Guide To Good Health by AY Magazine

{GUIDE TO{

aymag.com . 67

The Etheridges on vacation in Colorado. their Elliott, husband Mark and a. Emm and n Arde daughters

ers with daught Etheridge lie. ta Na and Holly (left) Judy her mother Elliott with daughters. 's tt lio El Keen and

Etheridge and hus band Ed (far right) with the Rainiers and the Parkers vacationin g.

Elliott and daughters

during trea tment.

By Angela E. Thomas • photographs courtesy of Elliott and Etheridge

Sounding the Alarm

Ovarian cancer is often called the silent killer. Its symptoms are often attributed to other conditions, and there are no definitive tests. The Arkansas Ovarian Cancer Coalition introduced us to two women whose battles with this cancer are common – all in an effort to provoke women to act. In 2002, Deanna Etheridge and husband Ed sold their Little Rock home and hit the road as full-time Rvers. This mobile lifestyle has afforded them time and pleasure to visit 45 states, including Alaska, and seven Canadian provinces. However, last May, just one day shy of their 50th anniversary, they received some potentially devastating news … Deanna was diagnosed with ovarian cancer. “I thought I had a hernia. It was a hard spot in my lower abdomen. I visited the internist who didn’t seem alarmed; he said to come back in three months. But I decided to visit my gynecologist as well,” Etheridge said. “Thank goodness I did … I could have been dead in three months.” Her gynecologist Dr. Ashley Deed ordered

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a CT scan, and due to the results ordered a CA125 blood test. Though Etheridge had an elevated marker of only 111, she said Deed was concerned, but not overly so. Some women with ovarian cancer have markers in the thousands. She decided to undergo surgery to remove the cyst on her ovaries. What Deed found was shocking; Etheridge did, indeed, have ovarian cancer, and it had spread to her omentum, liver, bladder and diaphragm. Deed immediately called Dr. Lawrence Bandy, gynecological/oncology surgeon, to assist. “Dr. Deed was very upset. She had not expected to find cancer, so she had not prepared me or my family for the diagnosis,” Etheridge said. She’s very thankful that Deed proceeded. “Another three months and the cancer would have eaten through my colon.”

Etheridge, 68, was diagnosed at Stage 3C. After the surgery, she underwent chemotherapy, and now has what she called “maintenance chemotherapy.” She and Ed continue to travel, though they are in Arkansas more frequently for her treatments. She’s thankful for everyday and advises women to take a proactive stance. “Any woman, over the age of 60, should have a CA125 … even if their doctor doesn’t recommend it and the insurance will not pay. Another three months, and I wouldn’t be here.” In December 2005, Leah Elliott seemed to have menopausal symptoms: hot flashes, weight gain, abdominal pain, trouble sleeping. She also had irregular periods. “I self-diagnosed for awhile, but I decided to visit my gynecologist. He diagnosed me

with dysfunctional uterine bleeding. He didn’t do a test; in fact, he didn’t lay a hand on me. He said ‘your uterus and ovaries are confused.’ He prescribed progesterone, which helped for a while, but the symptoms came back,” Elliott said. She visited her general practice doctor to no avail, and then visited a third doctor who said she was depressed. Still none of the doctors administered a test or an exam. “I knew I was not suffering from depression. My sister-in-law is a psychiatrist, and [we’ve suffered a family suicide], so the family is well-attuned to depression — they would’ve known.” Elliott went back to the gynecologist who started her on birth control pills to level out her hormones, but they caused her to have migraines. Her next stop was a “hormone specialist,” who also prescribed hormones. Three months passed … still no real relief. A few nights after her visit to the specialist, Elliott woke to abdominal pain so severe she doubled over in the floor. “I’d previously had a cyst that ruptured, so I thought it was another cyst,” Elliott said. She called in a favor from a friend, who performs ultrasounds; he snuck her in. “He immediately called in a radiologist, who called another doctor in.” Dr. John Bell administered a CA125 test. “He sat on my couch and delivered the results. A normal range is 35 or below; my number was 1,590.” Bell referred Elliott to Dr. Lawrence Bandy; but she ended up in Baptist Health’s ER the next night, the result of a mass that leaked fluid into her abdominal cavity. Bandy, who was not on call, examined Elliott and determined she needed surgery. Doctors removed a 3-pound tumor that while it was a low malignancy-potential tumor, had twisted and grown around her ovaries and fallopian tubes. Afterward Elliott underwent chemotherapy as a precaution “because of how ovarian cancer spreads.” She also undergoes routine CA125 screenings. “My advice to others is to trust your instincts, know you body,” Elliott said. “It’s also important to have a strong connection with your doctor. You must feel he or she has

your best interest at heart. If you don’t, it’s OK to see someone else. It’s OK to fire your doctor!” Amy Lasseigne serves as chairman of the Arkansas Ovarian Cancer Coalition (AROVCC). She became involved as a result of a cancer scare and her mother’s battle with ovarian cancer the next year. “Most women think pap smears are a way of testing for ovarian cancer. While the pap smear is used for the screening of multiple conditions, ovarian cancer isn't one of them,” Lasseigne said. After her mother’s diagnosis, she realized there was no active group educating Arkansas women about this life-threatening cancer. She cites several frightening statistics: ovarian cancer is the fifth leading cause of cancer-related deaths in women 35 to 74 years of age; in 2009, there were, according to the American Cancer Society, an estimated 21,550 new cases of ovarian cancer and 14,600 women died from the cancer; in Arkansas, there have been an average of 140 deaths/year since 2003; because 65 percent of women diagnose at late stages, the five-year survival rate is less than 25 percent. “Our purpose is to educate women, to reach every woman in Arkansas to tell them the symptoms of ovarian cancer, and to provoke them to action if they feel something is wrong,” Lasseigne said. She said even more shocking than the statistics is the rate of survival with early diagnosis. “If you are diagnosed in the early stages, the five-year survival rate is more than 90 percent.” AROVCC recently partnered with the National Ovarian Cancer Coalition to try to raise awareness of the organization. They sponsor Artist for Ovaries, a silent art auction held annually in September, Ovarian Cancer Awareness Month. This year, they kick off the month with a rally at the State Capitol, followed by a survivors’ luncheon. The auction will be held Sept. 24. For more information, to join the effort or make a donation, log onto arkansasovariancancer.com or call (800) 4467341. 

Ovarian cancer is

often life-threatening because women typically receive diagnosis in its late stages, after it has spread to other parts of the body. Bandy said the incidence of ovarian cancer is about 1 in 70 women over a lifetime. Symptoms include: abdominal pressure, swelling or bloating; urinary urgency; pelvic discomfort and pain; persistent indigestion, gas or nausea; changes in bowel habit; weight loss or gain; lack of energy; changes in menstruation; and painful intercourse (source: Mayo Clinic). “Because the symptoms are nonspecific, they are often dismissed by patients; thus, a diagnosis of ovarian cancer is often delayed,” Bandy said. Three-fourths of patients are not diagnosed with this cancer until it’s at Stage 3 or 4. “Though the prognosis is not as good as if diagnosed at an earlier stage, we have quite a few successful treatments after surgery and chemotheraphy.” The CA125 test may be used to help diagnose ovarian cancer; however, it is not used as the only determining factor. This is because other conditions, such as endometriosis, uterine fibroids, pancreatitis, lupus — even pregnancy and menstrual cycles — can cause high CA125 values. Thus, doctors may not recommend the test for women with an average risk of ovarian cancer. Bandy said if a patient experiences symptoms of ovarian cancer, she should seek medical advice. She and her physician may make an informed, educated decision to perform an ultrasound or perhaps a CA125 … with a full understanding of the tests’ limitations and repercussions.

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{arkansas HEART HOSPITAL} Heart Disease is the leading cause of

death in Americans today and the #1 cause of death in Arkansas. Surprisingly a large number of those suffering from heart disease do not have any obvious outward signs; for many, their very first symptom is a heart attack. Arkansas Heart Hospital has initiated the Keep the Beat program to help you assess your cardiovascular risk and then help you move in a direction that may keep you from becoming a statistic. Keep the Beat is a cardiac screening consisting of nine components including a HeartSaver CT, laboratory tests including lipid panel and diabetic screening, resting ECG, carotid artery screening, blood pressure, peripheral vascular screening, nutrition counseling, body composition, and heart disease

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risk evaluation. Each component helps us build your cardiovascular risk profile. Once we build your risk profile, we can then assist you in moving forward to make good choices about your heart health. The earlier heart disease is detected, the greater the chance that it can be slowed, stopped or even reversed. One of the components of the Keep the Beat screening is a HeartSaver CT. A HeartSaver CT can uncover heart disease in less than seven minutes, and years before you have a symptom. It’s completely noninvasive. That means pain-free. There are no needles, no dyes, no injections and no exercise. The test itself is 100% comfortable and convenient. HeartSaver CT is highly accurate, showing calcium deposits that might be present in and around

the heart….even in the early stages. Depending on the indicated amounts of plaque, early intervention with drugs or lifestyle changes may greatly improve your heart health. Call 501-219-SAVE (7283) or visit arheart.com today to schedule your Keep the Beat Screening.

