Wellness
3 A connection between COPD and lung cancer? 4 Cancer screenings Men should consider
14 What is the role of bone marrow in the body?
5 new health care service providers join elms creek family and urgent care clinic
15 Understanding lymphoma and its potential causes
6 control uneven skin pigmentation 7 Dr. Charles mitchell: Continuing the compassion in primary and urgent care 8 Healthy alternatives to potentially unhealthy ingredients
Fitness
9 Core exercises becoming more popular 10 Quick and safe ways to build muscle 11 Walking, a great way to burn calories and stay fit
Medicine
12 Health Boosters You have at home
Location finder
13 Health & Fitness Directory |Health & Fitness
Leukemia & Ly m p h o m a Awa r e n e s s
16 Doing your part: Becoming a bone marrow donor 18 Recognizing warning signs for childhood Cancers
Co mm u n i t y c a l e n da r
20 DIRECTORY OF EVENTS
This coming october’s Topic:
Breast Cancer Awareness Want to be Featured in next month’s
Health & fitness? Contact us: 254-501-7508
DAILY HhanEeRALD ver! Better t
September 2015
w e l l n e ss
A connection between COPD and lung cancer? Chronic obstructive pulmonary disease and lung cancer can have a substantial impact on a person’s health, affecting how well the body is able to process oxygen. Both can be a serious side effect of smoking, but is there a relationship between cancer and COPD? Various experts, including the National Heart, Lung, and Blood Institute in collaboration with the Division of Cancer Prevention of the National Cancer Institute, have weighed in on the link between COPD and lung cancer. COPD appears to be a strong risk factor for lung cancer, even among people who have never smoked. “Recent studies suggest that the genetic risk factors that predispose smokers to COPD may overlap with those that predispose smokers to lung cancer,” said Brian Carlin, M.D., a pulmonologist and chairman of the COPD Alliance. “A majority of patients with lung cancer have underlying, but often undiagnosed, COPD.” The Cancer Prevention and Treatment Fund organization notes that more than half of all people with lung cancer also have COPD. Very often the symptoms of both conditions mesh. A person may discover he or she has COPD and then lung cancer, or vice-versa. Patients with either lung cancer or COPD often experience coughing and shortness of breath. They also may experience repeated episodes of pneumonia or bronchitis. But cancer may have its own distinct symptoms, such as hoarseness, blood in sputum, weight loss, and lack of appetite. Lung cancer and COPD both can be fatal conditions when detected too late. Although COPD cannot be reversed, there are lifestyle changes and medications that can make breathing easier. Quitting smoking can prevent more serious
September 2015
consequences down the line, and many people with early stage cancers can be cured. As with many types of cancers, the stage of the cancer at diagnosis heavily influences prognosis. People can take steps to stay on top of their pulmonary health. Quitting smoking and avoiding secondhand smoke
is one of the most important things people can do. Recurring symptoms of coughing, shortness of breath or fatigue should be brought to the attention of your doctor. If COPD is diagnosed, recognize that lung cancer may not be far behind.
Health & Fitness |
Cancer screenings men should consider
Cancer screenings play an important role in cancer prevention. Screenings may not prevent people from getting cancer, but they can detect the presence of cancer before a person begins to experience any signs or symptoms. Screenings also can help doctors catch cancer before it metastasizes, or spreads, to areas of the body outside the area where it originated. Many women get routine mammograms to detect for breast cancer, but women are not the only ones who should include cancer screenings in their healthcare routines. Men also can benefit from screenings, discussing the pros and cons of each with their physicians during routine health examinations. · Colon cancer: Men should begin getting screened for colon cancer at age 50, though those with family histories of colon cancer or other colon issues should begin even earlier, as family history increases a man’s risk of developing colon cancer. Colon cancer screenings may discover a type of growth known as a polyp, which is typically benign and can be removed before it develops into cancer. The American Cancer Society notes that men have various options to choose from with regard to screening for colon cancer. Such options include a colonoscopy, a stool DNA test and a camera pill. Speak to your physician about these options and discuss your family history, which will influence how frequently you need to be screened for colon cancer. · Lung cancer: Screening for lung cancer is most important for men who currently or recently smoked. The United States Preventive Services Task Force recommends annual screening for lung cancer with low-dose computed tomography (LDCT) for men between the ages of 55 and 80 who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a man has not smoked for 15 years or has developed a health problem that substantially limits a man’s life expectancy or his ability or willingness to undergo curative lung surgery. (Note: Pack-year history is calculated
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by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked.) The ACS notes that the risks associated with lung cancer screenings typically outweigh the benefits for men who have never smoked or quit long ago. · Prostate cancer: The National Cancer Institute notes that prostate cancer is the most common nonskin cancer among men in the United States. Being 50 years of age, black and/or having a brother, son or father who had
prostate cancer increase a man’s risk of developing the disease. The NCI notes that screening tests for prostate cancer, which include a digital rectal exam and a prostate-specific antigen test, come with risks, and men should discuss these risks and the potential benefits of prostate cancer screenings before deciding to be screened. Cancer screenings can detect cancer in its earliest stages, and as men get older, they should discuss their screening options with their physicians.
