SEIZE the SEASON! with General Shale Thin Masonry
While winter claims the outside, you can claim the inside - of your home of course. Thin brick, real brick cut thin, is an efficient, affordable way to add a warm and authentic feel to your home’s interior. It’s also a great way to keep your do-ityourself skills sharp during the cold months of the year!
B R I C K R O C K
1-800-414-4661 1-800-414-4661 www.GeneralShale.com www.GeneralShale.com
Make the inside of your home feel as natural as the outside. Thin rock, real rock cut thin, brings the best elements of the outside into your home through a genuine natural look and feel that only rock can provide. Best of all, it will keep your creative juices flowing all winter long!
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
health to us
Joint Arthroscopy Ankylosing Spondylitis Joint Replacement Spinal Stenosis Sports Injuries Spinal Instability Cancer Spinal Fractures/Injuries Osteoporosis
About Us
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
M.D. FACS
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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november 2 0 1 5
| vol. 2 no. 3
features ON THE COVER
living with alzheimer’s… and the work to find a cure p26
PHOTO BY WWW.FRESHAIRPHOTO.COM
Canadian-born Misao “Heddy” Deskins arrived in the United States courtesy of a private act of Congress in 1950 and made a life in Kingsport with her husband. Today, memories from her life spent serving others are fading because of Alzheimer’s disease. BY LEIGH ANN LAUBE
healing invisible wounds p20
Some soldiers return from war with wounds that are obvious. Some return with less obvious wounds—things like traumatic brain injury and post-traumatic stress disorder, which can scar just as deeply. BY DEBRA MCCOWN
calling it quits p32
It’s finally time to make good on your promise to give up the dangerous habit of using tobacco. BY CYNTHIA MCFARLAND
NOVEMBER 2015
| tchealthyliving.com
3
p10
departments
7
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beat
TRENDS | NEWS | PEOPLE
BY L AUREL G ILLUM, LEIGH ANN L AUBE, DEBR A MCCOWN AND K ATIE MCPHER S ON
8
Holiday must-dos.
10
More than an impulse.
11
Clear the clutter.
12
A bit about business.
14
A scrub you’ll wake up for.
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p8
dose
INSIGHT | ADVICE | SOLUTIONS
B Y L AU R E L G I L LU M
16
A vicious virus.
18
Say no to NSAIDs?
19
A painful problem.
37
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body
NUTRITION | FITNESS | BEAUT Y
BY L AUREL G ILLUM AND K ATIE MCPHER S ON
38
Healthy casserole alternatives.
40
YouTube your way to healthy.
42
Beauty verbs you need to know.
43
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p42
p38
balance
MIND | SPIRIT | FINANCE
B Y C E A L I A AT H A N A S O N , L A U R E L G I L L U M A N D K AT I E M C P H E R S O N
44
When teen texts go too far.
46
Diffuse away your stress.
48
Need a boost?
p38
p19
p48
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tchealthyliving.com | NOVEMBER 2015
Life’s even better when you get your premium back. Find out how you can help protect protect your your family family for for Find out how you can help protect your family for less, build cash value, or even even get get your your premiums premiums less, build cash value, or even get your premiums back if the life insurance benefit benefit has has not not been been paid paid back if the life insurance benefit has not been paid out at the end of the level premium premium period. period. out at the end of the level premium period. CALL ME TODAY. CALL ME TODAY.
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FOREVER YOUNG MEDIA info@tchealthyliving.com EDITORIAL
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JIM GIBSON JOANN GUIDRY LESLEY JONES BONNIE KRETCHIK LEIGH ANN LAUBE DEBRA MCCOWN CYNTHIA MCFARLAND CARLTON REESE associate editor
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Healthy Living Tri-Cities, November 2015. Published monthly by Healthy Living Media, LLC and distributed by Forever Young Media, 3107 W. Market St., Johnson City, TN 37604. 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
the
big
100
Source: tennesseean.com, ocala.com
As 9 year olds, we all glowed with the idea of hitting double digits. The same holds true for those few fortunate enough to hit triple digits—the century mark! Nationwide, the centenarian population has grown 65.8 percent over the last three decades. Louise Baird Short, 109, a Nashville native born into a country with 45 states, when the cost of a stamp was two cents and President Theodore Roosevelt was in office, gives us the scoop on what has made all 109 years worth living. Put simply, she reasons, “I have so much to remember.”
NOVEMBER 2015
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beat happenings
I
t’s hard to believe, but the holiday season is upon us once again! It starts early in the Tri-Cities with downtown festivals, Santa parades and Christmas tree lightings scheduled for November and early December. Here’s a glance at what’s happening around the Tri-Cities.
downtown holiday open house
PHOTO BY ED RODE
santa and s’mores NOV. 5, 5-8PM FREE Shops are open late, holiday refreshments are shared and the streets are filled with people getting in the holiday spirit as downtown Kingsport kicks off the shopping season. (423) 246-6550 downtownkingsport.org
PHOTO BY ED RODE
gather around the campfire
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NOV. 6, 6-9PM FREE The streets will be closed, and the festivities will be held in the open or under a big tent, depending on what the weather does. A local band, the Ozone Rangers, will be playing, and a variety of vendors and activities will be present. “We’ll be roasting marshmallows at the fountain in old washing machine tubs,” says Deanna Hays, director of events for Friends of Old Downtown. “Storytellers from ETSU and the International Storytelling Center in Jonesborough will be there, and also some local authors will be sharing some excerpts from their books. We’ll have a chili cook-off and an apple pie contest.” (423) 797-6449 downtownjc.org
the santa train and kingsport parade NOV. 21, 3PM FREE A time-honored regional tradition, the Santa Train travels through the coalfields of Kentucky and Virginia, handing out gifts at a dozen stops along the way, before it pulls into Kingsport for Santa to greet the city with a celebrity guest. (This year, it’s Meghan Linsey from NBC’s The Voice.). Santa then joins in a traditional holiday parade through downtown. (423) 392-8800 kingsportchamber.org
christmas open house NOV. 23, 5-9PM FREE Bristol kicks off the holiday shopping season the Monday before Thanksgiving with evening events downtown. “A lot of the merchants downtown stay open late; they have sales and discounts,” says Christina Blevins, executive director of Believe in Bristol, “and it’s just a really fun, festive atmosphere.” (276) 644-9700 believeinbristol.org
breakfast with santa NOV. 28 & DEC. 19, 9AM $5 PER PERSON At this low-key event, enjoy a traditional breakfast of hoecakes and sausage and take all the pictures you want with Santa at Heartwood: Southwest Virginia’s Artisan Gateway, just north of Bristol in Abingdon, Virginia. Reservations are required, and seats fill up quickly. (276) 492-2400 myswva.org/heartwood
bristol christmas parade DEC. 3, 7PM FREE This evening parade is one of downtown Bristol’s biggest events, celebrating the holiday spirit for more than two hours with floats and performers. (276) 644-9700 believeinbristol.org
johnson city christmas parade DEC. 5 FREE Mr. and Mrs. Claus ride a 1927 fire truck through downtown in a parade with about 100 participants, including floats, marching bands, dance companies, tractors, food trucks and more. (423) 797-6449 downtownjc.org
kingsport christmas tree lighting DEC. 5, 6PM FREE Street festivities include carolers and a gingerbread house contest, and then local high school musicians perform and there’s a countdown to the lighting of the tree. (423) 246-6550 downtownkingsport.org
holiday loft tours DEC. 6 TICKETS ARE $25 At Kingsport’s offbeat take on the holiday tour of homes, visitors can view some of downtown’s swankiest living spaces, many of which incorporate magnificent features of Kingsport’s century-old buildings. “There are so many lofts downtown now, and it’s growing by the minute,” says Emma Clark, associate director of the Downtown Kingsport Association. “A lot of people are surprised by how many people live down here.” (423) 246-6550 downtownkingsport.org
speedway in lights NOV. 13-JAN. 2, 6-10PM $12-$15 PER CAR This annual event at Bristol Motor Speedway is billed as the largest holiday light show in the South. Viewing the 2 million lights along a 4-mile route (including a lap around the track) has
become a family tradition for many—and also raises money for a good cause. A Christmas village and iceskating rink are also offered at the speedway. (423) 989-6900 speedwayinlights.org
christmas in olde jonesborough SATURDAYS NOV. 28-DEC. 19, 11AM-3PM FREE Each Saturday from Nov. 28 through Dec. 19 features a different free, family-friendly activity downtown with Santa in his sleigh at the courthouse for pictures and a place to drop off letters to Santa with a self-addressed envelope for a reply.
a Grinch who’ll share treats with kids in costume. The town’s Christmas tree lighting will be at 6pm that evening next to the downtown courthouse and will be celebrated with carols and storytelling. On Dec. 5, it’s Doggone Christmas, and pets are welcome downtown for treats and pictures with Santa— with a contest for the Ugliest Christmas Dog Sweater.
On Dec. 12, it’s Home with Santa, and kids are encouraged to wear pajamas to a performance of The Polar Express with hot chocolate. The town’s lighted Christmas parade will be at 5pm that evening, followed by a Turkey Toss. On Dec. 19, it’s a Christmas Church Tour in the historic district, featuring decorated sanctuaries with sights and sounds of the season.
On Nov. 28, it’s Whoville Christmas, featuring Dr. Seuss characters—including
(423) 753-1010 historicjonesborough.com
HE ALT H Y
beat people
one man, one story K
ingsport native Cameron Hite was diagnosed at age 5 with Tourette’s syndrome, a neurological disorder characterized by repetitive, involuntary movements and vocalizations called tics. As part of his senior thesis requirement for graduation from Maryville College, Cameron wrote and performed Impulse, a one-man show based on his experiences living with Tourette’s. We caught up with him in Nashville, where he pursues acting and writing. BY LEIGH ANN LAUBE
IS TOURETTE’S CURABLE? There isn’t really a cure for Tourette’s, no. I do still have Tourette’s, but the severity of my tics has certainly regressed as I’ve gotten older.
