Jan6 17 by Daniel Pearson

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HAPPY

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Do people exercise because theyâ&#x20AC;&#x2122;re happy? Or are they happy because they exercise?

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ood questions. A definite link between exercise and a feeling of psychological well-being (in short, happiness) has long been known, but researchers have struggled to say which comes fi rst, the chicken or the egg: do psychologically healthy and happy people tend to be more active, or is it activity that creates happier, more optimistic people? Researchers at Chapman University studied that question with the help of nearly 10,000 adult participants age 50 and beyond (average age: 63.7) over a period of 11 years. From the studyâ&#x20AC;&#x2122;s starting point, those evaluated as having â&#x20AC;&#x153;higher psychological well-beingâ&#x20AC;? at the start of the study were the same people who enjoyed greater levels of physical activity over the decade-plus course of the study. While physical activity levels are typically low for middle-aged adults and steadily decline even further in older adulthood, the

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study subjects with the best mental health were less likely to become inactive over time. What does it all mean? The studyâ&#x20AC;&#x2122;s findings help answer the age-old question of why itâ&#x20AC;&#x2122;s so difficult to persuade some people to exercise. Itâ&#x20AC;&#x2122;s mental, not physical. The Chapman researchers suggest that improving mental health could be the one of the best and most effective way to improve physical health. Doing that is a win-win because psychological health is associated with reduced risk of cognitive decline, cardiovascular disease, and even death. Why? Because better mental health is also associated with a greater likelihood of being physically active over the long run. And, an active lifestyle is linked to the same physical benefits as tip-top mental health. Itâ&#x20AC;&#x2122;s like taking two potent preventive medications for the same condition. Healthcare professionals who give attention to their patientsâ&#x20AC;&#x2122; psychological well-being can expect their physical health to improve in the bargain. Ultimately, what is the answer to the opening questions? People may be happy because they exercise, but they most likely wonâ&#x20AC;&#x2122;t exercise unless or until theyâ&#x20AC;&#x2122;re happy. Happiness comes fi rst. Happy is more than a state of mind. Happy is a state of physical health too. +

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

The

Part H of a 26-part series

Advice Doctor

The DIY Vaccine One of the more significant healthcare headlines of 2016 was the news that antibacterial soaps are often bad news: the FDA banned many antibacterial soaps back in September for two key reasons. First, their germicidal claims were clinically unsubstantiated. Plain old soap and water was often more effective than a product that claimed to kill 99.99% of

germs on contact. Secondly, the chemicals in these soaps fi nd their way into groundwater, soil, breast milk, and the bloodstream of an estimated 75 percent of all Americans. The CDC calls hand-washing with soap and water a “doit-yourself” vaccine. And it doesn’t even cause autism! It’s simple, too: apply soap to wet hands, rub them together for at least 20 seconds

IS FOR HANDWASHING (be sure to get the back of your hands, between fingers and under nails), rinse well under running water and dry with a clean towel. The soap-and-water DIY vaccine is a win for one and all (except for the germs). +

+ Dear Advice Doctor, Like millions of others, I’ve been thrown into a world of insurance chaos thanks to Obamacare. My premiums and deductibles are up, but coverage and choice of doctors is down. Congress talks like it will fix this mess under Trump. Do you think they’ll put their money where their mouth is, or is this just more hot air out of Washington? — Unaffordable Care Act

One family of providers.

Everything you need.

Dear Unaffordable Care, This is truly a matter of great concern to many — millions, as you say — especially families, families with young children in particular. After all, the average adult is not likely to put money in his mouth, while young children will chew on almost anything. Coins are obviously a choking hazard, but paper money holds its own unique threats to our health and well-being. Laboratory studies of bills reveal that our wallets are a veritable petri dish of pathogens and foreign substances, everything from staphylococcus to traces of fecal matter. Time Magazine reported that “a solid majority of U.S. bills are contaminated by cocaine.” Drug traffickers used coke-tainted hands to bundle cash; users roll bills into sniffing straws; rollers in ATMs can spread traces of the drugs to other bills. 94 percent of all bills tested in one New York City study contained some form of pathogen. In all, 3,000 varieties of bacteria were identified on dollar bills from one Manhattan bank. Time also says that while viruses and bacteria can live on most surfaces for 48 hours or so, paper money can play host to a live flu virus for up to 17 days. None of this is cause for great concern (unless a person puts money in his mouth): microbes are literally everywhere, and most of them are either harmless or beneficial. Even so, anyone who handles money would be well advised to wash their hands afterward. +

AUGUSTA

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.

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(706) 860-5455 www.AugustaRx.com • E-mail: graphicadv@knology.net Opinions expressed by the writers herein are their own and/or 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 general informational purposes only. For specific medical advice, diagnosis and treatment, consult your doctor. The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2017 PEARSON GRAPHIC 365 INC.

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

#36 IN A SERIES

OLD NEWS

Who is this?

