July10 15 by Daniel Pearson

F RE E!

MEDICAL EXAMINER V E I R N SARY N A h 9t

TAKE HOME T HI S C O P WITH Y Y OU !

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

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ISSUE The Medical Examiner took its first breath in July of 2006. We thank every single reader and each and every advertiser, past and present, whose support has made this publication “Aiken-Augusta’s Most Salubrious Newspaper” for the past 9 years.

Nine ways to be healthier and happier 1. GET SOME SLEEP! Sleep is a true pillar of health, and its importance is often overlooked. One of the simplest things you can do to ensure good health is to get enough sleep, and the best way to do that is to set a bedtime. It’s important, just like getting to your job on time. 2. BE QUIET! Many people give up their own mind and their own thoughts to someone else — perfect strangers, usually — nearly every second of every day. For hours every day they in essence belong to their employer. In their spare time if they aren’t listening to the radio they’re checking Facebook. If they aren’t on Facebook they’re giving their phone more face time than their family. In brief phone breaks they’re watching TV. If the TV isn’t on they’re texting. When do they have time for quiet reflection? When do they hatch their own thoughts? Slowing down and enjoying some occasional silence is a very healthy thing. Everyone should have established No Screen Zones (defined by place or time or both): in bed, during dinner, at restaurants. 3. EXERCISE — AND LIKE IT! This may take some searching, but no one is going to stick with an exercise they can’t stand. The purist will define exercise as running, aerobics, something that requires a gym membership or a treadmill. The creative person gets his kicks playing tennis or bike riding in the neighborhood or bowling or ballroom dancing. Or maybe just walking. 4. DRINK MORE WATER! As a Medical Examiner cover feature once (August 23, 2013) explained, 75 percent of Americans are chronically dehydrated They may be drinking, but it isn’t water: it’s super-sweetened beverages that promote weight gain — and trips to the bathroom. There is no better source of hydration than water, not matter what the marketing campaigns might try to tell you. 5. GET AN ATTITUDE! And make it a good one. A study published in April by the American Psychological Association found that a grateful attitude doesn’t just warm the heart, it may lead to a healthier one. Keeping a daily gratitude journal was associated Please see 9 WAYS page 13

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JULY 10, 2015

9 WAYS TO GET KIDS TO EAT HEALTHIER Eating habits are learned behaviors; they’re not intuitive. So what your children learn to eat at home early in life sticks with them well into adulthood. Just a few simple tools will provide you with all you need to ensure the long-term nutritional health of your child. 1. Be a good role model. Many parents complain that their children refuse to eat healthfully. The real problem most often lies with the parents, not the kids. Most of us are so accustomed to eating out and buying prepared foods in the grocery store that we don’t even know what good food is anymore. We can’t line our cabinets with packaged cereals and sodas and expect our kids to eat like they were raised on a commune in rural Vermont. In order to be good role models we must educate ourselves first and then practice what we preach. 2. Take your kids shopping with you. Unfortunately we don’t all live near farms or farmers’ markets, so it’s not easy for us or our children to feel a connection with good, whole (unprocessed) foods. One way to help them learn is to make a point to take them grocery shopping with you. Of course it’s probably easier to go Please see KIDS page 2

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AUGUSTA MEDiCAL EXAMINER

BETTER BUSINESS

HEALTHIER BUSINESS by Russell T. Head, CBC, CSA

PCORI FEES DUE JULY 31

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eads up, benefits managers. Another important due date is quickly approaching on the Russell Head healthcare reform compliance calendar: July 31. That’s when the annual tax on health insurance called PCORI fees is due. PCORI stands for PatientCentered Outcomes Research Institute. Created by the Affordable Care Act (ACA), the Institute is designed to help patients, clinicians, payers and the public make informed health decisions through targeted research. The Institute is funded in part by PCORI fees paid annually by health insurance issuers and sponsors of self-insured health plans. The PCORI fees apply for plan years ending on or after October 1, 2012 through October 31, 2019. Who is responsible for paying PCORI fees? Nearly all insurance policies providing health coverage are subject to the fee, including fully-insured and self-insured plans, plans for retirees, policies issued under COBRA, and even some HRAs and FSAs. However, for fully-

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JULY 10, 2015 insured plans, the issuer (i.e., the carrier) is required to pay the research fees. (Issuers may shift the fee cost to sponsors through a premium increase.) The plan sponsor (usually the employer) is responsible for paying the fees for self-funded plans. This requirement includes self-insured major medical insurance policies, as well as separate pharmacy and HRA plans that are selffunded. Special rules apply for sponsors offering multiple self-insured arrangements so that they are subject to a single fee. However, employers should check with their benefits advisor to determine how the fee should be calculated on your plans. How is the fee calculated? Once a plan sponsor has identified which plans are subject to the fee, the amount of the fee must be calculated. The fee is determined by the average number of lives covered during the plan year multiplied by the rate set annually by the IRS. Several alternatives for figuring the average number of lives covered are detailed on the IRS website, including the actual count method and the snapshot method. However, all methods count covered employees and their enrolled dependents for health coverage, including those covered under COBRA and retiree plans. (Special rules apply for counting lives covered in affected HRA plans.) The PCORI rate used is determined by the month in which the plan year ended. For plan years ending in January through September 2014, the rate set by the IRS is $2.00 per life covered. For plan years ending October

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through December 2014, the rate is $2.08 per covered life. How are the PCORI fees reported and paid? Plan sponsors must report and pay the research fees annually by July 31 using the IRS Form 720 (Quarterly Excise Tax Return) which has been revised to include a section to report the PCORI fee. The form and fee are due no later than July 31 for plan years ending the previous year. Those who do not regularly use this quarterly form need only submit for the second quarter. For those who use Form 740 each quarter to report other taxes, a second form is not needed, since the PCORI fee can simply be added to the second quarter return. Although it’s not a requirement, PCORI fees can be paid via the Electronic Federal Tax Payment System (EFTPS). The fees are considered ordinary and necessary business expenses, and are deductible under section 162 of the Internal Revenue Code. + For further explanation of information outlined in this article, please refer to the following resources: www.pcori.org www.irs.gov www.healthcare.gov http://www.oci.ga.gov http://www.doi.sc.gov

Russell T. Head is President/ Managing Partner with Group & Benefits Consultants, Inc., Augusta’s largest, privately held, locally owned employee benefits consulting firm. He can be reached at 706-733-3459 or rthead@gandbc.com. Visit Group & Benefits Consultants at www. groupandbenefits.com.

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alone when there’s someone at home to watch them or they’re at school, but it’s important for them to see foods in their raw states so they can explore and ask questions. Take them when you’re not in a hurry and can spend a lot of time in the aisles that contain unprocessed foods — the produce, meat, and fish departments, for example. If your child appears to be interested in a certain type of fruit or vegetable, encourage him or her to explore that item; don’t just assume that your child won’t like it. Take it home and let him try it so he can make his own decisions. 3. Be fl exible! Remember, anything in moderation is okay. Of course, if you eat doughnuts in moderation, followed by potato chips in moderation and soda in moderation, it is no longer healthy. Having a cookie every day and balancing it with healthy foods is a better practice of moderation.

While we always want to make the healthiest choices for our children’s bodies, a special treat once a week or even once a day won’t do any damage. On the contrary, it will help make eating a more enjoyable experience and will help your child build a good relationship with food. 4. Make mealtime special. There are all sorts of fun things we can do to make mealtime special. First and foremost, sit down and enjoy your food. Take time to savor flavors. Don’t let the TV intrude. Yes, young children have difficulty sitting for the entire meal, but it’s important to the family that everyone sit down to eat and talk together. 5. Don’t be a short-order cook. Ever find yourself making one meal for the adults in the house and another for the Please see KIDS page 4

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

What’s your story? Nearly all of us — even doctors and nurses — are sometimes patients. Perhaps you were recently injured playing your favorite sport, or years ago you somehow got hurt without even leaving your favorite recliner. Maybe you were diagnosed with a dreaded disease, mugged in a dark and lonely parking lot, or you stubbed your toe in the safety of your own bedroom. On the other hand, perhaps you needed medical attention 5,000 miles from home. Whatever your medical experience, we’d like to hear your story for our Medicine in the First Person feature. It can be frightening or funny, ordinary or extraordinary, just a few paragraphs long or quite a lengthy tale, bylined or anonymous. We’ll publish your encounters with the medical profession as often as we receive them. +

Everything you need.

