Medical Examiner 4.17.20 by Daniel Pearson

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APRIL 17, 2020

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Let’s spend a few calm, quiet and rational minutes talking about everyone’s favorite subject, the coronavirus. (Part 3 of a feature of unknown duration.)

If the worldwide pandemic we’re all being affected by proves one thing, and proves it dramatically and conclusively, it is that the world, yes, pretty much the entire world, can react very aggressively to a health threat. And it isn’t just nations; the response goes all the way down to individuals, to your street and mine; to my house, your house and your next-door neighbor’s house no matter where we live. Do you know anyone personally in the Aiken-Augusta area who has tested positive for coronavirus? You might, but the entire metro area (which officially encompasses Richmond, Columbia, Burke, McDuffie and Lincoln counties in Georgia, and Aiken and Edgefield counties in South Carolina) has documented 413 cases (as of late Thursday afternoon) out of the total area population of some 604,000 people. The COVID-19-positive segment of the populace, therefore, is 0.06 percent; death due to the virus has befallen 0.002 percent the CSRA population. The flip side of the coin is that close to 100 percent of us have been directly affected, and are in some significant way contributing to the effort to limit the spread of this outbreak. We are all pitching in, whether willingly or not, and that is commendable. But let’s imagine for a moment the results if we put the same effort into the #1 killer in the U.S.: heart disease. By today’s issue date (April 17), heart disease will have killed an estimated 188,000 Americans so far this year. Before New Years Day 2021 the total will have gone far beyond 630,000, and that’s just in the U.S. And that’s just for this year. The estimates are based on the deadly yearly track record of heart disease, so the numbers quickly rise into the millions just for the past few years. Heart disease is a good condition to cite for comparison bePlease see REALITY CHECK page 2

Seven years ago this week, a terrible tragedy unfolded within the span of 14 seconds. At the conclusion of the Boston Marathon on April 15, 2013, two homemade pressure cooker bombs exploded near the race’s finish line. Three people were killed instantly, and hundreds were injured, including 16 who lost limbs, whether explosively or surgically. Within hours two brothers, Dzhokhar and Tamerlan Tsarnaev, were identified as the suspects. On the night of April 18/19, the brothers were located by police in separate vehicles and a firefight ensued during which an estimated 200 to 300 rounds of ammunition were fired. Tamerlan was subdued after a foot chase, but his brother Dzhokhar deliberately drove at police in the other vehicle, inadvertently running over his brother, then dragging him a short distance. Tamerlan died around 1:30 that morning, while Dzhokhar was not located and arrested until about 8:45 that night. He was sentenced to death and remains on death row to this day. “Boston Strong,” the city’s rallying cry of victory and solidarity after the arrest, marked the birth of the tradition where cities struck by tragedy respond similarly: Las Vegas Strong, Orlando Strong, Dayton Strong, Houston Strong, El Paso Strong, and on the list goes. The term was inspired by Lance Armstrong’s Livestrong Foundation, but Boston invented its use after tragedy. What made solving the Boston Marathon case so unusual was its voluntary “shelter in place” directive. Unprecedented in its scope and effectiveness, the level of compliance brought Boston, Watertown and Cambridge to a virtual standstill. The area’s entire public transit network, including buses, trains and taxis, was suspended. Universities, schools, offices, stores and businesses were closed. Roads and streets in the area were deserted.

Martin Richard, age 8, one of the 3 people killed in the Boston Marathon bombing, holding a poster he made reading, “No more hurting people. Peace.”

It was a bold and brave move, and it worked. At the time, it seemed almost unthinkable to even propose: virtually shutting down an entire city, a major city at that. From today’s perspective, Boston’s one-day shutdown seems trivial. We have seen the entire world grind to a halt, and it has stayed locked down for weeks. Are we almost at the end of our own shelter in place orders? Or not even halfway there yet? No one knows. But it seems to be working. Isolation makes disease transmission much more difficult. It’s vitally important — potentially life and death important — to cooperate. When it’s all over, will there be Monday morning quarterbacking and second-guessing? Like never before in world history. Count on it. For now, however, the best any of us can do is obey the directives that medical experts in public health and epidemiology have offered. As survivors on the other side of this we can put our own name in the phrase: Jason Strong, Suzanne Strong, Mike Strong, Erica Strong... +

Praying for our friends on the front lines Stay Stay Strong! Safe! We are here for you

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THE FIRST 40 YEARS ARE ALWAYS THE HARDEST

PARENTHOOD by David W. Proefrock, PhD

Your 15 year-old son is popular and usually gets along with everyone. Recently, however, he got into a serious fight with another boy in the neighborhood. Both boys were cut and bruised rather badly. Your son refuses to talk about what caused the fight. In fact, he won’t discuss the fight with you at all. What should you do? 1. The fight is over and nothing can be done about it now. It is his business. If he wants to talk with you about it, he will. Don’t force him. 2. This change in his behavior could be a sign of a serious problem. Take him to be evaluated by a mental health professional. 3. His unwillingness to communicate is of greater concern than the fight. Give him a little time and then talk with him. Start with how you worry when he won’t talk with you, not with what caused the fight. 4. Tell him that you need to know the whole story about the fight and that he will be restricted until he talks with you about it. If you answered: 1. This isn’t the worst thing you could do, but remember that your ability to communicate with your son is important and that he is not communicating with you now. 2. This is over-reacting to one fight and his unwillingness to talk about it. It might be necessary if he stops communicating with you altogether, but it shouldn’t be the starting point. 3. This is the best choice in this situation. Remember that communication consists of listening as well as talking. Be sure to concentrate more on your relationship and ability to communicate with each other than on the fight. 4. It is not going to help the situation if he gets angry for being punished for not talking. In fact, it will probably guarantee that he stops talking to you. The ability to communicate openly and honestly is essential in raising teenagers. However, it can not be forced. In this case, you should wait for him to come to you. If he doesn’t, the real problem is that open and honest communication has broken down, not the fact that he was in a fight. + Dr. Proefrock is a retired clinical and forensic child psychologist.

APRIL 17, 2020

REALITY CHECK… from page 1 cause, while it isn’t communicable, it is considered largely preventable for many patients. Imagine the lives saved and the improvements in quality of life if people were as serious about avoiding heart disease as they are about avoiding COVID-19. What would that world look like? In one way, a lot like it looks right now: have you noticed couples, families and individuals out walking and riding their bikes in your neighborhood as never before? It’s a benefit of the current situation. Fortuitously, one of the keys to avoiding heart disease is regular exercise. As people are discovering lately, it’s quite enjoyable. Other keys to avoiding our biggest and most entrenched killer: don’t smoke, and if you do, quit! Immediately! Also, eat a healthy diet. Healthy food is just as delicious as junk food, if not more so, and it has the added benefit of being good for our health. On a related note,

not being overweight or obese is another way to avoid heart disease. Extra weight gives the heart extra work to do, and eventually it gets tired out and does something unpleasant to get our attention. Most of the elements that contribute to heart health are things that make being hearthealthy easier. It’s not a viscious circle; it’s a kindly, gentle and benevolent circle. Not smoking, for example, makes exercise easier and more enjoyable. Ditto for maintaining healthy weight. You won’t enjoy shooting a few baskets or walking around the block if you’re hauling around an extra hundred pounds or more. The second-leading killer of Americans — cancer — shares many of the same characteristics as heart disease. Although it kills an average of more than 1,600 every day, year in and year out, many cancers are preventable. All it takes is living a healthful and salubrious

life — in mostly the same ways that help prevent heart disease — and avoiding unhealthful actions like smoking. As we all periodically think about what it takes to be healthy (which, after all, is why we read this particular newspaper), it’s instructive to compare what we’re doing now with what we usually do, or could do when we get the chance. Right now we’re taking actions to prevent sickness that are in many cases costing us our livelihoods, depleting our savings, and sometimes even testing our manners and sanity. Life is very stressful for millions of people these days. By contrast, when life returns to “normal,” the things we can do to improve our health and quality of life can be, as we have just discussed, very pleasant and enjoyable. So if the old normal wasn’t exactly as salubrious as it could or should have been, resolve that the new normal will. +