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

THE COST OF CAREGIVING

lifford W. Beers is far from a household name in 49 states (residents of Connecticut may be familiar with his legacy), but his impact continues to be felt almost 75 years after his death. “Beers’ ideas, and the ideas of those who worked with him, have been among the most influential of the 20th Century,” wrote one biographer.” When Robert and Ida Beers welcomed their baby boy into the world on March 30, 1876 in New Haven, Connecticut, they no doubt had the normal parental hopes and aspirations for their child and, indeed, Clifford’s fi rst 25 years or so were a success by most measures: he graduated from Yale University’s Sheffield Scientific School in 1897, a school whose alumni include such notables as aviation mogul William Boeing; John Bouvier III, father of Jacqueline Kennedy; chemist Francis du Pont and others. While at Yale, Beers served as the business manager of The Yale Record, the campus humor magazine founded in 1872. By 1900, however, Beers’ life had come off the rails to the extent that he was confined to a mental institution for depression and paranoia. The death of one of his brothers from epilepsy led to a fear of mental collapse and despair so great that Beers attempted suicide. He spent the next three years in private and state mental insitutions at a time when the mentally ill were often condemned to a life sentence within facilities that confined and warehoused their patients more than they treated them. While confined, Beers’ paranoia grew: he was convinced that his suicide attempt, by law a crime, would result in a fate worse than confinement in an insane asylum. He believed that everyone who visited or treated him was in reality a police detective or informant. When his own parents and brother visited him, he was amazed that police could find such nearperfect duplicates; they were almost identical twins of his family members. He spent his days devising plans for a more effective means of suicide than his first failed attempt. He was held in solitary confinement, kept in a strait-jacket, and force-fed medications under threat of beatings with a rubber hose. The amazing thing about his experience was twofold: 1.) that he recovered, something that wasn’t believed possible at the turn of the 20th Century; and 2.) that he remembered so much of his ordeal in such painful detail. The ultimate result of those two facts was the autobiographical book A Mind That Found Itself, published in 1908. It’s available in print and as a free online book to this day. It’s a page-turner. Its impact was fairly immediate. The book was widely and favorably reviewed and became a bestseller. Later that same year as a free man (in his book, Beers recalls the day he lost his reason: “at that time my brain felt as though pricked by a million needles at white heat;” and the day he began to recover: August 30, 1902), Beers founded the Connecticut Society for Mental Hygiene (now named Mental Health Connecticut) and the next year the National Committee for Mental Hygiene (now Mental Health America). He also founded the first outpatient mental health clinic in the United States. He was the honorary president of the World Federation for Mental Health and is today considered to be the founder of the American mental hygiene movement. +

ongress is getting ready to pass the bipartisan Credit for Caring Act which is a federal tax credit of up to $3,000 for those eligible families who are caregivers. If (or when) this bill passes, it will be a small step in the right direction of assisting care-giving families since they face enormous physical, financial and emotional challenges in dealing with their role as a caregiver. According to AARP’s website and a 2016 report done by Chuck Rainville and associates, 78% of families who have taken on a caregiver role find the out of pocket cost for caring for an adult age 18 or over is an average of $6,954 a year. For the typical family, this is almost 20% of their average income, and is in addition to other financial costs which many caregivers face, such as cutting back on work hours, taking unpaid leave, trying to cut household costs, and scaling back on saving for their own retirement. The cost rises when the family member in need of care is over age 50. Families earning less

than $32,500 have even more financial strain, since their spending consumes an average of 44% of their income. The report found those caring for adults with dementia have average expenditures of $10,697, while long-distance-care families have the highest out of pocket costs at $11,923, nearly double the cost of families providing local care. Dipping into savings, securing loans and cutting back on personal spending are strategies used to make ends meet. More than half of all caregivers report confl ict at work when having to take unpaid time off. The strain on a family can be catastrophic and very often it will put their own financial future and retirement security at great risk.

The breakdown of the cost is 41% for regular household expenses, 25% for all out-ofpocket medical needs, 14% for personal care items, 12% for travel, education and legal costs, and 8% for additional paid help, i.e. aides, adult day care, maid service or in-home health care. The duties of a caregiver include managing finances, being responsible for transportation, doing the housework, medication management, and the bathing, dressing and feeding of the patient. Caregivers help locate, arrange and coordinate health care and support services. They also often are in a position where they must perform complex medical and nursing tasks with little or no preparation or training. It is estimated that approximately 40 million Americans are caregivers. This is a daunting job to take on and is without a doubt a labor of love. The study was conducted among 1,864 families using a mixed method approach of both surveys and diary components between July 18, 2016 and August 28, 2016. If you are interested in further details of the study, contact Mr. Chuck Rainville at GRainville@aarp.org or call 202-434-6295 for more information. +

MYTH OF THE MONTH A pacifier dipped in honey soothes a cranky baby It might — but not in a good way. There is good reason for the warning on honey jars, the one that warns against giving honey to an infant under one year of age. The risk is infant botulism, the most common form of botulism in the U.S. Not that it happens every day; it’s rare. Even so, it’s an unnecessary risk to take. While infant botulism is not serious — it has no long-term side effects and the fatality rate among affected infants is less than 1 percent — it is sometimes called “floppy baby syndrome.” It is marked by muscle weakness of every kind: droopy eyelids, uncontrolled eye movements, constipation, difficulty talking, even if the words are just

goo-goo or ga-ga. The problem is the very common botulinum toxin (see “B is for Botulism” in the Oct. 7 Examiner) found in soil everywhere, and sometimes in honey in minute quantities. Adults and young children have more developed production of bile acids that kill botulinum spores, but infants are still developing in that department. So yes, indeed, a little honey can calm a baby — too much, in fact. For the goo-goo/ ga-ga population, honey is a no-no. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT NEW YEAR’S REFLECTIONS

k good eno r skin can ugh cer? son.”

o k

New Year is upon us. It is time to evaluate how we lived last year and figure out how to make this year better. We tend to do this every year with varying success. We call them New Year’s Resolutions. With the end of one year and the birth of another, here are a few things that I ponder: • I should have worked harder on lowering my cholesterol and lipid level by eating better. But I didn’t do too badly. I’m actually 6 pounds lighter now than I was this time last year. I did it the old-fashioned way: I ate anything I wanted to, but not much of it. • With tongue-in-cheek, I told a patient that the perfect diet for weight reduction was “not eating anything white: potatoes, ice cream, cake, sugar, cream, etc.” The next month when he came in and had lost an astonishing 8 pounds, I was pleasantly surprised and shocked. He informed me that he followed the “don’t eat anything white diet,” but was not going to do that anymore because it was too hard. • I listened carefully to politicians make beautiful speeches. I actually believe some of them. We can only

