Healthbeat spring 2015

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A publication of Maria Parham Medical Center and The Daily Dispatch

Primary care physicians — your partner in health and wellness With all of the different medical specialties out there, there is one specialist that may be the key to a person’s overall good health — the primary care physician. Conventional thinking would say that a primary care physician is anything but a specialist, but not if you consider the specialty to be you. Every person needs to establish a relationship with a primary care physician, and it is best to do it first when you are not sick — perhaps during an annual physical or wellness visit. A primary care physician provides a medical home for the patient. A PCP looks at the entire person, not only the current medical need. By understanding the person’s medical history, current lifestyle, job and family dynamics, the PCP can work with the patient to develop a comprehensive and individualized health care plan. Because a primary care

physician gets a chance to see a person over a period of time, he or she also gets to know what type of person you are, what your beliefs are when it comes to taking medicine and even what type of support structure you have surrounding you on a daily basis. For example, you may be a person who has a hard time remembering to take your medications. So your PCP may be able to prescribe a drug that can be taken once daily as opposed to four times a day. Or your PCP may ask an elderly person’s family member to stop by to make sure he has taken his medication. Of course, the most common reason people go to see their doctor is because they are sick or injured. A PCP is trained to treat a wide array of illnesses and injuries and if your condition requires the skills of a medical specialist, see primary/page 11

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SPRING 2015

2

HealthBeat

The Daily Dispatch

Spring 2015

Staying healthy with annual checkups M

ost of us will visit a doctor when we are sick, experiencing a new health problem or in pain. But to stay healthy, it is important that we visit our primary care physicians regularly even when we are well. A recent study found that only about 21 percent of Americans get yearly health exams, compared to 65 percent who see their dentists at least once a year. Annual physical exams, like routine dental visits, are a critical element in maintaining good health. While a yearly examination may seem unnecessary, especially if you feel great, this regular visit with your doctor can offer valuable help in preventing health surprises and setbacks down the road. Regular checkups are vital in our ability to prevent health problems and diagnose them as early as possible, but, unfortunately, only a small fraction of the population who could benefit from a yearly exam with their primary

care physician will receive one this year. The early diagnosis of many conditions — from cancer to heart disease to infections — gives us the best chance at achieving the best health outcome possible. It is recommended that everyone discuss with their doctor if they could benefit from a yearly checkup. Maria Parham Medical Center can help connect you and your family with a primary care physician who can perform a checkup and help you get started on a regular exam schedule that is right for you. You can call Maria Parham’s Physician Referral line at 252-438-MPMC, for personalized assistance or go to www.mariaparham.com and click on the “Physician Finderâ€? tab to see a list of primary care physician in the area.Â

geriatricians. They are the doctors who are typically responsible for diagnosing new illnesses, managing chronic ones, advocating preventive care and protecting the wellness of their communities. Primary care providers are usually a patient’s first contact and principal point of continuing care within a health care system. Continuity is a key characteristic of this practice of medicine. Having a consistent primary care physician allows you to consult the same practitioner for routine check-ups, preventative care and consultations about emerging health concerns.Â

What is a primary care physician?

Doctors use a physical exam to see how the body is performing and monitor vital signs such as weight, blood pressure, cholesterol and other markers. Depending on a patient’s

Primary care physicians consist of family physicians and general practitioners, general internists, general pediatricians and

What happens during a regular check up with a primary care physician?

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personal health history, a doctor may choose to focus on certain areas of a physical exam such as additional blood pressure and cholesterol screenings for patients with a family history of heart disease. Beyond improving a person’s health, an annual checkup also is an opportunity to foster the doctor-patient relationship, which enables the doctor to sense minute changes in the patient’s health that can only be identified with a level of familiarity. Additionally, yearly exams are the best way for a doctor to monitor patients to ensure they are getting the preventative health screenings at appropriate times.Â

Are annual exams expensive?

Getting an annual exam doesn’t have to be expensive. Most insurance plans fully cover one checkup each year. Contact your insurance provider for details regarding your plan’s coverage.

