April28 17 by Daniel Pearson

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MEDICAL EXAMINER recipe feature PAGE 7

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

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The Fix

Imagine this scenario: you’ve just spent a few thousand dollars on new hardwood flooring in your living room. Now you’ve decided to transform your fi replace too. The bricks that match the outside of the house will go, replaced by rugged fieldstone. You should have done the fi replace fi rst, but it’s too late for that now. As one of the big

heavy hearthstones is brought into the living room, it is accidentally dropped, leaving a huge gash in your brand new hardwood floor. You’re dismayed and annoyed, but there’s nothing you can do about it now. It’s done. But a funny thing happens. Within a few days the huge gash starts to seem less and less huge. Within a week or two you can’t even tell there was every any damage to the floor at all. As unrealistic as that scenario may seem, it’s exactly what happens when our skin is injured. Within days, all traces of that nasty cut or scrape have disappeared completely. We’ve all gotten “the fi x.” We don’t even think about it. We should. It’s an amazingly complex operation.

Sooner or later we all need one

Whenever there is a break in our skin, big or small, a sophisticated repair crew is instantly on the scene. More than a trillion repair crew members — called platelets — are constantly on patrol at all times. Since each platelet has only about a 10-day lifespan, the body manufactures 200 billion new ones every day, give or take a billion or two. Platelets are the smallest of blood cells, which might seem odd for plugging holes, but that’s part of why they work so well. Whenever there’s a system breach of some kind — let’s say a diabetic pricks her finger to test her blood sugar or a kid falls off a bike and scrapes his knee (see illustration) — the injury exposes collagen. Platelets in the vicinity are drawn to collagen like kids to candy, and the contact causes the platelets to swell up and release adenosine diphosphate (ADP), a chemical that encourages platelets to clump together and change shape as needed to plug the hole. If the wound is too big for platelets to seal the deal, they’ve still done a good job of fi rst aid, helping to limit blood loss.

BODY PARTS: THE SERIES

The entire system of major wound healing is so complex and sophisticated that, if any platelets and their various colleagues happen to read this, we’re going to apologize here and now for over-simplifying the work you do. We mean no disrespect; it’s just that it would take an advanced degree in molecular biology to even begin to understand it all. The broad strokes of fi xing a bigger wound involve fibrin, which, as its name suggests, spins fibers across the wound like microscopic sutures. While this is going on, vasoconstrictors are hard at work since, as any plumber knows, it’s pretty hard to patch a leak in a pipe with water (or blood) gushing out of it. Other chemicals will interact with the completed fibrin patch, quickly transforming it from gel to solid. Once repairs have been completed — it might take days or weeks — proteins in a clot change into an enzyme called plasmin, which breaks down the now-unneeded strands of fibrin and disperses the debris into the bloodstream for disposal. A big repair job — after trauma or major surgery — can take years, erecting a matrix upon which other cells can rebuild and restore as close to the original as possible, filling in depressions caused by lost flesh, restoring blood vessels, tightening and contracting the size of the wound and more. The fi x is an amazing system. +

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APRIL 28, 2017

MAY 6 - 12, 2017

MEDICAL • CULINARY • INDUSTRIAL APPAREL • SCREEN PRINTING • EMBROIDERY

DID YOU

KNOW? Everyone knows that it’s illegal to text and drive. And to check Facebook and drive. And to read or post email and drive. And to tweet and drive. And to Google something and drive. That doesn’t seem to prevent many drivers from doing all of the above. The conscientious drivers, however, take comfort in the fact that they don’t do any of the above unless they’re stopped at a red light (or a stop sign). BUT DID YOU KNOW: In Georgia, “it is against the law to text, email, and use the internet on any wireless device at stop signs and stop lights.” Do not adjust your Medical Examiner; it’s true. But most of us definitely do need to adjust our driving habits. + Source: headsupgeorgia.com Governor’s Office of Highway Safety

APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

A monthly series by an Augusta drug treatment professional

MEDICAL MARIJUANA: WHAT’S ALL THE FUSS ABOUT? by Ken Wilson Executive Director, Steppingstones to Recovery “I mean, it’s just pot! It’s all-natural. God grew it on this earth for us to use!” “I smoked it in high school and it never hurt me! It’s only psychologically addictive. Weed never hurt anybody – alcohol is what kills.“ I hear these sentiments daily in my business and marvel at the lack of education Americans have about marijuana – especially parents who take a cavalier attitude about their teen-agers smoking pot recreationally, thinking that it’s like the pot they smoked in high school that was only 2-5% THC. Remember those days? But that was then, and this is now. Today’s pot is running very high in psychoactive content – often 15-30%, according to a recent Denver study of pot growers in Colorado. Implications? No more sedative “chill out” effects – this higher concentration nets longer effects in the body and more risk of violent behavior and psychotic (uncontrollable) effects – often raging and dangerous life-threatening behavior. So how could such a drug be helpful in medicating the human body? Well, bluntly, it’s not. This short explanation is not meant to be a scientific presentation on medical marijuana – only a brief explanation of the difference between so called “medical marijuana” and “recreational marijuana.” The chemical in marijuana that gets you “high,” meaning basically “to knock out my ability to reason properly” is high in one chemical (of 483 chemicals in the cannabis plant!) — Delta-9-THC. It is one of 66 “cannabinoids” in the cannabis plant. Without Delta-9 in your joint, you can smoke all day long and only get a bad cough for your efforts. You’d probably go back to your dealer and accuse them for selling you oregano from the grocery store! “Medical marijuana” has very low Delta-9 content – in fact you’d have

THIS IS YOUR BRAIN to smoke a trash can full of it to get high. Fact is, the primary chemical in medical marijuana is named Cannabidiol (CBD for short). Cannabidiol cannot get you high! Nope! Smoke it all day long and you’ll just get a sore throat. But it has been shown to be quite effective in decreasing nausea, nerve pain, inflammation, and reducing seizures. It is usually ingested in pill form. But here’s the catch: both chemicals have to be used together – the Cannabinidiol AND Delta-9-THC — in order to be effective for medical use! However, medical marijuana is high in cannabidiol (the non-psychoactive, can’t get you feeling “good” component) and very low in Delta-9THC (the euphoric, don’t care, lemme lay back and fall to sleep after eatinga-dozen-donuts ingredient)! So...what’s all the hype about? It’s about not being informed as to the chemical makeup of a drug. Just plain poor education from the media and your friends. It’s about wrongful terminology, in my opinion. We should not be calling it “medical marijuana.” We should be calling it by its real name: Dronabinol (or its trade name Marinol). We should be calling it “a chemical derived from the cannabis plant” and not associate it with the “getting high” kind of weed. And that’s what all the fuss is about: just plain ignorance of the facts. +

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APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

The

PROFILES IN MEDICINE

Advice Doctor

presented by Queensborough National Bank & Trust Co.

A BEAUTIFUL MIND

s medical careers go, this man’s was about as good as they come. His name and face are undoubtedly familiar to many Augustans, but whether you learn something new from this brief article or not, the story of this man and his family deserves to be told and retold. Dr. Hervey M. Cleckley belongs in Augusta’s medical Hall of Fame, there is no doubt. A pioneering psychiatrist and “one of the unsung figures of the 20th century,” Cleckley wrote The Mask of Sanity in 1941, described as his magnum opus, a landmark study into the mind of psychopaths that has been called “the most influential clinical description of psychopathy in the 20th century.” Reprinted and revised in new editions for more than 40 years, Cleckley acknowledged the help of his longtime colleague, Corbett H. Thigpen, M.D. Dr. Cleckley testified

Hervey M. Cleckley, M.D. for the prosecution in a 1979 competency hearing for serial killer Ted Bundy, arguing that Bundy was competent to stand trial for his crimes. Cleckley was born in Augusta in 1903, attended the Academy of Richmond County, then graduated summa cum laude from UGA before winning a Rhodes Scholarship to study at England’s Oxford

University, graduating in 1926. Returning to Augusta, he earned his M.D. from the Medical College of Georgia in 1929. After his psychiatric residency he was named a professor of psychiatry and neurology at MCG, and in 1955 became founding chairman of MCG’s Department of Psychiatry and Health Behavior. The following year he coauthored The Three Faces of Eve with Dr. Thigpen, a book that had its beginnings in The Mask of Sanity, since the earlier book combined clinical information with “dramatic, novelistic descriptions” of more than a dozen patients (although these case studies were amalgamations of numerous cases to protect patient privacy). That best-selling book rocketed Cleckley and Thigpen to fame, especially when it was made into a 1957 blockbuster film starring Lee J. Cobb and Thomasville, Georgia, native Joanne Woodward (who Please see PROFILES page 15

Editor’s note: this is the twelfth installment in a monthly series presented by Queensborough National Bank & Trust and the Medical Examiner profiling exceptional physicians and others of note in Augusta’s long and rich medical history.