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APRIL 17, 2020 percentage who do (0.18%)

99.8% percentage of Americans who do not have the virus

ow is not the time to be Something that has afflicted ignoring the real threat more than 2 million people posed by the pandemic around the globe, killing more sweeping the globe, yet that than 130,000, is anything but is exactly what some peo“foolishness.” It’s real, and ple are doing. Earlier this it’s real bad if you have it, week, someone told those who First responders especially a roving reporter for are up in years and are great. the Medical Examiner already have underthat they were in the First preventers lying health issues. Martinez post office that group are even better. Among when an older man are people undergolooked around at all the other ing chemotherapy and/or radicustomers and clerks (he was ation, and those with various the only one not wearing a diseases and conditions which mask), and said, “I’ll be glad compromise the immune syswhen all this foolishness is tem (like burn patients, people over. Y’all look like a bunch of with HIV/AIDS, diabetes, leubank robbers.” kemia, hepatitis, and others).

In one study profiling 355 coronavirus fatalities in Italy, only 1% of the victims had no previous medical conditions, while almost half (48%) had three or more previous health issues, including COPD, cancer, atria fibrillation, heart disease, hypertension, liver disease, dementia, and diabetes. The authors of that study pointed out that having a collection of pre-existing conditions doesn’t mean someone who gets COVID-19 will die; they are only risk factors that change the degree of difficulty for doctor and patient alike. The added risk factors presented by pre-existing conditions suggests an important point about the value of salubrious living all the time. It’s like money in the bank that can be drawn on when an emergency like what we’re all going through now arises. Like the pull-out quote to the left puts it, as great as first responders are, first preventers are even better. In the same way that it’s not exactly fair to our doctors to be 400 pounds overweight and then ask him or her to fix our heart disease, virus prevention goes beyond immediate actions like hand-washing, mask-wearing and self-isolating. It is also encompasses the way we live our life every day, including a year ago — and even ten or twenty years ago. +

3 +

DEARREADERS

Call the neighbors, text your relatives and mark your calendars to mark this, our historic first digital-only edition! Years from now you’ll be telling people, “I remember exactly where I was when I found out the Medical Examiner was going 100% online.” It’s definitely a milestone. An important point we’d like to make: we don’t plan to follow in the footsteps of Senior News, Buzz on Biz, the Metro Spirit and other area publications and vanish. Our intention is to return to paper as soon as it’s safe. Our deliveries of the last issue took us into both Windermere and Kentwood nursing/rehab facilities (and several hundred other places), both of which are currently big-time virus hot spots. We want to get out the information our readers enjoy, but not at the cost of our health and possibly even our lives. (Technically, federal guidelines define the Medical Examiner as an essential business exempt from lockdown in at least two ways: as a member of the news media, and as a business or organization which dispenses public health information. The fact that we can keep distributing the paper doesn’t necessarily mean that we should.) As the virus situation gets better, we’ll adjust our distribution accordingly. If you’re reading this article, thank you for following us to the web. Or perhaps this is where you’ve been reading us all along. The online edition goes back more than 200 issues (the paper edition more than 300). We highly recommend that you “Like” the Examiner’s Facebook page (facebook.com/AugustaRX). It’s a good spot for regular posts that will educate, inform and entertain in matters of health and wellness, but at times like this it’s also the best place to learn about any breaking news affecting Medical Examiner availability. Another vital topic to discuss here: the awesome advertisers who make this publication possible. Everyone who enjoys this newspaper is indebted to our sponsors. Please look for opportunities to express your thanks and to take your busines to them whenever you can. They love knowing that you’re out there seeing their messages. Like all of us, they’re trying to survive these challenging times. Let’s help each other. +

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APRIL 17, 2020

AUGUSTAMEDICALEXAMiNER

#113 IN A SERIES

Who is this? ON THE ROAD TO BETTER HEALTH 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

othing breaks up colleagues and friendships quite like an earth-shattering medical breakthrough. Let’s use these two scientists as Exhibit 1. The man on the left is Albert Schatz, probably still a graduate student at Rutgers University when this undated photograph was taken. The man behind the microscope is his mentor, Dr. Selman A. Waksman (1888-1973). As events were to unfold, these men probably invented social distancing, at least as far as the two of them were concerned. Dr. Schatz was described by a fellow student as “a poverty-stricken, brilliant student who worked with a burning intensity.” He graduated from Rutgers University in 1942 with a degree in soil microbiology and was hired as a postgraduate assistant under the supervision of Waksman, who led the soil microbiology department at Rutgers’ College of Agriculture. The job was only temporary, however. Schatz was drafted, but by 1943 was discharged from the military due to back problems. Back in Waksman’s lab with a new job paying $40 a month, Schatz’ assignment was to find an antibiotic effective against tuberculosis. Identifying an agent that would be effective against penicillin-resistant diseases was also on the wish list. Within three and a half months, Schatz had met both objectives, finding two related strains of bacteria, one from a throat swab of a chicken, the other from heavily manured soil. He named the antibiotic derived from these bacteria “streptomycin.” The discovery was hailed as one of the most important microbiological breakthroughs of the twentieth century. Waksman had Schatz sign over all rights and profits from the drug to Rutgers, something Schatz was happy to do in the belief that it would help make streptomycin available as widely and as inexpensively as possible. Over the next few years Selman went from calling Schatz “the most brilliant student I have ever had” and giving him full credit for the key role he played in the discovery of streptomycin to taking full credit himself and all but burying Schatz’ role. In fact, Waksman won the 1952 Nobel Prize in medicine as the sole discoverer of streptomycin — questionable in itself — and never had the courtesy to even mention Dr. Schatz in his Nobel speech (although he did refer to “several graduate students” who assisted him). To make matters worse, it came to light in 1949 that Waksman had been secretly getting 20% of the royalties from the sale of the drug, pocketing by that point more than $3.75 million in today’s dollars. Schatz sued and won a small share of the royalties (3%), but the action essentially blacklisted him from employment in any top-level institutions. As the decades rolled past, some people studying the controversy were on Waksman’s side all the way. Others believed Albert Schatz had been the victim of a grave injustice and did their best to right the wrong. One such institution was Rutgers University, which in 1994 awarded Schatz its highest honor, the Rutgers Medal. Albert Schatz died in 2005 at age 84. +