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The Daily Dispatch

HealthBeat

3

Spring 2015

A woman’s health is as unique as she is O

n Mother’s Day, May 10, our nation will kick off Women’s Health Week, a seven-day focus on the health of women of all ages. While this week gives us an occasion to consider women’s health, it is important that we take care of the women in our lives and encourage them to take care of themselves every day. The Centers for Disease Control and Prevention recently released the leading causes of death by gender. While heart disease and cancer were the leading causes of death for both men and women, there were several notable differences among the genders. For example, stroke is the third leading cause of death in women but only the fifth in men, and Alzheimer’s disease is the fifth leading cause of death in women but ranked only eighth in men. “Women are so busy taking care of others, it is sometimes easy for them to ignore their own health,â€? said Dr. Kavitha Subramanian with Maria Parham Primary Care. “But women can’t effectively care for others if they don’t also care for themselves. We encourage all women in our community to know and understand their unique health risks. Maria Parham Medical Center is here to help women get and stay healthy.â€? Here are a few health tips related to the top causes of death for women:Â

Heart disease

Heart disease risk factors for women include high cholesterol, high blood pressure, smoking, lack of physical activity, low levels of estrogen after menopause, diabetes, metabolic syndrome, depression and high blood pressure or diabetes caused by pregnancy. The most common heart attack symptom in women and

in the breast or other part of the body, indigestion or trouble swallowing and nagging cough or hoarseness.Â

men is chest pain or discomfort, but women are more likely than men to experience symptoms such as shortness of breath, nausea or vomiting, and back, neck or jaw pain. These symptoms are often confused with other conditions such as stress or the flu.Â

Stroke

Cancer

Researchers have identified risk factors that increase a woman’s chance of developing certain types of cancers: • Behavioral: Smoking, drinking alcohol, using tanning beds, maintaining an unhealthy diet and not exercising. • Environmental: Exposure to secondhand smoke, pollution, UV beds and toxins. • Biological: Physical

traits such as gender, race or ethnicity, age and skin complexion. • Hereditary: You will have a higher likelihood of developing cancer if you inherited certain mutated genes from your parents. Cancer warning signs and

symptoms for women include unexplained weight loss of 10 pounds of more, fever, fatigue, pain, skin changes, change in bowel habits or bladder function, sores that do not heal, white patches in the mouth, unusual bleeding or discharge, thickening or a lump

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Stroke risk factors for women include family history of stroke, high blood pressure, high cholesterol, smoking, diabetes, being overweight, lack of physical activity, taking birth control pills, being pregnant, using hormone replacement therapy, having a thick waist and high triglyceride levels and being a migraine sufferer. Stroke warning signs in women are similar to those in men: • Sudden numbness or weakness of the arm, leg or

face, especially when isolated on one side of the body. • Sudden confusion, dizziness or loss of balance or coordination. • Sudden trouble walking, speaking, seeing or processing information. • Sudden severe headache with no known cause. If you or a woman you know is experiencing any of these symptoms, seek medical attention right away. Contact your primary care provider or OB/GYN. If you do not have a doctor and need help locating one, call 252-438-MPMC for personal assistance. You can also go to www.mariaparham. com and click on the “Physician finderâ€? link to see a list of doctors in our area.

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Comprehensive Dentistry for the Whole Family

Hushang Ghodrat, DDS • Mazda Berenjian, DDS Umit Borkan-Sevim, DDS

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4

HealthBeat

The Daily Dispatch

Spring 2015

Stay stress free this spring S

pring is here. Along with warming weather, blooming flowers and chirping birds, spring also signals National Stress Awareness Month, which is observed every April. Why is Stress Awareness Month so important? It is important for a number of reasons, according to Dr. Patricia Smith of Four County Primary Care. “Stress can take its toll on our health in many ways. It can cause depression or anxiety, lead to heart disease, and cause high blood pressure and obesity, among other things,� Smith said. “While some level of stress in our lives is inevitable and can even be positive, it’s important for people to learn how to manage their stress for their physical and mental health and well being.� What is stress? According to the U.S. Department of Health & Human Services, stress is the body’s response to any demand or change. Most people can identify with stress caused by negative situations, such as the loss of

a loved one, an accident, a difficult relationship or interaction, or trouble at work. Stress can also result from positive situations, like getting married, having a baby or getting a new job. It can be either long term or short term and can present itself in many ways. Smith emphasizes the importance of identifying stressors in your life — the events or situations that cause you stress — and recognizing how your body responds to those situations. If you know that, you learn to manage your stress more effectively, which can help you: • Sleep better; • Control your weight; • Get sick less often and get better faster when you do get sick; • Lessen neck and back pain; • Be in a better mood; and • Get along better with family and friends. This spring, consider improving your approach to stress management. The following are 10 suggestions about how to improve your

