Holding down a job while coping with a chronic illness is difficult. Getting everything accomplished that needs to be completed each day while juggling symptoms is not easy. If you feel like articulating all of this to your employer, that isn’t easy either. It takes so much energy to work. Chronic pain, symptoms, and fatigue take away energy, leaving behind the feeling of depletion. It’s important that we pace ourselves and don’t overdo it. We must remind ourselves what will happen if we overdo it if we’ve already experienced this. udging by the art we designed for this new feature, you might imagine we’ll be examining topics like how the ancients tried to prevent the plague with eye of newt and witch hazel. We just might delve into eye of newt someday, but right now we’ve got our hands full with all the medical mythology believed by people of more recent civilizations. Like our very own. The spectrum of old and new wives’ tales that are alive and well in our allegedly enlightened era range from A to Z (aging to zits) and everything in between. Let’s start with one that is particularly relevant right now: sun protection. It’s summertime. It’s sunburn season. What is the optimal SPF to prevent sunburn? Are tanning beds safer than the sun? Is sunscreen left over from last summer still effective? Confession: we’ve already uttered a false (aka mythological) statement, to wit: summertime is sunburn season. If the sun is out, it’s sunburn season, no matter what month it happens to be. Oops! We did it again! Another myth! It isn’t necessary for the sun to be out to get burned by the sun. Up to 80 percent of the sun’s UV rays still reach us even on cloudy days. Dermatologists, the doctors who treat skin cancer and should know about these things, recommend wearing sunscreen 365 days a year (366 if it’s a leap year), at least if you go outside every day, which most of us do. Sunscreens are rated according to their Sun Protection Factor, or SPF. It would seem logical that the higher the SPF rating, the better, but that is not true, according to the American Academy of Dermatology (AAD). Unlike earthquake ratings, where even a fractional increase in a Richter Scale reading spells a dramatically more intense earthquake, even big jumps in SPF numbers mean only
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D. Adult explanations are often lost on pre-schoolers. In addition to a brief explanation, show her that you are not pleased.Violence is never a good punishment, and punishments are not the best way to teach proper behavior. The best re sponse is always education. You are, after all, teaching when you are parenting. And remember The Five Rule of explana tions: No more than five sentences that are no longer than five words that are less than five syllables each.
FIND WORD!MYSTERYTHE PARENTHOOD by David W. Proefrock, PhD Your 4-year-old daughter has started biting. This has not been a problem before, but now she bites other children, her older brothers and sisters, and even adults. She recently bit a child at daycare hard enough to draw blood. What do you do?A. The best way to deal with this is to allow other kids to bite her back when she bites them. That will teach her.
What about using last sum mer’s leftover sunscreen? The biggest red flag here is that leftover sunscreen usually means people aren’t using it often enough, nor in sufficient quantity.Asidefrom that, the FDA requires sunscreens be effective as rated for at least three years. If yours is older than that, toss it and buy fresh. (Also, reread the pre vious paragraph.) If you buy sunscreen that is not labeled with an expiration date, use a Sharpie to write your date of purchase on the bottom (and then, again, reread the previous paragraph). The broad spectrum aspect of protection addresses both types of rays. The sun bakes primarily with UVB rays, the primary cause of sunburn (remember “B is for Bake”), while tanning beds emit UVA rays. Both are classified as known carcinogens. At one time, only UVB rays were thought to be harmful, but research has shown both to be potential carcinogens, and UVA rays are especially im plicated in skin damage that results in aging (remember “A is for Aging”). In addition to sunscreen, add a hat and long sleeves. In closing, without the sun life as we know it would end. The same thing might be said of too much sun. +
Dr. Proefrock is a local retired clinical and forensic child psychologist.
ENTER!WIN!
B. When you see her bite someone, give her a swat on the bottom and tell her she is not to bite.
C. Sit her in a corner or otherwise isolate her as soon as you find out she has bitten someone. Keep her in time out for a short time, no more than five minutes, then explain to her is simple language that she is not allowed to bite. D. Explain to her that she cannot bite people. Keep ex plaining it to her until she stops biting. If you answered: A. This is not the best way to deal with anything. It is ridiculous to respond to unacceptable aggression with more aggression. Good parenting should never include violence. B. This is no better than encouraging other kids to bite her. A swat is not horribly violent, but it is still responding to aggression with aggression. C. This is the best response. It works best if you can catch her immediately after she bites. The explanation should be very simple. Something like, “No! You should not bite!”
AUGUSTAMEDICALEXAMiNER AUGUST 5, 20222+ MYTHOLOGY… from page 1
THE FIRST 40 YEARS ARE ALWAYS THE HARDEST +
Details on p. 12 & 14 very slight increases in sun protection. An SPF of 30 pro tects against about 97% of the sun’s rays, but if you more than triple that rating to SPF 100, the added protection will only be 98 or 99%. SPF 30 is plenty.Some people think sun screen is sunscreen is sun screen. Not so. For example, some sunscreens include insect repellent, and others advertise that they include moisturizers. The AAD does not recommend using combi nation sunscreen products. When buying sunscreen, look for a broad spectrum product (which means it protects against both UVA and UVB rays...more about them in a moment), SPF 30, a water-resistant formula, and if you’re on a vacation to the tropics, look for “reef safe” labeling (not an FDA-regu lated term, but generally it denotes sunscreens that do not contain chemicals known to harm coral reefs). Even with the right sun screen, most people don’t apply enough – in several ways. First, they might skimp in terms of the quantity they put on, which will reduce the full protection of the sun screen’s rating. Then they in advertently skip whole areas that are very important, like ears, the tops of their feet, or a man’s bald spot. Final ly, most of us don’t reapply sunscreen often enough. The AAD recommends at least every two hours, more often when perspiring heavily, and after swimming. Hence the advice about combo products: insect repellent should not be repeatedly slathered all over our skin all day long
GET BOOSTED? WHY BOTHER?