Send your submissions for Medicine in the First Person to the Augusta Medical Examiner via e-mail: info@AugustaRx.com or to PO Box 397, Augusta, GA 30903-0397. (The Medical Examiner reserves the right to accept, reject, or edit any submission at its sole discretion.)

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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 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. © 2015 PEARSON GRAPHIC 365 INC.

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

KIDS… from page 2 kids — or even one for each kid? Make the same dinner for everyone in the family while making sure to put some foods on the plate that your children like — then add something new. If they don’t touch it, don’t worry about it, and definitely don’t make an argument out of it. 6. Don’t buy into marketing for kids. Kids don’t need frozen chicken nuggets, French fries, macaroni and cheese, and pizza to keep them happy. Highly processed foods like these are loaded with chemicals, synthetic fats, additives, artificial sweeteners, and food colorings. And even a three-year-old can grasp why sodas aren’t good for you and why we don’t eat foods with lots of fat every day at every meal. 7. Don’t use food as rewards, bribes, or punishments. Sure, it’s okay to take the kids out for ice cream or frozen yogurt after a good (or even a bad) soccer game, just don’t use it as an incentive for a good game. On the flip side, don’t punish children for not eating certain foods — it will only foster a negative relationship between you and your children, not to mention your children and food. 8. Let kids help in the kitchen. Encourage your children to help out in the kitchen. Even a two-year old can help peel potatoes or carrots. For smaller children, invest in a stool that allows your children to safely reach the kitchen counter so they can see what you’re doing. Or if you have room, set up a workstation at your child’s height so he can participate without having to stand on tiptoes. Kids love eating food they create. Involve your child in cooking or snack preparation and they will be more likely to eat new foods, including fruits and vegetables. 9. Make sure your child eats breakfast. It’s the most important meal of the day, and it should ideally be the largest meal of the day to get your child off on the right foot. After ten to twelve hours with no food it’s important to refuel the engines. If they don’t eat in the morning they’ll be tired and unable to concentrate in school before lunch. It’s essential that children jumpstart their metabolism in the morning so their bodies don’t enter starvation mode, which might later cause them to experience difficulty maintaining a healthy body weight. Starting kids off with sugar first thing in morning is not ideal. This gives a quick burst of energy and then leaves your child drained. Breakfast should always include a source of protein, some healthy fats, carbohydrates (whole grains are best), and vitamins and minerals. + — Credit: life-gaiam.com

OLD NEWS +

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

TELEVISION ISN’T ALWAYS A BAD CHOICE

here is the line of thinking that too much television — or if you listen to some people, any television — for is a bad thing for babies and children. I don’t disagree with that, or the theory that some people, for whatever reason, can be so influenced by television or in video games that they will reenact onscreen violence in real life. I would agree that some programming is very distasteful. With all of this being said, I wish to defend the medium just the same. There is a lot of thoughtprovoking, educational, funny and very entertaining stuff on the tube these days. With cable, satellite and streaming available, there is something for everyone. If I had to choose between books and TV, I would choose books. But I don’t have to choose, I can have both. (I love it that I can get any book I want free from the library.) A lot of the time I will have the TV on while I read. I prefer the background noise. Then

there are times I will binge watch a series and that can be a lot of fun, especially if I am joined by family and friends. For anyone who is new to the term “binge watching,” you wait until a series has ended, then you watch the whole thing start to finish without the commercials or the weekly wait for the next episode. If you are committed, you can do a whole season in one weekend. It can take a week or more to finish a series, depending on how much spare time you have. It’s great fun and my family enjoys doing this from time to time and discussing the programming afterward. In honor of the Medical Examiner’s 9th anniversary I’m suggesting 9 series that are

either finished or currently on the air that I believe will hold your interest. Keep in mind these are all adult series based on language, nudity or content. They are The Sopranos, The Tudors, Deadwood, Sons of Anarchy, Breaking Bad, Hell on Wheels, Outlander, Mad Men and Better Call Saul, which is a spin-off of Breaking Bad. These may not be everyone’s cup of tea, but the point is there are many to pick from and all are well-written and wonderful entertainment. Between the formulaic made-for TV movies, the sleazy comedies, the foul language and even news programming that wants you to see it their way, viewers has to be more discerning than ever. Check out History or Discovery channels and National Geographic. PBS has some funny British comedy and well done dramas. Are you an old movie buff? The Turner Classic Movie channel is loaded with great films from the 40s and 50s. You can certainly find something to hold your interest. An added perk to this channel: it’s commercialfree. No one should be glued to the television set nonstop, and of course, taking a walk is always a better choice. But Bette Davis and Humphrey Bogart in Dark Victory on a rainy Saturday afternoon? I’m in! +

MYTH OF THE MONTH It’s important to poop every day

TO SUPPORT MEDICAL EXAMINER ADVERTISERS

This seems to be a poopular belief, if you’ll forgive me for saying so, but it is not a medical fact. In fact, it’s a myth. True, there are people who may go twice a day; others who go every day, almost like clockwork. Still others don’t fit into either of those categories: maybe they’re in the every-other-day club. Speaking of clubs, everybody belongs to this one: humans, elephants, goldfish, sparrows, whales, mice, cats and dogs. There is even a popular children’s book entitled “Everybody Poops.” The key isn’t a timetable; everyone is different. Defecation can’t be penciled into your schedule

like a sales meeting might be. It happens on its own based on factors like your specific diet, meal size, level of physical activity and your level of hydration. Believing that pooping should take place “on schedule” could lead to straining and hemorrhoids. Just let nature take its course. And it certainly will, especially if you cooperate with it. + — by F. E. Gilliard, MD, Family Medicine 639 13th St Augusta, GA 30901 706-823-5250

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? k good eno r skin can ugh cer? son.”

here are certain simple things that keep us safe. Into that category fall many things that our mothers told us, but we usually did retainer mentally or follow physically. Here are a few that she might’ve missed: k

Drive in the outside lane of an expressway during the daylight hours. That gives speeders the inside lane for flying by law abiding citizens. That’s why it’s called the fast lane. Drive on the inside lane of a divided expressway during the night hours. I know, you’re thinking there are just as many speeders at night as there are in the daylight hours, but at night is when the deer come out to feed. There are thousands of acres of grazing opportunities alongside those outside lanes, which makes it more likely deer will be near the outside shoulder. Most deer-car accidents occur at night. Georgia ranks #6 in the nation in its number of deer-

ABOUT HOW TO STAY OUT OF TROUBLE

car collisions. Never eat everything on your plate in a restaurant. The US is the only country in the history of the world that has obesity and overeating as their major health problems. That is because we eat too much. People from foreign nations are appalled at our serving size. The simplest way to reduce our obesity epidemic is to decrease the size of servings. Never supersize anything at a fast food joint. Drink water with meals instead of Coke or sweetened iced tea. This saves money and increases your longevity. If God wanted us to drink Coke or iced tea, He would have put it in the rivers and the wells. He didn’t. He put water. Drink more water and avoid sweetened beverages like the plague. Not too long ago I had a patient who complained that water made her stomach burn. Instead, she FREE T AKE-H OME C OPY!