by Marcia Ribble As the days of solitude pass one after another, I find myself giving thanks for all those family members and friends who remain connected via phone and Facebook. No matter what time of the day or night it is, I can always find someone to talk with. In a lot of ways I am reminded of my years at home with my four sisters in our growing up days. Those days and their conversations left a warm spot in my heart, kind of like how it feels to eat freshly baked chocolate chip cookies cooled just enough to not scald my mouth and throat. And it didn’t matter too much if we agreed or disagreed, as long as that underlying companionship existed. Those sisters, still important parts of my life, form bonds that cannot be torn apart. Now in addition to my sisters there are my adult children, their children, and my wonderful nieces and nephews. I have greatgrandchildren too. Since we can’t see one another face-to-face these days, we have the wonders of technology as our connectors. When I was a child and young adult, using the phone to make longdistance calls was reserved for emergencies or great news such as the birth of a baby. Now it’s my handy way to play with my greatgranddaughter. Luna and I can play hide-andseek and I guess where she is, even though she is over twenty miles away in another city. We had a great giggling time until she finally told me where she was. Another game we play on the phone is “What is that sound?” We usually tell one another what the sound is, but that doesn’t seem to matter to either of us. Our latest conversation was about the huge number of frogs determined to make a home in her family’s swimming pool. Luna, her mom and grandma took the frogs out and put them

into the pond, only to have them and their strings of eggs return to the pool while Luna and her folks slept that night. The frogs seem to prefer the cleaner pool to the dirtier pond for courtship, mating, and egg laying. Big frogs, little frogs, medium frogs all head for the pool on warm spring evenings. There are pictures on Facebook to go with the phone calls. Luna can be heard giggling. I am giggling, too, as I watch her. She knows and loves her great-grandma even if we can’t hug in person, and I love her back. There was a plan for when I was feeling up to it after rehab, to go with Viv to see her new house in Charlotte North Carolina. I was looking forward to seeing it and she was looking forward to showing it to me. She’s proud of her new home and I’m proud of her. So today on Facebook she sent me a bunch of photos of her various rooms and furnishings. It’s beautiful and looks just like her homes have looked, with the same loving care she put into designing them. Seeing a photo isn’t the same thing as being in her home, smelling her coffee, her cooking, her perfume. But it will do until stay in place orders are lifted and we can touch one another again. I am writing letters again, too. I mailed one yesterday to the woman who shared my room at Amara. She may not remember who I am, but I know she loves cats and the card I wrote on had a picture of cats. She can’t have company, but she can carry the card around in the basket of her walker and know that someone cares that she is alive. Tomorrow I will write more All I need to do is remember how we stayed in touch in the days before technology. Writing letters was one important way we reached out and touched one another’s hands from across a city, a state, or a country. A letter was a pledge of mutual connection and love. Works just as well today. +

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ready by 9 or 10 and we dig in. Dad and I have been ready and wanting to leave since about 9. We manage to leave around noon if we’re lucky, but typically it’s later. Sometimes much later. So the first thing we do is stop for lunch. Around 2 or 3 in the afternoon we finally are doing something we wanted to do, but by no later than 4 or 5 p.m., dad is tired and ready to go back to the cabin. But mom is just getting started and she and my wife have a list of a dozen stores they still want to visit, so we split up. I take dad back to the cabin for more sitting, napping, talking and watching old TV westerns, while my mother and wife shop. Not exactly my idea of a vacation. But it is what it is. So what happens on the next day after I have learned my lesson? On the second day of a typical trip, I leave early with dad to go do something he and I care about, like a knife shop or to see some old place we visited when I was a kid, and then we meet the ladies for lunch, usually in or near an outlet mall. Then I take dad back to the cabin for a nap unless my wife or mother want dad or me to try on some clothes or shoes they found for us. To me that is one of the worst types of torture. The only thing worse is watching a kindergarten musical in an elementary school gym/cafeteria/auditorium with no AC on a hot day, sitting in tiny little seats made for tiny little six year-old rear ends, listening to the muffled, inadequate and feedback-laden sound coming from their antiquated PA system run by someone who seemingly has no clue which end of the microphone to talk into, much less how to make good sound emanate from the speakers. When my wife and mother get back, mom and dad can go to bed while my wife and I can go somewhere together. Not ideal, but we make it work. It also helps when our grown children join us as they have the past two times. They are a big help and they too get an eye-opening preview of what is ahead. When my better half and I are traveling with our grown children in another 20 years, I hope they still want to take us, and yet, I still look forward to making it difficult for them. I don’t know why, but I think I inherited that from my dad. In all seriousness, I’d take all of the hassle and annoyances that accompany family vacations without a single complaint if we could just go somewhere — anywhere — soon. Until then, stay safe, practice social distancing and help us end this as soon as possible. +

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Being stuck in the house with my wife and my parents during this pandemic has made me long to be able to go somewhere on vacation. Anywhere really. So much so that I’ve found myself reminiscing over photos of our vacations from the past few years quite a bit lately. What makes it worse is that we had booked a long weekend trip to Hilton Head for late March but cancelled as it became clear that even if we did go, we probably wouldn’t be able to do one of our favorite things on the Island. Namely, eat some great seafood in beautiful surroundings. But as I thought about our recent trips with my parents it gave me a chuckle. I’m sure it’s a preview of what it will be like for our kids when they take us on vacations in the not so distant future. It reminded me of how difficult travel can be with kids or aging parents, yet we do it out of love. The problems are different, but they can both be taxing. Fortunately, with the passage of time we tend to only remember the good parts. That makes me smile, but not always for the feel-good reasons you might expect. No, I’m looking forward to irritating my children as much as possible. What do I mean? Well, here is an example of what I think my wife and I will be like we’re about 15-20 years older. I’ll still be a morning person; that hasn’t changed yet. My grandmother was the same way, right up until she died in her eighties. My wife is definitely not a morning person. It takes about 2 quarts of strong coffee and a shower to get her going, and even then she isn’t happy about it. So, on vacations, I’m up and ready to go somewhere while she wants to wake up whenever that happens naturally, lie in bed for a while, have some coffee, watch some TV, catch up on Facebook and Instagram and then start getting ready. We rarely make it anywhere before lunchtime while on vacation. During the waiting period, my mood goes from unbounded joy and anticipation for all the promise the shiny new day holds to a grumpy old man who sees nothing but negative things because one of my precious vacation days is half over already. I see something similar in my parents and it hasn’t gotten better as they’ve aged, so I hold out no hope for us. On our last two trips with my parents to the Smoky Mountains, the following is an accurate description of a typical first day of vacation for us: I wake up at six in the morning full of anticipation and delight for the day ahead. Around 8, I make coffee, and my father gets up and has a cup. I take one to my wife then dad and I talk, watch a TV western or sit outside looking at the beautiful view. Breakfast is

