Aug5 16 by Daniel Pearson

It’s ou r

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MEDICAL EXAMINER

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and why women in particular need to get moving. But this study had a twist: it focused on how little exercise it takes to enjoy great benefits. The secret isn’t training for a marathon or becoming a 7day-per-week gym rat. Instead, it’s more like this: just go for a walk. Correction: go for walks. Plural. It’s not like that “one and done” drug commercial. One and done rarely works in any worthwhile endeavor, and exercising is no different.

Even so, muscular and sweaty are not necessarily part of the equation. Better words would be “brisk” and “regular,” especially if they appear before “walks.” Walking is the ultimate exercise because almost everyone can do it, even if they have been sedentary. It’s easy, and can be done anywhere without an investment any greater than a comfortable pair of shoes. Walking carries a very low rate of injury and an equally

cents

Have you noticed the unfortunate tendency that people who lose weight have a hard time keeping it off? In fact, have you noticed that someone might lose 50 pounds and then soon thereafter gain back 75? One more question: do you remember our August low risk of cardiac events. 21, 2015 issue? That’s its The greater cardiac risk comes cover above (Read it at issuu. from not walking, actually. com /medicalexaminer). The key is to start modestly It contained the story of and to make sure you have an Examiner reader who your doctor’s blessing — and through diet change and from there to make brisk exercise lost about one-third walks a regularly scheduled event, written in ink on your of his total weight. calendar. In our next issue we’re The payoffs are big and checking in at the one-year long-lasting. mark to see how much Salubrious living is a lot like weight he has gained back putting money in a savings account. You feel good about it (or lost), if any. Be sure to tune in! + Please see A LITTLE page 3 +

Not everyone is a fan of the E word. When it comes to exercise, some people are allergic to the very word, let alone doing the deed. In 100° heat let’s not even talk about exercising. For ladies in particular, it isn’t very lady-like to get muscular and sweaty. But a new study published in the journal Circulation has added to the already moutainous body of evidence that exercise is extremely beneficial to overall health —

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AUGUSTA MEDiCAL EXAMINER

AUGUST 5, 2016

A VIEWPOINT

The Invisible Doctor It’s an old joke. Nurse: Doctor, there’s an invisible man in the waiting room! Doctor: Tell him I can’t see him. There is an update available. Patient: I can’t see my doctor — or anyone else on his staff! Why not? The average doctor’s office has a nearly impenetrable telephone system. It is virtually impossible to talk to a human being at many offices. No matter what option you choose, even if it’s “0” for the operator or “To speak to a nurse, press 3,” you will be forced to leave a message. The prompt will assure you

that your call will be answered “as soon as possible.” It might even promise “within 24 hours.” One can hope, although hope often leads to disappointment. “As soon as possible” is honest but vague. If it takes two or three days to return your call - not an uncommon result - well, that’s just the soonest it was possible. Deal with it. A suggestion for every doctor’s office: all calls that cannot be returned the same day - which should always be the goal and should apply to most calls - should be returned within 24 hours or less, even if it’s only to say “we’re working on it.” +

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AUGUSTA MEDiCAL EXAMINER

The

Advice Doctor ©

A LITTLE… from page 1 immediately, but the big payoffs can come much later as the benefits accumulate. The same is true of exercise. There are immediate benefits, but the best may come far down the road. Getting back to the particulars of the study mentioned earlier, its findings provided both good news and bad. The bad news fi rst. The past 40 years has seen a dramatic decline in deaths from cardiovascular disease, much of it among men. For women, the picture isn’t quite so rosy. Over the past two decades heart disease mortality rates among women under age 55 have flatlined. Zeroing in on women in the 35 to 54 age group specifically, the rate of death from cardiovascular disease has actually increased. According to the CDC, cardiovascular disease remains the leading cause of death for women in the United States. That’s not good. But there are proven strategies to reduce risk. That is the good news. As alluded to earlier, even simple and minimal amounts of exercise are proven antidotes to our typically sedentary lifestyles. The Circulation study found that moderateintensity activities like brisk walking, recreational swimming and bicycling, moderate

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yard work, housework, and dancing are easy for anyone to start, often without cost. One of the challenges health professionals face in getting women to be more active is that athleticism and physical activity have been marketed to men as an aspect of masculinity. Young girls, by contrast, have traditionally been given the message not to get sweaty and to play house. As an aside, that’s how one loyal Medical Examiner reader who despised exercise felt. She was not about to get all hot and sweaty. She avoided exercise her entire life, and sure enough, she died in July of 2014. She was only 101 when she died. Think how long she could have lived! In all seriousness, though, while there may be exceptions to every general rule (see previous paragraph), the numbers predict a shortened life for sedentary individuals and a longer life — and a better quality of life — for those who are active. The best scenario: an hour of physical activity per day is ideal, but if this is unmanageable, then at least doing some exercise every day offers immediate and long-term benefits. +

Dear Advice Doctor, I’ve been reading this column since it started, and I’m really beginning to wonder if you will ever answer a single question correctly. Just one would be nice. Some of the questions have been absolute no-brainers that could have been answered simply and directly, yet you’ll take one word or a phrase completely out of context and go off on some crazy tangent and totally ignore the very question the person wants answered. Just answer this one question: is this some dumb gimmick, or are you really clueless? — Please Enlighten Us All Dear Enlighten Us All, Thank you for bringing up this very important and timely topic. Medically speaking, the term for “no-brainer” is anencephaly. It describes the absence of a major portion of the brain and skull and is certainly one of the most devastating of all birth defects: the unfortunate prognosis is death within hours, or a day or two at most. There is no treatment or cure. What makes this a topic of great concern currently is the threat posed by the Zika virus. Babies born to women infected with the virus are often microcephalic, a condition marked by abnormal smallness of the head and incomplete brain development. Unlike anencephaly, microcephaly is not fatal, but babies born with this condition are likely to have lifelong intellectual, speech and motor skill disabilities, among other challenges. While no vaccine exists to prevent Zika, there are protective steps that can be taken: eliminate mosquito habitats in and around your home; wear mosquito repellant; avoid travel to areas with identified Zika outbreaks; use condoms to prevent Zika transmission through sexual activity. + Do you have a question for The Advice Doctor about love, life, personal relationships, career, raising children, or any other important life topic? Send it to News@AugustaRx.com. Replies will be provided only in Examiner issues.

AUGUSTA

Your chosen moderate activity doesn’t have to be walking. If you have a husband or boyfriend, you might enjoy kickboxing more.

MEDICAL EXAMINER

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www.AugustaRx.com 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

(706) 860-5455 www.AugustaRx.com • E-mail: graphicadv@knology.net Opinions expressed by the writers herein are their own and their respective institutions. Neither the Augusta Medical Examiner, Pearson Graphic 365 Inc., or its agents or employees take any responsibility for the accuracy of submitted information, which is presented for informational purposes only. For specific medical advice, diagnosis and treatment, consult your doctor. The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2016 PEARSON GRAPHIC 365 INC.

AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER

#26 IN A SERIES

Who is this?

OLD NEWS +

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

his long-running world-exclusive Medical Examiner series has always focused on giants of medical history, even ones who aren’t exactly household names. Based on that fact, it would seem that the photograph above is misplaced. Everyone reading this article belongs to one of two distinct groups. Those under a certain age have no idea whose picture this is, while those above a certain age know exactly who it is, but may not know how he wandered into this spot. For the younger ones among us, the man in the photo above is Paul Winchell. As the picture might suggest, he was a puppeteer and the co-star (along with Jerry Mahoney, his partner in the photo) of a hugely popular TV show for kids during the 1950s called The Paul Winchell Show, a rival of another similar children’s program of the day, The Howdy Doody Show. An accomplished puppeteer, ventriloquist and voice actor, Winchell also had a lifelong fascination with medicine. At the same time he was pursuing his TV career, Winchell was a pre-med student at Columbia University, enrolling in 1959 (although he would not receive his Doctor of Acupuncture degree until 1974, and that from an acupuncture school in Los Angeles). A turning point in Winchell’s non-TV life happened, ironically enough, on TV. He was a contestant on The Arthur Murray Dance Party, a 1950s version of Dancing With the Stars. Winchell won the competition against Ricardo Montelban (he of Fantasy Island fame and “rich Corinthian leather” Chrysler commercials). At an after-show cast party, Winchell met Dr. Henry Heimlich, the inventor of the Heimlich maneuver, and the two became lifelong friends. In fact, Heimlich invited Winchell to observe surgeries in his operating room on several occasions, and Winchell, also lifelong inventor who eventually held some 30 patents, saw the need for a device that could keep the heart pumping during open-heart surgeries. With advice and assistance from Heimlich, Winchell designed, built and patented an implantable, mechanical artificial heart, filing his patent application in 1956. According to an article on the MIT (Massachusetts Institute of Technology) website, when University of Utah researchers led by Dr. Robert Jarvik began developing an artificial heart, their patent application was denied as being too similar to Winchell’s. Winchell was asked to donate his patent to the University, which he did, and Jarvik subsequently used many of Winchell’s basic principles in developing the Jarvik-7, the fi rst artificial heart to be successfully implanted in a human (Seattle dentist Barney Clark). Jarvik, it should be noted, denies that any of Winchell’s design elements were incorporated into the Jarvik-7. Dr. Heimlich, meanwhile, has said of the two, “I saw the heart. I saw the patent. The basic principle used in Winchell’s heart and Jarvik’s heart is exactly the same.” Winchell, born in 1922, died in June of 2005 at age 82. +

YOU KNOW THIS WOMAN

ou have been behind her in the check-out lane, most often the grocery store. She is the one who takes her time as if no one else is waiting. She is apparently oblivious to the fact that she will have to pay until the very moment the cashier announces the amount, and only then does she take out her checkbook. She engages the cashier in idle chatter as if grocery shopping were a social outing rather than an errand which, ideally, should be done as quickly as possible to get perishables home in a timely manner. I’m not talking about the elderly lady who is slow and frail. I’m discussing the one of any age, selfish, inconsiderate and rude. She operates under the assumption that the world revolves around her and the only one whose time she is concerned with is her own. It’s her turn, by golly, and she is going to take all the time she wants. Why do some women behave this way? There are two answers. 1: it’s just who they are, and 2: they have no self-awareness. They can easily recognize unacceptable

behavior in others but not themselves. This is the same personality who will cut in line, steal someone’s parking place, talk during the movie, and leave their cell phone on during functions. They take their sweet time in a crowded rest room, in a long buffet line, and at customer service desks. Yes, you know her. We all do. If there are men who behave this way I have yet to run into them. Men typically

don’t care to spend any more time in a store than they must and will get what they are after and get out. I have never seen a long line outside a men’s room. Why this is true, I have no idea but it seems to be the way of things. Just another of those little differences in the sexes, I suppose. I don’t consider myself different from most other women, those of us who wouldn’t dream of getting just inside a store entrance and then stopping to speak to someone, or to check their receipt/purchases. We are the ones who move the cart to the side to do these things. At any check-out most of us have our method of payment ready in order to move the line along. It takes enough precious time to get through as it is, since cashiers can be slow at doing their job regardless of the number of customers waiting. This doesn’t make us special. It’s just the right thing to do and it isn’t difficult. This other woman we all know is everywhere and we always get behind her. It’s frustrating. As we watch her waste our time, we run all the things we would like to say in our heads, but we never do because she won’t change and all it will do is upset us while she remains clueless. Even now, she’s reading this and doesn’t make the connection that this is about her. +

MYTH OF THE MONTH Wait 30 minutes after eating before swimming This could actually be a non-mythical statement if you’re planning to swim the English Channel. In the same way that it would not be wise to eat a heavy meal right before running a 26-mile marathon, an athlete-swimmer would not want to jump in the water right after a few trips through the buffet line and expect to perform at his or her competitive best. But for the casual swimmer, the backyard pool swimmer, even the just-ate-barbecue-at-the-lake swimmer, there is no medical reason to wait an hour, a half hour, or even five minutes after eating before going for a swim. There have been studies attempting to find any documented cases where a drowning was attributed to eating shortly beforehand.

The studies came up empty. For the non-Olympic swimmers among us, the 30-minute wait rule is just an old wives tale. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT SEXUAL HARASSMENT

k good eno r skin can ugh cer? son.”

o k

exual harassment is a modern invention. Sexual attraction is not. Sexuality has always been with us. When women look especially inviting, men tend to be attracted. When a woman gives a man that come hither look, he tends to come hither. The problem is: What is a come hither look? It can be subtle. Direct eye contact followed by, “Hi.” Plus a downward tilt of the chin, combined with a shy smile and a slow wink definitely qualifies. It can be more direct. “Hey, Big Boy. What you got in your pocket?” Crude, but effective. Or as one crusty old guy I know says, “Hello, beautiful. I’m hard to get along with, set in my ways, tend to be somewhat demanding, and only moderately wealthy.” It works like a charm. He was a WWII B-27 bomber pilot who was shot down over Germany and survived 6 months in a POW camp, so we ought to give him a lot of slack. Or anything else he wants. But in the complicated game of communication between the sexes, what if there is miscommunication? Mixed signals that mean different things to each party? Henry was setting up for a heavy equipment trade show in Atlanta. People scurried about like ants on a steppedon hill in June. A well-proportioned 30ish lady made several heelpopping trips past Henry’s area. She sported 4-inch heels, a mid-thigh skirt, a clingy blouse, perfect hair, and professionally applied makeup. Her undulations and jiggles were practiced and near perfect.