WHEN AND WHY DID YOU FIRST GET INVOLVED WITH THEATER? I first got heavily involved in theater at the beginning of my sophomore year at Dobyns-Bennett High School. It’s kind of a funny story because it began as something to do as an extracurricular, but I found out that acting was one
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of the only ways to leave my Tourette’s behind.
WHEN AND HOW DID THE IDEA FOR YOUR SENIOR THESIS COME ABOUT? There were two aspects to my thesis project: the research and the performance. My research aspect was focused more toward acting theories that explore different approaches to creating a character for a performance. Since my research was dedicated to different approaches of acting, I wanted my performance aspect to reflect my research as well as my love for playwriting. The idea for my one-man show came about during my junior year at Maryville College. The idea for Impulse, however, was a bit of a struggle. I didn’t know that I wanted to do a one-man show. I just knew that I wanted to write and perform.
WHERE DOES THE TITLE COME FROM? Impulse comes from the explanation that I can’t help it when I have the urge to twitch, blink rapidly, clear my throat, etc. I describe my Tourette’s as an impulse that I have to act on.
WHY DID YOU MAKE IT A ONE-MAN SHOW? A one-man show is pretty hard to pull off, but it’s great experience for any actor who wants to learn to explore character development. Plus, it was a very personal project for me. I wanted to perform it as a one-man show because it’s my story.
WHAT WAS YOUR GOAL IN WRITING IMPULSE AND SHARING IT WITH OTHERS? First, I want to show people exactly how my Tourette’s affects me, not negatively, per se, but just exactly how my mind comprehends it. Second, I want to educate
people on the topic of Tourette’s—how it’s not just a disorder where people curse sporadically and how it’s not a bad thing at all. Third, I want people to see that embracing what makes them unique is, in itself, one of the beauties of this life.
YOU’RE LIVING IN NASHVILLE NOW. WHAT ARE YOU DOING THERE? I’m auditioning for things as much as I can, both stage and film. I do have an independent contractor position with one of the nation’s largest theater companies, the Murder Mystery Company, a live dinner theater company that performs in downtown Nashville. I’m working on a few film projects with my roommates, Kingsport natives Zach Starnes and Josh Holley; most recently, we are working on a short film submission for the Nashville Film Festival.
HE ALT H Y
beat the challenge
Sources: theeverygirl.com, vogue.com
de-clutter that closet the issue:
LET’S FACE IT. WE HAVE TOO MUCH STUFF (CLOTHES INCLUDED). PLAIN AND SIMPLE.
the challenge: Get rid of everything you haven’t worn, say, in the last two years! HERE’S HOW TO SORT THROUGH IT ALL.
Each month we create a new challenge for our readers to try to improve their health and wellness. This month we are challenging you to do the one thing you have been putting off for the past several years. That's right: It's time to face the closets, and clean them out for good!
STEP
1 2 STEP
STEP
3
TAKE EVERY SINGLE THING OUT OF YOUR CLOSET. Clothes,
hangers, random receipts, everything.
ASK YOURSELF THESE QUESTIONS to weed out what you can
keep and what should be tossed: 1. 2. 3. 4. 5.
DOES IT STILL FIT? HAVE I WORN IT WITHIN THE LAST 12 MONTHS? IF I SAW IT IN A STORE NOW, WOULD I WANT TO BUY IT? DO I LOVE THE WAY IT MAKES ME LOOK? ARE THERE ANY BROKEN ZIPPERS, HANGING STRINGS, MISSING BUTTONS OR MYSTERY STAINS?
ARTICLES OF CLOTHING THAT SURVIVED THE INTERROGATIONAL PART of step two, once again, have a
home in your closet. Hang as many of them as you can neatly in your closet. If you can, purchase new hangers, so outfits look uniform hanging together.
STEP
4
USE THE BACKWARDHANGER STRATEGY. Once you wear an article of clothing, flip the hanger's hook in the opposite direction the rest are facing. When you clean your closet out again next year, you’ll be able to see what you’ve worn and what needs to make its way to the donation pile.
STEP
SEPARATE YOUR CLOTHES INTO CATEGORIES that work for you. Seasons? Colors? Type of item? It gives your space a more organized look.
STEP
STAND LOOKING PROUDLY at your newly renovated space, just long enough to realize you still have a pile of rejected clothing items on your bed to sort.
STEP
MAKE IT EASY ON YOURSELF and give away (or donate) clothes that there is nothing visibly wrong with. If you see any pieces mixed in with value, have a garage sale—better yet, sell them online!
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beat business briefs
welcome aboard As one of the largest multi-specialty provider groups in the Southeast, Holston Medical Group (HMG) has recently welcomed two new members to the family. First to be welcomed is Danielle Davis, FNP. DaDANIELLE DAVIS vis is a member of Sigma Theta Tau International Honor Society of Nursing and joins Dr. Robert C. Lee, serving as a primary care WANDA KING venue for geriatric patients. Wanda King, FNP-BC, has also joined the HMG gastroenterology team, having received both a Bachelor of Science and a Master of Science degree in nursing from King University, Bristol.
the power of protein In support of research being done to find a link between blood protein and inflammatory diseases, such as rheumatoid arthritis, the National Institutes of Health has awarded a $2.7 million grant to East Tennessee State University’s Quillen College of Medicine. The protein, C-reactive protein, has been at the center of Dr. Alok Agrawal’s research for the past three decades. Now, with the NIH grant, he will test modified forms of CRP in animal models to see what productive effects it may have on inflammatory diseases.
taking on takoma Ownership of Takoma Regional Hospital has transferred to Wellmont Health System, enabling the facility to provide the most efficient continuum of care for patients as part of a locally based organization. The facility was jointly owned by Adventist Health System and Wellmont from 2007 until 2014; however, after a comprehensive evaluation by Wellmont and Adventist Health System, Takoma will now become solely a member of the Wellmont family. “Wellmont knows Takoma Regional intimately, understands the strengths of the hospital in service to the community and is committed to working with its managers and leaders to build on its heritage to establish a strong future providing excellent care to patients,” says Randy Haffner, executive vice president and president/CEO of the multistate division of Adventist Health System.
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tchealthyliving.com | NOVEMBER 2015
let it grow With the launching of the “Learning Landscapes” project, the Boys & Girls Club of Greater Kingsport has begun transforming an area adjacent to its athletic field into a raised garden bed. The volunteers planned and mapped the project, built the beds, filled them with soil and spread mulch around them. In the first year, the project will feature six raised garden beds and a more visible raised flower bed at the entrance to the Boys & Girls Club of Greater Kingsport. Future plans may also include a vermiculture bin, a compost bin and additional raised beds.
all about anatomy Dr. Patrick Brown, assistant professor in the Department of Health Sciences for the College of Public Health at East Tennessee State University, has authored an anatomy and physiology textbook that utilizes a teaching method known as process oriented guided inquiry learning, or POGIL. The textbook, Anatomy and Physiology: A Guided Inquiry, includes 37 activities that introduce students to different concepts of anatomy and physiology.
leading the pack Teresa Hunt, a 26-year medical professional with extensive management experience in the area, has been promoted to supervise multiple leadingedge services at Bristol Regional Medical Center. Hunt has been named director of the hospital’s pulmonary, neurophysiology and wound care departments, and she will also be responsible for the sleep laboratory, vascular laboratory and post-acute care skilled respiratory program.
PROMOTIONAL FEATURE
INDOOR LIVING Summer is officialy over and it’s easy to dread the approaching winter season. But what if we told you that winter could be embraced or even anticipated? What is so commonly viewed as a cold, drab, somewhat depressing season can actually be a warm, lively and uplifting one! It’s more possible than you think. Provided by a region where temperatures are generally warm throughout the year, we spend much of our time demonstrating all that we offer by way of brick and stone for the outside of your home. After all, there’s just something about getting out there and getting your hands dirty! But that doesn’t mean the do-it-yourself fun has to end when colder weather arrives. Thanks to televison shows with a specific focus on home renovations and social platforms that offer a plethora of remodeling ideas, the popularity of projects inside the home is at an all-time high. Both options provide a convenient way to find inspiration for your very own indoor living project. Even better is that many of the projects featured on these shows and platforms feature General Shale materials. “Thin masonry” products, which include thin brick and thin rock, are particulary useful for indoor applications such as hallways, entryways, ceilings, fireplaces, backsplashes and even floors! While summer may still remain your favorite season, this hopefully provides you with enough inspiration to get into something new, exciting and productive while the snow flies and the ground stays chilled this winter. BY GENERAL SHALE
HE ALT H Y
beat test lab
let’s be frank D o you ever see those trendy foods, beauty techniques or odd products and think “now that I have to try?” Here in the test lab, i.e. our editorial office, I’m trying one of the latest beauty products taking over the social media world: Frank Original Coffee Scrub. Scrub BY KATIE MCPHERSON
the product
the claims
Frank Body boasts what can only be described as a cult following on Instagram (see #thefrankeffect). One bag of Frank Original Coffee Scrub costs $14.95, but with an ingredient list of pantry staples, one has to wonder if it can’t be DIYed for less. Also, all emails from customer service refer to the product as a person named Frank and say he’s on his way to your house (meaning “your order shipped”), and personally, I could’ve done without that.
Made with coffee, sweet almond oil, salt, brown sugar, orange oil and tocopherol (vitamin E), Frank’s site says it “targets dry skin, stretch marks, cellulite, eczema, psoriasis and acne.” No doubt it’ll make my skin softer, so my goal is to see how it stands up in cost and effectiveness to my kitchen-cloned version.
the experiment I purchased vitamin E oil and sweet almond oil to stick with Frank’s formula, then used my own pantry staples for the rest. MY RECIPE WENT LIKE THIS:
the results The one category Frank swept was texture. It’s made with finely ground coffee as opposed to Folger’s breakfast blend, so it felt gentler on my skin. As for the rest, and I may be biased, I think my DIY Frank (which I lovingly call Fred) was just as luxurious.
