Wellness
Breast Cancer Awa r e n e s s
3 How to make school Lunch Healthier
14 Life after breast cancer
4 Get the scoop on soyfoods’ health benefits
15 The differences between chemotherapy & Radiation
5 Dr. Charles mitchell: Continuing the compassion in primary and urgent care
16 Breast cancer stages help determine course of treatment
6 The often unsung benefits of plastic surgery
17 Cancer Therapy and coping with hair loss
7 new health care service providers join elms creek family and urgent care clinic
18 How you can lower your risk of breast cancer
8 How to find the right oncologist for you
Fitness
9 Strength Training Tips for women 10 How men can cope with stress 11 Common workout mistakes
Medicine
12 Foods that help fight Cancer
Location finder
13 Health & Fitness Directory
19 History of mammogram Technology
Co mm u n i t y c a l e n da r
20 DIRECTORY OF EVENTS
This coming November’s Topic:
Senior Health Care Want to be Featured in next month’s
Health & fitness? Contact us: 254-501-7508
DAILY HhanEevRALD er! Better t
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OCtober 2015
wellness
How to make school lunch healthier
The benefits of a healthy diet are clear and well documented. In addition to providing the nutrients a growing body needs, consuming a balanced diet helps children maintain a healthy weight. Obesity continues to be a growing problem among school-aged children and can contribute to the onset of type 2 diabetes, heart disease, high cholesterol, and many other adverse medical conditions. Children attending school will eat at least one meal away from home each day. A healthy lunch provides sound nutrition to give students energy to do well in school and for the rest of the day. Children who do not eat well at lunch may have difficulty concentrating, while others may feel sluggish or tired. As part of the 2010 Healthy, HungerFree Kids Act, the United States National School Lunch Program was revised to guarantee healthy, nutritionally sound choices, as established by the U.S. Department of Agriculture, for lunch. America’s school menus were altered to be healthier than ever, including more fruits and vegetables while limiting calories. Despite some controversy through the years, including some students saying the smaller portions and food choices aren’t always satisfying, states suffering from high child obesity rates have seen marked improvements. Canada is one of the few leading industrialized countries that does not
October 2015
have a national nutrition strategy to implement healthy school lunches. It’s estimated that only 10 to 15 percent of Canadian children have access to school meals. These meals are not provided by a well-funded national program, but by a patchwork of individual volunteer efforts, some provincial government funding and corporate donations. Whether students purchase lunch from school or bring lunch from home, there are ways to guarantee a more diverse offering and better nutrition. Here are some guidelines to follow.
• Offer nutrient-dense foods. Foods should contribute to the daily recommended amounts of protein, iron, calcium, vitamin A, and vitamin C. Provide a selection of foods, such as lean protein, whole grains, fruits, and vegetables, that will give children the nutrients they need. Nutrient-dense foods also help kids feel fuller, longer. • Limit fat intake. Avoid foods that do not get their fat from polyunsaturated and monounsaturated fats. Saturated fats can lead to obesity and clogged arteries. The American Heart Association recommends kids get no more than 25 to 35 percent of their calories from fat. Fish, nuts and olives are healthy fat sources. • Let kids choose some of their food. Allow kids to pick some of the
healthy foods they will be eating. Giving kids a say in their diets will make them more likely to enjoy their lunches and cut back on snack foods. Eating meals regularly will keep energy levels up during school and make kids less likely to reach for unhealthy snacks to fill hunger gaps.
• Make small changes that add up. Switching from white bread to whole grain breads, and opting for low-fat dairy products instead of full-fat dairy products can make a world of difference. Kids may not notice a change in texture or flavor, and many of kids’ favorite foods, such as chicken nuggets, pizza and macaroni and cheese, can be made with healthier ingredients. • Remember, beverages count, too. Giving children a healthy lunch and then packing a sugar-filled, high-calorie drink negates your efforts. Calories from beverages can quickly add up. Water is always the best option for a healthy drink. Low-fat milk and real fruit juice consumed in moderation also make healthy alternatives to sugary beverages. Offering healthy school lunches is an important step to raising healthy kids. New guidelines and offerings make it easier for kids to get the nutrition they need for their growing bodies.
Health & Fitness |
Get the scoop on soyfoods’ health benefits The prevalence of soy products in recipes and ready-made foods has skyrocketed in recent years. Soy-based milk products and others that substitute soy with more traditional ingredients are no longer relegated to the outskirts of the neighborhood grocery store. While soy is being consumed in greater numbers than in decades past, some people are still unaware of the various health benefits and advantages to including soy in their diets. Soyfoods provide a number of nutritional benefits for people of all ages. According to the Soyfoods Association of North America, recent studies have indicated that eating soy at an early age may help protect against some diseases, including breast cancer, later in life. Soy also may help improve cognitive function. People largely turn to soy to maintain a healthy weight and control their cholesterol, as soy can replace foods that are higher in saturated fat, calories and cholesterol. For example, a glass of whole milk contains 150 calories and eight grams of total fat. Soy milk, however, comes in between 80 and 100 calories and may have roughly four grams of fat. The fat is mostly healthy fats, as there are only trace amounts of saturated fat in soy products. Soy also has cholesterol-lowering properties and can be beneficial to those who are lactose intolerant. Vegetarians and vegans routinely turn to soyfoods as a main protein source. Soyfoods can offer a number of healthy benefits, including providing a lean protein source that is lower in saturated fats than other forms of protein. Calcium-fortified soymilk offers the same nutritional value as cow’s milk but can still be consumed by those who are lactose intolerant. Soy can help many people maintain healthy weights, and soyfoods promote cardiovascular health. While soyfoods can be beneficial, such foods are not perfect. Allergies to soy are possible, and as with any dietary supplement, moderate consumption may be all that’s necessary to provide
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nutritional benefits. Overconsumption of soy may not provide the desired results. One concern regarding soy is its relationship to genetically modified organisms, or GMOs. Reports suggest that the vast majority of soybeans produced in the United States are GMOs. While these soybeans are primarily used for livestock feed, many foods that people eat also contain GMO soybeans. The jury is still out with regard to the impact that GMO foods have on personal health. Proponents of GMOs say their use makes agricultural products safer and more affordable. GMO crops may be resistant to pests, eliminating the need for herbicides and pesticides. But opponents of GMOs say that they may be harmful, as they might
have less nutritional value, incite allergic reactions, cause problems with liver function and be harmful to the planet. Individuals who still want to enjoy soy products such as tofu, miso, tempeh, soy sauce, soy milk, and foods that contain soy lecithin, an emulsifier, can opt for organic products and those that specifically advertise no GMO ingredients. More and more food manufacturers are heeding consumer demand for foods that do not contain GMOs, and producers of soyfoods are no exception. Brands like Silk(R), Tofurky(R), Wildwood(R) and Eden Foods(R) produce soy products that are GMO-free. Read labels to determine if soy products contain GMOs.
OCtober 2015
Dr. Charles Mitchell: Continuing the compassion in primary and urgent care Submitted by Elms Creek Family and Urgent Care Clinic
Dr. Charles Mitchell was born and reared in Council, NC. He is 1 of 12 children, of which there are 3 physicians, 1 pharmacist, 1 Attorney at Law, Physical Therapist and Teachers. He was drafted into the U.S. Army from 1972-74. Upon leaving the Army he completed a BS degree in Biology at Loma Linda University, La Sierra Campus in Riverside, Ca. He completed medical school at Loma Linda University, school of medicine at Loma Linda, Ca in 1979. Dr. Charles Mitchell completed Internship and Residency training at Brooke Army Medical Center in San Antonio, Texas, after which he moved to Darnall Army Community Hospital at Fort Hood, where he was Chief of Ambulatory Care, and Chief of the Emergency Room. Dr. Mitchell was promoted to Major prior to leaving the Army and joining Metroplex Hospital in Killeen, Tx where he was Chief of the emergency dept. from 1985-2003. Since 2003, Dr. Charles Mitchell serves as Medical Director of Elms Creek Family & Urgent Care. In 2008, Dr. Mitchell’s nephew, Dr. (Ricky) Mitchell, joined Elms Creek as a Pediatrician. Also working with him are Dr. Stephen Ralph, Donna Lee Pollack (RN, FNP), and Cali Dudgeon (Physician Assistant).