MEDICAL EXAMINER

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t s e B drank Coca-Cola. The pH of water is 7, which is neutral. The pH of Coke is very acidic. Pray tell, how does drinking water with a pH of 7 cause heartburn and drinking another liquid with a pH of 4 does not? If you have dessert after a meal, share it with a friend. The taste will be the same, the calories will be 50 percent less, and you will save money. Consume fresh vegetables and fruits rather than preserved vegetables and fruits. You will take in less sodium and less calories. Don’t consume anything that has high fructose syrup. While it may taste good, certainly caloric intake is much higher and will add pounds around your middle. Walk more each day.

e n i c i d ME

Increase the amount walking you do in everyday activities. You can improve your health and cardiovascular condition by: • Never use an elevator if you can walk up the steps. • Walk up an escalator instead of just standing there and riding. • Do not park in the closest parking spot to the front of the store. Leave the close ones for the truly disabled and the morbidly obese. • Make walking an everyday part of your physical conditioning and medical well being. • Walk with a partner. You’re less likely to skip a walking session because your partner will nag you for being lazy. Walking and talking together is more demanding on your heart and lungs which improves your conditioning.

Take a multi-vitamin each day. None of us eat a perfectly balanced diet everyday. And down here in the south we tend to overcook vegetables, which destroys many of the vitamins our body needs. You will notice that most vitamins make urine yellower. That is because of dyes added, and the absence of the increased yellow in the urine reminds us that we should up the dose of our daily vitamins. It is a little marketing trick treatment that actually works and serves a good purpose. It is much easier to stay out of trouble than to get out of trouble. But your mama probably told you that already. + 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.

JULY

AUGUST

FRIDAY

UPCOMING ISSUE DATES: 24

Due to the July 4 holiday, we’re publishing Examiners on the 2nd and 4th Fridays of July rather than our normal 1st and 3rd Friday issue dates. As you can see, August dates will be back to normal.

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JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

#4 IN A SERIES: IMPORTANT PEOPLE YOU’VE NEVER HEARD OF

Who is this woman?

he is none other than the very first female physician in the long and storied history of the British Empire. Its centuries of existence might lead you to believe she was a doctor a long time ago, but as you can see from her attire (and the fact that she was photographed), she is of relatively recent vintage. Elizabeth Garrett was born in London in 1836, the daughter of a pawnbroker and one of 12 children. Pursuing her dream of becoming a doctor wasn’t easy. She failed to get into any medical school, and instead enrolled as a nursing student at Middlesex Hospital, but that didn’t last long. After being dismissed as the result of complaints from male colleagues, in 1865 she took the preemptive step of taking the examination to qualify under the auspices of the Society of Apothecaries. At that time, apothecaries — what we might call pharmacists, except that in 1865 they diagnosed disease and prescribed and sold medicines — were among the most common medical practitioners, similar to a general practitioner today. Never envisioning that a woman would apply to become an apothecary, the Society amended its rules of order to ban women after Garret passed their test. In 1866, she was appointed as a medical attendant at London’s St. Mary’s Dispensary. But she wanted to be a doctor, not a medical attendant. So she taught herself French, moved to Paris, and got a medical degree there. Returning to England, she was still refused a place on the British Medical Register. So naturally she did what anyone in her situation would do: in 1872 she opened her own hospital, the New Hospital for Women as part of St. Mary’s Dispensary. Its staff came to include Dr. Elizabeth Blackwell, a native of England who paved the way for Garrett by becoming the first woman doctor recognized in the United States. Along the way (in 1871, in fact), Garret married James Anderson and thus became Elizabeth Garrett Anderson and thereafter gave birth to three children. Partly due to Anderson’s efforts, England passed an act in 1876 permitting women to enter the medical profession. Anderson was appointed Dean of the London School of Medicine for Women in 1883. She retired in 1902 and died in 1917. In 1918 the London School of Medicine for Women was renamed the Elizabeth Garrett Anderson Hospital. It is now part of the University of London. +

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Be it resolved...

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

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

Relevant

Time-specific

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MEDICINE IN THE FIRST PERSON Everybody has a story. Tell us yours! 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. Tell us if you want it “by you” or if it needs to be anonymous. Thanks!

AND CALL ME IN THE MORNING. Prefer paper? We’re all over town. If you prefer our digital version, we’re all over the world. The Medical Examiner is always available on your favorite device at ISSUU.COM/ MEDICALEXAMINER or at the Medical Examiner blog (www.AugustaRx.com/news) on issue dates. Click directly from any Examiner page directly to websites listed in ads and articles. You can easily view back issues, too. +

Read the Examiner — and lots more — online at AugustaRx.com/news

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

Southern Girl Eats Clean

Roasted Cherry Tomato Gazpacho

Gazpacho is a traditional Spanish chilled soup made with tomato and other fresh summer vegetables. It’s a delicious, healthy and refreshing start to a meal in mid summer when temperatures are hot and tomatoes are plentiful. Gazpacho originated in the Andalusia region in Spain. We had Gazpacho when we visited Spain in July of 2008. The dinner hour is very late in Spain, 9:00 - 11:00pm, so the meals are usually very light. This chilled soup was a perfect way to experience Spanish food and culture at its best. As I looked around at different recipes I found that because of the popularity of Gazpacho Andaluz, as it’s referred to in Spain, there are many variations. Recipes can even vary within families. Some recipes include bread and some don’t. Others could be with or without onion and bell pepper. Garnishments for the top are endless as well. Chopped egg, cucumber, croutons or avocado and crème fresh are possibilities. A definite Andalusian delicacy, this translates very well in Georgia kitchens too. If you’ve never tried Gazpacho, here is your opportunity to experience this wonderful, healthy and • Goat cheese crumbles to blender until smooth or clean chilled soup. Enjoy! garnish desired consistency. • Parsley, finely chopped to Remove lid of blender and Ingredients: garnish pour in the 3-1/2 cups • 1 Tbsp. of extra virgin olive of tomato juice, salt and oil Directions: pepper then blend again for • 4 cups of cherry (or grape) Place the tomatoes into a approximately another 30 tomatoes shallow baking dish, drizzle seconds. • 1 English cucumber, diced with olive oil and a pinch of Pour Gazpacho into an air and no need to remove seeds salt and pepper. tight container and place in or peel Roast tomatoes in a 425° the refrigerator to chill. • 1 yellow bell pepper, oven for approximately 15-20 When soup is chilled, coarsely chopped minutes or until tomatoes serve in bowls with a garnish • 1/2 of a purple onion, have burst and softened. Stir of chopped fresh parsley and coarsely chopped goat cheese crumbles. + tomatoes halfway through • 2 cloves of garlic, crushed cook time. Alisa Rhinehart writes the blog • 3-1/2 cups of organic Once done, remove from www.southerngirleatsclean.com tomato juice, no sugar added oven and let cool completely. She is a working • 1/4 cup of red wine When the tomatoes are wife and mother vinegar cool, place into a high speed living in Evans, • 2 Tbsp. of agave blender along with the Georgia. Visit her • 1 tsp. of sea salt or Real Salt cucumber, yellow pepper, blog for more recipes brand purple onion, garlic, agave and information on • 1 tsp. of cracked black nectar and red wine vinegar. clean eating. pepper Blend all ingredients in the

Roasted Cherry Tomato Gazpacho

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

Around town: • Barney’s Pharmacy, 2604 Peach Orchard Rd. • Birth Control Source, 1944 Walton Way • GRU Summerville Student Bookstore • Blue Sky Kitchen, 990 Broad Street • Columbia County Library, main branch lobby, Ronald Reagan Drive, Evans • Enterprise Mill (North Tower), 1450 Greene Street, Augusta • Daniel Village Barber Shop, Wrightsboro Road at Ohio Ave. • Hartley’s Uniforms, 1010 Druid Park Ave, Augusta • International Uniforms, 1216 Broad Street, Augusta • Marshall Family Y, Belair Rd, Evans • Mellow Mushroom, 12th and Broad Streets, Augusta • Parks Pharmacy, Georgia Avenue, North Augusta • Southside Family Y, Tobacco Road, Augusta • Surrey Center, Surrey Center Pharmacy, Highland Avenue, Augusta • Top-Notch Car Wash, 512 N. Belair Road, Evans • Wild Wing Cafe, 3035 Washington Road, Augusta

Plus... 600+ doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

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.