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cup coffee grounds cup brown sugar tbsp salt cup almond oil tsp vitamin E oil
Frank’s instructions say to hop in the shower, grab a handful, scrub in circular motions (be prepared for a messy shower!) and let dry for five to 10 minutes, so I Frank-ed one side of my body and DIY-ed the other accordingly.
As expected, the end results of each scrub felt the same. Both were excellent exfoliators, and my skin felt softer than maybe… ever. About 7 ounces of Frank scrub cost $14.95 versus my 8-ounce mason jar of DIY scrub. Although it required investing about $12 in vitamin E and almond oil from Amazon.com, I could easily make about five or six more
batches. Coconut or olive oil would be even cheaper alternatives. My favorite part of this scrub? Besides being easy on my wallet and turning my bathtub into a massive coffee pot, it’s customizable. It’s a fragrance and chemical-free full-body scrub safe for even the most sensitive skin. That’s five stars for Fred!
Sources: us.frankbody.com
½ ½ 2 ¼ ¼
HE ALT H Y
dose
Source: AAA South
INSIGHT | ADVICE | SOLUTIONS
giving up the keys
With 81 percent of the United States’ 39.5 million senior citizens still taking their place behind the wheel, you can be assured that feelings on the subject vary, with seniors hands down for Team Road! And after the latest data in AAA’s Longitudinal Research on Aging Drivers report, findings may have earned the elderly a few more sympathizers.
THE STUDY FOUND SENIORS WHO STOP DRIVING:
• HAVE TWO TIMES THE RISK OF DEPRESSION • ARE FIVE TIMES MORE LIKELY TO ENTER LONG-TERM CARE FACILITIES • REDUCE THEIR SOCIAL NETWORKING BY 51 PERCENT The study also suggested that families discuss future driving plans before they become a concern, allowing loved ones to avoid the initial shock when their freedom is minimized and alternate travel arrangements must be made.
NOVEMBER 2015
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dose
surviving shingles
pox vs. shingles Chicken pox and shingles are both caused by the same virus, the varicella-zoster virus (VZV). For some people, if they have already contracted chicken pox, VZV can become active again later in life, taking on the new name: shingles. Although shingles is not contagious, the VZV virus that causes it is very contagious, meaning someone who is not immune to the virus (someone who has not had chicken pox) can easily catch the virus, therefore contracting the pox for the first time and supplying them with an active supply of VZV for later.
you caught the dot
S
hingles is an itchy, painful virus that affects upward of 3 million Americans annually—most of them adults over the age of 60.
It may not be life threatening, but that doesn’t mean shingles doesn’t put a serious damper on your quality of life when you’re dealing with an outbreak. Shingles appears as a rash on your body, often as a single strip around the torso. Known by many as the “adult version of chicken pox,” there is a lot more to the shingles virus than that unfortunate title.
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tchealthyliving.com | NOVEMBER 2015
In the unfortunate event of coming in direct contact with a shingles carrier, there are a few preventative steps you may want to consider—a vaccine, for one thing. The shingles vaccine can roughly cut in half your chances of contracting shingles. And if you have already had shingles, the vaccine may help prevent it from coming back. The vaccine, which contains a weakened chickenpox virus, or the “varicella-zoster” virus, is meant to prime your immune system and fight hard to defend against the disease. The vaccine is approved and encouraged for healthy individuals 55 years and older. YOU SHOULD NOT GET THE VACCINE IF: • YOU HAVE A WEAKENED IMMUNE SYSTEM • YOU’RE UNDERGOING CANCER TREATMENT, SUCH AS RADIATION OR CHEMOTHERAPY • YOU HAVE ACTIVE TUBERCULOSIS • YOU’RE ALLERGIC TO GELATIN OR THE ANTIBIOTIC NEOMYCIN
• YOU’RE PREGNANT • CONTACT YOUR PRIMARY CARE PHYSICIAN FOR MORE INFORMATION ON THE VACCINE, INCLUDING RISKS AND SIDE EFFECTS.
THE STAGES OF SHINGLES
1
CHICKEN POX Chicken pox is a highly contagious disease characterized by a red, itchy, blistery rash that eventually scabs over. Children are the most susceptible to this disease, and it generally goes away after five to 10 days.
2
VIRUS REACTIVATION Developing certain medical conditions or taking certain medications can greatly weaken the immune system. When your body’s defenses are down, the varicella virus can reactivate, triggering the development of shingles.
3
Sources: everydayhealth.com, mayoclinic.com, webmd.com
RASH
Patches of blisters will begin to appear over seven to 10 days, usually confined to single areas of the body, commonly forming on the side of your waistline or part of your face.
4
home help Although no home remedies claim to fully alleviate the pain that comes along with shingles, these tips are still worth mentioning. • USE A COOL, MOIST COMPRESS TO EASE DISCOMFORT. • APPLYING LOTIONS TO THE RASH COULD HELP WITH SCABBING. • CORNSTARCH OR BAKING SODA APPLIED TO THE SKIN HELPS DRY THE SORES AND ALLOWS THEM TO HEAL MORE QUICKLY. • BUROW’S SOLUTION CLEANSES SORES GENTLY TO DECREASE OOZING AND HELP THEM DRY.
After a week to 10 days, the blisters will crust over and begin to fall off. The shingles rash begins to clear within three weeks.
• PICKING AND SCRATCHING IS BEST TO AVOID. INSTEAD LET THE BLISTERS FALL OFF NATURALLY.
POSTHERPETIC
• TALK TO YOUR DOCTOR IF THE PAIN PERSISTS. GETTING PAIN UNDER CONTROL CAN PREVENT PERMANENT NERVE DAMAGE.
CRUSTING
5
Even after the rash has healed the pain may persist. This is known as postherpetic neuralgia. For most, this will resolve in one to three months, but for some, the pain may last for a year.
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HE ALT H Y
dose
cutting through the NSAID confusion
N
ews about the Food and Drug Administration’s warning that NSAIDs (nonsteroidal anti-inflammatory drugs) can be heartrisky has made lots of you worried about taking those painrelieving pills for everything from a once-in-awhile headache or sore muscles to chronic arthritis pain. BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.
NSAIDs—those ache-reducing drugs that include over-thecounter ibuprofen and naproxen as well as prescription versions like celecoxib (Celebrex), oxaprozin (Daypro) and diclofenac (Cataflam, Voltaren etc.)—can increase your risk for heart attack, stroke or heart failure. There seem to be two reasons why these meds are risky: • FIRST, THEY REDUCE PAINFUL INFLAMMATION BY INHIBITING AN ENZYME CALLED COX2. But COX-2 is also beneficial; it relaxes arteries and discourages blood platelets from forming clots. So dialing down this enzyme's activities can increase blood pressure and the risk for clots. • SECOND, NSAIDS INTERFERE WITH THE HEARTAND BRAIN PROTECTING ACTION OF DAILY, LOWDOSE ASPIRIN. NSAIDs block aspirin's ability to reduce the risk of blood clots that can lead to heart attacks and strokes. We'll know more about the safest NSAID doses when results are released next year from a study of 24,000 people taking NSAIDs regularly. In the meantime, these strategies can keep you comfortable while keeping your risks low:
TRY ASPIRIN. If your doctor says you're not at risk for gastrointestinal bleeding or ulcers, try taking the dose recommended on the package with a half-glass of warm water before and after. (Warm water helps dissolve the pills faster, decreasing chances for damage to your stomach lining and intestines.) Studies show that if you're at high risk, low-dose aspirin can cut your chances for a first heart attack by at least 22 percent and at the same time lower
risk for blood clot-triggered strokes (the most common kind) and for the leg pain associated with peripheral artery disease. If you need to take another nonsteroidal anti-inflammatory pain reliever (like ibuprofen), do it 24 hours before or after your aspirin.
THINK LOW-DOSE/SHORTEST TIME. If you really need an NSAID, go with the smallest dose for the shortest period of time. We think that means the occasional dose may be OK for most people... but read on for an important warning. At risk for a heart attack or stroke? Think twice about NSAIDs. The FDA says risk for problems is higher in people who already have heart disease or those who have high LDL cholesterol, high blood pressure or other issues, like diabetes. It's also risky if you have already had a cardiovascular "event"— say, a heart attack. FIND WAYS TO EASE ARTHRITIS PAIN, HEADACHES AND SORE MUSCLES WITHOUT TAKING NSAIDS. Research shows
that physical activity can slash aches and prevent worsening problems for many people. So try the Arthritis Foundation's "Arthritis Self Help" program (at arthritis.org), proven to reduce pain by 20 percent. Practice stress reduction with mindful meditation; it really does work. Rely on warm Epsom salt baths for sore muscles. Eat an anti-inflammatory diet that includes lots of fruits, veggies and good fats.
TRY A TOPICAL PAIN-RELIEVER OR ACUPUNCTURE. Creams and gels that contain capsaicin (derived from red peppers) can reduce joint pain 40 percent if used regularly. If you need more help, ask your doc about NSAID creams or gels, which ease pain for about 60 percent of those who try them. Acupuncture works for some of these conditions as well.
Mehmet Oz, M.D., is host of The Dr. Oz Show, and Mike Roizen, M.D., is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. To live your healthiest, tune into The Dr. Oz Show or visit sharecare.com. (c) 2015 Michael Roizen, M.D., and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.
HE ALT H Y
oh, the R
esponsible for over 3 million cases of extended nerve compression a year, carpal tunnel has begun to stir up more trouble than just a painful, tingling sensation. In fact, according to the U.S. Department of Labor, carpal tunnel is the cause of nearly half of our nation’s missed days of work.
