Medical Examiner 1-7-22

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HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS

JANUARY 7, 2022

AIKEN-AUGUSTA’S MOST SALUBRIOUS NEWSPAPER • FOUNDED IN 2006

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VACCINESDON’T WORK T

rue, we have repeatedly talked about the value of vaccines in this newspaper. But honesty has compelled us to publish the headline above. And while we’re at it, seat belts don’t work either.  To clarify, while it is an established fact that vaccines are 100% non-effective, vaccinations do work. Vaccines might as well be Mello Yello or Corona (the beer, that is) for all the good they can do — which is zero — inside their little vials. They have to actually enter the human body to become effective. Similarly, seat belts never work - never unless they are worn.   Do seat belts always work? Unfortunately, no. How about vaccinations? Same answer.   But as all sane and rational people realize, any protection is better than none at all. And in the case of vaccinations and seat belts, a lot of protection (which is what they offer) is way better than none at all. Let’s Talk About the Failure Rate   We aren’t going to bury you under a mountain of statistics, but we do have a few (despite waving the white flag on our incessant nagging about masks and vaccinations as of R E N I M A our Oct. 1 issue, left). As a X MEACDCEICPTINAG NELEW general opening observation, NOW E C N E I T it’s good to remind ourselves PA that just about everything is subject to failure; nothing is ... perfect. Getting vaccinated appreciation p ee d h it offers nothing close to W complete COVID immunity. Vaccinations do have a FREE TAKE-HOME

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failure rate. Not getting vaccinated has a failure rate too, however, and it is considerably higher: a Texas study revealed that unvaccinated people are 13 times more likely to become infected with coronavirus and 40 times more likely to die from it.   That is a failure rate for the record books.   Incidentally, we got those statistics from a Breitbart article, a news source that is solidly conservative, Republican, and pro-Trump. In any other pandemic that wouldn’t matter, but this is the first political pandemic in recorded history.  Since the earliest outbreaks, county health agencies across the country have been reporting COVID data to their state health departments. Election results are also compiled county by county. The two sets of numbers permit side-by-side comparisons of COVID cases versus vote totals.   For instance: in counties that voted 60% or higher for Trump during the presidential election the death rate is more than two and a half times higher than in counties that went for Biden. Counties with even higher shares of pro-Trump vote totals saw still higher COVID-19 mortality rates.

In October 2021, the reddest tenth of the country (the most Republican parts) saw death rates that were six times higher than the bluest tenth (the most Democratic parts).   Again, those numbers are from a Breitbart article which was, in turn, citing research by NPR, which the article described as “far left.” But the Breitbart writer’s own conclusion was, “There’s just no question the vaccine works.”   Significantly, Mr. Trump himself has come out as strongly pro-vaccination. Days before Christmas he appeared on the talk show of Candace Owens, a vocal anti-vaxxer. To make a point during her interview with Mr. Trump, she questioned why more Americans died during 2021 than in 2020 despite having vaccines available.   Trump interrupted her. “Oh no,” he said, “the vaccines work. The ones who get very sick and go to the hospital are the ones that don’t take the vaccine....If you take the vaccine, you’re protected,” Trump said.   It’s a shame these realizations didn’t come sooner. Look at the difference in U.S. numbers over the past roughly 13 months: THANKSGIVING DAY 2020 Confirmed cases 12,780,410 Deaths 262,282

DECEMBER 31, 2021 Confirmed cases 54,747,971 Deaths 825,552

Source: Johns Hopkins University

New Year’s resolutions can sometimes be pretty trivial, but here’s one that could actually keep someone alive through year end: if you’re not yet vaccinated or boosted, start 2022 off by getting that situation corrected. It could be just the shot in the arm you need. +

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JANUARY 7, 2022

THE FIRST 40 YEARS ARE ALWAYS THE HARDEST

N IS FOR

PARENTHOOD

NERVES

by David W. Proefrock, PhD

Your 7 year-old daughter has an imaginary friend. She is doing well in school and has plenty of real friends, but you are worried that she is too old for imaginary friends. What do you do?   A. Tell her that she is too old to have an imaginary friend and work with her on ways to give up the imaginary friend.   B. Make sure she knows that her imaginary friend is imaginary and not real. As long as she understands that her friend is not real, there is no need to worry.   C. Whenever you hear her mention the imaginary friend, stop her and tell her that the friend is not real and that she should not talk about it.   D. This might be the sign of a serious psychological problem. Have her evaluated by a mental health professional. If you answered:   A. There is no need for this unless you see that she is blurring the lines of reality. If she is not, don’t worry about it.   B. This is the best response. Imaginary friends are an outward sign of a creative mind and are not usually a cause for concern.   C. There is no need for this level of confrontation and harshness. Imaginary friends are usually not a reason for concern and most often go away by themselves.   D. Imaginary friends are not signs of psychological problems. They are actually signs of creativity and a good imagination.   Sometimes parents worry about things that are not really a problem and should not cause distress. This is one of them. A 7 year-old with an imaginary friend is not something to worry about. + Dr. Proefrock is a retired clinical and forensic child psychologist.

MYSTERY WORD RETURNS! NEXT ISSUE!

PART N OF A 26-PART SERIES   It takes a lot of nerve to attempt to tackle a subject this complex. No one who reads what follows will be even a tiny fraction of a neurologist; that would take well over a decade of intense training.   What we hope to accomplish in the few hundred words that follow is a general overview of the body’s amazing electrochemical messaging system. Hopefully it will inspire you to do additional reading on your own.   Our network of nerves is extensive, and might be compared to a complicated and intricate circuitry of wiring with rather remarkable characteristics.   Nerve cells, often called neurons, are extremely durable: in a healthy person they can operate at optimal levels even for a lifetime that lasts a hundred years.   We have all heard the term “a bundle of nerves.” Well, our bodies actually do contain bundles of nerves. A massively enlarged cross section of nerve would look something like a bundled cable of electrical wiring. At their tiniest, individual nerve fibers (axons) are microscopic, but even at that Ths picture may have been size they are securely encased in inexpertly snapped from a durable sleeves of myelin which page in a textbook, but it well serve two functions: myelin illustrates the wiring analogy electrically insulates axons and of bundles of nerves. dramatically increases the speed of nerve impulses. Myelinated fibers (axons with a myelin sheath) can carry impulses as fast as 150 meters per second (more than 250 mph), while nerve impulses traveling along unmyleinated fibers may crawl along at less than one meter per second.

