Northeast Columbia House Call - Spring 2017

NORTHEAST COLUMBIA

A PUBLIC ATION OF LEXING TON MEDIC AL CENTER • SPRING 2017

THE HEART OF A DAD Father’s Heart Attack is a Wake-up Call

INSIDE THIS ISSUE

Growing Up with Good Sleep PAGE 4

The Best Ways to Manage Chronic Pain PAGE 8

Understanding and Managing Diabetes PAGE 10

contents

3 I s an Ounce of Prevention Worth a Pound of Cure?

The Importance of Checkups with Your Primary Care Physician Growing Up with Good Sleep 4 Sleep Studies for Children at Lexington Sleep Solutions From the Comfort of Your Own Bed 5 How Home Sleep Studies Help Patients Rest Well 6 T he Heart of a Dad Father's Heart Attack is a Wake-up Call 8 From Off-the-Shelf to One-of-a-Kind Customized Knee Resurfacing Creates a Perfect Fit

The Best Ways to Manage Chronic Pain

9 Y ou’re Not Alone The Truth About Postpartum Depression Type 2 Diabetes and You 10 Understanding and Managing Diabetes hat Do You Have to Lose?

11 W Weight-loss Tips

Stop the Spread of Summer Viruses

12 L exington Medical Center’s Northeast Columbia Physician Directory

——————————— On the Cover:

Paul Shealy, his wife Heather and their three children: Connor; 13; Braydon, 11; and Trisleigh, 7

Letter from the Editorial Team Lexington Medical Center’s mission is to provide quality health services that meet the needs of our community. As the Midlands grows, we continue to expand our services.

Northeast Columbia has become home to many Lexington Medical Center physician practices ranging from primary care to specialties for each member of your family.

Each practice offers compassionate care, clinical excellence and state-of-the-art technology.

In this edition of House Call, learn about getting a better night’s sleep, customized knee resurfacing and heart disease in a father of young children.

For a full list of Lexington Medical Center providers in Northeast Columbia, turn to the back cover. We look forward to providing the best quality of care for your family.

In Good Health, House Call Editorial Team Lexington Medical Center

Stay Connected!

Visit our website — LexMed.com — for all the latest news about Lexington Medical Center. You can also stay up-to-date on calendar events and learn more about health topics important to you and your family.

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NORTHEAST COLUMBIA HOUSE CALL SPRING 2017

Is an Ounce of Prevention Worth a Pound of Cure?

The Importance of Checkups with Your Primary Care Physician

Many adults think a yearly checkup isn’t really necessary, especially when they consider themselves to be healthy, but periodic physical exams should be part of everyone’s health care.

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physical exam can help to determine if you are as healthy as you feel or catch health problems before they become serious. A checkup also helps you and your primary care provider come up with a care plan for a longer, healthier life.

“Annual checkups are a good time to discuss your overall health, diet and family history, which may indicate a need for earlier screenings.

A lot of things can change in a year. People gain and lose weight, go through emotional changes — all of it can affect their health,” said Sarah Cottingham, MD, at Palmetto Family Medicine, a Lexington Medical Center physician practice.

An annual physical for an adult can include things such as: s a comprehensive physical exam catered to your age, gender and specific risk factors. s electrocardiogram to check for heart health. s examination of respiratory health. s skin screening to check for dermatological health. s lab tests, including blood count and cholesterol. s body mass index testing. s screenings for age- and gender-appropriate cancer risk factors.

During a child’s annual checkup, a doctor may look at: s his or her overall growth and development. s missed immunizations or needed booster shots. s dental, vision, speech or hearing issues. s cholesterol, blood count, urine, blood sugar and/or scoliosis results.

“An annual physical isn’t just getting a full-body exam. You may need lab tests, vaccinations and cancer screenings, which depend on age and risk factors. Even if you eat well and exercise, you could still have high cholesterol or be at risk for developing diabetes. We can’t know if you have these conditions if we aren’t checking for them,” said Dr. Cottingham.