October 2015
Dr. Mitchell and staff are pleased to serve Central Texas community in this capacity, providing a “warm, friendly, and helpful environment” for those who require primary and urgent care.
Dr. Mitchell is an avid golfer and is a sports enthusiast. He is married to Phyllis Mitchell and has 4 sons. He enjoys being Papa to 9 Grandchildren.
Health & Fitness |
The often unsung benefits of plastic surgery Some are quick to pigeon hole plastic surgery as something restricted to the rich, famous or the vain. But plastic surgery often helps restore confidence and functionality, and is often relied on to correct birth defects or injuries.
upper lip and the roof of the mouth fail to develop normally in utero. Through specialized surgery techniques, clefts can be repaired to improve appearance and improve a child’s ability to eat, speak and breathe.
According to the American Society of Plastic Surgeons, more than 1 million reconstructive surgery procedures are performed each year. Plastic surgery can help repair everything from cleft palates to mastectomies. Many injuries, disfigurements or birth defects can now be mitigated if not corrected entirely by modern plastic surgery.
Skin cancer repair
Cleft lip or palate mending Cleft lip (cheiloschisis) and cleft palate (palatoschisis) are some of the most common birth defects affecting children in North America, says ASPS. They form during the very early stages of development when portions of the
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According to the Skin Cancer Foundation, skin cancer is the most common form of all cancers. Around 2 million people each year are affected by skin cancers. Dermatologists can remove cancerous growths, but often have to work with a plastic surgeon to minimize scarring or disfigurement at the surgical sites once the growths have been removed. Breast reconstruction Women who have undergone mastectomy procedures for cancer treatment may opt to have breast
reconstruction surgery. A plastic surgeon can restore a more natural appearance to the breast through the use of implants or surgical techniques to recreate the nipple and areola. Plastic surgeons also can help reduce the appearance of scarring around the incision sites. Hand or foot surgery Hands and feet affected by any number of conditions can be operated on to achieve a more natural look. Webbed toes or fingers, burns and even extra fingers or toes can be surgically corrected by a plastic surgeons, helping patients regain confidence and functionality. Plastic surgery is an effective tool that can be used to treat a host of conditions and injuries. Unlike elective cosmetic procedures, reconstructive surgeries are often covered by insurance companies. Individuals can contact their carriers to learn more.
OCtober 2015
New health care service providers join Elms Creek Family and Urgent Care Clinic Submitted by Elms Creek Family and Urgent Care Clinic
Donna Lee Pollack, RN, FNP, is a Registered Nurse and Family Nurse Practitioner who has recently joined Elms Creek Family Practice in Killeen. Donna Lee earned a Registered Nurse degree in Maryland in 1996, a Bachelor of Science in Nursing from the University of Mary-Hardin Baylor in 2008, a Master of Public Health Degree from the University of Texas Health Science Center in 2013, a Master of Nursing Degree from the University of Texas in 2013, and completed a graduate certification course for Wound, Ostomy, Continence and Foot Care. Donna Lee has worked in a variety of professional settings including hospital care, home care, long term care, school nursing, public health and epidemiology. In her free time, Donna Lee enjoys mountain biking, cooking and quilting. Joining Elms Creek Family Practice has been a natural fit for Donna Lee, as she greatly enjoys working with family members of all ages to successfully manage their health care. Cali Dudgeon, PA, is a Physician Assistant from Berrien Springs, MI. She attended Western Michigan
October 2015
Dr. Charles Mitchell (center), poses with new Elms Creek Family & Urgent Care Clinic employees Donna Lee Pollack, RN, FNP (left), and Cali Dudgeon, PA (right).
University in Kalamazoo, MI where she graduated with a bachelor’s degree in Interdisciplinary Health and Human Services. She then attended Grand Valley State University in Grand Rapids, MI where she graduated with a master’s degree in Physician Assistant Studies in 2012. She has been working in family practice since graduating from PA school and previously worked at Three Rivers Health System and University Medical Specialties in Michigan. Some of her hobbies include spending time with family and friends, cooking/baking, playing with her dog,
and being involved at church. She recently relocated to Killeen, TX with her husband and looks forward to serving the Killeen community at Elms Creek Family Practice and Urgent Care. Elms Creek Family and Urgent Care Clinic was established October 2003 by Dr. Charles Mitchell. Located less than a mile from Metroplex Hospital and Fort Hood, they provide quality health care for Killeen, Fort Hood, and the surrounding Central Texas area. They are “proud to provide a warm, friendly, helpful, clean environment.”
Health & Fitness |
How to find the right oncologist for you
The day a person is diagnosed with cancer is a life-altering moment. Many people rely on support networks made up of family and friends to help them during their cancer treatments, and such support networks can extend to patients’ choice of oncologists as well. Oncology is a branch of medicine involved in the diagnosis and treatment of tumors. The term “oncology” is derived from the Greek word “onco,” meaning bulk or mass. Upon diagnosing patients with cancer, oncologists explain the type of cancer patients have and explain the various treatment options available to patients. Oncologists also are on call to answer any questions and are often the first people patients turn to when they have questions about their disease. Taking an active role in their cancer treatment can help patients feel more in control of their situations, and patients’ choice of oncologist is one of the first big decisions they must make. · Start with a referral. Begin by speaking with your primary care
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physician. He or she may have a list of recommended oncologists or ones affiliated with nearby hospitals. If a loved one has battled cancer in the past, ask him or her for a recommendation. · Do your research. The goal is to find an oncologist who specializes in your form of cancer and has a good treatment success rate. Do not be afraid to ask about success statistics and ask for prior patients’ names so you can get their opinions on the care they received. Look up the doctor’s credentials as well. For example, HealthGrades.com provides information on malpractice and disciplinary history.
· Consider a group practice. As with other medical providers, some oncologists work together in full partnerships with other oncologists. Choosing this type of provider may enable you to gain the benefit of the doctors’ collaborative experience.
· Judge communication style and compassion levels. Does the doctor answer your questions in a manner that fits with your personality? Do you feel supported by the doctor and that he or she exudes empathy? Oncologists need to walk the fine line between qualified medical provider and friend. · Look into insurance coverage. While you may want to go with one particular doctor, you must investigate if your insurance covers that particular oncologist. Otherwise, out-of-pocket expenses may be considerably high.
· Look into the hospital. Consider the quality of care at the hospital where the oncologist will treat you as a patient. Hospital quality can matter based on the type of care given, proximity to the patient’s home and reputation. A qualified, compassionate oncologist can make it easier to navigate a cancer diagnosis.
OCtober 2015
f i t n e s s
Strength training tips for women Weightlifting has long been an activity associated with men. When asked to describe a typical weightlifter, many people would likely begin describing a man. However, more and more women have recognized the benefits of strength training and its impact on long-term health. Studies have shown that increasing muscle mass can reduce a person’s risk of diabetes and help that person, regardless of his or her gender, maintain a healthy weight. But many women are understandably hesitant to begin lifting weights, fearing they may lose their feminine figures or simply because they’re fearful to visit the section of their gym dominated by musclebound men pumping dozens of pounds of iron. Though beginning a weight training regimen is rarely easy for males or females, the following are a few strategies women can employ to get their strength training off on the right foot. • Establish goals. Strength training is similar to any undertaking that requires effort: Without an end goal in mind, your efforts are likely to be fruitless. That’s because goals help you stay on track by giving you something to strive for. Without that, you easily can lose interest and your training will suffer as a result. Strength training goals will evolve over time as your body changes and grows accustomed to weight training but have some initial goals. If you want to bench press a certain amount of weight after a certain period of time, work as hard as you can to make that a reality without putting yourself at risk of injury. If you want your strength training to give your body a more toned look, then monitor your progress in the mirror. • Embrace consistency. Consistency should be your friend when strength training. It’s easy to skip a workout after a long day at the office, but sticking to a consistent workout schedule is almost certain to produce positive results. Skipping sessions and only working out sporadically will make it hard to get
October 2015
into a good rhythm, putting your goals in jeopardy and increasing your risk of injury. Stick to a consistent workout schedule and don’t go long stretches of time ignoring certain muscle groups while working out others. Work out each muscle group equally, avoiding the temptation to exercise only those muscles that others can see. • Build strength in your upper body. Upper body strength can help women protect themselves against osteoporosis, a disease of the bones that results from bone loss, which weakens the bones and makes them more susceptible to fractures. The National Osteoporosis Foundation notes that roughly half of all women older than 50 will break a bone because of osteoporosis and that women lose as much as 20 percent of their bone density in the five to seven years after menopause. But upper body strength training strengthens muscles in bones in your arms, upper back and shoulders, decreasing your risk of poor posture, a problem commonly
associated with osteoporosis. Lowerbody strength training is important, too, but weight-bearing exercises like running, walking and using an elliptical machine may prove adequate at strengthening your lower body. • Don’t overdo it. While strength training should play a pivotal role in your workout routine, you don’t have to overdo it. Two to three days of strength training per week are enough to produce positive results and reduce your risk of developing health problems like diabetes, cardiovascular disease or osteoporosis. In addition, taking breaks between strength training workouts gives your muscles time to recover while reducing your risk of injury. Women can benefit from strength training just as much as men. But women beginning a strength training regimen should take steps to ensure they’re performing the exercises correctly and doing so in a way that will provide optimal results.