{

Preventing the Health Threats

Top 10{

According to the Centers for Disease Control and Prevention (CDC), many of the threats to men’s and women’s health are preventable. Here are the top threats and steps you can take to avoid them.

women 1. Heart disease is a major health threat for women. Don’t smoke or use tobacco products; avoid secondhand smoke. Eat a healthy diet, and maintain a healthy weight. Cut back on foods high in saturated fat and sodium. Include physical activity in your daily routine, and if you have high blood pressure or diabetes, follow your doctor’s treatment. Manage stress. 2. Lung cancer is the most prevalent cancer threatening women; breast and colorectal cancer also pose threats. Follow the steps above; and limit sun exposure. Use sunscreen. Drink alcohol in moderation. Consult your doctor for regular cancer screenings. Reduce your exposure to cancer-causing substances or carcinogens. 3. Though you cannot control some stroke risk factors, you can reduce your chances of having a stroke. Follow the preventative measures above, and be certain to have our doctor test your cholesterol levels. If it's high, follow your doctor’s treatment advice. 4. COPD (chronic obstructive pulmonary disease) includes conditions, such as bronchitis and emphysema. It’s a group of chronic lung conditions. To help prevent COPD, don’t smoke, and avoid secondhand smoke. Minimize exposure to chemicals and air pollution. 5. There’s no way to prevent Alzheimer’s disease, but consider the following: take care of your heart; maintain a healthy weight, and exercise daily. Avoid tobacco and head injuries — there appears to be a link between head injuries and Alzheimer’s. Stay socially active, and maintain mental fitness. 6. Injuries are the sixth leading threat. The leading cause of injuries for women is motor vehicle crashes. Wear your seat belt, and follow the speed limit. Do not drive while sleepy or under the influence of alcohol or drugs. 7. Type 2 diabetes can be prevented. This is the most common type of diabetes, and it can often be avoided or eliminated by weight loss, a healthy diet and daily exercise. 8. Influenza is a common viral infection. Complications due to the flu can be deadly, especially so for those with weak immune systems or chronic illnesses. Get an annual flu vaccine. 9. Kidney disease is often a complication of high blood pressure or diabetes. Take medications as your doctor prescribes. Limit your sodium intake, eat a healthy diet and lose excess pounds, if you’re overweight. 10. Septicemia is a life-threatening infection that commonly arises from infections in the lung, urinary tract or pelvis. This infection is the result of bacteria or toxins in the blood. Protect yourself from illnesses that weaken the immune system; wash your hands often; keep your vaccines current; and change tampons according to package instructions. For more information, log onto mayoclinic.com.

men 1. Heart disease is the No. 1 threat to men’s health. Don’t use tobacco products — cigarettes, chewing tobacco, cigars, etc. — and avoid second-hand smoke. Eat a diet abundant in vegetables, fruits, fiber, fish and whole grains; cut back your intake of foods high in fat and sodium. Maintain a healthy weight; exercise and manage stress. If you drink alcohol, do so in moderation, and if you have high blood pressure, high cholesterol or diabetes, practice the measures as your physician directs. 2. Lung, prostate and colorectal cancer represent the top three cancers that threaten men. To help prevent cancer, don’t smoke or use tobacco products. Maintain a healthy weight, and eat a healthy diet. Consult your doctor for regular cancer screenings; and reduce your exposure to carcinogens, such as radon and asbestos. Limit your skin's exposure to the sun — use sunscreen. 3. Injuries and fatal accidents are third highest threat; motor vehicle crashes are the most common cause. Wear your seat belt; follow the speed limit, and do not drive while sleepy or under the influence of drugs or alcohol. 4. While some risk factors for stroke, such as family history, age and race, cannot be controlled, you can control your weight and exercise daily. Diabetics, keep your blood sugar under control. Drink only in moderation, and do not smoke. 5. To avoid COPD (chronic obstructive pulmonary disease), don’t smoke; limit your exposure to secondhand smoke; and minimize your exposure to chemicals and air pollution. 6. Type 2 diabetes affects the heart and kidneys. It can cause nerve damage and blindness. To prevent this life-threatening disease, lose excess pounds. Eat a low-fat, healthy diet and exercise daily. 7. Influenza isn’t typically a serious infection, however, if you have a weak immune system or a chronic illness, it can be deadly. Get a flu vaccine each year. 8. Suicide is another leading risk to men. Depression is an important risk factor; if you are depressed, consult your doctor. If you’re contemplating suicide, call 911 or go to an emergency room. You can also call the National Suicide Prevention Lifeline at (800) 273-8255. 9. Kidney disease, the ninth threat, is often a complication associated with diabetes. If you are diabetic or have high blood pressure, follow your doctor’s treatment. Eat a healthy diet, exercise and lose any excess weight. Take medications as instructed. 10. There is no way to prevent Alzheimer’s disease; however, you can take care of your health in general with a healthy diet, physical activity, and avoidance of tobacco and excess alcohol. Also avoid head injuries. Stay socially and mentally active.

aymag.com . 71

When It Comes to Cancer, Don’t Believe Everything You Hear. By Jon Parham

Rumor

Has It

You know how rumors get started. Like the story you heard about a neighbor’s sisters’ boyfriend who read about the kid who died from the explosive effects of mixing Pop Rocks candy with a carbonated soft drink. There are many medical–related stories that get passed by word of mouth or e-mail. Some have a basis in fact or are the actual truth. Some are complete fiction or exaggerated by countless retellings. We spoke with some University of Arkansas for Medical Sciences (UAMS) medical experts to get to the bottom of four cancer-related contentions.

CLAIM

It is a common misconception, he said,

Breast cancer can only be inherited from the mother’s side of the family.

perhaps driven by the fact breast cancer is

STATUS: False

ovaries and don’t have the same amount of

Cancer geneticist Dr. Kent McKelvey called this claim “absolutely false,” pointing to the genetic sources of breast cancer. “The genes that we test for in the clinic that predispose a person to breast and other cancers, are carried on autosomes — these are chromosomes that are inherited through males and females as opposed to the sex chromosomes,” he said. “Because of this, breast cancer can be inherited from either the mother’s or the father’s side of the family.”

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more common in women than men. McKelvey clarifies it this way: because men don’t have estrogen and breast tissue as women, they are less likely to get breast cancer. But men may indeed get breast cancer, he said, or may pass on that risk to their children. So if your father’s female relatives have experienced breast cancer, you are at an increased risk of inheriting the disease; and any family that has a male with breast cancer is at dramatically increased risk of inherited breast cancer and should consider a genetics consultation.

CLAIM Grilled meats can cause cancer due to harmful chemicals created during the grilling process.

STATUS: True Cancer surgeon Dr. Nicholas Lang points to chemicals known as heterocyclic amines that are created when meat is grilled or pan fried. People who are high consumers of grilled meat, especially if it’s well done or burned, run a higher risk of developing colon cancer, Lang said, than those who eat meat that is cooked rare or medium. He said that research into the amount of cancer risk and whether

the risk is cumulative over years is still active and not definitive. He traced the source of this claim back to a Japanese cancer researcher who noticed his eyes would burn or sting when he was exposed to smoke from his wife cooking meat on a hibachi grill. Grilled fish or vegetables produce very low levels of heterocyclic amines because their exposure to high temperature is much shorter, noted Lang, who also is a chief medical officer of UAMS Medical Center. He recommends limited grilled meat consumption, and avoiding the burnt parts. Marinating and precooking meats in a microwave before grilling also helps reduce exposure.

CLAIM

Underarm antiperspirants cause breast cancer.

Exposure to microwave ovens causes cancer.

STATUS: False In the early days of microwave ovens, many were told not to stand nearby while they were operating because of the supposed cancer-causing microwave radiation. Cancer occurs when DNA, our genetic building block, is damaged, Lang said. “Microwaves do not damage DNA; they heat water, and there is no evidence that microwaves have any specific effect on food composition other than heating it.” Microwaves cause vibration of water molecules, which produce heat. That’s how food cooks in a microwave oven, Lang said. “Like most rumors, the threat is either made or spread by people who don’t understand the operating mechanism behind it,” he said. Microwave ovens are one source of electromagnetic fields (EMFs) because they transmit or use electric power. The National Cancer Institute points to numerous studies into other sources of EMFs and the risk of cancer. “Most findings have been inconclusive,” Lang said. To limit exposures to EMFs, the National Institute of Environmental Health Sciences recommends precautions, such as discouraging children from playing near power lines.

Cancer surgeon Dr. Nicholas Lang points to chemicals known as heterocyclic amines that are created when meat is grilled or pan fried.

STATUS: False The American Cancer Society points to persistent e-mail rumors that: “underarm shaving allows cancer-causing substances in antiperspirants to be absorbed through razor nicks. These substances are said to keep lymph nodes under the arm from removing cancer-causing toxins before they get to the breasts.” The rumors add that most breast cancers develop in the upper quadrant of the breast because that area is closest to the lymph nodes exposed to antiperspirant. “I have never heard it discussed as a plausible risk factor,” said Dr. Fred Kadlubar, chairman, department of epidemiology, UAMS Boozman College of Public Health, who added that he has seen such claims about deodorants in the past. “Back in 1999, both the American Cancer Society and the federal Food and Drug Administration issued statements that there is no relation between antiperspirants and breast cancer. “There are a few scholarly articles impacting aluminum salts and preservatives in deodorants; however, large epidemiological studies indicate that there is no merit to this claim.” Kadlubar said breast cancer occurs mostly in the upper quadrant of the breast because that is where the most breast tissue is located. 

Reprinted from SEEK Magazine, courtesy of the University of Arkansas for Medical Sciences.

