongside our employed and independent physicians to shape the future of health care by modeling effective clinical collaboration, building new community health solutions and becoming a national model for rural health care delivery,” said Bart Hove, president and CEO of Wellmont, who would be CEO of the new system. Find out more by visiting becomingbettertogether.org.
With smiles, fresh paint, shiny floors and 60 new apartments, Dominion Senior Living of Johnson City opened its doors in April to their very first residents. The 45,000-square-foot, faith-based assisted living and memory care community created 50 new jobs and offers each resident on-site professional nurses and caregivers, home-style meals, botanical gardens and on-site enrichment activities. Dominion Senior Living is located at 2412 Knob Creek Road, just 10 minutes from Franklin Wood Community Hospital and East Tennessee State University.
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tchealthyliving.com | MAY 2015
HEALTHY VISION FOR LIFE R
egular eye exams should begin at 6 months of age. Your eye doctor will test for excessive or unequal amounts of nearsightedness, farsightedness, astigmatism, muscle and other eye problems. These issues are easier to correct if treatment begins early. Protective eyewear is essential to those participating in sports, as are sunglasses for protection from harmful UV radiation. Your eye doctor recommends you wear 99 percent ultraviolet radiation-absorbent sunglasses if you wear contacts lenses or whenever you are in the sun for long periods, especially during summer months. Sunglasses with 100 percent UV absorption are a must when you are at the beach, in the water or using medications that may cause light sensitivity. Diabetic patients have a greater risk of developing diabetic retinopathy, which is caused by long-term increased levels of glucose in the eyes’ blood vessels. Diabetes can cause changes in your vision with or without retinopathy. Avoiding smoking or quitting is one of the best investments you can make in your long-term eye health. Smoking increases your risks for cataract and age-related macular degeneration. Smoking also increases the risks for cardiovascular diseases that could affect
your eyes’ health. Secondhand smoke can worsen dry eye, a very real and uncomfortable condition most common in post-menopausal women. Pregnant women who smoke are more likely to give birth prematurely, increasing the risk for retinopathy of prematurity (ROP), affecting those preemies born before 31 weeks. Women’s vision fluctuates during pregnancy. Usually these changes are temporary and tend to be minor, not requiring a new prescription. LASIK should not be considered while pregnant or breastfeeding. Blurry vision during pregnancy could signal high blood pressure or gestational diabetes; a visit to the doctor is essential. Eye infections are caused by bacteria, fungi or viruses. These can occur in different parts of the eye, affecting one or both. Most common are the very contagious conjunctivitis (pink eye) and styes, a bump on the eyelid happening when bacteria get into the eyelash hair follicle. Styes are often associated with blepharitis. Symptoms of eye infections may include redness, itching, swelling, discharge, pain or vision problems. Depending on the cause of the infection, your doctor may prescribe compresses, eye drops, creams or antibiotics. Discontinue wearing your contact lens if you are experiencing an eye infection.
Also, replace any exposed contact lens after the infection has cleared and you resume wear. Cataracts are the leading cause of vision loss among adults over 55. Symptoms include cloudy vision, halos and frequent changes in vision, double vision, poor night vision, light sensitivity or washed-out colors. There are many options when considering cataract surgery. Basic cataract surgery is an outpatient procedure performed in less than 30 minutes and is covered by major medical insurance or Medicare. Bladeless, laser-guided cataract surgery and new technology lenses offer another option for those who wish to decrease dependence on glasses following surgery. Talk with your eye doctor today.
JOHNSON CITY EYE CLINIC AND SURGERY CENTER 110 MED TECH PARK JOHNSON CITY, TN 37604 JOHNSON CITY EYE CLINIC AT BRISTOL 225 MIDWAY MEDICAL PARK BRISTOL, TN 37620
423-929-2111 | JOHNSONCITYEYE.COM
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306 Sunset Dr #100 Johnson City, TN 37604 Scan here to schedule your appointment today!
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OILS © BOKAN / SHUTTERSTOCK.COM
HE ALT H Y
dose INSIGHT | ADVICE | SOLUTIONS
hospitals going holistic
Source: abc-7.com
It’s becoming harder and harder to deny the powerful uses of essential oils. Now, even hospitals are jumping on board. One Florida hospital, Cape Coral Hospital, has introduced lavender oil to its stroke and pain patients, and the results are promising. Feedback from patients has been 100 percent positive. Nurse Tammy Booth says “The antioxidant effect of lavender helps reduce brain injury by increasing blood flow.” Cape Coral Hospital Executive Scott Kashman adds that patients who partake have a lower length of stay, thus reducing costs. The hospital plans to introduce oils into other areas of care as well.
MAY 2015
| tchealthyliving.com
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WOMAN ©MELODIA PLUS PHOTOS , COLON ©ALEXANDR III; GLUTEN ©CHEESEKERBS, STETHESCOPE © ALINA KU-KU, BLOOD © HARMPETI / SHUTTERSTOCK.COM
dose
gluten be gone I
t’s lunchtime, and you just sat down at your favorite sub shop before heading back to work. But with just half your lunch gone, you’re already doubled over in pain. It might just be a stomachache, but you could also be one of the many people suffering from celiac disease.
what is celiac disease?
CELIAC DISEASE IS AN AUTOIMMUNE INTESTINAL DISORDER CAUSED BY THE INABILITY TO DIGEST GLUTEN. PEOPLE WITH CELIAC DISEASE CAN’T HAVE GLUTEN IN ANY FORM WITHOUT PERMANENTLY HARMING THEIR BODY. AND, ACCORDING TO THE CELIAC DISEASE FOUNDATION, THE DISEASE AFFECTS ONE OUT OF 133 PEOPLE, BUT MOST ARE UNDER DIAGNOSED OR NOT DIAGNOSED AT ALL.
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tchealthyliving.com | MAY 2015
what is gluten?
GLUTEN IS A PROTEIN FOUND IN SPECIFIC CEREAL GRAINS, SUCH AS ALL FORMS OF WHEAT, RYE AND BARLEY, AND IS RESPONSIBLE FOR THE ELASTICITY OF DOUGH. GLUTEN CAN ALSO BE FOUND IN FOODS SUCH AS LUNCHMEAT, SOUPS, HARD CANDIES, SOY SAUCE AND NONFAT FOODS, LIKE CERTAIN TYPES OF YOGURT.
Sources: webmd.com, healthline.com, cureceliacdisease.org, americanceliac.org
HE ALT H Y
I THINK I HAVE A GLUTEN ALLERGY. ISN’T THAT THE SAME THING?
confirming celiac
Celiac disease can easily go untreated or be misdiagnosed as an allergy, so be on the lookout for the following symptoms and talk to your doctor about the possibility of celiac disease. BOUTS OF DIARRHEA
INTESTINAL GAS
BRITTLE BONES
ABDOMINAL CRAMPING
CONSTIPATION
DEPRESSION
OCCASIONAL BLOATING
RAPID WEIGHT LOSS
INFERTILITY
ANEMIA (BLOOD LACKS IRON) Some people with celiac disease are asymptomatic, meaning they don’t have frequent symptoms. Even if you are asymptomatic, you’re still permanently damaging your body. It’s always best to get checked out, especially if you notice symptoms after eating products with gluten.
avoiding flare-ups Currently, there is no medical cure for celiac disease other than just to avoid eating gluten. But that doesn’t mean it has to be difficult. Here are some tips for living easier with celiac disease.
• Good-bye, gluten. Naturally glutenfree foods, or FOODS MADE WITH CORN, NUTS, RICE AND POTATOES, are the foods you’ll want to start including in your daily diet. For example, fruits and vegetables, beans, eggs, dairy, meats and fish are all naturally gluten-free. • “Free” foods are good! If you have to eat bread, try GLUTEN-FREE ALTERNATIVES, like breads with gluten removed and mixes that include easy-to-digest ingredients, such as rice flours instead of wheat flour.
• Get technical. There are many glutenfree APPS AVAILABLE FOR SMARTPHONES to help determine which foods are gluten-free and which aren’t, including when eating at restaurants. When dining out, take it a step further and specifically ask which menu items are gluten free. • Read the fine print. New regulations require ALL PRODUCTS CONTAINING WHEAT OR GLUTEN TO STATE IT IN THE NUTRITION BOX. Allergy information is also now located in the nutrition box.
• Know your numbers. GET A • Cleanse your kitchen. Go WARNING: BLOOD SCREENING EVERY YEAR, through your kitchen pantry TALK TO YOUR and have your urine tested. and fridge and TOSS OUT PHARMACIST This will allow doctors ANYTHING WITH GLUTEN IN ABOUT WHETHER to see how well your IT, such as breads, wheat YOUR CURRENT intestines have healed flour and more. Then, MEDICATIONS INCLUDE since you’ve strayed restock with glutenGLUTEN AND ASK ABOUT away from gluten. free alternatives.