hope those elected will do what is best for our country and us. Those kinds of decisions are far above my pay grade and in their position I would be miserable. That does not mean I do not have opinions. I do. But they are mine to keep. • I look back over another year of problems of the Middle East and realize no one has a true solution there, including me. It saddens me. • I look at the Affordable Care Act and realize it is a misnomer. Good medical care is not affordable to the average person. Insurance premiums have increased and coverage has decreased. Deductibles are outrageous. Requirements for Prior Approval to treat you are made by persons who have never seen you or your doctor. • Sometimes I go to church and do not listen to the pastor. This is hypocritical. I have wasted his time and mine. Next year I will do better. • Our Yorkie lives inside and got a sweater for Christmas from my granddaughter. She put it on the Yorkie immediately. Two days later I foolishly decided to remove the sweater without the Yorkie’s permission. I got snapped at. Fortunately my tetanus is up-to-date. Next time I will

t s e B seek permission-relevant forgiveness. It hurts less. • I will continue to wear the clothes each day that my wife hangs out for me. Her taste is better than mine. And there’s a lot less static if I do not make changes. She watches the weather consistently on TV from various channels, and has never sent me out ill-prepared for the weather conditions. I must be more thankful and appreciative. • Over my many years of writing this column, I’ve received many emails and phone calls: from Las Vegas; New York City (where my column is used to teach college level creative writing); Nashville, Tennessee; the Middle East (from a deployed soldier who says I can make him laugh in a war zone. I thank him for his service to our country. You should too); New Orleans; and even Willacoochee, Georgia. (No, I do not have kin people in any

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of those places.) About 90% of comments are positive. The other 10% think I might need a mental examination. I do not know if that is good or bad. In the industry I am told you should get 20% negative responses. Therefore I have failed by about 10%. Never said I was perfect or even near that. • I like to think of creative ways to give a compliment. Here are a couple that I use frequently. In the past year I have made a habit at least once each day in a restaurant or store to walk up to a lady that I do not know and say, “Excuse me, Ma’am. You are a beautiful lady.” I walk away without a follow up. (Not trying to score any panty points here.) If the checkout line is slow and the lady working the cash register is young and not wearing a wedding ring,

I might say, “Excuse me, ma’am. Are you married?” She says, “No.” I say, “Can you cook really good?” She usually looks thoughtful and says, “Yes.” Then I say, “As beautiful as you are — and you can cook, too — you must know a lot of really stupid men for not being married to you.” This delights her (and the people in the line who think an old codger is hitting on a young girl until they realize I am giving a colorful compliment.) • I will not make a specific list what I will or will not do. I will increase the good things I do and decreased the not-sogood things I do, and hope my family will keep me one more year whether I deserve it or not. + 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.

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JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

You can’t see me, but I’m here in this issue.

M E D I C I N E

I N

T H E

F I R S T

P E R S O N

Eye-catching When my baby girl was about seven years old, we went to church one Wednesday night. We got there a little early so I let her stay outside and play with the other children her age until church started. My 12 year old daughter stayed outside to keep an eye on her amd hang out with other kids her age while I went inside. I was talking to some women when my older daughter came running inside in a panic. She told me that there had been an accident. My baby girl had jumped off a platform and hit the nearby chain link fence with the wires sticking up. She had hit her eye on one of the sharp prongs on the top of the fence. I ran outside and saw she was bleeding profusely from the eye. There was so much blood that I could not see what damage was done. i took a clean T-shirt from the car and held it against the eye to stop the bleeding. I immediately put her into the car and rushed to the Emergency

Room, all the while worrying about whether she was going to be blind in that eye. She continued to bleed badly. I prayed and cried all the way to the hospital. When I arrived at the hospital, I had to go through the rigorous task of getting her admitted. Finally they took her back to a room. They cleaned the eye and that is when we discovered she had only sustained a cut on the top of her eye brow. It took three stitches to close the wound. I was so relieved that the wire spoke did not hit her eyeball. It was a warning to me to make sure my kids were not left alone while romping outside with their friends. I never let her stay outside again. Of course it is not the only encounter with dangerous life threatening or bodily injuries she has endured. But thank God this one was not so serious. +

There was so much blood

You’ll have to hunt for me. A hint: my name is Mystery Word. DETAILS, PAGE 12

— submitted by Patricia Hudlow Augusta, Georgia

WE’RE BEGGING YOU We’re never too proud to beg. What we’re begging for is Medicine in the First Person stories. With your help, we’d like to make this a feature in every issue of the Medical Examiner. After all, everybody has a story of something health- or medicine-related, and lots of people have many stories. Send your interesting (or even semi-interesting) stories to the Medical Examiner, PO Box 397, Augusta, GA 30903 or e-mail to Dan@AugustaRx.com. Thanks!

“The cause was a mystery for a long time.” “And that’s when I fell.” nearest hospital “He doesn’t remember a thing.” “The was 30 miles away.” “I was a battlefield medic.” “He was just two when he died.”

“OUCH!”

“It was a terrible tragedy.” “She saved “I sure learned my lesson.” “I retired from medicine my life.” “It seemed like a miracle.” seven years ago.” “We had triplets.” “It was my first year “I thought, ‘Well, this is it’.” NOTHING SEEMED of medical school.” “They took me to the hospital by helicopter.” TO HELP, UNTIL. . “It took 48 stitches.”

ambulance crashed.” “Now THAT hurt!” “The “My leg was broken “I’m not supposed to be alive.”

“This was on my third day in Afghanistan.” in three places.” “I lost 23 pounds.” “Turned out it was just indigestion.” “At first I thought it was something I ate.” “The smoke detector woke me up.”

Everybody has a story. Tell us yours. Here’s our “No Rules Rules.” We’ll publish your name and city, or keep you anonymous. Your choice. Length? Up to you. Subject? It can be a monumental medical event or just a stubbed toe. It can make us laugh or make us cry. One thing we’re not interested in, however: please, no tirades against a certain doctor or hospital. Ain’t nobody got time for that.