September 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
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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 |
Control uneven skin pigmentation
Uneven skin tone is a common, relatively harmless condition that affects millions of people. Hyperpigmentation (darkened areas) and hypopigmentation (lightened areas) are examples of uneven skin tone conditions that people often hope to alleviate. Changes in skin tone can affect people of all ages and races. Some of the more widely known skin tone changes are the formation of freckles and age spots. The American Osteopathic College of Dermatology advises that lightened or darkened patches of the skin can occur anywhere on the body and are usually the result of exposure to the sun. Melanin is produced by the skin as a protective agent. When skin is exposed to UV radiation, melanin absorbs the sun’s rays and darkens the skin to reduce instances of burns and other damage. Excessive melanin can produce darkened areas that are disproportionate to other parts of the skin. In cases where skin tone already is uneven, sun exposure can exacerbate the situation.
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Some skin tone abnormalities are hereditary, while others may result from hormonal issues during pregnancy. People may experience such abnormalities after a skin injury, while others may experience some instances as a natural response to skin inflammation. One of the easiest and most effective ways to alleviate pigmentation issues is to apply a sunscreen with a minimum SPF of 30 each and every day. Look for a product that blocks both UVA and UVB light. Sunscreen needs to be reapplied at regular intervals, especially when spending prolonged time outdoors. Exfoliation of the skin may promote faster shedding of the exterior layers of the skin. Stores carry many at-home exfoliating kits and creams. However, if you are unsure which types of products are best for your skin, consult with a dermatologist. Dermatologists may prescribe lightening creams that will slowly lighten darkened skin.
Malasma is an uneven pigmentation that can occur on the face and may be a side effect of hormonal imbalances caused by pregnancy, menopause or use of oral contraceptives. Melasma can clear up on its own after pregnancy, but if it is linked to contraceptive use, speak with a doctor about changing the pill to using another method of contraception to see if it alleviates the problem. Makeup may be used to mask any irregularities in skin tone until another treatment method is found. If topical treatments do not work, chemical peels, microdermabrasion or laser treatments may work. But such treatments should only be administered under the guidance of a qualified doctor. Skin pigmentation problems can be embarrassing. Reducing sun exposure and covering up can typically alleviate many cases of hyperpigmentation, but there are other options available as well. Speak with a dermatologist if you have concerns about uneven skin tone.
September 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).
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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 |
Healthy alternatives to potentially unhealthy ingredients
When trying to get healthy, men and women rightfully place great emphasis on diet and exercise. A healthy diet and routine exercise make a great team. Many people don’t exactly jump for joy when adopting a healthy diet because they may feel the diet must be devoid of their favorite foods to prove effective. But a healthy diet isn’t necessarily one that lacks taste. In fact, changing a few ingredients is a great way to make some of your favorite dishes healthier while ensuring you still get to eat them. The following are a few ways to substitute healthy ingredients in some your favorite recipes, courtesy of the American Heart Association. • Instead of whole milk, use fat-free or low-fat milk.
• Replace heavy cream with evaporated skim milk or a combination of low-fat yogurt and plain low-fat unsalted cottage cheese. • Replace sour cream with low-fat unsalted cottage cheese or fat-free yogurt; fat-free sour cream is also a healthier choice than regular sour cream. • Swap cream cheese with soft margarine that is low in saturated fat and free of trans fats and blend the margarine with unsalted fat-free cottage cheese. • Use margarine that is low in saturated fats and free of trans fats when a recipe calls for butter. • Choose egg whites instead of regular eggs. But healthy eating goes beyond ingredients. Many people find it difficult to avoid all of those delicious yet typically unhealthy snacks. But even snacks can be healthy and provide an energy boost throughout the day. All it takes is choosing the right snacks as opposed to those most readily available, which are often the most unhealthy.
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• Replace potato or corn chips with pretzels or reduced sodium low-fat potato chips.
are ways for customers to go one step further and make the meals they enjoy when dining out even healthier.
• Avoid high-fat cookies and crackers in favor of fat-free or low-fat options, including graham crackers, rice cakes, and fig or fruit bars.
• Replace cream-based soups with broths that boast lots of vegetables.