ALTHOUGH CLOSELY RELATED, GLUTEN ALLERGIES, INTOLERANCES AND CELIAC DISEASE ARE VERY DIFFERENT. A GLUTEN ALLERGY IS THE BODY’S INABILITY TO DIGEST OR BREAK DOWN GLUTEN. AN INTOLERANCE PRODUCES A MILD TO SEVERE SENSITIVITY IN THE DIGESTIVE TRACT WHEN GLUTEN IS CONSUMED. ALLERGIES AND INTOLERANCES ONLY AFFECT THE BODY FOR A SHORT TIME AND DO NOT HAVE LONG-LASTING, HARMFUL EFFECTS TO BODY TISSUE. CELIAC DISEASE DOES. IF YOU HAVE AN ALLERGY OR AN INTOLERANCE, YOUR BODY PROCESSES THE GLUTEN, BUT IT CAUSES INTESTINAL PAIN. WITH CELIAC DISEASE, THE BODY ATTACKS ITSELF AND THE LINING OF THE INTESTINES, CAUSING NUTRITIONAL DEFICIENCIES WHEN GLUTEN IS CONSUMED. ALTHOUGH THE DIFFERENCES BETWEEN ALLERGIES, INTOLERANCES AND CELIAC DISEASE SEEM MAJOR, THE SYMPTOMS ARE SO SIMILAR THAT PEOPLE WITH CELIAC DISEASE ARE COMMONLY MISDIAGNOSED AS HAVING A GLUTEN ALLERGY. ALLERGIES, INTOLERANCES AND CELIAC DISEASE ARE TREATED THE SAME WAY: BY REMOVING GLUTEN FROM YOUR DIET AND STARTING TO EAT HEALTHIER. EASY, RIGHT? NOT SO FAST. ALLERGIES AND INTOLERANCES ARE NOT INHERITED THROUGH GENETICS, BUT CELIAC DISEASE IS, AND A MOTHER CAN PASS IT TO HER CHILD. THOSE WITH CELIAC DISEASE HAVE A HIGHER RISK OF GASTROINTESTINAL CANCERS FROM THE PERMANENT DAMAGE BEING DONE TO THE INTESTINAL LINING.
GLUTEN-FREE OPTIONS.
MAY 2015
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dose
flush your mouth! Y our mouth is dirty—and we’re not talking about words! It’s full of bacteria, toxins and food lodged in your gums. Gross, right? Brushing works and so does flossing, but, sometimes, you want that next level of clean. So what about oil pulling? This dental technique involves swishing a tablespoon of oil around in the mouth for upward of 20 minutes to draw out toxins. Yes, we’re serious.
health claims • STRONGER, WHITER TEETH • LESS CAVITIES
• BETTER BREATH • LESS JAW PAIN • NO MORE HEADACHES OR HANGOVERS • LESS SINUS ISSUES AND ACNE
what’s the best oil to use?
All vegetable-based oils work, but coconut oil has the added benefit of lauric acid, a well-known antibacterial agent.
MAN © STEFANO CAVORETTO; COCONUT © PAULISTA; OIL© TOM ASZ / SHUTTERSTOCK.COM
HE ALT H Y
get to it! Swish it… slowly. On an empty stomach (think first thing in the morning), grab a teaspoon of oil (or tablespoon if you feel adventurous) and start swishing for at least five minutes—20 minutes if you can stand it. Be gentle. Aggressive swishing can lead to unnecessary jaw pain. If you start to ache, slow down on the swishing. Do NOT swallow. The oil, after swishing, is full of toxins, bacteria and left over food particles, and swallowing brings all those toxins right back into the body, so don’t swallow! If you feel like you’re going to choke, spit and start again. Spit it out! Never spit the oil into a sink. The oil solidifies and clogs up your sink, causing an issue no one wants to deal with. Spit into a trash can instead. Brush and floss. As much as you might not want to, swish with warm water afterward, and then proceed to brush and floss as normal.
DOES IT WORK?
Recent studies show that oil pulling helps protect your mouth against gingivitis, plaque and microorganisms that cause bad breath, but there is little trial data to prove it. A 2009 study used sesame oil and adolescent boys who, after using the oil pulling method, showed a reduction in bacteria and plaque. The American Dental Association cautions using oil pulling as a replacement for basic dental hygiene but recommends it as a supplement to brushing and flossing. Despite claims of benefiting other parts of the body, there is no evidence to support anything other than a healthy, clean mouth. But isn’t that reason enough to give it a try?
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Sources: fashionista.com, webmd.com, cnn.com
Warning: You might feel like you have a common cold afterward. This is a detox reaction to the use and will pass (unless you actually have a cold, of course!).
Hot flashes, sleep disturbances, mood swings, hair loss, weight gain, thyroid imbalance? We can help!
A
nderson Compounding Pharmacy’s Women’s Health Bio-identical Hormone and Wellness Program is an innovative program combining bio-identical hormone monitoring, customized nutrition therapy and ongoing case management. Clinical Pharmacists Dera Leigh Stalnaker, Pharm D and Laura Beth Jenks, Pharm D lead the Women’s Health Group while working with physicians to adequately balance patients’ hormones to resolve symptoms. The Women’s Health Bio-Identical Hormone and Wellness Program provides customized dosing for individual patients, merging a patient’s clinical needs with supporting laboratory data. The program combines cutting-edge science along with one-on-one clinical consultation to offer the most comprehensive hormonal monitoring and care for every stage of a woman’s life. Women make appointments, either by referral from their medical doctors or by seeking out the program on their own, for a clinical consultation to discuss their individual hormone needs as well as to test and determine which hormones may be responsible for their symptoms. Stalnaker and Jenks work closely with a multitude of practitioners in making therapeutic recommendations upon completion of consultation and testing to aid in the achievement of hormonal balance for their patients. Due to the time constraints placed on most practitioners, this is a welcomed service in which the patient, the pharmacist and the prescriber collaborate to meet individual therapeutic needs. Pharmacokinetics of specific hormones and dosage forms are matched with the individual therapeutic goals of each physician. Stalnaker and Jenks carefully listen to physicians and patients to develop individually tailored treatment protocols. Each patient is different. One dose does not fit all. Focusing on patient care and outcomes has proved to be especially important in helping prescribers achieve optimum results. Providing highly customized dosage regimens with
the lowest effective dosage and addressing underlying nutritional cofactors necessitates extra monitoring, something a typical physician is unable to provide directly, due to time constraints. The support and cutting-edge work start with a superior system of quality control that begins even before pharmaceutical-grade fine chemicals reach the pharmacy’s state-of-the-art HEPA-filtered compounding laboratory. The lab contains a class 100 sterile room, high-tech analytical balances, homogenizers and separate powder room. Anderson Compounding Pharmacy individually compounds bio-identical hormone replacement therapy for thousands of women across the United States. Clinical Pharmacists Dera Leigh Stalnaker, Pharm D and Laura Beth Jenks, Pharm D are available by appointment only and may be seen by women wishing to enroll in the program individually or through a physician’s referral. Clinical phone consultations are routinely offered to patients who live outside the Tri-Cities area or who are unable to visit our office and facilities in person. Mailing is available for all prescriptions upon request. Every woman has a different journey. It is your journey. Wherever you are on your path, let Anderson Compounding Pharmacy be your guide with cutting-edge knowledge, solutions and resources for your journey to hormone health and wellness.
310 BLUFF CITY HWY. BRISTOL, TN 37620 (423) 274-2410 / FB.COM/ ANDERSON WOMEN’S HEALTH CLINICAL SERVICES
PROMOTIONAL FEATURE
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W
THE WONDERS (AND WOES)
of By
KATIE McPHERSON
THE HUMAN BODY IS FULL OF INTRICATE SYSTEMS, AND CONSIDERING THE ENORMOUS RESPONSIBILITY OF CREATING NEW LIFE, IT’S NOT SURPRISING THAT A WOMAN’S REPRODUCTIVE SYSTEM IS ONE OF THE MOST COMPLEX. IT’S TASKED WITH ONE OF THE HUMAN RACE’S MOST IMPORTANT JOBS, BUT HOW DOES SUCH A SOPHISTICATED SYSTEM FUNCTION AND HOW CAN YOU KNOW IF SOMETHING GOES AWRY? OFTEN, THE FIRST CLUES COME FROM YOUR PERIOD.
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SYMBOL © SUMKINN; COASTER © ROBERT ADRIAN HILLMAN / SHUTTERSTOCK.COM
EGGCEPTIONAL NUMBERS: THE
every step of the way
T
he term menstrual cycle is used typically to refer to the one week or so each month when serious period action is happening. But the menstrual cycle, in textbook terms, is always going on. Here’s what your internal little ladies are up to all month long.
AVERAGE WOMAN IS BORN WITH APPROXIMATELY 2 MILLION EGGS IN HER OVARIES. CRAZY, RIGHT? THEY’RE LOST OVER TIME, AND USUALLY BY THE BEGINNING OF PUBERTY, A YOUNG GIRL WILL HAVE ROUGHLY 300,000 TO 500,000 EGGS.
NHOOD N HOO DAY 1
DAY 7
DAY 14
DAY 25
IT’S THE FIRST DAY OF YOUR PERIOD. YOU MIGHT BE A LITTLE CRANKY, CRAMPY OR OTHERWISE BOTHERED. YOUR LAST MENSTRUAL CYCLE JUST ENDED AND SIGNALED YOUR BODY TO SPIKE IN HORMONES, GIVING YOUR BODY THE PURGE-SYSTEMNOW SIGNAL. AS YOU KNOW, BLEEDING USUALLY LASTS FIVE TO SEVEN DAYS.
HELL WEEK IS OVER BY NOW FOR MOST WOMEN, AND OUR REPRODUCTIVE SYSTEMS ARE SETTLING BACK IN. HORMONES DURING YOUR PERIOD HAVE CAUSED FOLLICLES— SACS FILLED WITH FLUID AND EACH CONTAINING AN EGG—TO DEVELOP ON THE OVARIES. ONLY ONE OF THEM WILL REMAIN ACTIVE BY THE END OF THE WEEK AS IT WAITS FOR THE UTERUS TO BUILD UP ITS ENDOMETRIUM, OR LINING, TO RECEIVE A FERTILIZED EGG.