signs of stress

stress level: • Be organized. Prioritize your to-do list and plan your time, being realistic about how long tasks will take. • Be flexible. While planning is good and can help prevent stress, it is also important to be prepared to change your plans and respond to situations as needed. • If you know a stressful event is on the horizon, be prepared. This could mean thinking through responses for an interview or getting a good night’s sleep before a long day at work. • Make it a habit to take a moment to breathe deeply and relax. Stretch your muscles, too. Doing these things can relax your body and your mind. • Exercise. Incorporating physical activity into your daily habits can help improve your mood and prevent stress. • Watch what you eat. Give your body plenty of energy by eating vegetables, fruits and protein. • Avoid drinking alcohol excessively, and

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• Not eating or eating too much. • Feeling like you have no control. • Needing to have control. • Forgetfulness. • Headaches. • Lack of energy. • Lack of focus. • Trouble getting things done. • Poor self-esteem. • Short temper. • Trouble sleeping. • Upset stomach. • Back pain. • General aches and pains. do not drink alcohol as a means to manage your stress. • Do something for yourself. Read a good book, listen to music, make plans with friends or enjoy a good laugh. • Talk to people. Friends, family or co-workers may be able to help. In addition, verbalizing your stress can help relieve it.

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HealthBeat

The Daily Dispatch

5

Spring 2015

The importance of healthy sleeping habits

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unday, March 8, served as an important reminder of two things: the approaching warm weather and the importance of sleep. Many of us were groggy recovering from the hour of sleep we lost when the clocks sprang forward an hour in observance of Daylight Saving Time. In light of this annual reminder of the value of sleep, the National Sleep Foundation has declared March 2 through March 8 as “National Sleep Awareness Week� to promote healthy sleeping habits across the U.S. “Many people do not realize the importance of healthy sleeping habits to their overall wellness,� said Dr. Ashish Singh of Henderson Pulmonary and Sleep Medicine. “Most adults need at least seven to nine hours of sleep per night to maintain good health. In addition, there are several common sleeping disorders that, left untreated, can be even very damaging to a person’s health.� Along with feeling tired, poor sleeping habits and untreated sleeping disorders can cause high blood pressure, increased stress,

weight gain, depression, loss of motor skills and heart damage. In addition, lack of sleep makes it extremely dangerous to operate motor vehicles and other machinery. The following four sleep disorders are common in the U.S., according to the Centers for Disease Control and Prevention: • Insomnia: Symptoms of insomnia include the inability to initiate or maintain sleep, early morning awakening and excessive sleepiness throughout the day. Insomnia can impair a person’s daily functions, cause mood swings or depression, and affect heart health and weight. The National Sleep Foundation reports that 48 percent of Americans experience insomnia occasionally, and 22 percent experience insomnia every night. • Narcolepsy: Narcolepsy is most often characterized by excessive daytime sleepiness combined with sudden muscle weakness. The sudden muscle weakness that people with narcolepsy experience often occurs in attacks that are triggered by strong emotion or surprise, and can happen at any time, even during physical activity. This is particularly dangerous

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Mon. - Sat. 7:00am -7:45pm

“Most adults need at least seven to nine hours of sleep per night to maintain good health. In addition, there are several common sleeping disorders that, left untreated, can be even very damaging to a person’s health.�

often be treated with prescription medications, behavioral interventions or, in the case of sleep apnea, continuous positive airway pressure (CPAP) devices. There are over-the-counter medications, as well, but Singh recommends consulting — Dr. Ashish Singh with a doctor or pharmacist Henderson Pulmonary and Sleep Medicine before taking these. There are several things people can do to build characteristic of sleep while driving. healthy sleeping habits into • Restless Leg Syndrome: apnea. Left untreated, sleep their daily routines. The apnea can lead to excessive The hallmark sign of RLS National Sleep Foundation tiredness during the day, high suggests the following tips for is an unpleasant feeling blood pressure, heart attack, in the lower legs, often sleeping smarter: congestive heart failure, accompanied by aches and • Establish a regular bed pains. People who experience cardiac arrhythmia, stroke or and wake time. depression. RLS typically have difficulty • Avoid nicotine According to Singh, those altogether and avoid caffeine falling asleep and try to experiencing symptoms of relieve their discomfort by close to bedtime. walking or kicking their legs. sleep disorders should contact • Avoid alcohol. a health care provider to • Sleep apnea — • Exercise regularly, but Excessive snoring periodically determine the best treatment complete the workout at least options. interrupted by gasping or three hours before bedtime. Sleep disorders can snorting noises is a key • Establish a consistent