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Professor and researcher at UAMS finds a new light at the end of the tunnel of addiction. By Amy Bowers • photography courtesy of UAMS

The first step to curing a disease is to fully understand it. That is just what Dr. Warren Bickel, director of the University of Arkansas for Medical Sciences (UAMS) Center for Addiction Research, is attempting to do. He has made several interesting discoveries through recent studies that have made leaps and bounds towards understanding the decision-making process and overall mentality of people with addictions. Addiction has long been something families have kept in the closet and been ashamed to discuss openly. New studies, though, bring hope to those coping with addictions and family members who may need help understanding and relating to loved ones with addictions. By studying the different choices made by a group of people taking opiates against the choices made by a control group of non-drug users, Bickel was able to gauge how much each considers the future, thus explaining much of the logic behind the choices addicts make.

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The Science of

Addiction

“Through this study, we were able to determine that the control group of nonusers, the average person, typically thinks 4.7 years into the future, while heroine addicts, for example, only look nine days ahead. It is a remarkable difference,” Bickel said. This discovery, which appeared to some degree in every form of addiction — even gambling — explains much about the thinking process of an addict, which Bickel hopes can help physicians better understand how to approach and communicate with the addicted and eventually understand a way to more effective treatment. “This discovery reveals a very important point,” Bickel said. “When people talk to people who are addicted, they assume the other person has the same understanding of the universe that they do. The reality is that they are only thinking about the next nine days, so they behave much differently than you do. It is not an irrational decision for them to stick a needle in their arm that someone else just used or to engage in illicit activities, such as stealing or prostitution because the consequences are way down the road. This provides a way for us to understand the choices of a person who is addicted; they are coming from a very restricted point of view.” Further, the functioning of the executive system of the brain versus the impulsive portion reveals more of why an addicted person makes the choices they do. Bickel explained that our ability to think into the future is directly tied to our executive function, the part of the brain responsible for planning and decision-making. The executive function has shown to be very weak in the brain of a person who is addicted, which explains even

more as to what they consider when they make decisions. “The things that we normally value are not the same things that a person with addiction values,” Bickel said. “When we do things, we may choose to do them for a loved one or for some other reason other than pure impulse. They don’t have the stuff to value those things. Their brains are primarily controlled by the limbic — or impulsive — portion. This is a relatively new view in addiction. In the past, we have focused on trying to stifle the impulsive side but not addressing their very weak executive decision skills.” Bickel’s studies have further shown a correlation to one’s memory and their ability to see into the future. He explains that meth and cocaine addicts have a particularly weak memory function and a very short ability to consider the future. Preliminary studies have also uncovered the possibility that working to improve the memories of those with addictions can possibly lengthen their ability to consider the future, thus also strengthen their executive functions and hopefully provide some relief to their addictions. “I feel more encouraged with science than I ever have regarding the understanding of addiction. I feel we are starting to see a beginning and an end and figuring out a way through it. I would not be surprised if in the next five to 10 years we start to see new treatments and even a better way to predict addictions.” For more information on Bickel and his work, log onto uamshealth.com. 

Signs of Alcohol

Addiction

Alcoholism symptoms include: • Being unable to limit the amount of alcohol you drink • Feeling a strong need or compulsion to drink • Developing tolerance to alcohol so that you need an increasing amounts to feel its effects • Having legal problems or problems with relationships, employment or finances due to drinking • Drinking alone or in secret • Experiencing physical withdrawal symptoms – such as nausea, sweating and shaking – when you don't drink • Not remembering conversations or commitments, sometimes referred to as "blacking out" • Making a ritual of having drinks at certain times and becoming annoyed when this ritual is disturbed or questioned • Losing interest in activities and hobbies that used to bring you pleasure • Irritability when your usual drinking time nears, especially if alcohol isn't available • Keeping alcohol in unlikely places at home, at work or in your car • Gulping drinks, ordering doubles, becoming intoxicated intentionally to feel good or drinking to feel "normal"

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{ health directory { Hospitals & Clinics Arkansas Children’s Hospital 1 Children’s Way Little Rock, AR 72202-3591 (501) 364-1100 or TDD (501) 364-1184 archildrens.org

HealthPark Hospital 1636 Higden Ferry Road Hot Springs, AR 71913 (501) 520-2000 healthparkhospital.com

Baptist Health Medical Center

Jefferson Regional Medical Center

3050 Twin Rivers Drive Arkadelphia, AR 71923 (870) 245-2622 baptist-health.com

1600 W. 40th Ave. Pine Bluff, AR 71603 (870) 541-7100 jrmc.org

Baptist Health Medical Center

Levi Hospital

1800 Bypass Road Heber Springs, AR 72543 (501) 887-3000 baptist-health.com

300 Prospect Ave. Hot Springs, AR 71901 (501) 624-1281 levihospital.com

Baptist Health Medical Center

Mercy Health System of Northwest Arkansas

9601 Interstate 630, Exit 7 Little Rock, AR 72205 (888) BAPTIST (227-8478) baptist-health.com

Baptist Health Medical Center 3333 Springhill Drive North Little Rock, AR 72116 (501) 202-3000 baptist-health.com

Baptist Health Medical Center 1703 N. Buerkle Stuttgart, AR 72160 (870) 673-3511 baptist-health.com

Baxter Regional Medical Center 624 Hospital Drive Mountain Home, AR 72653 (870) 508-1100 baxterregional.org

Conway Regional Health System 2302 College Ave. Conway, AR 72034 (501) 329-3831 or (800) 245-3314 conwayregional.org

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2710 Rife Medical Lane Rogers, AR 72758 (479) 338-8000 mercy4u.com

National Park Medical Center 1910 Malvern Ave. Hot Springs, AR 71901 (501) 321-1000 nationalparkmedical.com

NEA Baptist Memorial Center 3024 Stadium Blvd. Jonesboro, AR 72401 (870) 972-7000 baptistonline.org

North Arkansas Regional Medical Center 620 N. Main St. Harrison, AR 72601 (870) 414-4000 narmc.com

Northwest Medical Center – Bentonville

St. Joseph’s Mercy Health Center

3000 Medical Center Pkwy. Bentonville, AR 72712 (479) 553-1000 northwesthealth.com

300 Werner St. Hot Springs, AR 71913 (501) 622-1000 saintjosephs.com

Northwest Medical Center – Springdale

St. Mary’s Regional Medical Center

609 W. Maple Ave. Springdale, AR 72764 (479) 751-5711 northwesthealth.com

1808 W. Main St. Russellville, AR 72801 (479) 968-2841 saintmarysregional.com

Physicians Medical Center of the Ozarks

St. Vincent Doctors Hospital

17 Medical Plaza Mountain Home, AR 72653 (870) 425-6212 physmedcenter.com

St. Anthony’s Medical Center 4 Hospital Drive Morrilton, AR 72110 (501) 977-2300 stanthonysmorrilton.com

St. Bernards Health Care 225 E. Jackson Ave. Jonesboro, AR 72401 (870) 972-4100 sbrmc.com

St. Edward Mercy Medical Center 7301 Rogers Ave. P.O. Box 17000 Fort Smith, AR 72917-7000 (479) 314-6000 stedwardmercy.com

North Metro Medical Center

St. John’s Hospital – Berryville

1400 W. Braden St., N.W. P.O. Box 159 Jacksonville, AR 72076-0159 (501) 985-7000 northmetromed.com

214 Carter St. Berryville, AR 72616 (870) 423-3355 or (800) 827-3355 stjohnsberryville.com

6101 St. Vincent Circle Little Rock, AR 72205 (501) 552-6000 stvincenthealth.com/doctors

St. Vincent Health System 2 St. Vincent Circle Little Rock, AR 72205 (501) 552-3000 stvincenthealth.com/svimc

Saline Memorial Hospital 1 Medical Park Drive Benton, AR 72015 (501) 776-6000 salinememorial.org

Skaggs Community Health Center 251 Skaggs Road Branson, MO 65616 (417) 335-7000 skaggs.net

Sparks Health System 1001 Towson Ave. Fort Smith, AR 72901 (479) 441-4000 sparks.org

UAMS Medical Center 4301 W. Markham St. Little Rock, AR 72205 (501) 686-7000 uams.edu/medcenter

Washington Regional Medical Center 3215 N. North Hills Blvd. Fayetteville, AR 72703 (479) 713-1000 wregional.org

White County Medical Center 3214 E. Race Ave. Searcy, AR 72143 (501) 268-6121 wcmc.com

White River Medical Center 1710 Harrison St. Batesville, AR 72501 (870) 262-1200 wrmc.om

Willow Creek Womenâ&#x20AC;&#x2122;s Hospital 4301 Greathouse Springs Road Johnson, AR 72741 (479) 684-3000 northwesthealth.com

Specialty Hospitals Arkansas Heart Hospital 1701 S. Shackleford Road Little Rock, AR 72211 (501) 219-7000 arheart.com

Arkansas Surgical Hospital 5201 Northshore Drive North Little Rock, AR 72118 (501) 748-8000 arksurgicalhospital.com This list is not inclusive of all hospitals and specialty hospitals in the region. Please consult your medical professional for recommendations. AY

aymag.com . 79

{ORTHOSURGEONS} T he platelet rich plasma (P.R.P)

injection is a technique that uses the body's own cells to improve or speed recovery from various injuries. After drawing blood from the patient in an office setting, the surgeon places it in a centrifuge for several minutes and it separates into different layers. The smallest layer contains the highest concentration of specialized cells, platelets, which are used by the body to heal. This layer is used, in the form of an injection, to treat several different problems such as chronic t e n d i n i t i s , s e v e re a n k l e s p r a i n s , arthritic joints, and even non-healing fractures. The number of injections and the period between injections varies based on the diagnosis and how