Henry diligently admired it all. About her fifth trip by, she stopped short and wagged her finger at Henry saying, “No, no. no. You should not look at me like that.” Not to be put off by the impending sexual harassment charges, Henry made his case. “Ma’am, you work hard for your money. You pay taxes on your earnings. Then, you spent hours in a clothing store trying on clothes and selecting just the right garments to create this superb ensemble. Today, you spent an hour getting dressed and fixing your hair. Then, you selected the appropriate perfume to enhance your presence. “Now, after all that trouble and expense, you want me ... to ignore you? I think not. It would be an insult to you and your work ethic if I failed to admire in detail just how wonderful you look. If I’m lying, I’m dying. Tell me if I’m wrong.” Not only was she castigated by Henry’s insightful wit and tight logic, she was won over. She mentally fired Gloria Allred and her legions of sexual harassment minions, and eased into a more pleasant persona. “Wow. Ok. You got me on that one. Maybe we can have a drink sometime.” Professionals that they were, however, they charged back into their separate work and never crossed paths (or eyes) again. Had Henry’s eyes sexually harassed her, something she did not want? Or had Henry’s eyes admired and appreciated her outstanding efforts at overt sexuality, something she desperately wanted?

t s e B The answer has to do with her mindset. It has nothing to do with Henry. It is highly likely that her employer did not want her looking like Carol Burnett’s bag lady character. Her job was to stand in front of a street paver and attract potential buyers. After all, honey attracts more bees than vinegar. (That’s in the Bible somewhere. And if it’s not, it should be.) Or how about this one: Karl worked security at a large local plant. A young female employee filed sexual harassment charges against a guy in management. Karl investigated. An official eyewitness reneged on corroborating the filer’s version of the alleged event. Karl determined that nothing had happened. No touching. No coercion. No threats. No gestures. No nudie emails. Karl recommended a vigorous, successful defense against the accusation. Senior management said, “Karl, stand down. We are settling for $10,000.” “Why? We are in the right. We did nothing wrong. There was no harassment.” “We know that, but it will cost $50,000 to defend our position, and we’ll catch loads of bad publicity. We save $40,000 by settling. It’s a business decision.”

THANKS FOR READING! +

MEDICAL EXAMINER IS ONLINE • issuu.com/medicalexaminer • or • AugustaRx.com/news • •

e n i c i d ME

“But that is legalized piracy. We just got robbed.” So now there is a lady who is $10,000 richer, walking around waiting for the next non-event she can cash in on. Maybe she needs more money to update the tattoo on the small of her back, the one that reads “Sexy Treat” that she got when she turned 40. (I feel compelled to quote syndicated talk radio host, Neal Boortz: If you are fat and ugly, getting a tattoo on your ankle when you turn 40 will not make you sexy. So it is, and so it is written.) Sexual harassment is undesirable and definitely a disease, or at least a medical syndrome. However, it is difficult to determine in whom the disease lies: The accused? Or the accuser? Usually, it is like a divorce: First, you get her story. Then, you get his story. The Truth

is usually somewhere in the middle, and you almost never get the exact Truth. Beware of sexual harassment. It is contagious and easily spread by casual contact with the internet, TV, radio, bars, and night clubs, break rooms, and work places ... not to mention church social halls and bridge clubs. And certainly be sure to avoid people who are unhappy with their work or pay. There is no known cure for the dreaded Sexual Harassment Syndrome. The only prevention is premature death or solitary confinement in a previously unknown Tibetan monastery on the North Slope of Mt. Everest. + 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 706306-9397. NOTE: This Bad Billy classic originally appeared in our Nov. 18, 2011 issue. F REE T AKE-HO ME CO PY!

MEDICAL EXAMINER

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AUGUSTA MEDiCAL EXAMINER

MVP Community Awards nominations invited Walton Options to recognize those in the CSRA that have worked toward an inclusive community

by Dan Pearson

It isn’t every day that a publication celebrates a 10-year anniversary, as the Medical Examiner just has. Our fi rst issue was July 1, 2006. Page 12 of every issue since has contained a fresh installment of The Examiners. Here are a few of our favorites.

So how do you At the culinary school? like your new job? Great. I love it.

Are you learning Not exactly. lots of new I work in payroll. recipes?

How is your Gamma Knife Great. It’s a wonderful training coming? tool to help people.

How far along are you? Pretty early. I’m still learning the Gamma Spoon.

What comes after that?

The Gamma Spork.

Wow. So was it closed urn?

I believe it was, yes.

How was the Very sad. It was such funeral? I could’t go. a terrible way to die.

Was it closed casket?

He was cremated.

Whatcha reading?

This new modern Bible. And I’m not sure I like it.

Why not?

This is supposed to be a healthier version, but..

Like Lot’s wife. Instead of a Healthier? pillar of salt, she becomes a Like what? pillar of Mrs. Dash.

A call for the nominations of businesses, organizations, government officials, action groups and individuals has been announced by Walton Options for Independent Living. The Most Valuable Partner (MVP) Community Awards are designed to recognize and honor those in the Central Savannah River Area (CSRA) that have worked to create a more inclusive community for persons with disabilities. “There are so many organizations, businesses and individuals around the CSRA that create opportunities of inclusion and independence for persons with disabilities,” stated Tiffany Clifford, Executive Director at Walton Options for Independent Living. “We, along with our partners and consumers, have worked with some amazing organizations and people who share our passion for an inclusive community for all people, especially those with disabilities. These awards are a chance for the community to say thank you and recognize all the work the nominees have done. ” The MVP Community Awards will select their winners based on nominees submitted by the public for five separate categories. The categories include Inclusive Employment, Community Government, Public Accommodations & Communications, Outstanding Service Organization and Outstanding Individual Advocate. The awards are open for public nominations July 1 – August 12, 2016 through online forms or downloadable hard-copy forms at www.waltonoptions. org/MVPawards. Hard-copy forms can also be picked at the Augusta Office at 948 Walton Way. The MVP Awards were created by Walton Options following the success of the Americans with Disabilities Act 25th Anniversary Celebrations in May 2015. Local businesses and persons who have embodied the spirit of the titles of the ADA were honored during the course of a week-long celebration. Walton Options wanted to keep these honors alive and expand them through an annual awards program that is open to the entire CSRA community. “Because we are honoring those who have worked to create an inclusive community, we wanted to be sure we included the community in our nomination process,” explained Ann Campbell-Kelly, Senior Coordinator for Advocacy, Outreach & Development. “Public nominations give us the opportunity to learn more about organizations, businesses and advocates that we might not be aware of. In addition to highlighting all the work they have done, it also allows us the opportunity to expand our network of resources and options for persons with disabilities in the CSRA.” Finalists and winners will be selected by Selection Committees from across the Walton Options’ staff following the close of nominations. The finalist nominees will be invited to The MVP Community Awards Ceremony where the winners will be announced. This year the ceremony will be held during a luncheon on Thursday November 3, 2016 at the Legends Club, 2701 Washington Rd., Augusta, GA. +

THE EXAMiNERS

Can you believe that traffic report?

Did I just hear what I think I heard?

A disabled vehicle is blocking traffic.

Unbelievable.