AIKEN-AUGUSTA’S MOST SALUBRIOUS NEWSPAPER Direct editorial and advertising inquiries to: Daniel R. Pearson, Publisher & Editor E-mail: Dan@AugustaRx.com MEDiCAL EXAMINER P.O. Box 397, Augusta, GA 30903-0397 (706) 860-5455 Dan@AugustaRX.com challenging some find it long time. need a seated job more flex sitting have to weigh Is it more im portant to keep a dream job, career path employer what you’re experiencing if you feel like they will be accom This may give them greater understanding if you need to call in, ask for doctor appointments off, etc. As far as types of jobs, there have been more remote work from home job options available in the last two years than ever before. Such jobs sometimes give you the option to make your own schedule and not require you to leave home. If you feel like it wouldn’t be beneficial to tell your boss about your chronic illness, you don’t have to or need to. It’s not a law or a requirement that you must divulge this information to an employer. Your employer will most likely require work
It’s an understandable question. Plenty of people are still getting vaccinated in the U.S. (a daily average well over 300,000), but COVID-19 has transitioned effortlessly into COVID-22, and at the rate it’s going, nobody will be surprised to see COVID-23 (yes, we know, it will still be COVID-19).
people may
They may require more breaks or
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.
modating.
excuses for missed time, but this doesn’t mean you have to provide information about theThisillness.isa lot; on top of everything else, it’s over whelming to work with a chronic illness and juggle doctor appointments, pro cedures, side effects, etc. Many chronic illnesses aren’t approved disabilities, which puts us in a tough spot. No matter which avenue you de cide is best for you (staying in your chosen career or changing), know that you are not alone and your ca reer is not your identity and you are not a failure. If you work a desk job it may be helpful to ask for a chair with a cushion and back support, take breaks to stand and stretch, have a desk that alternates between sitting and standing, and wear blue light glasses to help with staring at a com puter screen and headaches. If you work standing for long periods of time, ask for breaks to sit, and wear com fortable shoes and braces if you have painful joints. Be sure to have any medication you may need with you. If you’re required to do a lot of bending, lifting, and/or stooping and are unable to or have limitations, you need to speak up for yourself so your pain and symptoms don’t worsen. If your employer isn’t understanding, remem ber it is not worth running yourself into the ground for a job. It is okay to quit and find a more accommodat ing employer or a job with physical requirements better suited to your abilities. Personally, I had to leave a pharmacy job because I couldn’t stand on my feet for long periods of time without severe pelvic and joint pain. Sometimes I have spoken up for myself and regretted it. Other times I spoke up and was so glad I did. Either way, it’s important that you speak up for yourself when you need to. You know your body best. I now have an office job I can physically do. I do some lifting and may be unable to continue that part of my job. I’ll speak up for myself when the time Unfortunately,comes. many chronic illnesses aren’t cov ered under disability despite the pain and symptoms they cause. Having to change ca reers because of your health can be life-altering. You had dreams of doing something, but your body won’t allow you to because of chronic pain or other symptoms
MOLAR
to find a job we can physically do and enjoy. For example,
and standing. We
New cases have been steadily rising over the past 90 days, with the latest numbers of new cases per day numbering around 125,000. Most people reading this article know people who have recently tested positive for the virus, and in most cases they’re people who have been vaccinated. And boosted. Yet they still have COVID. So the skepticism some people have had about getting vaccinated since Day One may be greater than ever. But whether the skepticism is justified is still up for debate. Public health experts are still recommending (and giving) vaccines for a very good reason: they do offer protection from COVID — even for people who wind up getting the virus anyway.Thatmight sound contradictory, but remember two years ago when you heard a friend had been diagnosed with COVID? Back then we hoped they would survive, and all too often they did not. These days people are comparing their COVID experience to a bad cold, and vaccines are getting a huge chunk of the credit for that. Ever since the first vaccines were administered, statistics have shown that they do a great job of minimizing people’s symptoms and keeping people out of the hospital. COVID-19 is still on the loose and still well worth avoiding by whatever means necessary. The official daily death toll is still around 400 a day, which is a lot of people even though it’s a fraction of the daily new case count. But if the daily new case count is 125,000 and “only” 400 of them die, what about the other 124,600? One recent survey tallied nearly 100 lingering symptoms being endured by “former” COVID patients, everything from shortness of breath to heart palpitations to mental fog to irritability to fatigue to smell and taste disorders and dozens more. Researchers keep identifying more and more long-term side effects all the time. Why get vaccinated? Why get boosted? That’s why. +
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challenging to stand for
ibility between
or
our options.
to something more physically feasible?Itmay be helpful to share with your
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aniel Lambert was a man far ahead of his time. Born in 1770 in Leicester, England, he lived at a time (as had the vast majority of humans before him, but nowhere near as many since his day) when people struggled for food. The term food insecurity was centuries away, but it was a daily reality for the most. Only the wealthy and powerful were overweight. Lambert, however, was from an ordinary working class family. He was a sportsman and athlete, loving horseback riding, swimming, hunting and fishing. He left home at age 14 to work in Birmingham for a time before returning to Leicester at age 18, where his father was the jailkeeper. He briefly served as assistant jailer before his father retired and Daniel got the job. Unfortunately, the Leicester jail closed not long after and Lambert was suddenly unemployed. From the time of his return to Leicester his weight had been increasing steadily even though he claimed he ate moderately and drank only water. Concerned about his growing size he exercised regularly, but even so by age 23 (1793) he weighed 450 pounds. That weight made it impossible for him to ride horses anymore, and he gave some carriages their final ride, but that didn’t stop him from walking. On one occasion he and several friends walked 7 miles to London, a distance that didn’t bother him, although some of his ordinary-sized friends were straggling by the time they reached their destination. As the pounds (British pounds, the ones just like ours) continued to add up, Lambert became essentially unemployable, as well as embarrassed. By 1801 he weighed about 560 pounds, but just 4 short years after that, a few of his friends managed to weigh him means of a clever ruse (he was sensitive about his weight) and were shocked to discover that he weighed 700 pounds. He was (and apparently still is) the heaviest authenticated person in recorded history. With both his weight and poverty growing, the very shy Daniel Lambert made a difficult decision. He moved to London, found a suitable home and placed this ad in the London Times: “EXHIBITION.—Mr. DANIEL LAMBERT, of Leicester, the greatest Curiosity in the World, who, at the age of 36, weighs upwards of FIFTY STONE (14lb. to the stone). Mr. Lambert will see Company at his House, No.53, Piccadilly, opposite St. James’s Church, from 12 to 5 o’clock.—Admittance 1s.” The enterprise was an immediate success, welcoming as many as 400 visitors per day. And they were visitors more than gawkers. Lambert would politely discuss various news and sporting topics with guests as though they were old friends. Doctors visited and confirmed his 700 lb weight and general good health. The guesswork verdict of medical historians is that Lambert’s weight was not caused by any medical condition, but was simply a product of overeating and inactivity. Lambert died suddenly and inexplicably at age 39. He arose at his usual time and was shaving when he complained of difficulty breathing. Ten minutes later he collapsed. The inn where he had been staying on a tour had to remove a wall to get him out. At his funeral in Leicester two days later, it took 20 men to lower his coffin into a grave. His weight was 739 lbs.