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APRIL 17, 2020

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APRIL 17, 2020

RECOVERY IN THE COVID AGE by Ken Wilson Steppingstones to Recovery

Since I wrote the last column, everything has changed. Unprecedented. Uncharted territory. Nothing remains the same. Some people are re-inventing themselves, some are bored, and everything in between. My acquaintances who work in stores that sell alcohol tell me that alcohol sales are up astronomically. Yesterday I was at a walking trail and when the car door beside me opened, 4 young ladies got out and I think I could’ve gotten a good buzz just from sniffing the air that came out with them! Most self-help recovery meetings are not meeting as they did even a few weeks ago and people are now going to meetings in the isolation of their own homes via Zoom instead. I am in contact with a number of substance abuse treatment centers, all of which are still having recovery meetings with much smaller groups, required masks, social distancing, and frequent handwashing as part of the protocol. Those coming to the center where I work express gratitude during each meeting that they have something constructive to do and an accountability system still in place to use to shore up their quest for sobriety. But not all who are in need are so fortunate. Some have to rely on online support. So this month I’ve decided to give you an online resource list to use, whether afflicted or affected:

THIS IS YOUR BRAIN A monthly series by an Augusta drug treatment professional • PAL (Parents of Addicted Loved Ones) Groups – online via Zoom – Tuesdays 6:30 p.m. Contact nancy@palgroup.org for more info. • foraugusta.org – has a wide variety of “meetings” posted online with free tele-peer coaching by certified personnel. This is a great local organization to use! • NA Online Meetings – na.org/meetingsearch/text-results.php… • AA Online Meetings – aa-intergroup.org/ directory.php • Al-Anon Online Meetings – Please see RECOVERY page 8

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WELLNES AUGICINE • WELL NESSS • HEALTH A ICINE UGU UST • HEALTH ••MEDMEDICINE • WEL LNESS • WELL A’S STA HEALTH ’S M MO NESS ••HEAL TH • MEDICIN E • WEL ST S • MEDICINE OST • WELLLNES NESSS•• HEA HEALLTH AL SA TH ••MED LU MEDICIN UB ICINEE BR WELLNES NESSS•• IOU S ••WELL HEALTH HEAL MEDICINE ICINE• NEW TH ••MED •WELL WELLNES NESS • S •HEAL SPA HEALTH SP TH • MED APE • MEDICINE ICINE • WELL • WEL NESS R• LNESS • HEAL • HEA TH FO FOU MEDICINE ICIN • WELL NDE LTH •• MED NESS • D IN E • WELLNES S • HEAL TH • MED HEALTH • MEDICINE • 20 2006 NESS • WELLNES HEAL 06 AP ICINE • WELL S • HEA TH • MED LTH

MEDICINE IN THE FIRST PERSON

AUGUSTA

AAUU GGU USST TAA

OR SMARTPHONE

re you a New Year’s resolution fan? Or a resolution hater? Both sides in this annual discussion have their valid points. On the negative side, by the time you read this many carefully made resolutions may have already slipped a little. Statistically, by this date (January 9) 25 percent of all resolutions have already gone down in ames; that many usually fail within the rst week. By the six-month mark the failure rate is about half. And by this time next year, the wreckage of 88 percent of all those shiny new intentions of last week’s New Year’s Day 2015 will lie strewn across the landscape. On the plus side, that means a fairly decent 12 percent of all resolutions are achieved after a full year. Building on that positive note, making New Year’s resolutions is evidence of one of the nest aspects of human nature — that we continuously evaluate ourselves and constantly strive to improve, to be better husbands or wives, better moms and dads, better employees, better bosses, and just better human beings. The typical resolutions reect those basic desires: the #1 resolution every year is always some form of better health. Lose weight. Get more exercise. Eat less junk food or fast food. Eat less, period. Quit smoking. Drink less, or quit altogether.

TM TM

• MEDICINE • WELL ICINE • WEL NESS LNESS

Who is this? See page 3.

S Specific

M A Measurable

Achievable

You really can’t fault anyone for such noble goals. After all, health is the ultimate wealth. It’s the currency that makes every other endeavor in life possible. Speaking of currency, improving nances is, broadly speaking, the second most popular resolution category. Common examples include establishing and/or sticking to a budget; saving more; cutting impulse buys; getting a better job, a raise, or a promotion. The third-most common resolutions might be categorized as self-improvement: read more; temper control/ anger management; reduce or manage stress; watch less TV; get more education: learn a new language, skill, or hobby; improve your marriage and other personal relationships, and so forth. All of these are worthy goals. They are well worth pursuing, even if that means getting past occasional setbacks. Since failure is always an option, it’s good to expect it and be ready to keep making progress. There is nothing magical about January 1. If you haven’t made some kind of self-improvement goal, it’s never too late. If you’ve started and failed already, restarts are always allowed. Whatever you set your sights on, keep the letters shown below in mind, as well as what they stand for. Please see RESOLVED page 2

Relevant

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this digital version wherever you are in the world. The Medical Examiner is always available on your favorite device at ISSUU.COM/MEDICALEXAMINER or at the Medical Examiner’s website (www.AugustaRx.com). Click directly from any Examiner page directly to websites listed in ads and articles. You can easily view hundreds of back issues at the issuu address. + HOHO MEMOF E OF THETHWOR E WLD ORLD FAMFAOUM SOU$1S9.9$15 9.9SC5RU SCBRUSEB TSET

APRIL 17, 2020

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AUGUSTAMEDICALEXAMiNER

GARDENVARIETY

It’s springtime in Augusta, and I am ready for fresh garden produce. My tomato plants are starting to grow, but in the meantime, I am jump-starting the season by using fresh yellow tomatoes for a variety of my recipes such as this homemade salsa. Making fresh homemade salsa is easy using the combination of fresh ingredients such as yellow tomatoes, chilies, onions, and cilantro to create a salsa with an authentic Mexican flavor. It is perfect with chips or as a condiment for fajitas, burritos, and quesadillas. You can use any variety of large tomatoes for this salsa, but I like to use a tomato that is not too acidic like a yellow tomato. It might surprise you that according to Prevention, yellow tomatoes are slightly better for you than red. Yellow tomatoes are lower in calories, higher in iron, phosphorus, and potassium. They also are higher in zinc, which helps boost your immune system. For those of you worried about cholesterol, yellow tomatoes are almost double in niacin, which helps keep it low. Another good reason to use yellow tomatoes is they are nearly double compared to red in folate, which helps your body produce red blood cells. It might surprise you how simple it is to make fresh homemade salsa. Just peel your tomatoes (I share with you on my site a quick way to do this), then toss your ingredients into a pot and allow them to simmer, filling your kitchen with a savory Mexican aroma. Once all your ingredients are simmered, use and an immersion blender to make it chunky or smooth,

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Homemade Salsa whichever you prefer. Then pull out the chips and enjoy!