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

Southern Girls Eat Clean New Year’s Day Salad The new year is upon us but, this salad is delicious, clean and nutritional any time of year. The recipe gets its name from southern folklore. Our tradition is to “Eat your greens and black-eyed peas on New Year’s Day for prosperity and good luck in the coming year.” Collards and black-eyed peas are eaten all through the South on New Year’s Day, but who says we can’t enjoy them all year round? I had not heard of this salad until about two years ago. I was on one of my many trips to Earth Fare when I saw this salad in the deli case. I bought a container and absolutely fell in love with it. I thought to myself, “I can make this!” Although Earth Fare’s version of this salad was not terribly unhealthy....I wanted to make sure to omit the sugar and any unhealthy oils. The collard greens are loaded with nutrition as well as the black-eyed peas and peppers. Happy New Year. Enjoy! Ingredients: • 1 Tbsp. of organic cold pressed extra virgin olive oil • 1 large bunch of fresh organic collards (Or, to save time you may buy a bag of pre-cut, pre-washed collards) • 1 medium organic Vidalia onion, chopped • 3 or 4 cloves of garlic, crushed • 1⁄2 cup of fi re-roasted red peppers, chopped • 1 can of organic black eyed peas, drained and rinsed (I use Eden Organic brand) • 2 to 3 Tbsp. of sweet pickles (low in sugar) • 1⁄4 cup of organic cold pressed extra virgin olive oil • 3 Tbsp. of red wine vinegar • 1⁄2 tsp. of Dijon mustard • 1 tsp. of crushed red pepper • Sea salt and cracked black pepper to taste (I use a generous pinch of each)

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New Year’s Day Salad Instructions: 1. Wash and remove all of the tough stems from the collard leaves and chop coarsely. 2. Place collards in a large stock pot fi lled about half full of water and a 1⁄2 tsp. of salt. 3. Bring collards and water to a boil over medium to high heat. Allow to boil for approximately 5-10 minutes. The collards will cook down. Do not overcook, as the collards should be a bit crisp for this recipe. 4. While collards are boiling, heat 1 Tbsp. of olive oil in a small skillet over medium to high heat. Add chopped onions and garlic and sauté until softened, approximately 5-7 minutes, remove from heat and set aside. 5. Once collards are done, drain well and place into

The

Advice Doctor ©

Will he ever get one right? Probably not.

a large mixing bowl. Add sautéed onions and garlic, black-eyed peas, roasted red peppers and sweet pickles. Toss all ingredients until well incorporated. 6. In a small bowl, whisk together 1⁄4 cup of olive oil, the red wine vinegar, Dijon mustard, crushed red pepper and salt and pepper. 7. Pour dressing over salad and toss well to coat all ingredients. 8. Place in the refrigerator to chill slightly before serving. + Alisa Rhinehart is half of the blog southerngirlseatclean. com. She is a working wife and mother living in Evans, Georgia. Visit her blog for more recipes and information on clean eating.

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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

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AUGUSTA MEDiCAL EXAMINER

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.

RESOLUTION #1 — HOW CAN THE PHARMACY HELP? It’s the New Year and the number one resolution year after year is to lose weight. Let’s talk about how to lose weight and keep it off. I have lost weight several times and put it back on after the diet was over or when I didn’t have time to work out anymore. Work would get in the way and fast food lunches would add way too many calories. I have seen people try almost every diet and weight loss plan available and make great progress, only to regain everything they lost. Losing weight and keeping it off requires a lifestyle change. Your present diet and exercise level was what got you to this point and only a permanent change will get you where you want to be. Let’s talk about the pharmacy option for weight loss. Diet pills typically are nothing more than a short term solution: they will suppress your appetite only as long as you take them. However, if you do not end up adapting your current eating habits, medication will not be a longterm solution. I do not recommend diet pills except as a jump-start to a diet and exercise program. My usual program starts heavy on the diet and a little light on the exercise part, because at your heavier weights most people don’t have the stamina for heavy exercise. By eating a well-balanced diet and watching your calories, you can start losing weight and then add in more and more exercise as your energy level increases. A well-balanced diet consists of a combination of fruits and vegetables in addition to protein and carbohydrates will allow you to feel full throughout the day. This will allow you to stick with the diet and not get burned out on your new goal. When you reach your goal weight, then a few calories can be added back into your diet so you maintain your new weight instead of losing more weight. One suggestion: instead of setting a single weight goal, try setting an ultimate goal but then set several intermediate goals that are easier to reach. Each goal you strive for can build on the previous one.

A Z

I started out with a diet and exercise program I chose from a website that stresses a healthy diet and 30 minutes of exercise a day. I modified the workouts to fit my schedule and previous injuries but always kept moving and doing some type of exercise. Lately, to work in better with my family schedule, I have been walking in my neighborhood. This started with a few miles in the evening and over time the distance has increased. I am continuing to track my calories and maintain a balanced diet as stressed by the program. So far I have lost fortyeight pounds and have maintained that weight through the holidays and the first of the year. Remember that weight loss is a journey and every step you take that puts you closer to your goal is a step in the right direction. Make a few positive changes that you can live with and maintain those changes. Then, when you are comfortable with your new lifestyle, make a few more changes to further the process. Every change you make will take you one step closer to the new lifestyle you are seeking. The only way to lose weight is to burn more calories than you consume. So start with small measures on both sides of the equation (diet and exercise) and continue taking those small steps until you reach your goal. My first step was to cut out sugary sodas (I used to drink six a day) and replace them with water and unsweet tea. Artificial sweeteners are not good in large amounts either. My next step was to cut back on portion size so I could continue to treat myself with my favorite foods, but now with a lesser amount. Work on these tips and you too can lose weight. + Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson Questions, comments and article suggestions can be sent by email to cjdlpdrph@bellsouth.net

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

NUTRITION LABEL 101 by Teresa Tzou

AUGUSTA MEDiCAL EXAMINER

utrition facts labels are everywhere and are a resource to consumers regarding their dietary intake and its effect on their health. However, they can be very confusing to interpret. As a result, last May the FDA announced a change to the nutrition facts label format that must be in place by July of 2018. Many food manufacturers have already begun to implement these changes, so you may find two different label designs while grocery shopping. What are the upcoming changes? What do all these numbers mean? Here are some tips on

interpreting nutrition facts labels (original vs. new format) to help make healthier decisions while grocery shopping. 1 - Serving Size This is the fi rst item listed and tends to be overlooked or misinterpreted by many consumers. It sets the stage for interpreting the rest of the nutrition label. Serving size is the amount a person typically eats, while servings per container is the amount in the whole box/can/bag. For example, if a box of cereal lists serving size as half a cup and servings per container is six, then the entire box contains 3 cups of cereal.