• Choose angel food cake over devil’s food cake. • Replace ice cream bars on hot afternoons with frozen fruit bars. • When making pudding, make it with fatfree or low-fat milk instead of whole milk. • Opt for toast instead of a doughnut or bagel. Fortunately, many restaurants have started informing customers about the ingredients in their offerings, and some establishments are even obligated by law to share calorie information with their customers. Still, the AHA notes that there
• Request melba toast, pita bread or whole-grain rolls in lieu of bread, muffins or croissants. • Choose a baked potato or brown rice instead of french fries. • Request that your chicken be grilled instead of fried. • End you meal with nonfat yogurt, sherbet or fruit ice instead of a sundae or ice cream. A healthy diet doesn’t have to be bland. To learn more about how to enjoy the foods you love without putting your health at risk, visit the American Heart Association at www.heart.org.
September 2015
f i t n e ss
Core exercises becoming more popular Fitness-conscious men and women have no doubt noticed the growing popularity of core exercises. Core exercises are those that focus on the body’s core muscles, or those around the trunk and pelvis. These exercises are a focus of fitness center programs and have even been integrated into the workout regimens of professional athletes in all sports. But those unfamiliar with core exercises might not understand why they have become so popular, or why they have proven so effective. The following are some of the reasons core exercises have become such a significant part of many training regimens. • Core exercises help improve balance and stability. Core exercises require the core muscles, including the abdominals, hips, lower back, and pelvis, to work together. When muscles work together, the result is improved balance and stability, which helps athletes perform better and non-athletes better cope with the physical demands of everyday life.
• Core exercises are free. Core exercises can be done without any costly machinery, and men and women can do them at home without having to pay for a monthly gym membership. However, it helps to get some instruction before
beginning a core exercise regimen, as the exercises are not easy and the risk of injury is high for the inexperienced who don’t have anyone to show them what to do.
• Core exercises improve the appearance of abdominals. While it might not be the best reason to workout, physical appearance is a significant reason many people have such a strong commitment to exercise. Core exercises strengthen and tone the underlying muscles of the abdominals. When coupled with aerobic activity that burns abdominal fat, core exercises help turn flabby abdominals into the envy of fellow fitness enthusiasts. • Core exercises impact everyday life. Another reason many people commit to working their core muscles is the impact such activity has on everyday life. Core exercises help improve posture, which can reduce, if not eliminate, lower back pain and other muscle injuries. Eliminating that pain can greatly improve quality of life. In addition, core exercises can make it easier to excel in sports such as golf, a benefit that, to golfers, is worth its weight in gold.
September 2015
Health & Fitness |
Quick and safe ways to build muscle Building muscle is a goal of many men. Men have more muscle mass than women, but it takes some effort to sculpt muscle tissue into a firm and fit physique. While there is no magic formula for transforming the body overnight, there are ways for guys to build muscle quickly and safely. Start with nutrition As the old adage goes, “You are what you eat,” and this is true when it comes to getting fit and building muscle. Food acts as fuel for the body and plays a role in building muscle. A nutritious diet helps build healthy, lean muscle. The key is to eat enough so that you will gain muscle without eating too much so your diet does not negate the positive impact of your workouts. When choosing foods, multiply your lean body weight by 19 to determine the amount of calories you need to build muscle. Getting the majority of your calories from lean protein sources can help muscles grow faster. The rule of thumb is about 1 gram of protein per pound of body weight each day. However, don’t overlook the benefits of carbohydrates, which are a source of fuel for the body. Balancing proteins and carbohydrates with a variety of fresh produce will give the body the necessary vitamins and minerals it needs to repair itself after workouts. Less is more While it may seem like you have to spend hours at the gym to build muscle, it’s actually better if you scale back a bit. Fitness experts suggest doing no more than 20 sets per muscle group. In fact, sticking to around 12 sets is even better. Keep repetitions in each set to around six for the most muscle growth. Don’t spend hours working out; stick to a 45-minute workout and do each set at a controlled speed. Slow speeds are always harder because they isolate the muscle being used. When working out, limit the amount of cardiovascular work that you do. Incorporate just enough to burn fat and not burn off muscle. Twenty to 30 minutes of cardio per session is ideal.
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Always incorporate stretching Stretching is a key to a successful workout. Stretching can help prevent injury, which can sideline any workout plans and reverse all of your hard work. Furthermore, stretching can improve recovery between workouts.
growth. Regularly alter your routine to keep your body guessing. Just as you can plateau with weight loss by keeping everything status quo, the same thing can happen with muscle growth if you do the same thing day in and day out. Remember not to workout everyday. Muscles grow during resting periods.