W E A LT H M A N A G E M E N T

+ Dear Advice Doctor, My co-workers are a good bunch of people. We all get along well and really work as a team. There is no gossip or infighting, and when someone fails (or may be about to), we all pitch in to rescue the project and help that person without looking for praise or trying to claim any credit. There is just one problem: Casual Fridays. I take a dim view of this practice to start with in a professional environment, but some of my co-workers take it to extremes. I’m waiting for someone to show up in a bikini or something. I love bikinis as much as the next person, but this is an office, not the beach. Should I say something, or just keep my head down and work? — A professional, not a prude Dear Professional, I sympathize with your concern — to a degree. Yes, this seems like it could be a problem. By simple logic it would definitely seem like trouble might be brewing, but I can assure you that this situation is nothing to be concerned about. Undoubtedly, we all grew up hearing horror stories about taking a dim view of anything. My own mother told me that reading in poor light would ruin my eyesight, and I’m sure most people reading this were similarly warned. But consider this: if the whole “dim view” thing is true, night watchmen would eventually all go blind. Long haul truckers who drive at night would soon be forced to trade in their gear shifters for white canes. The wait staff in fancy restaurants with their dim lighting would over time be handing out Braille menus to their customers. No, there is nothing to be overly concerned about when you have to take a dim view of something. Having said that, low light can definitely contribute to eye strain if the task at hand requires good lighting. Simply use common sense, but remember the eye is automatically self-adjusting, opening its lens wide in dim light and narrowing it in bright. Relax: your eyes can handle it. + 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 Examiner issues.

AUGUSTA

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The Medical Examiner’s mission: to provide information on topics of health and wellness of interest to general readers, to offer information to assist readers in wisely choosing their healthcare providers, and to serve as a central source of news within every part of the Augusta medical community. Submit editorial content to graphicadv@knology.net Direct editorial and advertising inquiries to: Daniel R. Pearson, Publisher & Editor E-mail: Dan@AugustaRx.com AUGUSTA MEDiCAL EXAMINER P.O. Box 397, Augusta, GA 30903-0397

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APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

#42 IN A SERIES

OLD NEWS

Who is this?

POINTS OF INTEREST TO FORMER KIDS by Trisha Whisenhunt, Senior Citizens Council

AGE IS JUST A NUMBER

f this photograph makes you think of a flapper from the Roaring Twenties, you’re right on target. But if weren’t able to see this photograph at all, you would want to know this woman, Dorothy Harrison Eustis. She was born on May 30, 1886, in Philadelphia to a family with quite a storied history: her mother was the great granddaughter of Robert Morris, a wealthy businessman who helped fund the Continental Army (to the tune of £10,000,000) at a time when the fledgling colonies couldn’t pay their troops and great-great granddaughter of John Nixon, the first person to publicly read the Declaration of Independence aloud to citizens after its adoption in July, 1776. As for Eustis, she was born Dorothy Harrison and married Walter Wood in 1906, but became a 29-year-old widow when he died from typhoid fever in 1915. She married a second time, in 1923, to George Eustis, whose stepson owned a chalet in the Swiss Alps where the couple moved shortly after their honeymoon. Using experience gained from an experimental breeding program for cattle established with Walter Wood, George and Dorothy started breeding German shepherds and training them to work as police dogs. A school in Berlin caught her attention for its pioneering work transforming German shepherds into guide dogs for blind soldiers, who were in no short supply thanks to the use of mustard gas during World War I. Eustis wrote a story entitled “The Seeing Eye” about her visit to the school and sent it to The Saturday Evening Post, where it appeared in the Nov. 5, 1927, issue. Within days, Morris Frank, of Nashville, Tennessee, all of 19 years old in 1927 and blind since a boxing accident 3 years previously, had found out about the article when someone read it to him. By Nov. 9 a letter from him was on its way to the magazine addressed to Miss Dorothy Harrison Eustis, asking for more information; in short, “How can I get one of those dogs?” Barely six months later, Frank had already been to Switzerland, trained with a dog (Buddy), and arrived back in New York City, where he and Buddy safely navigated the bustling streets of Manhattan before throngs of reporters. Early the following year — January 29, 1929 — The Seeing Eye was incorporated in Nashville with Eustis as president and Frank its managing director, the first guide dog school outside Europe and the oldest such school in the world. Since then it has provided more than 16,000 dogs to blind people across the United States and Canada, adding more than 250 every year. The fee for a seeing eye dog as established back in the early 1930s included transportation from anywhere in the U.S. or Canada to The Seeing Eye headquarters and training facility (moved from Nashville to New Jersey in 1931), room and board during training and bonding between dog and person, equipment, training, lifetime follow-up — and the dog. Back then the standard initial fee was $150; returning clients (because people live longer than dogs) paid $50; for military veterans the fee was $1. The current fees in 2017 are as follows: $150 for first-time clients; $50 for returning clients, and $1 for military veterans. +

here is plenty which people can do to see that they are their best selves whatever their age. Diet, exercise, regular doctor visits and keeping the mind active all play a vital role in health maintenance. But there is more that can be done. I doubt that any mature citizen would be comfortable dressing like a teenager but take a look and see if your wardrobe couldn’t use a freshening up. No one has to dress in polyester from 1950 just because they’re older. Rethink the hairdo/ haircut. Today’s styles are simpler and streamlined. Perms and setting your hair in curlers has been out for decades. Men can wear their hair a bit longer if they choose or keep it short with a fresh cut. No one has to stay gray; subtle color can be very attractive and a morale booster. Change your make-up and get your nails done, or save money and do them yourself. Have you looked at nail polish and lipstick lately? Lots of great colors are available. Comfortable

shoes are a must at any age for men and women, but that doesn’t mean they have to be tragic looking. I gave up wearing heels during my fi rst pregnancy and have an embarrassing number of cute shoes, all comfy. Even more important, what is your attitude like? Are you able to use a computer? Do you keep up with current events? Are you in tune with what your children/ grandchildren have going on in their lives? How well can you navigate your cell phone and do you have a Facebook page? Getting involved with any of these things will help you to avoid feeling left behind by the world around you. Believe it or not, you are still a muchneeded and vital part of it. No, you are not required to learn the lyrics to the latest hip-hop song or keep up with the Kardashians, heaven forbid, but it’s important to stay informed about things other than only what affects you directly. Have you checked out which concerts are coming to Augusta

or any other community events which may interest you? Just across the street from St. John Tower is Bell Auditorium where many musical artists perform. It occurred to me as I passed it last week that if I lived there I would keep abreast of this venue’s schedule because, gee, I could walk there and see a lot of people I missed in my younger days. A person could make a hobby out of it! My point is, being older doesn’t mean old. U.S. citizens are living longer, healthier and happier. We are not the frail sit-athome seniors of previous generations. I know many seniors who are active in sports, who volunteer, travel, get part-time jobs, date, and have a seat on various company board of directors. And they do it all with a sharp outfit, trendy after-shave and great hair and make-up. If you can rock it, why not? +

MYTH OF THE MONTH Depression is incurable That is what many people think. And for them, it will be. If you believe depression is incurable, why would you seek treatment? Just to provide income for the doctor? In fact, only one out of four people with depression seeks treatment. That is unfortunate, because recovery from the vast majority of mental health problems, including depression, is not only possible, it is actually likely. It is the expected outcome when people get the specific kind of help they need, even in cases where the situation seems chronic or severe. That does not mean that depression is not serious, or that it is not a real illness. It is. It

is not something that someone can “just snap out of,” or the result of laziness, weakness of character, or “just a phase” someone is going through. “Try harder” is not a recipe for ending depression. Myths and misinformation about depression falsely brands people who have it, and can shame them from getting the help they need, another factor behind the only-onein-four statistic mentioned earlier. No one feels ashamed because they have the flu; it should be the same with depression. Help is available. Get it. Ask your doctor. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT HAVING KIDS

k good eno r skin can ugh cer? son.”