LET OVULATION BEGIN! A SPIKE IN ESTROGEN CAUSES THE FOLLICLE TO RELEASE ITS EGG INTO THE OVARY. THE EGG MAKES ITS WAY THROUGH THE FALLOPIAN TUBE. HERE IS WHERE A SPERM CAN MEET IT TO MAKE THE MAGIC HAPPEN, OR IT WILL PASS ON INTO THE UTERUS WITHOUT FERTILIZATION. A FERTILIZED EGG WILL EMBED ITSELF IN THE ENDOMETRIUM WHILE UNFERTILIZED EGGS WAIT AROUND FOR THE NEXT MENSTRUATION TO BEGIN.
AROUND THIS TIME, HORMONE LEVELS ARE DROPPING TO SIGNAL THE START OF THE NEXT MENSTRUAL CYCLE. THE EGG BREAKS DOWN AND EXITS THE BODY WITH THE REST OF THE UTERINE LINING, AND THE PROCESS BEGINS ANEW.
uteruses, unite!
E
ver synced cycles with a close friend? Numerous studies have been conducted on the idea of close friends and roommates matching up cycles, known as the McClintock effect in honor of the scientist who first studied it. She believed pheromones and undetectable chemical signals caused women’s cycles to sync after spending a significant amount of time together over many, many months. However, most studies
* Every woman’s cycle is different and days may vary.
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since have found no evidence this occurrence is real. Ladies who’ve had roommates may be believers, but as of yet, there’s no science to back this old menstrual myth. In any case, the idea of our uteruses syncing without our permission sounds very Invasion of the Body Snatchers, no?
HOW MUCH IS TOO MUCH?
A
LTHOUGH IT MAY FEEL LIKE A LOT MORE, 2.4 TABLESPOONS IS THE AVERAGE AMOUNT OF MENSTRUAL FLUID MOST WOMEN LOSE DURING THEIR CYCLES. THE NORMAL RANGE IS 1 TO 6 TABLESPOONS, BUT SOME WOMEN WITH THE HEAVIEST FLOWS MAY LOSE UP TO A CUP. As with any part of the period, flow differs between all women and can depend on genetic, emotional and psychological factors. That makes knowing when your flow is too heavy a little subjective. Most doctors agree if you feel like you’ve barely had enough time to use one tampon or pad before you need a new one, it may be time to schedule an appointment. Dr. Mary M. Gallenberg of The Mayo Clinic suggests blood tests to check for anemia in women who frequently have heavy periods. “A number of conditions can cause heavy menstrual bleeding. Hormonal imbalance, uterine fibroids or certain types of intrauterine devices are just a few,” she explains. “Your doctor may recommend taking a daily vitamin containing folic acid, vitamin C, vitamin B-12 and other vitamins that help build red blood cells.”
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painful periods?
T
he unfortunate reality of periods is that they kind of suck, and the average woman will endure 450 periods in her lifetime. Bloating, cramps and constant bathroom trips aren’t any woman’s idea of fun, but over time, most ladies know what to expect from their monthly guest. But when is the pain too much to be normal?
The medical term for menstrual cramps is dysmenorrhea. It’s the No. 1 cause of missed school and work for women in the United States, with over 3 million reporting they are unable to function for one or two days each month because of the intensity of the condition. Primary dysmenorrhea cramps typically occur in the abdomen or lower back after a woman has had her period for one to two years. Cramps from secondary dysmenorrhea may start earlier, last longer and be the result of a reproductive disorder. Either way, they don’t feel good. Experts say that when your cramps and period pain start affecting your quality
of life or your ability to go about your day as usual is when you should talk with your doctor, especially if they last more than two or three days. Birth control is the most common method of alleviating severe cramps and heavy flow and can also make periods more regular and predictable. But it’s important to know, cramping isn’t the only pain relevant to that time of the month. Some pains may point to a bigger problem lurking somewhere in the reproductive system. It’s essential for each woman to know what her normal feels like and seek the opinion of a medical professional when something goes awry. What could that something be?
BALLOON © AARON AMAT; WOMAN©KETMANEE;SPOONS © BERENTS/ SHUTTERSTOCK.COM
endometriosis
T
his disorder occurs when the endometrium, the uterine lining, spreads outside the uterus and into surrounding organs in the abdomen (usually the ovaries). There, it forms little growth nodules. Like normal uterine tissue, it breaks down during the menstrual cycle. Unlike normal uterine tissue, the body can’t expel it, so it causes inflammation and swelling.
The cause of endometriosis is unknown, but it results in painful urination, intercourse and bowel movements and more painful period cramps. It can also make it difficult for the patient to become pregnant. Currently, there’s no known treatment for endometriosis, but the condition can be treated with hormones or birth control pills. In more severe cases, surgery may be needed. Many women fear endometriosis will mean they cannot become pregnant, but with the help of a doctor, most women are capable of conceiving.
PREMENSTRUAL SYNDROME
A
H YES, THE INFAMOUS PMS. OFTEN CITED AS THE REASON FOR CRANKY BEHAVIOR BUT RARELY UNDERSTOOD, THIS OCCURRENCE IS STILL A BIT OF A MYSTERY EVEN TO THE MEDICAL COMMUNITY. IT’S LIKELY THE CAUSE OF CYCLIC HORMONE CHANGES OCCURRING THROUGHOUT THE MENSTRUAL CYCLE, AS THEY HAPPEN AT THE SAME TIME EACH MONTH AND DISAPPEAR DURING PREGNANCY AND AFTER MENOPAUSE. SOME THEORIES ALSO SUGGEST PMS IS THE RESULT OF FLUCTUATING SEROTONIN LEVELS IN THE BRAIN, WHICH CAN CAUSE BOUTS OF DEPRESSION AND FATIGUE. SOME WOMEN WITH PARTICULARLY SEVERE PMS HAVE EVEN BEEN FOUND TO HAVE UNDIAGNOSED DEPRESSION. PMS, as many women know (and are reminded by men), can lead to mood swings, random crying, cravings, irritability and more. Physical symptoms are numerous as well and include but aren’t limited to bloating, new skin blemishes, tenderness of the breasts and fatigue. Thankfully, most of these symptoms dissipate and vanish entirely within the first four days of the period. Visit your doctor if the symptoms become disruptive to daily life. Antidepressants, NSAIDs and hormonal contraceptives have all been known to effectively treat PMS. Fortunately, most women can improve their monthly struggles with simple lifestyle changes, like adding 30 minutes of light exercise to their daily routines or cutting back on salty foods to prevent bloating.
uterine fibroids
A
lso known as leiomyomas, these noncancerous growths develop from the tissue of the uterus when one cell divides itself multiple times. It creates a hard, rubber-like mass. Some grow, some don’t, but many cause symptoms like heavy or prolonged periods, back
PRE DYSPHOMENSTRUAL PREMENSTR RIC DISORDE U A L DY S P H O PMDD, IS PM RIC DISORDE R S’S V
OF THE SAME ERY UGLY COUSIN. IT C R, OR BEGINS SEVE SYMPTOMS AS PMS AN AUSES MANY WOMAN’S C Y N TO 10 DAYS BEFORE T D, SIMILARLY, CLE HE DIFFERENCE . HOWEVER, IN PMDD TH BEGINNING OF A S ERE ARE SIG IN H E IG HT NOTABLE IRR ITATION, ANG ENED EMOTIONAL RESPO NIFICANT NS ER OF HOPELES SNESS. THE M , ANXIET Y OR TENSION A ES, LIKE N AIN DIFFERE NCE BET WEE D FEELINGS PMDD IS INT N PMS AND ENSIT Y. T H E C AU S E O FP HORMONAL MDD IS UNKNOWN, BUT CHANGES OC SOME BELIEV CUR ET PERIOD ARE SIMPLY WOR RING DURING A MENSTR HE SENING THE PREEXISTING UA L S YM M AS DEPRESSIO ENTAL OR EMOTIONAL CO PTOMS OF A ND N ANTIDEPRES . FOR THIS REASON, TREA ITION, SUCH S A N TS , S P E C T IALIZED DIET MENTS LIKE CONTROL PIL S AND BIRTH LS ARE U ALLEVIATING SUALLY EFFECTIVE AT THE SYMPTO M S.
and leg pains, pelvic pressure and difficulty emptying the bladder. Experts aren’t sure of their cause but point the finger at heredity or hormonal imbalances. Treatments include watchful waiting, NSAIDs, hormonal blockers or the use of a progestin-releasing intrauterine device.
OVARIAN CYSTS
M
ANY WOMEN WILL HAVE OVARIAN CYSTS— LITTLE FLUID-FILLED SACS ON OR EMBEDDED IN THE SURFACE OF AN OVARY—AT SOME POINT IN THEIR LIVES. HOWEVER, MOST WILL COME AND GO WITHOUT ANY DISCOMFORT OR SIGN THEY WERE THERE. IT’S WHEN THEY RUPTURE THAT THE TROUBLE BEGINS. PELVIC PAIN, ESPECIALLY DURING INTERCOURSE OR BOWEL MOVEMENTS, CAN BE A GOOD INDICATOR OF RUPTURED CYSTS. A FEELING OF FULLNESS IN THE ABDOMEN OR PRESSURE ON THE BLADDER IS ALSO SOMETHING TO CALL THE DOCTOR OVER. IF YOU OR SOMEONE YOU KNOW EXPERIENCES SUDDEN AND INTENSE ABDOMINAL OR PELVIC PAIN OR PAIN WITH FEVER AND NAUSEA, IT’S OFFICIALLY AN EMERGENCY. Have no fear: These little pests are totally treatable. Usually, when cysts are found, doctors choose to keep an eye on them for a few months to see if they’ll disappear on their own. Often, they do. When a woman encounters a more persistent cyst that continues growing, causes pain or lasts through multiple menstrual cycles, surgical removal is recommended. Often, doctors will prescribe birth control to help prevent future cysts and keep everything on the up and up.