A natural question based on the illustration of the anatomy of a neuron would be: why are there gaps in the myelin sheathing? Wouldn’t better protection be provided by a continuous sleeve?   There is much that could be written about these gaps, known as “nodes of Ranvier,” but one of the interesting facts is that the gaps force nerve impulses to jump from node to node, which greatly increases the speed at which nerve impulses travel.   The aforementioned bundle of nerves, similar to an electrical cable, contains many individual nerve fibers, and as you can see from the cross-section, they are all individually wrapped, the wrappings are wrapped in bundles and then those bundles are wrapped up with other bundles into the wellprotected final product. All that is because nerves can’t regenerate or heal from major injury, so the body rigorously protects them.   That’s a good thing, because we use them every second of every day in ways we’re fully conscious of and in millions of ways we aren’t.   The nervous system is constantly receiving sensory messages, and it continuously evaluates this sensory input to determine what we need to do from one second to the next, a process known as integration.   For example, if you test the stream of water from the tub or kitchen faucet to see if it’s hot yet, your hand will jump back instantly if the water is scalding. You don’t have to decide to pull away; motor response instructions will be sent out to your hand quicker than you can think.   All kinds of data is constantly being streamed to the brain for evaluation and possible action. Our body weight pressing down on our behinds while we sit and read is routinely ignored (although it’s always there if we choose to think about it); a few drops of rain hitting the side of our face as we drive will definitely be noted, and both the thought and the actions necessary to roll up the window will be send out immediately.   Simply put (very simply), the whole system is divided into two parts, the central See NERVES page 16


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AUGUSTAMEDICALEXAMiNER

JANUARY 7, 2022

WHEELCHAIR TO ROBOCOP THE REAL-LIFE STORY OF A CHICAGO GUNSHOT VICTIM

This column introduced exoskeletons in its last installment (see https://issuu.com/medicalexaminer/docs/dec.3.21), also referred to as bionic technology, robotic therapy, cybernetic suits, exo-suits, and augmented mobility. Exoskeletons have significant potential for both healthcare and industry.   This column features emerging technologies that can improve healthcare, medicine, and wellness. ReWalk Robotics, featured this month, is an innovative medical device company that designs, develops, and commercializes robotic devices, allowing individuals with mobility impairments or other medical conditions the ability to stand and walk once again.     Imagine being in the prime of your life, 17 years old, with the dream of earning a football scholarship to pay for college costs. With each passing day your vision for a bright future comes closer to reality. Then through no fault of your own, you suffer a gunshot wound from a random act of violence. This unfortunate incident happened in Chicago to Darius Crump just a few months before reaching his goal of starting college. The dream-killing gunshot inby Dr. Chuck Cadle jured his spinal column, resulting in him becoming a T-12 paraplegic, paralyzed from the waist down. Darius had every right to feel victimized and depressed by his debilitating injury, but Darius is a fighter, and his story is inspiring.   The thought of using a wheelchair during the harsh winters in Chicago forced him to rethink his life trajectory. This transition was a turning point for him. He adamantly decided that his injury would not define him, a testament to his internal drive. Over the next six months, he moved from Chicago to the Atlanta area to begin studies at Morris Brown College. At first, the influence of the injury led him to pursue a degree in criminal justice, but he later changed his major to computer science. Darius refers to Morris Brown College as a foundational and pivotal element of his persona. The spiritual and emotional support he received from the college enabled him to move beyond his injury to a realistic evaluation of the next phase of life and career.   Darius later married the love of his life, Anastasia, and the couple, along with their young son, now lives in Decatur, GA. Home Depot, an advocate of diversity, valued both his tenacity and computer skills and hired him for an operations position. Darius has subsequently received several promotions. With his career and life now moving in a positive direction, Darius was mentally engaged but still troubled by mobility issues. He had concerns about atrophy in his legs and his physical health. Darius started swimming to build strength in his upper torso, and he formulated a nutritional regimen that included more protein to protect his bone and skin health. His computer science and research skills enabled him to continue delving into emerging nutrition and technology articles to Darius Crump walking with an exoskeleton under search for strategies that could have addithe watchful care of a ReWalk Robotics trainer. Please see ROBOCOP page 5

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WHAT’S THE BIG DEAL WITH OMICRON ALREADY? JEEZ.   We get the question. We really do. We understand why people are puzzled that a COVID variant with reported symptoms no worse than a cold (albeit a very bad cold) is the lead story in practically every newscast. Does that even make sense?   The answer that follows is why you read the Medical Examiner: for the straight scoop, the news behind the news.   For starters, even though the top five reported symptoms are all quite benign — runny nose, headache, fatigue, sneezing, and sore throat — who wants even one of them? Nobody.   Also, the top COVID expert at the World Health Organization (WHO) cautions that Omicron symptoms can (and already have) run the entire spectrum, from nothing at all to death.   Another item of note in the latest medical literature is the Ohio State University Wexner Medical Center report that suggests milder Omicron symptoms may have more to do with people’s vaccination status than the virus itself. In other words, since more people are vaccinated than ever, it’s possible that Omicron cases seem milder for that reason alone. Keep in mind, it has only been a month since omicron was identified by WHO (on Dec. 1) as a spreading variant of concern. Scientists are still learning and gathering data.   One more point of concern is the oft-reported main traits of Omicron: much more transmissible, but much milder symptoms. As for symptoms, see above, but the transmissible part is worrisome. Let’s say for comparison purposes that 100,000 people get the Delta variant and 5% of them get seriously ill. That’s “only” 5,000 people. By contrast, a million people are infected with Omicron but only 1% get severely ill. That is 100,000 people. And the more infectious or transmissible a variant is, the more likely it will reach across demographic divisions and hit those who are the weakest.   No wonder that even as the “mild” Omicron variant keeps surging, public health experts keep repeating: get vaccinated, wear a mask, avoid crowds, wash hands often. Listen up! +

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(706) 860-5455 www.AugustaRx.com • E-mail: Dan@AugustaRX.com www.Facebook.com/AugustaRX Opinions expressed by the writers herein are their own and/or their respective institutions. Neither the Augusta Medical Examiner, Pearson Graphic 365 Inc., nor its agents or employees take any responsibility for the accuracy of submitted information, which is presented for general informational purposes only. For specific medical advice, diagnosis, and treatment, consult your doctor. The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2022 PEARSON GRAPHIC 365 INC.


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JANUARY 7, 2022

#156 IN A SERIES

Who is this? ON THE ROAD TO BETTER HEALTH

A

nyone who recognizes this face and who has an ounce of human compassion may feel a deep sense of regret for the regrettable behavior sometimes displayed by other humans. If you were around when this kid was a national news story, you recognize the face: Ryan White.   The sad story of his brief and troubled life is a tale of ignorance, prejudice, hate and hysteria.   If you don’t know the story, we’ll bring you up to speed. And if you think you do know it, maybe you’ll still learn some new details by reading the few words that follow, or have your memory refreshed. After all, it all unfolded more than 35 years ago.   In the minds of many, Ryan White is an enduring symbol of AIDS, HIV and the gay community.   Well, not quite.   White was diagnosed with severe hemophilia shortly after his birth (in December 1971) when his circumcision resulted in uncontrolled bleeding. The disorder causes even minor cuts and injuries, internal or external, to result in severe bleeding. The treatment doctors prescribed was weekly transfusions of plasma from non-hemophiliac patients containing “factor VIII,” a clotting agent. This proceeded uneventfully for some time, but just days after his 13th birthday, White became severely ill with pneumonia. A resulting lung biopsy revealed that he had AIDS, contracted from a contaminated blood transfusion, a fate that befell thousands of hemophiliacs here and around the world.   At the time, doctors predicted he had perhaps six months to live. Before it was all over, he might have sometimes secretly wished the prognosis had been more accurate.   Ryan White’s AIDS diagnosis began a real life nightmare of hate, threats and violence against him and his family that continued even after his death.   Within months of his initial diagnosis, Ryan felt good enough to return to school. Nearly 200 students and teachers signed a petition urging administration to ban him from school, to which the principal and school board agreed. A months-long legal battled ensued, ultimately won by the Whites. On his first day back at school, almost half the students stayed home in protest. Later, a group of concerned parents permanently withdrew their children and launched an alternative school. Ryan had a job as a paperboy delivering the Kokomo Tribune, and many of the people on his paper route canceled their subscriptions, believing that AIDS could be transmitted on the papers he delivered. Tribune staffers were threatened with death for their editorial and financial support of White. According to Ryan’s mother, people on the street would yell, “we know you’re queer” at her son. Someone fired a bullet through their living room window. At that point the family felt forced to move to another town (Cicero, Indiana), and Ryan started 9th grade there in a more welcoming environment. That move came at about the same time as a study published in the New England Journal of Medicine revealing that the risk of non-sexual transmission of AIDS (other than by transfusion) was “minimal to nonexistent.”   As a non-gay person, White was often described in the media of the day as an “innocent” victim of AIDS, a label he rejected since it implied gay people with AIDS were “guilty” and somehow deserving of their affliction as a result.   Ryan White died of AIDS-related pneumonia in April 1990 at age 18. In the year following his death, his grave and its marker reading “Patience - Tolerance - Faith - Love - Forgiveness Wisdom - Spirit” was vandalized four times. +