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ver since Adam and Eve, people have had kids. It is instinctive, the way of life. Everybody wants their kids to be better looking, bigger, taller, and smarter than they were. They want their kids to not have to work hard, and to have plenty of money to boot. Everybody wants their kids to turn out better than they did. Usually kids don’t quite measure up to their parents. At least, not until their parents are deceased and then the kids have to grow up for real. If a kid is going to be a waking, talking superlative, he must first pick the right parents. I did a heck of a job in picking the right parents. Even though I was awfully young at the time, I picked parents who did not smoke, drink alcohol, use foul language, raise their voices in family conversations, inflict guilt trips on others, or bad mouth those not present. I never heard either parent use a profane word in my life. I am the first to admit I am not as good as my parents. Once a month, my parents took to me to a white pine boarded, one room country church where they had footwashing, river-baptizing, gospel singing, and where women wore hats and men frequently wore white shirts under their starched and pressed Osh Kosh overalls. Daddy said if your religion needed recharging more than once a month, you need a stronger religion. He also did not put much stock in any religion that prevented you from eating fried bacon for breakfast. Said it just was not natural. Nowadays, almost half of U.S. kids are born to unwed parents. 80% of the kids born in our nation’s capital are born into single parent homes. That is unthinkable to me. Revolting. I grew up back when it was a family disgrace if an unwed girl got pregnant. (Unless, of course, the sperm donor made an honest woman out of her immediately, and then we acted like we did not notice that the

first child only took 7 months of gestation and all subsequent pregnancies took 9 months. My first child took five years. I just did not get it, in more ways than one.) Back then, the nonlegitimized girl was sent away to live with Aunt Jenny up in Chattanooga, and the neighbors were told she had good job with a future up there in a shirt factory. Decent neighbors actually believed the story. The child? Adopted out to “a good family who needed another child,” most likely to someone who was either rich or blood kin. I escaped that calamity. I married a virgin (age 18) who was much too good and too pretty for me. I was 21 and never rightly understood why she married me in the first place or kept me for the next five decades, for that matter. I did not deserve that. And she is a damn good cook, too. Not everybody can say all that without lying. Without a doubt, I am one of the luckiest men alive. We had two kids: A boy who is a lawyer, and a daughter who is a school teacher. Both of them are better looking and smarter that I am, I am proud to say. Now I have a granddaughter who is smarter and better looking than the lot of us. She is six, going on seven, and knows things I never even heard of until I was in middle school or beyond. Here a few things you ought to know about having kids. 1. Kids are not glue. A pregnancy does not repair a broken marriage. Kids do not regenerate the hot bed of lust for a marriage gone cold. A new kid should be the exponent of love and commitment. 2. Kids should not have kids. Ovaries and testicles mature long before brains reach the age of responsibility. Sex education is not the answer to illegitimacy. Pregnancy prevention is, be that abstinence or otherwise. Unfortunately, abstinence eventually fails in all of us. Therein lies the perpetual

E TH

Bes dilemma. 3. ADD does not stand for Attention Deficit Disorder. It stands for Adult Deficit Disorder. ADD is best treated by responsible parents who take care of and discipline kids who act up. Ritalin is no substitute for good parenting. 4. A teacher or principal spanking a kid who acts up in school is not an act of abuse. It is a teaching method that has worked wonders for centuries and would work today if we had better and more responsible parents. Spanking is part of reward and punishment. When I grew up, if you got a spanking at school, you got another one when you got home. I deserved more spankings than I got at school or at home. 5. Every kid should have defined responsibilities around the house that he does not get money for doing. Why would you pay a kid to wash the car or mow the grass or iron his clothes? He lives and eats there for free, doesn’t he? He needs to pay his rent with sweat equity. Home is not a country club. 6. Kids ought to say Ma’am, Sir, and please. Being respectful and well mannered never hurt anyone. And it will get them better jobs as adults. 7. Any kid who uses profane language need his butt tanned, immediately and in public. Any parent who uses profane language in the presence of any kid is a disgrace and a failure. 8. Slang, like profanity, must be avoided. Both are prima facie evidence that the individual’s vocabulary is lacking. Being proficient in slang or profanity never got anyone a job. Well, maybe with the exception of in the “rap music industry” which,

PROFESSIONAL DIRECTORY Because no one lets their fingers do the walking these days. On page 15 of every issue.

ine c i d E tM

by the way, is an oxymoron. 9. Grandkids are better than real kids. You can send grand kids home when they get fretful, and you do not have to pay for their orthodontist. 10. If a kid is grinning when he promises to not do something again, he probably will, and sooner than later. Beware. 11. Do not tell your kids long stories about how hard you had it growing up and how you had to walk five miles to school, in the snow, and that it was uphill both ways. Not even your grand kids will believe that. They think you saw that on Little House on the Prairie just like they did. Besides, your hair is not as long or thick as Michael Landon’s, so you would have frozen to death walking in all that snow and

would not be around to tell about it.. 12. Kids and grandkids are wonderful. Do not screw them up by thinking of yourself. And thank God every day that you have them. They are better than you deserve. 13. And always remember when your kids are acting up and you are disappointed or angry or upset with them, it could be worse: they could have been as bad as you were as a kid when your mother was not around. Now, I know you don’t want that, do you? + Editor’s note: This column originally appeared in this space in 2009.

Bad Billy Laveau is a formerlyretired MD who wields a pointed sense of humor - and now, tongue depressors too. He speaks and entertains at events for audiences not subject to cardiac arrest secondary to overwhelming laughter and glee. BadBilly@knology.net or 706-306-9397. F REE T AKE-HO ME CO PY!

DICAL EXAMINER

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APRIL 28, 2017

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THE MONEY DOCTOR FINANCIAL INDEPENDENCE

APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

inancial independence is typically defined as not having to work for money. Many people that are financially independent continue to work, but they would be able to support their family from savings and passive income sources for the rest of their lives if necessary. Over time we expect the direction of our financial lives to move gradually toward financial independence. Personally, how do you know if you are moving toward or away from financial independence each year? In our last article we wrote about tracking key metrics. One of those is net worth, defined as the sum or all your assets minus the sum of all your liabilities. Updating these balances each year will help you track if your overall net

worth or wealth is growing or shrinking. Then you can identify areas of concern or areas of strength which may include but are not limited to: 1. Cash flow – Review your income, expenses, and taxes. You have to evaluate both sides of the equation. Reducing or eliminating a dollar of expenses has a larger impact than making an additional dollar of income because of the income tax headwind. Did you put money into savings last year or did you have to take money out of savings last year? This can help you identify if your budget worked or if you need to make changes to reach your target savings rates. 2. Emergency funds – Did you have to use some last year? If so, do you need to build the account back up? You do not want to get into

the cycle of putting money on credit cards to pay for unexpected expenses. The interest payments will become a significant headwind. 3. Savings – How much did you save last year? Was this more or less than the amount you wrote down as a goal? Do you need to consider switching the savings bucket (Roth vs. Traditional) based on changes to your tax situation? With very few companies offering pension plans today, the responsibility to set aside money for your future now rests on your shoulders, so tracking this each year to reach financial independence is more important than ever. 4. Debt payments – Did your overall debt level increase or decrease during the year? What caused the changes? How much interest did you pay