Graze throughout the day
Ensure proper form
Instead of eating three big meals per day, aim for four to six smaller, quality meals a day to continue to provide fuel to your body. This provides the calories your body needs to build muscle while maintaining a healthy metabolism.
If you’re not doing the lifting or exercises correctly, you will not build the bulk you desire. Furthermore, you could injure yourself. Always consult with a professional before beginning any workout routine, so you can be sure you’re performing the exercises correctly. A personal trainer and spotter can help correct mistakes in form.
Change it up You may get stuck in a groove with regard to your workout routine, and that routine can negatively impact muscle
By following some guidelines, men can build muscle safely and quickly.
September 2015
Walking, a great way to burn calories and stay fit The fitness business is a multibillion dollar industry. People invest great deals of money in an effort to stay as fit and healthy as possible. But while exercise equipment and gym memberships are worthy investment, those focused on fitness should not underestimate the value of walking as a means to burning calories and promoting overall health. Walking is great exercise, and people of just about any age and fitness level can get out and walk. According to Dr. Andrew Weil, a renowned author and expert in integrative medicine, walking is such a good exercise because it makes use of all muscles, promotes coordination and balance and carries the least risk of injury for people of any age. The Mayo Clinic concurs, noting that physical exercise does not need to be complicated and that brisk walking can help a person to live a healthier life by providing a number of benefits: • Walking promotes maintaining a healthy weight through physical activity. • Walking can prevent or make it easier to manage various health conditions that are dependent on weight and cardiovascular health, including blood pressure, heart disease and type 2 diabetes. • Walking is a weight-bearing exercise that can help strengthen bones and promote good posture. • Exercise, like walking, has been known to benefit mood, specifically for those people battling depression. Although walking is simple, it is an ideal exercise for a number of reasons. First and foremost, it is affordable for anyone and can be done anywhere. What makes walking attractive to many people from a fitness standpoint
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is it doesn’t require learning any fancy moves, nor does one need to feel foolish when walking in public areas. People who walk for fitness have a greater chance of sticking with the activity than other exercises that may lose their appeal after a few months. What people may not realize is that walking provides many of the same benefits as jogging, only with less impact on the joints and feet. Walking also is less taxing on the heart, particularly for people who are adopting a more active lifestyle after a period of being sedentary. According to The Walking Site, the average person can burn approximately 100 calories per mile walked. During a brisk walk, with an average pace of 4 mph, a person can burn between 149 and 220 calories during a 40-minute walk. Some easy ways to add some intensity to your walk is to increase your pace, walk uphill or bear more weight by wearing a weight vest. Incorporating more pronounced arm movements also can help a person to work even more muscles and burn more calories.
In order to make the most of your walk, consider the following tips. • Invest in a comfortable pair of walking shoes. Exercise can be thwarted by pain in the feet. Comfortable shoes will make it easier for you to stick to your walking regimen. • Bend the elbows and swing the arms a little while walking. • Find a convenient time to walk each day, and look for a new path each day to vary the workout. Walking in beautiful surroundings can make the walk that much more enjoyable. •Start out slowly and then increase the pace and the intensity as you build up more stamina. You also may want to increase the distance you walk as you gain more stamina. Walking is an exercise that doesn’t require special equipment or a fancy location. People of all ages can benefit in a variety of ways from walking.
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medicine
Exploring natural remedies As prevalent as prescription medications are, all-natural remedies for common illnesses and conditions are still a viable alternative to prescription medications for many people. But are these all-natural options safe? In 2011, Apple founder Steve Jobs lost his battle with pancreatic cancer. Reports indicate that Jobs, a devout Buddhist, delayed surgery and other traditional treatments for almost a year while he participated in holistic treatments for the cancer. Some of these included juice fasts, bowel cleansings, acupuncture, herbal supplements, and even a vegan diet. Eventually, Jobs had surgery, but some experts feel he waited too long. Although conventional care is often an effective means to treating illnesses and other conditions, there are many doctors who agree that implementing natural remedies at times can be safe and effective. Furthermore, not all natural remedies are without merit, and some
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traditional medicines are actually derived from natural, plant-based ingredients themselves. According to surgeon and author, Dr. Walter C. Thompson, “Herbal medicine is safe because it’s natural. After researching the literature, one can truly say that, at the very least, herbal medicine is safer than conventional drugs.” Those thinking about incorporating natural remedies into their health regimen can consider the following options. • Nervousness and anxiety: Try lettuce, chamomile, valerian, and rose petals. • Pain relief: Use omega-3 fatty acids, green tea, ginger root, and tumeric. • Itchiness: Witch hazel, jewelweed and aloe vera are effective.