Homemade Salsa

Ingredients • 5 large yellow tomatoes peeled • 1/3 cup chopped onion • 2 jalapenos, seeded and chopped • 1 tablespoon white vinegar • Juice of one lime • 2 cloves fresh garlic chopped • 1/4 cup cilantro • 1 teaspoon cumin • 1 teaspoon pink Himalayan salt • 1 teaspoon sugar • 1/4 to 1 teaspoon pepper flakes Making the Salsa In a medium stock pot combine all ingredients. Bring to a boil over medium-

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high heat, stir continuously. Reduce heat, and simmer gently. Stir frequently so the tomatoes do not burn. Allow to simmer for about 15 minutes or until the tomatoes are very soft, starting to fall apart. Use an immersion hand blender and puree the salsa until it is smooth. Chill and then serve with fresh cilantro and crushed red peppers to taste on top. +

by Gina Dickson, an Augusta mom to six and Gigi to ten. Her website, intentionalhospitality. com, celebrates gathering with friends, cooking great healthy meals and sharing life around the table. Also on Instagram @ intentionalhospitality

MEDICALEXAMINER 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

APRIL 17, 2020

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APRIL 17, 2020

RECOVERY… from page 6 http://al-anon.info/meetingsearch/phonemeetings.aspx • Buddhist Recovery – buddhistrecovery.org/…m…/Telephone+-+Online.htm (See “List of online meetings”) • Dharma recovery – recoverydharma.org/online-meetings • Smart Recovery – https://www.smartrecovery.org/ smart-recovery-toolbox/smart-recovery-online/ • Sex Addicts Anonymous – saaonline.org/meetings/index.php • Adult Children of A’s – https://adultchildren.org/ quick-search/?onlinebt=click+here • AA Speakers, Big Book, & 12 Steps - in the Apple app store on your phone or iPad • Sex & Love Addicts Anonymous – saaonline.org/meetings/index.php • Eating Disorders Anonymous – http://eatingdisordersanonymous.org/online-meetings/ • Celebrate Recovery (Christian) – info/local meetings at https://www.celebraterecovery.com/ • CARES Warmline – 8:30 am – 11 pm – 1-844-326-5400 – to speak with someone who has one or more years of personal recovery for free coaching We are all in this together. What affects one of us affects all of us. I believe that personally and as a nation we will all be better people when this crisis is under more control. Inside each one of us is a person who wishes to be a better person. Unity calls this “the God in you.” Jesus Christ put it this way, “The kingdom of God is within you.” That is the flame to be fanning right now. I wish I could talk about the fear in each of us that is afraid to be a better person right now, but it is beyond the scope of the intent of this column. One thing is sure though. The way to get through this is to be kind to one another. Kindness itself can change this world in the next four weeks just like COVID-19 changed it in the last four. Kindness is better. Reach out. Help a brother or sister with these resources or your own. +

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AUGUSTAMEDICALEXAMiNER

DON’T LICK THE BEATERS Useful food facts from dietetic interns with the Augusta University MS-Dietetic Internship Program

Taking the Meat Out of Monday by Kayla Osberg, MS-Dietetic Intern

Opting for vegetarian meals

at least one day a week for diet or religious purposes can provide a plethora of health benefits. For centuries people have adhered to no meat on Fridays during the Lent season, and this may be a practice to follow throughout the year. In today’s world, meat is usually the central focus of meals, taking away from nutrient-rich vegetables, whole grains, beans, and lentils. Enriching diet with a vegetarian meal one day a week, or by participating in Meatless Mondays can improve health, add variety, and positively impact the environment. Taking one day a week to focus meals on plant-based food sources may help prevent against heart disease, cancer, and diabetes. Whole grains provide fiber, which may help satiety or the full sensation and promotes proper bowel health. Examples of whole grains are

bread, pasta, oatmeal, and quinoa. Beans and legumes may provide benefits by reducing blood sugar, maintaining a healthy gut, and may improve cholesterol. Legumes consist of peas, chickpeas, lentils, soybeans, and peanuts. Fruits and vegetables may provide an assortment of vitamins and minerals that may nourish an overall healthy body, including the brain and immune system. Plant-based food sources are nutrient dense sources that may help promote health benefits. Health experts recommend eating a variety of colors by filling our plates with a diverse range of fruits and vegetables. Trying different plant sources adds different flavors, textures, and nutrients. Consuming a variety of food sources allows the body to ingest adequate nourishment. Different colored vegetables and beans supply a diverse range of nutrients.

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For example, red produce such as tomatoes, red peppers and strawberries contain lycopene, an antioxidant which fights off damaging free radicals. Beta-carotene is a precursor of Vitamin A that is easily distinguished in bright yellow and orange fruits and vegetables such as butternut squash, carrots, and cantaloupe. These compounds are derived from vitamins to keep the body properly functioning and maintain healthy organ systems. It is possible to get the recommended amount of nutrients through plant-based sources. While most people will turn to dairy products as a source of calcium, consider trying dark, leafy vegetables such as broccoli or kale to meet daily needs. Protein consumption can be met by eating beans, lentils, nuts, and seeds instead of the commonly thought of chicken, beef, or another animal products. Yes, vegetarian meals may provide all the nutrients needed for normal body function. Some people may be hesitant to experiment with a meatless day due to the concern that they will not consume adequate protein. However, on average Americans regularly consume well above the recommended amount of protein. Consuming plant-based proteins such as beans and lentils can provide about 16 grams of protein per cooked cup. Clearly then, adequate amounts of protein can be achieved, and plant-based protein also contains the important nutrients mentioned earlier such as fiber, folate, iron, magnesium, and potassium. As an additional bonus to meatless days, studies have shown that it may be more sustainable for the environment. The Food and Agricultural Organization estimates that 14.5 percent of global

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AUGUSTAMEDICALEXAMiNER

CRASH

COURSE

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

Picture this scenario: you forget to declare $14.63 in income and the IRS prosecutes you and sends you to prison for 30 years. Or this one: you don’t notice that your 5-year-old picks up a candy bar as you go through the check-out line at the grocery store. Store security stops you and they vigorously prosecute both of you. Your child is sent to YDC until he’s 18 and you wind up in prison for 10 years as an accessory. You think these are ridiculous, imaginary scenarios? They are not. It’s not that things exactly like our two tales have happened. But ridiculously small things do result in lengthy prison sentences all the time. In fact, there’s even a term for it. Road rage. Here are some actual real-life scenarios: “He wouldn’t let me pass.” That offense was serious enough to result in a fatal shooting. One dead, another locked away in a cage for many years. Another one: “He kept tailgating me.” That action was bad enough to cause a road rage accident that left one driver permanently paralyzed, the other sent off to a lengthy jail sentence. Things like this are shockingly common. In a survey conducted by the American Automobile Association Foundation, nearly 9 in 10 respondents said they believed aggressive drivers were a “somewhat” or “very serious” threat to their personal safety. The same survey found that a substantial number of drivers admitted to engaging in potentially aggressive behaviors. Another AAA Foundation study found that potentially aggressive actions – such as tailgating, erratic lane changing or illegal passing – are a factor in up to 56% of fatal crashes. Yet another AAA study looked at more than 10,000 road rage incidents committed over seven years and found they resulted in at least 218 murders and 2,610 injuries. Road rage triggers are very often extremely trivial things like making eye contact with another driver and offering a hand gesture, looking at them and shaking your head, or just staring down another driver. Then there are escalations that go slightly beyond trivial, like cutting someone off, tailgating, refusing to move out of the fast lane to let another driver pass, and brake-checking someone to get them to back off, or to deliberately cause an accident. All such actions are very much like our first two scenarios: they are taking a minor, forgettable, forgivable action — something that a day or two later you would never even remember — and responding to it in a way that represents a massive escalation. Road rage is quite often like bringing an AK-47 to a water balloon fight. The Secret to Avoidance Avoiding road rage requires a two-pronged approach. First, do not offend. When motorists are surveyed about what causes anger behind the wheel, the results are remarkably consistent. The top results: cutting people off/pulling out in front of other drivers; refusing to move over out of the left lane for a faster vehicle; tailgating; and confrontational gestures. Do not do those things. Stay away from those top offenses and you’re halfway home. The second avoidance tactic is deceptively simple: Do not engage. A fight generally requires two participants. Someone who refuses to respond to provocation douses the flames. Of course, that can be easier said than done. Some suggestions: avoid eye contact. There are people with a fuse so short that all it takes for them to start World War III is a glance from you that is angry, rude or mocking. Don’t go there. Another strategy: ditch the must-win attitude. Driving is not a race; it is not a contest. When a driver displays must-win behaviors, that’s usually a losing situation; nobody wins. Some safety organizations recommend putting yourself in the other driver’s shoes. Tell yourself they’re on the way to the emergency room or their erratic lane changes are because of a bee in the car. If you can’t convince yourself of that, try the opposite: put yourself in your own shoes. In other words, retrospectively disengage from the situation enough to ask yourself, “Would I get on a plane flown by a pilot who was acting like me?” Never forget that the tiniest triggers can lead to situations that can escalate dramatically and get completely out of hand in seconds. When that happens, people sometimes wind up having years to contemplate how rash and foolish their impulsive actions were. +