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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 I recently had to fire a caregiver who was just not doing what she was being paid to do. And I didn’t keep it just between the two of us. I told her supervisors what she was up to, about her desire to scam their system and to deprive me of services. Several years ago when I was meeting with a new group of service provider nurses doing intake, they gave me some wonderful advice. I want to pass it on here because many of our elderly are faced with inadequate services but don’t know what to do about it. This issue can range in seriousness from unfolded clothes coming back from being laundered to the very serious problem of senior abuse. Most service providers will give you a list of what the caregivers may or may not do. That’s a starting point for a discussion of what your needs are and how they can best be filled. In the discussion mentioned above the nurses told me that things do not always go right. Sometimes it’s a communication problem. Sometimes it’s a personality issue. They made me aware that correcting the problem can be as simple as contacting the organization which employs the caregiver to let them know what is going on. Many seniors are reluctant to “tell on” their caregiver. They silently put up with inadequate or even dangerous service issues, hoping the problem will magically disappear if they are patient long enough. However, it rarely works that way. As in all cases of abuse, it tends to increase over time whether the abuse of the patient is minor or dangerous.Forme,it began innocently enough. The caregiver called the day of the appointment to tell me she had been injured and couldn’t make it at the agreed upon time. I am used to being honest and expect others to be honest with me, so my reaction was to say well, of course we could change the date. Slowly, the problem became a pattern, with Monday appointments canceled for one reason or another. This is a pattern typical of alcoholics, when a weekend of being wasted results in a bad hangover on Monday. Then it escalated. By the time I had reached the end of my patience, she was saying that she had cleaned the bathroom, when she had done nothing other than draw the shower curtain closed to hide the fact that she hadn’t done anything. I raised five children and that is one scam kids try to pull as soon as they are old enough to clean their own bedrooms. I will never forget the surprised look on my daughter’s face when I swept out all the toys hidden under her bed and told her she failed inspection and would have to “clean it again,” but this time put things where they belonged. When dealing with adult caregivers, this kind of behavior is indicative that they are still operating at that immature level of childhood. They always give away that lack of maturity in one way or another. We do them no favors by allowing them to get away with bad behaviors. Then there are the more serious caregiver problems. One caregiver convinced a client that she was the client’s friend and began using the woman’s credit card to empty out her savings. Another failed to properly cleanse the client causing terrible bed sores. Some caregivers don’t feed their clients, leading to malnutrition. These kinds of inappropriate caregiving results in criminal charges. But even that isn’t enough! We need ongoing supervision by those in authority and removal of caregivers who are lazy, crazy, lacking in intelligence, or just plain mean to the bone. Our elders deserve only the best, most competent caregiving in their later years. That is, or should be, the right of every aging or disabled person in the United States. Whether the caregiver is a family member or hired from a licensing agency, whether the client or patient or family member is suffering from various physical ailments, or a victim of dementia, or is just old and fragile should be irrelevant, Regular home visits by independent supervisors should be mandatory. We must weed out the caregivers who don’t do their job, and make this an important priority for every person who cares about the elders who gave so much of themselves in their earlier years.
AUGUSTAMEDICALEXAMiNER AUGUST 5, 20224+ D #170 IN A SERIES
A PATIENT’S PERSPECTIVE
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I
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I have written in this column before about near-death experiences from my past, but I am not usually the type of person who goes halfway into anything. You can ask my wife. When I get into a new hobby, I go whole-hog as the saying goes. I buy all of the equipment I will ever need within the first few weeks of starting the hobby. So, this time, when it came to death, I wasn’t going to skirt close to the edge. No halfway dead for me. I was going to jump right on in with both feet. Yes, I actually took the trip there and (spoiler alert) came back to talk about it. This month! But as we all learned from Billy Crystal’s character, Miracle Max, in The Princess Bride, I was only mostly dead, and only true love could bring me back, or something like that. But, clinically speaking, I was completely — not mostly — dead; I wasn’t breathing, and I had no pulse, or so I am told, as I don’t recall it myself for some reason. Oh yeah, I remember why now: I was dead! Okay, enough of that. Let’s go back two weeks before I died and see how we got there. Over the past few months, I’ve lost some weight, which will come back later in the story and be relevant. You’ll just have to trust me on this. About three weeks ago, or two weeks prior to my being mostly dead, I started having some chest pains. Nothing too bad, but enough to be somewhat alarming for someone who has had a heart-attack before, as I did at age 49. I didn’t want to go through that again, but since I had a regular checkup already on the books with my cardiologist less than two weeks after this start ed, I figured I’d just keep an eye on it and keep some nitroglycerin pills on me, just in case. The pills will also play a major role later in the story, by the way, and I will offer you a warning about them that I had not learned until after assum ing the state of mostly dead. Hopefully this can save a life or two, or maybe even a dozen or so if all of my readers end up facing this situation. Correction, I did get some new fan mail a few weeks ago so my readership is now over 12! Yay! Thanks for that. I made it to my scheduled cardiologist visit two days before almost becoming the owner of a brand-new toe tag. At least I hope it would be a new one. It would be really gross otherwise. But I digress. They did an EKG and noticed a “minor anomaly” but they weren’t really concerned as it wasn’t that unusual, but they scheduled a stress test for a couple of weeks later. Of course, the phrase “minor anomaly” is relative. If it is about another person who isn’t one of your close friends or family, then it is truly minor, otherwise, it just sounds like a euphemism for “you might die.” That said, I wasn’t worried at the time since they didn’t seem worried and didn’t schedule a stress test right away like they did for the guy who left just before me. They did give me a prescription for some fresh nitroglycerin pills though. The ones I had were expired by more than three years. I picked up the new prescription the day after my visit and felt equipped to handle a heart situa tion if the need arose. That could have ended up being fatal though. Permanently fatal. Is that a thing? It sounds weird. Anyway, that brings us to Saturday, the day that almost got engraved into a piece of gran ite with my name and another date from back in the sixties above it. I was scheduled to cut the grass in the field near the road in front of our house, and if I had time, the grass right around the house, at least the places around the house I could reach with my behe moth of a riding mower/garden tractor. It has 28 horsepower, weighted wheels for its plow attachment, and a 54-inch-wide cut, so it is a monster for sure and that will come into play too. I finished cutting the field in a little over two hours and then began to cut the grass around the house when I ran over a piece of heavy gauge electrical wire that was hiding in the long grass like a long venomous