TOXIC SHOCK SYNDROME
A
s always, complicated systems suffer complicated issues. Infertility is scary and can stem from any number of causes and complications within the reproductive system. Fortunately, there are just as many treatments.
The one we hear of most is probably in vitro fertilization (IVF) and means all the fertilization occurs in a lab. Eggs are surgically obtained after a period of treatment using infertility drugs to stimulate them. The partner’s sperm is used to fertilize the eggs, and, after three to five days of hanging out and turning into real embryos, they’re returned to the cozy confines of the uterus in the hopes that one will embed itself and begin developing. Zygote intrafallopian transfer (ZIFT) and gamete intrafallopian transfer (GIFT) offer other infertility options depending on the particular issue each woman faces. GIFT is used most commonly for unexplained infertility, while ZIFT is the answer to fallopian
tube blockages, which prevent the magical meet-up between sperm and egg. IVF also enables doctors to test the genetics of each embryo for inherited illness, disability or other conditions. The process is called preimplantation genetic disorder, or PGD, and can help couples with problematic gene combinations that may lead to conditions such as muscular dystrophy, sickle cell anemia and more. Egg donors donate their own healthy eggs to be implanted into infertile mothers, which can also benefit mothers whose eggs are older or those couples who may pass on genetic conditions. Dr. Angeline Beltsos, medical director at the
HAVE NO FEAR LADIES, TSS HAS A SCARY NAME, BUT THE STATS ARE ON OUR SIDE. ONLY ONE IN 100,000 MENSTRUATING WOMEN IN THE UNITED STATES SUFFERS FROM THE ILLNESS EACH YEAR. TSS IS A RESULT OF TOXINS PRODUCED BY THE BACTERIA STAPHYLOCOCCUS AUREUS (STREET NAME: STAPH) AND HAS BEEN LINKED TO USING SUPERABSORBENT TAMPONS. STUDIES HAVEN’T BEEN ABLE TO PINPOINT WHY THEY LEAD TO A STAMPEDE OF STAPH, BUT MOST PHYSICIANS GUESS IT’S BECAUSE USERS TEND TO CHANGE THE TAMPONS LESS OFTEN BECAUSE OF THEIR HIGH ABSORBENCY. BECAUSE THEY REMAIN IN THE WARMTH OF THE BODY LONGER, THEY BECOME THE PERFECT BREEDING GROUNDS FOR THESE MICROSCOPIC TOXIN PRODUCERS. SYMPTOMS OF TSS INCLUDE SUDDEN FEVER, VOMITING, A SUNBURN-LIKE RASH ON THE PALMS OR SOLES OF THE FEET AND MORE. IF ANY OF THESE HAPPEN TO YOU WHILE USING TAMPONS OR IF YOU HAVE OPEN WOUNDS IN THE SKIN, CALL YOUR DOCTOR IMMEDIATELY.
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FLASHLIGHT ©ARTUR SYNENKO; WOMAN ©ANDRESR; HAND © REBIRTH3D ; UTERUS © CBENJASUWAN/ SHUTTERSTOCK.COM
Sources: mayoclinic.org, womenshealth.gov, webmd.com, studenthealth.ucsd.edu, toxicshock.org.au, infertilityihr.com
MITOCHONDRIAL METHODS Fertility Centers of Illinois, says one of the best things a couple can do is do their research and then question the statistics thoroughly. “Some centers have high success rates, which may reflect that they only take easier cases. Other centers may have lower success rates but deal with harder diagnoses. Every patient and medical problem is unique, so ask questions that pertain to you. Inquire about your doctor’s experience with your particular problem, as well as their success rates with women of your age,” says Beltsos. Keep in mind that all data gets a little skewed, and more important than the numbers is finding a physician you can connect with.
T
HERE’S A NEW METHOD OF TREATING INFERTILITY SHOWING HIGH SUCCESS RATES IN CANADA. ALTHOUGH IT’S STILL NOT AUTHORIZED TO BE PERFORMED IN THE UNITED STATES, THE PROCEDURE, CALLED AUGMENT, USES A WOMAN’S OWN CELL POWER TO HER ADVANTAGE. Mitochondria are referred to in every science textbook as the powerhouse of the cell, providing energy for all of the cell’s little functions. Doctors are now able to use women’s own mitochondria from immature egg cells to reenergize the mature eggs and make them viable once again. After surgically removing a small piece of an ovary and harvesting some mature eggs from the patient, doctors add sperm and mitochondria to the mature egg and transfer the embryo back into the womb later. Sound familiar? It is. This procedure is IVF plus the extra ingredient of mitochondria. The purpose of the additive is to raise the successful fertilization rate in women who are older and may have trouble becoming pregnant due to age. “Like a flashlight sitting on a shelf in a closet for 38 years, there really isn’t anything wrong with the flashlight,” says Dr. Robert Casper, a reproductive endocrinologist at the Toronto Center for Advanced Reproductive Technology. “But it doesn’t work when you try to turn it on because the batteries have run down. And we think that’s very similar to what’s happening physiologically in women as they get into their 30s.” So far the FDA is prohibiting the treatment until there is more proof of its benefits. Professionals certainly hope to bring Augment to the United States and help women in our fair nation achieve their family goals— but only after there are fewer unknowns about its safety.
D
ear reader, the most important thing you can do to ensure your reproductive health is to know thyself. Become as familiar as possible with your menstrual cycles, like what kind of cramping and flow is normal for you. The afflictions above may sound scary, but knowing your body well is your best defense. Talk to your doctor if you notice something is amiss, and use the power of early detection to your advantage.
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a different type of patient R esident physicians and medical students at the James H. Quillen College of Medicine at East Tennessee State University never know what to expect when they are in the operating room with patient Chloe. BY LEIGH ANN LAUBE
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Chloe might go into cardiac arrest, or she might experience malignant hyperthermia, a rare but life-threatening condition triggered by exposure to certain general anesthetics. Or, there may be a fire in the room. Fortunately, Surgical Chloe isn’t real. She’s the world’s first full-body, high-fidelity surgical simulator—designed and created at ETSU. “Chloe has many different forms she can be used for,” explains Dr. Martin Olsen, Chloe’s creator and a professor and director of the OB/GYN residency program in the ETSU Department of Obstetrics and Gynecology. “We teach how to operate, we do team training and we do crisis management and thinking skills.” With the increasing emphasis on patient safety in the last decade, Surgical Chloe is used more for crisis management and thinking skills, Olsen says. “You could not possibly teach fire in the operating room with real patients,” he says. Surgical Chloe is an anatomical facsimile of a human woman, developed to train medical residents, students and physicians in obstetrics and gynecological procedures. She is lifelike in the sense that she not only resembles an adult female in outward appearance, but also internally, with a simulated circulatory system, lung sounds, heart sounds, a trachea and different uterine and abdominal wall inserts that can be interchanged to teach a range of medical procedures. Chloe was developed through collaboration among university faculty members from ETSU’s College of Medicine and the College of Business and Technology. Gaumard Scientific, which specializes in manufacturing simulators for health care education, purchased the rights from ETSU to mass produce and market the Chloe prototype. Chloe is different from other simulators because medical residents and students use scalpels to actually cut on her. “She is on three continents now,” Olsen says. “The interesting thing is she is selling more to private hospitals than academic hospitals, and they’re using her for patient safety drills.” Today, ETSU has one full-size Chloe and one torso version, which Olsen says is experimental and not for sale. “She’s one component of our simulation program, and our program is as good as anybody’s,” Olsen says. “When candidates are interviewing, we show them Chloe. I think if they’re coming to ETSU, we get a check mark in the plus column for having her.”
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So, what is a “blue plum” anyway—and what does one taste like?
No one knows exactly how the name originated, but the Blue Plum Arts and Music Festival—Johnson City’s biggest annual festival and the largest free event in the Tri-Cities— tastes sweet like summer. It draws an estimated 80,000 people downtown to kick off the summer with a celebration of music, food and the arts.