The old (current) label

The redesigned label (by 2018)

This information is important to understand because the rest of the label’s information is based on the serving size. not the entire container. The new label format will contain the same information,but serving size will be shown larger and in bold. 2 - Calories The next item listed on the original nutrition label will be total calories and calories from fat. Instead of Calories from Fat, the new label will emphasizing total calories in a large bold font. Remember, everything on the label will be based on a single serving size. If a single serving of cereal is 1/2 cup at 280 calories and you consume 1 cup of cereal then the total calories would be doubled at 560. The same concept goes for calories from fat (if using the original label format). 3 - % Daily Values (DV) These are the average amounts of nutrients consumed per serving based on a 2,000 calorie diet. Both the original and new label will display these similarly. Keep in mind that not everyone’s diet is 2,000 calories. If you are unsure of how many calories you should be consuming, make an appointment with a local Registered Dietitian Nutritionist to find out. The rest of the nutrition label lists the %DV for most items. Saturated fats, trans fats, cholesterol and sodium should be limited to 5% or less due to increased risk for heart disease, diabetes and other chronic diseases with increased intake. 4 - Carbohydrates are divided into total carbohydrates, dietary fiber and sugars. According to the 2015-2020 Dietary Guidelines for Americans, 45-65% of calories should come from carbohydrates. If you divide that by 3 meals, it would be 15-22% per meal. Compare Please see LABEL page 10

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JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

IT’S A QUESTION OF CARE Q: What do I say when my parents are resistant to change or help? 1. Assure them that this change will maintain their health and safety. It’s helpful to explain

to them that you, as the adult child, are beginning to spend a fair amount of time checking on them and working with them to make sure they are safe, healthy, and happy. You can explain that you, of course do this out of love, but you have a lot of obligations in your own life to which you must attend. Their willingness to consider assistance so that they are properly taken care of will help everyone involved. It will also make you feel more comfortable with their living situation. 2. Clarify that you will remain by their side during this process. This transition might be hiring help to come into the

home, a move to an Assisted Living community or perhaps you might even offer for them to move in with you if that works for you emotionally and financially. Whatever the case may be, assure them that you will be there to support and guide them through these changes. 3. Explain that you may hire professionals to help with this transition. You might employ an Aging Lifecare Manager or someone who specializes in downsizing so that your parent(s) feels comfortable with what they will be able to take with them if there is a move involved. Ease their worry about the other items stored in their home by pledging to give these

belongings to family, donate them or sell them for their benefit. If a move is needed, you can assure them that they will be treated well and listened to when they voice their opinions about their options. If the choice is to bring help into the home, then you can clarify that, if possible, they will be a part of choosing a caregiver with whom they can work well. 4. Work with them to manage finances accordingly. It’s also helpful to reassure them that you will work with them or their banker, financial planner, accountant or attorney to make sure their finances are handled well and their money will last as long

as possible to pay for their care. You can also clarify that you will be working to ensure that if their money does run out, there is a backup plan in place. This will help them feel more comfortable with beginning to spend money on much needed care. + by Amy Hane, who holds both bachelor’s and master’s degrees in social work from the University of South Carolina. She is a member of the National Association of Social Workers and is an Advanced Professional Member of the Aging Life Care Association. Amy is a licensed Master Social Worker in South Carolina and Georgia, an Aging Life Care Manager and is also a Certified Advanced Social Work Case Manager.

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this to the %DV of total carbohydrate to determine whether your carbohydrate intake is adequate. Fiber should be aimed at 20% or higher. Sugars on the original label do not have a %DV, but the new label will display “added sugars” and contain a %DV. 5 - Protein Neither label format requires a %DV to be listed for protein. However, the 2015-2020 Dietary Guidelines for Americans recommends 10-35% of calories should come from protein. Remember to eat moderate amounts of lean meats, poultry and fish as well as eggs, low-fat dairy and beans. 6 - Vitamins and Minerals In the 1990s, the American diet was lacking in vitamins A and C, so the original nutrition label was required to display these vitamins with their %DV. Currently, the American diet is lacking in vitamin D and potassium, so as a result the new label format will

require these items to be displayed along with their %DV. Keep in mind that any vitamins and minerals can be voluntarily displayed by manufacturers, so vitamin D and potassium won’t be the only items listed. To maintain a healthy diet, vitamins and minerals should be aimed at 20%DV or higher. 7 - Ingredients List For consumers with food allergies, restrictions and preferences, the ingredients list should always be read before making any purchase. This list is typically located at the very bottom of the label or as a separate box near the nutrition label. Ingredients are ordered by weight, with the largest or most prevalent ingredient amount listed fi rst. These are just a few highlights of the major changes being implemented on the new nutrition facts label. Use these tips the next time you’re grocery shopping and enjoy a smarter and healthier way of life! If you still have questions

about nutrition labels and other nutrition issues, a Registered Dietitian Nutritionist is specifically trained to provide for more guidance. + Resources: “Changes to the Nutrition Facts Label.” Food and Drug Administration , 22 Nov. 2016. Web. 21 Dec. 2016. <http://www.fda. gov/Food/GuidanceRegulation/Guida nceDocumentsRegulatoryInformation/ LabelingNutrition/ucm385663.htm>. “How to Understand and Use the Nutrition Facts Label.” U.S Food and Drug Administration, 25 May 2016. Web. 04 Dec. 2016. <http://www.fda. gov/Food/IngredientsPackagingLabe ling/LabelingNutrition/ucm274593. htm>. “The Basics of the Nutrition Facts Panel.” www.eatright.org. Academy of Nutrition and Dietetics, 10 Dec. 2015. Web. 04 Dec. 2016. <http://www. eatright.org/resource/food/nutrition/ nutrition-facts-and-food-labels/thebasics-of-the-nutrition-facts-panel>. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015 – 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available at http:// health.gov/dietaryguidelines/2015/ guidelines/.