About Walton Options for Independent Living Walton Options works with persons with disabilities through their core services of Advocacy, Information & Referral, Life Skills Training, Peer Support and Transition Services. WOIL offers services throughout the CSRA, including 16 counties in Georgia and 10 counties in South Carolina including the Low Country. For more information about Walton Options, visit www. waltonoptions.org or call Walton Options for Independent Living, 706-724-6262

I wonder if GHSU will ever catch on. Who?

It doesn’t exactly roll off the tongue.

What?

GHSU! MCG!

AUGUST 5, 2016

Southern Girls Eat Clean Citrus, Fennel and Avocado Salad Summer heat is officially here, and as July melts into August in the South, our family craves the refreshment of COLD foods...salads, slaws, chilled soups, home-made popsicles. With the right recipes, these culinary choices aren’t only nutrition-packed, they are satisfying, taste-bud-tempting, and colorful displays of the amazing summer fruits and vegetables available at your local farmer’s market. After a day of sweltering heat, sandals and sundresses, this Citrus, Fennel and Avocado Salad is the perfectly invigorating meal or side dish sure to cool you down. Because mint: the Southern summer staple that puts the sass back in your step! (Try saying that 3 times in a row!). Not only does the mint add a refreshing twist, but the beautiful array of juicy citrus provides much-needed summer rehydration and packs a Vitamin C punch. The avocado adds healthy fat, and the fennel gives the dish a hint of the unexpected. This entree salad or side is the perfect combo of tart and sweet. It’s simple to make but pretty enough to steal the show at your next summer gathering! (To make this even more simple, forego the varieties of citrus...just slice up navel oranges or use tangerine segments and toss with the other ingredients. Just be sure to add enough of the citrus of choice to keep the ingredients balanced). The citrus variety in this recipe lends incredible flavor and a touch of sophistication when you want to make a special meal! Ingredients: SALAD: 1 avocado, pitted and sliced 3 mandarin oranges 3 cara cara oranges 3 navel oranges 1 blood orange 1/2 fennel bulb Reserved fennel fronds 1/2 shallot, thinly sliced 1/4 cup whole mint leaves DRESSING: 1 tablespoon honey 2 tablespoons champagne vinegar 1/3 cup extra-virgin olive oil

AUGUSTA MEDiCAL EXAMINER

Citrus, Fennel and Avocado Salad Dash of sea salt Freshly cracked black pepper

salad to coat. Garnish with avocado and fennel fronds. +

Instructions: Peel and slice citrus into round disks. Separate mandarin oranges into segments. Slice fennel bulb and shallot into thin slices and cut fennel fronds into 1 1/2” thin pieces. Place salad ingredients except avocado and fennel fronds into a bowl. Whisk together dressing ingredients and toss with

Cinde White is a certified health/recovery coach (myhdiet.com) and a certified introductory wellness chef as well as a representative for Tower Garden and Juice Plus (cindewhite.towergarden.com or cindewhite.juiceplus.com and southerngirlseatclean.com)

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AUGUSTA MEDiCAL EXAMINER

Looking for Likes in all the right places.

Pharma cy 4 11 Very little if anything about healthcare is inexpensive, and that includes medicine. Tiny pills can command large prices. Over-the-counter 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.

LET’S GO ON VACATION (WITH OUR MEDICINE) - PART II: INTERNATIONAL TRAVEL

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n the last issue we discussed travel plans within the United States as they relate to your medicines. In this issue we will look at special restrictions involved with international travel. Everyone knows that international travel requires a passport, but a lesser-known fact is that some countries require special documentation on your prescription medicines. Go to the U.S. State Department website (travel. state.gov) and review their traveler’s checklist section. Make note of any special restrictions for your medicines as well as medical conditions. A letter from your doctor explaining your condition, current medicines, and any necessary special equipment you must carry with you is a smart item to pack in your carry-on bag. Start planning your trip months ahead, and make any needed changes to medicines well ahead of your departure so that any side effects can be noticed and changes made well before travel time. Make sure the labels on your prescription containers match your travel documents and your doctor’s letter. Check with your insurance company about arranging for enough medication to last the duration of your trip. This may involve an early refill or an override for a larger amount of medicine than what your insurance normally covers at one time. Your pharmacy can help you with this process. Check with your doctor, the U.S. Department of State and the Centers for Disease Control (cdc.gov) about any required preventive medicines specific to the region you will be visiting. This may include medicines or vaccinations to prevent certain diseases that have been controlled in the United States but that are prevalent at your destination, such as malaria or yellow fever. This may also mean that you may need an antibiotic to take with you to prevent traveler’s diarrhea due to water quality in certain regions. We recommend making two copies of all medical travel documents, which includes your printout from the pharmacy showing your medicine profile as well as your letter from your doctor. Leave one copy with a trusted person back home in the

Get well soon!

United States and take the second copy with you. Keep this second copy with you but separate from your original travel documents. Keep medications in their original, pharmacy-labeled containers. This package should be in a zip-lock bag in your carry-on bag. This will help if anyone wants to check your medicine by having everything in one spot. Your paperwork should be kept with your medicines or with your passport, or both. To be on the safe side, research obtaining a replacement supply of lost medicines while in your destination country. This will come in handy if your medicine is lost or is damaged and becomes unusable during your trip. Refer back to last issue’s article about the TSA since your trip with originate here in the U.S. and you will be subject to both domestic and international travel restrictions in most cases. Air travel brings on an extra set of needs for the international traveler. Long flights may include the need for deep vein thrombosis prevention as well as the ordinary treatments for jet lag and motion sickness that are more common with air travel. Unfortunately we cannot cover specific country restrictions here since there are so many countries that it would require a book all to itself. There are several good websites available as well as travel organizations that can help provide useful information, among them IndependentTraveler.com organization and the sites for travel organizations such as AAA and senior organizations such as AARP. Enjoy your trip! + Questions about this article or suggestions for future columns can be sent to us at cjdlpdrph@bellsouth.net Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson (cjdlpdrph@bellsouth.net )

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AUGUSTA MEDiCAL EXAMINER

Ask a Dietitian I COLOR ME CONFUSED by Kelly Karpen, RD, LD.