Sources: webmd.com, familydoctor.org, healthline.com
h
Typing, gripping pens and pencils, lifting heavier objects and even shaking hands can be extremely painful for those suffering from carpal tunnel. Far different from arthritis, carpal tunnel is a disease of the nerves, not the joints, and resides almost solely in the hands—whereas arthritis causes stiffness throughout the whole body and commonly progresses with age. It most often comes about from years of repetitive motion (think
typing, writing, scanning products, grasping tools, etc.), and women are three times more likely to develop the condition. As it turns out, treating carpal tunnel is a personal preference issue. The choices range from braces and medications to surgery for those severely inflicted. In the meantime, though, here are some exercises to provide some relief to both you and your nerves, as well as some preventive measures.
the spider
the shake
the stretch
Start with your hands together, in the prayer position. Next, spread your fingers as far apart as you can; then separate your palms up to the base of your fingers. Press fingertips together, and push out, separating fingers to the tips.
This exercise is as easy as it sounds. Simply shake your hands, like you are air drying them to keep the median nerves from getting too tight during the day. Try to integrate this into your hand-washing routine.
Place one arm straight out in front of you, elbows locked and fingers pointing toward the floor. Spread your fingers slightly and use your other hand to apply gentle pressure to your down-facing hand, stretching your wrists and hands as far back as you can manage. Hold the pose for 20 seconds. Next, point the fingers toward ceiling, and use other hand to pull fingers back. Switch arms, and repeat on other side.
NOVEMBER 2015
Sources: webmd.com, familydoctor.org, healthline.com
nerve!
sping more rns out, ference nd ely e are to ome
t out in cked oward fingers other ressure and, and ou can e for nt the and fingers d repeat
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HEALING
invisible WOUNDS By DEBRA MCCOWN
S
ome soldiers return from war with wounds that are obvious: injuries that leave them missing limbs or otherwise physically scarred. Some return with less obvious wounds—things like traumatic brain injury and post-traumatic stress disorder (PTSD), which can scar just as deeply.
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A cluster of stately brick buildings located on a park-like campus adjoining East Tennessee State University, the facility run by the U. S. Department of Veterans Affairs (VA) sets a gold standard for mental health care, says Dr. John Mosier, chief of psychology at the system’s James H. Quillen VA Medical Center. That level of care is necessary, he says, because of the intensity of what veterans experience in combat. “Politically and culturally, we often talk about the physical casualties of war, but we don’t talk about the psychological casualties of war,” Mosier says. “You can’t
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send them to war and then just bring them back and send them out into the world without the commensurate and proportional support to heal from where we’ve sent them.” Mountain Home is a comprehensive medical center, says Judy Fowler-Argo, public affairs officer for the system. It includes a 114-bed hospital, an outpatient surgery center, community nursing home care and a domiciliary, or living space. When the domiciliary was built in 1903, she says, it was an “old soldiers’ home”—a place where veterans came to live. Now it has 170 beds for people who are in treatment. “They’re either here because they’re homeless, they’ve had alcohol and drug issues, they have mental issues or what’s called general care: They’re having some health issues, and they need to stay here and get stronger before they go back out and live independently,” she says. Fowler-Argo says the facility meets most veterans’ health care needs; highly specialized procedures like heart surgeries are handled through a network of hospitals. Everyone who’s served in the military and received an honorable discharge is eligible for VA care. Mountain Home serves 54,000 veterans in East Tennessee, Southwest Virginia and Southeastern Kentucky, including about 9,000 from the latest round of Middle Eastern wars: Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Each generation of conflicts has its own program, with a special focus on health issues experienced by that group of veterans. “Every war has specific injuries,” Fowler-Argo explains. In World War II it was disease exposure through wounds; in Vietnam it was the effects of Agent Orange, an herbicide
HOSPITAL BUILDING PHOTOS BY PETER MONTANTI, SURGERY PHOTO BY MAVERICK DUNAVAN
The special care needed for these psychological wounds—the kind of intensive treatment that’s largely unavailable in the standard health care system—is an area of focus at the Mountain Home VA Healthcare System, the government-run health care facility that serves veterans in the Tri-Cities region.
BECAUSE OF THE INTENSITY OF THEIR EXPERIENCE WITH THE PHYSICAL, PSYCHOLOGICAL AND emotional TRAUMA OF WAR, VETERANS ARE INHERENTLY MORE COMPLEX TO TREAT THAN THE GENERAL POPULATION.
used in warfare. At the VA, medical providers understand the impact of these issues as well as combat-related stress. “In this group [of recent wars], they’re in the desert, and it’s hot, and they wear a lot of armor, so there’s a lot of soft tissue damage,” she says. “Women who are coming back have more osteoporosis because they’ve sweated out their minerals.” Also suffered by veterans of these conflicts are traumatic brain injury, PTSD and substance abuse disorders—plus anxiety about returning to civilian life after multiple overseas deployments. When veterans return from war with injuries, Fowler-Argo says, they typically arrive at one of the large VA hospitals, where
they may have surgery or receive a prosthesis. Then, they’re sent to another level of treatment before they come to a place like Mountain Home for rehabilitation; facilities in the VA system share functions and share in treatment plans. Because of the intensity of their experience with the physical, psychological and emotional trauma of war, Mosier says, veterans are inherently more complex to treat than the general population. PTSD, an important area of mental health treatment at the VA, is nothing new; in the World War II era, it was called shell shock. But in recent years, it’s received more attention—and now there’s an active effort to help veterans who suffer from PTSD.
In a broad sense, PTSD can happen to anyone following a traumatic event, such as domestic violence, childhood abuse, a terrorist attack, sexual assault or a natural disaster. But members of the military who serve in combat experience trauma day after day for long periods of time, an intense level of stress that can have a serious effect on their mental health. “PTSD is a psychological injury; it’s an emotional injury, and it’s a spiritual injury,” Mosier says. Symptoms of PTSD can come soon after a traumatic event or can set in months or even years later—and even come and go, causing distress and interfering with everyday life. Symptoms can include reliving traumatic events,
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such as through nightmares or flashbacks; avoiding situations that trigger memories of the events; experiencing negative changes in beliefs and feelings; and feeling jittery and always on the lookout for danger. A veteran suffering from PTSD may, for example, duck for cover at the sound of a video game or fly into a rage at someone over a perceived slight. He may be unable to talk about the things he experienced during his deployment. PTSD can lead to hopelessness, depression, anxiety, trouble with relationships and employment, and substance abuse problems, but it is possible to recover, Mosier says. PTSD can be treated with intensive programs of psychotherapy (counseling) and, in some cases, medication. “Really what we try to do is provide recovery-oriented 21st century, evidencebased holistic care and comprehensive treatment for PTSD,” he says. “Because of the intensity and the social and emotional impact of PTSD, we really wrap around as many services as we possibly can to ensure that the veterans recover.” Mosier says the human brain is not wired for the constant danger of modern
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combat. When service members are sent to war in a foreign land, they may be able to function on their military training but struggle when they try to re-enter civilian life. This is especially true of veterans who’ve had multiple deployments or who’ve had other difficult life experiences. “They’re going from the battlefield in Iraq or Afghanistan, in two weeks, to the Johnson City Walmart, and they’re standing in line, and the person in front of them is getting mad about a coupon, and they go ballistic,” Mosier says. He says the culture here in Appalachia, which expects men to be tough and stoic, can be an obstacle to recovery— especially with the stigma associated with mental health. “To heal from psychological pain and emotional pain, one has to be OK with their own vulnerability,” Mosier says. “The only way out is to go back through, unfortunately.” Although some veterans with PTSD are able to heal with outpatient treatment, he says, others must be admitted for residential treatment with a full range of psychotherapeutic activities, including individual therapy, case management, recreational therapy, spiritual counseling relevant to their beliefs and extensive group therapies. The level of treatment is high, Mosier says, because the stakes are so high: The future of whole families is impacted by what happens when a veteran returns from war. “I know there’s a lot of negative press out about the VA, but no one does mental health treatment and PTSD treatment like the VA,” Mosier says. “We’re committed to it, and we’re passionate about it. We take it seriously: It is our responsibility; it is our duty. Every day, he says, lives are saved by the people who answer the phones at the Veterans Crisis Line—and veterans take steps toward recovery. “It takes a lot, but it’s not impossible; people can heal and recover,” Mosier says. “It requires taking emotional risks, letting down your guard, purging a lot of feelings, learning how to attach again [and] being comfortable with your own vulnerability to work back through the trauma, but people do heal. They heal and recover every day, and they get their lives back.” Stories abound, he says, of veterans who arrive at the VA unemployed and homeless, struggling with addictions that grew from attempts to cope with the psychological
‘THIS PLACE SAVED MY LIFE’
w
hen Annette Bullen came to the emergency room at the James H. Quillen VA Medical Center, her life was a mess. She’d just been released on parole after seven years in prison, and she was high on cocaine.
PHOTO BY PETER MONTANTI
IT TAKES A DIFFERENT KIND OF COURAGE TO DO THE PSYCHOLOGICAL AND emotional work necessary TO HEAL.
pain of war, who go through treatment and come out with stable jobs and stable lives. It’s not easy—but it’s possible. “It takes courage to heal,” Mosier says. “It takes a different kind of courage to do the psychological and emotional work necessary to heal. And if they can push past those distorted messages and lies and all the stigma and find their way to us, we will absolutely help them through that process. And no matter what they’re suffering from or whatever secrets or whatever things they’re hanging on to, if they find their way to us, they will no longer have to go through that alone.”
After getting out [of the military] in 1988, I went through a life of hell: I was addicted to crack cocaine, suffering from PTSD and bipolar, and did not have a clue what was going on with me.
“I had slipped and used one night,” she says, “and I knew at that point, it was a fork in the road for me.” At the hospital she was admitted to the psychiatric unit, where she began the long process of recovering from a lifetime of hurt. Bullen, who grew up in a tough Philadelphia neighborhood, remembers vividly her last day of kindergarten. She was walking home with her friend, Tracy, when a gang war broke out. They hid under cars, and she emerged from the crossfire unscathed; her friend, however, did not survive. “I was the daughter of alcoholics, so I had a pretty tumultuous childhood,” Bullen says. “I went through some sexual abuse from my father and several different family members.”