snake ready to strike, and it almost proved as deadly, but indirectly. It got pulled up and wrapped around the mower good, and the mower cut off before I could even react. I got down and pulled the wire as hard as I could manage, but it wouldn’t budge. I got the bright idea to tip the mower up to rest on its back so I could get to the blades to get the wire untangled, and while I was at it I could get my grinder and sharpen the blades. At least this is how I saw it playing out. I’m ever the optimist. I strained and strained but couldn’t lift the mower past my knees, so I went and got help. My oldest daughter was coming out the door right then and she offered to help. Between the two of us, we barely managed to get it tilted up and resting on its back. Did I mention it was heavy? Well, it was. At that point, my daughter, Kate, started getting the wire untangled and I walked a few steps away and essentially just fell down on the grass in the shade. My chest was hurting and I felt suddenly overcome like I was about to pass out, so I quickly asked Kate to go get my nitro. She took off toward the house in a run and then I saw my wife from a distance, cleaning the pool and I called out to her. Ap parently, it was after this that I first passed out. I woke up to the two of them leaning over me, lifting my upper body up to take the nitro. I did, and shortly after that, the pain in my chest sub sided and they helped me up to walk toward the back porch so could get in the shade
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TRYTHISDISH
• As a base for a high pro teinTodiproast a bell pepper: Cut the pepper into quarters; remove the seeds and mem branes. Place the cut side down on a foil covered sheet pan and roast at 450 degrees for 20-30 minutes until the skin is charred. When done pull the pan from the oven and fold the edges of the foil (that is lining the pan) up over the pepper slices and crimp to enclose the peppers. Allow the peppers to cool in the foil (this will steam the peppers and make it easier to peel off the skin). Once cool enough to handle peel off the skin and use as desired. Pro tip: I roast several at a time and freeze them in individual bags to have anytime I need them. by Kim Beavers, MS, RDN, CDCES Registered Dietitian Nutritionist, Chef Coach, Author Follow Kim on Facebook: facebook.com/eatingwellwithkimb GA 30909
AUGUSTAMEDICALEXAMiNERAUGUST 5, 2022 7 +
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• 5 eggs • ½ cup chopped roasted red bell pepper (jar or fresh •roasted)1cupchopped spinach
These are so yummy and easy to make ahead and turn into a delicious grab and go style breakfast …simply add a whole wheat English muffin and go. Ingredients • ½ cup 2% cottage cheese
Yield: 4 Servings (serving size: 2 egg muffins) Nutrition Breakdown: Calo ries 120, Fat 7g (2.5g saturat ed fat), Cholesterol 285mg, Sodium 510mg, Carbohydrate 5g, Fiber 1g, Protein 12g.
Diabetes Exchanges: 2 Lean Meats Kim’s notes: I will place the entire 16-ounce contain er of cottage cheese in the food processor and blend. It becomes smooth and is really the secret ingredient to making these muffins light and fluffy. The extra whipped cottage cheese can be used: • Any way you would nor mally use cottage cheese
• As a topper for toast (toast + whipped cheese + fruit or toast + whipped cheese + tomato slice).
• 1 teaspoon Jane’s Krazy Mixed-Up Salt Instructions Preheat the oven to 375°. Add cottage cheese to a food processor and blend for 1-2 minutes until cottage cheese is smooth. Whisk eggs together in a medium-large bowl. Fold in blended cottage cheese, spinach, bell pepper, and seasoning. Scoop into 8 muffin tin wells (silicone muffin pans work best when making egg muffins). Bake for 15-20 minutes until the eggs are set.
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Two months ago, an import ant study was published which concluded that it is the overall way you live your life, rather than your inherit ed risks, which is so import ant in determining your risk for the future development of dementia. Let that sink in. Many diet and nutrition factors have been examined to see if they have a role in preventing or delaying Parkinson’s disease. Some of these factors include your intake of fat, alcohol, dairy, coffee, tea (including green tea), vitamins/minerals and the composition of your gut flora. Looking at these factors, there is some pre liminary and modest data suggesting some of these factors may prevent or delay Parkinson’s, but the overall data is inconclusive and does not warrant any firm dietary recommendations right now. So, no, you do not have to eliminate the entire dairy food group as a preventative for Parkinson’s nor do you have to eliminate meat of all types, plastic bottles, canned foods, etc. Ignore social me dia postings or ads touting “emerging evidence suggests that this may…” Remember, the key to intelligent deci sion-making is being at the cutting edge of science, not ahead ofWhatit. about The Mediterranean way of eating? It is a very healthy way of eating and very similar to the DASH Diet (Diet Against Stroke and Hypertension), The American Heart Asso ciation Diet and The Diabe tes Diet. Evidenced-based dietary guidelines around the world agree with each other. Nutrition scientists know what a healthy diet is while most Americans are misled by marketing and advertising messages. You do not have to eat this for your brain, that for your heart, this for your lungs, that for your liver…it is all the same way of eating. A healthy diet is a healthy diet…period.Whataresome of the guides for health eating? Cut down on your intake of red meats, high saturated fat foods, salt and sugar. Replace these with low fat alterna tives, use herbs and spices instead of salt, eat fish and use more vegetable sourc es of protein and fill your plate with veggies, fruits and whole grains. Changing to healthier foods will make a big difference in the quality of your life and overall dis easeWhatprevention.abouta patient who already has Parkinson’s disease? Are there nutrition concerns for this person? Yes. Since Parkinson patients represent a large variety of patients at different stages and severity of disease, it is not appropriate to make global recommendations for this group. Recommenda tions should be based on the individual Parkinson patient and her or his nutrition risk factors. Certain Parkinson patients may have difficul ty chewing or swallowing, may have nausea from medications and may have movement issues that makes eating challenging. It is important to catch nutrition/ diet issues early to avoid that vicious cycle of eating prob lems leading to malnutrition which, in turn, causes accel eration of the disease process with more eating problems. Nutrition and diet sugges tions may include things like keeping the eating environ ment calm, friendly, simple, checking the temperature of the food to make sure it is not too hot and using higher Dr. Karp 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, evidencedbased, 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. Please see DR. KARP page 9
NUTRITIONASKDR.KARP NO NONSENSE
Dick from Evans writes:
“Is it true that the Mediterranean diet can prevent or delay Parkinson’s disease? I have heard that diet and nutrition are major factors in this disease.” 2604 Peach Orchard Rd Augusta•706-798-5645 215 Furys Ferry Rd Augusta•706-863-3456 5135 Wrightsboro Rd Grovetown•706-869-8535 BARNEYSRX.COM SavingsBarney’sClub Monthly medications starting AS LOW AS $4 even if you are uninsured! Call us, stop by, or visit barneysrx.com to explore the benefits of Barney’s Savings Club today! Aim your camera here, then tap the onscreen link to visit barneysrx.com Come Home to Barney’s! • Delivery • Compounding • Compliance Packaging • • Vaccinations • Durable Medical Equipment & Supplies • • Diabetes Self-Management Education & Prevention • • Smoking Cessation Programs • Barney’s MedSync • • Medterra and ViaPure CBD products • STORE • DRIVE-THRU • DELIVERY • PARKSPHARMACY.COM Hometown. Not big box. 437 Georgia Avenue, North Augusta, SCHARMACY803-279-7450ARKSP HOW DO YOU LIKE MEDICINE?YOUR PILL • TABLET • CAPSULE • SPRAY LOTION • SYRUP • CHEWABLES GELCAP • SUPPOSITORY • PATCH LOZENGE • INJECTION • DROPS OINTMENT • POWDER •WHATEVER IT IS, WE’VE GOT IT!