“I
think it’s the time of year,” says Deanna Hays, director of events for Friends of Olde Downtowne, which hosts the event, about what makes it such a popular draw. “Yes, it’s hot, but there are drinks and places to get cool, and you sort of forget about it: The music’s cool, the vendors are interesting and engaging and the people are really friendly.” Held in early June, Blue Plum takes over the heart of downtown Johnson City with a main stage, a jazz stage and food and craft vendors lining the streets. There’s a children’s area with activities like inflatable bounce houses, storytellers and water balloon launchers. Every year, Hays says, she hears from visitors about just how friendly everyone is; Blue Plum is also a taste of Southern hospitality. “Downtown is really wanting people to get a feel for what it’s like there every day,” she says, “and this is the opportunity for them to do that.” The festival's name was drawn from a footnote of local history: In the mid-1800s, there was a post office near present-day Milligan College that was called Blue Plum (no one knows why), and the festival founders
thought it would be a fun and memorable name that gives a nod to Johnson City’s past. The Blue Plum post office was closed after the opening of Johnson’s Depot in 1857, says Jose Castillo, a co-founder of Johnson City’s historical association. Johnson’s Depot was named for Henry Johnson, who built a water tank—a necessity in the days of steam engines— at the convergence of three railroads. After the tank, he built a depot, which would also become the new post office, and a town grew up around it. That town would become Johnson City. The Blue Plum festival has been growing ever since it started 16 years ago, says Dick Nelson, who has served as art and craft coordinator for the event since its inception. “The very first year of the Blue Plum, we had probably 15 art and craft vendors. A lot of them were ETSU students, and they just literally laid their artwork in the street,” Nelson says. “After that first year, we named it Blue Plum, and things got better. We had good music booked, and we started getting more of the really good art and
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craft vendors, and as time progressed, we’ve kind of all grown up together into this.” Today, the festival draws an estimated 80,000 people, and there’s a lot of competition for the 45 craft vendor spots. About half the vendors come from the Tri-Cities region, and the other half come from across the country. Typically, about a dozen vendors will also do craft demonstrations. Hays says the selection process for every aspect of the festival is set up to ensure that the experience is fresh and new—from crafts to music to food. And although the festival is known for its Americana music, there’s an effort to bring variety with a jazz stage in addition to the main Fountain Square Stage. “There will be young and old groups,” Hays says, “and people you have heard of and new musicians that are up and coming.” The festival also strives for a unique variety with its food vendors, says Kevin Jones, food court coordinator for the event, who selects about 20 food vendors in a competitive process. “We think our food court is probably one of the best food courts at a festival because we try not to duplicate items,” he says. “We’ve got all your staples covered—funnel cakes, kettle corn and cotton candy, but then we’ve also got Greek food, mushroom sandwiches and bacon pops.” The idea, he says, is to give people a chance to sample different things—from ice cream sandwiches handmade on a vintage ice cream truck to Amish pretzels and donuts. All of Johnson City’s downtown businesses are open during the festival, and a lot of them have special sales, with merchandise out in front of their shops, interspersed among the art and craft vendors. This year’s festival will also include a variety of community activities, including a 5K race, a CrossFit competition and an animation festival, and two ticketed events at Founders Park: a beer-tasting and a Saturday night concert. Dianna Cantler, downtown development manager for the Washington County Economic Development Council, says Blue Plum is a great boost for downtown, with an annual economic impact of $450,000 for the local economy—and it continues to drive economic activity after it’s over. “As people walk around throughout the festival footprint, they see businesses they may not have known about downtown,” Cantler says. “We also get the chance to highlight our local restaurants, which we have so many of downtown. Our goal is
Elizabethton Covered Bridge Celebration
More
Summer
Fun
In addition to Blue Plum, the Tri-Cities region is host to a variety of festivals in June, celebrating everything from the bridge in Elizabethton to the flowers in bloom on Roan Mountain. Here’s a rundown of other festivals taking place around the area in June.
JUNE 10-13, ELIZABETHTON / Free admission This year’s music will be Christian on Wednesday, bluegrass on Thursday, country on Friday and rock on Saturday. On Friday and Saturday, Covered Bridge Park will be filled with arts and crafts, kids’ games and activities, food vendors and events. elizabethtonchamber.com/pages/covered-bridge-celebration or (423) 547-3850
Mountains of Music Homecoming JUNE 12-20, SW VIRGINIA / Admission varies by event This brand-new festival is extremely broad in scope, tying together dozens of concerts and cultural experiences throughout Southwest Virginia. The common thread is The Crooked Road: Virginia’s Heritage Music Trail, in this celebration of music and communities. mtnsofmusic.com
Appalachian Heritage Fair JUNE 13-14, LIMESTONE / Free admission Davy Crockett Birthplace State Park hosts a festival featuring local artisans, traditional handmade crafts, flowers, herbs, mountain
that not only will people see retail and restaurants during the festival, they’ll return another evening or weekend to enjoy what we have downtown.” As Johnson City’s downtown revitalization effort continues to progress, Cantler encourages people to come and see the transformation that’s taking place. The Tweetsie Trail has become a popular destination since it opened last year, and a new farmers market pavilion is being built downtown. With the completion of Founders Park—a public green space and a major phase in the city’s stormwater control project to reduce flooding— Johnson City is seeing downtown business development really take off. “The other thing that I like about Blue Plum is it’s sort of the first event of the summer. It’s always one of those events where I see somebody I maybe haven’t seen in a year,” Cantler says. “It’s a great way for the community to come together and celebrate the beginning of summer.”
Want To Go?
Blue Plum Arts and Music Festival
music and other aspects of East Tennessee’s cultural heritage. tnstateparks.com/parks/about/davy-crockett-birthplace or (423) 257-2167
Best Friend Festival JUNE 16-20, NORTON, VA / Free admission This festival features a big sandbox picnic on Wednesday; senior citizens’ events on Thursday; a concert, craft vendors and inflatables on Friday; and a citywide yard sale on Saturday. facebook.com/bestfriendfestival or (276) 679-0961
Greater Richlands Area Festival JUNE 16-20, RICHLANDS, VA Free admission, carnival $15-20 This family-oriented annual event brings an estimated 25,000 people each year to the musical entertainment, carnival and arts and crafts fair downtown. (276) 963-3385
Free admission blueplum.org facebook.com/blueplum
FRI., JUNE 5 Festival: 11am-11pm Music: 6-10pm
SAT., JUNE 6 Festival: 11am-11pm Music: 1-10pm
SUN., JUNE 7 Bicycle Race: 8am Blue Plum Revival: 1-3pm
Hops & Howlers Craft Brew Fest JUNE 20, ABINGDON, VA Admission: $35-$55 More than 25 micro-breweries will be represented at this beer-tasting festival on Remsburg Drive. Intentionally set for Fathers’ Day weekend, this party comes with ’70s rock and roll, a homebrew competition and the opportunity to learn more about beer. hopsandhowlers.com or (276) 676-2282
Roan Mountain Rhododendron Festival JUNE 20-21, ROAN MOUNTAIN Free admission A celebration of the rhododendrons in bloom on the mountain, this festival at Roan Mountain State Park features more than 100 craft vendors, bluegrass music on Saturday and gospel on Sunday. Festival admission is free, but seeing the bloom up close takes a drive to the top of the mountain and is $3 per car. tnstateparks.com/parks/events/roan-mountain or (423) 722-3303
Free Concerts Downtown!
Don’t forget the Tri-Cities’ two free downtown concert series, Twilight Alive in Kingsport and Border Bash in Bristol. KINGSPORT shuts down Broad Street every Thursday and Friday night in May and June for free concerts from 7-10pm. For more details, visit visitkingsport.com/concert-series.html, check out facebook.com/downtownkingsportconcertseries, or call (423) 392-8800. BRISTOL closes State Street every other Friday night from mid-May through August for free events, with kids’ activities beginning at 6pm and concerts from 7-9pm. For details, check out birthplaceofcountrymusic.org or call (423) 573-1927.
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PHOTO BY WWW.FRESHAIRPHOTO.COM
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ENDER INEQUALITY IS A DEFINING ASPECT OF MANY CAREERS, EVEN IN TODAY’S WORLD OF INCREASING EMPLOYMENT FAIRNESS. THINK ABOUT IT. HOW MANY PARENTS ENCOURAGE THEIR DAUGHTERS TO CONSIDER CAREERS IN LAW ENFORCEMENT, AUTO MECHANICS, CONSTRUCTION OR ENGINEERING? FOUR LOCAL WOMEN FOLLOWED THEIR HEARTS AND HAVE SUCCEEDED IN JOBS HISTORICALLY HELD BY MEN. FIND OUT WHY THEY CHOSE THESE JOBS AND WHAT IT HAS TAKEN TO OVERCOME OBSTACLES IN THESE UNOFFICIAL BOYS’ CLUBS. BY
LEIGH ANN LAUBE
N A I T S I R ISA CH
L
.
A AS LIS RSELF E H S ODUCE S FOR E INTR WORK H E S H , S W M E NE S THE ER, SH EONE HARD E TELL S SOM H E L T S , E T E G T . N M H A LI ERIFF TIAN A LIVI EY PUS HE SH CHRIS S FOR H T E T A O O S F T I D I L . E E HEN MAND AT SH OFFIC IN COM SK WH RIFF’S D E A N H Y O S E C TY IF TH TY, SE COUN F DEPU E LIVAN I L H U C S E THE E’S TH EM SH H T S L TEL
“I want people to know who I am, not what my position is. That’s not important to me. I identify as Lisa, not the chief deputy at the sheriff’s office,” she says. In late February, Christian had her 31st anniversary with the SCSO. “I tell everyone it’s the greatest show on Earth every day,” she says. Christian chose her career when she was around 20 years old. “I started in records. At that time, the [former] sheriff did not allow women in patrol. We did a lot of the duties in the jail, or if females were needed on patrol, we were always with someone,” she explains. “After I started working at the sheriff’s department, I knew I wanted to be a police officer. During that time, women were limited in what they could do—records or dispatch. We didn’t even have female jail matrons; they’re now called corrections officers. The first one came in 1986.” Christian was hired in February 1984 and quickly rose through the ranks. She was promoted in November 2006 to chief deputy. Today, approximately 20 percent of the SCSO’s workforce is female. Of those 67 females, 14 are post-certified, meaning they’ve graduated from the Tennessee Law Enforcement Training Academy. These include the chief deputy, an accreditation manager, one public information/ public relation’s officer, a school resource officer, three patrol officers, three detectives, one vice detective, a corrections supervisor and two courthouse security officers. Christian believes there are multiple reasons why more women don’t enter law enforcement. “One of the reasons is because women have children, and… this is not a safe occupation. The hours, there’s a lot of shift work and a lot of call out. You have to be ready and available, and I think that’s a lot of it. The dangers of it. That has a lot to do with it,” she says. During Christian’s patrol days, her mother was so concerned for her safety that she would ask Christian to call her at the end of her shift.