For her, the Air Force was a ticket out. At 16, she enrolled in a delayed enlistment program, and at 17, she left home. “I thought I would be safe there,” she says. “Unfortunately, I was the only female in a squadron of 366 men, and I suffered an MST—military sexual trauma.” Her job specialty in the Air Force was working with chemicals. At Andrews Air Force Base, her primary function was as an exterminator, but she and her co-workers also mixed chemicals for warfare. She once saw a coworker die from chemical exposure. But far more traumatic was her service in the Honduran conflict in the 1980s; decades later, she’s still haunted by the unknown destructive impact of a chemical in a village. Broken and distraught over the trauma she suffered before and during her military service, she went on to marry an abusive alcoholic who put her in the hospital more than once with injuries. “After getting out [of the military] in 1988, I went through a life of hell: I was addicted to crack cocaine, suffering from PTSD and bipolar, and did not have a clue what was going on with me,” she says. She eventually went to prison for selling drugs. At the VA hospital, she was stabilized on medications, detoxed and entered the substance abuse
disorder program. She spent 10 months as a residential patient, learning how to manage her PTSD and bipolar disorder. In therapy, she says, Dr. Mosier took her through the depths of hell—and brought her back as a whole person again. After months in the VA’s compensated work therapy program, she applied for a job as a peer support counselor; today, she says it’s an honor to work alongside the people who aided her recovery. Since then she’s reconnected with her four children, who are now grown, and has been given a second chance with her family. Every day, she helps other veterans heal. She says she finally understands her worth. “[God] allowed me to survive all the things that I have survived and come out on the other side so that I could be here to help people,” Bullen says. “And it’s just a bonus that in me helping other people, I’m helping myself to stay well.”
Veterans Crisis Line FREE, CONFIDENTIAL HELP FOR VETERANS AND THEIR FAMILIES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR (800) 273-8255 AND PRESS 1 veteranscrisisline.net
Mountain Home VA Medical Center (423) 926-1171 mountainhome.va.gov
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h t i W g Livin
ALZHEIMER’S … And The Work TO FIND A CURE BY LEIGH ANN LAUBE
PHOTO BY WWW.FRESHAIRPHOTO.COM
C
anadian-born Misao “Heddy” Deskins arrived in the United States courtesy of a private act of Congress in 1950 and made a life in Kingsport with her husband, Carson “Nick” Deskins. Though she had no children of her own, Heddy spent a lifetime teaching them—first in a Japanese internment camp in Canada during World War II, and then at Colonial Heights Baptist Church after she
converted from Buddhism to Christianity. Today, memories from her life spent serving others are fading because of Alzheimer’s disease. She remembers her brother and sister. She remembers Nick, who died in July 2013, but not his final days. She remembers some of her world travels with Nick but not the Kingsport home they shared. She remembers that she likes the Atlanta Braves, but she doesn’t want to watch baseball anymore.
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PHOTO BY WWW.FRESHAIRPHOTO.COM
“She doesn’t know this is a memory care facility or that she has Alzheimer’s,” explains her niece, Sue Belcher. Heddy’s family moved her to Preston Place II, a secured assisted living facility in Kingsport with staff that is specially trained to care for those with Alzheimer’s and dementia, in April. It wasn’t an easy decision. By the time Nick died, Alzheimer’s was already affecting Heddy’s memory, and she was living in an unsecured facility where she could have easily walked out the front door. Several months after Nick’s death, Sue says, the family began to see a transition from grief, sadness and loneliness to an entirely different kind of memory loss. “She was not being treated for anything at that time,” Sue explains. “She did well there, but sometimes she got hysterical waiting for him to come home. She became very paranoid and frightened and would block the door. She started calling us late at night, after midnight, from the nurse’s station, wondering where Nick was. “By the spring of 2015, she wasn’t calling late at night, but she would sit in the living room. She called me and said she
remember? And did we have a funeral? Was she there? Nothing could help her understand—even pictures of the cemetery marker with her standing over it. And if he wasn’t dead, then had he just left her? Was he sick? In an accident? Working all the time? And, if so, then why was he so late? Over and over again.”
Among all people living with Alzheimer’s disease, only about
was in a Johnson City hotel for the night, and I should come get her tomorrow,” Sue recalls. For Heddy’s safety, it became necessary to move her. “During those months before the move, she was sad, but she gradually lost all interest in visiting with other residents, playing games and participating in activities and was even angry that she couldn’t remember so many things,” Sue explains. “If Nick was dead, then why didn’t she
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half have been diagnosed.
There is no cure
for Alzheimer’s, but there are some promising new treatments. Drug maker Eli Lilly presented data at the Alzheimer’s Association International Conference in July suggesting that its drug solanezumab can cut the rate of dementia’s progression.
A new trial, due to report next year, should provide definitive evidence. Dr. Norman Moore, a professor and director of research at the East Tennessee State University Department of Psychiatry, is serving as a primary investigator in the international clinical research study. The study is testing the
idea that solanezumab will slow the cognitive and functional decline of Alzheimer’s disease as compared with placebo. Alzheimer’s is a progressive disease where dementia symptoms gradually worsen over a number of years. In its early stages, memory loss is mild, but with late-stage Alzheimer’s, individuals lose the ability to carry on a conversation and
Nearly two-thirds of those with Alzheimer’s disease are women.
A Growing Concern The number of Americans living with Alzheimer’s disease is growing—and growing fast. Today, 5.3 million Americans are living with Alzheimer’s disease, including an estimated 200,000 under the age of 65. By 2050, up to 16 million will have the disease. Within the next 10 years, 19 states will see a 40 percent or greater growth in the number of people with Alzheimer’s. Someone in the United States develops Alzheimer’s every 67 seconds. In 2050, someone in the United States will develop the disease every 33 seconds. Most people living with Alzheimer’s are not aware of their diagnosis—or have not been diagnosed at all. Less than half (45 percent) of seniors diagnosed with Alzheimer’s disease or their caregivers are aware of the diagnosis, compared with 90 percent or more of those diagnosed with cancer and cardiovascular disease.
Alzheimer’s disease is the sixth leading cause of death in the United States and the 5th leading cause of death for those aged 65 and older. In 2013, over 84,000 Americans officially died from Alzheimer’s; in 2015, an estimated 700,000 people will die with Alzheimer’s, meaning they will die after having developed the disease. Deaths from Alzheimer’s increased 71 percent from 2000 to 2013, while deaths from other major diseases (including heart disease, stroke, breast and prostate cancer, and HIV/AIDS) decreased. Alzheimer’s is the only cause of death among the top 10 in America that cannot
be prevented, cured or even slowed.
respond to their environment. Alzheimer’s is the sixth leading cause of death in the United States. The research study with solanezumab isn’t the only Alzheimer’s-related study that ETSU has joined. Moore’s research team has also studied the drug bapineuzumab, which, like solanezumab, is a monoclonal antibody. Monoclonal antibodies have shown promise in reducing amyloid plaque found in the brains of Alzheimer’s patients. “Memory is located mainly in the hippocampus, which is found in the temporal lobe. In the brains of Alzheimer’s patients, you have an accumulation of [amyloid] plaques and tangles. Plaques are between the neurons and tangles inside them. They damage the neurons in the temporal lobe and elsewhere.” It is thought the formation of these sticky plaques of amyloid, as well as the tangles, lead to damage and eventually brain cell death.
>
PHOTO BY WWW.FRESHAIRPHOTO.COM
“It can happen in almost any age. Most patients are in their 50s, 60s and 70s; 40s would be very rare.”
Monoclonal antibodies, Moore believes, can remove the plaques. ETSU researchers do both pre-treatment and posttreatment brain scans on study participants. Results of Pfizer Inc’s bapineuzumab study showed that the drug could remove plaque, but it didn’t improve memory. “The brains were already too damaged,” Moore explains. The solanezumab study has shown that there is a clinical benefit but only in patients who are mildly demented, Moore says. “Now we’re doing a study on mild cognitive impairment,” he says. “Mild cognitive impairment does not interfere with daily living. We can measure their memory deficit and confirm if it is greater than it should be for their age.” A PET scan helps researchers decide whether any memory loss is normal for their age or whether it’s the result of an excess of plaques. If it’s because of an excess of plaques, the participant is started on solanezumab, which is only available through clinical trials. “Plaques and tangles appear with aging, but if you have an excess, we can remove them. If you do not have an excess, it’s just the normal aging process,” he says.
Alzheimer’s disease accounts for
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Moore’s Johnson City team is one of 85 cities participating in an AstraZeneca-sponsored enzyme study as a possible treatment for early Alzheimer’s disease. This medication is an anti-enzyme that blocks the production of beta amyloid, the protein that accumulates into harmful plaques in the brains of people with Alzheimer’s. “In the anti-enzyme study, the medication blocks the breakdown of a large brain protein molecule into small pieces. In Alzheimer’s patients, these small pieces accumulate and grow plaques,” Moore explains. “The goal is to prevent plaques from ever getting formed.” ETSU researchers are also gearing up for a study on aducanumab, another promising monoclonal antibody. Alzheimer’s is the most common form of dementia, a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Alzheimer’s disease accounts for 60 to 80 percent of dementia cases. Because women typically live longer than men, more women are diagnosed with Alzheimer’s. “It can happen in almost any age. Most patients are in their 50s, 60s and 70s; 40s would be very rare,” Moore says. “There are reasons you can be demented other than Alzheimer’s, but it’s the most common.” According to the Alzheimer’s Association, Alzheimer’s is the sixth leading cause of death in Tennessee, and the state has seen a 148 percent increase in Alzheimer’s deaths since 2000. Researchers have identified several genes that are associated with Alzheimer’s disease. “The APOE gene (e4 version), if you’ve got that, you’re more likely to get the disease,” Moore says. According to the National Institutes of Health, you can inherit one APOE gene from your mother and another from your father. Having at least one APOE e4 gene increases your risks of developing Alzheimer’s, and if you have both genes, your risk is even higher. But not everyone who has one or two APOE e4 genes develops Alzheimer’s, Moore says. The clinical studies that ETSU participates in last between 18 and 24 months. Those participants who receive a placebo during the study will receive the active drug once the study is over, Moore says. ETSU collects the data, and it is analyzed by the sponsor, which is usually a pharmaceutical company.