A PATIENT’S PERSPECTIVE Editor’s note: Augusta writer Marcia Ribble, Ph.D., is a retired English and creative writing professor who offers her unique perspective as a patient. Contact her at marciaribble@hotmail.com by Marcia Ribble    As we age and become less able to do things we did with ease in our youth, it becomes even more necessary at time to review our lives for achievements, especially those we may not have thought were very important at the time. This is good to do as a new year appears on the scene, but is also particularly essential if, at the time, we received negative feedback.   I’m not sure why, but my mother took it as her mission to make sure that I never “got too big for my britches.” Her attitude mystifies me because I am normally shy and unsure of myself. It’s not like I needed to be taken down a notch.   Even when I was achieving something many people thought was awesome, she would criticize it. When I graduated from high school, I was named salutatorian. It was announced on the loudspeaker at school, and I was thrilled. I never really cared about being better than anyone else, and I helped other students to do well, too. I rushed over to Mom’s workplace to tell her. Instead of being pleased for me, she got angry. “You don’t deserve it,” she accused me, as if I had been cheating. She thought because I hadn’t taken as many math and science classes as she had, that I had slid through with no effort. I don’t have a math and science brain. Not everyone is good at everything. I still am not good at math, but I can do enough to get by with the tasks of adulthood. So my job now is to take that hurt high school senior and let her know that she did very well and I’m proud of her.

Recently, I met the daughter of one of my former classmates. “Dad has talked about you for years,” she told me. “He said you are one of the smartest people he’s ever met.” Other high school classmates have told me that without my help they would never have passed Latin. It’s helpful to me to know that I mattered. It’s helpful to know that others saw in me what my mom couldn’t or wouldn’t see.   One student in high school was even shyer than I was. He simply never, ever spoke to anyone. I used my feelings of never being good enough to tailor how I responded to his silence. Every day I greeted him by name. Just a simple, “Hi, how are you today?’ He never answered. I didn’t need his feedback; it was the right thing to do. Years later my youngest sister became friends with his younger sister, and he told my sister that my recognizing and speaking to him was very important to him. He could talk at home with his family. Just writing this makes me feel good. It argues against my mother’s negative responses to me.   My experiences were valuable for another reason. When I became a teacher I remembered how it felt. When I encountered students with dyslexia, I was able to assure that person that the teachers who told them they weren’t smart enough to learn, or too lazy to learn, were 100 percent wrong. I taught adults who carried that sense of never being smart enough or hard working enough to succeed that success was possible, and I would help them to achieve it. My mother could never have guessed how good I would be as a teacher. +

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As we wrap up 2021 and boldly stride, seat belts were dusty dirty things that were or perhaps limp into 2022, depending on deep down in the creases of the seats that we our circumstances, I can’t help but think of never used back then (see article on page 1). loss again. The people we lost this year, as So far, in my current stage of middle age anyI lost my father and a few friends too, and way, my wife thinks I am more like my Aunt I’m sure some of you out there are also in Merle than my grandmother. Well, at least that same boat. Then there are the famous I wear my seatbelt and make sure everyone people that touched our lives in some special else is belted in when I drive. way that we lost in 2021. People like Betty   Memory is another thing we lose. I realized White who was so close to making it to a about halfway through the previous paracelebration for her 100th birthday but ended graph that I had previously shared a similar up falling just 17 days short on the last day story about Aunt Merle, so I had to go back of the year. True, she and other celebrities to read it to make sure I didn’t repeat myself we lost weren’t our personal friends in most too much. I have gotten so bad at forgetcases, but the shared loss we ting that I’m starting to worry have regarding them can be little bit about it. It would My money is on aprobably understood in the fact that we bother me more, but call them stars. We can all see I tend to forget about it. I often self-driving cars. the literal stars and the other remember that I failed to take heavenly bodies, and if somemedicine as prescribed by my thing happened to one of them, doctor. Excuse me for just a such as if the moon suddenly crumbled, we’d second… Ok, I’m back. I had forgotten to all feel the loss. take my after-supper medication. I even   But I’m not just talking about losing peoforgot that this was a deadline week for this ple. Another way that loss can manifest itself column, so I am now banging it out while I is the abilities that we lose as we age. It isn’t watch some bowl games and I’m counting on usually all at once, but over time we can’t the understanding of the kind, patient, and move as fast, we can’t remember so well. We generous editor of this paper. There, a little might not hear as well as we once could, or sucking up never hurts. Maybe he’ll give me our vision might be fading. As the dominoes a raise. fall, these things can add up and lead to us   My mother recently had surgery on her losing other things, like the ability to drive, eyes so that she can keep driving. Even with handling or own finances, maybe even walkthe surgery, she feels like it is best if she ing without the aid of a cane or a walker, or doesn’t drive at night, and I concur. She is perhaps even having to use a wheelchair or not in the best of health, but fortunately she scooter. This can also mean that we lose a still can take care of herself. We are hoping measure of freedom. for many more years of that, but nothing   As we matured from teenagers into adultlasts forever, and so we prepare for it. hood, we gradually gained more freedom   Personally, I am counting on self-driving and we got used to that, but as we age, we cars to take care of my transportation needs are likely to regress. Of course, there is no once I can’t drive. Perhaps that and other set schedule and everyone is different, so we technologies will allow us to stay indecan’t make hard and fast rules, but the main pendent even longer than our parents and thing that made me think of this was drivgrandparents. Time will tell. I only hope that ing on the Aiken by-pass yesterday. I think I live long enough and healthy enough to I got behind some of the slowest drivers in see those changes while living with joy and Aiken. Once we got to the light, I was able happiness. Part of that comes from humor. to get in the left lane and see that a senior I have known people even in their eighties citizen had been in the “pace car” that had and nineties who were joyless and dour, but kept us at a top speed of 45 miles per hour I have known many more who still smile and in a 55 zone. It wasn’t surprising. I recalled can laugh at the hijinks of a puppy or even at my dearly departed grandmother who never themselves. That’s who I want to grow old to drove faster than 45, even on the interstate. be like. Well, that and Mark Twain. I begged her to at least go 55, but I never   So, even if our abilities and freedom are in prevailed in that argument. Then one day she retrograde, we can still strive to bring some resolved the problem by refusing to drive on light and laughter into the lives of those the interstates. If she had to travel a long way around us and be known as that fun-to-beshe’d take a bus, or I would drive her. Oddly, around grandpa, grandma, aunt, uncle, etc. her fraternal twin sister, my great aunt Merle, If we do, we won’t likely have a shortage of was just the opposite. I know that I have people around us who reciprocate and help mentioned this before, but it bears repeating. make our later years the best that they can Riding with Aunt Merle was an adventure. If be no matter the circumstances. + our parents had known how aggressive she J.B. Collum is a local novelist, hudrove, they’d have never let us go anywhere morist and columnist who wants to with her. My siblings and I and our cousins be Mark Twain when he grows up. would slide around in her back seat as she He may be reached at johnbcollum@ seemingly took corners on two wheels. Or gmail.com at least it felt like it. We slid around because