• Feminine issues: Parsley, basil and goldenseal can alleviate symptoms associated with menstruation.
• Antibiotics: Oregano and garlic are purported to have antibiotic qualities and can fend off harmful bacteria. • Infections: Honey has long been used to heal and as an antibacterial and antifungal remedy. Many natural foods are effective in preventing and fighting cancer as well. Although natural remedies can be effective, it’s important for pregnant women to avoid any herbs and plant supplements until discussing the risks/benefits with their doctors. Also, some natural remedies can interact with prescription drugs or increase their potency, so it’s important to talk to a doctor about any plans.
September 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 October edition! September 2015
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What is the role of bone marrow in the body? The skeletal system is a fascinating component of human anatomy. While the hard, outer structure of the system that comprises the bones and keeps the body upright and protects organs may get plenty of attention, some people are less informed about the other role bones play in health. Bone marrow basics Bone marrow is nestled inside of the collagen, calcium and other minerals that give bones strength and flexibility. Unlike the hardness associated with bones, marrow is actually a soft, spongy tissue. Bone marrow is active in newborn babies and children, meaning it is always producing new marrow cells. This is what helps children to grow. By the time a person reaches young adulthood, much of the marrow inside of the bones stops producing new cells. However, in adults, active marrow still can be found inside of the spine, hips, shoulder bones, ribs, breastbone, and skull. The University of California San Francisco Benioff Children’s Hospital says bone marrow manufactures bone marrow stem cells, which produce the various blood cells that help the body to thrive. Bone marrow produces red blood cells that carry oxygen to tissues in the body. Platelets help blood clot in order to stop bleeding and promote healing of injuries. White blood cells are essential to fighting infections and are a main component of the immune system. Among white blood cells, neutrophils and macrophages fight bacterial and fungal infections by essentially “eating” germs. BLymphocytes make proteins that attach to the surfaces of infectioncausing microbes. T-Lymphocytes engulf and destroy pathogens directly. Blood cells do not live very long inside of the body, which is why
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marrow continually produces all three types of blood cells. Bone marrow produces approximately 500 billion blood cells per day. Bone marrow donation
Diseases such as myeloma, aplastic anemia, lymphoma, and leukemia occur when bone marrow is compromised and cannot work properly. People diagnosed with such conditions will be in need of a bone marrow donation as a best chance of survival. A matching donor must be found before a bone marrow donation, known as an allogeneic transplantation, or ALLO, can be made. Because bone marrow produces unique markers on the proteins of white blood cells called human leukocyte antigens, not all bone marrow can be donated to everyone, much in the way not all people can receive every type of blood. Therefore, the American Society of Clinical Oncology says a successful bone marrow transplant requires the donation of near-perfect, human leukocyte antigens (HLA) bone marrow. This prevents rejection of the marrow and further illness. HLA typing involves a special blood test to look for matching markers.
Siblings typically offer the highest chance of a match for donors. Parents and children are less likely to match. Many donations come from a pool of volunteer donors through programs such as the National Marrow Donor Program. Although bone marrow donation used to be thought of as a painful process, many donors today donate through peripheral blood stem cell, or PBSC, collection. According to ASCO, in the five days leading up to the PBSC procedure, a donor receives injections, lasting five minutes per day, of a white blood cell growth hormone called GCSF. On the fifth day, a needle is placed in each of the donor’s arms, and blood is circulated through a machine, which collects the stem cells and returns the unused portion of the blood back to the donor. If a bone marrow harvest is needed, the donor will have bone marrow taken from the hip bone under anesthesia. Many donors experience minimal side effects, and their bone marrow is replenished within a month. Bone marrow is hidden from view but plays an integral role in the health and vitality of a person. Bone marrow donations present the best chance of survival for a person with a bone marrow disease.