PHOTO BY WWW.FRESHAIRPHOTO.COM
W
“That bothered me. It made me think ‘Am I doing the right thing?’ For me, I was doing the right thing. She eventually got used to it. She didn’t necessarily care for it, but she’s very proud of me,” she says. Christian chose this career as a way to help others. “If I can make a difference, especially in children’s lives, then my life is worth it. This isn’t unique to females. Obviously, it’s not the pay. It’s that they enjoy helping people. That’s what I like the most,” she says. Christian’s husband and son also work for the SCSO, so they understand the demands of her job. “There’s no way, if you don’t have family support as a female in law enforcement, you could survive. I’ve been very fortunate about that,” she says.
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FOR
A
FORBES FINALLY FOUND THE JOB WHERE SHE’S ALREADY MADE HISTORY. SHE INTENDS TO RETIRE IN A FEW YEARS AFTER REACHING ANOTHER MILESTONE.
As an engineer with the Kingsport Fire Department, Forbes is the first and only woman to make rank. When she eventually hangs up her gear, she intends to do so as captain. Forbes was hired by KFD in 1994 at age 29. She had left a job she hated and was encouraged by friends to test with both the fire and police departments. “I was told I was one of the few women who could do it,” she recalls. She passed the written and physical agility tests for both fire and police, and KFD contacted her first about working for them. “I didn’t have any concerns,” she says. “I knew I could do anything that was asked of me.” It hasn’t always been an easy ride, but Forbes feels she’s paved the way for other women to join the department—if there were others. One female was employed at KFD when Forbes arrived, but she wasn’t there very long. Another female was hired after Forbes, but she didn’t stay long either. Forbes, who has a degree in home economics, believes women don’t apply because there’s a lack of interest and because it’s difficult for them to pass the exams. “My job has a lot of perks, and I love the guys I work with. It’s the good times and the bad times. Twenty years ago, any problems I had did not come from within the ranks of my peers. It was management. Now, I am, for the most part, accepted as one of the guys,” she says. “(Under the) new management, I do not have those problems. I’m treated like anyone else, and they expect the same of me as everyone else.” As engineer, Forbes rotates fire stations with the same captain and firefighter. “We are normally at a station for a year or two. Right now, I’m at Station 1. I have the same captain all the time, but sometimes the crew in the back changes,” she says. Forbes is responsible for everything about the fire truck. She makes sure the truck and equipment are in good working order. She’s the driver, so she must know her way around Kingsport. During a fire, she operates the water pump. If the captain is off, she’s acting captain. She works the same shift as everyone else—24 [hours] on, 24 off, 24 on, 24 off, 24 on, then four days off. “When we’re working, it’s wide open, but when we’re kicking back, I have more fun than I’ve ever had in my life,” she says.
The fire department has a staff of more than 100. Forbes’ favorite part of her job is the camaraderie. “That’s the one thing, when I leave, I won’t have that anymore. You’re family,” she says. “I don’t care if you don’t like them. If there’s a need, we all pull together.”
PHOTO BY WWW.FRESHAIRPHOTO.COM
AVBAES
FTER TRYING OUT A COUPLE OF DIFFERENT CAREERS, AVA
JESSEE PORTRAIT COURTESY OF EASTMAN CHEMICAL
SUSZSEYE JE
W
ITHIN EASTMAN CHEMICAL COMPANY’S ANALYTICAL ORGANIZATION, THERE ARE PLENTY OF FEMALE
SCIENTISTS, BUT SUZY JESSEE IS ONE OF THE FEW FEMALE CHEMICAL ENGINEERS. She still remembers the day, shortly after her hiring at the global specialty chemical company, that she was told by an older male employee that her hiring had taken a job away from a man. Jessee manages Eastman’s HAZLAB/Design Data Laboratory. “We run analytical tests on various Eastman materials— solids, liquids, blends, solutions,” she explains Jessee was raised, and still lives, in nearby Hiltons, Virginia. She has two older brothers, one of whom is also a chemical engineer. She earned her bachelor’s degree in chemical engineering from Virginia Tech in 1991 and was hired at Eastman after graduation. Though her chemical engineering classes at Tech were one-third women, there were no female professors. “Chemical engineering had more women than the other engineering disciplines,” she says. “I enjoyed it. I did well in school. I also co-oped [at Eastman], so I had some idea of what my career would be like.”
During her co-op experience, Jessee wasn’t in the company of very many other women. She did, however, have a female mentor in one of her sessions. “That was helpful,” she says. “I could see another woman succeed.” Jessee’s lab does physical hazards testing, and she’s a member of ASTM International, known until 2011 as the American Society for Testing and Materials. When she attends ASTM meetings, she’s the only female. When people first learn she’s a chemical engineer, their reaction is “ooooooohh,” Jessee says. “They automatically think you’re really smart, and they probably don’t understand what chemical engineers do, because most people don’t.” Upon her hiring in 1991, there were 70 engineers on her floor. She was one of three women. “It’s changed,” she says. “They’ve done a good job in recent years of appreciating diversity of thinking and skills that are more inclusive of things that are more feminine. They’re more accepting of different styles of leadership.” While Jessee believes males may have more confidence starting out in her field, she says just because you speak confidently doesn’t mean you’re smarter. “Females are more likely to ask for help. Women are adaptable. That’s really important because the business world is changing very, very quickly,” she says.
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JEANLNE Y
PHOTO BY WWW.FRESHAIRPHOTO.COM
STA
Stanley, a graduate of Science Hill High School, found her passion for law by watching the successful, yet fictional criminal defense lawyer Perry Mason. “This guy has the best life,” Stanley remembers thinking. Stanley’s mother was a nurse’s aide, and, for awhile, she encouraged her daughter to consider nursing. “I was blessed to have parents who told me that I could do anything I wanted,” she says. At East Tennessee State University, Stanley majored in journalism and sociology. “My backup plan was to be Walter Cronkite,” she explains. She went on to law school at the University of Tennessee and received her license to practice law in Tennessee in 1978. During law school, Stanley was surrounded by predominately male professors. However, she wasn’t the only female law student. “That was one of the first years [1975] with a real effort to bring in minorities,” she says. Upward of 20 percent of her fellow students were female. After graduation, she returned to Johnson City to practice, going straight into trial work. She often found herself the only female in the courtroom and once realized she was on the receiving end of an unspoken challenge by a judge who was checking his docket.
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JEAN JUDGE T R U E CO HE TIM IRCUIT W BY T E N K HAT LEY OLD W STAN S R A YE AS 13 N SHE SHE W O WHE D O T D ANTE LAN. SHE W KUP P C A B HAD A T, SHE U B . P U
C
GREW
She eventually began thinking about judgeship. “I had done a lot of civil rights litigation. It was more interesting to me to ponder both sides,” she explains. In 1998, she was elected circuit court judge, serving Carter, Johnson, Unicoi and Washington Counties. She is currently serving her third eight-year term, which runs through 2022. “I don’t have a problem making a decision. I’m pretty easy to get along with. I don’t throw temper tantrums. I like order in my court. I don’t put up with a lot of bull,” she says. Stanley believes she’s been retained as judge because she has common sense, is reasonably laid back and is quick to make a decision. Washington County, she says, has long been progressive in appointing and electing female judges. One of the first was Bristol-born Shirley Underwood, who was appointed juvenile court judge by Tennessee Gov. Buford Ellington in 1961 and, in 1962, was elected to her first eight-year term. She was subsequently re-elected four times. Penny White, a Kingsport native who served Tennessee’s First Judicial Circuit in Washington County, became the second woman to serve on the Tennessee Supreme Court, the state’s highest court. Stanley hasn’t decided whether she will run for re-election but thinks she probably won’t. She is very active with the Washington County Humane Society, raises horses and likes to camp. For now, though, she loves almost everything about her job. “Every day is different. I have four different counties. I do every kind of case from termination of parental rights to car wrecks,” she says. Her least favorite part of her job? Divorce cases involving children. “I ended up exactly where I belong,” she says.
HE ALT H Y
body
FOOT ŠVALUA VITALY/SHUTTERSTOCK.COM
NUTRITION | FITNESS | BEAUT Y
Source: health.com
eet
f us ulo fa b
e .W e r he ple n is f sim in tip o s ea lo es al s andfu ur to d n o Sa e a h et y ove g em go au hav s to . R p e ils? oes g ste shap na our t bbin ill d p u ls w to ore et y . R i col and l week oena s i t D sh, a r r u i r pol ral fo on yo up. u oil ate il, a t a w m n on e th eo rm lem hten wa a tre ill off y. a g e k i t in dr e br to lge k. Us ptic, ly pat u ot Ind t soa ntise ough r fo r o a o o o l e f ura h .T ton ing nat teria e s foliat c i ex r to bac um a p nd an howe . e Us sh a he s areas d, t e bru ub in ough ore b cks. f r r o e c h b s fy s oot ze sm isturi n com o Mo put d n a
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A
applause for ACV ACV!!
pple cider vinegar is so in. Salad dressing, marinades, vinaigrettes and chutneys. The main reasons apple cider doesn’t sit stagnant on the store’s shelves, right? Well, no. Rumor has it, people are stocking up on this staple as a replacement for several established beauty products. Take that Maybelline!