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Thanks for this import ant question, Dick. What I find is that when the un derlying cause of a disease is unknown, whether it is Parkinson’s or any other disease, people tend to jump on the nutrition bandwag on. Can the Mediterranean diet prevent or delay Par kinson’s disease? Probably just a little, if at all. The link between nutrition/diet and Parkinson’s disease is weak, and currently there is not a lot of data to support firm conclusions. However, your total lifestyle behavior — not just what you eat, but if you have your diabetes/ cardiovascular disease risk under control, whether you are obese or whether you are sitting around all day or moving — your total lifestyle picture is strongly related to Parkinson’s disease. This is true especially for dementia risk as a Parkinson patient.
What is the “No-Nonsense Nutrition” advice for to day? Simply this. It is not this food or that food…this vitamin or that vitamin…this supplement or that supplement…that will decrease your risk of Parkinson’s disease, especially the dementia related to the disease. It is the entire way you live your life…the way you move, your weight and your health risks such as diabetes and heart disease…that are most im portant. And, if specific nutrition/diet/food issues arise for your loved one, solve the specific issues, as they arise. Do not apply general recommendations. Finally, do not feel alone. Seek out those health professionals who have expertise and who really care about helping you with your loved one with Parkinson’s disease. 642-7269
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AUGUSTAMEDICALEXAMiNERAUGUST 5, 2022 9 + DR. KARP from page 8 LIFE IS COMPLICATED Death doesn’t have to be. We know how to help. Caskets & More 1944 WALTON WAY • AUGUSTA • (706) 738-2999 • CANDMAUGUSTA.COM + DANIEL GREGORY LEOPARD PC ATTORNEY CRIMINAL DEFENSE • FAMILY LAW • PERSONAL INJURY 461 Greene Street at 5th • www.gregleopardlaw.com • 706-724-7511 “I perform in court, not in TV commercials.” Augusta Office: 2283 Wrightsboro Rd Augusta, 2110Aiken706.733.3373GAOffice:WoodsideExecutive Ct Aiken,803.644.8900SC GADERM.COM T HANKS FOR READING! contrast dinnerware to distinguish the plate from the table. Showing flexibility as a caregiver is especially important, as most experienced caregivers know. If your loved one keeps asking for breakfast, although breakfast has already been served for the day, just go ahead and prepare breakfasts for lunch and dinner but vary what is in the breakfasts. Many times, offering between-meal snacks, getting out the blender or buying a liquid supplement like Ensure or Sustacal will help to maintain the weight of a Parkinson person starting to loseFinally,weight.realize that you are not alone. There are many health professionals standing by with expertise in helping to meet the nutrition goals of a Parkinson patient. Whether it is a R.D.N. (Registered Dietitian Nutritionist), a physical therapist (for eating posturing), an occupational therapist (for adaptive eating devices), a speech-language pathologist (for swallowing and chewing strategies), the dentist (for oral health issues, such as poorly fitting dentures, periodontal disease) or your mental health professional.
* HIDDEN, adj. concealed, secret, undercover, invisible, unseen, out of sight, covert, secluded, tucked away, cam ouflaged, disguised, masked, cloaked, subliminal, clouded.
MIDDLE AGE… from page 5
HINT: THE MYSTERY WORD IS HIDDENALWAYS*
INJURY was The Mystery Word in the previous issue. (The word INJURY above is not hidden.)
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J.B. Collum is a local novelist, humorist and columnist who wants to be Mark Twain when he grows up. He may be reached at johnbcol lum@gmail.com
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More Americans have died on US roads since 2006 than in World Wars I & II combined his space has been devoted to various aspects of speeding a few times since the inaugural installment of Crash Course (which was 3 years ago today). Let’s launch the 4th year of the Course with a discussion of, frankly, how foolish speed ing is. Of course, one aspect of this particular sin is the penalty that may be exacted by Caesar. Speeding tickets are not cheap all by themselves, but they can also add major bucks to car insurance premiums over a considerable time period. Another aspect of speeding that we don’t plan to focus on is the potentially massive expense of collisions. In a mere second or two, tens of thousands of dollars, possibly even hundreds of thousands, can be lost in collisions that would never happen except for excessive speed. Crashes can also cost far more than the direct cost of the collision. Sometimes citations are issued. Sometimes insurance rates go up. Some times lawsuits are filed, and millions of dollars can go up in smoke, again from a situation solely caused by driving too fast. But instead of those specific aspects of speed ing, we’d like to explain our earlier comment about the folly of speeding. First, let’s be realistic. Just about everybody speeds. Nationwide, an estimated 112,000 speeding tickets are written every day. Speeding can be unintentional, or it can be deliberate: most of us go with the flow of surrounding ve hicles, so if they’re speeding, so are we. Maybe we don’t even know what the posted speed lim it is, just what the flow of traffic around us hap pens to be. Other times speeding is deliberate because we’re in a hurry. We’re that one person driving faster than everybody else, weaving between lanes as necessary to keep our pace. That is the particular aspect of speeding we’d like to discuss. Human nature being what it is, if we’re late for an important appointment, a job interview, or the first day on a new job, it’s practically impossible not to press it, pushing our speed as far as we think we can get away with, squeaking through lights that are no lon ger yellow, etc. But here are a few numbers that expose the ridiculousness of speeding to save time. Let’s say you have a 5-mile commute every day over roads that have a 45 mph speed limit. Assuming no red lights and smooth sailing all the way, that trip should take you 6 minutes and 40 seconds. Drive the whole way at 50 mph and you will save a grand total of 40 seconds. As we said earlier, maybe the flow of traffic will be 50 anyway since speeding is so common. So let’s assume that you push it farther, driving 55 mph the whole way. That will get you to your destination 33 seconds sooner than the person driving 50, and a whole 73 seconds quicker than someone who drove the speed limit the whole way. That’s not much. The numbers are just as dramatic at higher speeds and longer distances. A 10-mile trip over a stretch of interstate posted at 65 mph will take 9 minutes and 14 seconds. Cover that same 10 miles at 75 miles an hour and you will get there in 8 minutes, a savings of 74 seconds. It might be even more enlightening to enlarge the numbers. Drive down a straight road — no traffic lights, no construction, no school zones — that’s 1,000 miles long, and do so at the posted speed of 65 mph. It will take 15 hours and 23 minutes to cover that distance. Make the same journey at 75 mph at it will take you 13 hours and 20 minutes. Speeding 10 miles over the limit for a thousand miles only gives you a 2-hour payback? That just isn’t worth it, espe cially considering that the 2-hour gain might be offset by a speeding ticket or a crash. And when it comes to local driving, speeding offers dividends measured in seconds. Speeding can be expensive, but for all its cost it doesn’t give a lot of value back in return. a fan blow on me to cool me off, but I didn’t make it. I passed out again, and of course, I did that right over the patch of ground that we haven’t been able to get grass to grow on, so I fell in the dirt. I was told that I passed out in that spot twice. My eyes rolled back in my head. I bit my tongue and was unresponsive. My daughter took that as her cue to call 911 to get me an ambu lance. Then she ran next door to get my brother. Fortunately, his best friend, Mark, was there helping him with some work on the land, and Mark has had first responder training, which is good, because like Miracle Max, he was able to bring me back from the land of the mostly dead. So, I’m going to call him Miracle Mark. That’s all the room I have for this issue, so please come back, and read the next issue when I will tell part two of this story. It might even end up having to be in three parts. But as a teaser, I will share what Mark and the others did to safe my life, what happened afterwards at the hospital, and what they found as the cause. What they found is the part that carries a warning about the use of nitroglycerin pills, especially during the summer out side. Until then, stay safe, and take care of each other.