IN THE BEGINNING: THE GOOD OLD DAYS OF PHARMACY

he Medical Examiner is nine years old, and we take this occasion to look back at the pharmacy profession and some of the changes over the years. This will go back farther than the lifespan of the Medical Examiner and into the history of the pharmacy profession and some of the extra duties pharmacists have taken on in the last decade or two. In the beginning, there were pharmacists who took the time to know their patients and the families. They made most medicines in house from raw ingredients and customized them to what the doctor needed to treat each individual patient. Manufactured medicines then came about, and with them doctors had a limited choice of dosages to use. These days some pharmacies, mostly independents, still compound and a few are able to bill insurance for these customized medications. These prescriptions are more time-consuming to make and require an investment of time from both the patient and the pharmacy. In time, insurance companies began to pay for prescriptions directly to the providing pharmacy instead of letting the customer pay for their medicines and then be reimbursed. This sounded great, since for a small copay a patient could conveniently get his or her prescription. Then came ever-increasing copays and the dreaded restrictions. Now insurance companies try to tell doctors which drug they can and cannot prescribe by using formularies and prior approvals. The insurance company tells the doctor that even though his professional judgement says use Drug A, that he must have the patient try two other drugs before drug A will be covered. Obviously this can result in delays in getting better, although sometimes the pre-Drug A medicines will work. Copays for brand name medications today can easily run $80$90 for a single drug. Insurance companies also are demanding more and more documentation from pharmacies, or they will raise an issue when it is too late to rebill the claim and then take back money the pharmacy was already paid. I know of one audit where the insurance company revoked a prescription reimbursement since the pharmacy didn’t clarify the medicine’s strength. At the time, that medication was available in only one

Stop by soon Don’t wait until you’re sick.

strength. The company probably knew this, but was trying to cheat the pharmacy out of hundreds of dollars. Nice, huh? This is also why pharmacies may ask you where you are applying a topical product such as antifungal cream. We don’t really want to pry, but insurance companies want the pharmacy to prove that if we dispense 30 grams of cream that a 15-gram tube would not have been enough. Bear with us as ask our questions that you may think are none of our business. It is only to satisfy the various newcomers to the prescription filling process. In the beginning, pharmacies handled medicines designed to cure diseases, and pain medicines were truly used for pain. These days, prescription pain medicines are some of the most abused drugs in the country. Hydrocodone has recently been reclassified to a higher level of restrictions because it ranked as the most abused drug in the country. It tops all the illegal drugs that get so much hype in the press. So the DEA and state law enforcement offices are starting to crack down on all aspects of the supply chain for prescription drugs. Pharmacists are supposed to police the doctors prescribing these medicines and can get in big trouble for dispensing prescriptions that were legally written but, in the opinion of law enforcement, should have been spotted by pharmacy staff as not for a legitimate medical purpose. In other words, we are sometimes supposed to refuse to fill prescriptions that your doctor gave you, but allow what we think are ethical prescriptions to be filled. It becomes a guessing game, and it is practically impossible to guess right on every prescription. So there will be some honest patients who get turned away because something looks suspicious. We regret this, but with our personal and business licenses on the line every day, we have to be careful or we will not be in business to fill anyone’s prescriptions. Drug abuse means yet another series of questions that we have to ask, adding still more time to the prescription filling process. The moral of the story is to be cooperative and patient with us as we try our best to take care of not only you, but all of our patients. + Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson. Questions, comments and article ideas can be sent by email to cjdlpdrph@bellsouth.net

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JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

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

PEANUTS!

by Allie Sulok, Dietetic Intern Graduate Augusta Area Dietetic Internship, University Hospital Say the word peanuts and you may think of a baseball game or peanut butter, but you might not think of a nutritious snack, and you might not know that peanuts are full of protein and nutrients your body needs. The peanut plant is native to South America and was discovered by European explorers in 1500 B.C. These explorers then took peanuts to Spain, where the crop spread to Asia, Africa, and eventually North America by the 1700s. When peanuts were first grown in the United States they were regarded as food for livestock and the poor. However, they eventually became popular through street vendors, circuses, and baseball games. By the early 1900s, peanuts were an important agricultural crop in the south after cotton crops were threatened by the boll weevil beetle. Peanut butter was first introduced at the 1904 St. Louis World’s Fair. Today peanuts are the 12th most valuable cash crop grown in the United States. In 2013, Georgia grew 44% of the peanut crop in the United States, making it the largest peanut producer in the US. Peanuts are a nutritious superfood that can be included in any healthy diet. One serving of peanuts, just 1 ounce, contains 7 grams of protein, 2 grams of fiber, and is an excellent source of niacin and manganese, and a good source of folate, vitamin E, and magnesium. Peanuts and peanut butter are a good source of plant-based protein and fiber along with other nuts, seeds, and legumes. Eating more plant-based proteins can help you feel fuller for longer, since they contain fiber and take longer to digest. This can help control overeating and lead to a decrease in overall calorie intake and to possible weight loss. This is good news for peanut lovers, because peanuts contain the most protein of any nut. Peanuts are also high in unsaturated fats, the healthy fats. Replacing saturated fats

with healthy unsaturated fats, such as polyunsaturated fats and monounsaturated fats, may decrease the risk of heart disease and stroke. Also, recent research has discovered that peanuts contain just as many antioxidants as fruits and berries. So why not grab some peanuts next time you are looking for a healthy and energizing snack? Peanuts are not only a great nutrient-dense snack, but also an affordable and shelf-stable summer treat! Peanuts and peanut butter are great for onthe-go snacks whether you’re at the pool, the beach, or after returning from some outdoor playtime. Peanuts can also be added to just about any meal. Try peanut butter on your morning toast, or sprinkle some nuts on top of a summer salad for lunch. A peanut sauce can be a great addition to suppertime meals, or try using peanuts as a breading for chicken tenders. During summer months when kids may be making their own lunches, peanut butter is an easy and healthy alternative

to microwaveable meals and unhealthy snacks. Or get your kids involved in cooking with this easy and nutritious recipe from the National Peanut Board: Peanut Butter & Banana Quesadilla Makes 1 Quesadilla Ingredients: • 2 Tbsp. peanut butter • 2 6-inch whole-wheat flour tortillas • 1/2 cup fresh banana slices • 1/4 tsp. cinnamon Preparation: Spread peanut butter over one tortilla; top with banana slices and cinnamon. Close quesadilla with remaining tortilla. Heat a nonstick skillet over medium heat; coat with cooking spray. Add quesadilla; cook 2 to 3 minutes per side or until golden brown. Cut into 4 wedges. Nutrition:360 calories, 20 g fat, 3 g saturated fat, 0 g trans fat, 22 g fiber, 18 g protein Speaking of peanut butter,

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according to the National Peanut Board, one half of the peanuts produced in the United States are used for peanut butter, and Americans consume enough peanut butter in a year to make more than 10 billion peanut butter and jelly sandwiches. What about other nut butters that have recently gained popularity? One serving (2 tablespoons) of almond butter (4 g protein), cashew butter (6 g protein), and SoyNut butter (7 g protein) are pretty comparable to peanut butter (8 g protein), but be wary of chocolate hazelnut spreads that have added sugar and extra saturated fat. Other peanut products include peanut oil, peanut flour, and peanut powder. Try experimenting with these different peanut products, as well as the four types of peanuts; runner peanuts, spanish peanuts, Valencia peanuts, and Virginia peanuts! And visit nationalpeanutboard. org for more recipes and fun facts about peanuts! +

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HOPE Through Adversity by Helen Blocker-Adams