APRIL 17, 2020

HUMAN BEHAVIOR LIFE DURING SOCIAL DISTANCING

Life during social distancing is stressful for all the usual reasons—and for all the new ones in this strange new reality we’ve all found ourselves in. As adults, we’re watching the news—possibly too much by Jeremy Hertza, Psy.D. news for our own good. We’re talking to other people who are as nervous as we are. And we’ve lost our usual outlets for stress relief, distractions like the gym, going out to eat, the theater, bars, and others. What happens when our bodies are under too much stress? Our blood pressure rises. We start to make more of the stress hormone cortisol. That triggers our metabolism to burn more fat and carbs for energy and to release more insulin, which makes us hungrier. Then we start to gain weight, which interrupts our sleep. Then we’re even more agitated. When we’re tired, hungry and cranky, none of that makes for a happy home during quarantine. So instead of binge-watching TV, worrying about what’s going to happen, or stress-eating, try these steps instead: Step One: Exercise If you’re gaining weight or having trouble sleeping, exercise can help fix both. Sure, you may not be able to go to the gym. But when it’s as beautiful outdoors as it has been, take a walk, run, bike, kayak, run around the yard with your kids—whatever makes you happy and raises your heart rate. Or take advantage of free online classes on yoga, aerobics and more. Step Two: Set up a regular routine When you’re working from home and your coworkers aren’t there to keep you accountable, it’s very easy to fall into “vacation mode” and lose yourself in TV for a couple hours. Or you ignore the pile of “work work” and do housework instead. (Same with your kids, who might be struggling to focus on schoolwork at home.) That’s why it’s super important to set up a daily routine and make yourself stick to it. While you may still have to roll with the punches to some degree, there’s something to be said for putting some guidelines in place. Step Three: Schedule private time Even when you’re all jammed into the same house, make sure to have some private time for everyone, every day. Make it part of your daily routine that everyone goes to their room for an hour for some personal down time. Step Four: Get some light and air Here’s another thing to do every day: Get some sunshine and fresh air. Maybe you do it while you exercise or maybe you plan to eat dinner outside. Or maybe you just open your windows and curtains and get some air while you’re working. All that light and fresh air help boost our levels of serotonin to help us feel more calm and focused. Step Five: Stay connected It’s easy to feel sad when isolated. But our phones still work. Before all this, we were probably connected way more than we should be. So let’s do what we do best: text, Skype, Zoom, conference call. Let’s use social media to sing together, cheering one another on, play board games, and check in on one another. One final note: If these simple lifestyle changes haven’t helped and you’re still struggling, help is literally a call away. Many offices now have telehealth options where you can talk to a counselor by phone, Zoom or Skype. This is a legitimately anxious time we’re all living through, so don’t be afraid to reach out. + Jeremy Hertza, Psy.D., is a neuropsychologist and the executive director of NeuroBehavioral Associates, LLC, in Augusta. Contact him at 706-823-5250 or info@ nbageorgia.com.

APRIL 17, 2020

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AUGUSTAMEDICALEXAMiNER

The blog spot From the Bookshelf — posted by William V. Kinnard, MD on April 15, 2020

NURSES AND RESPIRATORY THERAPISTS ARE TRULY THE BRAVE It is all about the nurses and the respiratory therapists. I watch countless brave actions every day in the ICU. These are people who, in “normal” times, spend nights, weekends, and holidays caring for the sickest of the sick. They are modestly paid, and often have little control over their schedules. They balance a stream of demands from doctors, patients, families, and the insatiable electronic medical records that demand constant feeding. I have admired them for my whole career. Recently, I figured out one reason that they are able to do this impossible job. They look after one another, and in turn, feel looked after by their teammates. I have never heard a nurse or RT say “no” when a colleague asks for help, be it for bathroom break, a poop clean up, or help with a finicky arterial line. And now, in this time, the team has risen to the challenge. Without hesitation, any nurse or therapist will grab some protective gear and hustle into the room of a patient in need— regardless of whether or not it happens to be their assignment. They do this knowing that many of their sisters and brothers in Italy have died, and many in the U.S. have fallen gravely ill. They do this, not because they think COVID is a minor threat. The unit full of catastrophically sick patients makes the situation very clear. They are very scared. But they go in anyway. Not with the foolhardiness of the thrill-seeker, but with true courage.

I am not worthy of these people.

Two stories: An 82-year-old woman has reached her end. She is kept alive by the ventilator but will not survive. Like all of her fellow sufferers, she is alone. Family can only call. As the time came near to remove the breathing tube, an angel went into that woman’s room, leaned across her, and held a phone to her ear for 45 minutes. So that woman could hear her loved ones. But that’s not the end of the story! The breathing tube came out, and this sweet lady hung in there for another day. She was moved to another room. Still alone. And another nurse spent more than an hour draped over her again, ( now being coughed on regularly) holding the phone to her ear. I gently scolded her for going into the room too much (because I cannot stand the thought of one nurse getting sick). Her answer was, “I don’t want her to die alone.” A 62-year-old old man, sick and on the ventilator for many days, has made progress. It looks like he might make it without the breathing tube. But when it comes out, he struggles. Heart races, oxygen levels drop. A nurse and a RT dash in. “Cough!” they yell. “Take big deep breaths!” In this time, that is pretty much like demanding that someone spit poison on you. They stayed in that room for more than 30 minutes, insisting that that patient cough on them. And he made it. In fact, he’s home now. He almost certainly does not remember who saved his life. But I do. I know their names. I don’t know about you all, but I am not worthy of these people. I will never forget who abandoned these heroes, and I will not abide by a rewrite of history that excuses the shameless. + William V. Kinnard is a pulmonary and critical care physician

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This is a book that reminds us before we even open the cover that cold case crimes can be solved, that silent victims can still testify, even from the grave. People have a curious fascination with the often gruesome science of forensics. After all, the number of CSI-type shows on television is practically without counting. There are even entire networks, like ID (Investigation Discovery) that are devoted to crime and punishment 24/7/365 (not counting commercials). As you might surmise if you are a bit of a detective, having an author whose name is Nigel indicates the book might have a bit of a British slant. True, not that that’s a bad thing. Actually, pretty much the whole world of forensics is examined in all its fascinating detail in this book, including Britain, France, and even right here in the US of A. Nigel McCrery takes us to the scene whenever and wherever there was a fascinating case or a

breakthrough in forensic methods. He breaks it down into a handful of categories, areas like ballistics, blood, trace evidence, poisons, DNA, and so on. Looking back on the history of the science and its present state, it’s a wonder they managed to catch and convict the right perp even half the time back in the day. And it’s equally amazing that anybody gets away with anything these days with the forensic tools available today.