MEDICALEXAMINER
Your parents likely spent months searching through baby name books, polling the family, and looking through the photo albums of ancestors to pick the perfect name for you.
Maybe your parents had to see your face before they could pick the perfect one. Names have history, they have power, and they embody your personality.
BINGEREAD
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posted by Diana Londoño, MD, on July 27, 2022 I’M A PHYSICIAN, NOT A PROVIDER
Unfortunately, many of us need this book. The person who always knows just what to say and when to say it — not to mention how to say it — is the exception. For the rest of us, all kinds of situations can present a bit of a medicallikedilemma.communicationsThrowinsomethingbadnewsfromsometests,losingababy, finding out a friend has cancer, or any one of dozens of other health-related bombs that one of our friends may have dropped on them (including death), and it can be very difficult to know what to say. Sue Halpern to the rescue. Her book, The Etiquette of Illness, was born of personal experiences and those of her friends. And let’s face it: we’ve all been to these places. In one case, she had lunch with a friend who had been diagnosed with cancer and was undergoing treatment. One of this woman’s close friends, someone she regularly spoke with, hadn’t called or returned any of her calls in months, roughly since the time of her diagnosis. She didn’t know what to say, so she didn’t say anything.Allofus can identify with that to some degree. It’s not always easy to comfort someone who has experienced a death in the family or who has received some sobering and serious bad news from a doctor. Then again, neither do we want to rush in like a bull in a china shop in some imaginary race to be the first to reach out to someone. As the title reminds us, there is etiquette involved. No points are awarded for being the first to extend words of comfort, any more than they are for waiting months and being the last. It can be beneficial to get one’s thoughts together, perhaps do some research on the subject of the person’s diagnosis, and give careful thought to what you’ll say. That’s where this book comes in handy. Halpern, a psychotherapist, social worker, and human being, offers lots of sound advice on great ways to avoid that nagging guilty feeling we get when we retreat from a friend in their time of need instead of reaching out to help. Granted, we could tweet our friend or send them a text, but that has to rank near the top of bland and impersonal ways to communicate. Nor is there any law against getting help from Hallmark — quite the opposite in fact — but simply buying a card and signing it, or adding a few words (“thinking of you at this difficult time”) is a poor substitute for a few warm words spoken directly to our friend. Better to call or visit and send a card. Ah, but what to say when you call? There is the rub. Fortunately for us all, here’s a book that offers “what to say when you can’t find the words.” And we’ve all been there — and will be again in the future. Unless, that is, we learn The Etiquette of Illness The Etiquette of Illness, What to Say When You Can’t Find the Words, by Susan P. Halpern, 208 pages, published in 2004 by Bloomsbury USA
My daughter is officially named Daniela, yet we called her Bimbi months before she was born. That is her true name; it suits her. She is spunky, she is bubbly, she is powerful, and she is beautiful. It was care fully chosen by my older daughter Paloma when I was five months pregnant when she declared proud ly that we should name her Bimbi. We agreed, and the rest is history. As physicians, our title, which has been taken under the Hippocratic Oath, is equally powerful. It states how we will do no harm or injustice to patients, and if I carry out this oath, may I gain a reputation among all men for my life and my art forever. But if I break it and forswear myself, may the opposite befall me. Our title is powerful. It is important. It was given under an oath as we were cloaked in our ceremony to become physicians. Yet our title has slowly been eroded throughout time. We are no longer called physicians — we are now providers.Thisisa powerful tool to confuse and dehumanize a phy sician. When you no longer know who you are, you will be lost. Think of someone with delirium or psychosis. They can’t even tell you their name. They are no longer oriented to names. Think about that for a moment. When we do not know who we are as physicians, when we do not know and use our own title that was anointed to us when we as sumed this role, we will be left confused, delirious, and lost without a sense of purpose. Psychological erosion is sneaky, it is insidious and seems innocuous, but it is powerful. When you are confused about who you are, how can you honor who you are? How can you be a healer, an advocate for your patient, and a teacher? If you don’t know who you are and where you are going — how will you get there? This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones who took an oath to benefit patients according to our most extraordinary ability and judgment to keep pure and holy both our lives and our art. It is time to take back what belongs to us. It is ours. It is time to rise and start the revolution. Our title will not be taken away. You would never accept being called Laura when your name is Sarah. Our title has power. It is our healers’ birthright. Start the revolution. It starts with your title. Reclaim your power. Hi. My name is Diana Londono, and I am a physician — #notaprovider. Diana Londoño is a urologist the blog spot Titles powerfulareandimportant.