IT’S OK TO GET SICK NOW

n the same week the U.S. Supreme Court made life-changing decisions and innocent lives were slaughtered at the hands of one man, another decision was made to preserve the largest expansion in health coverage Blocker-Adams since the creation of Medicare and Medicaid half a century ago. The Supreme Court rejected, for the second time in three years, a major lawsuit against the Affordable Care Act, also known as Obamacare. Having access to health care shouldn’t be a political issue, in my opinion, but unfortunately it is. Anyone who has always had employment where healthcare coverage is offered may never understand the impact this decision has had on millions of people. The stakes of the case, King v Burwell, were astounding. Had the plaintiffs prevailed, millions of people all over the U.S., including Augusta, who depend upon the Affordable Care Act for insurance, would have lost financial assistance from the federal government. Without that money, most of them would have had to give up the coverage completely. What a shame that would have been. From a business perspective, the loss of so many customers (most of them new) would have forced insurers to raise premiums. Of course, that would create another problem entirely. The bottom line in having access to healthcare is finances – either you have the money or you don’t. If you don’t and have some unbearable pain, you take a couple of over-the-counter pain pills to mask the hurt. It goes away, for the moment. When the pain isn’t present you don’t

JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER think about it and life seems normal again. Yet it comes back throughout the day, so you take more pain medicine. It becomes a cycle because in the back of your mind you know you need to go to the doctor, but you don’t have healthcare insurance. Hospital emergency rooms have become the doctor of choice for those without insurance, but this is very costly. In a situation like this, if you do go the ER doctor will most likely prescribe a pain medicine and suggest you visit a specialist. Now you are back to square one, no closer to a cure, and with a bill coming from the emergency room. For years, as a self-employed business owner, I didn’t have health insurance because it was too expensive. Fortunately, I have been healthy and haven’t had to visit a doctor for anything major. As age creeps up on you though, just like an old vehicle, breakdowns are bound to happen whether we like it or not. It’s starting to happen to me, but fortunately I was able to obtain health insurance through the Affordable Care Act. There is a sense of freedom in knowing that if one does have a health issue, the decision to not deal with it doesn’t have to be forced upon you because you don’t have the money. Perhaps Obamacare isn’t the best piece of legislation ever drafted, but for the time being it’s all we’ve got. Healthy people go to work every day, which impact companies’ bottom line profits. Healthy people are more productive. Healthy people are easier to get along with and happier. This is a win for millions of people who, for multiple reasons, would not have health insurance if the Affordable Care Act would not have been created. So it’s okay to get sick now. + Helen unBLOCKer Adams Educator, Life Coach/Mentor, Life Agent, Author, Transformational Speaker, Social Entrepreneur www.workinginlife.com www.twitter.com/hbadams www.facebook.com helenblockeradams www.linkedin.com/ helenblockeradams

PET VET Y

HITTING THE ROAD?

ou can’t spell vacation without d-o-g and c-a-t, can you? Answer: No, you cannot. And if you can, well, there is a Medical Examiner advertiser on this page who can help. But if you are including Fido and/or Fifi in your epic summer road trip — or even just a quickie weekend or day trip, there are a few things that can make it more fun for everyone concerned. For starters, many a dog and cat gets a car ride for one reason and one reason only: a trip to the vet. Road trip? That means some stranger sticking a needle into me. Thanks but no thanks. So you’ll have to excuse them if they aren’t exactly eager to hop in the car. You can solve that by going for a few pleasure rides in the week or two before your trip. Dogs are famous for hanging out the window and wallowing in the millions of scents that rush by, but cats are a different story: they should always be transported in a carrier. Without that, they have been known to end up down by a driver’s feet, interfering with safety. They feel safer in a carrier’s confines anyway. Speaking of safety, dogs can be kept as safe as any human passenger with seat belt harnesses available in any pet store. Again, you can accustom your dog to wearing the harness by putting it on him during walks in the days and weeks before your trip. Speaking of which, getting accustomed to crates before a trip is not just a good idea, it’s part of responsible pet

ownership. If every time your dog or cat has to be put into a crate it becomes an epic struggle, something isn’t right. Perhaps the carrier is always associated with a vet trip. Change that by making entry into the cage a treat — literally. Put a favorite treat or toy in the crate. And don’t shut the door the minute they go in after it. Just do the

treat, and let them get in and get out. Then do it again later. Repeat. At some point down the road (figuratively), close the door, but just for a minute. Repeat that routine for a while so that entering the crate is not associated with prolonged incarceration. Take a few non-vet trips too, breaking the crate’s association with that too. One dog owner we know can simply say, “Crate!” to his dogs, and they scamper into their crates in a split-second. It’s all about training. Dogs hanging off the side of a pickup truck, drinking in the breeze, might be a great

image for a country music video, but it’s not the best idea in real life. Dogs being transported in the back of a truck should be in a crate, and the crate should be secured so it cannot go flying in the event of an accident. Your veterinarian has medicines for dogs or cats prone to carsickness, so ask about those if that’s an issue. For overnight trips, mealtimes for your 4-legged traveling companion should be the same as they are at home, or at least as close as humanly possible. Don’t forget fresh water throughout the day. Set a timer on your phone or watch while driving to remind you to make regular stops. If your pet has a regular sleeping place at home that’s portable, bring it with you. It will go a long way toward helping you sleep too. When making hotel reservations, be sure to ask if pets are welcomed. A hotel website that advertises that the inn is “pet friendly” often needs an explanation. Exactly what does that mean? Does it mean they have a handful of rooms designated for guests with pets? What if they’re all booked when you arrive? To avoid confusion and misunderstandings, it’s best to transact pet-involved hotel reservations by phone, not just online. If your dream hotel does not welcome pets, don’t even think about trying to sneak your pet in — unless you’re prepared to pay a very hefty surcharge. And remember, the hotel has your credit card information. Make sure your pet has “collar ID” before you travel, and/or is micro-chipped. Your name and cell phone being on the collar might be more important than the pet’s name. Of course, car travel isn’t th only way to go. Air travel is definitely in the mix, even for dogs and cats with the right precautions and preparations. Tune in next issue for the airborne details. +

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JULY 10, 2015

11 +

AUGUSTA MEDiCAL EXAMINER

From the Bookshelf The blog spot — Posted by Dr. Whitecoat at drwhitecoat.com on June 21, 2015 (edited for space and content).

THE $500 POPSICLE Natalie Fuelner wrote an article about one of the adventures every new parent goes through. One weekend her toddler fell face-first onto a metal patio table. Immediately, the toddler’s face was full of blood. The dad panicked. Natalie was “a trembling mess.” Their physician neighbor wasn’t available. They didn’t want to wait two and a half hours at the urgent care center, so they went to the emergency department where they were evaluated immediately by an emergency nurse, and then 10 minutes later by an emergency physician. The physician evaluated the child, determined that putting stitches into the laceration on the child’s lip would be more traumatizing than letting the laceration close on its own, then gave the child a popsicle. Wait? That’s it? Suddenly their panic was gone. Then they felt embarrassment. A couple of weeks later they received a $514 bill for the services and Ms. Fuelner quipped “That was one pricey popsicle.” I absolutely agree that $500 is a lot of money. Some people may think the Fuelners got “ripped off” for the services she received. There seems to be a pervasive belief that medical care should cost less than an appointment at a hairstylist and definitely less than the newest iPhone. But as many communities are finding, the less you pay for medical care, the less medical care you have available. A quick internet search will reveal many articles about hospitals or departments that have closed because of insufficient funding. Let’s look at what Ms. Fuelner got for her $500.00 She got the convenience of immediate access to a large business that is open every minute of every day. That business has millions of dollars of overhead costs it must pay every year just to keep its doors open. She got immediate access to expertise from a nurse who spent tens of thousands of dollars to go through years of post graduate training and who gave up her weekend so that she could be there to care for sick and injured patients. She also got immediate access to a physician who spent hundreds of thousands of dollars and went through even more post graduate training, and who also gave up his weekend so that he would be there to help sick and injured patients. Those are just the two medical professionals who cared for her child. I’m sure there were many more available in the department – radiology, lab, surgical personnel, registration clerks, billing department, housekeeping, maintenance, cafeteria, security, IT, and many others – even administration, but hopefully you get the point. The hospital has advanced diagnostic equipment costing millions of dollars, available and waiting if Ms. Fuelner’s child happened to have hit her head and had brain bleeding, knocked a tooth out and inhaled it into her lung, suffered a neck injury, had eye trauma, or suffered some other injury from her fall. Fortunately, that wasn’t the case. Federal law also requires that the hospital provide a screening exam and stabilizing treatment to any patient who is seeking medical care – regardless of the ability to pay. I’m sure that some of Ms. Fuelner’s $500 went to defray the costs of many others who receive care but who either cannot afford to pay or whose insurance pays for less than the cost of care. Most of all, Ms. Fuelner and her husband received peace of mind for her $500. Her daughter was evaluated by a medical professional who considered all of the possible injuries and determined that she had not suffered anything serious. So, no Ms. Fuelner, you didn’t pay $500 for a popsicle. The $500 you paid went to help cover some of the immense costs involved in being able to provide quality medical care to you and your family at any hour of any day and it went to the peace of mind that you and your husband experienced when the doctor examined your child and told you that everything would be OK. The popsicle, that was free. +