September 2015
Understanding lymphoma and its potential causes
The human body’s immune system is integral to its short- and long-term health, helping guard the body from a host of threats, including germs and viruses. But the immune system can be compromised, and when this happens, the results can be severe. Lymphoma is one of the more troubling issues that can compromise a person’s immune system. A cancer of the lymph system, which is a part of the immune system, lymphoma comes in many forms, and recognizing which type of lymphoma a person has can help a doctor tailor a treatment plan and provide a more accurate prognosis to his or her patients. But men and women also can benefit from understanding lymphoma, as it can help them more effectively manage their disease or better understand what a loved one diagnosed with lymphoma is going through. What are the types of lymphoma? There are many types of lymphoma, and these types fall into one of two categories: Hodgkin disease and nonHodgkin lymphomas. • Hodgkin disease: Hodgkin disease begins in white blood cells known as lymphocytes, and because lymphoid
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tissue is present in many parts of the body, Hodgkin disease can start nearly anywhere on the body. However, Hodgkin disease most often starts in the lymph nodes of the upper part of the body, such as the chest, neck or under the arms. Hodgkin disease will spread gradually, most often from lymph node to lymph node. But because there are different types of Hodgkin disease, the disease can grow and spread differently depending on the type a person has. • Non-Hodgkin lymphoma: NonHodgkin lymphoma also begins in the lymphocytes and can begin almost anywhere in the body. There are many types of non-Hodgkin lymphoma, but they were often grouped as slow- or fastgrowing lymphomas. The former grows so slowly that it produces few symptoms, while the latter spreads so quickly it can cause severe symptoms and may be referred to as an aggressive lymphoma. What causes lymphoma? Though researchers are not always certain why certain factors make a person more likely to develop Hodgkin disease, they have determined a handful of factors that increase a person’s risk. People who have had mononucleosis, an
infection caused by the Epstein-Barr virus, or EBV, have an increased, albeit small, risk of Hodgkin disease. DNA from EBV is found in roughly half of Hodgkin patients’ Reed-Sternberg cells, which are a type of cell found in people with Hodgkin lymphoma. But many people infected with EBV never develop Hodgkin disease. Age is another risk factor for Hodgkin disease, as the disease is most common among people between the ages of 15 and 40, especially men and women in their 20s. But many men and women are diagnosed with Hodgkin disease in late adulthood as well. Age also is a risk factor for non-Hodgkin lymphoma, though the majority of cases are diagnosed in people in their 60s or older. Family history also plays a role, as brothers and sisters of young people with Hodgkin disease have an elevated risk, one that is especially high for the identical twin of a person with Hodgkin disease. But the American Cancer Society still notes that a family link is still seen in only about 5 percent of all cases of Hodgkin disease. Some studies have suggested that exposure to certain chemicals, most notably benzene, and certain herbicides and insecticides used to kill weeds and insects, may be linked to an elevated risk of developing non-Hodgkin lymphoma. However, such research is ongoing. Patients treated with radiation therapy for other cancers may also be at an increased risk of developing nonHodgkin lymphoma, and this risk is even greater for those treated with both radiation and chemotherapy. Immune system deficiencies and autoimmune diseases have also been linked to a greater risk for non-Hodgkin lymphoma. People who have received organ transplants are often treated with immune system suppressants to ensure the immune system does not attack the new organ, and such suppressants put people at a higher risk of developing non-Hodgkin lymphoma. Children born with immune system deficiencies also have an elevated risk of developing non-Hodgkin lymphoma, as do people with autoimmune diseases such as rheumatoid arthritis, lupus and celiac sprue. Lymphoma is a potentially deadly disease, but one that is often treatable. More information about lymphoma and lymphoma treatment is available at www.cancer.org/cancer/lymphoma.
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Doing your part: Becoming a bone marrow donor Bone marrow is a bodily tissue instrumental to human health. Bone marrow produces all three types of blood cells, in addition to stem cells and immune-system supporting lymphocytes. Bone marrow transplants are often an option to treat various cancers and immune system disorders. Stem cells can save lives Stem cells are immature cells that lie in waiting in bone marrow. The stem cells wait until weak, unhealthy or damaged cells need to be replaced. Stem cells then become specialized, turning into the cells needed. They can transform into red or white blood cells or even platelets and lymphocytes. For this reason, stem cells have long been studied and used in various therapies. They can be harvested for certain cancer treatments and for ongoing medical research into other potential uses. Stem cells are harvested for bone marrow transplants. Donations of stem cells can be used to treat a number of often incurable diseases that affect the healthy function of bone marrow in patients. The Bone Marrow Foundation says approximately 50,000 blood and marrow transplants are performed worldwide to treat more than 70 types of illnesses, including some that affect children. These diseases include leukemia, lymphoma cancers and Hodgkin’s Disease, among others. In certain instances, a bone marrow transplant may be the only life-saving procedure available. Bone marrow donation Donors are highly coveted, and there are a number of organizations geared to matching donors with recipients. The National Marrow Donor Program, for example, has their Be The Match Registry(R). Thousands of
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patients with blood cancers and other life-threatening diseases are waiting for donations. The donation process typically goes as follows. 1. A potential donor will become part of a registry. Donors between the ages of 18 and 44 provide the greatest chance for transplant success. Patients are most likely to match someone who shares their ancestry. A wide array of ethnic groups are encouraged to become donors. 2. A small sample of blood or a swab of cheek cells will be taken to determine your human leukocyte antigen (HLA) tissue, which will then be entered into a registry. There may be a fee for testing and registering the HLA type. 3. If you are a match, you will be contacted to confirm your willingness to donate. An information session will be conducted, and you will be given additional information about the procedure, its potential risks and the expected recovery process. A physical examination will take place to ensure