From the Bookshelf +
The Examiners The Mystery Word for this issue: LORMA Simply unscramble the letters, then begin exploring our ads When you find the correctly spelled word hidden in one of our ads — enter at AugustaRx.com AUGUSTAMEDICALEXAMiNER AUGUST 5, 202212 THE MYSTERY WORD We’ll announce the winner in our next issue! Click on “MYSTERY WORD” • DEADLINE TO ENTER: NOON, AUG. 15, 2022 + + by Dan Pearson reservedrightsAll2022©PearsonR.DanielbyWORDS NUMBER BY SAMPLE: 1 2 3 4 1 2 1 2 3 4 5 LOVE BLINDIS1. ILB 2. SLO 3. VI 4. NE 5. D = Is your wife still doing that program?body-building Did she lose a lot of weight on it? reserved.rightsAllPearsonDaniel2022© by Daniel R. Pearson © 2022 All rights reserved. Solution p. 14 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. E X A M I N E R S U D O K U QUOTATIONPUZZLE 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. 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. PUZZLE EXAMINER CROSSWORD No, she finished last week. Why not just keep going? Exactly 7 lbs, 10 oz, as a matter of fact.It’s set up as a 40-week program. by Daniel R. Pearson © 2022 All rights reserved 1 4 5 6 4 8 1 2 8 9 1 4 4 5 6 9 8 3 1 7 2 9 4 2 3 7 7 6 8 1 3 9 1 4 2 4 7 5 6 8 5 1 9 3 7 9 2 6 8 1 3 4 7 5 6 2 9 3 1 8 4 7 5 1 9 4 7 5 6 5 8 2 3 9 4 7 6 3 2 8 1 WTEHON AKEMDRHAOTBES NFF OTENOEL CB MIMEIE WDNI — Eleanor Bron ARLNNEF WELI 1. MIDEVIO 2. VUNITIF 3. SLIMO 4. TILLT 5. NIEE 6. PANI 7. SCLD 8. IHE 9. EI 10. NS 11. G 1 2 3 4 5 6 7 8 E 1 2 3 4 N 1 2 3 4 5 6 7 L V P 1 2 3 4 5 6 7 8 9 10 1 2 1 2 — Martin Luther King, Jr 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 66. Periods of history 67. Refined iron DOWN 1. Wooden containers 2. Warrior of feudal Japan 3. Having patches of two colors 4. Kristen Bell voiced her in Frozen 5. The Big Apple, in brief 6. Wild; untamed 7. Oz in full 8. Regions 9. Dead or death (Latin) 10. Cake container? 11. “As below” bibliographies)(in 12. Georgia follower, at times 13. Forms 18. Egg cell 22. Self-esteem 25. _____ Clinic 27. The Spanish ______ 29. Small room; or a recess off a room 30. Diagnostic med pic 32. Non-Rx 33. Big tub 34. Trauma pt. destinations 37. Sorrowful 38. Conduit for electricity 39. ________ holiday 40. Savannah event 43. Make eggs 44. Regret 45. Fur of a mammal (Zool.) 46. Walton Way school (in brief) 47. Rhythm 48. A dinosaur’s end? 50. Underground effluent pipe 51. The A of JBA 52. Long lock of hair 56. Small island 57. _____ grass 59. One of 100 (abbrev.) 61. Possesses ACROSS 1. Congressional TV 6. How rubber can start 10. Product of 60-A at onetime Augusta factory 14. Like some afternoonssummer 15. Continental currency 16. Its highest point is Kings Peak 17. 11 through 15 19. Unit of type size 20. Large wind instrument 21. Leave 23. In the air when it’s cold 24. Pitcher’s stat 25. Beasts of burden 26. Faux pas 28. Arab version of shalom 30. Longtime local publisher 31. Indolently 32. Easy introduction? 35. Cheese partner 36. It’s south of Nicaragua 39. To follower, sometimes 41. John follower 42. Scent 45. Annoyed 47. Endured; withstood 49. Trimmed along sidewalks 50. Satisfied 53. Kill Bill star’s first name 54. Meadow 55. Club founded in 1892 57. Coalition; alliance 58. First word of an annual local festival 60. Former local company which made 10-A 62. Swinging barrier 63. Optical device 64. Restless 65. Georgia’s Chateau _____
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Dear Advice Doctor, There was an open house at my son’s school last week, and I was shocked to see that one of the teachers is a woman I met over the summer when I was IN JAIL. I had been stopped while driving on a night when I had been drinking. Big mistake. I didn’t say anything at school, but the next day I mentioned it to another mother who is a friend of mine, and she called the principal. The teacher was called in for a chat and ended up losing her job. It would have been interesting to be a fly on the wall for that conversation, but I never intended for all this to happen. Maybe it was all for the greater good, but why do I feel guilty? — Guilty Too + Dear Guilty Too, I think you are to be commended for bringing this matter to light. Believe it or not, even a single fly on any wall — but particularly in a school — could be a threat to health. You said you were shocked; I may be about to shock you even further: flies can carry and transmit at least 65 diseases and pathogens to humans (some sources put the number at 100), including typhoid fever, E. coli, leprosy, tuberculosis, cholera, polio, anthrax, and tularemia. They can cause dysentery, food poisoning and diarrhea, and they can transmit the eggs of parasitic worms. Flies may be small, but they are by no means insignificant. Not to get too graphic about it, but when flies aren’t flying they regurgitate and excrete. House flies don’t bite or have teeth — they can only ingest liquid food — so they eat by using their saliva to help liquefy solid material (like our food), then they eat it through their proboscis. Even if that wasn’t true or a fly was on a diet, just by not flying flies can pose a health threat. That’s because they are naturally drawn to rotting garbage and feces. They land on that and maybe their next stop is on someone’s picnic goodies.Thevery best way to create a no-fly zone is keeping a clean home and yard: kitchen wastebaskets and outdoor garbage cans covered; dishes done; foods not left out on counter tops. For the occasional fly, nothing beats a fly swatter, but baited fly traps and sticky traps work too. Keep screens in good repair to keep flies off your walls. I hope this answers your question. Do you have a question for The Advice Doctor about 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.
Moe: Have you heard about the new Jordan Peele movie? Joe: Nope. Moe: That’s the one. Moe: I read that pigs are by far the cleanest animals. Joe: It’s true. They use ham sanitizer. Advice Doctor demand at-cost live beyond the Aiken-Augusta area, miss issues between doctor’s appointments — don’t you hate it when that happens? — we’ll command your mail carrier to bring every to STATE ZIP six months for $20 or one year for $36 this completed form with payment to Augusta Medical Examiner, PO Box 397, Augusta GA 30903- 0397
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wo slices of bread got married. It was a beautiful ceremony, and the reception was also going well until someone decided to toast the bride and groom. Moe: What do you call someone who drinks from a man-made watering hole?
Moe: What would you consider to be Jesus’ greatest miracle? Joe: Probably still having 12 close friends after age 30.
Why read the Medical Examiner: Reason #714 READINGBEFORE
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Moe: I always carry a picture of my wife and kids in my wallet. Joe: Because you love them so much? Moe: Well, that, and also to remind me why there’s never any money in there. Moe: What’s that manila envelope for? Joe: A letter to my friend in the Phillipines.
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Joe: Well hydrated. Moe: Some families are just eat up with talent. Joe: Like who? Moe: Like the Marxes. Everybody knows Karl Marx was the founder of communism. Joe: Okay... Moe: But most people don’t know that his sister Onya invented the starter’s pistol. Moe: Why do you keep an empty bottle of milk in your refrigerator? Joe: I have friends over all the time. Moe: So? Joe: So somebody might want black coffee. Two astronauts were having coffee in the International Space Station one day when one of them complained about not being able to use milk in his coffee. The other astronaut said, “In space, no one can. Here, use cream.”