t seems that every week, we hear about new research that makes us question everything we thought we knew about nutrition. Suddenly, butter is good, kale is bad, and this week the jury is still out on eggs and coffee. This information overload often leads to confusion rather than positive lifestyle changes. Nutrition professionals are sought out to provide reliable advice in a sea of misinformation. One way that some nutrition professionals simplify complex nutrition information is to make broad recommendations that are easy to follow. For example, you may have heard “Only shop the perimeter of the grocery store” at one time or another. Sure, there are plenty of nutritious items to be found on the perimeter, like fresh produce, meats, and dairy. But what about the beans, or canned tomatoes, whole grain cereals and oatmeal, and frozen fruits and vegetables? Frozen vegetables and fruits are just as nutritious as fresh and can be stored for a much longer period of time. Beans, both versatile and inexpensive, are also loaded with protein and fiber. Add some canned tomato products with beans and a few other ingredients into a slow cooker, and you can have a highly nutritious, inexpensive meal with minimal effort. The other common piece of

nutrition advice is “Don’t eat anything white.” The reason for this recommendation is that white, or refined, grain products are often lower in fiber, protein, and antioxidants than whole grain products, often brown in color. They are not the best choice for those of us who are watching our weight, either. Eating foods like white bread, crackers, and sugary cereals, your blood sugar rises rapidly, giving you a surge of energy. Unfortunately, this energy burst only lasts for a short period of time. Soon after, your blood sugar takes a nosedive, leaving you tired and hungry again. This leads to overeating and ultimately, weight gain. While I wholeheartedly agree that most people should be eating more whole grain breads, cereals, and pastas, I would not advise removing all white foods from your diet. After all, cauliflower is white, as are onions and potatoes. Any dietitian would agree that these three foods

have an important place in the diet. They are all high in fiber and relatively low in calories. Potatoes are an excellent source of vitamin C and an often-overlooked source of potassium. Onions are low in calories, and are a rich source of phytonutrients, or plant compounds that play a role in disease prevention. Cauliflower is a potent source of antioxidants. This comes as a surprise to many people, because the antioxidant benefits of brightly-colored vegetables are often touted, but rarely do we hear about the good things in white vegetables. In addition, the high water content of these three foods makes them ideal for weight loss. You can eat a larger amount of them for fewer calories, which helps to fill you up. There are roughly 40 calories in a cup of cooked cauliflower. To compare, there are roughly 600 calories in a cup of granola. Potatoes often get a bad rap because of their high carbohydrate content. It is true that they are high in carbohydrate, but that is no

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CONFUSED… from page 9 reason to avoid them. A potato can easily fit into a balanced meal plan. Simply pair it with some lean protein and a non-starchy vegetable, like broccoli, and you have a well-balanced meal. Some of the popular potato toppings also tend to add unnecessary calories. To keep calories in check, forgo the bacon bits, cheddar cheese, and sour cream and instead opt for a tablespoon bit of trans fat free spread or some salsa and cilantro. Healthy eating should be an enjoyable experience, and not a stressful numbers game. It does not have to be difficult either. To get the most bang for your calorie buck, choose

more fruits, vegetables, whole grains, and lean proteins. Be sure to reach for water if you are thirsty. By increasing these foods, you will leave less room in your diet for things like sugary cereals, baked goods, and sodas. When picking a snack, try to pair high carbohydrate foods with high protein foods. This will keep you satisfied longer. For example, instead of eating just raisins, try pairing them with some almonds or peanuts to increase the protein, fiber, and healthy fat content. Instead of plain toast in the morning, add an egg and some avocado. I’m willing to bet that you will not be starving by 10 AM. Bon Appetite! +

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MEDICAL EXAMINER PRODUCT AND DISPENSING INFORMATION FOR PHYSICIANS INDICATIONS AND USAGE The Medical Examiner is a twice-monthly publication indicated as an adjunctive therapy to: • increase information about topics of general health and wellness for an audience of healthcare consumers and providers alike. Limitations of Use The Medical Examiner is not intended as a means of diagnosing or treating any illness or condition and is not offered as a substitute for in-person care offered by a medical professional. Statements in the Medical Examiner have not been evaluated by the Food and Drug Administration unless otherwise specifically noted. DOSAGE AND ADMINISTRATION • Dosage is offered in one 16-page tabloid sized newspaper printed on premium bright white newsprint. The Medical Examiner should be administered twice monthly. Do not discontinue unless under medical advice. Use all of this product. CONTRAINDICATIONS • Concomitant administration of the Medical Examiner and cookbooks containing less than healthful recipes may result in adverse reactions. • The Medical Examiner should not be administered to individuals with an established hypersensitivity to any component of this publication, such as improved diet or encouragement to exercise. WARNINGS AND PRECAUTIONS • Patients should be advised to consult their physician prior to significant alterations of their normal exercise and/or dietary habits are outlined in the Medical Examiner. ADVERSE REACTIONS • The most common adverse reactions are difficulties experienced in developing new and more healthful habits to replace practices that are not conducive to optimal health. A rash may occur. To report SUSPECTED ADVERSE REACTIONS, contact The Medical Examiner at 706-860-5455 or via e-mail: info@AugustaRx.com. DRUG INTERACTIONS • There are no known adverse drug interactions between The Medical Examiner and any prescription or over the counter drug.

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AUGUST 5, 2016

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AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Debbie Moore-Black, RN on July 27, 2016 on Facebook (Edited for space)

THE FAMILY SAID, “DO EVERYTHING” She knew something was wrong. And by the time she was 85 she had forgotten the names of her children, the town she raised them in, even the name of her deceased husband. In her 70s she was diagnosed with Alzheimer’s. Still coherent, she talked to her physician about becoming a DNR: do not resuscitate. She did not want to live on a machine that would breathe for her, she did not want CPR on her chest, she just wanted to go home peacefully to her Lord. Instead of entering a nursing home, her son Johnny demanded on taking his momma home to live with him. And her son, who couldn’t wait to take care of her in his home, ignored all of her basic needs. He’d quietly shut her bedroom door. Johnny had to work. And Johnny had to play. He was too busy to turn her, too busy to clean her, too busy to feed her. After two years in his home, sweet Mrs. Sally became contractured, bed-ridden and riddled with ulcers. A neighbor caught wind of potential neglect of Mrs. Sally and notified social services. When social services arrived, they found Mrs. Sally lying in feces and urine, malnourished, with her body covered in decubitus ulcers. Everywhere. Mrs. Sally arrived at the nursing home unable to eat, unable to talk, unable to walk, and her skeletal body lay in bed with permanent contractures. Mrs. Sally was ready to die. Her DNR status was current, and the nursing staff gave her the best tender loving care possible. They made Mrs. Sally comfortable. They held her hand and talked to her and cleaned her up. But Mrs. Sally never responded. One night her breathing was so shallow, and her pulse was irregular and thready, that the nursing home thought she was dying. The staff called the son to let him know. Johnny wasn’t ready to see his momma die, and told the nursing home staff to call 911 and send her to the ER. The staff reminded Johnny that she was a DNR. “Bring her in,” he said. Since Mrs. Sally was now unresponsive and unable to talk or to make any decisions about her DNR that she signed herself, Johnny was able to rescind the DNR. Upon arrival at the ER, Johnny and his sisters burst through the doors screaming, “Do everything!” Mrs. Sally had a thready pulse and gasping respirations, sometimes agonal. Within minutes, a code blue was called. Mrs. Sally lost her pulse, had no respirations and was straight lining. And against our morals, against our compassion, against our need to give dignity to this little lady and her last days on earth, we presented her with rapid CPR compressions; we felt her tiny ribs crunch and break, and her heart rate speed up to a chaotic fibrillation. She “survives” these insults that we forced upon her, leaving an anoxic brain in her contractured body. And the family is pleased: “Praise be, she’ll live to be 100.” And we, the EMTs, the doctors, the ER nurses and the ICU nurses, bow our heads, because we know we brought torment and pain and assault to this tiny, malnourished lady, who once had a vibrant, full life but instead slipped into the tunnel of dying. Almost peacefully, until her family forced us to bring her back. And instead of Mrs. Sally going to her heaven and resting in peace forever, we condemned her to a living hell. Prepare your moms and dads and grandmoms and grandpas and allow them to drift peacefully into that other world. It is not heaven on earth. It is hatred on earth. Two days later, Mrs. Sally died on a ventilator in the ICU. We were unable to bring her back. The family who said, “Do everything,” were nowhere to be found. Her nurse held her hand as Mrs. Sally died on the ventilator with a bruised chest and fractured ribs from her CPR. If your loved one has reached an end-stage of life, do the right thing. Let them die peacefully. +

“It is hatred on earth.”