The sad truth when it comes to forensic science is that the cost of each and every advancement was paid over the centuries with rivers of shed blood and untold lives cut short by acts of violence and mayhem. Blood spatter experts, for instance, unknown to detective work in the not too distant past, hone their craft when blood is spattered and splattered. But thankfully, people have been willing to work in and gradually refine, expand and improve the art and craft of forensic science to the point where, today, it provides the basis for many, many TV shows. Plus it helps solve (and no doubt prevent) countless crimes. If the often gruesome but always fascinating history of forensic science appeals to you, this is a book you’ll definitely enjoy. + Silent Witnesses: A History of Forensic Science by Nigel McCrery; 288 pages, published in September 2014 by Chicago Review Press

Research News Having trouble sleeping? You aren’t the only one. Physicians and public health trackers are reporting an increase in pandemic-related sleep issues. It’s understandable for many reasons. Normal routines and schedules are out the window for many. The same home that was empty all day long is now full of people around the clock. Chaos rules. Home is now everything: the office, the gym, the restaurant, school. And they all seem to operate on extended hours. Work used to be 9 to 5; now it comes in patches separated by interruptions and as a result, it starts before 9 and can last well past 5. Ditto for “school.” The school day is undefined. The “restaurant” is always open. Experts say the cumulative effect of it all is more stress, and stress is a known sleep robber. The antidote is to regain control of all the various

enterprises that are now operating inside your home. Restore regular office hours. Don’t find yourself writing reports and checking emails at 11 o’clock at night. Close the restaurant between meals. Establish a schedule for schoolwork. Open the gym at the same time each day. Regain your evenings as a time to begin to unwind and relax after the day’s activities. Limit (or even better, eliminate) all internet and social media screen time for an hour or two before bedtime. Recognize that you cannot perfectly control your household schedule, even if you live alone. But the better we can do in creating and sticking to a schedule, the better we’ll be at creating a time to wind down and relax before bedtime. Better sleep will ensue. It’s back! The medical community’s on-again, off-again

relationship with aspirin is back on again. You may remember that not too many months ago a published study called into question the long-held belief that a daily low dose aspirin was an effective way to prevent heart attacks. In response many people stopped their daily dose, and many doctors agreed. This week a new European study that looked at more than 100 studies involving more than 150,000 patients determined that using aspirin (defined by these researchers as taking one or two regularstrength tablets a week) was associated with a reduction in the risk of developing several cancers of the digestive tract, including some that are almost invariably fatal, such as pancreatic and liver cancers. Depending on the study and the part of the digestive tract under study, the reductions in cancer risk ranged from 22% to just under 40%. +

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AUGUSTAMEDICALEXAMiNER

The Examiners

APRIL 17, 2020

It’s a situation at home. What’s on your mind? I’ve got a son trapped You seem preoccupied. in a female’s body.

by Dan Pearson

Things could be worse. Have you talked to him about it?

Why not? Come on, Because my wife’s due date it’s 2020, not 1950. isn’t for another month and a half.

I really can’t.

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Criticize harshly 5. Intro for Gordon 9. Bob of This Old House 13. Pacers’ school 14. ____ Flu 16. Nation east of Iraq 17. Voice of Shrek’s Princess Fiona 18. Synagogue leader 19. Former Dawg Gurley 20. Monetary unit of Thailand 22. Dougherty County seat 24. Speedwagon starter 25. Sid, former Brave 26. Inner prefix (med.) 28. Jane’s ex 29. Macon county 32. Malt beverage 33. Diarist Anais 34. Diamond in Boston 36. Chop 37. Prostate test abbrev. 38. Letters always associated with “bad” 39. Length of life 40. White of the eye 42. Anagram of 37-A 43. Take home 44. Bold, for one 45. Lair 46. Thermometer type 48. Containing iodine 50. Synonym of 39-A 51. Johns, artist born in Augusta 53. Actor who died in 2008 from drug intoxication 57. Type of list 58. Pelvic exercise 61. Roof overhang 62. Second-hand 63. Intestinal bacteria 64. Requirement

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The Mystery Word for this issue: CENAPARS

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

Click on “MYSTERY WORD” • DEADLINE TO ENTER: NOON, APR. 27, 2020

We’ll announce the winner in our next issue!

E X A M I N E R

1 6

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S U D O K 4 U

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

65. Kelly of note 66. Throw 67. Makes leather DOWN 1. Ear _____ 2. _______ Minor 3. Command to a cat 4. Certain lights on a car 5. Coen brothers film of 1996 6. Eggs (Latin) 7. ____ eye 8. Short coat (of the Middle Ages) 9. A or C, for example 10. Resolve differences (with “out”) 11. ______-killer 12. Common conjunction 15. World’s longest river 21. Natal start 23. Ancient tower 25. Mr. Hogan 26. Vote for 27. Recently 28. Stroke abbrev.

30. Master (in Africa) 31. Ring-shaped bread roll 32. Massage reactions 33. Ft. Gordon occupant 34. Fed. med. agency 35. Up until now 37. Before surgery, in short 38. M.D. asst. 41. Installment of a TV show 42. Not sweet, in wine terms 45. Type of deposit 46. Metal-bearing mineral 47. ________ Blvd. (near MCG) 49. Copenhaver, to friends 50. Downtown backstreet 51. Joseph (in Juarez) 52. Capital of Yemen 54. Greek goddess of the Earth 55. Uniform 56. Clarets 57. Type of war? 59. Gunk 60. Ernie of the PGA Solution p. 14

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— Will Durant (1885—1981)

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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.

1. 276 (body part) ___

6. 62835 (body part) _____

2. 327 (body part) ___

7. 35269 (body part) _____

3. 447 (body part) ___

8. 26553 (body part) _____

4. 2663 (body part) ____

9. 6678745 (body part) _______

5. 24378 (body part) _____

10. 7283552 (body part) _______

INSTRUCTIONS: Use keypad letters to convert numbers into the words suggested by the definitions provided. There is often a theme linking all answers. Sample: 742 (body part) = RIB. Answers on page 14.

TEXT

THE MYSTERY WORD

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APRIL 17, 2020

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AUGUSTAMEDICALEXAMiNER

THEBESTMEDICINE ha... ha...

xperts say the spread of COVID-19 is based on two factors 1. How dense the population is, and 2. How dense the population is. Moe: How did Princess Leia contract coronavirus? Joe: I give. How? Moe: Because she went to woo Han. Moe: I need to go to Walmart, but I’m just not sure it’s safe. They’re telling everyone to stay home. Joe: Relax, Moe. You just need to wear a mask and rubber gloves and you’ll be fine. Later... Joe: How did it go at Walmart? Moe: Not too good. Joe: What happened? Moe: I took your advice and I felt like a fool. Everyone else was fully clothed. Moe: My dad always used to say that when one door closes, another one always opens. Joe: Sounds like a smart man. Moe: He was. Terrible cabinet maker though.