relaxing bedtime routine. • Create a sleep-conducive environment that is dark, quiet and comfortable. • Discuss the appropriate way to take any sleep aid with a health care professional. Maria Parham Medical Center has a comprehensive sleep center located within the hospital. The center is supervised by a technician who is nationally registered in sleep and EEG and is directed by a physician certified in sleep medicine. Your physician, along with a qualified sleep lab, can help you have a better night’s sleep and, even more importantly, a more productive day while awake. Only your physician can order a sleep study for you. For more information on Maria Parham’s sleep center, call 252-436-1749.

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6

HealthBeat

The Daily Dispatch

W

Spring 2015

Benefits of cardiac rehab

hen people typically think about cardiac rehab, they envision walking on a treadmill and peddling an Exercycle. Cardiac rehab does include exercising, but it involves much more, including a full evaluation of heart disease risk factors and often a significant change in life style. Millions of Americans qualify for cardiac rehab because they have had a heart attack, angioplasty or bypass surgery. Millions more who have angina or are at high risk for heart disease would also benefit from a cardiac rehab program. Following a medical evaluation, a person begins a supervised, graded exercise program with a variety of exercises using different muscles groups and physical activities. The amount of time spent exercising and the amount of exertion are gradually increased.

Dietitians and educators can evaluate your risk factors, such as high cholesterol or high blood pressure, and recommend changes in your diet. Diabetes is often a factor in heart disease, and tight control of the blood sugar is important. Often the most important lifestyle changes is to stop smoking. It is one of the

most significant risk factors and is entirely unnecessary. Smoking cessation classes are highly recommended, and prescription medicines may help. Counseling about stress and resolving conflicts can be very important. The basis of cardiac rehab, however, is a graded exercise program which safely trains

The basis of cardiac rehab, however, is a graded exercise program which safely trains the heart, blood vessels and musculoskeletal system to work more efficiently and tolerate greater exertion without precipitating symptoms. The benefits a person attains include increased exercise tolerance, improved sense of well-being, a decrease in symptoms, less stress and a longer life.

New Century

the heart, blood vessels and musculoskeletal system to work more efficiently and tolerate greater exertion without precipitating symptoms. The benefits a person attains include increased exercise tolerance, improved sense of well-being, a decrease in symptoms, less stress and a longer life. Maria Parham Medical Center offers cardiac rehab through its Cardiopulmonary Rehabilitation Department. Maria Parham’s Cardiopulmonary Rehab recently moved into its new facility, which was renovated to meet the specific needs of the patient population. The facility features upgraded, permanently mounted exercise equipment with advanced computer monitoring and telemetry. For more information about the cardiopulmonary program at the hospital, call (252) 436-1570 or go to www. mariaparham.com and click on “Services.�

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The Daily Dispatch

HealthBeat

Spring 2015

7

Cardiopulmonary rehab at Maria Parham Medical Center

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eart Wise is Maria Parham’s three-month medically supervised cardiac rehab program designed to help patients with heart disease recover faster and return to full and productive lives. You can benefit from rehab if you have had a heart attack, angina pectoris, recent coronary artery bypass surgery, recent angioplasty, CHF or stent placement. Cardiac rehab is covered by Medicare and most major medical insurance companies. We will work with you to verify your coverage before starting the program. Heart Wise offers individually prescribed exercises, education and counseling to help participants begin heart-healthy living. The goals of cardiac rehab include: • Reducing risk of future heart problems and preventing hospitalizations;

• Controlling cardiac symptoms; • Better management of prescribed medications; and • Reducing stress. Breath Wise is Maria Parham’s three-month medically supervised pulmonary rehabilitation designed to help patients with chronic lung disease recover faster and improve their quality of life. You can benefit from rehab if you have COPD, asthma, emphysema, chronic bronchitis, pulmonary fibrosis or if you are recovering from lung surgery. The program offers individually prescribed exercises, education and counseling to help participants begin living a healthier life.