Health & Fitness |
How men can cope with stress Stress is a significant part of many people’s lives. Men and women experience stress for a variety of reasons, but the rigors of managing a career and a family are something many men and women point to as their biggest causes of stress. Though both men and women suffer from stress, how they respond to stress is vastly different. According to a report from the American Psychological Association titled “Stress in America,” only 52 percent of men say it is very important to manage stress. That pales in comparison to the 68 percent of women who recognize the importance of managing stress. In addition, the APA notes that roughly 25 percent of women recognize they are not doing enough to manage stress, while just 17 percent of men feel the same way. Such statistics are important, as men who underestimate stress could be unaware that stress increases their risk for depression, anxiety and cardiovascular disease. Recognizing a problem with stress is a great first step toward reducing it and improving your long-term health. There are many ways men can reduce stress, but the APA again notes that men are far less likely than women to employ strategies to reduce stress. Fifty-one percent of women, for example, admit to reading as a means of relieving stress, while only 31 percent of men say they read to relieve stress. Men who want to buck these trends can take several steps to cope with and ultimately reduce their stress. • Find the cause of your stress. Recognizing the things that trigger your stress can help you avoid them or at least be more prepared for them going forward. Workplace stress is considerable for many people, and a 2012 study published in the medical journal Cardiology & Vascular Medicine found that people with job strain at work, which the authors defined as high demand on the individual and little to no freedom to make their own decisions as to how and when to do the work, had a 23 percent greater risk of heart attack. If work is the primary cause of your stress and you don’t address it, the impact on your health could be dire.
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When you find yourself stressing out, take a moment to write down the things that might have triggered the stressful episode. It might be a particular task at work or driving in heavy traffic. Once you have identified the things that trigger your stress you can work to avoid them as best as possible or you will be able to see them coming and might be able to respond more calmly. • Find a healthy response to stress. How you respond to stress is essential to reducing it. As previously noted, many men do not even recognize the importance of managing stress, and those men might be more inclined to respond to stress in negative, unhealthy ways, such as by smoking or drinking. Such responses will only exacerbate the problem. Finding a healthy response to stress is essential. Some research has suggested that exercise enhances the body’s ability to deal with stress and provides the body with somewhat of a trial run at responding to stress. When the body is
exercising, several of its physiological systems must communicate with one another, and those same systems must work together once again when the body is responding to stress. So exercise may not only relieve stress but also help your body become more capable of coping with stress. Discussing stress with others or a stress-reducing activity like meditation are also healthy responses to stress. • Take a proactive approach to stress. Many people can trace their stress to taking on more they can handle. This can occur at the office, in your personal life or, as is the case for many people, a combination of both. Stretching yourself too thinly can make you vulnerable to stress. Even if one particular thing like work or family is not stressing you out, it’s important to recognize that stress can also be caused by a combination of things. Before stress even has a chance to settle in, make an effort to give yourself more down time and do not stretch yourself too thin.
OCtober 2015
Common workout mistakes Those already a few months into their New Year’s resolution to get fit may find that all the effort at the gym is not paying off as they had expected. Although exercise results vary, certain behaviors could impact just how much weight a person can lose and how efficient their workouts may be. For those who want to increase the measurable results of their workouts, try to avoid these common mistakes.
• Not giving it enough time. Many people want to see immediate results when they begin a new exercise regimen. While such instant gratification is possible, it’s foolish to expect to wake up and look in the mirror after a week’s time and see a complete body transformation. Many health experts say a safe weight loss goal is one to two pounds each week. For each pound of fat to burn, you need to shed 3,500 calories weekly. Do this by exercising and reducing caloric intake. Don’t give up prematurely. After a few months your clothes may fit better and you can see a change in muscle tone and overall fitness.
more effective at toning muscles. These movements include bending, stepping, jumping, and running. Unnatural movements may not be practical, and they may increase your risk of injury.
• Working out alone. When you workout alone, you do not have the benefit of friendly competition to motivate you as you exercise. With no one to egg you on, you may be content to stick to a certain number of repetitions instead of trying a little harder. A partner can provide camaraderie and help you make the most of your exercise regimen.
• Making unnatural body movements. Movements that mimic the body’s natural movements will be
• Ignoring possible injury. No one is immune to injury, which can result from lifting weights that are too heavy or using improper form. If you feel you are hurt, don’t make things worse by ignoring an injury. The body needs time to recover from injury, and ignoring an injury can lead to additional problems that will only extend that recovery time.
• Sticking with the same routine. Routines can make it easier to manage everyday life. For example, waking up and going to bed at the same time each day helps many people maintain the energy they need to live life to the fullest. But routine is not always a friend with regard to exercise. When you do the same exercise routine over and over, your body becomes acclimated to that routine and your muscles recognize the motion. As a result, your body doesn’t have to work as hard to do the workout. Altering your routine means you’re essentially keeping your body on its proverbial toes. This will help you to burn more calories and even prevent you from getting bored with your workout. • Maintaining a moderate pace. Much like doing the same exercises over and over, sticking to the same pace will lull your body into complacency. Vary the pace of your workout so that you move through intense, moderate and slow movements. Higher-intensity parts of the workout will get your heart pumping and burn calories.
October 2015
Health & Fitness |11
medicine
Foods that help fight cancer While no single food or ingredient can prevent people from getting cancer, research has shown a link between excess body fat and various cancers. A poor diet that’s high in fat can contribute to excess body fat, which the American Institute for Cancer Research has linked to higher risks for developing cancers of the esophagus, pancreas, colon and rectum, and gallbladder, among others.
The AICR notes that research on foods that fight cancer is ongoing, but the following are some of the foods that can play a role in cancer prevention. Apples Apples are a good source of fiber, which can help men and women lower their cancer risk. Dietary fiber can increase feelings of fullness, which reduces the likelihood that people will overeat. Men and women who do not overeat are less likely to accumulate the excess body fat that increases their risk for various cancers. In addition, apples’ dietary fiber contains pectin, a polysaccharide that bacteria in the stomach can use to produce compounds that protect colon cells. Broccoli Broccoli is a cruciferous vegetable, and nearly all cruciferous vegetables, which get their name because their four-petal flowers resemble a cross, or crucifer, are great sources of vitamin C. Broccoli also is a great source of the B vitamin folate as well as potassium. The AICR notes that studies have shown folate helps to maintain healthy DNA and keep cancer-promoting genes inactive. But men and women should speak with their physicians regarding how much folate to include in their diets, as animal studies have suggested that high amounts of folate may promote development of certain types of cancer, including colon cancer.
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Cranberries Like apples, cranberries are high in dietary fiber and vitamin C. Diets high in foods containing vitamin C have been linked to a reduced risk for cancer of the esophagus. In addition, studies have shown that vitamin C protects cells’ DNA by trapping free radicals, which can damage the body, and inhibiting the formation of substances called carcinogens, which are capable of causing cancer in living tissue. Legumes Legumes include kidney and black beans, yellow split peas and red lentils. Dry beans and peas are great sources of fiber and good sources of protein,
and each also make excellent sources of folate. In addition to their ability to contribute to the protection of colon cells, legumes also contain various phytochemicals, which researchers feel may decrease chronic inflammation, a risk factor for many cancers. In addition, these phytochemicals may increase the self-destruction of cancer cells. While there are no magic foods that can guarantee men and women won’t one day develop cancer, there are many foods that research has shown are capable of reducing a person’s risk of developing this potentially deadly disease. More information on cancerfighting foods is available at www.aicr. org.