CHECK OUT THESE TIPS AND TRICKS THAT JUST MAY HAVE YOU MOVING THE VINEGAR FROM YOUR PANTRY TO YOUR MEDICINE CABINET.
HAPPIER HAIR. APPLE CIDER VINEGAR DOES A GREAT JOB AT GETTING RID OF THE YUCKY RESIDUE MANY SHAMPOOS AND CONDITIONERS OFTEN LEAVE BEHIND. MIX EQUAL PARTS ACV AND WATER IN A SPRAY BOTTLE. AFTER SHAMPOOING, SPRITZ ON HAIR AND MASSAGE INTO SCALP. LET SIT A FEW MINUTES BEFORE RINSING. NO NEED TO CONDITION!
ZAPPING ZITS. Dab raw apple cider vinegar on a breakout right before bed time. The malic acid in the vinegar makes it antibacterial, while the amino acids work hard to balance the skin’s hydration to calm irritation. Your skin should look better by morning. NIX THE VEINS. USE A COTTON BALL TO RUB OVER TROUBLESOME VARICOSE VEINS. THE HIGH LEVELS OF VITAMINS IN THE ACV WILL HELP REDUCE THE APPEARANCE OF UNSIGHTLY VEINS. WORKS TO HEAL BRUISES AS WELL! FADING FUNGUS. One way to rid yourself of toe fungus is to soak the affected nail in an apple
SMOOTHER SKIN. NUTRIENTS FOUND IN APPLE CIDER VINEGAR HELP PROMOTE SMOOTHER, HEALTHIER SKIN. MIX 1 TABLESPOON ACV WITH 2 CUPS OF WATER. LIGHTLY SPRITZ OR DAB ON FACE TO TONE AND BRIGHTEN SKIN AFTER CLEANSING. NO WORRIES, THE VINEGAR SMELL WON’T LINGER.
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GIRL © EDYTA PAWLOWSKA; VINEGAR ©IVASCHENKO ROMAN; HAIR © EXOPIXEL/ SHUTTERSTOCK.COM
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cider vinegar footbath. The acid creates an unfriendly environment for the fungus without damaging the surrounding skin. SOFTER SCALP. APPLE CIDER VINEGAR HAS BEEN HELPFUL WHEN IT COMES TO THE EXTERMINATION OF DANDRUFF, WHILE ALSO STIMULATING HAIR FOLLICLES FOR HEALTHY HAIR GROWTH. SATURATE YOUR SCALP WITH A MIXTURE OF 1 PART WATER AND 1 PART VINEGAR SEVERAL TIMES A WEEK FOR 10 MINUTES. RINSE AND STYLE AS USUAL. BOOMIN’ BREATH. Need something to nix your bad breath? Because of the acidity and minerals found in the cider, it works as a natural bacteria-fighting agent that targets bad breath. Mix a half tablespoon of apple cider vinegar with a tablespoon of baking soda to make a paste that you can easily brush onto your teeth. Not for you? Try gargling it as a mouthwash.
Sources: huffingtonpost.com, Women’s Health
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WALLACE SUBARU JOHNSON CITY
Tennessee’s
largest subaru SHOWROOM*
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NOW MORE THAN EVER, IT’S love.
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ABBEY & ELLE *ACCORDING TO SUBARU FACILITY REPORTS-ATLANTA ZONE.
MAY 2015
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HE ALT H Y
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rise, shine, dine
D
If you’re looking to impress your wife—or mom—with breakfast in bed, look no further than this recipe from Heidi Larsen at foodiecrush.com. These egg and asparagus toasts are eye-catching without being complicated and incredibly tasty to boot. You’ll need… 20-25 spears skinny asparagus
4
slices sourdough bread or ciabatta
Extra virgin olive oil
3
tbsp butter
Kosher salt, freshly ground black pepper
4
large eggs
1
tbsp half-and-half or milk
2
ounces havarti or Swiss cheese, shredded or cubed
2
ounces pancetta or bacon, cooked
Layer asparagus on a baking sheet, and drizzle with extra virgin olive oil. Season with kosher salt and black pepper. Broil in oven for 5-8 minutes or until lightly roasted. Set aside. Toast bread slices; then spread with butter. Whisk eggs and half-and-half in a bowl. Season with pinch of kosher salt. Melt 1 tbsp of butter in a non-stick frying pan over medium heat, and add eggs. Let the eggs cook until the edge begins to bubble; then gently push the edges of the egg into the center of the pan with a spatula and continue to stir the eggs. When eggs are almost cooked, add cheese and stir until melted. Remove from heat while eggs are still soft.Top the buttered toasts with ¼ of the scrambled egg. Top with roasted asparagus and pancetta. Serve immediately.
beautiful breakfast tart Blogger Sue Moran of theviewfromgreatisland.com knows just how to turn seasonal spring fruits into a stunning morning meal. Besides its aesthetic appeal, this tart is both light and filling and provides all the nutrition you could ever ask of your breakfast. You’ll need… 1 ½ cup old-fashioned oats 1
5
40
cup mixed chopped nuts and seeds (Sue used almonds, pistachios, hazelnuts, walnuts, pumpkin seeds and sesame seeds) tbsp butter, melted
tchealthyliving.com | MAY 2015
¼
cup honey
1
tsp vanilla extract
3
cups Greek yogurt, coconut yogurt or almond yogurt Assorted fruit for topping
Set oven to 325°F. Mix oats, nuts, seeds, melted butter, honey and vanilla together in a bowl until everything is thoroughly coated. Press mixture into greased 10-inch pie pan with removable bottom. Use measuring cup to press granola evenly across pan and up the sides. Bake for 15 minutes until lightly golden. Let cool. Fill tart with yogurt, and spread evenly. Arrange fruit on top, and serve immediately.
Recipe and photo courtesy of Sue Moran, theviewfromgreatisland.com.
scrambled egg and roasted asparagus toasts
Recipe and photo courtesy of Heidi Larsen, foodiecrush.com.
on’t settle for drab, boring old breakfasts. We have two delightful, healthy options on deck to make this weekend a delicious one (and they’re totally Instagram-worthy, too).
care
GENTLE, EFFECTIVE
FOR THE E N T I R E FA M I LY • Chiropractic Services • Massage • Health & Wellness Services • Sports Medicine & Injury
Celebrating 25 years in practice!
Dr. Sheri D. Wingate
423-538-4000
5661 Hwy 11-E Ste 1 Piney Flats, TN 37686
pineyflatschiropracticcenter.net
HEALTH MATTERS As women approach menopause, hormonal fluctuations not only cause hot flashes and night sweats, but also brain fog, sleeplessness, irritability and mood swings. It can be a challenging time of “transition” not only for them, but their families as well. With menopause, female hormonal production slowly converts from the ovaries to the adrenals. Unfortunately, many women’s lifestyle habits of unmanaged stress, poor diet and lack of sleep tend to weaken their adrenals when they need them most. A natural approach of nourishing the adrenals helps to balance hormonal production, therefore easing symptoms. For those women looking for a natural alternative, Transitions is formulated with a blend of traditional herbs used for centuries for regulating female hormones. Unlike pharmaceutical hormone replacement thought to be linked to a greater risk of breast cancer and heart disease, Transitions has been proven safe and effective. As always, we guarantee your satisfaction.
Patsy Meridith, CNC Certified Nutrition Consultant Owner of Natural Foods Market
423-610-1000 3211 Peoples St., Ste 74 Johnson City, TN NFMonline.com
A FIT LIFE IS A MARATHON NOT A SPRINT LET US HELP YOU REACH YOUR FITNESS GOALS FUN & VARIED WORKOUTS ATTENTIVE COACHING FROM PASSIONATE AND CARING INDIVIDUALS
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423-573-9443
2400 VOLUNTEER PKWAY, SUITE D • BRISTOL TN 37620 W W W.CROSS FITTFB.CO M MAY 2015
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make-you-move apps for kids
T
hey’re everywhere. They sit at restaurants—hunched over flashing screens. They punch buttons in the car—insistent upon reaching the next level. And they lounge around at home—electronics in hand, begging for your permission to purchase yet another app.