Pulmonary rehab is a safe and effective way to:

• Minimize respiratory symptoms; • Reduce hospitalizations;

• Learn to manage breathing problems; • Better manage prescribed medications; and • Reduce stress. Patients attending the intensive Heart Wise and Breath Wise programs must have a referral from their doctor. Low-cost maintenance programs are also available and do not require a physician referral. The cardiopulmonary rehab staff consists of physicians, cardiac rehab nurses, social workers, exercise specialists, registered dieticians and respiratory therapists. Maria Parham Cardiopulmonary Rehab is located in the Vance Medical Arts Building, Suite 202. For more information about the cardiopulmonary program, call 252-436-1570 or go to www. mariaparham.com and click on “Services.â€?

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8

The Daily Dispatch

HealthBeat

Spring 2015

Fruits and vegetables can help reduce cholesterol, risk of disease E 10 good reasons to eat more fruits and vegetables

veryone has heard the saying, “an apple a day keeps the doctor away.� While an apple might not have magical powers strong enough to keep you healthy by itself, there is some truth to this well-known adage. Eating plenty of fruits and vegetables has many benefits to your body. Fruits and veggies help support a healthy digestive system and help prevent high cholesterol. It has been shown that fruits and vegetables can also help to reduce your risk of high blood pressure, heart disease and some cancers. Reducing your risk of high cholesterol is especially important. According to the Centers for Disease Control and Prevention, two out of three adults have high cholesterol, which increases risk of heart disease and stroke. There are two kinds of cholesterol: high density lipoprotein or HDL, which is good cholesterol, and low density lipoprotein or

LDL cholesterol, which is bad cholesterol. When we talk about high cholesterol, we are talking about LDL cholesterol that has built up in a person’s arteries. Eating a diet rich in fresh fruits and vegetables and low in salt and fat can help lower LDL cholesterol. How many servings of fruits and vegetables should a person eat to reap the benefits? The U.S. Department of Agriculture has made this easy to remember: Fill half your plate with fruits and vegetables to ensure you are getting your full serving at every meal. If you have questions about your diet or would like to get your cholesterol tested, talk to your doctor. Maria Parham Medical Center has physicians that can help. You can call Maria Parham’s Physician Referral line at 252-438-MPMC for personalized assistance or go to www.mariaparham.com and click on the “Physician Finderâ€? tab to see a list of physician in the area.Â

1. Color and texture: Fruits and veggies add color, texture and appeal to your plate. 2. Convenience: Fruits and veggies are nutritious in any form, be it fresh, frozen, canned, dried or 100 percent juice, so they are ready when you are. 3. Fiber: Fruits and veggies provide fiber that helps fill you up and keeps your digestive system happy. 4. Low in calories: Fruits and veggies are naturally low in calories. 5. May reduce risk of disease: Eating plenty of fruits and veggies may help reduce the risk of many diseases, including heart disease, high blood pressure and some cancers. 6. Vitamins and minerals: Fruits and veggies are rich in vitamins and minerals that help you feel healthy and energized. 7. Variety: Fruits and veggies are available in an almost infinite variety. 8. Quick, natural snack: Fruits and veggies are nature’s treats and are easy to grab for a snack. 9. Fun to eat: Some crunch, some squirt, some you peel, and some grow right in your own back yard. 10. Tasty: Fruits and veggies are nutritious and delicious. *Information from www.fruitsandveggiesmorematters.org

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HealthBeat

The Daily Dispatch

Spring 2015

Understanding strokes Causes of strokes

family had a stroke. AfricanAmericans have a higher risk for stroke also; and Risk factors • If you have had a There are risk factors for stroke that you can change stroke, you are at a higher risk to have another stroke. and decrease or that can be treated by your doctor, such as: Preventing strokes • High blood pressure; In order to reduce your • Use of tobacco or risk of having a stroke: tobacco products; • Don’t smoke or use • Diabetes; tobacco products. • Artery disease, • Improve your particularly the carotid eating habits and ask your arteries in your neck; doctor, nurse or a licensed • History of TIAs; nutritionist for help. • Heart disease; • Exercise regularly. • Certain blood • Take your prescribed disorders, such as sickle cell medications as directed. anemia; • Check your blood • High cholesterol’ pressure regularly and control • Lack of exercising and it with medication if needed. being overweight; • Maintain a healthy • Illegal drug use; and weight. • Excessive alcohol use. • Have regular medical checkups. There are risk factors for stroke that you cannot Symptoms Follow up after a change but need to be aware Stroke symptoms stroke of, such as: include: Once you have had a • Increasing age; • Loss of strength or stroke, you should always: • Gender — more men sensation on one side of your • Keep your body at the face, arm and leg; than women have strokes appointments with your but more women die from • Problems with medical doctor. speaking and understanding; strokes; • Keep your • Heredity and race — appointments with your • Problems with your you are at a higher risk for vision and balance; and neurologist. A neurologist stroke if someone in your • Severe headache, nausea and vomiting.