Apart from cancer and other screenings, such as diabetes and heart disease, a physical exam helps patients answer questions about their health and lifestyle, and get advice on how to lead the healthiest lifestyle possible.

It’s also an opportunity to tell your doctor about any medical conditions or diseases within your family. Certain diseases and medical conditions can be hereditary, and families can pass on lifestyle habits. People who live, play and eat together influence each other’s attitudes toward smoking, exercise, weight and many other factors that influence your health.

For Dr. Cottingham, annual checkups are a great way to help her patients have good quality of life along with quantity of life.

“If we can catch high cholesterol and elevated blood sugars early and make lifestyle changes or treat with medicine, we can significantly decrease the risk of developing heart disease, stroke, kidney disease and more.”

Sarah Cottingham, MD

A Lexington Medical Center Physician Practice

Accepting New Patients 109 Barton Creek Court Columbia, SC 29229 (803) 256-2286 PalmettoFamilyMed.com LexMed.com

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Hannah Shealy and her mom Beth inside Lexington Sleep Solutions before a sleep study.

Growing Up with Good Sleep Sleep Studies for Children at Lexington Sleep Solutions At just 9 years old, Hannah Shealy can tell you everything you need to know about having a sleep study. She has six of them under her belt.

“They stick stuff all over me,” she said.

“Even my head!”

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annah was born with a genetic disorder that keeps her face and skull bones from growing normally, which meant her nose and sinus passages tightened as she grew. The older Hannah got, the louder her snoring became — and the more difficult it was to get adequate sleep.

Sleep studies have guided her medical care. For a while, she wore a CPAP (continuous positive airway pressure) mask when she slept to keep her airway open.

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NORTHEAST COLUMBIA HOUSE CALL SPRING 2017

“The sleep studies tell us how she’s sleeping and what might be wrong. The doctor uses the information to tell us what to do,” said Hannah’s mom, Beth. “The studies helped us know when to have surgery and understand how she’s improved since the surgery.”

While good sleep is essential for all of us, it’s particularly important for children.

“It’s a vital function for brain development and well-being,” said Clarence E. Coker III, MD, a sleep medicine specialist at Lexington Sleep Solutions.

“When children have adequate sleep, they’re improving the details and retrievability of their

memory so they can perform better on tests, socially, in interactions with family and friends, and in sports.”

Dr. Coker said the signs of sleep apnea in children — from toddlers to 18-year-olds — shouldn’t be ignored.

“Loud snoring — anything more than a soft snore — should be discussed with your family doctor,” he said.

Sleep walking, sleep terrors or restless sleep also indicate inadequate sleep.

Other indicators may not be as obvious.

Seizures, ear infections, enlarged tonsils and even attention-deficit/hyperactivity disorder warrant a sleep consultation with your doctor.

Children with sleep apnea may have trouble growing. “The brain doesn’t slow down and sleep enough to maintain the appropriate growth for their age,” said Dr. Coker.

If your child is having trouble in school, or has trouble waking up or staying awake, talk to a doctor who has a good understanding of sleep.

Lexington Sleep Solutions is Lexington Medical Center’s sleep lab that offers comprehensive care for sleep disorders and sleep studies to diagnose a variety of sleep-related issues. There are three locations in the Midlands, including one in Northeast Columbia. The practice provides services for children age 3 and up.

For each study, Hannah brings along a favorite doll and pillow. After coloring and watching a few cartoons on television in the patient room, which resembles a comfortable hotel room, Hannah is asleep by about 9:00 p.m., secure with her mother Beth sleeping beside her.

“It’s like a sleepover party,” Beth said to Hannah.

Clarence E. Coker III, MD

Northeast Sleep Lab 109 Barton Creek Court, Suite A Columbia, SC 29229 (803) 791-2683 LexingtonSleepSolutions.com

From the Comfort of Your Own Bed How Home Sleep Studies Help Patients Rest Well If you wake up a lot during the night or feel exhausted during the day, you may have a sleep disorder.

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leep studies can help your doctor determine if you have an underlying disorder that’s affecting how well you sleep. Some people may need to have an overnight study in a sleep lab, but others can benefit from an at-home test.