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Moe: The Beastie Boys are going to release a 5-disc anthology of their greatest hits. Joe: Cool. Moe: It’s kind of interesting how they’re go ing to do it. The first 4 discs, parts A, B, C and D, will be free. Joe: Sweet. But what’s the catch? There’s always a catch, right? Moe: You gotta fight for your right to Part E.
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AUGUSTAMEDICALEXAMiNER AUGUST 5, 202214 THE MYSTERY SOLVED ...cleverly hidden by the pocket in the p. 15 ad for THE JEWELRY SURGEON THE WINNER: JO A BONITATIBUS! If that’s your name, congratulations! Send us your mailing address using the email address in the box on page 3. The new Mystery Word is on page 12. Start looking! ...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. The
Celebrated MYSTERY WORD CONTEST The Mystery Word in our last issue was: INJURY + READMEDICALEXAMINERWWW.ISSUU.COM/ONLINEISSUEEVERY+ TheSUDOKUsolution SEE PAGE 12 THE PUZZLE SOLVED Quotation WORDS BY NUMBER Instead of diminishing evil violence multiplies it. — Martin Luther King, Jr. Love phone?youratstaretoLovetostareatyourphone? Visit medicalexaminermedicalexaminerissuu.com/andstareaway.Visitissuu.com/andstareaway. 2 3 7 7 6 8 1 8 3 9 1 4 2 7 5 6 2 4 7 5 6 8 1 3 9 6 5 1 9 3 7 2 8 4 9 2 6 8 1 3 5 4 7 4 7 5 6 2 9 8 1 3 3 1 8 4 7 5 9 6 2 1 9 4 7 5 6 3 2 8 5 8 2 3 9 4 6 7 1 7 6 3 2 8 1 4 9 5 QUOTATION PUZZLE SOLUTION Both men and women are fallible. The difference is women know it. — Eleanor Bron
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The bottom line is that each of us has a responsibility to limit the evils in own life styles. Symbolic acts will not suffice. Eat less. Don’t drink alcohol. Don’t take medica tions not prescribed by your doctor. Stay away from crazy people with guns. In 2016, you were 28 times more likely to be killed by overeating than by a gun. Donuts are more deadly than guns, some might say. There is twisted logic in that. And Congress cannot pass enough laws to regulate every evil. But theySomewheretry. along the line, each of us must make person al decisions for the better ment of ourself … and for all others.
+ AUGUSTAMEDICALEXAMiNER AUGUST 5, 202216+ Politics are upon us. Politi cians have all the answers. If you don’t think so, just ask them. They spend millions on ads telling us what is best for us It makes one wonder how to improve our country, our society, our way of life. To reach the correct deci sion, one must look at reality. So, let’s look at some num bers. Let’s look at who dies andWhatwhy.can we easily do to save lives, to preserve quality of American life? These statistics are from the first half of 2016 in the US. It is easy to find data from a few years back. But as you might suspect, time has distorted it somewhat.Heartdisease killed 282,325. It is a major problem. We spend billions on research to limit heart disease. But we all die sometime. The heart stops sooner or later, so we cannot eliminate that. But we can delay the day by eating right, exercising, and medication. Tobacco killed 160,680. Our governments collect huge taxes on tobacco. We have re strictions about where tobacco can be used. A step forward, no doubt. But people can still legally smoke tobacco, deadly as it Obesityis. killed 140,939. Ours is the only society in the histo ry of the world to have obesity as a major health risk. The only society where the poor are obese. We eat too much of the wrong things. That is a fact.So smoking cigarettes and eating too much kills more than heart disease. Our government is making efforts to limit both. Recently, our government has made the misuse of opioids a major target. And justifiably so. Illegal opioids flow across the Rio Grande by the truckload. Illegal fentanyl kills more people than some of ourAndwars.we have continuous campaigns against drinking and driving. Again, justifiably so. We limit where alcohol can be used and by whom: not while driving or by anyone under 18. But what are the numbers to justifyTobaccothis?killed 160,680. Alcohol killed 45,908. (2016) Both are horrible statistics. On the other end of statis tics: Prescription drug over dose killed 6,886 in first half of 2016. In 2020, 91,799 died from drug overdoses (prescrip tion and illegal drugs com bined).Murder by gun killed 5,276 (2016). In 2020, we had 45,222 gun-deaths: 54% were sui cides. Both are tragic, but tiny as compared to tobacco and alcohol.Clearly alcohol, tobacco, and over-eating are far worse than guns and opioids. (Opioid Use Disorder is a new ly recognized diagnosis often using Suboxone and counsel ing to help patients manage opioid addiction.) In the 1920s, we outlawed alcohol. It did not work. Peo ple wanted to drink alcohol so they drank alcohol, regardless of the deadly side effects. The problem was not the alcohol. The problem is with what people do with alcohol. Now some want to outlaw guns. That, too, will not work. People who want to have guns BASED ON A TRUE STORY (most of the time) A series by Flatwoods Frankie DECIDE TO STAY ALIVE LOCALLY OWNED • VETERAN OWNED 15,000+ products ready to ship to your door! gbhillmedical.comWOUNDCARE•DIABETES•INCONTINENCEPERSONALHYGIENE•NUTRITION•ANDMORE706-955-5909ReadusonlineatAugustaRX.com“And whoever saves one — it is as if he had saved mankind entirely.” FREE HEALTH CLINIC for those who have no health insurance and whose income is at or below 200% of the federal poverty level. Walk-ins welcome 9am-11am • By appointment 9am-1pm EVEN MONTHS: University Hospital POB 1, Suite 2-A 820 St. Sebastian Way Augusta, GA 30901 ODD MONTHS: First Islamic Center Building 3416 Middleton Dr. Augusta, GA 30907 TO MAKE AN APPOINTMENT OR GET MORE INFORMATION: Phone: 706-513-0582 • Email: Shifacareclinic@yahoo.com We provide ongoing primary care, limited prescription assistance, mental health referrals, and more. f f SEPT.UpcomingclinicHERE10Next AUG.HEREclinic13 Every SECOND SATURDAY from 9 AM to 1 PM will have guns. Guns are not the problem. The problem is with what people do with guns.In2016, overeating killed 28 times as many people as guns and 20 times as many people as opioid overdoses. What is the real problem? Obviously, too much food. Do we outlaw food? Sugar? Soft drinks? Donuts? Of course not. That is ridiculous. If peo ple want those things, people will have those things. Now, do we outlaw guns? Alter our Constitution? Or maybe amputate the right index fingers of men between 20 and 35? Neither is efficient or effective. We must be prac tical. We can’t destroy every evil by statute.