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AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Peter Ubel, MD on January 2, 2017

6 THINGS TO KNOW BEFORE VISITING A WALK-IN CLINIC A friend of mine recently had a very sore throat. She knew how to manage her symptoms — lozenges, warm tea and the like. But she was worried she might have strep and would therefore need antibiotics. That should be a simple question to answer with a quick trip to the primary care clinic. Except that her primary care physician was booked, and if she wanted an unscheduled appointment with someone else in the clinic, she was told that she would probably wait a couple of hours. So she went to a “doc-in-the-box” (which according to the Urban Dictionary is “any doctor at a walk-in clinic”), paid a modest fee and in a short time was back at home knowing she was strep-free. Primary care clinicians have a new competitor. Minute clinics are rapidly popping up in many parts of the country, meeting an unmet demand for timely, affordable care for minor complaints. The biggest players in this field include companies like CVS. However, some physicians are critical of these clinics for skimming off uncomplicated care, for not having longstanding relationships with their patients and for not being skilled enough to recognize when people need more advanced care. But the American College of Physicians (ACP) disagrees. The ACP is one of the most respected professional organizations in the country, famous for the rigor of how it weighs medical evidence. The ACP recognizes physicians’ concerns about retail health clinics but believes that these clinics deserve a place in the health care system. Here’s a quick summary of their position, which should guide you in deciding when and whether to receive care at such clinics: 1. For selected, “low-acuity conditions,” the quality of care at retail clinics is similar to traditional doctors’ offices. Poison ivy? Sore throat? It’s probably OK to go to a retail health clinic. Chest pain? Fainting spells? Definitely, not such a good idea. 2. Retail health clinics are an acceptable alternative “for relatively healthy patients without a complex medical history.” So if you suffer from diabetes, coronary artery disease and a touch of emphysema, you should go to your own doctor rather than a retail clinic that doesn’t know your medical history and that may not be equipped to evaluate how your current symptoms relate to your other problems. 3. You should make sure the clinic clearly discloses its “scope of clinical services.” The clinics need to know what they can and cannot do. If they aren’t clear about this scope of services, it’s probably best to go elsewhere. 4. If you do go to a retail health clinic, make sure to let your primary care physician know. 5. Don’t accept referrals to sub-specialists from retail clinics. If the clinicians there think you need more advanced care, you should contact your primary care physician fi rst. 6. Don’t use retail clinics for long-term management of chronic diseases. If you need your blood sugar lowered or your blood pressure controlled, get in to see a primary care clinician who can follow you over time.

“Sometimes Doc-in-the-Box is good.”

Until and unless traditional primary care clinics start providing more timely care to their patients, docs-in-the-box will continue to proliferate. Consumers should keep these six tips in mind to they make better use of such clinics. +

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What follows is from a Kirkus Reviews overview of The Gene by Siddhartha Mukherjee:

A panoramic history of the gene and how genetics “resonate[s] far beyond the realms of science.” Mukherjee (Medicine/ Columbia Univ.; The Laws of Medicine, 2015, etc.), who won the Pulitzer Prize for his history of cancer, The Emperor of All Maladies (2010), begins with Mendel and his “pea-flower garden,” and he never lets readers forget the social, cultural, and ethical implications of genetics research. Indeed, he dedicates the book to his grandmother, who raised two mentally ill children, and to Carrie Buck, the Virginia woman judged “feebleminded” and sterilized according to eugenics laws passed in the 1920s. After Mendel, Mukherjee describes Thomas Morgan’s fruit fly studies in the 1900s, and he goes on to trace the steps leading to the discovery of the double helix, the deciphering of the genetic code, and the technological

advances that have created ethical dilemmas. Early on, there was recombinant DNA, the insertion of genes from one species into another, and this led to mandates initially proscribing certain experiments. Then, there were the fi rst disastrous attempts at gene therapy, which consisted of arrogant and sloppy science. Meanwhile, the human genome has been mapped, more and more genes have been associated with certain diseases (and even behaviors), and a new technique has been

developed that permits the removing or replacing of specific genetic defects. Are we ready to apply that to an individual patient? Should it apply to sperm and egg cells so as to affect future generations? Mukherjee ponders these issues in the fi nal chapters and epilogue, ultimately seeing the need for more research about the information coded in the human genome, since so much of it does not consist of genes. Throughout, the author provides vivid portraits of the principal players and enough accessible scientific information to bring general readers into the process of genetic lab science. Sobering, humbling, and extraordinarily rich reading from a wise and gifted writer who sees how far we have come—but how much farther we have to go to understand our human nature and destiny. +

The Gene by Siddhartha Mukherjee, M.D; 608 pages, published in May 2016 by Random House.