To have a home sleep study, your primary care physician has to order one. You can also schedule an appointment at Lexington Sleep Solutions for an initial evaluation. During that evaluation, if you qualify for a sleep study, the doctor can order a home sleep test More than 25 million adults or a sleep study to be completed at the sleep lab.

“A home sleep test measures heart rate, oxygen between the ages of 30 to 70 years levels, airflow and breathing effort,” said Sarkis S. have obstructive sleep apnea.

Derderian, DO, FCCP, D, ABSM, at Lexington Sleep Solutions. “A small microphone on the home sleep test equipment measures the degree of snoring.”

Home tests are ideal for people who are at high risk for sleep apnea. These people are frequently tired during the day, snore, have morning headaches, experience unrefreshing sleep, have difficulty concentrating or experience memory loss. Home sleep studies serve as a helpful tool to diagnose patients who are homebound or elderly, or require a caregiver.

But not all home sleep studies are created equally.

“Different types of devices measure different parameters. Some measure only two things, like oxygen and heart rate, while others measure four or more things, such as oxygen, heart rate, airflow and breathing effort,” said Dr. Derderian.

The biggest benefits of a home sleep test for patients are cost and convenience.

“Home tests are less expensive because they do not require ancillary support and equipment. You are able to pick up the equipment at your convenience and drop it off the next day without having to plan for an overnight stay,” he said.

You are also in the comfort of your own bed during a home test.

“Patients may feel a little hindered with a few extra wires, but most people do not have any trouble sleeping normally in their own beds. Sleeping normally will give the doctor the best picture of your sleep,” said Dr. Derderian.

At Lexington Sleep Solutions, a trained sleep technician shows you how to set up the equipment and answers any questions when you pick up the study equipment. When Sarkis S. Derderian, DO, FCCP, D, ABSM you return the next day, the sleep technician gathers your information for a board-certified sleep physician to interpret the results.

“Unless you have a high probability of sleep apnea, a home sleep test may not be beneficial to you,” said Dr. Derderian. “If you have certain medical conditions, such as congestive heart Northeast Sleep Lab failure, lung disease or neuromuscular disease, your physician 109 Barton Creek Court, Suite A may recommend that you complete an in-lab sleep study to Columbia, SC 29229 provide a more complete evaluation of your sleep.”

(803) 791-2683 LexingtonSleepSolutions.com LexMed.com

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The Heart of a Dad

Father’s Heart Attack is a Wake-up Call

In March, things turned upside down for Paul Shealy.

It

was 4:30 a.m., and he was wide awake. Something about his heart just wasn’t right.

After a few regular beats, his heart felt like it paused — then it began beating really hard, “like it was trying to start over,” Paul said. “I didn’t feel pain, and I wasn’t nervous, but I knew it was wrong.”

Paul walked around his house and got a drink of water, trying to work it out. After about 30 minutes, he woke up his wife and told her they should call an ambulance.

Paul was just 42 years old. Married to his high school sweetheart, they have three young children.

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NORTHEAST COLUMBIA HOUSE CALL SPRING 2017

Paul had no family history of heart disease. But just a few months earlier, he had consulted with a doctor who urged him to quit using smokeless tobacco and to start taking medicine to control his high blood pressure. Paul took the medicine — at first.

“The side effects made me feel awful,” he said. “I’d go back to the doctor to have the medication adjusted, but after a while, I felt like I couldn’t go to the doctor again and say, ‘I need you to fix this medicine.’”

After several checkups, Paul stopped seeing the doctor and stopped taking the blood pressure medicine. He thought he had

done enough to improve his blood pressure by quitting smokeless tobacco.

Paul isn’t alone. About one in three American adults has high blood pressure.

Chronic high blood pressure — also called hypertension — can damage the heart and arteries. Nearly half of Americans with high blood pressure don’t have it under control.

“Unfortunately, hypertension doesn’t cause symptoms, and sometimes the treatment can produce side effects and make patients question whether it’s worthwhile to take the medication they’re prescribed to control it,” said Mitchell W.