last year? If a large portion of your paycheck is going toward interest payments, it will be very hard to move toward financial independence. 5. Investments – Did you have positive returns or negative returns? How did your returns compare to the benchmark index returns such as the S&P 500, Barclays Aggregate Bond, FTSE, or others? This comparison can help you decide if you need to make investment tweaks moving forward. The goal should be to increase your wealth each year. When you are younger and getting started, your saving and debt payoff will likely be the largest drivers of increasing your wealth. As you get older, investment returns will become a larger and more important part of increasing your wealth. Eventually you will need to turn your wealth into a sustainable passive income stream that you can live off when you stop working. That passive income stream will need to cover all your living expenses and taxes to make you financially independent. It is important to note that financial independence is different than retirement. Retirement is traditionally defined as leaving your job and ceasing to work, which can happen for a number of different reasons. If you are not financially independent when you retire, you will have

to quickly become financially independent. To do this, people either pick up part-time work to increase income, or they make major spending cuts to decrease expenses. If you are already financially independent when you retire the event is much less stressful. Another way we reduce stress at retirement is by making sure you are planning for long-term care and other potential large purchases or expenses. We include these items along with inflation and return assumptions in our discussions during cash flow planning as clients are approaching financial independence and planning for retirement. The incredible thing about the whole process of financial independence is that nature forces everyone to find a solution. The path to that solution is filled with many forks in the road (fi nancial decisions), and today navigating those forks is more complicated than ever. Helping people navigate that complexity is what motivates us to get up each morning and go to work for the great clients we serve. + by Clayton Quamme, a Certified Financial Planner (CFP®) with Calvary Wealth, LLC (www. calvarywealth.com). Calvary Wealth is a fee-only financial planning and investment advisory firm with offices in Augusta, GA and Columbia, SC.

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APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

Southern Girls Eat Clean Mediterranean Layered Hummus Dip Mediterranean cuisine typically lends itself to fresh and healthy ingredients and this layered dip is no exception. Combining hummus, chopped tomato, cucumber and spring onions it has loads of nutrition, and the kalamata olives and feta cheese add amazing flavor to this dish. It is absolutely perfect for a light dinner with gluten-free toast points or pita bread. We often have this on Sunday evenings at our house and my husband devours it. I recently took this dip to a girls night out and it was a huge hit and they all requested the recipe. To be honest, I wouldn’t even call it a recipe it’s so super quick to put together with things you probably already have in your fridge. The diet of people living in the countries around the Mediterranean Sea is generally high in plant based foods. Fruits, vegetables, whole grains, fresh herbs and spices, beans and healthy fats such as olive oil are eaten on a daily basis. Fish Mediterranean Layered Hummus Dip and seafood are eaten at least twice a week. Poultry Mediterranean region. You and olives, then scatter and eggs are part of the could start by making this the tomatoes on top of the Mediterranean diet but red fabulous layered hummus dip hummus layer. Next, scatter meat is rarely eaten. this weekend. a layer of cucumber on top of Much research has Enjoy! the tomatoes. been done on how the Do the same with the olives Mediterranean eating patterns Ingredients: and then the feta cheese. are connected with good • 1 container of all natural Lastly, top with chopped health. In recent years more hummus (Your brand choice, flat leaf parsley. studies have proven that but preferably gluten free) Serve immediately with eating the “Mediterranean” • 2 Roma tomatoes, chopped gluten-free toast points or way may: • 1/2-3/4 of an English toasted pita wedges. + • Fight certain cancers cucumber, chopped • Protect you from diabetes • 3-4 spring onions, chopped * Information on the benefits • Ward off Parkinson’s (white and green parts) of the Mediterranean diet were disease • 1/4 cup of Kalamata olives, found at https://oldwayspt.org/ • Cut the risk of chronic coarsely chopped traditional-diets/mediterraneandiseases • 1/4 cup of feta cheese, diet • Improve brain function crumbled • Aid in weight loss • 1 Tbsp. of fresh flat leaf Alisa Rhinehart is half of the • Prevent depression parsley, fi nely chopped blog southerngirlseatclean. • Safeguard you from com. She is a working Alzheimer’s Instructions: wife and mother living in • Reduce symptoms of Spread the entire container Evans, Georgia. rheumatoid arthritis of hummus into the bottom of Visit her blog for I’d say that’s enough reason a shallow baking dish and set more recipes and to consider eating a healthier aside. information on and more nutrient-dense diet Chop the tomatoes, clean eating. like those folks living in the cucumber, spring onions

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OUR NEWSSTANDS Medical locations: • Children’s Hospital of Georgia, Harper Street, Main Lobby • Department of Veterans Affairs Medical Ctr, 15th St., Main Entrance • Dept. of Veterans Affairs Med. Center, Uptown Div., Wrightsboro Rd., main lobby • Doctors Hospital, 3651 Wheeler Rd, ER Lobby Entrance • Eisenhower Hospital, Main Lobby, Fort Gordon • George C. Wilson Drive (by medical center Waffle House and mail boxes) • Georgia War Veterans Nursing Home, main lobby, 15th Street • Augusta U. Hospital, 1120 15th Street, South & West Entrances • Augusta U. Medical Office Building, Harper Street, Main Entrance • Augusta U. Medical Office Building, Harper Street, Parking Deck entrance • Augusta U. Hospital, Emergency Room, Harper Street, Main Entrance • Select Specialty Hospital, Walton Way, Main entrance lobby • Trinity Hospital, Wrightsboro Road, main lobby by elevators • Trinity Hospital Home Health, Daniel Village, main lobby • University Health Federal Credit Union/ University Hospital Human Resources, 1402 Walton Way • University Hospital, 1350 Walton Way, Emergency Room lobby area • University Hospital, 1350 Walton Way, Outside Brown & Radiology/Day Surgery • University Hospital - Columbia County, 465 N. Belair Road, Main Lobby • University Hospital Prompt Care, 3121 Peach Orchard Road, Augusta

Around town: • Barney’s Pharmacy, 2604 Peach Orchard Rd. • Birth Control Source, 1944 Walton Way • GRU Summerville Student Bookstore • Blue Sky Kitchen, 990 Broad Street • Columbia County Library, main branch lobby, Ronald Reagan Drive, Evans • Enterprise Mill (North Tower), 1450 Greene Street, Augusta • Daniel Village Barber Shop, Wrightsboro Road at Ohio Ave. • Family Y (Old Health Central), Broad Street, downtown Augusta • Hartley’s Uniforms, 1010 Druid Park Ave, Augusta • International Uniforms, 1216 Broad Street, Augusta • Marshall Family Y, Belair Rd, Evans • Parks Pharmacy, Georgia Avenue, North Augusta • Southside Family Y, Tobacco Road, Augusta • Surrey Center, Surrey Center Pharmacy, Highland Avenue, Augusta • Top-Notch Car Wash, 512 N. Belair Road, Evans • Wild Wing Cafe, 3035 Washington Road, Augusta

Plus more than 875 doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

Very little if anything about healthcare is inexpensive, and that includes medicine. Tiny pills can command large prices. Over-the-counter and generic medications may be less expensive, but are they also less effective? Find the answers to lots of your drug store questions in this column written by Augusta pharmacists Chris and Lee Davidson exclusively for the Medical Examiner.