The

Advice Doctor

Moe: I threw a boomerang once. Joe: And? Moe: And now I live in constant fear.

A man takes his wife to a lab to get blood drawn for some tests her doctor ordered. Two days later, he gets a call from the lab. The doctor says, “I am sorry to tell you that your wife’s test results were mixed up with another patient’s. We are not sure if she has COVID-19 or Alzheimer’s disease. “So what are we supposed to do?” the man asked. “Take your wife for a long walk, leave her, and run back home,” the doctor advised. “If she finds her way back to your house, do not open the door.” Moe: Hey, I made a Jail Report joke! Wanna hear it? Joe: Sure, why not. Moe: Why was the magician’s assistant arrested? Joe: Let me guess: failure to appear? A man helping out at home during the quarantine was exasperated trying to feed his young children. At his wit’s end, he called out to his wife, who was in another part of the house, “Honey, the kids won’t eat their vegetables. What do you want me to do?” “That’s fine,” she shouted back from the other room, “Just throw them out, dear!” “Sorry kids,” the man told them moments later as he helped them pack their suitcases. “I’m just as shocked as you are.” +

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, People don’t seem to realize the complete world meltdown we’re in right now. It has even affected me, and I’m nobody - except on my job. There I am THE key employee. I was supposed to get a raise before all this happened, but now that’s on indefinite hold, which I think is unfair. At least I still have job and I’m still getting paid. But I think my raise should happen now. Retroactively, in fact. I’m prepared to play hardball - unless you think I should keep being patient. — My promised raise “flu” out the window Dear My Promised, I realize this is a frustrating and disappointing turn of events. And remember, it’s disappointing for millions, not just you. After all, baseball is “America’s pastime.” We all want to see the games return. Opening Day is always so full of hope and promise, and we need that right now. But what about this idea: could you play hardball in your own yard? Do you have a few mitts, a bat and a ball? That’s really all it takes. The tools of the game are very simple considering all the enjoyment we get from it. But let’s say you don’t have a bat or mitts. You can’t even play hardball. Then what about a Nerf ball? Experts say one of the key ways to survive this global shutdown with our sanity intact is to get regular exercise. Daily exercise is always important, but it’s especially important now when we have to create our own reasons to even leave the house, or for some people, just to get off the couch or not be in pajamas 24/7. Even a simple game of catch with one of your kids out in the fresh air and sunshine can get the blood stirring. It’s good for both physical and mental health. If you don’t have a ball, what about a Frisbee? Surely you can find something to throw back and forth. Just make sure it has been sanitized! One more thing: remember that exercise is supposed to be a daily event. So play hardball every day. Or softball. Or Nerf ball. Or Frisbee. One thing’s for sure: nobody plays catch less than 6 feet apart, so you’re covered there. And if you can’t play catch, go for a walk. Figure out something you can enjoy and then do it every day. 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.

SUBSCRIBE TO THE MEDICALEXAMINER +

Why read the Medical Examiner: Reason #429

By popular demand we’re making at-cost subscriptions available for the convenience of our readers. If you live beyond the Aiken-Augusta area, or miss issues between doctor’s appointments — don’t you hate it when that happens? — we’ll command your mail carrier to bring every issue to your house! NAME ADDRESS CITY STATE ZIP Choose six months for $20____ or one year for $36 ____. Mail this completed form with payment to Augusta Medical Examiner, PO Box 397, Augusta GA 30903-0397

BEFORE READING

AFTER READING

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THE MYSTERY SOLVED The Mystery Word in our last issue was: THUMB

...cleverly hidden on the woman’s face in the p. 2 ad for DANIEL VILLAGE BARBER SHOP

THE WINNER: TIFFANY PHILLIPS! 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!

APRIL 17, 2020

AUGUSTAMEDICALEXAMiNER THE PUZZLE SOLVED B U D S

A S I A

E A L H E S C T J T O U S G E

S C A T

H F O A A V Z R A A N G R E O N D O T E N I W P S A L E R A Y P E D I O D I A S P E R D O K E E D E C N E T

R T I A N B B I A L B R E E D N F L D S P A E N C E L G E L O L I O S S

I R O N

L A A N D D Y

B W A N O R A R A E D G E A N E T A

B A Y G E E T L

B A B E L

V I T A M I N

E V E N

R E D S

SEE PAGE 12

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

...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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Love to stare at your phone? Visit issuu.com/ medicalexaminer and stare away.

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QuotatioN QUOTATION PUZZLE SOLUTION “Education is the progressive discovery of our own ignorance.”

— Will Durant

TEXT ME 1. ARM 2. EAR 3. HIP 4. BONE 5. CHEST

6. NAVEL 7. ELBOW 8. ANKLE 9. NOSTRIL 10. PATELLA

READ EVERY ISSUE ONLINE WWW.ISSUU.COM/ MEDICALEXAMINER

APRIL 17, 2020

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AUGUSTAMEDICALEXAMiNER

MEATLESS… from page 9

human-caused greenhouse gas emissions (GHGE) are due to livestock. While the topic is controversial, proponents say eating less meat and animal products by going meatless one day a week may reduce the GHGE. Red meat consumption drives the supply and demand of beef up, causing more beef

products to be produced. Beef results in the most greenhouse gas emissions due to the anatomy of cows, containing a ruminant which ferments the food cows consume, resulting in methane gas, which has 28 times the amount of global warming potential than carbon dioxide released from plants. Simple switches to consuming more plants, and less animal sources may decrease the carbon footprint we are leaving on Earth. Small changes in diet can lead to large impacts on health and the environment. Consuming only vegetarian meals for one day out of the week may help decrease risk for chronic disease, improve health, and reduce carbon footprint. For more information on plant-based diets, visit www.eatright. org or contact a local registered dietitian nutritionist (RDN). Registered Dietitian Nutritionists are credential healthcare professionals trained in the science of nutrition. Easy Meatless Switches to Make: • Vegetable lasagna with zucchini or eggplant • Vegetarian chili with lentils • Instead of a hamburger, try a black bean or veggie burger • Tofu in place of chicken or beef • Try buffalo cauliflower bites instead of buffalo wings +

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ALLERGY Tesneem K. Chaudhary, MD Allergy & Asthma Center 3685 Wheeler Road, Suite 101 Augusta 30909 706-868-8555

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DENTISTRY

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Karen L. Carter, MD Medical Center West Pharmacy 1303 D’Antignac St, Suite 2100 465 North Belair Road Augusta 30901 Evans 30809 706-396-0600 Your Practice 706-854-2424 www.augustadevelopmentalspecialists.com www.medicalcenterwestpharmacy.com And up to four additional lines of your choosing and, if desired, your logo. Parks Pharmacy Keep your contact information in this 437 Georgia Ave. ARKS convenient place seen by thousands of HARMACY N. Augusta 29841 patients every month. Steppingstones to Recovery 803-279-7450 Call (706) 860-5455 for all the details! 2610 Commons Blvd. www.parkspharmacy.com Augusta 30909 706-733-1935

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