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tional life-changing healthcare benefits. It was during this time that he discovered ReWalk Robotics’ exoskeleton.   He knew this technology could enable him to walk again. One can only imagine the excitement this discovery must have brought to him. Darius explored several options for funding and sometime later obtained the necessary funds to purchase the exoskeleton and attend ReWalk’s training program. Darius had once again found a solution to overcome obstacles associated with his disability.   Fast forward to today (22 years after his injury), Darius has a smartwatch connected to a battery-powered robotic exoskeleton that enables him to walk again. The watch has three buttons (stand, walk, and sit), and from a simple press of one of these buttons, he now can walk, which he frequently does around his neighborhood.   Darius says that when he first suited up and walked, he felt like Robocop, the fictional character from the 1980s science fiction movie. He also noted how great it was to have a standing perspective once again. It only takes him a few minutes to suit up and he is off and walking.   What a fantastic story of how technology can improve a person’s lifestyle. Darius’ story is not only a human-interest story, but one of inner strength and resilience, and a life story from which we can’t wait to read the next chapter. +

ns he te

Middle Age

ROBOCOP… from page 3

nt Joi

ADVENTURES IN

+


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IMAGINE A WORLD WITHOUT OVERHEAD DOOR

by Kim Beavers, MS, RDN, CDCES Registered Dietitian Nutritionist, Chef Coach, Author Follow Kim on Facebook: facebook.com/eatingwellwithkimb

MEXICAN CORN AND BLACK BEAN SOUP   This soup is delicious and economical. The sweetness of the corn pairs perfectly with the slight spiciness of the peppers.

ON SECOND THOUGHT, PLEASE DON’T.

Ingredients • 5 cups corn kernels, fresh or frozen; divided • 5 cups reduced sodium chicken broth; divided • 1 teaspoon oregano • 2 roma tomatoes, chopped • 3 teaspoon canola oil • 1 medium sweet onion, chopped (about 1½ cups) • 1 cup celery, chopped • 2 poblano chilies, seeded and diced • 2 garlic cloves, minced • ¼ teaspoon pepper • 1 (15 ounce) can black beans, drained and rinsed • ¼ cup cilantro, chopped • Lime wedges -- make sure to include! The lime juice is excellent in the soup! • Salsa (optional) Instructions   Place about half the corn (2 ½ cups), two cups broth, oregano and tomatoes into a blender and puree until smooth, set aside. In a large pot (or Dutch oven) heat oil and add onions, chilies and celery, cook over medium heat until the onions are translucent (about 5 minutes). Add garlic and cook another minute. Transfer

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the remaining three cups of broth, puree mixture, corn kernels, and black beans to the pan and bring to a simmer. Top with cilantro, salsa and serve with lime. Yield: 6 Servings (Serving Size: 1 ½ cup) Nutrition Breakdown: Calories 190, Fat 2g, Cholesterol 0mg, Carbohydrate 38g,

Sodium 550mg, Fiber 10g, Protein 9g, Potassium 573mg, Phosphorus 49mg. Percent Daily Value: 20% Vitamin A, 230% Vitamin C, 6% Calcium, 15% Iron Carbohydrate choices: 2 Carbohydrates Diabetes Exchange Values: 2 Starches, 2 Vegetables, ½ Lean Meat +

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ASK DR. KARP

NO NONSENSE

NUTRITION Sarah, from North Augusta, writes: “Dr. Karp, can you give us some simple, inexpensive steps we cn take to have healthier nutrition in 2022?”

Happy New Year, Sarah. Wonderful question, because good nutrition is actually pretty inexpensive and pretty simple.   “What?” you say. “How can that be true with all the pricey stuff I see in the grocery stores?”   It makes a person think that the best nutrition is actually expensive and complex. In 2022, should I eat for my brain or my heart or to retard aging or to enhance my sex life? In addition, don’t those special extra-healthy superfoods and all those supple-

ments cost much more than eating ordinary foods?   Let me pass on some of the advice that my grandma used to give me about food. Why would a contemporary nutrition scientist like myself reach that far back in time for sound nutrition ideas? She lived through two world wars, two times when many farmers and farm laborers were being drafted. The farm manpower shortage caused concerns about having enough food to properly nourish Americans at home, and properly nourish soldiers abroad. To help alleviate this problem, the federal government started some very effective public nutrition education programs whose aim was to help people get the most nutrition out of a limited food supply.   “Eat your vegetables!” How often did I hear this from my grandma and parents? Thousands, maybe millions of times. Well, in 2022, heed that advice. Since the early twentieth century, nutrition science has made important advances. And all the data shows that grandma was right. The more veggies and less meats you eat, the healthier you will be. Today when I mention this to people, the response is usually an indignant, “Dr. Karp, I eat my veggies!” When we closely examine what people are eating, we find that most people eat some veggies each day, but far below the suggested number of servings. And guess what? Nutritional-

ly, french fries are classified as fats, not veggies. And that celery stick that comes with your lunch of fried chicken nuggets, French fries, ranch dressing and a soft drink… well, it really doesn’t significantly increase the nutritional value of that meal, either.   To be healthier in 2022, you need to eat fruits and veggies at every meal, at least 5 and preferably many more servings each day. In our house we eat 8-11 servings of fruits and vegetables each day. They can be plain old, inexpensive fruits and veggies. They don’t need to be exotic or super-duper extra-antioxidant-rich. Fruits and veggies in the morning, fruits and veggies as part of lunch, and fruits and veggies for dinners and snacks. On the weekends, for example, instead of those fried eggs, bacon and hashbrowns, try a mushroom/pepper/onion omelet, with a side of avocado/tomato salsa on whole grain toast. It tastes wonderful and all those colors on your plate are very appealing. Make sure that the sandwich you have for lunch has veggies in it; don’t tell your sub maker, “pile on the meat and cheese, no veggies, please.” Snack on

Have a question about food, diet or nutrition? Post or private message your question on Facebook (www. Facebook.com/AskDrKarp) or email your question to askdrkarp@gmail.com If your question is chosen for a column, your name will be changed to ensure your privacy. Warren B. Karp, Ph.D., D.M.D., is Professor Emeritus at Augusta University. He has served as Director of the Nutrition Consult Service at the Dental College of Georgia and is past Vice Chair of the Columbia County Board of Health. You can find out more about Dr. Karp and the download site for the public domain eBook, Nutrition for Smarties, at www.wbkarp.com Dr. Karp obtains no funding for writing his columns, articles, or books, and has no financial or other interests in any food, book, nutrition product or company. His interest is only in providing freely available, evidencedDr. Karp based, scientific nutrition knowledge and education. The information is for educational use only; it is not meant to be used to diagnose, manage or treat any patient or client. Although Dr. Karp is a Professor Emeritus at Augusta University, the views and opinions expressed here are his and his alone and do not reflect the views and opinions of Augusta University or anyone else.