One way a stroke occurs is that blood vessels to the brain become narrowed or clogged so that blood flow to brain cells is restricted or cut off. This is called an ischemic ( is-kem-ik) stroke. This is the most common type of stroke. Sometimes a blood vessel ruptures or breaks in or near the brain. This results in what is called as a hemorrhagic (hem-o-rayg-ik) stroke. This type of stroke occurs less frequently but can be more severe. A TIA, or transit ischemic attack, occurs when a blood clot blocks an artery for a short time. TIAs usually last only a few minutes. TIAs are strong predictors of high risk for stroke. Do not ignore them.

is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system. • Keep your appointments with your physical, speech and occupational therapists if your doctor orders rehabilitation for you. Maria Parham Medical Center’s rehabilitation team hosts a stroke support group that meets on a regular basis. The next meeting is set for April 22. Call 252-436-1600 for more information about the support group. For more information about strokes and your risk factors, talk to your doctor. You can also call Maria Parham Medical Center at 252-438-MPMC or go to www.mariaparham. com for a listing of medical providers in our area.

Four County Eye Associates DANIEL BERNSTEIN, M.D.

Comprehensive Ophthalmology Routine Adult and Pediatric Exams/Glasses and Contact Lenses

*5$19,//( 9$1&( Granville Vance Home Health “Your Home Townhome Team!”

health

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Skilled Nursing Care • Home Health Aides • Physical, Speech & Occupational Therapy • Medical Social Worker ACHC Accredited • Medicare & Medicaid Certified A Division of Granville Vance District Health Department Over 40 Years of Providing Services in Granville and Vance Counties

125 Charles Rollins Rd. • Henderson, NC 27536 Telephone: (252) 492-5831 Fax: (252) 492-3613 www.gvdhd.org

CYNTHIA A. HAMPTON, M.D.

Office Hours By Appointment

(252) 492-8021 800-331-6744

No Stitch Cataract Surgery: Laser Surgery: Medical and Surgical Treatment of Glaucoma and Diabetic Eye Diseases: Muscle and Eyelid Surgery.

Henderson Professional Plaza 451 Ruin Creek Road, Suite 204 Henderson, NC 27536 www.fourcountyeyeassociates.medem.com

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10

HealthBeat

The Daily Dispatch

Spring 2015

Anaphylaxis: a severe allergic reaction W

ith the arrival of spring comes warmer weather, pretty flowers and a seemingly innocent little insect, the bee. However, to many, that innocent looking bee is a source of terror and potential harm. A bee sting can cause a person who is severely allergic to collapse so quickly that it appears to be a cardiac arrest. In other cases, it may take several minutes to develop a reaction, but nearly all anaphylactic reactions occur within 30 minutes of the exposure. Anaphylaxis is the allergic reaction that causes the airways to close off and shock (low blood pressure) to occur. It is a very severe reaction that can occur very quickly after exposure to an allergen. Bee stings are a major cause of these anaphylactic reactions and cause about 40 deaths each year in the U.S. Yellow jackets are the most common cause. Paper wasps and honeybees seldom cause anaphylaxis.

Foods can also cause anaphylactic reactions. The most common one is peanuts. Other nuts, milk, soy, fish and berries are also relatively common causes. Some food additives can cause it. Monosodium glutamate is a chemical used to keep vegetables looking fresh and potatoes white. This chemical was banned in 1986 for most uses, but it is still available for use in certain foods. A person with a sensitivity to monosodium glutamate—better known as MSG—should check at restaurants to be sure that none has been used in preparing salads or potatoes. Even common allergens, such as pollens and dusts, can cause anaphylaxis, especially if there is a very high exposure. Persons who have had anaphylactic reactions should have an epinephrine kit available when there is any risk of exposure so immediate treatment can be given. Always see your doctor for any severe allergic reaction.