NEW GUIDELINES ON MEDICINE DISPOSAL

he Food and Drug Administration(FDA) and the American Medical Association’s Opioid Task Force have recently came out with new instructions on disposing of old and unneeded medicine. We have known that drug abuse is an issue in this country and these days there are people will go through your trash to find a pain pill or two. This is also true of houseguests who go the restroom just to look through your medicine cabinet. Pitiful! The purpose of these new guidelines is to help lessen this 10:00 am — 2:00 pm abuse potential. Aiken: TLC Pharmacy, 190 Crepe Myrtle Dr. The first way to help is to get rid of unnecessary medicine that may be Augusta: CVS, 2902 Peach Orchard Rd. left over after treatment. The Drug Enforcement Agency (DEA) has set up authorized drug take-back sites to allow for excess medicine to be disposed of CVS, 1520 Walton Way safely. You can find one close to you by going to the DEA website and looking Evans: Columbia C. Sheriff’s Office for an authorized collector (visit dea.gov and click on “Drug Disposal” in 650-A Ronald Reagan Dr. “Resource Center” box). You can also check with your local sherriff’s office Grovetown: CVS Pharmacy about turning in medicine to their office. But there are other ways if you 869 Horizon South Parkway are interested. You can find ads on the internet when you search for safe medication disposal that offers disposal for a flat fee. I have had no dealings N. Augusta: Parks Pharmacy with any of these companies so I cannot advise on one versus another. Check 437 Georgia Ave. for DEA certification before contracting with any of these. All locations shown are adminstered by local law enforcement In a strange departure from the normal recommendations there is now a list of drugs that the FDA recommends you flush. This has not been advised lately because of detectable levels of medicine in some drinking water. I will give you the information and then discuss the drinking water aspects. The drugs now recommended for flushing include pain tablets containing morphine, oxycodone, methadone and hydrocodone as well as buprenorphine. Also flushable are methylphenidate and fentanyl patches. The premise is that the medicine is immediately disposed of and unable to be stolen for illicit purposes. There can be no faulting that logic, however to end this article I want to look at the water treatment side of this proposal. Water treatment plants turn wastewater into drinking water by using one or more of several available processes. There is reverse osmosis, carbon filtration, ultraviolet irradiation and ozonation just to name a few. It is possible to remove pharmaceuticals from drinking water, but it is expensive. One county in California uses a three-step process which eliminates medicine from the water supply, but they pay for it. Some systems can actually change acetaminophen into more toxic chemicals by using only ozonation as the primary process. My recommendation is to use a method other than flushing if at all possible. The key is to get rid of unneeded medicine quickly and safely. Here’s hoping everyone stays healthy, that all your medicines work well — so well that you have no need for them anymore. Then you can dispose of them safely. +

SATURDAY, APRIL 29

Questions, comments and article suggestions can be sent by email to cjdlpdrph@bellsouth.net Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson (cjdlpdrph@bellsouth.net )

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APRIL 28, 2017

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

HOW TO MAKE HEALTHIER CHOICES WHEN EATING OUT by Katie Elder

AUGUSTA MEDiCAL EXAMINER

estaurants can be overwhelming and scary when you’re trying to eat healthy. However, this does not mean that you can never eat out, or that you can make only unhealthy choices when you do. There are quite a few tricks to keep in mind that when help you stick to your healthy lifestyle when dining out. Cleaning your plate is a idea of the past. There is nothing wrong with saving some food for later! The idea that you or your children need to clean your plate often leads to ignoring feelings of fullness and eating more than your body really needs. A trick to avoid overeating at restaurants is to ask for a to-go box and pack up half of your meal as soon as it arrives at your table. Restaurants like to make you feel as if you are getting a lot of food for your money by serving enormous portions. By boxing it up right at the table, you can limit your portion size, avoid overeating, and enjoy a second meal later for the price of one. Just remember to put it in the refrigerator when you get home! Many restaurants offer tapas, which are small appetizer-sized servings which can easily be shared with your dinner companions. Eat slowly, enjoy your meal and the company of the person you are with and pay attention to feelings of fullness or satiety. Before going to the restaurant, skim over their menu online and pick out a few healthy options beforehand when you are not

hungry. When you get to the restaurant, you will already have your meal picked out, which can help avoid unhealthy choices. Chain restaurants and many other food establishments are required by the FDA to have their nutrition facts on the menu boards by May 5, 2017. Having these facts readily available will help you make wiser choices on the go. If you know you are planning to go out, eat lighter for your other meals and engage in a little extra physical activity that day. Park farther away from the restaurant and walk a little extra if possible. All these tips may sound useful, but how how do you know what a healthy option is? Grilled or sauteed instead of fried means less calories, fat, and cholesterol. Other keywords that indicate that a food was cooked in a lighter, healthier way include steamed, roasted, and boiled. Beware of foods that have been marinated - this often means they are high in sodium. Since sodium has been associated with high blood pressure and cardiovascular disease, it should be limited to 2300 milligrams a day or less. If your food item has a sauce associated with it, ask for the sauce on the side and add it yourself (sparingly!). Choose chicken or fish over red meat in order to limit cholesterol and saturated fat. Vegetables rather than potatoes or bread often means that you are getting more vitamins and minerals and fewer calories. Salads might seem to be a

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healthy choice, but they are often are loaded with fried meat, cheese, and creamy dressings that are high in fat and sodium, resulting in a salad which would be a very unhealthy choice. Choose vinaigrette style dressings, salads with grilled meat, lots of added vegetables or fruit, and small amounts of cheese. Dressings that are described as creamy indicate a higher fat content. Beware of alcoholic cocktails: many are high in calories and added sugars. If consuming alcohol, choose one glass of red wine or a light beer. One alcoholic drink per day for women and two drinks per day for men is recommended by the Centers for Disease Control and Prevention.

Making healthy choices at fast food restaurants can be a little more difficult, but not impossible. In order to limit sodium, ask for no salt on your fries, or even better, get a side salad or fruit instead. Choose water, or water flavored with fruit (such as lemon) or diet soda instead of regular soda or other sugary drinks. If choosing regular soda, choose the smallest size and avoid refi lls. Remember, one medium sized Coca Cola contains 220 calories and 59 grams of sugar. To put this into perspective, the American Heart Association recommends no more than 25 grams of sugar a day for women and no more than 36 grams for men. As mentioned, fast food restaurants now are required

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AUGUSTA MEDiCAL EXAMINER

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Kid’s Stuff NOTES FROM A PEDIATRIC RESIDENT by Caroline Colden, M.D., Children’s Hospital of Georgia

“EYES & THIGHS” Let’s talk about the medicines and vaccines that newborns get at birth. The three main ones are the Vitamin K shot, hepatitis B vaccine, and erythromycin ointment in the eyes. Doctors colloquially refer to the meds as the “eyes and thighs” due to where they are administered. And they are all very important. Let’s break them down one at a time. First: Erythromycin ointment applied topically to the babies eyes immediately after birth helps prevent eye infections the baby can get from bacteria present in the birth canal. There are little to no side effects of the ointment and it is potentially visionsaving. Even babies born via C-section benefit from this

prophylactic care. Second: Hepatitis B is one of the group of hepatitis viruses (including A, C, and D) that can cause the most significant disease and liver damage. It can be the source serious, sudden and raging disease in some people with accompanying liver failure and/or cancer, and in others can lie quiet and dormant, allowing that individual to spread it unknowingly. It can be spread by direct contact with blood or during sex, and also during pregnancy or delivery. A hepatitis B vaccine is recommended in all newborns regardless of mother’s status (as she could be newly infected and not know it), because it not only protects them immediately

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from transmission during birth, but also from acquiring it later in life. Generally, hepatitis B vaccines are given as part of a series of shots throughout childhood which combine to keep an individual protected. This ultimately saves lives, as hepatitis B infections can be deadly in many situations. Third: Vitamin K is an essential vitamin that is used by the liver to help form clotting factors essential to normal blood health and prevention of potentially life-threatening bleeding. K is consumed from leafy green veggies and also produced by bacteria in the gut. Since babies do not consume leafy greens and their guts are virtually sterile (and take up to months to develop fully healthy colonized guts), newborns are woefully at risk for Vitamin K deficiency. And almost no Vitamin K is transferred from mother to baby via placenta or breast milk. What does this all add up to? Untreated babies are at risk for what is called “hemorrhagic disease of the newborn,” a hugely dangerous bleed in the brain or elsewhere. A single simple shot of Vitamin K at birth can prevent this. In conclusion, medicine has evolved to boil the timing of vaccines down to a precise science. The administration of vaccines are carefully timed to counter the most immediate dangers to new babies and growing children, starting by giving them their “eyes and thighs.” +

Will he ever get one right? Probably not.