DANIEL GREGORY LEOPARD PC AT T O R N E Y

CRIMINAL DEFENSE • FAMILY LAW • PERSONAL INJURY 461 Greene Street at 5th • www.gregleopardlaw.com • 706-724-7511

JANUARY 7, 2022

grapes, cherries, apples, low fat cheese, yogurt; not chips, cookies, cakes, pizza bites, etc.   In 2022, eat to live, don’t live to eat.   “You’re eating too much and gaining weight; stop eating so much and go outside and play.” In this simple grandma advice are some very wise concepts. In the early twentieth century, only 1 in 10 Americans were overweight or obese. Today, the sad truth is that about 7 out of 10 Americans are overweight or obese. Along with this heavyweight statistic comes all the health issues such as diabetes, heart disease, stroke, high blood pressure, cancer and joint problems.   Anyone who really wants to be healthier in 2022 should stop focusing on supplements and superfoods and start focusing on their weight and activity level. In 2022, resolve to change your mindset that being overweight is an appearance and fat-shaming issue. In 2022, remember that being overweight is an important health issue. Take your health professional’s advice about your weight and take it very seriously.   “You’re using too much salt. Stop shaking so much salt on your food.” Once again, Grandma was right. Looking at 2022, most of our salt does not come from the shaker, it comes from eating out way too much and buying all those pre-prepared foods and meals. When you eat out or buy pre-made meals, you have put someone else in charge of your diet and its salt content. Restaurant foods and fast foods have gotten saltier and saltier. You need to regain control

of your salt intake. How? Eat out less often, much less. Making simple, nourishing meals at home, or making lunches to take with you to work is very simple, much less expensive and much healthier. You do not have to be a chef or a gourmet cook to do this. A very simple sandwich with a piece of fruit for dessert, with water or skim milk as a drink will do the trick. Remember simple sandwiches? Tuna fish, lettuce and tomato sandwiches, cheese/veggie sandwiches? Use whole wheat breads. It takes a minute. Literally.     Don’t want to be bothered with making a sandwich? Simply put some low-fat cheese and whole wheat crackers in a little baggie, along with a pear or an apple or some cherries and eat that for lunch. How about having a hearty vegetable soup for lunch, with whole wheat crackers? Have a simple bowl of whole grain cereal with fruit and skim milk in the mornings or some yogurt and fruit, not those breakfast “candy bars.” When you take control of what you eat, you are also taking control of the salt in your diet. Simple? Cheap? Healthy? Yes, yes and yes.   What is the “No-Nonsense Nutrition” advice to begin 2022? Go back to the basics when it comes to nutrition. Heed grandma’s advice. That was a time before all the marketing and advertising “noise” from drug, food and supplement companies. It was a time when healthy food was defined as healthy for your body, not healthy for the financial status of stockholders. In my grandma’s time, nutrition campaigns existed to boost the public’s nutrition knowledge and understanding, not to convince people to buy unnecessary, unhealthy and expensive foods. 2022 should be a year in which you re-gain control over what it means to eat healthy food. If you want to make it simple and stress one nutrition principle during 2022, make it this: “Eat to live, don’t live to eat.”   Happy New Year! +

Thanks for reading!


JANUARY 7, 2022

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AUGUSTAMEDICALEXAMiNER

WARDROBE MALFUNCTION   For a couple decades, Ms. Emma Jane — always full-figured to say the least — taught 2nd grade in one of those South Georgia flatwoods counties where sweatdripping-under-your-armpit days were common. On one of them, Ms. Emma Jane was beset by a wardrobe malfunctioning of worrisome proportions.   The wire of her industrial strength underwire bra suddenly poked her with annoying intensity every time she breathed. Hot, sweaty, uncomfortable, and more than a bit perturbed, she trudged into the nearest girl’s bathroom. She wedged herself into a stall and plopped down to fix the situation. Still seated, she pulled her skirt up around her neck to escape the tortuous bra. That troubling wire had to come out. Immediately, if not sooner.   The wire would not cooperate. She could not remove it by hand. Resorting to flatwoods ingenuity, she bit the wire with her teeth and yanked the bra with both hands. Hard. The wire budged, a little. One more good pull ought to do it, she figured. With even greater effort she persevered with her considerable muscle power built up by decades of mov-

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ing her considerable weight about the countryside.   And then SNAP! With much unexpected ado, her expensively capped front tooth snapped off and (most of the time) bounced across the floor. A series by Blood flew. Gum pain shot Flatwoods Frankie to her flustered brain. Panic set in. do? A grown man charging   There she was, caught up into the girl’s bathroom? in morbid confusion. The Unheard of. Crude. Maybe troubling wire still stuck out even criminal. He banged on halfway like an antenna on the door and called out, “Is a ’57 Ford. She struggled everything all right in there?” to redress like teenagers A stupid question, judging in a lover’s lane when the from Ms. Emma Jane’s verHometown. Not big box. cops show up. Underwear bal intensity. exposed. Mouth bleeding. 437 Georgia Avenue, North Augusta, SC   Meanwhile, Ms. Emma Gapped front teeth. But she Jane had struggled out of the couldn’t get her bra back on.  stall and saw herself in the   No Southern Lady should bathroom mirror. Realizing be seen like this under any what Principal Yancy might circumstance. think if he saw her look  Only one thing left to do: yell out for help. Not very la- ing like that, “No! No! Not dy-like, but maybe some gen- now,” she cried.   But Principal Yancy shifted tle, helpful soul would hear into masculine over-protecand appear. No one came tive overdrive and charged in immediately. Therefore, she shrieked with determination. like Jim Dandy to the rescue. Ms. Emma Jane was a sight “HEEEELPPP! I need help in to behold as she struggled here. Right now!” Please see MALFUNCTION page 10   Principal Yancy happened to hear the pained cries and Michael Sharkey, MD alertly plunged forth seeking the damsel in distress, Lauren Ploch, MD though he knew not whom Caroline Wells, PA-C or where or why. Ms. Emma Chris Thompson, PA-C Jane’s distress cried steered John Cook, MD, Emeritus him to the girl’s bathroom door. But what was he to GENERAL, SURGICAL & COSMETIC DERMATOLOGY

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AUGUSTAMEDICALEXAMiNER

CRASH

COURSE

More Americans have died on US roads since 2000 than in World Wars I & II combined