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

If the topic of this issue’s cover story hits home with you and yours for any reason — perhaps there is a suicide in your family’s history or you’re currently worried about someone’s precarious hold on the will to live, this book might be among the key places you seek information. Here is Amazon.com’s review: “Suicide is a particularly awful way to die: the mental suffering leading up to it is usually prolonged, intense, and unpalliated,” writes Kay Redfield Jamison. “There is no morphine equivalent to ease the acute pain, and death not uncommonly is violent and grisly.” Jamison has studied manic-depressive illness and suicide both professionally and personally. She first planned her own suicide at 17; she attempted to carry it out at 28. Now professor of psychiatry at Johns Hopkins School of Medicine, she explores the complex psychology of suicide, especially in people younger than 40: why it occurs, why it is one of our most significant health problems, and how it can be prevented. Jamison discusses manic-depression,

suicide in different cultures and eras, suicide notes (they “promise more than they deliver”), methods, preventive treatments, and the devastating effects on loved ones. She explores what type of person commits suicide, and why, and when. She illustrates her points with detailed anecdotes about people who have attempted or committed suicide, some famous, some ordinary, many of them young. Not easy reading, either in subject or style, but you’ll understand suicide better and be jolted by the intensity of depression that drives young people to it. And an excerpt from from the

review by Publishers Weekly: “Providing historical, scientific and other helpful material on suicide, Jamison, a Johns Hopkins psychiatry professor, makes an excellent contribution to public understanding with this accessible and objective book. There is, she asserts, a suicide every 17 minutes in this country. Identifying suicide as an often preventable medical and social problem, Jamison focuses attention on those under 40 (suicides by those who are older often have different motivations or causes). [She cites] research that suicide is most common in individuals with mental illness (diagnosed or not), particularly depression and manic depression. JJamison presents fascinating facts about suicide in families and in twins, gender disparities, and the impact of the seasons and times of day. She also provides poignant portraits of those who have committed suicide. Copyright 1999 Reed Business Information, Inc. +

Night Falls Fast, by Kay Redfield Jamison, 448 pages, published in October 2000 by Scribner

Research News Help for preemies A new study of pre-term babies has found that the more breast milk they have in their first 28 days of life, the more likely they are to experience better development in crucial regions of the brain. Compared to pre-term babies whose diet consists of formula, babies who consumed more breast milk had “better IQs,” academic achievement, working memory and motor function at age 7. Measurements were also taken during the study using MRI scans to measure increases in grey and white matter throughout the brain. Improvements were seen not only at age 7, but more immediately: at the “term equivalent” age (when the babies should have been born if full term) progress was already measurable compared with formula babies. IQ improvements were 0.5 points higher at age 7 for every day babies had more than 50

percent breast milk intake, and 0.7 points higher for every additional 10mL of breast milk consumed per day (during the first 28 days of life). The study was published in the July 26 issue of The Journal of Pediatrics. Sugar cuts offer fast results A study recently published in Atherosclerosis reports that obese children given a diet sharply lower in sugar saw significant improvements in heart disease risk markers in little more than a week’s time. The sole change in the diet consumed by the study participants (aged 9 to 18) was in sugar content. Carbohydrates, fats and proteins were unchanged. For example, researchers substituted high sugar foods like pastries and sweetened yogurt for lower sugar options like bagels and pizza. Overall, sugar went from 28 percent to 10 percent of participants’ diet, and fructose dropped from 12 percent of total

calories to just 4 percent. The results: in a mere 9 days researchers measured a one-third drop in triglycerides (a fat tied to heart disease), large reductions in LDL (“bad” )cholesterol, as well as a nearly 50 percent drop in a protein linked to high triglyceride levels. As a principle study author noted, without changing carbs, fat, protein or weight in obese patients, cutting sugar still resulted in immediate and significant drops in major markers linked to heart disease. Paying for health Related to the above, on the heels of a tax on sugary drinks recently passed in Philadelphia, a Drexel University study has found that milk costs 160 percent more per ounce than soda. Taxing sugary drinks which are linked to obesity, diabetes and cardiovascular disease, could level the playing field and reduce the incentive to buy the less healthy option, says thee study. +

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AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

Their grandfather had died Oh yes, I see. Right Here’s a story about and they were scattering at sunset. He was That’s illegal now? They probably should an entire family being have cremated him first. arrested at the beach. What happened? his remains in the ocean. a Navy vet. © 2016 Daniel Pearson All rights reserved.

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Congressional TV 6. How rubber can start 10. Product of 60-A at onetime Augusta factory 14. Like winter weather often is 15. Basic Greek currency 16. Its highest point is Kings Peak 17. 11 through 15 19. Unit of type size 20. Large brass wind instrument 21. Leave 23. It can be in the air in winter 24. Pitcher’s stat 25. Beasts of burden 26. Faux pas 28. Arab version of shalom 30. Longtime local publisher 31. Indolently 32. Easy introduction? 35. Cheese partner 36. It’s south of Nicaragua 39. Yo intro, sometimes 41. John follower 42. Scent 45. Annoyed 47. Endured; withstood 49. Trimmed along sidewalks 50. Satisfied 53. Kill Bill star’s first name 54. Meadow 55. Club founded in 1892 57. Coalition; alliance 58. First word of an annual local festival 60. Company which made 10-A 62. Swinging barrier 63. Optical device 64. Restless

The Mystery Word for this issue: ERY W BLEATT

THE MYST

D Iletters, S ON SUthen Simply unscramble the exploring MMEbegin R V A C ATword our ads. When you find the correctly spelled ION 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

QUOTATION PUZZLE

Click on “READER CONTESTS”

B A O H S N E U C I N E E L I C L R F K E T N S M T L

S S E O L R R L A N R N S O R O C O F O Y : R Y — Author unknown

65. Georgia’s Chateau _____ 66. Periods of history 67. Refined iron

27. The Spanish ______ 29. Small room; or a recess off a room 30. Diagnostic med pic 32. Non-Rx 33. Big tub 34. Trauma pt. destinations 37. Sorrowful 38. Conduit for electricity 39. ________ holiday 40. Savannah event 43. Make eggs 44. Regret 45. Fur of a mammal (Zool.) 46. Walton Way school (in brief) 47. Rhythm 48. A dinosaur’s end? 50. Underground effluent pipe 51. ______ football 52. Long lock of hair 56. Small island 57. _____ grass 59. One of 100 (abbrev.) 61. Possesses Solution p. 14

DOWN 1. Wooden containers 2. Warrior of feudal Japan 3. Having patches of two colors 4. Kristen Bell voiced her in Frozen 5. The Big Apple, in brief 6. Wild; untamed 7. Oz in full 8. Regions 9. Dead or death (Latin) 10. Cake container? 11. “As below” (in bibliographies) 12. Georgia follower, at times 13. Forms 18. Egg cell 22. Self-esteem 25. _____ Clinic

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

4 2

9 5

8 7

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.