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APRIL 28, 2017

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AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Debbie Moore-Black, RN, on April 23, 2017

A TODDLER, HIS DAD, AND THE UNTHINKABLE The toddler was a curious, rambunctious, talkative threeyear-old who loved to explore. Every week he’d wait for Sunday, he and his dad’s special day. Mikey and his father adored each other. Whether Mikey and his dad were doing “horseback rides,” or just sitting on the rocking chair for story time, whenever they were together there was fun and love. Mom called them the twins. One particular Sunday, the twins packed a picnic lunch with a bag of breadcrumbs for the ducks. And Mikey couldn’t wait to feed those ducks! Dad loaded up the truck and he and Mikey set off for their favorite park. It was a beautiful spring day: flowers reached for the sun and the ducks waddled over and ate the bread crumbs Mikey tossed to them. Dad spread out a quilt on the grassy area under a tree where he and Mikey ate peanut butter and jelly sandwiches as they talked about the clouds and, of course, the ducks. When lunch was over, Dad turned on the radio, and they listened to music. Tammy Wynette, Patsy Cline, Hank Williams, Johnny Cash — the good stuff. Dad closed his eyes, but only for only a second. Mikey saw dad sleeping. Dad had such a beautiful smile, he thought. Mikey heard the ducks quacking and wanted to pet them. So he went down to the pond and got very close to the water. At the hospital, things were quiet in the ER too. The nurses were snacking on treats their families brought them after church. Sunday was always a good day for the nurses and staff. Church folk stopped by to visit loved ones and sometimes brought treats for the workers. This particular day was eerily quiet; the quiet was almost unbearable. It was so tranquil and peaceful that it almost warned us that something bad was going to happen. A truck sped up to the Emergency Room doors. A frantic father carried his three-year-old son out of his truck and screamed, “My son, my son, help my son!” Mikey was blue and lifeless as he lay on the ER stretcher. “Code Blue, Code Blue,” paged loudly and quickly through the hospital. Surgical nurses on their break ran to the ER; respiratory therapists reported STAT to the ER. This small country hospital had only two MDs that day, and they dashed down the stairwell to the ground floor ER. Mikey’s dad told the story, gasping and hyperventilating. “I fell asleep. I fell asleep ... it was only seconds.” Mikey had roamed off and he slipped on a rock and fell into four inches of water. He couldn’t get up, and his mouth fi lled with pond water as he desperately gasped for air, vomiting and aspirating until he was unconscious. When Dad woke up, all he could hear was silence, but Mikey was never silent — until then. We performed rapid CPR compressions between oxygenating him. No pulse. No heart rate. No breathing. Dad leaned over the ER sink, hung his head and began vomiting while he cried, “My son! My son!” Despite our IV doses of epinephrine, rapid CPR, pleading with God and despite wanting to pretend this nightmare never happened — Mikey did not come back to life. There he was, blue and lifeless with vomit on his little Tshirt that read, “I love daddy.” This was over twenty years ago, and the vision is ingrained forever in my brain. Some things we cannot erase — ever. +

Some things you never forget

Debbie Moore-Black is a nurse who blogs at Do Not Resuscitate.

This book begins with a sweet and touching scene introducing us to Dr. Perry’s very fi rst patient — and goes seriously sideways before the second paragraph ends. The stories in this book are all the more poignant since they are about the already damaged lives of young children. The number of children who need counseling and therapy is, unfortunately, astonishingly large. As the introduction points out, the triggers for emotional trauma are everywhere: during one recent year there were roughly 3,000,000 official reports of child abuse or neglect made to various child protection agencies. The actual number is undoubtedly far, far higher. An estimated minimum of ten million children are exposed to domestic violence annually; in 1995, 6 percent of mothers and 3 percent of fathers admitted to physically abusing their children at least once; each year, 4 percent of American kids under age 15 lose a parent to death. Imagine how many more lose a parent to rancorous divorces and

relationship breakups. Add it all up and conservative estimates are that 40 percent of all children have at least one potentially traumatizing experience prior to age eighteen. Added to all that are moments of trauma, some monumental — think hurricanes, floods, tornadoes, house fi res, heavily reported terrorist attacks — and others that may never rate more than the briefest mention on local news — devastating automobile accidents, for example — or that may happen in secret: rape and sexual abuse.

Once upon a time, children exposed to these terrible events large and small didn’t need treatment — or so the mental health profession believed. Children were “resilient.” They “bounce back.” And that’s if they even remember the trauma in the fi rst place. Oh, they remember. And they aren’t as resilient as medical science once believed. That isn’t to say they can’t be fi xed, but with 20-20 hindsight there was no basis for saying that experiences which would cause life-changing physical and emotional trauma for adults would be simply shrugged off by children. This excellent book comes highly recommended (by the Medical Examiner) for anyone who regularly deals with children, an audience that includes counselors, therapists, teachers, physicians/pediatricians and parents. +

The Boy Who Was Raised as a Dog — And Other Stories From a Child Psychiatrists’s Notebook by Bruce D. Perry, M.D., Ph.D. and Maia Szalavitz; 288 pages, published in 2006 by Basic Books

Research News Brain train drain New research by neuroscientists at Florida State University says the growing brain-training industry led by such companies as Lumosity is a very smart way to relieve people of their money — to the tune of billions of dollars. As for improving brain function and cognition as we age, that’s a different story altogether: there is little to no clinical or scientific evidence that “brain training” can improve people’s lives in any meaningful way; it seems to be limited to the specific brain training task itself. In other words, becoming a crossword or Sudoku expert makes you just that: a crossword or Sudoku expert. Scientists say they have been unable to find any evidence that those skills translate into better mental functioning overall. Last year, the Federal Trade Commission fined

Lumosity $50 million for “prey[ing] on consumers’ fears about age-related cognitive decline, suggesting their games could stave off memory loss, dementia, and even Alzheimer’s disease,” without any science to back up their claims. The deceptive advertising charges were eventually settled for $2 million. Researchers at Florida State and elsewhere say aerobic exercise and other physical activities are a better way to protect brain function than sitting in front of a computer playing mind games. The power of gratitude Researchers have found that simply epressing gratitude increases “life satisfaction,” optimism, vitality and hope, and contributes to decreased levels of depression, anxiety, envy, and job-related burnout. It also leads to better sleep

and fewer symptoms of physical illness. To the researchers who discovered this we say a sincere thank you! Salt makes you thirsty? That’s the conventional wisdom, but researchers say salty foods actually make us hungry, not thirsty. The finding came from astronaut training for a simulated mission to Mars, so the study participants were in a rigidly controlled environment for more than 100 days. When their controlled diet included higher levels of salt, they actually drank less water compared to periods when the diet was low-salt for an extended period. That salty foods stimulate hunger clearly explains one thing at least: now we know why eating that whole bag of chips was so easy. +

+ 12

THE EXAMiNERS +

Wow, you look pretty miserable.

APRIL 28, 2017

AUGUSTA MEDiCAL EXAMINER

by Dan Pearson

I am in pain, no doubt about it.

Has a doctor looked at it?

I twisted my knee real bad.

What’s wrong?

EXAMINER CROSSWORD

PUZZLE ACROSS 1. 41-A rival 5. “Social” diseases, in brief 9. Pipe type 14. Of the ear 15. Askew 16. Banish 17. Pertaining to the noted Greek mathemetician 19. Transmits 20. Enjoyed on Facebook 21. Disney destination 23. Acquire 24. 66, for one 26. Philadelphia skaters 28. Pacify 31. Greek T 32. Wrath 33. Legal rights grp. 37. Clinton VP choice 41. 1-A rival 44. WACG network 45. Word on many doors 46. Contradict; disguise 47. Kendrick of Pitch Perfect 49. Nashville awards show 50. National standard 52. Anticlimax (literary) 55. Rhino tail? 58. More pleasant 60. How a cabin can begin 61. Israeli prime minister, 1977-1983 63. External 67. Alert to 69. Care start, sometimes 71. Kathmandu’s country 72. Embankment 73. Family plant? 74. Mr. Reznor of NIN 75. Son of Isaac and Rebekah 76. Strike with a stick (Brit.)

The Mystery Word for this issue: TRAINBEGH

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 All Mystery Word finders will be eligible to win by random drawing. We’ll announce the winner in our next issue!