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well the patient is responding to the treatment. The entire process typically takes 30 minutes per injection. Although P.R.P. therapy may not be equally effective in every patient, early research shows that it can provide a safe treatment method that can speed recovery in many orthopedic conditions and help patient return to an active and pain free lifestyle. ď&#x20AC;ź Jesse B. Burks, DPM, FACFAS OrthoSurgeons #5 St. Vincent Circle Little Rock, Arkansas 72205 501-663-6455

{SNELL PROSTHETIC & ORTHOTIC LABORATORY} Philanthropist Secret Weapon: Team Snell S n e l l Pro s t h e t i c a n d O r t h o t i c formalize our commitment to service Laboratory salutes Rick Fleetwood for his designation as AY's 2010 Powerful Man of Philanthropy. Rick is absolutel y tireless in his pursuit of bettering our communities, with a special place in his heart for the individuals in the disabled community. We know that he would find us remiss, however, if we didn’t mention the tremendous amount of support that Snell Laboratory’s employees provide in these efforts. While our team has always been heavily involved with community service, for our 95th anniversary in 2006, Rick, along with the rest of our senior management, determined that the company should

work. Thus our “More than 9 to 5” challenge was issued to our team, statewide. The challenge was for our company to provide 9500 hours of volunteer work. That goal was met that year and has been met or exceeded each year subsequently. This year we expanded our outreac h to aid the tremendous number of new amputees in Haiti with our participation in the Limbs for Haiti campaign. As we move into our 100th year in business in 2011, we are renewing our determination to continue to meet and exceed our “More than 9 to 5” goals. With Rick’s hard work and our team’s backup, we are confident

that we will continue to contribute to the well being of Arkansans and communities beyond. 

aymag.com . 81

{Valley Ranch Nursing and Rehabilitation} V

alley Ranch Nursing & Rehabilitation is West Little Rock’s newest and most luxurious, upscale nursing and rehabilitation center located in the beautiful West Little Rock’s Ranch area. Valley Ranch combines the best of comprehensive medical services with five-star accommodations and amenities and an on-site rehabilitation department offering private short-term rehabilitation rooms. The spacious therapy gym offers innovative, state of the art equipment and the services of physical, occupational, and speech therapies. We unite as a team, which includes the patient and their family, the Medical Director, nursing staff, rehabilitation staff, and other members of the interdisciplinary team. The rehabilitation department offers

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patient-centered rehabilitation services that focus on restoring the patient to their previous level of functioning and returns them to the community at discharge. We specialize in stroke rehabilitation, orthopedic rehabilitation, conditions that affect the aging population, and community re-entry. Our Nursing and Rehabilitation Center offers an array of other services and amenities to include a specialized activity program, private short-term rehabilitation rooms, flat screen TV’s, the most up to date security and monitoring system. Valley Ranch offers numerous amenities in a luxurious home-like environment while meeting the resident’s needs with dignity and respect. 

Source: Men’s Health Network, Washington, D.C.

Checkups and screenings

40-49

50+

Every year

HEMOCCULT: Screens the stool for microscopic amounts of blood that can be the first indication of polyps or colon cancer. COLORECTAL HEALTH: A flexible scope examines the rectum, sigmoid and descending colon for cancer at its earliest and treatable stages. It also detects polyps, which are benign growths that can progress to cancer if not found early.

Every 3-4 years

CHEST X-RAY: Should be considered in smokers over the age of 45. The usefulness of this test on a yearly basis is debatable due to poor cure rates of lung cancer.

Discuss with a physician

SELF-EXAMS: Breast: To find abnormal lumps in their earliest stages. Skin: To look for signs of changing moles, freckles, or early skin cancer. Oral: To look for signs of cancerous lesions in the mouth.

Monthly by self

BONE HEALTH: Bone mineral density test. Should be considered in all postmenopausal females. Discuss with your physician.

postmenopausal

ESTROGEN: Peri-menopausal women should consider screening for FSH (follicle stimulating hormone) and LH (leutenizing hormone) to determine supplemental estrogen therapy need.

Discuss with a physician

SEXUALLY TRANSMITTED DISEASES (STDs): Sexually active adults who consider themselves at risk for STDs should be screened for syphilis, chlamydia and other STDs.

Under physician supervision

PHYSICAL EXAM: Review overall health status, perform a thorough physical exam and discuss health related topics.

Every 3 years Every 2 years Every year

BLOOD PRESSURE: High blood pressure (Hypertension) has no symptoms, but can cause permanent damage to body organs.

Every year

TB SKIN TEST: Should be done on occasion of exposure or suggestive symptoms at direction of physician. Some occupations may require more frequent testing for public health indications.

Every 5 years

BLOOD TESTS & URINALYSIS: Screens for various illnesses and diseases (such as cholesterol, diabetes, kidney or thyroid dysfunction) before symptoms occur.

Every 3 years Every 2 years Every year

EKG: Electrocardiogram screens for heart abnormalities.

Baseline Every 4 years Every 3 years

TETANUS BOOSTER: Prevents lockjaw.

Every 10 years

RECTAL EXAM: Screens for hemorrhoids, lower rectal problems, and colon cancer.

Every year

BREAST HEALTH: Clinical exam by health provider. Mammography: X-ray of breast.

Every 1-2 years Every year

3 3

REPRODUCTIVE HEALTH: PAP test / Pelvic exam.

Every 1-3 years

Age 18 3

After 3 consecutive normal tests. Discuss with your physician.

3 3

3 3 3 Age 30 3 3

When

20-39

50+

When

40-49

Checkups and screenings

20-39

Women’s Health Checklist

Discuss

40-49

50+

20-39

50+

When

40-49

Checkups and screenings

20-39

men’s Health Checklist Checkups and screenings

When Every year

Every 3-4 years

CHEST X-RAY: Should be considered in smokers over the age of 45. The usefulness of this test on a yearly basis is debatable due to poor cure rates of lung cancer.

Discuss with a physician

SELF-EXAMS: Testicle: To find lumps in their earliest stages. Skin: To look for signs of changing moles, freckles, or early skin cancer. Oral: To look for signs of cancerous lesions in the mouth. Breast: To find abnormal lumps in their earliest stages.

Monthly by self

BONE HEALTH: Bone mineral density test. Testing is best done under the supervision of your physician.

Discuss with a physician

Age 60

TESTOSTERONE SCREENING: Low testosterone symptoms include low sex drive, erectile dysfunction, fatigue and depression. Initial screening for symptoms with a questionnaire followed by a simple blood test.

Discuss with a physician

SEXUALLY TRANSMITTED DISEASES (STDs): Sexually active adults who consider themselves at risk for STDs should be screened for syphilis, chlamydia and other STDs.

Under physician supervision

PHYSICAL EXAM: Review overall health status, perform a thorough physical exam and discuss health related topics.

Every 3 years Every 2 years Every year

BLOOD PRESSURE: High blood pressure (Hypertension) has no symptoms, but can cause permanent damage to body organs.

Every year

TB SKIN TEST: Should be done on occasion of exposure or suggestive symptoms at direction of physician. Some occupations may require more frequent testing for public health indications.

Every 5 years

BLOOD TESTS & URINALYSIS: Screens for various illnesses and diseases (such as cholesterol, diabetes, kidney or thyroid dysfunction) before symptoms occur.

Every 3 years Every 2 years Every year

EKG: Electrocardiogram screens for heart abnormalities.

Baseline Every 4 years Every 3 years

TETANUS BOOSTER: Prevents lockjaw.

Every 10 years

RECTAL EXAM: Screens for hemorrhoids, lower rectal problems, colon and prostate cancer.

Every year

PSA BLOOD TEST: Prostate Specific Antigen is produced by the prostate. Levels rise when there is an abnormality such as an infection, enlargement or cancer. Testing should be done in collaboration with your physician.

Every year

3 3

3 3 3 Age 30 3 3

Discuss

*African-American men and men with a family history of prostate cancer may wish to begin prostate screening at age 40 or earlier.

aymag.com . 83

{HEARING LIFE} You Take The First Step; We’ll Guide You The Rest Of The Way HearingLife is committed to providing to be damaged. you with the best options for your hearing care needs. Addressing your hearing loss is an important investment in your lifestyle and future. We want to offer you the peace of mind in knowing our exper t staff will suppor t you throughout the process.

You’re not alone. Hearing loss affects many people. Having a hearing loss is very challenging. It affects people of all different ages. Hearing loss is not just from aging, but noise pollution, work environments, social activities and some medical conditions and medications can also cause our hearing

Here 4 you. Hear 4 life. In addition to a comprehensive evaluation and expert care, HearingLife offers all of our patients a worry-free program as a solution to your hearing needs. If you do need hearing aids, our practice provides a 4-year warranty and 4 years of free batteries for all of our hearing aids. Al l of our hear ing aids are covered; every repair, clean or check is included for 4 years. We also accept most insurance plans.