Beckford Medical Centers

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Accepting New Patients At All Three Locations

J.E. Kenney, MD S.E. Reed, PA-C F.C. Aniekwensi, MD W.M. Davis, PA-C Darleane Wilson, PA-C Elsa Bagnulo, NP

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Beckford Medical Center, PA

176 Beckford Drive • Henderson, NC 27536 Phone: 252-492-2161

Beckford Warren Medical Center 816 US Hwy 158 Bus. W., Suite 102 • Warrenton, NC 27589 Phone: 252-257-6213

Beckford Medical Center, PA 6010A NC 561 Hwy. • Louisburg, NC 27549 Phone: 919-340-0284

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The Daily Dispatch

primary from the cover your PCP can refer you to the appropriate doctor. If referred, your PCP will communicate with the specialist before and after your visit or visits and will keep any needed health information in your chart for future reference. Another important benefit to using a PCP is cost. Going to see a PCP is generally less expensive than going to an emergency room or even an urgent care. If insured, a person typically only has to pay a co-pay to see their PCP. And if uninsured, many PCPs offer a reduced fee for those who choose to pay for their visit up front, but be sure to check with your PCP’s office staff first. Another way your PCP can save you money is working with you to find less expensive options for things like prescriptions or therapy visits. Wellness is a term that you may hear your PCP use more and more in today’s health care environment. Common sense tells most of us that eating healthy, exercising and taking advantage of preventive wellness visits keep us healthier, but for some reason our population continues to gain weight, eat poorly and ignore opportunities for preventive care. Health insurance companies are now highly encouraging their customers to adopt a healthier lifestyle, often providing discounts on monthly premiums and agreeing to pay for additional wellness visits. Remember, primary care providers specialize in a healthier you. For a listing of PCPs in the area, go to Maria Parham’s website at www.mariaparham. com or call 252-438-MPMC for additional information.Â

HealthBeat

11

Spring 2015

Decreasing asthma triggers A

sthma is still a serious disease. The number of deaths from asthma is not decreasing, in spite of better medicines. In fact, the trust people have placed in these effective medicines may be the cause of delays in seeking treatment of some severe attacks. But preventing attacks is as important as treating them, and it is often easier. A person can frequently control some of the triggers which cause asthma. Animal danders are a controllable source of asthma attacks. Cats are the traditional cause, with “cat asthma� being well known.

If a person is allergic to cats, then cats must be kept out of the house. Horses, dogs and birds can also cause problems. Feather pillows should be avoided. The more serious problems occur with dust mites and molds. These are constantly present, although the quantity may vary. Starting the furnace will stir up dust and molds that have accumulated during the summer months. Dust mites and molds can be limited by keeping the house cooler and dryer during the summer months. Pollen exposure can be limited by using air

conditioners and spending less time outdoors, especially on windy and high pollen count days. Chemical irritants can usually be avoided. These include cigarette smoke, industrial chemicals and even food additives. Infections are a common trigger of asthma attacks, especially viral infections. While these infections cannot always be avoided, some can be prevented by avoiding unnecessary exposure to crowds during flu seasons. Also, getting a pneumonia vaccine and a yearly flu shot is very important, especially for

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anyone more than 65 years old. Go to www.lungusa.org to find valuable information

on how to decrease your asthma triggers and about the overall treatment of asthma.

Kerr Lake Nursing and Rehabilitation Center •24 hour Professional Nursing Services include Post Operative Care, Restorative Nursing Care, Cardiac Rehabilitation, Diabetic Management, Stroke Care, Pain Management, Wound Care and Acute Care Services •Physical, Speech and Occupational Therapy •Registered Dietician Services •Social Services •Activities •Individualized Plans of Care

“We Are Neighbors Taking Care of Neighbors�

252-492-7021

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1245 Park Avenue, Henderson, NC

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Silver Quality Award Voted Best Nursing Home In Vance County 11 Years In A Row!!!!

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HealthBeat

The Daily Dispatch

Spring 2015

right here, right now

When Every Second Counts The Emergency Department at Maria Parham Medical Center stands ready for any emergency you or your loved ones face. And because every second counts–especially when it comes to stroke care–Maria Parham has partnered with the Duke Telestroke Network to provide fast, real time access to immediate stroke care specialists and treatment. Advanced stroke care, right here, right now, at Maria Parham Medical Center. For more information, visit www.mariaparham.com

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