OCtober 2015
Health & FITNESS Directory exercise/fitness Dr. Webster
5610 E. Centex Expressway Ste. 1 Rosewood Plaza Killeen, TX 76543 (254) 690-8887 www.websterfamilypractice.com
Eye Care Killeen Vision Source
416 North Gray Street Killeen, Texas 76541 (254) 634-7805 www.killeenvisionsource.com
Eye Clinic of Killeen
2301 S. Clear Creek Rd. Ste. 116 Killeen, Texas 76549 (254) 526-5505
hospital/emergency Metroplex Adventist Hospital
2201 S. Clear Creek Rd. Killeen, Texas 76549 (254) 526-7523 www.mplex.org
Seton Medical Center Harker Heights
850 W. Central Texas Expwy. Harker Heights, Texas 76548 (254) 690-0900 www.setonharkerheights.net
Miscellaneous Integrated Pain Associates
3800 S. W.S. Young Drive, Ste. 201 Killeen, Texas 76542 (254) 245-9175
Medical Aesthetics FACE
Anna D. Rinehart, CIDESCO 800 W. CenTex Expwy Suite 200 Harker Heights, Texas 1-888-769-3223 www.medicalaesthetics.com
• 2401 Walker Place Blvd., Ste. 100 Copperas Cove, TX • 800 W. Central Texas Expwy, Ste. 250 - Seton Medical Center Harker Heights, TX 76548
Pharmacy Medical Arts Pharmacy
806 East Avenue D, Ste A Copperas Cove, Texas 76522-2231 (254) 547-4146 www.medicalartscc.com
physicians American Hearing
• 2806 S w S Young Dr., Ste. C Killeen, Texas (254) 680-3444 www.americanhearing.info • 1809 S W HK Dodgen Loop, Ste. 200 Temple, Texas 76502 (254) 774-7727 www.americanhearing.info
Pain Specialists of Austin
• 3816 S. Clear Creek Rd., Ste. B Killeen, Texas 76549 855-876-PAIN (7246)
sTRENGTHEN your business today. spaces are available in the Call 254-501-7508 to reserve your space in the November edition! October 2015
Health & Fitness |13
Life after breast cancer The moment a person receives a breast cancer diagnosis, his or her life changes immeasurably. The roller coaster of emotions begins, and suddenly this person is thrust into a schedule of doctor’s appointments, treatments and visits from friends and family. The World Cancer Research Fund International says breast cancer is the second most common cancer in women and men and is the most frequently diagnosed cancer among women in 140 of 184 countries worldwide. Despite that prevalence, the five-year relative survival rate for women diagnosed with localized breast cancer (cancer that has not spread to the lymph nodes or outside the breast) is 98.5 percent, says the American Cancer Society. Survival odds increase as more is learned about breast cancer and more people take preventative measures, including routine screenings. Today, there are nearly three million breast cancer survivors living in the United States. Breast cancer treatments may last anywhere from six months to a year. Adjusting after treatment may not come so easily at first. But adjustments are easier with time, and many cancer survivors continue to live life to the fullest in much the same way they did prior to their diagnosis. When treatment ends, patients often still have fears about the cancer, wondering if all of the cancerous cells have been destroyed and worrying about recurrence. But focusing on the present and all of the things you now can do with health on your side is a great way to put your fears behind you. Many cancer survivors must still visit their doctors after treatments end. Doctors still want to monitor patients closely, so be sure to go to all followup appointments and discuss any symptoms or feelings you may be having. Side effects may continue long after radiation or chemotherapy has ended. Your doctor may have suggestions for coping with certain side effects or will be able to prescribe medications to offset these effects. Follow-up appointments should gradually decrease the longer you have been cancer-free.
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It’s not uncommon to feel differently after cancer treatment, as your body has been through quite a lot. Many women still experience fatigue, and sleep or normal rest doesn’t seem to make it abate. Realize this is normal, and how long it will last differs from person to person. It can take months or years for you to experience your “new normal.” Things do not happen overnight. While your hair may grow back quickly, it
may take some time for you to feel like yourself again. Exercise routines or other lifestyle changes may help you overcome fatigue or make it more manageable. Speaking with others who have survived breast cancer can help. Join a support group or reach out to others through social media. Getting a firsthand account of what can be expected the first year after treatment can assuage anxiety.
OCtober 2015
The differences between chemotherapy and radiation Cancer can take on many forms and spread throughout the body, infiltrating healthy cells and causing an uncontrolled division of abnormal cells that often turn into tumors. Various cancer-treatment options are available to treat men and women diagnosed with this potentially deadly disease, but the ones most familiar to many people are radiation and chemotherapy. Working with their doctors, patients can explore their treatment options to determine which therapies may be most effective. Chemotherapy Chemotherapy is a cancer treatment in which a patient is administered drugs that are designed to kill cancer cells. These drugs work by attacking the components that allow cells to divide, grow and spread. Many chemotherapy drugs are given intravenously, in cycles, over a couple of weeks, but some chemotherapy medications may be taken orally. Chemotherapy primarily targets cells that divide rapidly, like cancer cells. But because other healthy cells also divide rapidly, such as cells in the hair and digestive tract, patients may experience side effects in these areas when undergoing chemotherapy treatment, according to the Southeast Radiation Oncology Group. Radiation
a radioactive implant placed inside the body near the tumor. Systemic radiation is the delivery of radioactive materials to a patient orally or through an injection. Hormone therapy Doctors may suggest hormone therapy to treat breast cancer. The American Cancer Society says estrogen promotes the growth of cancers that are hormone receptor-positive (roughly 67 percent of breast cancers are). Hormone
therapy will lower estrogen levels or prevent estrogen from acting on breast cancer cells. However, it will not work on tumors that are hormone receptornegative. Doctors use a combination of therapies to treat breast cancer and other forms of cancer. Learn more about various cancer therapies at The National Institutes of Health’s MedLine Plus website www.nlm.nih.gov/medlineplus/ druginformation.html or speak with an oncologist.
Radiation surrounds us in various forms. Many people are familiar with ultraviolet radiation from the sun, and radiation can be present in certain minerals and substances as well. The high-energy particles and waves contained in radiation can be used in cancer therapy, according to the American Cancer Society. Radiation therapy can be delivered in various forms. External radiation uses a machine that precisely directs high-energy rays from outside of the body into a tumor and nearby tissue. Internal radiation relies on
October 2015
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Breast cancer stages help determine course of treatment When doctors diagnose breast cancer, they typically tell their patients which stage the cancer is in. Men and women with no previous experience with cancer may not know what these stages signify or may not understand the differences between the stages. The following is a rundown of breast cancer stages to help men and women diagnosed with breast cancer better understand their disease.