Research News When should you throw in the towel? How often should your bath towel go into the laundry basket? Not all that often, it would seem. Their sole job in life is to absorb plain old water from presumably squeaky-clean bodies, right? Well, not so fast. In a Tech Insider article published Jan. 2, an NYU School of Medicine microbiologist said “the moment you use [a towel], it becomes a breeding ground of bacteria: fungi; dead skin cells; salivary, anal and urinary secretions; and many other germs lingering in your bathroom.” Most members of this unlaundry list of microbes are present in microscopic quantities if at all, and are harmless. Even so, the microbiologist would recommend using a towel “three times max” before tossing it into the

laundry pile, and that is assuming it can completely dry out between uses. Another tip: don’t share towels. The organisms on your towel are from your own body, which is doubtless accustomed to dealing with them. The foreign germies from someone else could be another matter altogether — not that they pose a major threat to your health, but maybe a little one. Running is bad for joints? Not necessarily. Brigham Young University researchers found pro-inflammatory molecules in the knee actually drop after running. Yes, running can actually reduce joint inflammation. Your doctor... is she good? Chances are she is. A Harvard study released last month analyzed Medicare data from more than 1.5 million patients over age 65 who had been hospitalized

between 2011 and 2014. They discovered that those treated by female doctors were 4 percent less likely to die prematurely after their hospitalization and had a 5 percent lower risk of readmission to the hospital with the fi rst 30 days after their discharge Even after factoring in data such as the reason the patient was hospitalized and the severity of their condition, the results held up. Although researchers can’t explain the difference, they note that previous research has shown that female doctors generally adhere more closely to clinical guidelines that male doctors and are more likely to effectively communicate with patients and their families. Ironically, female physicians are generally paid and promoted less often than their male colleagues. Approximately one-third of U.S. physicians are female. +

+ 12

THE EXAMiNERS +

What are you reading?

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

by Dan Pearson

This article about non-small cell cancers.

No, but I think I’m quitting my New Years’ diet.

Oh my. Do you have cancer?

I just realized: I’m not fat; I’m non-small.

Why?

EXAMINER CROSSWORD

PUZZLE

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!

QUOTATION PUZZLE

Click on “READER CONTESTS”

— Author unknown

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

7 3

2 9

6 2

3 7

S U D O K U

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

1 2 3 4 3

1 2

— 1 2 3 4 5 6 7 8 B — Tenzin Gyatso, the Dalai Lama 1 2 3 4 5 6 7 8

1.AKBIPPIWA 2.SINTHELOO 3.SWENSD 4.DANSS 5.EIYI 6.SBVB 7.ELL 8.REE

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

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.

H R 1 2 3 4 5 6 7 8 Y 2 1 2 3 4 5 6

’

I D D D N I A N L E N H A N D R R H I W K R L T U E S U W W O T L E O S D D H T T E I K N I S O

Solution p. 14

The Mystery Word for this issue: VIRVEAL

VISIT WWW.AUGUSTARX.COM 1

ACROSS 1. Decatur street (for short) 6. Triangular sail 9. Minerals 13. African plague 14. Portend 15. Hoarfrost 16. Like some jackets 18. Cosmetics brand 19. Jewish calendar month 20. Famous twins’ last name 21. Brooklyn team (NBA) 22. Brief information 24. Concur 25. Journal named for a scalpel 28. Deadly 1992 hurricane by Daniel R. Pearson © 2017 All rights reserved. Built in part with software from www.crauswords.com 31. Crease 32. Slink DOWN 29. Never, in poetry 33. Lou Gehrig’s abbreviation 1. Meter prefix 30. Word on many Hallmark 36. Ancient France 2. Comply cards every June 37. Longed 3. PBS science program 32. Location 38. Quick!!! 4. A type of error 34. Olmsted intro 39. The A of SCAD 5. It can introduce drum or flap 35. Brain ____ 40. External 6. Tasks 37. Monetary unit of 41. Poorly sorted sandstone 7. Doing nothing Afghanistan 42. Gag follower 8. Past participle of be 38. Farewell, Judge Ito 44. Disorder; chaos 9. Citrus fruit 40. Frequently (poetically) 45. Sting 10. Local roadway that had a 41. Pale 47. It follows Monte recent makeover 43. Wears away 48. Game played in Aiken 11. Show theatrical emotion 44. Inhibitor beginning 49. Source of cocoa 12. First word of a Jane Austen 45. Electric discharge 52. Egg type? title 46. Type of star 56. Ardent 14. Grocery chain in GA, NC 47. Heroic story 57. At first and SC 49. Lung disease (abrrev.) 59. Religious or social ritual 17. Like some drinks 50. Melody in La Boheme 60. Pocket bread 23. Fisherman’s helper 51. New York suffix 61. Lowermost deck 24. Vessel built by Noah 53. 12th letters 62. Lock openers 25. Sorenstam’s org. 54. Narrow opening 63. Word before (and after) 26. Controversial fruit spray 55. Class after? 27. Impartiality 58. For Profit groups sometime 64. Flavor 28. A building’s added wing start with this

WORDS NUMBER

THE MYSTERY WORD

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

13 +

THE BEST MEDICINE ha... ha...

tutor was trying to help a boy with his math lessons. “If I give you two cats, then two more cats, and then another two, how many would you have?” “Seven,” said Johnny. “Incorrect,” said the tutor. “Listen carefully. I give you 2 cats plus 2 cats plus 2 more cats. How many would you have?” Johnny thinks for a moment and again answers “Seven.” “Let’s try it differently,” says the tutor. “If I give you two apples, then two more apples, then two more apples, how many will you have?” “Six.” “Good! Now if I give you two cats plus two more cats and then two more, how many would you have?” “Seven.” “No! Johnny, where do you keep getting seven from?” Exasperated, Johnny answered, “Because I’ve already got a cat!” Moe: Get anything good for Christmas? Joe: My wife got me some noise-cancelling headphones.