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the donation will be safe for you and the patient. 4. There are two different methods of donation: peripheral blood stem cells, or PBSC, and a marrow donation. The doctor in charge will determine the method that is best for the patient and the one most likely to be successful. PBSC is a nonsurgical procedure during which donors will be given injections of a medication called filgrastim for five days. This is intended to increase the number of blood-forming cells in the bloodstream. A blood donation is then given, wherein these blood-forming cells are separated from the blood. During a marrow donation, you will be treated at a surgical outpatient center or hospital. Under anesthesia, liquid marrow will be drawn from the back of your pelvic bone. 5. PBSC donors may feel muscle or bone aches prior to the collection, which is a side effect of the filgrastim injections. Marrow donors can experience soreness in the lower back for a few days after the procedure. Many donors report feeling
completely recovered within two to three weeks after the procedure has been completed. 6. Your donor center will follow up with you until you are able to resume normal activity. The more physically demanding your job, the longer your recovery time is likely to be. A typical recovery time is between one and seven days. Some transplant centers enable communication between the donor and the recipient and may even provide updates on the recipient’s condition. However, others do not allow contact and everything may remain anonymous. To become a donor, contact one of these organizations: DKMS Registry (www.dkmsamericas.org), The National Marrow Donor Program (www.marrow.org), Katelyn Bedard Bone Marrow Association (www. givemarrow.net/CanadaRegistry), The Gift of Life (www.giftoflife.org), or The American Bone Marrow Donor Registry (www.abmdr.org).
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Recognizing warning signs for childhood cancers Childhood cancers are rare, but many parents still feel it is their duty to learn about childhood cancers in an effort to protect their children and recognize any potential red flags that may be indicative of a problem. Observation is essential when looking for signs of childhood cancers. According to the Pediatric Oncology Resource Center, the odds of a child developing cancer before the age of 19 are roughly 1 in 330. But parents still must watch for warning signs of childhood cancers, as parents know their youngsters better than anyone, including the children’s pediatricians, and are therefore the first line of defense against this potentially deadly disease. The following are some of the more common childhood cancers and their symptoms. Leukemia Leukemia is the most common childhood cancer, accounting for approximately 35 percent of all childhood cancers. A cancer of the bone marrow, leukemia occurs when abnormal white blood cells divide out of control, eventually crowding out normal cells in the bloodstream. Because these abnormal cells haven’t matured, they aren’t able to function fully and cannot fight infections in the blood. Signs and symptoms of leukemia include: • lethargy, weakness, paleness, and/or dizziness • back, leg, and joint pain, headaches, and/or trouble standing or walking • easy bruising, unusual bleeding, frequent nose bleeds, bleeding gums, or petechiae (red pinpoints on the skin) • repeated, frequent infections • fever that lasts for several days • loss of appetite and weight loss • swollen lymph nodes, bloated or tender stomach, and/or swollen liver or spleen • night sweats • irritability
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Many of these symptoms mimic those of the flu, which can delay the diagnosis of leukemia. Oftentimes, parents of children with leukemia note that their children were unusually tired in the weeks before their diagnosis. Intuition also plays a role, as many parents of children with leukemia note that something just did not feel right in the days or weeks before their kids’ diagnosis. Neuroblastoma Neuroblastoma is a rare childhood cancer of the nervous system. Roughly 1 in 6,000 children will be diagnosed with
neuroblastoma by the time he or she are five years old. A solid, malignant tumor that appears in the stomach or the spinal cord, neuroblastoma is often present at birth, even though diagnosis is typically years later. Diagnosis is often later because that’s when kids begin to show some of the following symptoms of the disease: • lump or mass in the abdomen, chest, neck, or pelvis • loss of appetite, nausea, weight loss, stomach pain, constipation, and/or difficulty urinating • changes in the eyes, such as black eyes, a droopy eyelid, a pupil that does not constrict, and/or vision problems
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• pain in the chest, difficulty breathing, and/or persistent cough • pain or numbness in the lower extremities, limping, inability to stand, and/or stumbling • bone pain, fever, irritability, and/or listlessness • backaches (backaches in children are unusual) Symptoms of neuroblastoma vary because they are often determined by the location of the tumor. The majority of neuroblastomas are found in the abdomen, where parents may detect a lump or mass when dressing or bathing their kids. Youngsters with a tumor in their abdomen may feel “full,” experience a loss of appetite and suffer from stomach pain, while a child with a tumor in his or her head or neck may have a noticeable mass and an eyelid that droops. Wilms tumor A cancerous tumor on the kidney, Wilms tumor accounts for 6 to 7 percent of all childhood cancers and is more common in children under the age of seven. Wilms tumor can spread to other areas of the body, so early diagnosis and treatment is paramount. Symptoms of Wilms tumor include: • abdominal swelling and/or pain • nausea • vomiting • constipation • loss of appetite • fever of unknown origin • night sweats • abnormal urine color or blood in the urine • malaise These symptoms stem from the tumor on the kidney, and a child may show some or all of these symptoms. Though it can sometimes be felt, the lump of the tumor is not always detectable. Diagnosis of Wilms tumor is not always easy, as the symptoms may be attributed to the flu. So if any of the aforementioned symptoms last more than several days, parents should contact their childrens’ pediatricians. Childhood cancers are uncommon, but parents’ observations are often the first step to a cancer diagnosis, which only highlights the importance parents must place on observing their children for any signs and symptoms that may be indicative of a potentially troubling ailment.