What did she get for $500?

As an alert reader pointed out to us this past week,* these book reviews rarely come out and actually endorse or recommend a book. Instead it’s usually the case that a book’s subject matter and premise is fairly thoroughly explored — although we have never used the phrase “spoiler alert” in this space — and then the reader can make his own choice about buying the book or looking for it at the library. So here we are yet again, this time with a book suggested by the same alert reader. As you can see from the title, this book is built around (or at least named for) the age-old truism that wisdom is wasted on the young. Right about the time we’re actually getting the hang of this thing called life, something tragic happens: we fall and break a hip, our teeth fall out, or the kids might even move back in. Well, Gordon Livingston, M.D. tries to give us the skills and wisdom to cope, perhaps to change, or maybe at least to understand why we can’t change things. Just glancing at the chapter titles, you can imagine the

nuggets of wisdom this book will reward you with. There’s the opening premise: “If the map doesn’t agree with the ground, the map is wrong.” It doesn’t get much truer than that, ladies and gentlemen. Around here, we know a few people who are still reliving or blaming tragedies that happened to them during the Truman era as the reason for their current dysfunction. For them, there’s the chapter, “The statute of limitations has expired on most of our childhood traumas.” “Any relationship is under the control of the person who cares the least.”

“We flee from the truth in vain.” As M.K. Gandhi himself said (this is not a chapter title), “An error does not become truth by reason of multiplied propagation, nor does truth become error because nobody sees it. Truth stands, even if there be no public support. It is self sustained.” That is true. As another chapter puts it, “Only bad things happen quickly,” and it will take you some time to peruse the wise words on this slim book’s pages. In fact, in a chapter about death (“Love is never lost, not even in death”), he makes a point we have long held: “closure” is a myth, an unreality. Similarly, many readers of this book have found that its simple truths stay with them long after they closed the book on the final page. That’s the mark of a good book. Ideally, reading it will make us smart sooner and old later. Too Soon Old, Too Late Smart by Gordon Livingston, M.D. 194 + pages, published in 2008 by Da Capo Press. * This is an encore review from the Examiner of July 20, 2012

Research News Atherosclerosis overhaul Brand new research from the University of Virginia’s School of Medicine will force a complete overhaul in medical thinking about the causes and treatment of hardening of the arteries or atherosclerosis. In short, medical researchers have long accepted the “truth” that smooth muscle cells are the good guys in the body’s battle against plaque. These cells were thought to be the pit crews of our circulatory system, quickly jumping in wherever needed to help wall off dangerous plaque components. When successful, they could be likened to a crew that contains asbestos, sealing it up so it can’t harm anyone. Well, those analogies are now upside down. Some smooth muscle cells may even contribute to plaque buildup and overall poor circulatory health. Since the leading cause of death worldwide is complications of atherosclerosis, the discoveries are significant.

And discouraging. It’s not reassuring to find out that fundamental beliefs and the treatment regimens built upon them are incorrect. But it’s far better than continuing to treat a serious medical issue based on false information. Migraine surgery A randomized trial conducted by researchers at Cleveland’s Case School of Medicine has found two surgical cures for migraines to be equally effective. The headaches that respond best are known as temporal migraines, and the surgical intervention was first suggested by patients undergoing cosmetic forehead lift procedures who reported reduced migraine frequency after the procedure. Twenty temporal migraine patients enrolled in the study received the surgery, which involved targeting a branch of the trigeminal nerve. Half the patients were given a decompression procedure to relieve pressure on the nerve, the other half a surgical neurectomy. One year later 90 percent of

patients experienced “at least a one-half reduction in migraine frequency, days with migraine, and headache severity and duration.” The results were nearly identical for both the surgical and decompression procedures, and no complications were noted. Slow weight gain the fast way University of Southern California research released last month (June 18) suggests that periodically adopting a diet that mimics fasting may have a number of health benefits. The fasting diet (adminstered once a month for 5 days) yielded improved markers for aging, diabetes, cardiovascular disease and cancer, even though the total monthly calorie intake for the fasting group and the non-fasting control group were the same. Since fasting is not typically a succesful long-term strategy, the temporary approach was found by researchers to have both health and compliance benefits. They also say fasting should be done with medical supervision. +

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JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS

THE MYSTERY WORD

by Dan Pearson

Hey, isn’t that your My new Nissan? SUV they’re towing It better not be! I just in the parking lot? bought it yesterday!

Have you changed jobs?

Then why did Because the sign said you park in that “Reserved for Nurse Nav.igator.” reserved spot?

No, why?

The Mystery Word for this issue: SARPINI

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EXAMINER CROSSWORD

PUZZLE

ACROSS 1. Jump 5. Fundamental 10. Augusta West TV station 14. Scratch 15. Bacteria 16. Inwardly (literary) 17. Cougar 18. Mamie had one 19. Jeweler’s magnifier (var.) 20. _____ Club 22. Fish or dress starter 23. Leg joint 24. Tread ending 26. Magician or learned person (archaic or literary) 28. Founder of Islam 32. Fenway site 36. Egg 37. ______ Cinemas 39. Top movie network 40. Dull grayish-brown 41. Christian or Doug 43. Mars’ color 44. Medical College beginning 45. Poetic or literary word for a bottomless chasm 46. ____ liner 47. Local historian Ed 49. Effortlessness 53. On sheltered side 55. Tibetan oxen 56. _____ duct 59. Chatter 61. One of three words repeated on every Medical Examiner front cover 65. Ardent; eager 66. Fragrance 68. Hawaiian honeycreeper 69. Basic monetary unit of Ghana 70. Male singing voice 71. Like some pockets

24 28

Click on “READER CONTESTS”

QUOTATION PUZZLE

39 43 46

VISIT WWW.AUGUSTARX.COM

53 56

N R I B E D E W E L F R

55 60

61 67

DOWN 1. Kissers 2. Sewing case 3. Peak 4. Drug prefix 5. Pacify 6. Obamacare acronym 7. Weeps 8. Hip bone 9. Vermilion 10. Lincoln assassin’s middle name 11. Soon, in poetry 12. Adhesive 13. Class 21. Outer edge 25. Mr. Sconyers 27. Element #79 28. McCormick County town 29. Throat dangler

E T L M P A Y W I S — Anonymous

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.