S

peed kills.  One of the reasons that speeding matters Yeah, yeah, you say. Tell me something I is because of something we have written don’t already know. about previously in this space: courtesy of a   To which the Crash Course instructor says, deadly worldwide pandemic, many people “No, really.” have been, and in plenty of cases still are,   Speeding is not something to ignore or working from home and avoiding non-esview as inconsequential, yet that is exactly sential trips of every kind. If we didn’t what we do. And when we say we, we know what WFH meant two years mean pretty much everybody. (Plus, ago, by now we probably do. Added how often can you write a sentence to that right now, there may be lewhere 3 out of 4 consecutive words gions of people across the fruited are “we,” oui?) plain who have launched 2022   We are, collectively, addicted to with the determination to speed, so much so that the most walk every day. This early in commonly broken law on the the year, they are out there planet, it is said, is speeding. on the streets. (Cheating on taxes is said   In 2014 New York to come in second.) There City lowered the is not a single one of us citywide speed limit who hasn’t been guilty in the Big Apple to Speeding is often much more about safety for 25 mph. It made sense: of speeding at some point (or multiple points, pedestrians, bicyclists, joggers, children, walk- can you think of any ers and so on than it is about other motorists. maybe even earlier city in this country with today). more pedestrians and bicyclists than New   There are people — traffic engineers York? among them — who say that speeding is not   Along with their speed reduction, the inherently dangerous, and to a certain degree New York City Department of Transportation they have a point. To illustrate, let’s say on released research showing that a pedestrian a certain road the posted speed limit is 40 struck by a vehicle traveling at 30 mph is mph, but the actual speed of traffic on that twice as likely to die as a pedestrian struck at road averages 55 mph day in, day out. That 25 mph. would not be an unusual situation. If a driver   That is an astonishing statistic for a difdecides to scrupulously observe the posted ference in speed of just 5 mph, and it shows speed limit, he will create a hazardous traffic exactly how dangerous speed can be, not situation — and will probably get plenty of to other drivers encased inside steel cages angry stares and honks to reward him for his equipped with seat belts, airbags, and enlaw abiding ways. gineered crumple zones designed to absorb   Statistically speaking, the biggest factor in impact. No, speed is most lethal to people speed and the danger it presents is driving minding their business walking down the significantly faster or slower than the main street or sidewalk, pedaling along the curb flow of traffic. Either scenario can create in their own neighborhood, pushing a strollaccidents or increase the risk of impatient er or riding a skateboard. actions by other drivers, actions which some-   A driver could be a speed demon for times lead to that other highway danger, road decades and never get more than the ocrage. casional ticket. Or the very next time he   Having said all of that, the first sentence gets behind the wheel could be the time he of this article still stands; it is still a fact. strikes a child or some other unfortunate Speeding still matters, and the fact that near- pedestrian.  ly everyone is doing it makes it even more   Is saving a minute (possibly even just concerning. seconds) really worth the risk? +

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MALFUNCTION… from page 9

with her assortment of disarrayed garments. Principal Yancy’s mind struggled to make sense of this dastardly situation.   What happened here? Rape? Assault? Something worse? (It was before the days of domestic terrorism.)   “Let me get you covered up with my coat. Everything’s gonna be alright, Ms. Emma Jane. I’ll call the cops. But you gotta tell me who did this to you. We can’t have this kind of violence in our school. We won’t stand for it.”   Ms. Emma Jane finally faced the ridiculousness of her situation and the value of forthrightness and blabbered out, “I did it to myself. I broke off my tooth trying to fix my bra.”   Poor Principal Yancy. Coming back to reality, he eased his voice down and said, “Now, Ms. Emma Jane you gotta start from the beginning. How in heaven’s name did you do all this to yourself? Are you having mental problems? Nervous breakdown? Going through the change or something? I better call the doctor to come see about you.”   Back in those days, doctors made house calls, but this might have been the very first elementary school bathroom call for a wardrobe malfunction resulting in a semi-nude 2nd grade school teacher with stab wounds to her chest, a broken tooth, and bleeding gums. And let’s not forget the profound mental stress of Principal Yancy because his nerves were completely shot.   The doctor arrived and applied pressure and ice packs to stop the bleeding. Valium rescued Principal Yancy.   Now, I ask you: Should Ms. Emma Jane and Principal Yancy get hazardous duty pay? Their health insurance company would hemorrhage dollars for years to come. And their therapist would be able to send her kids to a nice private school with air conditioning to forestall other such wardrobe malfunction disasters.   All this happened because a stainless steel under-bra-wire failed under immense physical stress. Maybe Ms. Emma Jane could have sued the bra company and spent her settlement on a fat farm in Arizona starving off unwanted tissues while eating floor sweepings from a fruit packing plant marketed as Health Food Granola.   Maybe Principal Yancy could have claimed long term PTSD disability as a result of reoccurring images of Emma Jane in all her traumatized glory.   Seeing no need to be factually accurate with her dentist, Ms. Emma Jane blurred vivid details out of her mind. He probably wouldn’t believe her wild story anyway. After all, a dentist’s primary objective is high pay for pretty teeth, regardless of the body that housed them or how the mouth got the way it was. +

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JANUARY 7, 2022

the blog spot — posted by Richard E. Waltman, MD, on January 3, 2022

MY COLLEAGUES DIDN’T TAKE GOOD CARE OF ME   On two recent occasions I was the recipient of poor care. Care provided by my colleagues. Care that was not good. Care that made me feel sad. Care that did not help me or my patients.   First, I was yelled at by an angry son, who said I had not taken good care of his 89-year-old mother and had “almost killed her.” That information, he told me, came from the hospitalist, who had “saved her,” and unlike me, really did know what he was doing.   The son wanted me to know that his mother would have a “more competent” physician when she returned to the long-term care facility.   That, and he wanted me to know he was considering suing my ass.   I told him I was sorry his mother was ill and hoped she would fully recover. I did not apologize for the care I had provided her for six years, which I know has been excellent. This hospitalization was due to an acute decompensation of congestive heart failure, unpredictable and unpreventable.   It still hurt, though, as it has over my many years in medicine on those occasions my colleagues have chosen to speak ill of my care to patients and to families — almost always giving incorrect information, I should add.   I call this the “It’s lucky you came to me in time” conversation. Let’s get rid of it. It doesn’t help the patient, it doesn’t solve the problem, and it upsets families. It is not part of an effective care plan.   So why do some physicians do it? I don’t have a good answer. Does it make them feel better? Smarter? More competent?   I myself have done it, only once, never again.   When I was a first-year resident and knew everything, I criticized one of the private physicians at rounds for his care. My attending made me call him, and he explained his thinking and plan. It was most reasonable.   Then he provided me with a good guideline I have always kept with me: Consider that every physician you encounter is at least a little smarter than you are. Assume they know what they are doing, even if you don’t understand it. Most of the time they will be right. When you don’t get it, ask. Do it collegially, and it will be received well. Perhaps working together you can find an even better intervention. That way, the patient will always be best served.   And if you sincerely feel a physician has made a serious mistake or provided poor care, you should contact him or her directly. Go ahead, express your concerns. Be prepared, though, for a response that may well explain why the treatment provided was in fact correct, or at least was a reasonable option at the time.   Then later last week my 82-year-old long-term care resident with stable BPH symptoms (prostate gland enlargement) was admitted to the hospital with urinary retention and urosepsis. Investigating what had happened, I found that his neurologist had six weeks earlier stopped the Flomax and Finasteride I previously had ordered with good response because she felt he was having postural hypotension. Had she called me, I would have declined her recommendation, with my thanks for asking me.   Too much talking by one physician, poor judgment by another. Two unfortunate and avoidable results.   What to do?   I encourage you to give our colleagues the courtesy and the respect they deserve. Appreciate the care they provide, question professionally and politely when you must, don’t make changes without their input. Work together. Everyone wins, the patient most of all.   And never assume you are the smartest person in the room. You almost never will be. +

Never assume you’re the smartest person in the room.