five centimeters and spread to less than four axillary lymph nodes or it is larger than five centimeters but has not spread to any lymph nodes. Stage 2 breast cancers typically respond well to treatment, but those treatments may be more aggressive than treatments for stage 0 or 1 breast cancers. Stage 3
Why are stages important? Staging helps doctors determine how far the breast cancer has progressed, but staging also helps doctors determine the best course of treatment to contain or eliminate the cancer. For example, a person diagnosed withstage 1 breast cancer will likely undergo a different course of treatment than someone diagnosed with stage 4. How are stages determined? A number of factors determine staging. These factors include: • the size of the tumor within the breast, • the number of lymph nodes affected, and • signs indicating if the breast cancer has invaded other organs within the body. Signs that the cancer has spread may be found in the bones, liver, lungs, or brain. Stage 0 & 1 When breast cancer is detected early, it is often characterized as stage 0 or 1, which means the cancer cells have not spread beyond a very limited area. Stage 0 breast cancer is a noninvasive cancer where abnormal cells have been found in the lining of the breast milk duct but have not spread outside the duct into surrounding breast tissue. Stage 0 breast cancer is very treatable, but if treatment is not sought, it can spread into surrounding breast tissue. Stage 1 breast cancer is diagnosed when the tumor is very small and has not spread to the lymph nodes. In certain instances when a person is diagnosed with stage 1 breast cancer, no tumor is
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found in the breast. When a tumor is found, it is typically two centimeters or smaller. According to the NationalBreast Cancer Foundation, breast cancer that is discovered and treated at stage 1 has a five-year survival rate of roughly 98 percent. Stage 2 A stage 2 breast cancer diagnosis means the cancer has begun to grow or spread, but it is still in the early stages and typically very treatable. Stage 2 breast cancer is divided into two groups, stage 2A and stage 2B, a distinction that is made because of the size of the tumor and if the breast cancer has spread to the lymph nodes. There may or may not be a tumor present when a person is diagnosed with stage 2A breast cancer. If a tumor is present, it is either less than two centimeters and cancer cells are present in less than four axillary lymph nodes or the tumor is between two and five centimeters but has not spread to the lymph nodes. A tumor is present when a person is diagnosed with stage 2B breast cancer, and that tumor is either between two and
Stage 3 breast cancer is an advanced cancer that has invaded tissues surrounding the breast but has not spread to distant organs. Advancements to treat stage 3 breast cancer have made treatment more effective, even if a doctor describes the cancer as “inoperable,” which may mean that surgery will not be enough to rid the breast of the cancer in its entirety. Stage 3 breast cancer is divided into a three subgroups, which are determined by the size of the tumor and if the cancer has spread to the lymph nodes or surrounding tissue. When a person is diagnosed with stage 3A, 3B or 3C breast cancer, his or her physician will likely discuss treatment plans that include a combination of treatment options. Stage 4 A stage 4 breast cancer diagnosis means the cancer has spread to other areas of the body, which may include the brains, bones, lungs, or liver. Stage 4 breast cancer is considered incurable, though the NBCF notes that a growing number of women are living longer because their disease is being treated as a chronic condition. Treatment of stage 4 breast cancer may be determined by a patient’s access to specialists and subspecialists, and some patients may be given the opportunity to participate in therapies that are still in the experimental phase. Unlike in years past, many stage 4 breast cancer patients can extend their lives for several years thanks in large part to advancements in research and medical technology. More information about breast cancer is available at www. nationalbreastcancer.org.
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Cancer therapy and coping with hair loss A breast cancer diagnosis can catch a person off-guard and drum up all types of feelings. Many people diagnosed with cancer become anxious about treatment and any potential side effects it may produce. Hair loss is one side effect widely associated with cancer treatment, though not all cancer patients will lose their hair. For example, Breastcancer. org notes that patients undergoing radiation therapy for breast cancer will not lose the hair on their heads because radiation is a localized treatment. Hair loss in the area of treatment, such as under the arms or on the breast itself, may occur. But hair loss on other areas of the body is more likely to occur as a result of chemotherapy treatment, as chemotherapy affects the entire body. Chemotherapy targets rapidly dividing cells. Hair follicles are some of the fastest-growing cells in the body and chemotherapy targets fast-growing cancer cells.
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Various studies show that many women fear losing their hair more than losing a breast, as breast loss can be concealed more easily than hair loss. However, there are ways to cope with hair loss, particularly through the use of wigs and head coverings.
· Visit a wig store at least once for a proper fitting so you will know what to look for. Wigs come in different cap sizes. Once you know your size, you can consider shopping for wigs online.
· Ask your doctor to write a prescription for a wig, which may be covered by your health insurance. If you are covered, that can help to offset the cost of the wig.
· Human hair wigs are more expensive, but they can be more durable than synthetic wigs and offer more styling choices. However, synthetic wigs can usually be worn out of the box and require less daily styling.
· Start shopping for a wig early on - even before hair loss occurs. As you get further along into treatment, you may feel fatigued and not up to shopping for wigs.
· Head wraps and hats are an alternative when you need a break from wearing a wig. Choose a variety of options so you can coordinate with your clothing.
· Choose a color that is similar to your natural hair color. This will help the wig look more natural.
Losing hair due to cancer treatment is seldom easy. Being prepared for the transition by having a quality wig and comfortable head wraps at the ready can make dealing with hair loss easier.
· If possible, purchase more than one wig so you have a backup or another style choice.
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How you can lower your risk of breast cancer Breast cancer is the second most common cancer among women, second only to lung cancer. One in eight women is expected to develop breast cancer in her lifetime, and a recent survey by the Society for Women’s Health Research found that 22 percent of women named breast cancer as the disease they fear most. The specter of breast cancer makes it no surprise that women are eager to seek various ways to reduce their risks of developing this potentially deadly disease. Though cancer treatments continue to evolve, there remains no cure for breast cancer or any other types of cancer. However, there are steps men and women can take to reduce their risks of developing breast cancer. In fact, the National Cancer Institute says avoiding breast cancer risk factors is the best path to prevention. • Avoid exposure to radiation. Repeated exposure to radiation therapy used to treat illnesses like Hodgkin’s disease can increase a person’s risk of breast cancer, particularly if treatments begin at an early age. • Keep a healthy weight. Obesity increases the risk of breast cancer, particularly in postmenopausal women. Healthy eating and exercise can help women control their weight while reducing their risks of developing breast cancer and a number of other diseases. Scientists at The Mayo Clinic believe there is a link between estrogen production in fatty breast tissue and breast cancer. • Get your exercise. Exercising four or more hours a week can lower breast cancer risk. Exercise need not be heavy lifting at the gym. Any moderate physical activity, from cycling to walking, can be effective. Exercise decreases hormone levels in the body that can impact breast cancer risk. Some studies indicate simply walking briskly for one
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to three hours per week can reduce a woman’s breast cancer risk by 18 percent.
highest rate of breast cancer reduction was among a group of women who ate a low-fat diet.
• Eat a low-fat diet. The Women’s Intervention Nutrition Study from the National Cancer Institute found that the
• Reduce alcohol consumption. Various studies have indicated that women who drink alcoholic beverages
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may develop cancer at a higher rate. Women who consume two to five drinks daily have a greater risk of developing breast cancer than those who abstain from alcohol. • Weigh the risks of hormone replacement therapy. There are mixed reviews on hormone replacement therapy, or HRT, for postmenopausal women. There may be a link between long-term HRT and breast cancer, particularly when estrogen and progesterone are used in combination. Some doctors advise estrogen-only hormone therapy for women who have had a hysterectomy. • Use of SERMs and aromatase inhibitors. Selective estrogen receptor modulators, or SERMs, are drugs that act like estrogen on some bodily tissues but block the effect of estrogen on other tissues. Aromatase inhibitors decrease the amount of estrogen made by the body. Women with a high risk of breast cancer may benefit from taking a SERM or aromatase inhibitor. • Increase fruit and vegetable consumption. Carotenoids are cancerprotective pigments found in a vast number of fruits and vegetables. Researchers at New York University found women who had higher blood carotenoid levels had a significantly smaller risk of breast cancer than women with lower levels.
History of mammogram technology Mammography remains one of the most popular and well-known diagnostic tools for breast cancer. It is estimated that 48 million mammograms are performed each year in the United States and many others are conducted all around the world under the recommended guidance of doctors and cancer experts. Mammography can be traced back more than 100 years to 1913, when German surgeon Albert Salomon attempted to visualize cancer of the breast through radiography. By the 1930s, the concept of mammography was gaining traction in the United States. Stafford L. Warren, an American physician and radiologist, began his own work on mammography, developing techniques of producing stereoscopic images of the breast with X-rays. He also championed the importance of comparing both breast images side-by-side. Raul Leborgne, a radiologist from Uruguay, conducted his own work on mammography and, in 1949, introduced the compression technique, which remains in use today. By compressing the breast, it is possible to get better imaging through the breast and use a lower dose of
radiation. Also, compression helps spread the structures of the breast apart to make it easier to see the individual internal components. Compression helps to pull the breast away from the chest wall and also to immobilize the breast for imaging. Advancements in mammogram technology continued to improve through the 1950s and 1960s. Texas radiologist Robert Egan introduced a new technique with a fine-grain intensifying screen and improved film to produce clearer images. In 1969, the first modern-day film mammogram was invented and put into widespread use. The mammogram process was fine-tuned in 1972 when a high-definition intensifying screen produced sharper images and new film offered rapid processing and shorter exposure to radiation. By 1976, the American Cancer Society began recommending mammography as a screening tool. Through the years, mammography became a great help to women looking to arm themselves against breast cancer. Thanks to improvements in early detection and treatment, breast cancer deaths are down from their peak and survival rates continue to climb.