Moe: Do you like them? Joe: Not really. I can still hear her. Moe: So you really don’t think people have ever been to the moon? Joe: No way. It’s all Hollywood special effects. Moe: Then why does it look so real? Joe: Because they hired Stanley Kubrick to do it. Moe: What does that have to do with anything? Joe: His trademark is fi lming on location. Moe: I don’t have a Facebook or Twitter account. I just go about my business all day and announce what I’m doing at random times. Joe: How’s that working out for you? Moe: Pretty good. I already have three followers. Two of them look like cops, though. Moe: I don’t really understand insomnia. Joe: Millions of people suffer from it. Moe: I know. That’s what I can’t figure out. How difficult can it be? I mean, I can do it with my eyes closed. Moe: You got a new job? Joe: Sure did. I help a one-armed typist with his capital letters. Moe: Uh, how do you do that? Joe: It’s shift work. Moe: Why was the penguin denied bail? Joe: I don’t know, but I guarantee it wasn’t because he was a fl ight risk. +

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.

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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

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 The change of seasons seem to have both slowed down and speeded up as I get older. Summer seems to last the longest with spring, fall, and winter sliding by so fast I hardly have time to enjoy them before they’re gone again. What I need is some kind of mechanism to speed up summer and slow down the rest of the seasons, because I find it annoying when suddenly I’m scurrying past Halloween, Thanksgiving, and Christmas and stuck in the dark world of winter before I could walk in crunchy fall leaves. I used to have time between the beginning of fall and Christmas to bake cookies, make presents, decorate the house, and really prepare for the festivities. It feels like I was serving the last scraps of Thanksgiving turkey a week or two ago, yet Christmas has already come and gone. And I’m never ready for either its religious significance or its more commercial side. It comes so fast and catches me by surprise. By contrast, summer is a long, hot mess. I sit around in my air conditioning and wait for it to be over. Summer usurps both fall and spring, sliding in quite warm weather on both ends, so hesitant is it to give up its powerful position. Summer is so sneaky. It is bossy, too, sticking its nose in where it doesn’t belong. I will be thinking, ah, fall, with its nice crisp weather, and summer slips in a 75 degree day on Thanksgiving, or even worse, on Christmas. I’m like, “Excuse, me, this is so not your season!” Summer during summer makes sense, even if it is way too hot for way too long. But summer in December is a violation of a belief system long honed in four season Michigan. This year we had the hottest August on record with a whole month of 90 degree + days. So will summer weather do the polite thing this year and get itself out of here for at least a good nine months? Nope! It will encroach on all the other seasons again like a big bully. It’s anybody’s guess when summer will show up uninvited, waving its evergreen flag, and sowing year round flower displays. Years ago in Michigan we had an unusually warm fall, and I still had flowers growing in December. It was an awful year. It never got cold enough to kill off the mosquitoes and other creepy crawlies. We all got the flu and coughed and hacked, and sneezed for moths on the pollen from flowers that didn’t have the good sense to die in a timely manner. Plants expected to start growing in spring and tried to wake up months ahead of time. Worst of all, it so confused poor Mother Nature that she ordered up a whole three months of blizzards and ice covered everything. The only good thing to come of it was that, finally, the mosquitos died. +

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+ 14

JANUARY 6, 2017

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED

123

The Mystery Word in our last issue was: TABLET UE!!!

E CL

TH in the p. 16 ad for Rbricks) ...very cleverly hidden2(inFthe O 1 E E PAG REALTY APARTMENTS SEAUBEN

However, we had no winner! Want to find your name here next issue? If it is, we’ll send you some 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!

That’s how many back issues of the Medical Examiner are available at issuu.com/medicalexaminer You can subscribe to the online edition free!

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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AD COPY (one word per line; phone numbers MUST include the area code): .25

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AUGUSTA MEDICAL EXAMINER, PO BOX 397, AUGUSTA, GA 30903-0397 Total ad cost by number of words as shown above: $ Multiply by number of times ad to run: x Total submitted: $

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.

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. FOR RENT 1827 McDowell St., 1 mi to MCG. 2 bdrm, 1.5 bath, LR, DR, den, kitchen. Tile/hardwood floors. New roof. (706) 738-2331 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.

SERVICES PETS Dogs walked, cats sat, in the comfort of your home by retired pharmacist. No kennel noise, fleas, disease, transport cost/time. Avail 7 days/wk in Martinez/ Evans. $15 per visit. References. Call for free interview at your home. Call Buddy for your buddy: (706) 829-1729 CELIA DUNN, DMD 584 Blue Ridge Drive, Evans GA 30809 (706) 650-9700

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 PART-TIME OPPORTUNITY IMMEDIATE OPENING! MATH AND SCIENCE TUTORS NEEDED: Local tutoring company seeking qualified math and science tutors. Flexible hours. Please reply to: info@maeseducationcenter.com STARTING OUT? KICKED OUT? Refrigerator, stove and dryer, $490. Call 706-231-1653 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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QUOTATION QUOTATION PUZZLE SOLUTION: Page 12: “The kindest word in all the world is the unkind word unsaid.” — Author unknown

The Sudoku Solution 6

WORDS BY NUMBER “Be kind whenever possible and it is always possible.” — Tenzin Gyatso the 14th (and current) Dalai Lama

JANUARY 6, 2017

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AUGUSTA MEDiCAL EXAMINER

Daniel Village Barber Shop 2522 Wrightsboro Road

736-7230

TUE - FRI: 8:00 - 6:00; SATURDAY: 8:00 - 2:00

When a new customer walks in: ROLLED SANDWICHES • SOUPS • SALADS

OUR POLICY: EVERY SANDWICH IS A

ROLL MAKERSON DENTAL 76 Circle K former Smile Gas

Highland Ave.

Medical Complex

Ohio Ave.

DANIEL VILLAGE BARBER SHOP

Wrightsboro Road

MODEL

Daniel Field

Augusta Mall

We’re on Wrightsboro Rd. at Ohio Avenue.

3626 Walton Way Extension (Walton’s Corner) Phone: 706.736.1099 Fax: 706.736.4401

OrderRolyPoly.com

Cosmetic Dentistry • Endodontics • Implants Invisalign Orthodontics • In-Office Bleaching And more Most Major Insurances Accepted Call for an appointment today 706-73-SMILE (737-6453) www.Drmakerson.com

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 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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JANUARY 6, 2017