For more information about these studies, call (423) 439-7393.
60 to 80 percent of dementia cases.
Heddy’s father
was a Japanese merchant who moved his family to Canada. Heddy was born in Vancouver, British Columbia. After the bombing of Pearl Harbor, she was sent to Lemon Creek internment camp, constructed specifically to house Japanese Canadian families. She eventually moved to Japan and was hired as a translator for the United States Army. It was then that she met Nick Deskins. When he was discharged from the Army, he returned to Kingsport and she returned to Canada. They married in Canada, but her entry into the United States was blocked by immigration officials. Nick enlisted the help of a U.S. Congressman to get Heddy to Kingsport. She received her citizenship in March 1952. She worked for Holston Defense, and then retired from Eastman in the early 1990s. When she was still active at Colonial Heights Baptist Church, she started an international Bible study in her home. Out of that, Sue says, grew Mexican, Korean and Japanese churches in the Tri-Cities area.
Know The Signs
There are 10 warning signs of Alzheimer’s. If you or someone you know is experiencing any of the signs, please see a doctor.
WITHDRAWAL FROM WORK OR SOCIAL ACTIVITIES
Source: Alzheimer’s Association
CHALLENGES IN PLANNING OR SOLVING PROBLEMS
MEMORY LOSS THAT DISRUPTS DAILY LIFE
At Preston Place II, Heddy participates in many activities, but she doesn’t necessarily remember later that she participated. She’s taking Aricept to treat the symptoms of Alzheimer’s. “Her dementia takes her to a whole other place,” Sue says. “The doctor said there may come a time when she reverts to her native language.” Sue says the family was constantly stressed when Heddy was living in the unsecured facility. “It was hard to leave her here [Preston Place II], but she’s so loved here. We have the peace of knowing that she’s safe. They’re not going to let her go dirty. They see that she’s clean, happy, healthy and safe. These people are trained to care for her. “She’s very happy at Preston Place and is becoming part of their little family there. She cannot always understand how all of the residents are different from each other in things they’re able to participate in and discuss. She does love to talk and socialize,” Sue says.
MISPLACING THINGS AND LOSING THE ABILITY TO RETRACE STEPS
CHANGES IN MOOD AND PERSONALITY
CONFUSION WITH TIME OR PLACE DECREASED OR POOR JUDGMENT TROUBLE UNDERSTANDING VISUAL IMAGES AND SPATIAL RELATIONSHIPS
DIFFICULTY COMPLETING FAMILIAR TASKS AT HOME, AT WORK OR AT LEISURE
NEW PROBLEMS WITH WORDS IN SPEAKING OR WRITING
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Calling it
BY C Y N TH IA M C FA
R LA N D
Qu ts It’s finally time to make good on your promise to give up the dangerous habit of using tobacco.
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incomprehensible as it sounds today, just a few short decades ago advertisements abounded with doctors (yes, medical doctors and dentists) actually endorsing smoking and certain brands of cigarettes. One print advertisement from 1930 boasts, “20,679 physicians say that Lucky Strike cigarettes are less irritating.” An ad that appeared in 1946 proudly proclaimed, “More doctors smoke Camels than any other cigarette.” A 1950’s ad depicts a whitecoated dentist announcing, “As your dentist, I would recommend Viceroys.” (You gotta love a brand that uses the word “vice” in its name. Talk about truth in advertising…) Eventually, the tide turned and the truth began coming out. A report by the Surgeon General of the United States in 1964 noted that nicotine and tar in cigarettes cause lung cancer. A year later, Congress passed the Cigarette Labeling and Advertising Act stating that cigarette packages must carry a warning label. In 1971, Congress passed a law forbidding companies to advertise cigarettes on TV and radio. The days of doctors advocating smoking may be history, but tobacco use is still the greatest single preventable cause of disease and premature death in America. It’s responsible for over 440,000 deaths each year, including those caused
18%
of female high school students use some form of tobacco
7%
of middle school students use some form of tobacco
by secondhand smoke. At least 30 percent of all cancer deaths are related to smoking. The good news is that far fewer Americans are smoking cigarettes today, down to 18 percent of the population in 2012 (the latest year for which statistics are available) as compared to 42 percent of the population in 1965. But that still means: • 42 million adults smoke cigarettes • 13.4 million smoke cigars • 9 million use “smokeless” or “spit” tobacco • 2.5 million smoke tobacco in pipes If you think today’s youth are wise to the dangers of tobacco, think again. Government surveys show tobacco use is more common than you might imagine given the wealth of information
about its inherent dangers. As of 2012: • 23 percent of male high school students use some form of tobacco • 18 percent of female high school students use some form of tobacco • 7 percent of middle school students use some form of tobacco
The “N” Word
A major reason it’s so hard to stop using tobacco is because of nicotine, a chemical naturally found in tobacco. Before you beat yourself up, you should know that research suggests nicotine may be as addictive as alcohol, heroin or cocaine. It holds the dubious honor of having more people under its addictive hold than any other drug in America.
Many people quit using tobacco for a brief period but quickly find themselves reaching for it again because of nicotine’s nasty withdrawal symptoms, which may include: • Craving tobacco • Anxiety, anger, irritation, feeling “down” • Hunger • Difficulty concentrating • Trouble sleeping Plain and simple, it’s no fun as your body adjusts to not having nicotine, but if you can hang tough, most symptoms are gone after that first week when withdrawal symptoms are strongest. (Tobacco cravings, however, can last longer.) That’s why it often takes multiple attempts to quit for good—and why it makes sense to follow a proven method for getting off tobacco.
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smoking by region
Where you live may influence whether or not you “light up.” Here’s a quick breakdown of cigarette smokers by population:
South: 20% Midwest: 21% West: 14% Source: American Cancer Society
why quit? SMOKING CAN SHORTEN YOUR LIFE BY AS MUCH AS 14 YEARS. IF YOU NEED MORE REASONS TO QUIT, KEEP READING: • Lowered risk for lung cancer and many other types of cancer • Reduced risk for heart disease, stroke and peripheral vascular disease • Reduced heart disease risk within one to two years of quitting • Reduced respiratory symptoms, such as coughing, wheezing and shortness of breath. • Reduced risk of developing some lung diseases, such as chronic obstructive pulmonary disease, also known as COPD, one of the leading causes of death in the United States • Reduced risk for infertility and babies of low birth weight in women of childbearing age • Better breath • Financial savings, both from cigarettes and health problems Sources: CDC.gov, familydoctor.org
quitting for good Because November marks National Smoking Cessation Month and Lung Cancer Awareness Month, if you use tobacco, now’s the perfect time to pick your “quit date.” Of course, if, like
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many smokers and tobacco users, you’ve tried to stop before, you know there’s a lot more to quitting this habit than just picking a date. Here’s some good news: The number of former smokers has outnumbered current smokers since 2002. The following treatment and methods have been proven effective for people who want to quit using tobacco: counseling (may be telephone, individual or group); advice from a health care professional; treatment and support via cell phone; behavioral therapies; nicotine replacement products (over-thecounter and prescription); and non-nicotine prescription medication. Nicotine replacement products include nicotine
patch, gum lozenge, inhaler and nasal spray. Non-nicotine medications include bupropion SR (Wellbutrin or Zyban®) and varenicline tartrate (Chantix®) and require a doctor’s prescription. Bupropion SR medications are meant to reduce symptoms of nicotine withdrawal and reduce your urge to smoke. Varenicline helps ease withdrawal symptoms and blocks the effects of nicotine if you start smoking again. Always follow doctor’s recommendations when using any of these prescription medications. They are not for everyone, and some have possible side effects. “THERE ARE MANY ANECDOTAL STORIES RELATED TO SMOKING CESSATION, RANGING FROM THE BIZARRE TO THE SIMPLY UNPROVEN,” notes Norman H. Edelman, M.D., senior consultant for scientific affairs for the American Lung Association. “We can only rely on those that have been tested scientifically and found to be effective. Using untested methods usually results in a waste of both time and money.” For the record, it’s been shown that using medication, together with counseling, is more effective for treating tobacco dependence than using either method on its own. Coverage may be provided by your insurance, health plan, clinic or a quitline, making the cost of medication greatly reduced or even free to eligible adults.
different ways to quit:
WHICH ONE ARE YOU?
COLD TURKEY: Giving up tobacco completely and all at once. Extra inspiration to quit: You’ll start noticing some health benefits right away.
WEANING: Gradually cutting back on tobacco use over time until you’ve totally quit. Extra inspiration to quit: It’s been said, “Quitting smoking is a marathon, not a sprint.” Don’t beat yourself up when you slip. Instead, evaluate your weaknesses and renew your commitment to stop.
BACKSLIDING: Trying again to quit after several failed past attempts. Extra inspiration to quit: Stay away from alcohol; it lowers your resistance to tobacco use and typically puts you in a setting where you’re surrounded by smokers.
SUBSTITUTION: Using tobacco/ nicotine substitutes to overcome cravings. Extra inspiration to quit: Create a tobacco-free environment to improve your odds of success. PHARMACEUTICAL HELP:
Using medication to break the habit. Extra inspiration to quit: Realize that you’ll have a better outcome if you get extra help, such as therapy or counseling.
avoid triggers You may have never even thought about how ingrained tobacco has become in your life… until you attempt to quit using it. THE FOLLOWING CAN HELP: Consciously change your routine to avoid tobacco temptation.