D r. M a r y D e l o a c h

Stop in and see one of our hearing health care professionals today, or call for an appointment 1-866-790-5642.  Janice Neal

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The Mindset of Addiction by Rebecca L. Ward, LCSW, MSW The nature of man is to want and to have what he wants when he wants it. Reactions of a hungry baby without his bottle; a toddler wanting a cookie and not green beans; and a teenager who wants a later curfew give you a glimpse of the strength of that innate drive. And of course, there’s you and me. We, too, want and are frustrated when we don’t get, but we’ve matured enough and have been taught by both primary caretakers and experience not to burst into tears or throw ourselves onto the ground kicking and screaming. (We’re also learning not to gesture to impolite drivers who get in our way when we’re on OUR street or highway needing to get somewhere!) There is a difference between wanting something and needing it. We tell our little ones “No, you don’t need that toy, you want it. There’s a difference.” Of course a one-digit-old child does NOT get that difference. But again, what about you and me? We do … unless we have an addiction. An addiction to something means you need that something when you need it or you will suffer. The best definition of addiction is from a little book I read 20 years ago and it is: “Addiction is a pathological love and trust relationship with an object or event.” People love and trust what they’re addicted to because it never lets them down. The bottle of alcohol, the line of cocaine, the inhalation of marijuana, the dice on the craps table or whatever gives the addict the feeling he/she craves, and it does it every time. The substance is predictable while people aren’t. As the addiction advances, the addict’s relationship with his/her substance becomes the focus of life, pushing people away, and making him or her lonely and isolated. Now, I confess to you that I’m not sure that some of the things our society labels, as addictions are really addictions. Sometimes I think we use the word as a colossal escape from accepting responsibility for destructive behavior. We are forgiven more quickly if we are “addicted” rather than if we have a weakness in our character or personality. I often joke that I’m “addicted” to chocolate, shoes, purses and my family teases me about my perfume buying habit. I’m not addicted to any of those things. I like them. Chocolate tastes

good, and new shoes give me a sense of well-being, and I love wonderful aromas. I may have weak resolve from time-to-time, but would never put my personal responsibilities aside to have a new handbag or whatever. I know I have a choice. I have the ability to choose; addicts reach a state where choice is not an option. Alcoholics are addicted to alcohol and aren’t able to drink “normally.” To non-alcoholics, alcohol is a pleasant addition to a meal or to a celebration of some sort or a thirst quencher on a hot day. To an alcoholic, alcohol provides some crucial element in his/her life; and over time, the alcoholic needs more and more of the substance to feel or experience whatever he/she must feel to survive. A recovering alcoholic told me, “My mind is like a dangerous dark ghetto that I don’t want to visit alone.” Alcohol either numbs that neighborhood for the alcoholic or accompanies him/her to provide companionship and courage. While treating addicts is not my specialty, I think it keeps the “ghetto” quiet and allows no visitors. Addicts and their addictions are misunderstood, because if you’re not an addict, you think “Why doesn’t he/she just quit drinking … or smoking … or taking cocaine … or gambling? Quitting isn’t an option to active addicts. They’re not thinking about quitting, because they don’t think they have a problem. That’s called denial, and denial is an unconscious ego-defense mechanism hard to penetrate. Family and friends don’t get through. Ask them, because they have tried. Most addicts have to reach their own “moment of truth,” and at that time, they will accept that they are addicted and take the next step — which is not abstention — but recovery. I’ve worked for long periods of time with alcoholics or drug users who stop drinking and using. They abstain from their addictions, but they don’t recover unless they go through a 12-step program of some kind that will lead them through to true recovery. I have great admiration for those who stay in recovery. Out from that dark ghetto in their brains, out from their protective drug shield, they reenter life. And more importantly, they return to those who love them and who have waited for them.  aymag.com . 85

{WASHINGTON REGIONAL medical center} With a staff of nationally-recognized

cardiologists and cardiovascular surgeons, Washington Regional’s Walker Heart Institute is the site of 6,000 surgical, diagnostic and interventional procedures each year, as well as comprehensive educ ation, researc h and c ardiac rehabilitation programs. NW Arkansas’s leading cardiologists recently chose to practice exclusively at Washington Regional, forming the Walker Heart Institute Cardiovascular Clinic. Plus, the respected cardiologists of the former Harrison Cardiology Clinic recently chose to partner with Walker Heart Institute, ensuring that the area’s foremost cardiovascular services are available to their patients in Boone County.

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Demonstrating its commitment to being the area leader in heart care, Washington Regional became the first healthcare provider in Northwest Arkansas to offer a new lifesaving technology for heart attack patients that allows paramedics to perform a 12-lead EKG in the ambulance. Within 2 to 3 minutes, the EKG is transmitted via secure internet signal to Washington Regional and the cardiologist, who can make an immediate diagnosis and prepare a treatment team in advance of the patient’s arrival. With angioplasty and cardiac stent placement services available 24/7, and response times from the ER to the cardiac cath lab nearly 18% faster

than the national average, Washington Regional is recognized as the leader in emergency heart care. From routine diagnostic tests to intensive treatments, Walker Heart Institute maintains leading-edge technology and an extraordinar y patient care team. For more information, go to www.walkerheart.com. 

A Healthy Glow – An Oxymoron

Whose Time Has Come

Those summers of “working on our tans” will soon come back to bite us. We all know that tanning is bad for us – and many of us choose to disregard that info in preference of a summer tan – but just how much trouble are we getting ourselves into? By Amy Bowers Skin cancer is the most common form of cancer in the United States, where more than 3.5 million new cases are diagnosed each year. Almost every case of skin cancer is avoidable, as UV exposure is the primary cause. According to the Skin Cancer Foundation (SCF), “the survival rate for patients whose melanoma is detected early, before the tumor has penetrated the epidermis, is about 99 percent.” As one the most common types of cancer and one of the most treatable, it is very important to understand skin cancer, take precautions to avoid it and know how to recognize its symptoms. “There is a skin cancer epidemic in the United States,” said Dr. Gunnar Gibson, dermatologist. “If you live to 65, statistically your chances of getting skin cancer are 65 percent.” Reducing your risk of getting skin cancer is easy — avoid unnecessary sun exposure and do not use tanning beds. “There are active and passive forms of sun exposure,” Gibson said. “Laying out on a beach towel at the pool is active, and you won’t find a dermatologist anywhere who would recommend that. Passive forms involve things like running, doing yard work or playing tennis outside — just living life, really. Those forms are fine, but it is best to do them early in the morning or late in the afternoon, and be sure to wear sun protection, such as sunscreen, hats, long sleeves or sunglasses.” While we can’t live our lives in fear of the sun, there are many who go seeking UV exposure in artificial, and highly-dangerous doses. “Tanning is a $5 billion industry that is primarily targeted at women,” Gibson said. “People who begin tanning before the age of 20 have a 75 percent increased lifetime risk of melanoma. You see so many young girls tanning for prom or to get a ‘base tan’ before spring break.” According to the SCF, an astounding 71

percent of tanning salon patrons are girls and women aged 16 to 29. Further, statistics show that nearly 30 million people in the United States tan indoors every year; 2.3 million of those are teens. “In many states, like California, minors aren’t allowed to tan. Ultraviolet radiation is a proven human carcinogen, which puts in the same category as cigarettes, plutonium and chemotherapy — not a comforting list to be on.” For many baby boomers and older generations, sun protection was an option. Sunscreen wasn't available until the ‘70s; if melanoma is treated early, it is nearly 100 percent curable. If not, it can advance and spread to other parts of the body, where it becomes hard to treat and can be fatal. It is important to do frequent self-exams and monitor moles on the body. “You want to look for sores that won’t heal, or moles that are growing or evolving,” Gibson said. “It is important to know the ‘ABCDEs’ of melanoma: Asymmetry, border irregularity, color, diameter and evolving. If you notice any changes in a mole, such as becoming a darker shade or even red, increasing size, changing shape or even bleeding, have it checked immediately.” Gibson recommends that at the age of 50 or so, you see a dermatologist yearly. Those with two or more first-degree relatives with history of melanoma and those who have had significant amounts of sun exposure should see a dermatologist sooner. Treatment for melanoma most often involves surgery, depending on the location and the degree of the cancer. “Early diagnosis is very easy to treat and very responsive to treatment. If you wait too long, there may be no treatment.” For more information about skin cancer, log onto the Skin Cancer Foundation website, skincancer.org. 

Quick Skin Cancer Facts • Frequent tanners using new high-pressure sunlamps may receive as much as 12 times the annual UVA dose compared to the dose they receive from sun exposure. • People receive a fairly consistent dose of ultraviolet radiation over their entire lifetime. Adults over age 40, especially men, have the highest annual exposure to UV. • Up to 90 percent of the visible changes commonly attributed to aging are caused by the sun. • Melanoma is the most common form of cancer for young adults 25 to 29 years old, and the second most common form of cancer for adolescents and young adults 15 to 29 years old.

A person's risk … • One blistering sunburn in childhood or adolescence more than doubles a person's chances of developing melanoma later in life. Chances for melanoma doubles if he or she has had five or more sunburns at any age. • The majority of people diagnosed with melanoma are white men over age 50. • The number of women under age 40 diagnosed with basal cell carcinoma has more than doubled in the last 30 years. • Ultraviolet radiation (UVR) is a proven human carcinogen, according to the U.S. Department of Health and Human Services. • On an average day, more than one million Americans use tanning salons. • The indoor tanning industry has an annual estimated revenue of $5 billion. • First exposure to tanning beds in youth increases melanoma risk by 75 percent. • While melanoma is uncommon in African Americans, Latinos and Asians, it is frequently fatal for these populations.