VISIT WWW.AUGUSTARX.COM 1

Click on “READER CONTESTS”

QUOTATION PUZZLE

DOWN 1. Minor book of the Bible 2. Sewing case 3. Lyme disease transmitter 4. White of the eye 5. Unhappy 6. Emulate Trump? 7. Cover with cloth 8. In (or out of) _____ 9. Exclusive area neighborhood 10. Chopping tool 11. Shade 12. _____ care 13. Takes a break 18. Image of a deity 22. Many times (to a poet) 25. Kill Bill star 27. Dynasty before the Ming dynasty 28. Macon county 29. Lake fed by the Detroit River 30. Terrorist group 34. Assistant to 35-D (abbrev.)

O ’ I A S F V W A T A P L E S N L T F G I A E S A C D R R S N T ’ E A O S W T H S I L E O E H

35. Nursing abbreviation 36. Vase for storing ashes 38. Scratch 39. DeGeneres movie, in brief 40. Periods of history 42. They can be sealed 43. Restraint device 48. WJBF affiliation 51. _____ Patch (in Aiken) 53. Long period of time (British spelling) 54. Reliable inmate 55. Factory 56. Bring down 57. Wide open 58. Rule of_____ (in burns) 59. Uterine prefix, sometimes 62. Insult; mock 64. Trunk contents 65. Lasting prefix 66. Stink 68. Fled 70. Ostrich relative Solution p. 14

— Garrison Keillor

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.

X A M I N E R

6 7

3 3

1 7 1

2 6

6 9

U D O K U

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

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.

I 1 2 3 4 5 6

1 2 3 1 2

1 2

E 1 2 3 4 5 6 7 8 9

1 2 3 4 5 — Christopher Lasch

1 2 3 4 5

1.WHHAFITIA 2.ONESHAA 3.RAVEM 4.LEIR 5.NDLT 6.YL 7.E 8.S 9.S

SAMPLE:

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

L 1

O 2

V 3

E 4

I 1

S 2

B 1

L 2

I 3

N 4

D 5

WORDS NUMBER

THE MYSTERY WORD

APRIL 28, 2017

13 +

AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE ha... ha...

salesmen there to scout possible locations. Within a few days they had heard from both. “Get me out of here!” texted the first one. “Nobody here wears shoes!” “Send me more inventory!” wrote the second. “Nobody here wears shoes!” Moe: If athletes get athlete’s foot, I wonder what astronauts get? Joe: Mistletoe.

uring a long drought in a small Kansas farming community, local farmers, desperate for anything that might save their crops, approached the town preacher and asked him to make Sunday’s church service a special meeting to pray for rain. He agreed it was a great idea. Sunday dawned without a cloud in the sky, just like every other day for the past many weeks. The drought was so bad the whole town turned out; the little church was filled to overflowing. The preacher took his position behind the pulpit and glared out at the congregation with a scowl on his face. “You all know why we’re here,” he began. “What I want to know is, why didn’t a single one of you bring an umbrella?”

Moe: Hey, Joe. How are you today? Joe: Terrible. Moe: I’m sorry to hear that Joe: I’m sick, just miserable. Moe: Do you know what’s wrong? Joe: Everything. The only disease I don’t have is hypochondria.

Moe: We treated a really old patient today. Joe: How old was he? Moe: He was so old his blood type had been discontinued.

A man walked onstage to audition for America’s Got Talent. A judge asked him what his talent was. “I do bird impressions,” said the man. “Sorry, but that’s not something we would be interested in,” said the judge. “Ok then,” said the disappointed man, and he flew out the window. +

A major global shoestore chain wanted to add locations in Africa for the first time, so as a preliminary step they sent two of their top

Moe: How’s your wife these days? Joe: We’re not getting along too well right now. Moe: What happened? Joe: Well, the other day she said she’d like to have another baby. Moe: And? Joe: I said, “I agree. The one we have is totally annoying.”

Why subscribe to the Medical Examiner? Because no one should have to make a trip to the doctor or the hospital just to read Augusta’s Most Salubrious Newspaper.

ON THE ROAD TO BETTER HEALTH A PATIENT’S PERSPECTIVE Editor’s note: Augusta writer Marcia Ribble wrote a long-time column in this paper entitled The Patient’s Perspective reincarnated in this new format. Feel free to contact her at marciaribble@hotmail.com For the past month I’ve been trying to get someone in my nearby family to take my dog, KC, to be groomed. She is a border collie with thick, curly hair — a very large amount of thick, curly hair. And with the warmer weather her body had begun to understand that it is time to start shedding. Her fur was at least two inches thick over her whole body; even her toes were covered, poor thing. She was starting to get really itchy, so to relieve her itch, she would go outside and roll in the grass, and bring inside a whole lot of pollen. She was my yard Swiffer! KC needed grooming before huge amounts of her hair covered every surface. I needed her to be groomed because her dust mop body was setting off my allergies and making me feel miserable, too. My family is wonderful but they are all incredibly busy, and grooming takes at least three, and often more like six hours at the groomers. None of them had six hours to take out of their lives to help me and KC out. What to do? We seniors need our precious pets who offer us love and the opportunity to be needed. KC makes me smile at least fifty times a day. She looks into my eyes and I know I’m not alone in the house. I love to listen to her gentle snore when she’s comfortably snoozing next to me. And I enjoy feeding her the vegetables that aren’t in her dog food. She likes sweet potatoes, carrots, and spinach, even the sweet potato skin. She’s a really sweet girl. But she is also superstrong, and I’m afraid that she might accidentally knock me down if I would try to take her to be groomed myself. My track record of falling doesn’t make taking her myself a smart thing for me to do. I had thought last year about calling a mobile groomer, but one of my grandkids took her to the groomer. This year his schedule has changed and he’s asleep during the day, so that wouldn’t work. Reluctantly, I called a mobile groomer. She was available that afternoon, so I didn’t have time to stress out about it. She said she’d arrive at 1:30. And on the spot of 1:30 she rang the doorbell. Her name is Mary and she’s a tall, slender woman with pink hair. I took the pink hair as a good sign that she’s dog friendly, and trusted KC to her care in the van parked in my driveway. My trust was worth it. Several hours later, a much skinnier KC was back in the house, smelling wonderful, wagging her lovely tail, and glad to be shorn of all that extra hair. Services like mobile pet grooming allow those of us who are housebound or otherwise unable to take our dogs for grooming to keep the pets which are so good for us, and still ensure that they are well cared for. This lets us stay in our own homes and still stay on the road to better health. +

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SUBSCRIBE TO THE MEDICAL EXAMINER 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

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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

MED I CAL EXAMINER CELEBRATES SWEET 16! Every Medical Examiner since issue #1 has been 16 pages — just the right size for busy people who care about good health!

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AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED Bad to the bone(s) Part O of a 26-part series

The Mystery Word in our last issue was: TRACHEA

...very cleverly hidden (in therolled sandwich) in the p. 10 ad for ROLY POLY THE WINNER: JETTA DAY 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!

The Celebrated MYSTERY WORD CONTEST ...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 of 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.

The new scrambled Mystery Word is found on page 12

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The Augusta Medical Examiner publishes on the 1st and 3rd Friday of every month. Your ad should reach us no later than 7 days prior to our publication date.