Avoid alcohol.
Stay away from situations and people where you’ll be tempted to use tobacco.
Keep your hands busy.
Spend more time with people who don’t use tobacco.
Find another outlet for stress (exercise, walk, squeeze a “stress ball,” etc.).
don’t fall for the
smokeless myth Contrary to what you’d like to believe, smokeless tobacco, including chewing tobacco, snuff, e-cigarettes, and waterpipes (hookahs), aren’t harmless or safer than cigarettes. The truth is that these “cigarette alternatives” can actually expose you to the same—or even greater—amount of toxins and chemicals. “IT IS WELL ESTABLISHED THAT SMOKELESS TOBACCO IS NOT A SAFE ALTERNATIVE TO SMOKING AND LEADS, FOR EXAMPLE, TO CANCERS OF THE ORAL CAVITY, WHICH CAN THEMSELVES BE FATAL,” says Dr. Edelman. Some smokeless tobacco products contain more nicotine than cigarettes and can increase your risk of mouth and throat cancer, along with gum disease and tooth decay. It can be helpful to use an “oral substitute” for smokeless tobacco. You can use nicotine replacement products or something that
doesn’t contain nicotine, such as sugarless gum, sunflower seeds and even beef jerky. Thousands of dippers have successfully quit using smokeless tobacco by using Bacc-Off, a non-tobacco chew, which came on the market in 1993. Clinical studies at Mississippi and Oklahoma universities showed that participants had significantly lowered stress and withdrawal symptoms when using BaccOff to stop dipping. The process involves mixing Bacc-Off with your regular chewing tobacco and gradually reducing your tobacco and nicotine dependence. Because the process is gradual, withdrawal discomfort is lessened and the odds of successful quitting are increased. The herbal product contains no tobacco and is made from FDA-approved ingredients, including tea and mint leaves. Because the product has a taste and
note to friends and
family members Someone you love uses tobacco, and you’d like for them to quit for a host of good reasons. Those reasons may be positive, but keep in mind, you can’t force someone to end a bad habit. The following techniques have been used by a multitude of people trying to get a loved one to quit. What they have in common is that they don’t work! • Using a negative or fear-based approach • Acting angry and judgmental • Pushing someone to set a “quit date” • Using guilt tactics
texture similar to chewing tobacco, it allows users to enjoy dipping without the health risks associated with smokeless tobacco. For details on how to use the product to quit dipping, visit dipstop.com or call (800)-8NO-CHEW.
makeall that c
ogram offers A quit smoking pr advice tical free support, prac ong with a al g, lin se and coun to help you personalized plan s. achieve succes
National Cancer For help from the ) 44U-QUIT. 77 (8 ll Institute, ca state quitline, For help from your . W NO ITQU call (800) use the go quit For text support, your mobile support through okefreeTXT text Sm phone with the m. messaging progra
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Eye Lid Forehead Lift • Abdominoplasty/Tummy Tuck • Breast Augmentation • Breast Lift/Mastopexy Surgery
• Eyelid & Forehead Lift • Facelift • Liposuction • Rhinoplasty and Otoplasty • Skin Rejuvenation Techniques
It has been said, “The eyes are the window of the soul.” Since human beings greet other humans by eye contact, the appearance of one’s eyes can convey a look ranging from fresh and sparkling to fatigued or sad. Unfortunately as we age, we get wrinkles in the forehead as well as in the lower brow area making us look tired and sometimes angry. Because of this, fixing the forehead and brow area can be amongst the most rewarding parts of the face to address, as it can greatly “freshen up” the face. Browlift This is surgery to restore the normal , youthful, rested and energetic proportions of the eyebrows to the hairline. Surgery is almost always done in the office and is usually an easy recovery.
Upper Blepharoplasty If the hooding of the upper eyelids is not caused by malposition of the brows, often a simple removal of excess eyelid skin may be the answer. This is always an office procedure and should be a painless recovery.
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HE ALT H Y
body
HE ALT H Y
body NUTRITION | FITNESS | BEAUT Y
Source: msn.com
sugar 1
wins
And you thought sugar was the No. 1 enemy. Turns out that soybean oil might be even worse for you. There’s always something, isn’t there? According to a study published by Plos One, mice that were
healthylivingmagazines.com | JUNE 2015
fed a diet including soybean oil gained nearly 10 percent more weight than their fructosefeasting counterparts. The soybean-oil-fed mice also suffered from fattier livers and insulin resistance, both possible signs of future diabetes and metabolic syndrome. So go ahead, snack on that homemade cookie. Just do it in moderation!
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body
lighter favorite fares
‘T
is the season for good eats, but it seems most traditional favorites are laden with unhealthy amounts of sugars or fats. Although casseroles may be some of the most beloved dishes at family gatherings, perhaps it’s time they did some lightening up. The easiest, most flavorful way to healthfully repurpose old recipes? Instead of cooking them into casseroles, roast your vegetables.
roasted green beans & mushrooms Green bean casserole is a must-have, but it could be a little lighter sans fried onions and heavy cream of mushroom soup. Get all the same flavors using this recipe from Krista Rollins, who blogs at joyfulhealthyeats.com. A bonus sprinkling of cheese should win over those last few casserole holdouts. You’ll need… 4
cups of fresh green beans, ends trimmed and cut into 1 1⁄2-inch pieces
1
pint of baby portabella mushooms, sliced
1
tsp of dry thyme
1
tbsp of lemon juice
2-3
tbsp of olive oil Salt & pepper
1⁄3
cup of shredded parmesan cheese
Preheat oven to 400°F. In a bowl, toss green beans, mushrooms, thyme, lemon juice, olive oil, salt and pepper until beans are evenly coated. Place green bean mushroom mixture onto baking sheet in a single layer. Bake for 20 minutes. Remove from oven, place in serving dish and sprinkle with parmesan cheese. Recipe and photo courtesy of Krista Rollins, joyfulhealthyeats.com.
Sweet potatoes are often outshined in their own casserole by the heaps of melty marshmallows on top. But believe it or not, the veggies underneath are just as delicious, and you can still get those sweet notes with just a pinch of cinnamon in the mix. Try these roasted carrots and sweet potatoes from Sonnet Lauberth of insonnetskitchen.com and you probably won’t even miss the ‘mallows. You’ll need… 1
tbsp coconut oil
1
tsp smoked paprika
4
medium carrots, chopped
¼�
tsp cinnamon
2
medium sweet potatoes, chopped
¼�
tsp chili powder
1
tsp ground cumin
Sea salt to taste Fresh herbs for garnish (optional)
Preheat oven to 400°F. Toss carrots and sweet potatoes with coconut oil and spices. Lay flat on a sheet pan. Roast for 15-20 minutes, or until vegetables are tender. Add salt to taste, garnish with fresh herbs as desired and serve warm. Recipe and photo courtesy of Sonnet Lauberth, insonnetskitchen.com.
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Sources: huffingtonpost.com, Women’s Health
roasted carrots and sweet potatoes
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body
power play I t’s not always easy to make it to the gym, especially before or after an eighthour workday. Type these names into YouTube’s search bar instead and you’ll have instant access to professional trainers with expert knowledge in the comfort of your living room (and it’s totally free).
befit This channel stars famous trainers like Jillian Michaels and Jane Fonda, and the channel posts a new workout video every day. Check out their playlists section to see their series on power strength training, booty boosters, prenatal and postnatal workouts and more.
blogilates Trainer Cassey Ho is all about overall health with a focus on body positivity. Her channel boasts high intensity interval training (HIIT), awesome dance jam workouts and videos for each area of the body so you can choose what you target. Her energy will keep you upbeat until the end.
fitness blender With HIIT workouts trending right now, this channel is perfect. The husband-and-wife duo offers full-length workout videos—up to an hour and a half in length—so if you’re new to the realm, they’ll walk you through the whole thing.
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xhit daily New videos each day to teach you the moves you need to know. The best part of this channel? They incorporate videos from all disciplines—kickboxing, CrossFit, Pilates and more—so you’re never bored and your muscle tone never plateaus.
yoga with adriene Check out her yoga for beginners series before starting the 30 Days of Yoga Challenge. Adriene also has a video series with sequences specifically for runners and for weight loss, as well as educational videos teaching the different varieties of this ancient exercise art.
scott herman fitness This channel is perfect for body building, perfecting your technique for safe lifting and learning new tricks to boost muscle tone. Check out his videos to perfect your techniques or to build muscle on a busy day between gym visits.
tone it up Who wouldn’t be enticed by workout videos filmed on gorgeous beaches? Trainers Karena and Katrina have workouts that are easy to replicate at home or outdoors, plus some fun varieties like a movie night workout. And hey, it’s still not too late to try out their Frisky Fall Fitness Challenge to get a head start on bikini season.
club fitz For Zumba lovers trying to break it down at home, this is the channel for you. Instructors Lauren and Kelsi always choose popular songs you can’t sit still to anyway, and they have hour-long workouts as well as specific choreography to target the upper or lower body.
Sources: youtube.com, mashable.com, huffingtonpost.com
HE ALT H Y
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 proven 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.