Protect Yourself from Skin Cancer • Wear sunglasses. • Use sunscreen daily; be certain it has at least 30 SPF that blocks both UVA and UVB light. • Wear a wide-brimmed hat that light cannot pass through. • Limit sun exposure to early in the morning and late in the afternoon. • Use additives in your laundry to increase clothing SPF. • Always seek shade. • Always protect your children from sun exposure. Source: Skin Cancer Foundation and Dr. Gibson

aymag.com . 87

{GREEN EARTH PHARMACY & WELLNESS CENTER} Summer Suncare Tips from Dr. Linda Bortell The most common questions I am asked at If you burn in 10 minutes without sunscreen, the start of each summer are always about

sunscreen. Questions like: “what SPF do I need?” “how often am I supposed to

reapply?” “what’s the best product to use?” In properly answering these questions, I first

tell my patients to remember one vital fact: sunscreen does not prevent skin cancer, it helps to prevent sunburn. In fact, the latest

batch of research suggests that many of the chemical sun-blocking agents in sunscreens

are cancer-causing agents themselves. Ingredients such as octyl methoxycinnamate

(OMC) and p-Aminobenzoic acid (PABA)

have actually been studied and shown to cause an increase in genetic defects with use. Therefore the best way to block the sun is with clothing. But if you must use a sunscreen keep the following in mind:

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an SPF 15 should allow you to stay out 15 times as long (15 x 10 minutes = 150 minutes) before burning. This assumes no sweating, swimming or loss of protection. Manufacturers can no longer label sunscreen with an SPF factor higher than 30 plus (30+), as the FDA has determined that SPF products over 30 do not significantly increase protection. Additionally, the FDA has ruled that no sunscreen may be called ‘waterproof ’ as no sunscreen is actually waterproof. However, some sunscreens last longer when exposed to water. • Apply sunscreen 15-30 minutes before going outside. If you wait until you’re in the sun to apply it, you can increase your burn time by as much as two times. • Generously apply sunscreen; a layer too thin can diminish its effectiveness. Make sure your skin is dry when applying.

• Don’t overlook your neck, cheeks, nose, ears, bald spots, back of the calves, and knees.

• Reapply, reapply and reapply some more. Swimming and sweating will reduce the effectiveness of a sunscreen, so reapplication is best to maximize benefits. Also, if you rub your skin with a towel, reapply. NO sunscreen is towel-proof. • Use a lip balm that features a high SPF. Your lips are just as susceptible to sun

damage as the rest of you. 

It’s a Fruit … It’s a Vegetable … it’s a Superfood! These 10 foods pack powerful punches in the fight to stay healthy and vibrant.

Low-fat or fat-free plain yogurt is high in calcium and has protein, potassium, probiotics and heart-healthy plant stanols. Look for plain yogurt with vitamin D, and add your own fruit.

Eggs are nutritious, versatile and inexpensive. Studies have shown that eating eggs at breakfast can help you consume fewer calories throughout the day. Eggs have 12 vitamins and minerals, including choline, which is good for brain development and memory.

Nuts have protein, heart-healthy fats and antioxidants and are high in fiber. Studies show they can help lower cholesterol and promote weight loss. The secret is portion control — an ounce of pistachios, almonds, peanuts, walnuts or pecans will help fill you up.

Kiwis are nutritionally dense. They are full of antioxidants, vitamins A, C and E, have potassium and provide fiber; in fact, a large kiwi can have a mild laxative effect.

Quinoa is one of the best whole grains. It’s easy to make, is high in protein, fiber and iron. It’s also a good source for zinc, vitamin E and selenium and can help with weight control. Prepare it as rice; eat it alone or mix with vegetables.

Beans are, as the chant goes, good for your heart. Their insoluble fiber helps lower cholesterol, and their soluble fiber fills you up and helps rid your body of waste. Beans are a low-fat source of protein, carbohydrates, magnesium and potassium.

Salmon also has omega-3 fatty acids. It’s low in calories and is a good source of iron. Canned tuna is a good alternative.

Broccoli is one of America’s favorite vegetables. It’s a good source of vitamins A, C and K, and its fiber can help fill you up and help with weight control. It’s also versatile — eat it raw, steamed, stir-fried, grilled or roasted, alone or in a dish.

Berries are miniature warriors. They’re loaded with antioxidants and phytonutrients; they are low in calories, high in water content and fiber, which helps control blood sugars and keep you full longer … not to mention, they taste good and can satisfy sweet cravings.

10.

Sweet potatoes are a great substitute for white potatoes. They have vitamins A and C as well as calcium and potassium. Because they are sweet, you may need to add only a bit of butter to a baked sweet potato (versus adding sour cream, cheese, etc., to a white baked potato) saving a good number of calories.  Source: WebMD

An Alternative to Lasik By Amy Bowers While Lasik has worked wonders for the many nearsighted and astigmatism-afflicted, it is not the only option to restore your sight. Gentle eye molding is a non-invasive procedure that doctors have trusted for more than 40 years. It has proven results and fewer risks than the much-publicized Lasik surgery, yet remains overlooked — so to speak. To understand these procedures, one must first understand the anatomy of the eye, specifically the cornea, which is the part of the eye that allows us to focus light to create an image on the retina. The function is similar to that of a camera lens. Sometimes the shape of the cornea is not perfect and images become blurred; these imperfections in the focusing mechanism are called refractive errors. According to the FDA, the three most common refractive errors are myopia, hyperopia and astigmatism. Those that undergo a Lasik procedure permanently change the shape of the cornea using an excimer laser after a mechanical

microkeratome (a blade device) or a laser keratome (a laser device) is used to cut a flap in the cornea. According to the FDA, once the cornea is exposed, “pulses from a computercontrolled laser vaporize a portion of the stroma and the flap is replaced.” If this all gives you the heebie-jeebies in the slightest, Dr. Joe Collins of Jacksonville, Ark., recommends you take a closer look at gentle molding, the name itself even offers a bit of optical comfort. Gentle molding is a technique where a corrective lens is made especially for each patient by using a computerized corneal topographer, which maps 7,000 to 9,000 different points across the cornea. This option can help restore perfect vision to those who suffer from nearsightedness, farsightedness, astigmatism and presbyopia. “Gentle molding helps get rid of the problem. It is much like braces for the eyes,” Dr. Collins said. Gentle molding uses non-invasive, safe

tactics to re-shape the eye. “Lasik surgery is invasive; it removes the tissue of the eye. Gentle molding allows you to keep the tissue, it merely rearranges it and re-shapes the eye to its normal shape.” The lenses are worn for eight hours each night while one sleeps. It not only keeps the eyes from becoming worse, but also restores vision to the state before glasses were needed. Collins has used the method for more than 30 years on a wide age range of patients, including his 7 year-old granddaughter. He anticipates a large increase in patients approaching their 40s who wish to eliminate the need for reading glasses. Results can be seen within days of wearing the corrective lenses, though it may take months to fully restore vision. The price of gentle molding is comparative to that of Lasik surgery, but does not involve post-operative pain and loss of protective tissue and hazy vision. For more information on gentle molding, log onto gentlemolding.com; for more information on Collins, visit drjoecollins.com or call (501) 982-1100.  aymag.com . 89

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{MEDTRONIC} At 80, Woman is Back to the Gym after Minimally Invasive Spinal Procedure Marian Williams, 80, was in such is reduced. She had stopped taking excruciating pain three months ago t h a t s h e w o u l d n’t h a v e b e l i e v e d she’d ever exercise again at her local gym.

Until recently, Marian was a vivacious grandmother of seven and great-grandmother of five whose active lifestyle and physical fitness caused friends to comment that she didn’t look like an octogenarian. But in late October, she was walking down the stairs in her Salem, Va., home when, she said, “ it felt like something slipped in my back. It started hurting right away, and the pain quickly became unbearable. I couldn’t do anything. Even when I was lying down or sitting down, it hurt,” she said. “It hurt to move. It

hurt to breathe. I never had pain like that before. It was excruciating.”

Unbeknown to Mar ian, she had suffered a vertebral compression fr acture. S he is not alone. More

than 700,000 vertebral compression fractures are suffered annually in the

United States, mainly by women with

bones weakened by osteoporosis. H o w e v e r, o n l y a b o u t a t h i rd o f

these fractures are ever diagnosed. An untreated fracture can lead to a

progression of other ailments such as problems with breathing and digestion and additional vertebral compression fractures.

Marian already knew she had weak bones; she had been diagnosed with osteopenia, a condition similar to osteoporosis in which total bone mass

her calcium and vitamin D, which help to strengthen her bones, during her cancer treatment. Additionally, the chemotherapy and radiation she received for her cancer may also have further weakened her bones.

Her physician recommended a minimally-invasive procedure known as bal loon ky phoplast y. D ur ing this procedure, a tiny incision is made in the back and balloons are inserted through a small tube into the fractured bone. The balloons are then carefully inflated in an attempt to raise the collapsed bone. The bal loons are then remo ved, creating a cavity in the bone that is filled with bone cement. A clinical study has shown that those who undergo this procedure experience impro ved qualit y of lif e, faster pain relief and quicker return of physical function than patients who opt f or non-surgic al treatments such as physical therapy or pain medication. The benefits of balloon kyphoplasty were sustained on average throughout 12 months. Today, just three months after her surger y, Marian is back to lifting light weights, using the weight machines, and taking low-impact aerobic classes at her gym three times a week. The weight-bearing exercise, she notes, is helping to strengthen her bones. She is also back to taking her calcium and vitamin D, along with a prescription medication for

her osteopenia. And she is waiting for results that will determine if her

cancer is in remission. For Marian Williams, the future looks bright.