About one in three American adults has high blood pressure. Chronic high blood pressure — also called hypertension — can damage the heart and arteries.

Jacocks, MD, of Lexington Cardiology, a Lexington Medical Center physician practice.

“Paul felt fine and at his age, he probably felt like ‘nothing can happen to me.’ It’s a common misconception and unfortunately, can lead to dire consequences,” Dr. Jacocks said.

When Paul arrived at Lexington Medical Center’s Emergency department, clinicians confirmed his blood pressure was very high. Medication failed to bring his blood pressure under control, so clinicians admitted him to the hospital where tests confirmed that one of Paul’s arteries was seriously blocked. In the cardiac catheterization lab, doctors with Lexington Mitchell W. Jacocks, MD Cardiology inserted a stent in the artery to restore the normal flow of blood. Paul stayed in the hospital for five days.

Today, Paul takes a new A Lexington Medical Center blood pressure medicine Physician Practice and follows up with Dr. Jacocks regularly.

According to Dr. Jacocks, Paul is now a model patient. “There are few things that motivate a 90 Summit Centre Drive person like a cardiac event. Sometimes it’s the Columbia, SC 29229 wake-up call people need to get them to take (803) 744-4900 care of themselves,” said Dr. Jacocks.

LMCLexingtonCardiology.com Looking back, Paul recognizes the warning signs he ignored — when climbing a flight of stairs seemed to take his breath away, or when his wife noticed he was more tired, and how his breathing at night wasn’t right.

Dr. Jacocks said patients often ignore symptoms or put off treatment that could save their lives. “It’s important to listen to your loved ones,” he said. “They may notice something that you may not notice or may be denying that could be signs of potential problems.”

“I completely learned my lesson,” Paul said. “It’s my responsibility, as a father, to be here. Now I take responsibility for my own health.”

Know Your Numbers Do you know the numbers that can keep your heart healthy?

Paying attention to your blood pressure, your cholesterol and other key health indicators can keep heart disease at bay.

YOUR GOALS SHOULD BE: Blood Pressure Optimal at 120/80 and no higher than 140/90 Total Cholesterol Less than 200 LDL Cholesterol (bad cholesterol) Less than 100 Less than 70 if you have other risk factors HDL Cholesterol (good cholesterol) More than 60 (optimal) Less than 50 (a risk for women) Less than 40 (a risk for men) Triglycerides Less than 150 (more important for women) Blood Glucose Less than 100 (fasting value) Body Mass Index (BMI) Less than 25 (women and men) Waist Circumference Less than 35 inches (women) Less than 40 inches (men) Daily Exercise More than 30 minutes is ideal, but you should strive for at least 20 minutes Daily Relaxation More than 30 minutes Cigarettes Per Day Zero (and no secondhand smoke) Sources: American Heart Association, GoRedForWomen.com The Heart Truth, nhlbi.nih.gov/health/educational/hearttruth/

LexMed.com

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From Off-the-Shelf to One-of-a-Kind

Customized Knee Resurfacing Creates a Perfect Fit

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ou’ve heard of custom suits and custom drapes. But how about custom knee implants — completely designed for you and guaranteed to be a perfect fit?

For patients with severe knee arthritis, this surgery is now available at Carolina Shoulder & Knee Specialists, a Lexington Medical Center physician practice.

Knees vary in size and shape. Even a person’s two knees may be different sizes. Traditionally, knee implants come in six to 10 standard sizes.

Doctors select the one that fits the patient best during surgery.

But for patients who have leg bones that are especially wide, narrow or odd-shaped, finding the perfect fit can be difficult.

“It can be like wearing your dad’s shoe. It’s a shoe, but it might not fit you correctly,” said Kevin Nahigian, MD, of Carolina Shoulder & Knee Specialists.

If a knee implant doesn’t fit properly, patients may experience pain or a knee that doesn’t feel natural.

Patients who choose customized knee resurfacing first have a diagnostic CT scan of their knee. The physician’s office sends the scan to ConforMIS, the company behind the technology. ConforMIS uses the scan to create a 3-D model of the knee and develop an individualized implant made of titanium cobalt chrome. The process takes about six weeks and the implant is delivered to Lexington Medical Center a few days before surgery.