A recent study by the Kaiser Family Foundation took some time to tally the numbers and found that most kids devote an average of seven hours and 38 minutes to media use during a typical day. With seemingly little to no time for anything else, this trending addiction is leaving many with opinions on the productivity level coming out of these small black screens. Chances are you’re not going to turn your kid off of his device, so why not put it to work for him? Who says you can’t use your cell or tablet for a greater purpose than playing Minecraft or Bejeweled. We’ve searched out some top fitness and health apps designed just for kids. Yes, apps just earned a little more credibility. Check them out.
smash your food iPHONE COMPATIBLE | $2.99
Based on age-appropriate levels of certain ingredients like sugar and salt, kids are challenged to determine whether a food is healthy or not. Learn how to read nutritional labels by practicing with common fast foods, and estimate the number of sugar cubes and teaspoons of oil and salt in each item. Finally, after determining whether the food is a yay or a nay healthwise, kids get to smash the food! Bye-bye soda cans and jelly donuts!
motionmaze iPHONE COMPATIBLE | Free A puzzle powered by your movement, this game requires you to get up and move as you help Captain Mapp traverse his way through the treasure map mazes. How fast can you solve the puzzles?
workout in a bag for kids iPHONE COMPATIBLE | $2.99 “Mummy Walks,” “Frog Hops,” “Spidermans” and “Flamingos”— what’s not to like? In no time, you’ll coast through these funny sounding exercises right alongside your personalized workout buddy character.
iron kids iPHONE COMPATIBLE | $3.99 Choose a sport, any sport. This app will help kids prepare to excel in that sport by teaching the fundamentals of safety, strength, balance and determination through a series of custom fitness videos.
kurbo weight loss for kids iPHONE & ANDROID COMPATIBLE | Free Kurbo helps kids and families work toward their weight loss goals together. Develop healthy habits, including exercise and eating. What are you waiting for? Your family’s health will thank you.
fitnesskids iPHONE COMPATIBLE | $2.99 The music and colorful backgrounds are only half of what makes this app so exciting. Offering 25 exercises to choose from, the challenging levels and fun competitions are what kids will look forward to most.
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SMASH © WWW.BALANCINGHEALTH.NET; KURBO © KURBO.COM; FITNESS©APPOLEARNING.COMMOTION AND IRON © ITUNES.COM; KIDS OUTLINE© MELISSA KING/ SHUTTERSTOCK.COM
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Sources: totalbeauty.com, mercola.com, webmd.com, prevention.com
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SCAN HERE TO VISIT OUR WEBSITE
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1393 VOLUNTEER PARKWAY SUITE 9, BRISTOL TN 37620 | (423) 797-4470 | BRISTOLGOLFCLUBFITTING.COM
Moms, are you looking for that “something” to do for yourself? This could be the YOU time you were looking for! From ladies’ golf & tennis to amazing social events we have it all! We have activities for the kids, and limited childcare is available, so you can take the time to have “me” time.
Come check out the Johnson City Country Club! We offer memberships with golf, tennis, pool, food & beverages! Give us a call at 423.975.5520 or email
news@johnsoncitycountryclub.com for more information.
MAY 2015
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Opiate addiction is a very dangerous and real epidemic in the United States. Millions of people every year abuse illicit opioid drugs and prescription medications. According to the CDC, opiate overdoses have passed traffic accidents as the leading cause of death in the U.S. It is a serious medical condition that can be very damaging to a person’s mental, physical and emotional health; it damages families and may even cause death. If you are suffering from opiate addiction, you are not alone, and you can turn to help by contacting the experienced and compassionate staff here at Watauga Recovery Center THE WATAUGA RECOVERY CENTER Intentional Recovery Education Program is our unique approach to assisting our patients in developing a strong, 4-level recovery foundation and teaching the life skills needed for relapse prevention.
“Addiction is a Disease, Let’s Treat it That Way.”
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3114 Browns Mill Road Johnson City, TN, 37604 (423) 631-0432 www.wrchope.org
Š TRIFONOV IGOR / SHUTTERSTOCK.COM
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balance MIND | SPIRIT | FINANCE
Source: Elevatedtoday.com
the power of red In a new study by the University of Tennessee, women with red hair were described as more assertive, confident and capable. The study even revealed that redheads are actually four times more likely to be CEOs than us lacking in that pheomelanin pigment! Other strange-but-true redhead facts? Redheads often require more anesthesia to be sedated, often have a higher pain tolerance and are more susceptible to bitter cold temperatures. All of this thanks to the MC1R gene!
MAY 2015
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the burglar blues A ccording to the Federal Bureau of Investigations, a home burglary occurs every 13 seconds in the United States. With 2,000,000 home burglaries reported each year in this country alone, it could easily be someone you know—it could easily be you.
Most statistics point out that burglars spend less than 60 seconds breaking into a home. In one minute’s time, they are in and out. Crazy, right? So what measures can you take to help keep your home, and your family, safe and sound?
MOST COMMON POINTS OF ENTRY FOR HOME BREAK-INS
9% 23%
22%
GARAGE
BACK DOOR
2%
FIRST FLOOR WINDOWS
34%
FRONT DOOR
SECOND FLOOR
4%
6%
OTHER UNLOCKED ENTRANCES AND STORAGE AREAS Notice a pattern? According to statistics, doors are the most common points of entry for home break-ins, but whether the burglar will kick the door in, pick the lock or unhinge it is something that these statistics cannot predict. TAKE A LOOK AT THESE SECURITY FEATURES THAT JUST MIGHT MAKE YOUR WOULD-BE BURGLAR RUN THE OTHER WAY. • USE A SOLID, METAL DOOR THAT IS STURDY ENOUGH TO WITHSTAND A FORCEFUL KICK— OR TWO OR THREE. • USE A DEADBOLT WITH AT LEAST A 1-INCH THROW BOLT. • USE A QUALITY KNOB-INLOCK SET WITH DEAD LATCH MECHANISM. • USE A HEAVY-DUTY STRIKE PLATE WITH 3-INCH SCREWS INTO THE FRAME. • IF YOU HAVE SCREEN DOORS, INSERT METAL TRACK BLOCKERS TO PREVENT EASY ACCESS.
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BURGLAR © RYAN JORGENSEN - JORGO; HOUSE © SLAVO VALIGURSKY / SHUTTERSTOCK.COM
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BASEMENT
HERE ARE A FEW MORE WAYS TO KEEP THOSE INTRUDERS OUT AND AWAY—FOR GOOD! SIGN UP. A security system is a sure-fire way to keep burglars at a safe distance. CLOSE IT. An open garage door is a great way to let your belongings be known to a passerby. Keep it shut if you want to keep your things! BE A GOOD NEIGHBOR. Watch out for your neighbors, and they will do the same for you. VALUABLES DON’T BELONG IN THE BEDROOM. The bedroom is the most obvious place to keep money, jewelry and other valuables. Choose a different spot. An out-of-the-way closet maybe? TURN IT UP. If someone hears noise coming from your house, they are far less likely to continue on with their burglary plans. Leave the radio on when you’re not at home. Your pets might appreciate the added noise, too!
Source: adtdoor.com
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Certified Public Accountant Established 2003
Bookkeeping • Tax Services • Consulting
www.braggcpa.com info@braggcpa.com Phone: 423.523.9822 Fax: 888.227.8503 We provide personal service and specialize in individuals, small business and non-profit
“Our Strength. Your Numbers.” 3107 W Market Street, Suite 5 | Johnson City, TN 37604
Kenneth N. Raff, II Regional Executive, NMLS #649436 Debbie Varney, Branch Manager, AVP, NMLS #870424 Brandy Mullins, Portfolio Specialist
Mortgages, HELOCS, Refinancing Business and Personal Loans Business Checking & Other Business Services Personal Checking with Valuable Features Mobile Banking with Mobile Deposit
www.cbtn.com Loans are subject to approval. NMLS #411392 MAY 2015
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persistently pesky pests W
DANDELION
Taraxacum officinale HOW TO REMOVE: Dig out from the root, and remove from yard so seeds won’t begin to germinate. Sprinkle corn gluten to kill any remaining seedlings. HUMANS: Not poisonous ANIMALS: Poisonous to farm animals when ingested in high doses
ith spring in full force, there’s a good chance the weeds have completely taken over your yard and garden. Some are poisonous, and some are just annoyances, but either way, no one wants them around. Here are some of the more common aggravators, and how to get rid of them and, in some cases, how to do so without using chemicals.
CRABGRASS
Digitaria sanguinalis HOW TO REMOVE: Dig out plant, especially roots, and let grass grow over it. Sprinkle corn gluten to kill any remaining seedlings. HUMANS AND ANIMALS: Not poisonous
GOOSEGRASS
Eleusine indica HOW TO REMOVE: If letting the turfgrass grow and overtake the area isn’t something you can live with, attack the problem early. An herbicide applied early before goosegrass can grow should remedy the problem. HUMANS AND ANIMALS: Not poisonous
SANDBUR
Cenchrus HOW TO REMOVE: Regular mowing and removing of debris after mowing should prevent seeds from growing into plants.
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tchealthyliving.com | MAY 2015
If you’re still having an issue, chemical solutions are the answer. HUMANS AND ANIMALS: Not poisonous but painful when touched
STINGING NETTLE
Urtica dioica HOW TO REMOVE: While wearing gloves, cut away all of the aboveground plant. Then, using a garden fork, dig out from the roots. Keep in mind that the roots can be several feet long. HUMANS: Can cause a stinging sensation in humans and swelling of impact point, like an ant bite
ANIMALS: Can be poisonous when ingested by animals, especially dogs and cats
SOW THISTLE
Sonchus oleraceus HOW TO REMOVE: Dig out from the root and till the soil around the area where it was present to prevent seeds from germinating. HUMANS AND ANIMALS: Not poisonous
CARPETWEED
Mollugo verticillata HOW TO REMOVE: Hoe the area or pull plants when they appear. Mulch deeply to kill any remaining seedlings. HUMANS: Not poisonous ANIMALS: Can be poisonous to farm animals if ingested
Sources: gardenguides.com, gardenknowhow.com, ifas.ufl.edu, preen.com, petpoisonhelpline.com
PRICKLY LETTUCE
Lactuca serriola HOW TO REMOVE: Hoe the area or pull the plants, roots included, to remove them. Wear gloves when pulling to avoid being pricked. HUMANS: Can cause difficulty breathing if ingested ANIMALS: Can be poisonous to farm animals if ingested
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