For more information about spinal

fractures and balloon kyphoplasty, go to www.spinalfracture.com or www.kyphon.com. KYPHON® Balloon

Kyphoplasty incorporates technology

developed by Gary K. Michelson, M.D. 

aymag.com . 91

{ST. VINCENT} The Arkansas Neuroscience Institute

(ANI) at St. Vincent, directed by Dr. Ali Krisht, world renowned neurosurgeon, is a multidisciplinary neuroscience institute offering services that cover the following neurosurgical subspecialties: • Cerebrovascular (including the Brain Aneurysm Treatment Center)

• Brain Tumor Disorders (including the Skull Base Surgery Center) • Neuroendocrinology Disorders

• Epilepsy Surgery and Treatment

• Movement Disorder

• Spine and Spinal Cord Disorder Surgery

The ANI offers comprehensive n e u ro l o g i c a l a n d n e u ro s u r g i c a l expertise in the treatment of stroke and aneur ysm through the

92 . juLY 2010

Stroke and Aneur ysm Treatment Center. Patients statewide are airlifted to the ANI at the first sign of stroke. Physicians call the Brain Aneurysm Emergency Contact number at (501) 552ASAP to alert the ANI that a stroke or aneurysm patient is in immediate need of care. Care at the ANI can be started within two hours of the fi r s t s i g n o f s t ro k e a s a re s u l t o f The Brain Aneur ysm Emergency Contact number. In addition the ANI provides care for dementia, functional/movement disorders, neuro-oncology and benign tumors of the br ain. Treatments include neurological rehabilitation, neurology, radiosurgery, neurosurgery and skull base surgery.

For more information about ANI visit StVincentHealth.com/ANI 

{arkansas health care association} Q

UESTION: What are some signs of a high-quality nursing home or long term care facility? ANSWER: Finding just the right care for your loved one can seem intimidating. It is an important decision, after all, and you want to make sure your loved one receives the very best care. While many factors can affect your decision, here are a few positive signs to look for during your search: Resident-Staff Interaction: When you visit a nursing home or long term care facility, obser ve how staff members interact with and respond to residents. In an excellent facility, you will notice that staff members treat residents with dignity, respect and genuine concern. They respond promptly to resident needs, and develop positive relationships with residents and their family members.

You should also see evidence that residents enjoy a range of entertainment options, community involvement and planned outings. Residents should be encouraged to pursue hobbies and try new activities. Find out what leisure and wellness opportunities are available for residents, and ask what measures are taken to ensure that residents of all abilities can participate.

loved one, and then evaluate whether or not a facility will meet those needs.

Unique Considerations: Every resident h a s a n i n d i v i d u a l s e t o f p hy s i c a l , emotional, psychological and social needs. Consequently, a nursing home or long term care facility that is perfect for one person may not be the right choice for another. Are there specific medical concerns to consider? How close is it to your home, or to other family members and friends? Determine what factors are most important for your

There are many excellent nursing homes and long term care facilities to choose from in Arkansas. In fact, Arkansas has emerged in recent years as an industry leader, offering improved care and a strong foundation of facility cooperation. One of these facilities is right for you and your loved one. With some advance preparation, thoughtful questions and facility observation, you will make the right choice.ď&#x20AC;ź

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{UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES } Arkansas’ New Era in the Fight Against Cancer oncologists will allow the institute O n Aug. 2, Arkansas will begin a new era in its fight against cancer.

O n t h a t d a y, t h e W i n t h r o p P. Rockefeller Cancer Institute at the University of Arkansas for Medical Sciences (UAMS) will welcome the first patients to its new 12-story tower. The 300,000-square-foot building will offer a cancer care environment unlike any other in Arkansas. As the state’s onl y academic cancer research center, the Cancer Institute is uniquely positioned to provide research-driven treatment unavailable elsewhere in Arkansas. Team treatment is key to the mission of the Cancer Institute, with patients receiving c are from oncologists and nurses specially trained to care for their specific needs. Scientists engaged in research into the causes, prevention and treatment of cancer are housed side-by-side with physicians. By combining the latest scientific discoveries with medical care from a team of specialists, Cancer Institute patients receive the most current treatment options available. The new tower will connect seamlessly to the institute’s Walker Tower, pro viding muc h-needed additional space designed with patient comfort and convenience in mind. New programs, such as the comprehensive lung cancer program, will grow along with the institute’s already highly-regarded programs in multiple myeloma, head and neck cancer, breast cancer and other areas. The addition of new scientists and

to meet the cancer care needs of all Arkansans, as well as those who travel from other states and countries for its services. The new tower was funded in part by a $36 million matching funds program created by the Arkansas Legislature. Its many patient-friendly features include a new infusion center, where many of the institute’s patients will receive chemotherapy. The infusion center features both open private rooms and open areas, where patients and family members can visit with each other during treatment sessions. As with each floor in the new tower, naturalz light is prevalent. Balconies provide a place for patients and visitors to get a breath of fresh air while enjoying impressive views of Little Rock, and a healing garden offers a place for quiet reflection. Patients wil l enter the Cancer Institute through a new, covered circ le drive and will sign in at convenient kiosk stations. A blood dr aw area on the first floor wil l allow patients to have their blood work completed before proceeding to their clinic’s waiting area.

ensure that the Cancer Institute cares not only for its patients, but also for the environment. Environmentally friendly features in the building include lighting that automatically adjusts to maximize the use of sunlight; solar-shaded glass; an energy recovery system that greatly reduces the energy usage associated with ventilation; and conveniently located recycling stations. 

The second phase of the institute’s construction, scheduled for completion in summer 2011, will include the renovation of the current first floor and will offer a cafeteria, Patient Support Pavilion, gift shop, chapel and other services. P lanners also have taken steps to aymag.com . 95

{McFARLAND EYE CENTERS} McFarland Eye Centers has provided

eye care to tens of thousands of Arkansans for more than 29 years. The doctors and staff of McFarland Eye Centers are dedicated to helping our patients enjoy the best possible vision, through the very latest medical and surgical treatment options.

Dr. Mike McFarland is the first surgeon ever to perform “no-stitch” cataract surgery, which is now the procedure of choice across the country and around the world. He is Arkansas’ only ophthalmologist named one of the “Best Doctors in America” for 16 straight years. He is also the first ophthalmologist named as “Best of the Best” by readers of the Arkansas Democrat-Gazette, and a fourth-time winner of the

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“Best Eye Doctor” category as voted by the readers of AY Magazine. In addition to offering the highest standard of excellence in cataract surgery and LASIK surgery, McFarland Eye Centers also specializes in the treatment of macular degeneration, dry eye syndrome, and diabetes related disorders of the eye. We have doctors who specialize in the fitting of glasses and contact lenses, and have two beautiful optical centers with a very nice selection of frames for all budgets. We are happy to provide general eye exams for family eye care. McFarland Eye Centers are conveniently located in Little Rock, Pine Bluff and Hot Springs. For more information, visit www.mcfarlandeye. com or check us out on Facebook.

{PINNACLE POINTE HOSPITAL} Pinnacle

Pointe Hospital added 22 new beds to its facility in west Little Rock in January to meet the growing need for behavioral healthcare services for children and adolescents, ages 5 to 17. The largest behavioral health hospital in Arkansas, Pinnacle Pointe recognizes the challenges and obstacles youth face today and specializes in meeting the behavioral health needs specific to this age group. Short-term stabilization (acute) and longer term (residential) treatment is provided in a comfortable therapeutic setting that focuses on safety and security. To help its young patients develop the skills and characteristics necessary to a more fulfilling life, Pinnacle Pointe Hospital has adopted an achievementbased program to reinforce positive

behaviors. Compassion and respect for self and others is role-modeled throughout the environment. Social responsibility is one of the goals of treatment. Community awareness and the opportunity to become a contributing citizen enhance each child's sense of self-worth.

Pointe has made a commitment to the children of military families and the unique challenges they face. The facility is also Joint Commission accredited and licensed by the Arkansas State Health Department.

"We are proud of the new space and the initiative our patients are demonstrating through this program," said Lisa Evans, chief executive officer of Pinnacle Pointe Hospital. "While we have a long-standing history of helping our patients help themselves get better, now they have a more tangible and readily-available incentive to encourage self-growth and the discipline needed to thrive outside of our facility's walls." As a Tricare-certified facility, Pinnacle

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{Liz Clouse, R.N., C.P.S.N} If You Are Considering A Cosmetic Procedure To Freshen Your Look ... F e e l c o n fi d e n t i n t h e h a n d s o f member of the group. Clouse became practiced skin care professional Liz Clouse, RN. Clouse has been working in the field of plastic surgery since 1989, and in skin care since 1992. She is certified in a long list of procedures including: injectable fillers, Botox, microdermabrasion and more. She took the step to become a Certified Plastic Surgical Nurse in 1991 and has continued to keep her certification and refresh and expand her skills by attending educational meetings that offer continuing education hours. She has been a member of the Society of Plastic Surgery Skin Care Specialists since its inception and is a past board

a LPN in 1974 and took the step to become a RN in 1980, since then she has dedicated herself to serving patients with the best and most up-to-date care in the field of plastic surgery. 

The Plastic Surgery Institute. One Lile Court, Suite 100 Little Rock, AR 501.907.7543

Efficacy of TNS Recovery Complex® in Facial Photodamage* The addition of growth factors to cosmeceutical products is a major advancement in providing natural, homogenous, active substances to facilitate skin renewal. TNS Recovery Complex ® with Nouricel-MD ® incorporates a combination of naturally occurring elements including multiple growth factors, soluble collagen, antioxidants, interleukins and matrix proteins. Previous pilot studies have shown positive restorative effects with TNS Recovery Complex.