• Go sparingly on antibiotics. Only take antibiotics when they are truly needed. New evidence suggests that the more often a woman takes antibiotics, the higher her breast cancer risk. A study of more than 10,000 women found that women who took antibiotics for the equivalent of about 25 prescriptions over an average of 17 years where twice as likely to develop breast cancer than women who never took the drugs. • Breastfeed your children. Lactation can suppress ovulation and the body’s production of estrogen, which has been linked to higher levels of breast cancer. Breastfeeding may drop a woman’s breast cancer risk by 4 percent. Although there is no cure for cancer, there are a number of different ways women can reduce their risks for breast cancer.
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co m m u n i t y calendar Area codes are 254 unless otherwise noted.
FOOD & CLOTHING KILLEEN Killeen Food Care Center Hours of Operation: Tuesdays through Thursdays from 9 a.m. to 1 p.m., and Fridays from 9 a.m. to 1 p.m. and from 4 to 7 p.m. Location: 210 N. 16th St. Call 554-3400. Food donations: Drop off from 9 a.m. to 1 p.m. Tuesdays through Fridays at 710 E. Avenue E. Monetary donations: Make checks payable to Killeen Food Care Center and mail to: P.O. Box 1656, Killeen TX 76540. Operation Phantom Support -- Serves soldiers, veterans and their families. The Nancy Miller Food Pantry is open twice a week. Cost is $10 per month. Location: 315 E, Avenue C, Killeen. Call 233-1441. Operations Phantom Support -- Clothing, furniture and other household goods, no cost or discounted prices, at the Sgt. Leevon Ritter Support Your Troops Resale Center. Location: 317 E. Avenue C, Killeen. Call 233-1441. Salvation Army is accepting monetary donations. Make checks payable to Salvation Army and mail to P.O. Box 4330, Killeen TX 76540. Call 634-7172. Free school uniforms and clothing available from 9 a.m. to noon Wednesdays at East Lake Baptist Church, 3213 Lake Road, Killeen. Call 690-4400 or 699-8125. COPPERAS COVE Refuge Corporation is open from 10 a.m. to 4 p.m. Tuesdays, Thursdays and Fridays. Closed for lunch from noon to 1 p.m. Open Wednesdays from 10 a.m. to 1 p.m. Location: 811-A Martin Luther King Jr. Drive. Call 547-6753. HARKER HEIGHTS Harker Heights Food Center is open from 8 a.m. to noon Saturdays at the Harker Heights First Baptist Church. Location: 100 W. Ruby. Call 953-4321. Accepting monetary donations. Make checks payable to Harker Heights Food Care Center. Mail to P.O. Box 2238, Harker Heights TX 76548. E-mail ldawson@hhfoodcenter.org or cking@ hhfoodcenter.org. NOLANVILLE Open from 2 to 6 p.m., second and fourth
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Thursdays, 200 N. Main St. Call Food Pantry Director Mary Faye McDonald at 254-698-6820. Accepting monetary donations. Make checks payable to Nolanville Food Pantry and mail to P.O. Box 8, Nolanville TX 76559.
SHELTER Killeen ISD identified 1,565 students as homeless in 2014-2015 according to the McKinney-Vento Act definition of homelessness, Habitat for Humanity builds and sells homes with zero interest for low-income families. Bell County Habitat for Humanity was created by combining Fort Hood Area Habitat for Humanity and the Temple Belton Habitat for Humanity, Volunteer, donate, or help with lunches, call the Habitat office at 680-4007. Family Promise’s mission is to help homeless and low-income families achieve sustainable independence. In 1992, Family Promise was awarded one of 21 Points of Light, out of a field of more than 4,500 nominees, by President George H.W. and Barbara Bush. Family Promise, an interfaith network, assists homeless children and their families with overnight lodging and meals. More help and a day building are needed. Call Dr. David Morgan at 699-0529. E-mail GFHFamilyPromise@gmail.com.
MEDICAL Greater Killeen Free Clinic, a United Way Agency, provides acute care for low-income, uninsured children and adults living in Bell, Coryell and Lampasas counties. Clinic check-in: 9 a.m. Tuesdays, 4:30 p.m. Mondays and Thursdays, Suite A, 718 N. 2nd St., Killeen. •Diabetes, hypertension, asthma/COPD, heart disease and thyroid disease, call 6184211 to schedule an appointment. •Lunch n’ Learn is held monthly. Reserve seat, by calling the Free Clinic at 618-4211 or email mdilillo@gkfclinic.org •Mammograms available for women age 40 and over who are low income and uninsured. Appointment, call 618-4211. •Well Women’s Clinic -- Women needing gynecological services outside of family planning. Appointment, call 618-4211 or email clinic@gkfclinic.org. Donations to help underwrite the cost of supplies for the Greater Killeen Free Clinic are appreciated. E-mail clinic@gkfclinic.org or call 618-4211. Location: 718 N. 2nd St., Suite, A. •Gynecological testing funding provided by Seton Medical Center in Harker Heights and Metroplex Health System of Killeen. •Mammograms provided by the partnership of Metroplex Hospital and the Greater Killeen
Free Clinic. Call 618-4211, e-mail clinic@gkfclinic.org, website at www.gkfclinic.org/. Cove House Free Clinic, an outreach of the Cove House in Copperas Cove, is open Tuesdays. Patient check-in: 5 to 6 p.m. at 806 E. Avenue D. Call 547-4673 or e-mail clinic@covehouse. org.
CHILDREN Anti-Victimization in Schools programs. Contact Joey W. Ellis, Aware Central Texas, 939-7582, 939-1696, e-mail jellis4067@ yahoo.com or go to the website at www. awarecentraltexas.org/. A Central Texas Parents’ Advocacy group is being built from the ground up. Programs, seminars are needed to empower participants with skills to engage teachers and school administrators. The goal is to have parents and guardians become effective advocates for their children enrolled in area schools. E-mail Philemon Brown at 7821ccr@gmail. com or call 254-289-3861. Juvenile Anger Management. Active duty military, retirees, veterans, their spouses and dependents -Aware has secured a new grant from the Texas Veterans Commission to pay for classes for up to $5,000 of accumulated class fees. •Waivers of fees for classes are available on a case-by-case basis. Classes are held in Killeen, Copperas Cove, Lampasas, Gatesville, Belton, Temple, Marble Falls, Liberty Hill, Georgetown, Contact Joey W. Ellis, education director, Aware Central Texas, 939-7582, 939-1696, e-mail jellis4067@yahoo.com or go to the website at www.awarecentraltexas.org Foster children (current and former), 16 to 25, have access to the following services: Computer, employment and job readiness services, GED training, laundry facility, life skills training, mail service, mentoring, shower facility, transitional house assistance, transportation assistance, tutoring, and connection to other local services. Project F.U.T.U.R.E. is a collaboration of the Texas Department of Family and Protective Services, Texas Workforce Solutions of Central Texas, Texas Workforce Commission, and Central Texas Youth Services. Call 634-0117. 24-hour crisis hotline: 800-421-8336. Special Olympics, Killeen-Cove-Hood Phantoms Parent-Volunteer group meets monthly. All parents of a special needs child are invited to attend. Information provided on available activities. Athletes and volunteers are needed for various activities. Location: 902 Condor St., Killeen.
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Call Joann Courtland at 254-681-8522.
PARENTS •Active duty military, retirees, veterans, their spouses and dependents -Aware has secured a new grant from the Texas Veterans Commission to pay for classes for up to $5,000 of accumulated class fees. •Waivers of fees for classes are available on a case-by-case basis. Classes are held in Killeen, Copperas Cove, Lampasas, Gatesville, Belton, Temple, Marble Falls, Liberty Hill, Georgetown, Contact Joey W. Ellis, education director, Aware Central Texas, 939-7582, 939-1696, e-mail jellis4067@yahoo.com or go to the website at www.awarecentraltexas.org Adult education presentations: Juvenile Anger Management Parenting and Juvenile Anger Management. Mood Management Classes / Stress Management Classes -- Parenting Sessions 1, 2, 3 or 4. Cognitive Awareness and Resource Empowerment. Cognitive Awareness and Prevention Program. VOICE Educational and Therapeutic Domestic Violence Support Groups. Education for Hope Survivors of Child Abuse Workshops and Support Groups. Aware Central Texas Volunteer Training Session 1, 2, 3, 4 or 5. Call Michelle Romero at 554-3494 ext 104. Father’s absence (statistics show) are strongly connected to abuse, poverty, behavior problems, teen pregnancy and incarceration. Go to the website at www. fatherhoodmatersinc.com. Hope Pregnancy Center offers free services such as pregnancy tests, limited OB ultrasound, operations information, referrals, maternity clothes and baby items. Call 519-3343 or 554-6822 (Killeen), or 5184673 (Copperas Cove).