N 1 2 3 4 5 6 7

1 2

E V 1 2 3 4 5 6 7 8

1 2 3 4 5 6 7

8 9 10 11

P 1 2 3 4 5 6 7 8 9 10

L 1 2 3 4 — Martin Luther King, Jr

1 2

1.MIDEVIO 2.VUNITIF 3.SLIMO 4.TILLT 5.NIEE 6.PANI 7.SCLD 8.IHE 9.EI 10.NS 11.G

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

AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER

13 +

THE BEST MEDICINE ha... ha...

wo horses are standing in a field. “Man, I’m so hungry right now I could eat a horse,” says the fi rst one. “Moo,” says the second one. Moe: My wife and I have decided we don’t want to have kids. Joe: They’re not going to like that! Ever since this terrible heat wave started, all my wife does is stare through the window for hours on end. I suppose eventually I’ll have to let her in. Give a man a fish, and he’ll eat for a day. Teach a Nigerian to phish and he’ll become a prince. A college grad decides to take the summer off and gets a job at a hardware store before starting work in the fall. He shows up on his first day of work and his boss hands him a broom. “Here, your fi rst task is to sweep all the aisles. After that, I’ll show you where the rest of the cleaning supplies are.” The guy looks at the broom and says to his

boss, “I don’t think you realize, I’m a college graduate.” “Oh, that’s right,” his boss replies. “Let me show you how to use it.” Moe: Where are you going? Joe: To the police station. Moe: Why? What happened? Joe: Somebody stole my coffee mug. Moe: So? Joe: So I’m going down to look at mug shots. A guy is sitting in a bar staring at a fresh drink when a big burly biker steps up next to him, grabs his drink and gulps it down in one swig. “Whatcha gonna do about it?” the biker says, trying to provoke a fight. The man bursts into tears, saying nothing. “Oh come on, man,” the biker says, “I didn’t think you’d CRY. Knock it off! I can’t stand to see a grown man crying.” “This is the worst day of my life,” the man says. “I’m a complete failure. I was late to a meeting and my boss fi red me. When I went to leave, my car had been stolen and I don’t have insurance. I took a cab home and left my wallet in it. I walked in on my wife in bed with the gardener, and then my dog bit me. “So I came to this bar to work up the courage to put an end to it all. I buy a drink, I drop a capsule in and sit here watching the poison slowly dissolve, then before I can drink it you show up and drink the whole thing! “But enough about me. How is your day going?” +

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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

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 KC is refusing to come inside for the night. Stubborn dog. She is safe enough in our fenced backyard and it is warm enough for her to stay out all night and I am tired and want to go to bed, but you know how it goes.... I always found it hard to sleep until all my kids were home and all that jazz. Yup, KC is a dog and there are people who would say that she’s just a dog, so don’t fret and just go to sleep, but habits of responsibility for others are profoundly ingrained in me. And KC happens to be one of those others I feel responsible for, bless her dear little heart. It’s still interesting for me to see that kind of caring in my grandchildren. I’m not sure how attitudes of assuming responsibility for others gets transmitted to children who became adults without me being their parent. This week I saw that concern for others in two of my grandchildren. My oldest granddaughter called to tell me that she thought the stray cat who was living under her house is pregnant. Also that she had brought the cat into her house where she was being quarantined, so their cat wouldn’t catch anything. Next call: Said pregnant cat is now her foster cat. Next call: Pregnant cat is litter trained so she must have been someone’s cat sometime. Next call: She has taken the pregnant cat to the vet, where the cat was found to be genuinely pregnant, pretty healthy except for having lost a bunch of teeth at some point in her wild adventures, and said cat has now had shots, and it looks as though she is not a male cat with a bulbous abdomen which moves independently. Cat should have her litter in another couple of weeks, at which point my granddaughter will be foster mom for a bunch of kitties (at least three from the x-rays). I’m not sure if my granddaughter’s concerns for animals is more nature or nurture, and I was thinking it might be leftover hormones from having her own child over a year ago, or her being female with a gene for caring for others, or what might compel her to take pity on small helpless beings. But I was provided with evidence this week that the males of our family are similarly inclined. My grandson called me to ask how I am doing, if I’m OK. We had a lovely conversation and he promised he was going to call me at least once a week to check up on me. I know he’ll do that too. Another grandson when he was little promised he was going to buy me a beautiful house when he grew up, so I’m familiar with child promises too good to be true, but this grandson isn’t a child, but a grown man in his twenties. What particularly delighted me in his calling is that he isn’t a grandchild born to one of my children, but the son of my daughter’s former boyfriend. Besides that, this was a kid with whom communication in his teens was more than a little rocky. I aggravated him. He aggravated me. We didn’t exactly snarl at one another, but were both on edge when we were together. I have been trying to think of when that dynamic changed and each of us became able to express the love we both felt for the other, and all the hostility disappeared. I know we both sense the other has our back and that we will protect and defend one another. I guess the answer doesn’t really matter. What matters is that somehow the love won out. Being loved has been shown to help seniors live longer and be healthier. And that’s a good thing. It helps young men to do well, too. +

OUR NEXT ISSUE DATE: AUGUST 19

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AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED I + ACATION V R E M M N SUlast issue was: ISinOour The MysteryWWord D R O Y ER TABLET THE MYST ...very cleverly hidden (in the bricks) in the p. 16 ad for AUBEN REALTY APARTMENTS However, we had no winner! Want to find your name here next issue? The new Mystery Word is on page 12. Start looking!

The Celebrated MYSTERY WORD CONTEST

M.E.

Boardwalk to Bark Place Kennnel & Daycare welcoming dogs 30 lbs and under 5873 Huntington Drive Grovetown, Georgia (706) 840-3141 www.boardwalktobarkplace.com

THE AUGUSTA MEDICAL EXAMINER AUGUSTA’S MOST SALUBRIOUS NEWSPAPER

Collect OVER 98% in less than 30 days. What would that do for your practice?