If you saw the topic for this issue’s alphabetical series and thought, “Well that’s a yawner,” you may be unaware of the scope of the problem. Osteoporosis affects more than 20 million Americans, fully 35 percent of all postmenopausal women. More women are hospitalized every year in the U.S. for osteoporosis-related fractures than for heart attacks, strokes, or breast cancer. Someone suffers a bone fracture caused by osteoporosis every 15 seconds in the U.S. Half of all women over age 50 will experience an osteoporosisrelated fracture in her lifetime. So osteoporosis is a big deal. It’s a condition that causes bones to become weak and brittle, so much so that even a sneeze or coughing fit could cause a bone to break. Bone is always breaking down and being replaced throughout our lives; osteoporosis makes its appearance when the creation

IS FOR OSTEOPOROSIS of new bone doesn’t keep pace with bone loss. Symptoms and signs indicating the possibility of osteoporosis include shrinking height, stooped posture, back pain, and a bone fracture that occurs with little or no pressure. Heredity and race are factors (white and Asian women are affected more than others, as are women with a family history of the condition), as is age: lower estrogen levels after menopause are one of the

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. FOR RENT 2000+ sqft warehouse space w/ loading dock, Walton Way Medical District. Available immed. $850.00/mo. incl. utilities. 706-564-1644 ROOM FOR RENT with private bathroom and full house privileges. Martinez $600/mo (706) 840-6860 FOR SALE 3 bedroom/2 bath, single garage Townhouse in Martinez. Master/ bath down, 2 upstairs bedrooms share bath, large loft for office, playroom, den; wood-burning fireplace, covered back porch. Freshly painted with new flooring, lighting and ceiling fans. Easy access to Riverwatch Parkway, Washington Rd, I-20, Augusta. 1987 sq.ft. $147,900. 706-836-7001. ROOM FOR RENT 1 room, private bathroom, 2bdrm MH on private lot. Clean quiet neighborhood. Non-smoker. $600 monthly. Must be stable, verifiable references and income. Cable and Internet included. Warrenville, 5 min from Aiken, 20 min to Augusta. (803) 270-2658 POND VIEW! Evans all-brick 2-story with solar panels. Avg. electric bill $170 in Northwood, 3,400 sqft. Call 1-800401-0257, ext. 0043 24/7 for price and details.

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HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706-877-0421 F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS (706) 760-7607

MISCELLANEOUS QUEEN SIZED Black wrought iron bed frame and 2 night stands. Excellent condition! $800. Call 706-306-4666 SUNSET MEMORIAL GARDENS Opening and closing at Sunset Mem. Gardens in Graniteville. Sale: $760 (Value: $1520+) Call 706-736-0596 ANTIQUE maple dinette set with buffet corner cabinet table with pull-out leaves. Four chairs with two captain’s chairs. Excellent condition. $300. Double bed early 1930s with mattress spring coverlet shams $150. Call (706) 860-2170 CEMETERY SPACES (2) Sunset Memorial Gardens, Graniteville SC adjacent to lighted military flagstaff, includes granite bench with urn space, installation and inscription. All $4700 ($8600 value). Spaces only: $2700. Call (803) 2953033 FISHING CLUB wants more grey-haired members. Meet 2nd Thurs of month at Harbor Inn Restaurant, 12 noon. “Adventure Before Dementia” Info: (706) 736-8753

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biggest risk factors. Fortunately, there are also factors that can help prevent osteoporosis. Avoid tobacco. Researchers don’t know exactly why, just that smoking contributes to weak bones. More than two alcoholic drinks per day is something else to be avoided for bone health. Exercise, especially weight-bearing activities like walking, dancing, running and jumping, are beneficial for bone health. Conversely, a sedentary lifestyle raises the risk of poor bone health. When you rest, you rust, goes the old saying. There are medications your doctor can prescribe that help prevent bone loss, and hormone therapy can also protect bone density. A diet high in whole grains, vegetables and fruit is also good, along with healthy protein sources. Get plenty of calcium and limit sugar and sugary soft drinks. +

THE PUZZLE SOLVED J

A W

M A

W A

A W A

SEE PAGE 12

QUOTATION QUOTATION PUZZLE SOLUTION: “It’s a shallow life that doesn’t give a person a few scars.” — Garrison Keillor

The Sudoku Solution 5

WORDS BY NUMBER “ The family is a haven in a heartless world.”

— Christopher Lasch

APRIL 28, 2017

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AUGUSTA MEDiCAL EXAMINER

PROFILES… from page 3 won a Best Actress Oscar for her performance as the title character). The two doctors also received a small fortune for fi lm rights to their book and the fi lm’s writing credit. “Eve,” Augusta’s Chris Sizemore, the central character in the entire drama, is the only key player who received little benefit from the huge literary and Hollywood hit, although she did later receive a few thousand dollars for certain rights. In 1989 she successfully sued 20th Century Fox to stop a planned parody remake of the movie. At the time Three Faces was published, multiple personality disorder (now called dissociative identity disorder) was a controversial diagnosis, and one that, due to the popularity and publicity surrounding the book and fi lm, Thigpen felt obligated

to caution mental health professionals from overdiagnosing in a 1994 article in a professional journal. As noteworthy as Cleckley’s professional career was in private practice and as a professor, researcher, department head and psychiatric consultant, he is also surrounded by family members of some note. His sister, Connor (their father’s full name was William Connor Cleckley, M.D.), won many trophies as a young woman for her badminton skills. Her educational resume includes Augusta’s Houghton School as well as the Headington School for Girls in Oxford, England. She married a young Adonis named Aquilla in November 1934, although he was better known by his middle name, Jimmie. Aquilla J. Dyess

distinguished himself as the only American to ever win both the highest civilian and military honors awarded in the United States for heroism and bravery. In 1929 (at age 20) Jimmie Dyess received the Carnegie Medal for saving two swimmers off the coast of Charleston the previous year. Then on February 1, 1944, Dyess saved the lives of five fellow Marines pinned down by Japanese fi re on the tiny island of Namur in the Marshall Islands of the South Pacific. He was to die in combat the very next day, and was posthumously awarded the Medal of Honor by President Franklin D. Roosevelt for his “daring and forceful leadership.” Dyess also was a Purple Heart recipient, and as a Boy Scout attained its highest rank:

Eagle Scout, one of only nine Eagle Scouts who also received the Medal of Honor. Initially buried on Kwajalein Atoll in the Marshall Islands, he was reinterred in Westover Cemetery in Augusta in 1948. For her part, Connor Cleckley Dyess, after being widowed at age 32, was left to raise their daughter, also Connor Cleckley Dyess, alone until she married Col. Charles Grant Goodrich after the war’s end. The younger Connor Dyess married a gentleman we (and the rest of the country) know as Maj. Gen. Perry Smith, U.S. Air Force (Ret.). He has often been seen as a military affairs consultant on national news programs. Dr. Cleckley died January 28, 1984; Dr. Thigpen continued his psychiatry practice until 1987 and died March 19, 1999. +

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DENTISTRY

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Georgia Dermatology & Skin Cancer Center 2283 Wrightsboro Rd. (at Johns Road) Augusta 30904 706-733-3373 www.GaDerm.com

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FAMILY MEDICINE

F. E. Gilliard MD, Family Medicine 4244 Washington Road Evans, GA 30809 706-760-7607 Industrial Medicine • Prompt appts. Urgent MD Augusta: 706-922-6300 Grovetown: 706-434-3500 Thomson: 706-595-7825 Primary Care Rates

OPHTHALMOLOGY Roger M. Smith, M.D. 820 St. Sebastian Way Suite 5-A Augusta 30901 706-724-3339

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Medical Center West Pharmacy 465 North Belair Road Evans 30809 Vein Specialists of Augusta Dr. Judson S. Hickey Your Practice 706-854-2424 Periodontist And up to four additional lines of your www.medicalcenterwestpharmacy.com G. Lionel Zumbro, Jr., MD, FACS, RVT, RPVI 501 Blackburn Dr, Martinez 30907 2315-B Central Ave choosing and, if desired, your logo. Floss ‘em 706-854-8340 Augusta 30904 or lose ‘em! Keep your contact information in Parks Pharmacy www.VeinsAugusta.com 706-739-0071 this convenient place seen by tens of 437 Georgia Ave. thousands of patients every month. N. Augusta 29841 Jason H. Lee, DMD Literally! Call (706) 860-5455 for all 803-279-7450 116 Davis Road the details www.parkspharmacy.com Augusta 30907 Medical Weight & Wellness 706-860-4048 Specialists of Augusta THE AUGUSTA Maycie Elchoufi, MD MEDICAL EXAMINER Steven L. Wilson, DMD 108 SRP Drive, Suite B Psych Consultants Family Dentistry Evans 30809 • 706-829-9906 AUGUSTA’S 2820 Hillcreek Dr 4059 Columbia Road MOST SALUBRIOUS YourWeightLossDoctor.com Augusta 30909 Martinez 30907 NEWSPAPER (706) 410-1202 706-863-9445 www.psych-consultants.com

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APRIL 28, 2017