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Did you know?
Protein-heavy diets became wildly popular in recent years, but many nutrition experts advise that men and women on high-protein diets avoid overdoing it when it comes to loading up on protein and reducing intake of carbohydrates. People on high-protein/lowcarbohydrate diets may see their metabolisms change into a state of ketosis, which happens when the body goes from burning carbohydrates for fuel to burning its own fat. Burning fat is a goal for many people when they adopt high-protein/low-carbohydrate diets. When fat is broken down, tiny bits of carbon known as ketones are released into the bloodstream as energy sources. This process produces weight loss by suppressing appetite and increasing the
loss of water weight that stems from the increased elimination of fluids through urine that occurs during ketosis. However, a high-protein/low-carbohydrate diet is not without its disadvantages. According to WebMD, the body produces ammonia as it breaks down protein. The long-term risks of high levelsof ammonia in the body are unknown. In addition, men and women on high-protein diets excrete more calcium in their urine than people on more typical diets, and excessive calcium loss may lead to osteoporosis as men and women age. Finally, men and women who avoid carbohydrates may not be eating sufficient amounts of fruits and vegetables, which are great sources of vitamins, fiber and antioxidants.
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community calendar Area codes are 254 unless otherwise noted.
CHILDREN 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. 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/. 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. 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 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. Call Joann Courtland at 254-681-8522.
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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).
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 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.
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 618-4211 to schedule an appointment. •Lunch n’ Learn is held monthly. Reserve seat, by calling the Free Clinic at 618-4211 or e-mail 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. Mammograms provided by the partnership of Metroplex Hospital and the Greater Killeen Free Clinic.
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Gynecological testing funding provided by Seton Medical Center in Harker Heights and Metroplex Health System of Killeen. 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 every Tuesday. Patient check-in: 5 to 6 p.m. at 806 E. Avenue D. Call 547-4673 or e-mail clinic@covehouse.org.
SHELTER Killeen ISD identified 1,565 students as homeless in 2014-2015 according to the According to the McKinney-Vento Act definition of homelessness, The mission of Family Promise 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. 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.
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
SUPPORT GROUPS KILLEEN Al-Anon group meets from 7 to 8 p.m. Tuesdays at 2301 Clear Creek Road, intersection of Clear Creek Road and Bell Tower Drive in Medical Plaza Building, Killeen.
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Al-Anon is an anonymous fellowship for anyone who is troubled by someone else’s drinking. Call 833-4603 or 291-2293. HARKER HEIGHTS Al-Anon and Alateen meet at Trinity Baptist Church. Al-Anon is an anonymous fellowship for anyone who is troubled by someone else’s drinking. 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, Harker Heights. 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, Copperas Cove. 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 Step Study for men in the Central Texas area is held at First Baptist Church Belton. Celebrate Recovery is a Christ centered 12-step ministry. Call 931-2021. SALADO Al-Anon meeting, Let It Begin With Me, is from 6 to 7 p.m. Sundays at Salado United Methodist Church. Location: 650 Royal St., Salado. Call 833-4603. •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. Both support groups meet at the University of Mary Hardin-Baylor Community Life Counseling Center. 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 (corner of Bell Tower and 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 second 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 and
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C o n t i n u e d (Continued from page 21) 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 technician and
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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 Court Appointed Special Advocates 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 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. Donations needed underwriting the cost of supplies for the Greater Killeen Free Clinic. E-mail clinic@gkfclinic.org or call 618-4211. Location: 718 N. 2nd St., Suite, A. 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 254-5391055 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 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.
September 2015
•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. 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.
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 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.
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. E-mail health briefs to teresat@kdhnews.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 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. 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.
September 2015
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