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PROMOTIONAL FEATURE
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makeup: don’t just do it
L
adies, the days of just “doing” your makeup are long gone. Instead, let’s talk four new methods celebrity makeup artists are using to create beautiful looks for their clients and how you can try them for yourself. Which trendy makeup verb will you work this month? OUR TIP: A QUICK INTERNET OR YOUTUBE SEARCH WILL YIELD PLENTY OF HELPFUL VIDEOS AND TUTORIALS.
clown contouring
The time commitment means saving this look for special occasions only, but beauty bloggers are swearing by its effectiveness. Clown contouring is just like regular contouring but exclusively uses liquid and cream cosmetics. And yes, it means painting perfect circles of pink on your cheeks and triangles under your eyes, but fear not, everything is blended to perfection using a cosmetic sponge. OUR TIP: THE TREND’S ORIGINATOR, YOUTUBE USER BELLA DE LUNE, HAS THE BEST ONLINE TUTORIAL WE’VE SEEN.
strobing
Strobing is replacing contouring for daily wear because it’s less about drama and more about a vibrant, dewy finish. Start with a moisturizer for maximum glow, then apply makeup as usual. When your foundation is done, apply a highlighting cream or powder to areas that catch light naturally: the cheekbones, bridge of the nose, inner corners of the eyes, under the brow bones and the Cupid’s bow of your top lip. Blend out with fingers or a brush and prepare to light up the room. OUR TIP: KEEP THE REST OF YOUR MAKEUP MATTE AND SANS SHIMMER TO AVOID LOOKING TOO SHINY.
blurring
Just like blurring imperfections out of your selfies but in real life. Perhaps the most natural looking verb-y trend, blurring started in Korea. It’s all about using products that disguise imperfections without looking heavily made up—but more like you live life with your own personal Instagram filter. Try a CC cream to banish blemishes and pores with light coverage, and a lip primer to fill in lines and make color glide on smoothly. OUR TIP: ETUDE HOUSE’S BEAUTY SHOT FACE BLUR PRIMER IS BLOGGER APPROVED AND AVAILABLE FOR $18 AT ETUDEHOUSE.COM.
If you want flawless, airbrush-like application without a team of makeup artists, you should be baking. Complete your makeup routine as usual. At the end, apply concealer in a triangle shape—down from the inner eye corner next to the nose, under the eye and up to the temple. Blend with a cosmetic sponge and apply a heavy layer of translucent setting powder on top. Allow to sit while the natural warmth of your face “bakes” the concealer into any fine lines. After 10 minutes, use a brush to gently flick the powder away. (This is how Kim Kardashian’s glam squad fixes her up for photo shoots, so you know it’s legit.) OUR TIP: CONCEALER SHOULD BE TWO SHADES LIGHTER THAN YOUR SKIN TONE FOR A SEAMLESS APPEARANCE.
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Sources: marieclaire.com, cosmopolitan.com, buzzfeed.com
baking
HE ALT H Y
balance MIND | SPIRIT | FINANCE
the goldilocks theory
Source: foxnews.com
Surely you’ve heard that the later in life a couple gets married, the less likely their marriage will end in divorce. Nicholas Wolinger, who penned a study called The Goldilocks Theory, agrees‌ but only to a certain extent. According to Wolinger, the best age to get married and have it stick is your late 20s or early 30s. Using data from the National Survey of Family Growth, he reports that although getting married too early in life might spell disaster down the road, so does getting married too late in life.
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the solution?
W
hen it comes to sexting, 24 percent of teens ages 14 to 17 and 33 percent of college-age students from 18 to 24 have tried it. What makes this sharing even more disturbing? About 17 percent of people who receive sexts show them off, usually to more than one person, and that’s just the beginning. It can get you in a world of legal trouble, too. Here’s how one questionable photo can lead to extreme consequences.
risky business
Sexting—sending a sexual photo, video or text message using a cell phone—is often the product of pressure from peers or a significant other. So what exactly are the risks? We live in an online world, one where nothing touched by the Internet ever truly goes away. Employers and elite schools often investigate applicants online, and unearthing explicit photos may be difficult to explain away, even as a teenage mistake. Of course, perhaps the most immediate toll brought on by sexting is embarrassment and peer shaming if the photo is shared. The consequences of sexting don’t stop at the emotional—there can be legal ramifications, too. Minors creating, sending or possessing nude images of a minor will receive community service, a fine and have to attend classes on the dangers of sexting. Teens not considered minors will be charged as criminals, may face up to 15 years in jail and will have to register as sex offenders.
one little helper
ZIP IT is an app designed to help teens diffuse the awkwardness of saying no to sexting. If a contact is pressuring them by sending explicit photos or asking for them, the app provides a variety of hilarious memes intended to divert the conversation.
4 dangerous apps YOU’VE PROBABLY HEARD OF THE INFAMOUS SNAPCHAT. NOTORIOUS FOR “DISAPPEARING” MESSAGES, THIS APP ALLOWS USERS TO TAKE SCREENSHOTS OF ANY MESSAGES THEY RECEIVE. UNLIKE SNAPS, SCREENSHOTS ARE FOREVER AND CAN BE SHARED.
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tchealthyliving.com | NOVEMBER 2015
IDELETE IS LIKE A REVAMPED SNAPCHAT, BUT WITH THE SMALL ADDED FEATURE OF SCREENSHOT PROTECTION. HOWEVER, THIS FEATURE CAN BE TURNED OFF, SO PARENTS SHOULD STILL BEWARE.
KIK ALLOWS USERS TO GROUP CHAT WITH UP TO 50 PEOPLE AND EXCHANGE PHOTOS, VIDEOS AND GIFS WITH ONLY A USERNAME, MEANING TOTAL ANONYMITY.
TINDER ALLOWS FOR NEARLY ANONYMOUS MESSAGING (ONLY PHOTOS AND FIRST NAMES ARE KNOWN) WITH OTHERS IN YOUR AREA, MAKING IT EASY TO SHARE RISQUÉ IMAGES.
Sources: dosomething.org, mobilemediaguard.com, huffingtonpost.com, bustle.com.
downsides of sexting
Talk to your teens. Use recent studies or news stories about sexting to start a conversation about the risks of sexting and the consequences if caught. Knowing the outcomes can help them stay strong when someone asks for a risky picture.
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it makes scents O
il diffusers just may be the next big thing. Can you say move over, pumpkin spice? Pumpkin lovers, no fear, though. Pumpkin oil is a must for your diffuser. In addition to creating that sweet, autumn smell, the scent is believed to be a bit of an aphrodisiac. It’s a win-win! Of course, pumpkin oil is just one of the many essentials oils thought to have restorative, healing and relaxing properties.
ROSEMARY: Known for stimulating the brain and improving mental performance, rosemary is a crowd favorite.
LEMON: The light, citrusy scent is said to promote mental clarity and reduce stress and depression.
PEPPERMINT: Used to relieve mental fatigue, peppermint oil enhances alertness and memory. It’s also said to help alleviate an upset stomach.
EUCALYPTUS: Oil from this plant is commonly used to open the sinuses and bronchial passages, making this a go-to oil when a cold creeps up on you. Eucalyptus can also help with headaches and mental fatigue. LAVENDER: This popular oil is known for its relaxing and sleep-inducing properties. JASMINE: Used to fight stress and conquer
anxiety.
THYME: Apparently, all it takes is a little bit of time, and thyme, to improve memory and concentration. SANDALWOOD: Encompassing warming properties, sandalwood calms nerves and induces relaxation.
ready to start?
Check out some of these low-cost diffusers to get you started. You may also want to check out youngliving.com and doterra.com, two essential oil giants, for information on different oils and the benefits of each. Riverock Essential $39.99, amazon.com MIU Color Aroma Diffuser $39.99, amazon.com PureSpa Aromatherapy Oil Diffuser $39.99, amazon.com
Editor’s Note: Be sure to talk to your doctor before beginning an oil regimen and do your homework to know how to properly use each oil.
346 healthylivingmagazines.com tchealthyliving.com | NOVEMBER | DECEMBER 2015 2014
Sources: merriam-webster.com, grammarist.com
Essential oils are made up of tiny molecules that are very easily absorbed through the skin and lungs before being distributed throughout the body. Each contain a unique composition of terpenes, esters, oxides, alcohols, phenols, ketones and aldehydes. (Did you get all that?) The components work together with your body’s natural chemistry to stimulate the immune system, aid in cell growth, eliminate toxins or even kill bacteria. Each oil has its own job… here are some that have proven themselves time and time again.
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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 accidental 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, four-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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not a latte energy CAFFEINE-FREE ENERGY BOOSTS
D
ragging in the middle of the day? Skip the caffeine jitters, and boost your energy the natural way. Sure, that cup of coffee may give you a quick fix, but these natural wake-me-ups will keep you going longer without the inevitable crash.
exercise Use your lunch break to get your body moving. Take a walk, or do some yoga at your desk. Either way, some movement will get your blood flowing and your brain refocused.
learn new things That window of sluggishness seems to hit every day between 2 and 4pm, right? So, instead of knocking back another cup of joe, take a few minutes to learn something new. Whether it’s watching a work-related podcast, brushing up on computer skills or researching a new concept, engage your mind with something new.
improves mental function. So, open up the blinds or step outside for a quick dose of natural energy.
snack on protein Toss the candy and chips. Fix midday munchies with proteinfilled snacks. They’ll fill you up and give you sustained energy instead of leaving you more exhausted after a sugar crash.
cold water chill
POP ON YOUR HEADPHONES, CRANK UP THE MUSIC AND LET THE TUNES WAKE YOU UP. IF YOU’RE NOT IN THE MIDDLE OF THE OFFICE, DON’T BE AFRAID TO BUST OUT THE LYRICS FOR AN EXTRA SHOT OF ENERGY.
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savor sunlight Artificial lighting in the office can take a toll on energy levels and cognitive function throughout the day. But, one study shows that even a short amount of time in the sunlight
take five Stop working, and take five minutes to do nothing. This small break will fight fatigue and boost productivity. Take a few short breaks each day to keep you going strong.
chew gum Chewing gum freshens your breath and increases your heart rate, causing more blood to flow to the brain. It also stimulates the autonomic nervous system, making you feel more alert.
Sources: activebeat.com, prevention.com, webmd.com
TURN UP THE TUNES
For a mini adrenaline pump and surge of energy, drink a glass of ice-cold water. If it’s a makeupfree day (we all have them), splash some cold water on your face for a quick refresher. And, because most people can’t shower at work, take a cold shower in the morning before work to jumpstart your day.
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