Richard E. Waltman is a family physician

11 +

AUGUSTAMEDICALEXAMiNER

From the Bookshelf From an online Amazon.com review:    Over the years, I have had a number of people confide in me that either they or their spouses were considering divorce. My advice has always been to read Wallerstein’s series to learn the variety of outcomes that can arise post-divorce. Those considering divorce are all well advised to “do their homework.”   These books are also a must read for anyone involved in family and/or divorce counseling - religious or secular counselors.   In “Unexpected Legacy of Divorce,” the authors address the myth that the children will do fine if the parents are happy - divorced. Children, no matter how amicable and settled the parents are after divorce, suffer greatly. They lose their family, they lose control of their life (to the whims of parents and rules of courts), and they lose their childhood. All of these combine to provide a series of struggles as they move into adulthood and beyond.

Important subject areas covered in this book include: * The ghosts of childhood the bottomline after 25 years * The exploitation of children by divorcing parents * The path to adulthood being thrown out of sync * Children dealing with the loss of THEIR nuclear family; the family that created them just vanishing - a loss that will be quietly or openly mourned throughout their lives * Children living with and coping with chaos * The missing father or mother after divorce * Children growing up lonely

* Relationships with the “steps” (step-parents) * The loss of mom - whether or not she is physically available * Court ordered visitation and its disruption of a “real” life for the children to make mom and dad complete * Children of divorce taking the leap in relationships and marriages - the return of the relationship ghost * The role of an intact family for modeling and shaping children whether their parents marriage is good or bad * Other residues of divorce for children - fear of loss, fear of change, fear that disaster will strike, especially when things are going well * And the need for all involved in divorce, directly or indirectly, to be educated on all the issues that emanate from the divorce for children over their life as well as in the short term.   This will not be an easy read for many. It was not intended to be. + The Unexpected Legacy of Divorce by Judith Wallerstein, 400 pages, published in 2001 by Hyperion

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AUGUSTAMEDICALEXAMiNER

The Examiners

JANUARY 7, 2022

THE MYSTERY EWORD !

+

by Dan Pearson

Oh right, the NFL coach and broadcaster. I will say a prayer for his family.

I was just reading this article about the death Why the long face? of John Madden.

You should say a prayer for his pallbearers.

The Mystery Word for this issue: BLOMMSAITE

U S S I Simply unscramble the letters, then begin exploring T X E our ads. When you find the correctly spelled word N R hidden in oneUof our ads — enter at AugustaRx.com N Oannounce the winner in our next issue! IWe’ll

Too soon? © 2022 Daniel Pearson All rights reserved.

EXAMINER CROSSWORD

PUZZLE

ACROSS 1. Picnic pests 5. Studies before a test 10. Crusted wound-site blood 14. Trim 15. _________ County 16. Keep ____ on someone 17. Like some rains 19. Upon intro, sometimes 20. Type of surgery 21. Drunkard 22. Parter of Wynken and Blynken 23. Temporary fracture care 26. Straighten 29. Squander 32. Wreath of flowers 33. David Bowie hit 34. Redeem 35. Unit of energy 36. Employee benefit prog. 37. Peach companion? 38. Churchill sign 39. Gone by 40. Los Angeles team 41. Inheritor 42. Gun 43. 03 44. One-time Regency Mall anchor store 45. Lower canal or riverbed 47. ____-invasive 48. Mr. Floyd 49. Lower class 55. Leave out 57. Prepared, cooked, or served with spinach 58. Medicinal amount 59. Finished 60. High school woe 61. Exclamations of content 62. Relaxes 63. First or second ______

BY

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by Daniel R. Pearson © 2022 All rights reserved.

S U D O K U

DIRECTIONS: Every line, vertical and horizontal, and all nine 9-square boxes must each contain the numbers 1 though 9. Solution on page 14.

by Daniel R. Pearson © 2022 All rights reserved.

DOWN 1. Oxidant beginning 2. _____ sign 3. Waterproof canvas 4. Odd 5. Member of the dog family 6. Religious practice 7. Related 8. Flesh 9. Long-running NBC show 10. Sample lead-in 11. Projecting construction 12. Primary survey letters 13. Breast cancer check (abbrev.) 18. Elite English public school 21. Consume 23. Agitates 24. Satellite of Neptune 25. Detroit team 26. Fear in the sticks 27. Encampment encircled by wagons or armored vehicles

5

QUOTATIONPUZZLE

28. Make poor 29. Crazy 30. Gray 31. Type of holder? 34. Fad 37. Study suffix 41. Merchandise label 44. Damaged by use 46. Palm fruits 47. Must have 49. Arm bone 50. Starts to drift off 51. Endure, suffer (poetic) 52. Noted member of the National 53. ______ Karenina 54. ______ Crossing (road sign) 55. Room within a harem 56. Extinct flightless bird 57. Sum charged

O E E I C Y T E N N W B F O A N W O O O Y Y A V V R A T U R E G R H I by Daniel R. Pearson © 2022 All rights reserved

3 2 8 6 9 1 5 8 I R N6 4 O R K1 7 O S 2 9 A U 7 5 4 3 — Morris Fishbein

DIRECTIONS: Recreate a timeless nugget of wisdom by using the letters in each vertical column to fill the boxes above them. Once any letter is used, cross it out in the lower half of the puzzle. Letters may be used only once. Black squares indicate spaces between words, and words may extend onto a second line. Solution on page 14.

Solution p. 14

Use the letters provided at bottom to create words to solve the puzzle above. All the listed letters following #1 are the first letters of the various words; the letters following #2 are the second letters of each word, and so on. Try solving words with letter clues or numbers with minimal choices listed. A sample is shown. Solution on page 14.

1

2

E 3

1

2

1

O 1 2 3 4 H 2 3 1 2

T 1 2 3 4 5 6 7 8 9 L 3 1 2 3 4 5 6 7 8

1 1

2 2

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1 2 3 4

F 1 1 2 3 4 5 6 1 2 3 M 1 2 3 4 5 6 1 2 3 4 5

1.FFCLTTTMMDIHACI 2.SOOOOOHIMHHAAH 3.RSTNEVIPSIET 4.LEHHINOT 5.DRGEER 6.RRRT 7.AE 8.NN 9.T

SAMPLE:

1. ILB 2. SLO 3. VI 4. NE 5. D =

L 1

O 2

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I 1

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by Daniel R. Pearson © 2022 All rights reserved

WORDS NUMBER

1

Click on “MYSTERY WORD” • DEADLINE TO ENTER: NOON, AUG. 30, 2021

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JANUARY 7, 2022

AUGUSTAMEDICALEXAMiNER

THEBESTMEDICINE ha... ha...