72. Family diagram 73. Swelling 74. Takes to court

J A S K A E S R E E C A B F P U L U W T S P R L H N R I

30. Clock pointers 31. Compact 33. Opposite of nine? 34. Follows orders 35. Lymph structures 38. Dry red Beaujolais wine 41. Post _____ 42. Renounce or reject 48. Mr. Davis of Augusta 50. World’s largest desert 51. Eisenhower’s nickname 52. Class of drugs that includes aspirin 54. Dog-______ 56. Diplomacy 57. At any time 58. Helper 60. Skeleton piece 62. Stead 63. Affectedly dainty (British) 64. Rose fruit 67. Dad’s partner

X A M I N E R

6 5

2 7 4 2 8

4 7 3 2 8 3

9 4

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.

Solution p. 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.

L 1 2 3 4 C 1 2 3 4

E 2

1 5

1 1 2 3 4 T ’ 1 2 3 4 5

D 1 2

L 1 2 3 4 5 1 2 3 4

4 D 1 2 3 4

6 1

7 2

1 2 3 4

1.BIWIWIMIMLLDNT 2.EEEEETTHHHOO 3.CAAVEEESS 4.DTTEENNAS 5.RUST 6.VS 7.EE

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

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

JULY 10, 2015

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AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE ha... ha...

“Oh, that,” his son replies. “Mom dragged you into the bedroom, and when she tried to take your pants off, you said, “Lady, leave me alone, I’m married!!!” A man orders a personal pizza to go and the kid at the counter asks, “Do you want that cut into six pieces or eight?” “Better make it six,” the man says. “I don’t think I can eat eight.”

man wakes up with a huge hangover. He forces himself to open his eyes, and the first thing he sees is a couple of aspirin tablets and a glass of water on the bedside table. He manages to sit up and sees his clothing for the day neatly laid out in front of him, all clean and pressed. He looks around the room and sees that it is in perfect order, spotless and clean. As he reaches for the aspirin he notices a note on the table: “Darling, breakfast is on the stove. I left early to go shopping. I love you.” So he goes to the kitchen, and sure enough, there is a hot breakfast on the stove, with an ice cold glass of orange juice and the morning newspaper on the table next to his plate. His son is already at the table eating breakfast. Bewildered by it all, he asks, “Son, do you know exactly what happened last night?” His son says, “Well, you came home about 3 a.m., drunk and delirious, woke us all up when you fell and broke some furniture, puked in the hallway, and gave yourself a black eye when you stumbled into the bathroom door.” Now even more confused, the man asks, “So then why is everything so neat and clean and why is breakfast is on the table waiting for me?”

A magician is hired to perform on a luxury ocean liner. One night when performing his act, someone from the crowd says “It’s a trick! The card was up his sleeve the whole time!” Startled, the magician looks around and is surprised to see the voice came from a parrot sitting in the front row. Rattled and annoyed, the magician tries to carry on, but every time he tries to do another illusion, the parrot gives it away. “It’s a fake hand!” or “The rabbit was in the box!” This goes on night after night until after a week, the magician dreads going out on stage and having to confront the parrot. However, on that very night before his show could begin the ship hits an iceberg and sinks. Struggling in the icy water, the magician eventually manages to pull himself into an empty lifeboat floating in the sea. As he lay in the boat, tired and cold, the parrot flew over and sat on the bow. The parrot stared at the magician and the magician stared back, but neither spoke. Two enemies, they sat in silence. Finally after an entire hour, the parrot looked at the magician and said, “All right. I give up. What did you do with the ship?” +

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.

9 WAYS… from page 1 with better spiritual well-being, better sleep, increased optimism, stronger personal relationships, and improved moods. But even more significantly, the study found decreased levels of various biomarkers associated with heart troubles. Anyone plugged into social media — not that anyone really does that — is exposed to a constant bombardment of criticism, sarcasm and negativity. We owe it to ourselves to regularly unplug and systematically inject positivity into our thinking processes. No one’s going to do this for us. 6. EAT THOUGHTFULLY! Sure, you can sit there and count how many times you chew each bite like we’re all supposed to (and which no one does). But what we’re talking about it more along the lines of think before you eat. The trendy term is mindful eating, which means, well, think before you eat. Don’t just mindlessly polish off an entire bag of chocolate chip cookies while you watch a Lifetime movie. If you do, your lifetime could be shortened. Once you select something healthful to eat, then go into PCM: Portion Control Mode. Another great idea: patronize your favorite restaurants on a limited basis. Eating restaurant food every day, as many people do (especially for lunch), is an almost guaranteed way to increase your waist size and reduce your wallet size. How about making that a once-a-week treat? Bringing lunch from home can be a lot healthier — and definitely cheaper. 7. GET STUFF DONE! From personal experience, many of us know all too well the stress that builds when we leave important things undone or procrastinate endlessly. The to-do list of stressors could involve anything from cleaning out the garage to avoiding a major run-in with the IRS. It might be mostly work-related or mostly personal, or somewhere in between. Chances are you can think of a few nagging projects right now. But crossing them off the to-do list is a great stress reliever. Just doing one builds momentum that can get the next one done. It builds self-confidence and a feeling of satisfaction and selfworth. It’s amazing what 8. GO TO SCHOOL! Actually, with any luck you’ve never left. Cultivating a thirst for knowledge and a curiosity about the world — whether that means the CSRA’s corner of it or the most remote corners and cultures on this planet — is a great way to stay mentally active and keep life enjoyable. Taking a cue from #7 above, it might mean taking lessons to learn something you’ve always wanted to master: cake decorating, guitar playing or learning to speak French. Developing a hobby or an interest sure beats staring at a phone screen for hours every day. 9. COOL IT! Many people needlessly complicate just about everything in their lives, from which salad dressing to use to what they’ll wear to work tomorrow. The potential danger in every situation, even one that’s 99.99 percent safe, is blown out of proportion and becomes a source of anxiety. If someone in the family is 5 minutes late, they could be trapped in a wrecked vehicle upside down in a ditch. There is an old saying that a day of worry is more exhausting than a week of work. And another: 99 percent of what we worry about will never happen. Try to relax. You’ll enjoy life and be healthier. +

+ +

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

MEDICAL EXAMINER IS ONLINE • AugustaRx.com/news • -OR-

• issuu.com/medicalexaminer • STATE

ZIP

Choose ____ six months for $20; or ____ one year for $36. Mail this completed form with payment to Augusta Medical Examiner, PO Box 397, Augusta GA 30903-0397

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JULY 10, 2015

AUGUSTA MEDiCAL EXAMINER

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

...cleverly hidden (on the scrub’s neckline) in the p. 1 ad for INTERNATIONAL UNIFORM Congratulations to MELANIE ROBINSON, who scores a coveted Scrubs of Evans gift card, 2 movie passes courtesy of Health Center Credit Union, and a $20 Wild Wing Cafe gift certificate. Want to find your name here next issue? The new Mystery Word is on page 12. Start looking!

The Celebrated MYSTERY WORD CONTEST ...wherein we hide (with fiendish cleverness) a simple word. All you have to do is unscramble the word (found on page 12), then find it concealed within one of our ads. Click in to the contest link at www.AugustaRx.com and enter. If we pick you in our random drawing of correct entries, you’ll score our goodie package! SEVEN SIMPLE RULES: 1. Unscramble and find the designated word hidden within one of the ads in this issue. 2. Visit the Reader Contests page at www.AugustaRx.com. 3. Tell us what you found and where you found it. 4. If you’re right and you’re the one we pick at random, you win. (Winners within the past six months are ineligible.) 5. Prizes awarded to winners may vary from issue to issue. 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.