...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. 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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TELL A FRIEND ABOUT THE MEDICAL EXAMINER! EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. MEDICAL OFFICE Large brick twophysician office for sale or lease. Newly renovated, convenient, very busy location in charming Aiken, South Carolina, just 15 miles from Augusta. Call Kay at (803) 270-1740 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. AUGUSTAGAHOMESEARCH.COM Foreclosures • MLS • Builders • Rentals (706) 564-5885

MISCELLANEOUS 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 WANT TO BE HEALTHY? (Energy, weight loss, mental clarity) Go to gethealthyat.le-vel.com See video and Facebook. Sign free as customer. BEING PAID WHAT YOU ARE WORTH? Then make more money! Watch movie all out interview: ExtraMoneyInterview.net 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

SERVICES

SEE PAGE 12

QUOTATION QUOTATION PUZZLE SOLUTION: “Life lesson from the nursery: Broken crayons can still color.” — Author unknown

The Sudoku Solution

HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706-267-9947 BIBLE BY PHONE - Free daily Bible readings; for Spiritual Encouragement and Growth. Call 706-855-WORD (9673) F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS (706) 760-7607

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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.

THE PUZZLE SOLVED

Our next issue date: Aug. 19

WORDS BY NUMBER “ Instead of diminishing evil violence multiplies it.”

— Martin Luther King, Jr.

AUGUST 5, 2016

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AUGUSTA MEDiCAL EXAMINER

Five simple steps to safer health care Patient safety is one of the Nation’s most pressing health care challenges. A 1999 report by the Institute of Medicine estimates that as many as 44,000 to 98,000 people die in U.S. hospitals each year as the result of lapses in patient safety. This fact sheet tells what you can do to get safer health care. It was developed by the U.S. Department of Health and Human Services in partnership with the American Hospital Association and the American Medical Association.

Ask questions if you have doubts or concerns. Ask questions and make sure you understand the answers. Choose a doctor you feel comfortable talking to. Take a relative or

friend with you to help you ask questions and understand the answers.

Keep and bring a list of ALL the medicines you take. Give your doctor and pharmacist a list of all the medicines that you take, including non-prescription medicines. Tell them about any drug allergies you have. Ask about side effects and what to avoid while taking the medicine. Read the label when you get your medicine, including all warnings. Make sure your medicine is what the doctor ordered and know how to use it. Ask the pharmacist about your medicine if it looks different than you expected.

Get the results of any test or procedure. Ask when and how you will get the results of tests or procedures. Don’t assume the results are fine if you do not get them when expected, be it in person, by phone, or by mail. Call your doctor and ask for your results. Ask what the results mean for your care.

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Talk to your doctor about which hospital is best for your health needs. Ask your doctor about which hospital has the best care and results for your condition if you have more than one hospital to choose from. Be sure you understand the instructions you get about followup care when you leave the hospital.

Make sure you understand what will happen if you need surgery. Make sure you, your doctor, and your surgeon all agree on exactly what will be done during the operation. Ask your doctor, “Who will manage my care when I am in the hospital?” Ask your surgeon: • Exactly what will you be doing? • About how long will it take? • What will happen after the surgery? • How can I expect to feel during recovery? Tell the surgeon, anesthesiologist, and nurses about any allergies, bad reaction to anesthesia, and any medications you are taking. +

TO OUR READERS AND OUR ADVERTISERS

PROFESSIONAL DIRECTORY ALLERGY

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

CHIROPRACTIC Evans Chiropractic Health Center Dr. William M. Rice 108 SRP Drive, Suite A 706-860-4001 www.evanschiro.net

COUNSELING Resolution Counseling Professionals 3633 Wheeler Rd, Suite 365 Augusta 30909 706-432-6866 www.visitrcp.com

DENTISTRY

DERMATOLOGY

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

DEVELOPMENTAL PEDIATRICS Karen L. Carter, MD 1303 D’Antignac St, Suite 2100 Augusta 30901 706-396-0600 www.augustadevelopmentalspecialists.com

DRUG REHAB Steppingstones to Recovery 2610 Commons Blvd. Augusta 30909 706-733-1935

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

PHARMACY

YOUR LISTING HERE

SENIOR LIVING

Augusta Gardens Senior Living Community 3725 Wheeler Road Augusta 30909 SENIOR LIVING COMMUNITY 706-868-6500 www.augustagardenscommunity.com

SLEEP MEDICINE Sleep Institute of Augusta Bashir Chaudhary, MD 3685 Wheeler Rd, Suite 101 Augusta 30909 706-868-8555

TRANSPORTATION Caring Man in a Van Wheelchair-Stretcher Transports • Serving Augusta Metro 855-342-1566 www.CaringManinaVan.com

VEIN CARE

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 Floss ‘em 2315-B Central Ave choosing and, if desired, your logo. or lose ‘em! Keep your contact information in 706-854-8340 Augusta 30904 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

WEIGHT LOSS

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PSYCHIATRY

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AUGUST 5, 2016

AUGUSTA MEDiCAL EXAMINER M E DI C I N E

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T H E

F I R S T

HEALTHY HABITS ARE CONTAGIOUS

P E R S O N

This is serious F

or anyone who believes that diabetes is not a serious disease, or who has it and doesn’t test regularly or follow doctor’s orders, please read my story. My husband, Terry, was an undiagnosed diabetic. He had all the symptoms but refused to go to a doctor. We own our own business and his excuse was always that he didn’t have time for doctors. He also refused to take better care of himself. Instead of getting medical attention he would self-medicate with over the counter medications. For someone with diabetes, his diet consisted of lots of what diabetics shouldn’t eat lots of: processed & refi ned carbs. Well, around February 1 of this year he started feeling achy and feverish. Thinking he might have the flu, he took some ibuprofen and went to bed. For about a week he was in and out of bed. He drank plenty of fluids, but wouldn’t eat much. On Sunday, February 9, he seemed to feel a little better and even regained a little bit of an appetite. We went to sleep that evening and when I awoke the next morning he was almost completely unresponsive. I called 9-11 and he was rushed to the ER by ambulance. Upon examination, the doctors determined that he had a severe infection which had

Please learn from our sad story. caused him to develop sepsis. But that’s not even half the story. Terry had developed a sore on his foot. To this day I don’t know how long he had it before I became aware of it. Since he refused to go to the doctor, we treated it at home and it appeared to be getting better. Unbeknownst to us, this infection was serious and it was spreading inside. On February 10, 2014, my husband, best friend and coworker passed away. My life will never be the same. It hurts especially to know that, although diabetes is a progressive disease, it is manageable when treated — and when patients cooperate. It’s tragic to die needlessly from what could have been and should have been an insignificant little sore on his foot. So, for those who believe that diabetes is not serious, please learn from our experience. Learn the symptoms and risks. If you are at risk, please get tested regularly. And if you are diagnosed, use your monitor. Test regularly, several times daily. That’s what it’s for. There are people who love

you and depend on you. You can live with this disease. But not if you ignore it. + — by Donna Johnikin Editor’s note: The preceding guest column originally appeared in the July 11, 2014 issue of the Medical Examiner

One family of providers.

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