“The implants are designed to follow the shape and contour of each patient’s knee, which increases the potential for a more natural-feeling knee,” said Dr. Nahigian. “Customized implants also allow for optimal bone preservation.”

Patients can bear full weight on their knee on the day of surgery and go home from the hospital the next morning.

From exercising to playing with grandkids, the goal of customized knee resurfacing is to have patients back to enjoying an active lifestyle with the best results possible.

Kevin Nahigian, MD

A Lexington Medical Center Physician Practice

810 Mallet Hill Road Columbia, SC 29233 (803) 419-6646 LMCCarolinaShoulder.com

The Best Ways to Manage Chronic Pain

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hronic pain can impact your quality of life. Untreated, it can lead to anxiety and depression, social withdrawal, weakening of personal relationships and poor sleep. Over time, it can also worsen conditions such as high blood pressure, diabetes and heart disease.

Kamran Z. Koranloo, MD, specializes in interventional pain management at Lexington Brain & Spine Institute, a Lexington Medical Center physician practice with a location in Northeast Columbia.

His practice incorporates a wide variety of clinical techniques to help manage chronic pain.

Nerve Blocks Using this procedure, doctors can block a specific group of nerves that are causing pain by injecting medicine into the body with pinpoint accuracy. Some nerve

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blocks contain a local anesthetic.

Doctors can also use nerve blocks to diagnose a source of pain with more precision. Both nerve blocks and injections are helpful for back pain, residual pain after surgery, cancer pain, complex regional pain syndrome, and joint pain.

Spinal Cord Stimulation In this procedure, a physician places specially designed wires attached to a device similar to a pacemaker in the epidural space of the back.

Electrical impulses block painful signals from reaching specific areas in the spinal cord and the brain.

This modern technological concept was first used by ancient Egyptians

who used eel from the Nile River to deliver electric pulses to injuries in an effort to relieve pain.

Surgical Intervention Often times, chronic pain requires surgical intervention when conservative treatments do not make the pain go away.

“I have two goals for all of my patients: to improve their function and quality of life, and to do everything possible to prevent surgery and the need for opioid medication,” said Dr. Koranloo.

“However, when all clinical techniques are exhausted, the patient may become a candidate for surgery.”

Kamran Z. Koranloo, MD

A Lexington Medical Center Physician Practice

720 Rabon Road Columbia, SC 29203 (803) 764-1228 LexingtonBrainandSpine.com

Lexington Brain and Spine Institute is dedicated to offering an interdisciplinary approach to the treatment and management of chronic painful conditions. Dr. Koranloo works in tandem with physical and rehabilitative medicine, interventional pain management and neurosurgery to provide the most effective and comprehensive treatment plan for each patient.

NORTHEAST COLUMBIA HOUSE CALL SPRING 2017

You’re Not Alone The Truth About Postpartum Depression

You’ve seen the pictures on social media: happy new mothers holding their swaddled, sleeping newborns.

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xhausted, you looked in the mirror.

You didn’t have enough energy to put on makeup and you still have no idea why your newborn won’t sleep.

You scrolled through a trove of pictures of smiling families with their babies and wondered, “What am I doing wrong? What am I missing?”

You felt alone.

According to Douglas M. Addy, MD, FACOG an OB/GYN at Sandhills Women’s Care, a Lexington Medical Center physician practice, that misconception is a new mother’s first mistake. You’re not alone.

While commercials, social media and magazines may portray motherhood as a perfectly joyous time, Dr. Addy said many new

Diagnosing postpartum depression can be difficult because many new moms brush off the symptoms that include lack of sleep, no appetite and an overwhelming sense of sadness as something women experience as part of childbirth. moms experience depression “Women with postpartum depression find after giving birth, something often themselves crying at everything,” Dr. Addy said. referred to as the baby blues.