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. ONE BDRM COTTAGE FOR RENT with off-street parking/carport in Hill area 2 blocks from college. Washer/dryer. We furnish water, you pay electric. $675/$500 dep. No pets. (706) 736-7168; email: ronst79@gmail.com Pictures avail. ROOMMATE WANTED! 3 bdrm, 2.5 bath house with pool, 2 minutes from colleges. Perfect for medical or grad students. $425+share utils. 706.993.6082 WEST AUGUSTA House for rent. 3 bdrm, 2 bath, 1500 sqft, 1-car garage, 3024 Sterling Road, located off Stevens Creek at Riverwatch Pkwy. $850/mo. Call 678467-7187. AUGUSTAGAHOMESEARCH.COM Foreclosures • MLS • Rentals • Builders 706-564-5885 FOR SALE: GORGEOUS, immaculate, never occupied townhome located mins from Medical District. 2 bed, 2 bath, master en suite, walk-in closets, office. 1450 sq ft. hardwood floors throughout, fabulous upgrades, custom kitchen and baths. Floor to ceiling windows, fenced yard. Partially furnished! 120k OBO. 803-507-6621.

HELP WANTED

MISCELLANEOUS

PART TIME HELP NEEDED Flexible independent contractor tutoring opportunity with locally owned educational services company. Students served include K-12 and college seeking support in ALL subjects. Immediate openings for Spanish, anatomy, physics and statistics tutors. Contact info@maeseducationcenter.com

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) 295-3033

SERVICES HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706.267.9947 DOES YOUR HOME NEED CLEANING? A little of that extra? Need organizing assistance or help to make clutter vanish? Seniors will get a discount. 706-7553803

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 or (706) 829-1729 PET CARE in Martinez-Evans area. Dogs to 40 lbs, $9.00. Cats (1-3), $9.00 For interview/information, phone 706-829-1729 CEMETERY PLOTS Side-by-side cemetery plots for sale located at the Heart Section of Hillcrest Cemetery. $3600 for BOTH. (706) 798-8495

Thanks for reading the Medical Examiner!

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 706-823-5250

The new scrambled Mystery Word is found on page 12

SENDING US A CLASSIFIED? USE THE FORM BELOW AND MAIL IT IN, OR GO TO WWW.AUGUSTARX.COM AND PLACE & PAY CONVENIENTLY AND SAFELY ONLINE. THANKS!

THE PUZZLE SOLVED

WHAT’S YOUR DRUG OF CHOICE? (OURS IS COFFEE)

Augusta Medical Examiner Classifieds

CLASSIFIED ADVERTISING FORM Name Address Work number (if applicable) ( ) Home phone ( ) Category of ad (leave blank if unsure):

.75

1.00

1.25

1.50

1.75

2.00

2.25

2.50

2.75

3.00

3.25

3.50

3.75

4.00

4.25

4.50

4.75

5.00

5.25

5.50

5.75

6.00

6.25

6.50

6.75

7.00

7.25

7.50

7.75

8.00

8.25

8.50

8.75

9.00

AUGUSTA MEDICAL EXAMINER, PO BOX 397, AUGUSTA, GA 30903-0397 Total ad cost by number of words as shown above: $

U V U L A

T A C T

E V E R

P B A H E C A C A R R A M I L L H A M M A A R N B A R D A B Y S H I N A L E E A R G A I D A R D I T E E E E D

S O B S

I L I U M

C I N N A D B E G A N A R S M E A S Y A B H O M A N O R E M A

W I L K G E O S L D

A N O N

G L U E

T Y P E

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

O B E Y S

N O D E S

T W E E

H I P S

QUOTATION — Anonymous

The Sudoku Solution

COFFEE IS GOOD MEDICINE

(Copy this form or continue on additional sheet if more space needed.)

Send this form with payment to:

M O D O C

A C M E

QUOTATION PUZZLE SOLUTION: Page 12: “Life was simpler when apple and blackberry were just fruits.”

AD COPY (one word per line; phone numbers MUST include the area code): .50

E T U I

SEE PAGE 12

In case we need to contact you. These numbers will not appear in the ad.

.25

L I P S

VISIT DRUGOFCHOICECOFFEE.COM

8 2 3 1 6 5 4 9 7

7 4 5 9 8 2 3 1 6

9 1 6 4 3 7 2 8 5

6 7 1 5 9 4 8 3 2

2 3 9 6 7 8 1 5 4

5 8 4 3 2 1 7 6 9

1 6 7 2 5 3 9 4 8

4 5 2 8 1 9 6 7 3

3 9 8 7 4 6 5 2 1

WORDS BY NUMBER “Love me when I least deserve it because that’s when I need it most.” — Swedish proverb

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.

Thanks for reading!

www.AugustaRx.com

JULY 10, 2015

15 +

AUGUSTA MEDiCAL EXAMINER

This could be yyou.

The Medical Examiner is what is known as a

The Medical Examiner can be delivered right to your door!

GOLDILOCKS PUBLICATION. At 16 pages every issue, we’re just right.

Use the handy form on page 13

PROFESSIONAL DIRECTORY DERMATOLOGY

ALLERGY

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

CHIROPRACTIC

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

DEVELOPMENTAL PEDIATRICS

Evans Chiropractic Health Center Dr. William M. Rice 108 SRP Drive, Suite A 706-860-4001 www.evanschiro.net Poppell Chiropractic Clinic 1106-A Furys Lane Martinez 30907 706-210-2875 Most insurance plans accepted

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

DENTISTRY Dr. Judson S. Hickey Periodontist 2315-B Central Ave Augusta 30904 706-739-0071

LASER SERVICES

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

Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048 Steven L. Wilson, DMD Family Dentistry 4059 Columbia Road Martinez 30907 706-863-9445

Medical Massage Stuart Farnell L.M.T. 803-646-1846 jsfarnell@att.net www.FarnellClinic.com

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

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

EMPLOYEE BENEFITS Group & Benefits Consultants Inc. 3515 Wheeler Rd, Bldg. C Augusta 30909 706-733-3459 www.groupandbenefits.com

F. E. Gilliard, MD Family Medicine 639 13th Street Augusta 30901 706-823-5250 Industrial Medicine • Prompt appts. Urgent MD Augusta: 706-922-6300 Grovetown: 706-434-3500 Thomson: 706-595-7825 Primary Care Rates

M.D.S:

MEDICAL MASSAGE

OPHTHALMOLOGY

DRUG REHAB

FAMILY MEDICINE Floss ‘em or lose ‘em!

Ideal Image 339 Furys Ferry Rd Martinez 30907 1-800-BE-IDEAL • www.idealimage.com Schedule a FREE Consultation

PHARMACY Medical Center West Pharmacy 465 North Belair Road Evans 30809 706-854-2424 www.medicalcenterwestpharmacy.com Parks Pharmacy 437 Georgia Ave. N. Augusta 29841 803-279-7450 www.parkspharmacy.com

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

...SENIOR LIVING

Cornerstone Compassion Center 420 Warren Road Augusta 30907 706-228-5359 or 706-394-6518 Assisted Living • Personal Care

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

THERAPEUTIC MASSAGE Centered in Georgia Diane Young L.M.T. 4488 Columbia Rd Martinez 30907 706-251-2244

VEIN CARE Vein Specialists of Augusta G. Lionel Zumbro, Jr., MD, FACS, RVT, RPVI 501 Blackburn Dr, Martinez 30907 706-854-8340 www.VeinsAugusta.com

WEIGHT LOSS Medical Weight & Wellness Specialists of Augusta Maycie Elchoufi, MD 108 SRP Drive, Suite B Evans 30809 • 706-829-9906 www.mwwsAugusta.com

SUPPORT YOUR PRACTICE - AND THE MEDICAL EXAMINER A simple listing in the Professional Directory is less than $100 for six months or less than $200 for an entire year, and puts your contact information in front of 30,000 readers a month. CALL 706.860.5455 TODAY AND BE IN THE NEXT ISSUE

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AUGUSTA MEDiCAL EXAMINER

JULY 10, 2015

Lost in the maze? Why enter in the first place?

We know the way. EMPLOYEE BENEFITS • COMPLIANCE • WELLNESS • CONSULTING • EXCHANGES • PARTNERSHIPS • TECHNOLOGY

RUSSELL T. HEAD, CBC, CSA-PARTNER • 706-733-3459 • E: RTHEAD@GANDBC.COM • WWW.GROUPANDBENEFITS.COM