MENTAL HEALTH The nation’s largest grassroots mental health organization, National Alliance for Mental Illness (NAMI), advocates for access to services, treatment, support and research. Meetings (open to the public) start at 6:30 p.m. the second and fourth Tuesdays of each month at the Temple VA Medical Center. Use the entrance on the Valet parking side of the hospital. Take the elevator to the 5th floor - Conference Room 5G31. Call David Chastang at 771-3638. “What To Do For Mental Health Crisis,” is for businesses, organizations and churches. The 12-hour Mental Health First Aid is available through Bring Everyone In The Zone, Inc. Call Dr. Alvin Dillard at 338-8777 or Maureen Jouett at 681-9112. MENTAL HEALTH
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SUPPORT GROUPS KILLEEN Al-Anon group meets from 7 to 8 p.m. Tuesdays at 2301 Clear Creek Road. Call 8334603 or 291-2293. HARKER HEIGHTS Al-Anon and Alateen meetings at Trinity Baptist Church are as follows: Al-Anon discussion is from 7 to 8 p.m. Tuesdays. Al-Anon book study is from 7 to 8 p.m. Thursdays. Location: 403 E. 2410 Knights Way. E-mail lenavwoods@gmail.com COPPERAS COVE Celebrate Recovery, a Christ centered recovery program, meets from 6:30 to 9 p.m. Tuesdays at Hillside Ministries. Nursery provided. Location: 2602 S. Farm-to-Market Road 116. Call Don Chennault at 317-8184. Celebrate Recovery, a Chris centered recovery program, meets from 6 to 8:30 p.m. Tuesdays at First Baptist Church in Copperas Cove. Child care and meal are provided. Call Dave McKee at 458-3109. BELTON Celebrate Recovery 12-step ministry for men in the Central Texas area is held at First Baptist Church Belton. Call 931-2021. SALADO Al-Anon meeting is from 6 to 7 p.m. Sundays at Salado United Methodist Church. Location: 650 Royal St. Call 833-4603. The following support groups meet at the University of Mary Hardin-Baylor Community Life Counseling Center: •Alzheimer’s and Dementia Caregivers Support Group meets from 2 to 3 p.m. Mondays. •Asperger’s and Autism Caregivers Support Group meets from 6 to 7:30 p.m. Tuesdays. Clients see master’s-level graduate students in counseling sessions that are supervised by fully licensed and Texas board-approved supervisors. Cost to attend is $2 a meeting and the funds provide participants with snacks. Location: 717 College St., Belton. Call 295-5531. Breastfeeding Support Group La Leche League meeting is at 6:30 p.m. the first Thursday of each month. Location: Lovett Ledger conference room, Metroplex Hospital. Call Jenny Cresswell, 371-0412; Charlotte Durr, 213-1179; Elaine Clyatt, 719-393-2638; or Melissa Fredrick, 910-818-7753. Cancer Support Group meetings are from 5:30 to 7 p.m. the second and fourth Tuesdays of each month. Location: Metroplex Medical Plaza, 2301 S. Clear Creek, room 122. Call Judy Steine at 702-5449. Challenged Citizens -- Copperas Cove Association for Challenged Citizens, Inc., meets at 6:30 p.m. the second Tuesday of
each month at American Legion Post 582, 910 Industrial Blvd., Copperas Cove. Call Sonja Kinsey at 702-7474, Barbara Burt at 542-6880 or Donna Torrez at 547-7692. Depression and bipolar disorder support group for seniors meets from 6 to 7 p.m. the third Tuesday of each month at Lions Club Park Senior Center. The group meets from 6 to 7 p.m. the first Tuesday of each month at the Bob Gilmore Senior Center. A trained facilitator leads the groups for people 55 and older and their spouses or caretakers. Meetings are free. Educational material available. Call Larry Egly at 254-630-9141. English and Citizenship classes for adults are from 1 to 3 p.m. Saturdays at St. Joseph Catholic Church in the recreation hall, 2903 E. Rancier Avenue in Killeen. Call 699-2568. Grief Support Group meets from 5:30 to 6:30 p.m. the second and fourth Tuesday of each month at the Scott & White Clinic in Killeen. Call Terry Jackson at 724-4090. Lupus Support Group meetings are from 6:30 to 8 p.m. the second Monday of each month at Metroplex Medical Plaza, room 122. Contact: killeenarealupusgroup@gmail. com, Facebook or the Lupus Foundation of America, North Texas Chapter at 866-205-2369. Metroplex PVAMU Alumni Chapter meets once a month at 1605 N. Main St., Belton. Call Charlotte Jefferson-Huggins at 220-5435. Multiple Sclerosis -- Bell County Support Group meets from 6 to 8 p.m. the third Thursday of each month at the Killeen Community Center. Bring ideas to share with the new peer led self help group. Location: 2201 E. Veterans Memorial Blvd. Contact Dee Dee Martinez at deedeemartinez@gmail.com or 768-2049. Multiple Sclerosis -- Heart of Texas Support Group meets from 6 to 8 p.m. the third Tuesday of each month at Robertson Avenue Baptist Church. Dinner is provided. Program is adapted to people with MS and their families. Location: 305 Robertson Avenue, (across the parking lot from Walgreens), Copperas Cove. Multiple Sclerosis -- Cen-Tex Self Help Group meets the first Thursday of each month, from 6 to 8 p.m. in the Metroplex Medical Plaza, room 122, 2301 S. Clear Creek Road, Killeen. The group offers opportunities to make new friends and share experiences of life in a private setting to share common concerns, give and receive emotional support and receive MS-related information from peers
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C o n t i n u e d (Continued from page 21) and guest speakers. Call 768-2049 or 285-7984.
Narcotics Anonymous -- Another Chance Group meets from noon to 1 p.m., Monday through Saturday; and from 7 to 8:30 p.m. Sunday through Tuesday and Thursday through Saturday. Location: 502-B N. 38th St. in Killeen. Overeaters Anonymous meeting -- Copperas Cove First Baptist Church from 6 to 7 p.m. Tuesdays at 300 W. Avenue B. Call 690-2943. Panic Relief, Inc., “IDEAL,” is a program designed to help manage fear, experience high self-esteem. Let go of anger and live life to the fullest. Website: wwwpanicreliefinc. com. Call Judy Schiffman at 732-940-9658. Prevail Women’s Support Group for pregnancy loss and infertility meets at 7 p.m. the third Friday of each month at Crestview Christian Church. The group offers free and confidential peerled support discussions and Bible study from women who have suffered from pregnancy loss and infertility, Location: 2608 Farm-to-Market Road 116 S., Copperas Cove. Call 547-4013. Take Off Pounds Sensibly -- Chapter 1004 meets Thursdays at the Special Olympics building in Killeen. Weigh-in is from 5:30 to 6 p.m. Meeting is from 6:15 to 7 p.m. Location: 902 Conder St. Call Betsy Eads at 690-6298 or Kerry Campbell at 634-6531, Take Off Pounds Sensibly -- Chapter 429 meets from 7 to 8 p.m. Tuesdays at Copperas Cove Christian Church. Call Jackie Martell at 542-3417. Walking -- The Greater Killeen Free Clinic has begun The Walk Club, an organized walk, which starts at 8:30 a.m. Tuesdays and Thursdays on the Andy K. Wells Hike and Bike Trail adjacent to the dog park on W.S. Young Drive. Water and snack provided. Prizes awarded. All fitness levels are welcome. E-mail Marlene DiLillo at the Free Clinic at mdilillo@gkfclinic.org or call 618-4211.
CAREER IN HEALTHCARE ProMed Career Institute classes include: clinical medical assistant, phlebotomy
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technician and administrative assistant. The institute is a member of the Career Colleges and Schools of Texas and the Texas Workforce Commission Certificate of Approval and serves as a national testing center for the National Healthcareer Association and the National Center of Competency Testing. Location: Suite 250, 701 W. Elms Road, Killeen. Call Ronald Sears, school director, 200-7277.