“Anything can trigger an emotional response, And 10 percent of all women which makes normal activities impossible.” who give birth experience While the medical community knows that postpartum depression, a hormonal changes after pregnancy lead to debilitating form of depression postpartum depression, the that can, in extreme cases, be life specific hormonal changes threatening to both a new mom have not been identified. and her children.

There is help for women “Postpartum depression can struggling with depression get so bad that it’s difficult to care after childbirth. They only for yourself, much less your baby, need to speak with their or anyone else in your family,” Dr. doctor. Currently, most Addy said. “It can be a psychiatric pediatricians also screen emergency that needs to be new moms for postpartum monitored closely to make sure Douglas M. Addy, MD, depression. you’re getting better.”

FACOG If a medical professional Despite the severity of this feels you have depression, condition, many women with he or she may refer you postpartum depression often go to a counselor, prescribe untreated because of the stigma an antidepressant or refer associated with it.

A Lexington Medical Center Physician Practice you to a psychiatrist for “When you have a baby, you’re treatment. Sometimes just supposed to be so happy that 233 Longtown Road Columbia, SC 29229 having someone to talk to the baby is there,” Dr. Addy said.

(803) 788-0268 can help.

“It’s really hard for people to SandhillsWomensCare.com “While postpartum come to grips with what happens depression will eventually to their moods, and they may get better, it can take a long time and there’s feel as if they’re not bonding with their baby. no need for new moms to needlessly suffer,” These women consider their feelings a sign of Dr. Addy said. weakness, but it isn’t.”

LexMed.com

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T Y P E 2 DI ABE T E S AN D YOU

Understanding and Managing Diabetes

By Cassandra Patterson, MD Peterson & Plante Internal Medicine Associates, a Lexington Medical Center physician practice

In South Carolina, one in eight adults has diabetes. This rate is the seventh highest in the United States. And according to the Centers for Disease Control and Prevention, 90 percent of people with type 2 diabetes are also obese.

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eople who are overweight are not able to process high levels of carbohydrates. That leads to higher levels of sugar in the blood and stimulates the pancreas to produce more insulin, a hormone that allows your body to use sugar for energy.

Eventually, stress on the pancreas slows down insulin production. In addition, fat cells release fat into the blood that impairs cells’ ability to use insulin correctly.

Diabetes can create a domino effect of complications. High sugar levels in the blood damage small blood vessels and nerves, leading to a risk of cardiovascular disease, stroke, kidney failure, blindness, leg pain and a loss of sensation in the feet. High sugar levels can also make healing from infections difficult.

If someone has type 2 diabetes, he or she should avoid sweetened drinks, sweets, breads, pastas and white rice. Foods that are good for diabetics include fruit,

vegetables, lean meats, fish, whole grains, beans and low-fat dairy.

Researchers have been working to find the best ways to prevent and treat type 2 diabetes, but they haven’t found a cure yet.

Newer medications for diabetes have focused on using the body’s own abilities to process excess sugars.

As research continues, doctors emphasize the importance of diet and exercise. It’s important to work healthy eating and fitness into your daily routine. The results will dramatically improve your life.

Peterson & Plante Internal Medicine Associates educates patients at risk for type 2 diabetes about lifestyle changes that promote prevention. For patients with diabetes, these clinicians give patients the tools they will need to manage their illness and prevent complications.

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NORTHEAST COLUMBIA HOUSE CALL

Cassandra Patterson, MD

A Lexington Medical Center Physician Practice

21 Gateway Corners Park Suite 101 Columbia, SC 29203 (803) 865-2122 LMCPetersonandPlante.com

Stop the Spread of

What Do You Have to Lose?

From cleanses and detoxes to fad diets, people will try just about anything to lose weight.

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hile most people focus only on how to Evaluate your meet their weight-loss goal, making lifestyle changes can improve overall health. lifestyle and be has shown that your health can be greatly honest about what Research improved by a loss of just 5 to 10 percent of your you are eating. Even starting weight. an extra 100 to 150 “Being at a healthy weight can decrease your risk for diabetes, hypertension, sleep apnea and high cholesterol. calories per day can For many, being at a healthy weight also makes them lead to gaining 10 feel better and improves their self confidence and selfpounds per year. esteem. Even losing 10 pounds has shown to decrease blood pressure and blood sugar, which could mean fewer prescription medications over your lifetime,” said Eva A. Imperial, MD, at Spring Valley Family Practice, a Lexington Medical Center physician practice.