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man in Moscow heard on the radio that it was currently 50 below in Siberia.   “They always exaggerate,” he said to his wife. “I’m going to call my cousin in Siberia and find out the truth.”   “What’s the temperature there?” he asked when his cousin answered the phone.   “About 20 below I would guess,” was the reply.   “I knew it,” the man said. “They said on the news here that it’s 50 below in Siberia.”   His cousin thought for a second and said, “Well, it might be that outside.”   Moe: When we were kids my brother and I used to fight in the pool every day. My mom finally told us to divide the pool in half and each of us had to stay on our half.  Joe: How did that work out?  Moe: Great for me. I picked the top half.   A guy called to his wife from the other room, “Hey honey? You ever get shooting pains across your body? Almost like somebody has a voodoo doll of you they’re sticking pins into?”

The

13 +

Advice Doctor

“Not really,” she shouted.   After a brief pause the husband yelled back, “What about now?”

©

Moe: What’s your problem?  Joe: I went to McDonald’s and ordered two large fries.    Moe: So?  Joe: They gave me like 50 little ones instead.   Moe: What did the magician say after accidentally cutting his assistant in half?  Joe: I give, what?  Moe: Abra-cadaver!   Moe: I don’t know if I ever told you this, but I was named after Abraham Lincoln.  Joe: But your name is Moe.  Moe: That doesn’t change that I was named after Lincoln. Almost 200 years after, in fact.   An old lady had sent out a pile of Christmas cards, and still had quite a few left to send when she ran out of stamps. She went to the post office and told the clerk she needed about twenty stamps.   “What denominations?” he asked.   Surprised by the question, she had to think for a few moments. “Let’s see...,” she began, “six Baptists, two Methodists, four Lutherans, five Presbyterians, and maybe two or three Catholics.”   Moe: Life is like flying a helicopter.  Joe: How so?    Moe: I have no idea how to fly a helicopter. +

Why subscribe to theMEDICALEXAMINER? What do you mean?

Staring at my phone all day has had no Effect on ME!

Because try as they might, no one can stare at their phone all day.

Dear Advice Doctor,   I guess this is a love life question if you answer those. I was dating this great girl for almost two years, but a couple weeks ago we broke up over a little argument. I was 100% sure we would get back together, but I had a rude awakening today: I found out she’s already seeing someone else! Do you think she’s just trying to make me jealous, or should I move on? — Torn at the moment Dear Torn,   I’m so glad you took the time to write in about this. It’s an important subject that affects more people than most of us would realize. Of course, everyone likes to be awakened gently, but rude awakenings can be especially problematic for people who are sleepwalkers.   There are all kinds of old wives’ tales about what happens when sleepwalkers are awakened, but the simple truth is that sleep walking — technically known as somnambulism — takes place during the deepest phases of sleep. Obviously someone walking around the house or even driving a car is not sleeping lightly. As a result, if they are awakened they can be extremely confused and disoriented, even violent, aggressive and combative.   Because of this, experts with organizations like the National Sleep Foundation recommend the best course of action is to try to gently guide the person back to bed without waking them up, and with minimal physical contact, since that might awaken them. If efforts to return the person to bed are not successful, the next best option is to stay close by to make sure they don’t do anything to endanger themselves. Although the common misconception is that you shouldn’t wake a sleepwalker, it can actually be very dangerous not to. The person could fall down a flight of stairs, for example.   If you do have to wake up a somnambulist, don’t shake the person. You’re too close to them, and you could be injured by their confused and combative response. Instead, make a loud noise from a safe distance, then gently explain what happened and try to get them back to bed.   I hope this answers your question. Thanks for writing! + Do you have a question for The Advice Doctor about health, life, love, personal relationships, career, raising children, or any other important topic? Send it to News@AugustaRx.com. Replies will be provided only in the Examiner.

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THE MYSTERY SOLVED E!

THE PUZZLE SOLVED A N T I

The Mystery Word in our last issue was: METABOLISM

A F E A R D

THE WINNER: TIMOTHY WILLIFORD! Want to find your name here next time? If it is, we’ll send you some cool swag from our goodie bag. The new Mystery Word is on page 12. Start looking!

O D A

U S S I ...cleverly hidden in the woman’s hair in the p. 15 ad for T X E READ US ON YOURNSMARTPHONE OR TABLET R U O IN

N E O N

T A R P

S T R A N L I G A M E A P G O E V R E D R A M I T O S E A H S

C A E N T I O D N C O R L A O Z G E Y F E E

R I T E

A K I N

W A C K O

A S H E N

U L N A

N O D S

M S E N A L T S S P S T E H I N A R D R S E W N O D E R R E N E D E S

S T O O L

C A N T I L E V H E A R N G R T I A C G E

A B B S C E N E R E I D

T I G E R S

A N N A

D E E R

SEE PAGE 12

The Celebrated TheSUDOKUsolution MYSTERY WORD CONTEST 3 2 5 1 9 8 7 6 4

...wherein we hide (with fiendish cleverness) a simple word. All you have to do is unscramble the word (found on page 12), then find it concealed within one of our ads. Click in to the contest link at www.AugustaRx.com and enter. If we pick you in our random drawing of correct entries, you’ll score our goodie package! SEVEN SIMPLE RULES: 1. Unscramble and find the designated word hidden within one of the ads in this issue. 2. Visit the Reader Contests page at www.AugustaRx.com. 3. Tell us what you found and where you found it. 4. If you’re right and you’re the one we pick at random, you win. (Winners within the past six months are ineligible.) 5. Prizes awarded to winners may vary from issue to issue. Limited sizes are available for shirt prize. 6. A photo ID may be required to claim some prizes. 7. Other entrants may win a lesser prize at the sole discretion of the publisher. 8. Deadline to enter is shown on page 12.

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NERVES… from page 2

nervous system (the brain and spinal cord, aka CNS) and the peripheral nervous system (or PNS, all the nerves branching out from the spinal cord), which provides the communication lines linking the entire body to the CNS.   The PNS, in turn, has a dual assignment. Logiclly enough, it has its sensory role, sending constant reports to the CNS via specialized fibers (known as its afferent division, meaning literally “carrying forward”); and it also has its motor or efferent (“carrying away”) division. The two divisions create an all-important 2-way street for nerve impulses. It would be of little benefit for afferent fibers to detect that scalding water without the corresponding ability of efferent fibers to send the message to yank your hand out of harm’s way.   It all stems from the body’s millions of neurons, an illustration of which appears here again for the sake of convenience.

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It’s all deceptively simple in design: each nerve cell has a nucleus surrounded by a soma (or “body”) from which extends a single axon (which can branch out at it its end into axon terminals) and potentially hundreds of dendrites, each of which can branch out countless times, creating an enormous (yet microscopic) surface area for sensory collection.   Speaking of things that are big yet small, the award for longest cells in the human body goes to the motor (or efferent) axons by which we can wiggle our big toe. Those axons extend from the lumbar regions of the spinal column all the way to the big toe — great toe in polite company — a distance of 3 to 4 feet, depending on a person’s height.   The body’s neurophysiology is an extremely complex system, and this very brief and simplistic overview is probably what neurologists studied in kindergarten. But hopefully it has given each reader a tiny glimpse into the amazing machines we inhabit and need to care for to the very best of our abilities. +

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