VOLUNTEER Become a Court Appointed Special Advocate (CASA). Work with abused and neglected children. Training is 30 hours and at least three hours of court observation. Volunteers usually work 10 to 15 hours per month and commit to working with the child throughout their experience in the court system about 12 to 18 months. Call 774-1881 or e-mail deal.bccasa@ outlook.com. Drivers needed to transport cancer patients to and from treatments. Must have current driver’s license, insurance and inspection on vehicles. Volunteers receive brief training and are reimbursed for miles driven. E-mail Velma Perez with the American Cancer Society at velma.perez@cancer.org or call 512-919-1864. Drivers to transport veterans to medical appointments at the Temple Veterans Affairs hospital. Shuttle service is usually from 8 a.m. to 2 p.m. Call 743-0515 or 743-0740. Fire Department -- Volunteer Fire Department in Killeen is accepting applications. Applicants must be at least 18 years of age and residence (for at least the past 90 days) must be within one mile of the city of Killeen’s Fire District. Military personnel living on Fort Hood are exempt from the one-mile residency requirement. Active duty military must have a letter from their commander on official letterhead giving the soldier permission to join the Killeen Volunteer Fire Department. Applications available at Central Fire Station, 201 N. 28 St., Killeen or call D.C. Brank at 501-7671. Hope Pregnancy Center -- Killeen call 5193343 or 554-6822. Copperas Cove call 518-4673. Hospice -- Volunteers are needed to support patients and their families. Support can be companionship to the patient and respite for the caregiver that includes visits, writing letters, reading to patients, light housekeeping, running errands, or preparing a favorite meal or dessert for the patient or family.
Volunteer opportunities in surrounding areas and Gatesville do not require travel to the Killeen office. Call Hospice Compassus Volunteer at 254539-1055 and ask for Catherine Hausenfluke. Hospice -- New Century Hospice is seeking volunteers to train or experienced professionals for part-time and full-time opportunities with flexible hours available. Positions include bereavement, clerical, crafts, and direct patient care. Location: 451 E. Central Texas Expressway, Suite C, Killeen. Call Kim Kirschner at 680-5500. Hospice -- Texas Home Health is seeking volunteers for one to two hours per week providing companionship and support to patients and their families in the local area. Call 756-0404. Nursing homes seeking caring individuals to make weekly or bi-monthly visit to Killeen nursing facility residents. About 60 percents of residents do not receive visits from anyone. Training is flexible and supervision will be provided. Visits are scheduled according to what is most convenient for volunteers. Contact: Margaret Matthews, Area Agency on Aging, at margaret.matthews@ctcog.org or 800-447-7169 or 770-2345. Organ donor registry makes it easier for Texans to register as organ, tissue and eye donors. The Glenda Dawson Donate Life -- Texas Registry has information about organ donation and instructions for registering online. Takes less than five minutes to register and information is protected. Only authorized organ procurement organizations and tissue and eye banks can access registrant inforamtion. www. DonateLife.Texas.org. Sickle Cell Anemia is seeking volunteers. Location: 402 N. 8th St., room 108, downtown Killeen. Call Ruby Graham at 634-7600.
VETERANS CENTRAL TEXAS STATE VETERANS CEMETERY Pre-register for burial at the Central Texas State Veterans Cemetery. Bring copy of DD Form 214 and if married, bring spouse’s identification card or marriage license. Copies will be made for the record file at the cemetery. Active-duty military personnel bring letter signed by commander on letterhead paper stating they are active duty. Administration building is open from 7:30 a.m. to 4:30 p.m. weekdays. Location: 11463 State Highway 195, south of Killeen. Call 616-1770.
OCtober 2015
Drivers needed to transport veterans to medical appointments at the Temple Veterans Affairs hospital. Shuttle service is usually provided from 8 a.m. to 2 p.m. Call 743-0515 or 743-0740. Assistance filing VA claims provided for veterans, widows, widowers, orphans provided by certified service officers: KILLEEN •DAV Chapter 147 Wednesdays from 10 a.m. to 2 p.m. Location: 702 E. Avenue E. Appointments: Call Bill Wright at 338-3944 or Randy Brumagim at 681-4515. •VFW Post 9191 Fridays from 4 to 6 p.m. Location: 3307 Zephyr Road. Call Bill Wright at 338-3944. •VFW Post 9192 Tuesdays and Thursdays from 11 a.m. to 2 p.m.; and Saturdays from 9 a.m. to noon. Location; 301 Wolf St. Call Rocky Hernandez at 526-2767. FORT HOOD Jewish War Veterans of the U.S., Fort Hood Post 795, meets at 10 a.m. the first Sunday of each month at the Spiritual Fitness Center. You do not have to be Jewish to join. Location: Battlaion Avenue and 33rd Street, Fort Hood. E-mail Edith Freyer at befrey@hot.rr.com.
and women. Call 288-8849 or 288-8850. Retired Chaplain William “Bill” Shelnutt hosts “Who Is Your Soldier or Veteran Today?” from 1:30 to 2:30 p.m. Tuesdays. Caregivers for Christ meets at the Spritual Fitness Center Chapel on Fort Hood. Meeting is open to caregivers and spouses (female or male) of active duty soldiers or veterans from any conflict. Bring Everyone in the Zone -- Peer to Peer Support Group for veterans, active duty, guard, reserves and their families. Motto is “You Talk, We Listen.” Talking is your choice. Peer to Peer workshops are held at the following locations: •KILLEEN Bell County Human Services Help Center, 201 E. Avenue D, downtown Killeen. Thursdays: 6 to 7 p.m. Tuesdays (females only): 6 to 7 p.m. Call 254-681-9112. •FORT HOOD Carl R. Darnall Army Medical Center, Department of Ministry and Pastoral Care, lower level, across from cafeteria. Tuesdays, 10 to 11 a.m. Call 254-288-8849 or 254-288-8850. •COPPERAS COVE VFW Post 8577, 1506 Veterans Avenue. Wednesdays: 8 to 9 p.m. Call 542-2748. •LAMPASAS Lampasas County Courthouse , 3rd floor, 501
E. 4th St. Tuesdays: noon to 1 p.m. Call 254-423-0399. Operation Family Caregiver program helps families of returning service members coping with health issues like traumatic brain injury, post-traumatic stress and physical disability. Email mail@bringeveryoneinthezone.org. For active duty military, retirees, veterans, spouses and dependents: Aware Central Texas has secured a grant from the Texas Veterans Commission to pay up to $5,000 for certain classes. Adult Anger Management, Juvenile Anger Management, Stress Management, and Survivors of Child Abuse, Survivors of Abuse Women’s Support Group classes and workshops are $20 cash per person, per class. Bring exact amount to each class. Waivers of fees for classes are available for individuals on a case-by-case basis. Classes are held in Killeen, Copperas Cove, Lampasas, Gatesville, Belton, Temple, Marble Falls, Liberty Hill, Georgetown, Contact Joey W. Ellis, education director, Aware Central Texas, 939-7582, 939-1696, e-mail jellis4067@yahoo.com or go to the website at www.awarecentraltexas.org/. E-mail changes to health briefs to teresat@ kdhnews.com.
COPPERAS COVE Star Group - Veterans Helping Veterans Hours of Operation: Tuesdays through Fridays from 10 a.m. to 2 p.m., and Saturdays from 9 a.m. to 1 p.m. Closed Sundays, Mondays and federal holidays. Referrals for assistance, benefits information, activities and games offered Tuesdays, Thursdays and Saturdays. Certified veteran’s service officer assists with claims disability claims and free notary offered Wednesdays and Fridays. Location: 202 S. 4th St., Copperas Cove. E-mail Jonathan Haywood at haywood. veteranshelpingveterans@yahoo.com. •VFW Post 8577 Wednesdays from 11 a.m. to 2 p.m. Location: 1506 Veterans Avenue. Call Craig Lacy at 542-2748. Emergency only: call 290-8320. HARKER HEIGHTS •DAV Chapter 29 Tuesdays and Saturdays from 8 a.m. to noon. Location: 607-B E. Veterans Memorial Blvd. Call 699-6655. Veterans with PTSD or anyone who survived a traumatic event, their spouses and caregivers support group meetings are for anyone who has been diagnosed with PTSD or wonders if they may have it. Chaplain Stephanie Handy with the Darnall Army Medical Center, Department of Ministry, leads both support groups for men
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