Weight management is even more important if you have other health issues, such as diabetes, hypertension or high cholesterol. The effects of these conditions can worsen with poor diet and exercise habits.

If you want to get to a healthy weight and stay there, making lifestyle changes works better than dieting.

“Start with small changes, such as cutting down on tea and sodas, or taking a short walk each day,” said Dr. Imperial. “Evaluate your lifestyle and be honest about what you are eating. Even an extra 100 to 150 calories per day can lead to gaining 10 pounds per year.”

If you start to feel discouraged or overwhelmed, focus on the little things you can do to improve your health in the long run instead of how much weight you want to lose.

“Tell yourself that you are making positive health changes for life, not for a ‘diet’ or a fad.

It takes time to take weight off and to continue to make healthy choices to maintain weight loss,” said Dr. Imperial.

Some people benefit from following a structured Eva A. Imperial, MD program to develop healthy lifestyle habits, while others use a self-paced approach. According to Dr. Imperial, the ultimate key is accountability. Most people are successful if they have to report to their doctor, attend a weekly weigh-in or follow up with A Lexington Medical Center Physician Practice their workout buddies.

“Find out what works for you, whether it’s a 229 Longtown Road medically supervised weight-loss program, getting Columbia, SC 29229 a personal trainer or joining a gym. There are only (803) 419-4949 SpringValleyFamilyPractice.com positive benefits to eating healthier and staying physically active.”

Viruses A Prescription for Health from Lexington Family Practice Northeast

Warm weather can harbor viruses • Summer colds • Gastrointestinal illnesses • Hand-foot-and-mouth disease in young children Summer colds can cause:

Sniffles

Fever

Congestion

Cough

So, • Wash your hands.

• Stay home from work when you’re sick.

• Keep your children out of school or daycare if they have a fever.

1 Day

The time viruses can be contagious before symptoms start

1 Week

If you’ve been sick that long, talk to your doctor about further treatment.

Antibiotics will not help a virus.

Staying healthy will make the summer more fun.

And don’t forget • Sunscreen • Mosquito repellent 76 Polo Road Columbia, SC 29223 (803) 699-7255 LFPNortheast.com LexMed.com

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Prsrt Std U.S. Postage

PAID

Columbia, SC Permit No. 221

2720 Sunset Blvd.

W. Columbia, SC 29169

Lexington Medical Center’s Northeast Columbia Physician Directory

A Lexington Medical Center Physician Practice

A Lexington Medical Center Physician Practice

A Lexington Medical Center Physician Practice

109 Barton Creek Court Columbia, SC 29229 (803) 256-2286 PalmettoFamilyMed.com

233 Longtown Road Columbia, SC 29229 (803) 788-0268 SandhillsWomensCare.com

810 Mallet Hill Road Columbia, SC 29223 (803) 419-6646 LMCCarolinaShoulder.com

A Lexington Medical Center Physician Practice

21 Gateway Corners Park Suite 101 Columbia, SC 29203 (803) 865-2122 LMCPetersonandPlante.com

A Lexington Medical Center Physician Practice

76 Polo Road Columbia, SC 29223 (803) 699-7255 LFPNortheast.com

A Lexington Medical Center Physician Practice

229 Longtown Road Columbia, SC 29229 (803) 419-4949 SpringValleyFamilyPractice.com

109 Barton Creek Court Suite A Columbia, SC 29229 (803) 791-2683 LexingtonSleepSolutions.com

A Lexington Medical Center Physician Practice

90 Summit Centre Drive Columbia, SC 29229 (803) 744-4900 LMCLexingtonCardiology.com

A Lexington Medical Center Physician Practice

720 Rabon Road Columbia, SC 29203 (803) 764-1228 LexingtonBrainAndSpine.com