Optical Profilometry Showing Reduction in Fine Lines & Wrinkles

Mean Reduction From Baseline

Major Lines (Ra)

Fine Lines (Ra)

Fine Lines (Sh)

• Optical profilometry (digital image analysis

of silicone replicas of facial profile) measures roughness (Ra) and shadows (Sh) of skin surface. • Analysis shows a statistically significant

reduction in fine lines and wrinkles. (p≤0.032)

-1 -2 -3 -4

3 months 6 months

-5 -6

Liz Clouse R.N., C.P.S.N. 501.907.7543

Study Conducted by Stacy Smith, M.D., Therapeutics Clinical Research, San Diego, CA. * Research sponsored by SkinMedica,Inc.,Carlsbad CA 92010

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{carelink} CareLink Has Answers Most family caregivers fall into their

roles without preparation or knowledge of what services are available for their family members. But it isn’t necessary to strike out alone on a quest for help. The best first call a family caregiver can make is to CareLink, a private nonprofit agency serving older people and their families in Faulkner, Lonoke, Monroe, Prairie, Pulaski and Saline counties.

include family caregiver support and respite, in-home care, home-delivered meals, adult day care and Medicare prescription drug plan counseling. They can also tell you about other providers in Arkansas, or if your older family member lives outside CareLink’s service area, they can connect you with the appropriate Area Agency on Aging anywhere in the country.

CareLink’s Information and Assistance Department includes Sandy Bone, Beverly Knox and Tonya Smith. These ladies know everything there is to know about CareLink’s services. They listen carefully to callers and match their needs with a wide range of services that

To take advantage of this free service, call 501-372-5300 or 800-482-6359 from 8 a.m. to 5:30 p.m. weekdays and 9 a.m. to 12:30 p.m. Saturdays or e-mail info@care-link.org. More information about CareLink services is available at www.care-link.org. 

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{arkansas ovarian cancer coalition} The Arkansas Ovarian Cancer Coalition

(AROVCC) is the driving force against ovarian cancer in Arkansas. AROVCC’s purpose is to educate the women of Arkansas about the signs and symptoms of ovarian cancer. We work to save lives by promoting professional and public awareness through disseminating educational materials, hosting rallies, seminars and fundraising events. We hope to inform every woman within the state of Arkansas. Currently there is no screening test for ovarian cancer and the symptoms often present themselves as other diseases.

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If these “silent” symptoms persist for two or more weeks, please speak with your physician: • Abdominal pain and/or bloating • Gastrointestinal upsets or changes • Feeling full quickly • Frequent urination • Unexplained weight gain or loss Please visit our website to learn more about us and our upcoming events: www.arkansasovariancancer.org 

No Longer a Taboo Subject Viagra was introduced to the world in 1998, and with a very successful marketing campaign that targeted men and women, brought a private, rarely-discussed problem to the forefront. By Angela E. Thomas • photography courtesy of Arkansas Urology Urologists treat men and women for problems with their urinary and sexual health. Dr. Tim Langford has been a urologist for nearly two decades and treats adults with prostate and kidney cancer; benign enlargement of the prostate; incontinence; and general men’s pelvic health. Over the past several years, Langford has subspecialized in treating ED, erectile dysfunction. “I see a lot of patients with ED, resulting from prostate cancer,” Langford said. “On a typical day, I see 50 patients; five of them, on average, are new patients seeking help for ED issues.” He said most men 60 and older have issues with ED; he’s seen one patient as young as 24. “Initially most men are afraid to talk about ED. And frankly, historically, doctors didn’t do a very good job of discussing the problem. But baby boomer men are more open; they want to maintain healthy and active lifestyles. With the marketing of pharmaceutical companies, ED no longer carries the stigma of the past.” ED is a couple’s problem, Langford said. Many men have supportive partners, who often accompany them on initial doctor visits. As you can imagine, ED medications, such as Viagra and the more recently-introduced Levitra and Cialis, revolutionized the treatment of ED. Langford said ED is almost always a physical problem. “It’s one of the first signs of vascular disease. When men in their 20s, 30s and 40s come in experiencing ED problems, I urge them to seek further treatment. It’s an important sign that something more serious is going on.” Langford said up to half of his patients come in because they are experiencing ED as

a result of the medications they are taking to treat high blood pressure, elevated cholesterol, diabetes and/or vascular disease. They’ve received referrals from their cardiologists or primary care physicians. He said most men who can remedy ED with diet and exercise will do so. Some patients are referred by general practice doctors after they have tried medication as a solution, but require further treatment. Men have also seen Langford to address concerns about size. “I don’t think I’ve ever met a man who was happy with his penis size,” he said, frankly. “But the average size is 5 to 6 inches. I’ve had some men come in because they say, ‘Doc, my penis is shrinking.’ I ask, ‘Have you recently gained weight? Are you sexually active?’ If a man has gained weight, I tell him to lose it.” For every 30 pounds lost, men gain length due to the reduction in size of the fat pad surrounding the base of the penis. Langford said scar tissue can develop if a man has not been sexually active and can cause a reduction in size. There are three levels of treatment, Langford said. The first level is medications, such as PDE5 inhibitors — Viagra, Cialis or Levitra — or testosterone replacements, are effective for 70 percent of men. The second level of treatment includes vacuum pumps; urethral pellets (the most common form is MUSE; the medication is placed inside the urine channel) or penile injection therapy, which is dispensed using a needle. These therapies must be administered each time an erection is desired. The third level of treatment is penile implants. These are internal, inflatable pumps that are surgically implanted. “The surgery takes about 30 minutes or so, and patients are ready to use them within four

to six weeks,” Langford said. The inflation device and deflation valves are placed in the scrotum sack and are used to achieve and release erection. “It’s all very natural, and the satisfaction rate is 92 percent.” These treatments do not affect fertility. “Sexuality is important to men, even men in their 80s. You’d be surprised how sexually active elderly couples are. People live longer and lead healthier, active lives. Many older couples are happily married and maintaining intimacy is important to them.” “Inherently, men feel sexuality is tied to their manhood. Once men accept ED as a physical problem, like a knee injury or a sports injury, they are open to treatment,” Langford said. As a result, he has performed more penile implants. The stigma of having artificial treatment no longer exists. “It’s a process. A man experiencing ED is understandably upset; it’s similar to a grieving process — once they accept it, they can be treated.” He said penile implants, like an artificial hip, become a part of the body. The implants or penile prostheses are generally available in three forms: a one-piece positional implant; a two-piece inflatable implant; and a threepiece inflatable implant. As the topic of ED has become more mainstream, Langford and the other physicians at Arkansas Urology have become busier, and so employ several male physicians' assistants who counsel patients in the use of the various treatments, whether over the phone or by teaching patients how to administer medication or use implants. For more information about ED and other urological issues, visit arkansasurology.com or urologychannel.com. 

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Q&A

ALLERGIC RHINTIS Q: What is allergic rhinitis? A: Inflammation of the nasal passages, usually

associated with watery nasal discharge and itching of the nose and eyes.

Q: What are the causes of allergic rhinitis? A: Many perennial and seasonal allergens can

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cause allergic rhinitis. Dust mites, cockroaches, molds and animal dander, are examples of yeararound allergens. Tree, grass and ragweed pollens are primarily seasonal outdoor allergens. Seasonal pollens depend on wind for cross-pollination. Plants that depend on insect pollination, such as goldenrod and dandelions, do not usually cause allergic rhinitis. Animal allergens are important indoor allergens.

Q: What are the symptoms of allergic rhinitis? A: Characteristic symptoms include repetitive

sneezing; rhinorrhea (runny nose); post-nasal drip; nasal congestion; pruritic (itchy) eyes, ears, nose or throat; and generalized fatigue. • Symptoms can also include wheezing, eye tearing, sore throat, and impaired smell. A chronic cough may be secondary to postnasal drip, but should not be mistaken for asthma. • Sinus headaches and ear plugging are also common.

Q: What is the treatment for allergic rhinitis? A: The goal of treatment is to reduce the

allergy symptoms. Avoidance of the allergen or minimization of contact with it is the best treatment, but some relief may be found with the following medications. • Antihistamines and Decongestants

• Common antihistamines inc lude brompheniramine or chlorpheniramine. • Non-sedating long-acting antihistamines inc lude loratidine, cetir izine, and fexofenadine. • S edating antihistam i n e s i n c l u d e diphenhydramine and doxylamine. o Oral decongestants alone may be helpful, including pseudoephedrine and phenylephrine. • Nasal Sprays o For rhinorrhea, a nasal spray of cromolyn sodium (Nasalcrom) or a steroid nasal spray, such as flunisolide (Nasalide), beclomethasone dipropionate (Beconase, Vancenase), triamcinolone acetonide (Nasacort), and fluticasone (Flonase), may work so well that additional antihistamines or decongestants are unnecessary. o It is impor tant to re m e m b e r t h a t improvement may not occur for one to two weeks after starting therapy with steroid nasal sprays. o Short courses of oral corticosteroids may usually be indicated when severe nasal symptoms prevent the adequate delivery of topical agents.

Q: Why go to USA Drug? A: Every day, USA Drug pharmacists

and staff work hard to provide you with exactly what your doctor ordered. As a vital link in your healthcare chain, we’re committed to meeting all your healthcare needs, and at the lowest price possible. If you ﬁnd a local competitor with a lower price, let us know and we’ll gladly match it. The best part is that we strive to ﬁll your prescriptions in a timely manner – generally in 15 minutes or less. We invite you to visit your local USA Drug store today and experience what our customers have come to expect ... convenience – service – price. – Megan R. Scott, BS, PharmD

o Antihistamines are available as tablets, capsules and liquids, and may or may not be combined with decongestants.

It is important to discuss the beneﬁts and risks of any treatment with your doctor. For medication questions, ask our pharmacists • 870-535-2411• www.usadrug.com Customer Service USA Drug Corporate Ofﬁce • 3017 N. Midland • Pine Bluff, AR 71603

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