July15 16 by Daniel Pearson

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After the intervention: what next? by Ken Wilson Executive Director, Steppingstones to Recovery OK, the intervention is over (See the Medical Examiner of June 17, 2016) and your friend went to treatment. How do you support them? Pay their bills if their inpatient treatment is out of town? Clean their house so they can return to a pleasant environment? If they are attending intensive outpatient treatment groups locally, do you check on them daily? Three kinds of people have to leave the affl icted one’s life in order for them to get well: The Enabler, The Victim, and The Provoker. If you are in touch with addiction on a basic level, you know what an enabler is: one who unwittingly protects the addict/alcoholic from feeling the negative consequences of their behavior. Enablers lend money, pay bills, call in to work saying the addict is sick today, try to control the drinking by measuring out drinks for them, etc. Unfortunately, this frees up dollars the addict can spend on his/her drug of choice vs. having less money to feed their addiction if they had to spend their precious hard-earned money on rent, utilities, car payments, etc. Pain is the great teacher, and without feeling pain the addict won’t be getting well anytime soon. The Victim (or The Martyr) says “You’re ruining my life...if it weren’t for you I’d be able to pay my own bills...I can’t sleep because of you...I’m tired of bailing you out of jail...I have Please see WHAT NEXT? page 15

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his space had been reserved for a tirade about people who stare for hours upon hours every day at the nearest screen — whether handheld, desktop, or wall-mounted — but upon further review we thought maybe we could encourage people to spend at least some of that screen time looking at the online edition of the Medical Examiner — and then proceed with the tirade afterward. True, it’s a little hypocritical, but that’s the plan we’re going with. Anyone who thinks they can stem the rising tide of screen time is fighting a losing battle. If you can’t fight ’em, join ’em — at least for a few paragraphs. For the record, we’re definitely proud to still have a print edition. And we’re very happy that over the years it has never gained weight: 16 pages on Day One; 16 pages today, ten years later. What is up with these publications of 60 or 72 or 120 pages? Who has that kind of time? We’re a “Goldilocks publication.” We’re just right. The Examiner is everywhere, all over town, and judging by all the reader feedback we get, people seem to really like this paper. But the electronic edition has several distinct advantages: you don’t have to go anywhere to get one; it’s always at your fingertips on your nearest internet-enabled device. It has color on every page, and it just looks brighter and crisper on a screen compared

to paper. Pages of the online edition can be enlarged to make viewing and reading easier. And whenever an article or ad has a link to someplace on the web, you can click directly to it in a fresh screen without losing the Examiner window. If you haven’t tried it, here’s a link to an archive of more than a hundred issues, including this one: www.issuu.com/medicalexaminer Try it! You’ll like it! And now for something completely different Did you see the recent news about screen time gleaned from a national survey by the Nielsen Company? It’s rather shocking. The typical American adult, Nielsen found, spends an average of more than 10 hours a day (10 hours, 39 minutes) on tablets, smartphones, computers, televisions and video games. Time spent listening to radio was also included, but texting, talking on the phone, and taking selfies were not. Nielsen took the same survey last year. We are spending a full hour more on our devices than we were at this time in 2015. Let’s pretend we only do this five days a week. And let’s round down. We’re still left with 50

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t is Summer 2016 and I can barely believe it! Soon we will see advertisements for halloween costumes and begin making plans for Thanksgiving Dinner. We all know how fast time passes us by. Whether we acknowledge it on a day-to-day basis, or in hindsight when reflecting on the past; we are all A med student’s notebook aware of it. Time does not stop for anyone and it affects us across all cultures and religions. Nevertheless, how we use our time is what brings value to our memories and lives. I am now at the start of my fourth year of medical school. Learning how to connect with my patients and build rapport is always at the top of my list- mainly because it cannot be taught in textbooks. I have learned that building rapport begins with thoughtful listening. As a result, I found myself exploring ways of becoming a better listener. I decided I would find an organization to volunteer with online. Volunteering in community hospitals is something I enjoyed doing throughout high school and college; however, being that I move frequently for clinical rotations, I thought a longterm online position would be more feasible. This is when I came across a website that offers support to teens. I cannot disclose the name of the organization; however, after three phone interviews and one mock role-play chat, I was invited to join them as a counselor. After completing six weeks of training, I began working a 2-hour shift, once per week. Taking on a supporting role in someone’s life, in this case a complete stranger, has brought me a wealth of compassion. I’ve come to notice that between the daily news and social media, it has become far too easy to be constantly reminded of the fear and violence in the world. At times, it may be challenging to be remind ourselves of the power of hope. I believe that spending time on activities that help me become more compassionate, empathetic and patient is key to staying positive. Despite where we live, what our economic status is, or what takes up most of our day, we can always find ways to give back and spread hope. The beauty of giving back, is that what one may perceive to be the smallest act of kindness can have the greatest impact. I have always found that supporting others and lending a hand truly feeds the soul. Presently, my main focus is to successfully complete my medical degree and obtain a spot in a medical residency program. However, I believe that making time for opportunities that enrich our lives will only make us better in whichever career path we choose. +

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PROFILES IN MEDICINE

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A pioneer in endocrinology

t would be difficult if not impossible to name an Augusta physician who made a bigger mark on the global face of medicine and life itself than Dr. Robert Greenblatt. The word embroidered on his white coat is “Endocrinology.” You might call the endocrine system the body’s chemical factory. From various locations in various glands (among them: the pancreas, ovaries, testes, the thyroid, adrenal, pituitary and pineal glands), endocrine chemicals called hormones are injected into the circulatory system to regulate all kinds of essential functions that keep us alive and well. Dr. Greenblatt certainly didn’t invent this medical specialty — it dates back many centuries, and its modern pioneers practiced in the mid-1800s — but in 1946 when he established MCG’s Department of Endocrinology, it was the first such independent academic department in the nation. Robert Greenblatt was

Robert B. Greenblatt, M.D. born in Montreal on October 12, 1906 and earned his Bachelor’s degree from McGill University in 1928, followed by his Doctor of Medicine degree in 1932. By 1935 he was a resident in obstetrics and gynecology at what was then the University of Georgia’s School of Medicine, right here in Augusta. The following year he worked as an assistant professor and research assistant under Dr. Edgar Pund, who was chair of the Department of Pathology and

eventually MCG’s second president (1953-1958). During his work with Pund, Dr. Greenblatt discovered that a type of antibiotic could cure granuloma inguinale, a widespread venereal disease. You say you’ve never heard of granuloma inguinale? You can thank Dr. Greenblatt. By the time World War II broke out, Dr. Greenblatt was an MCG professor of experimental medicine, but served as surgeon with the US Coast Guard in the Pacific from 1943 to 1945. He was one of the first U.S. scientists to investigate the effects of the atomic bomb dropped on Nagasaki. After returning to Augusta at the end of the war, Dr. Greenblatt served as professor and Chairman of Endocrinology from 1946 until 1972, and it was during this period that he made his most far-reaching research finds, in particular the worldchanging development of the birth control pill. Although Greenblatt’s September 1987 obituary in The New Please see PROFILES page 6

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

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+ Dear Advice Doctor, Last week our next-door neighbor put on a mega-fireworks show that lasted well into the night. This was on the 4th of July – Monday! – meaning the next morning was a workday. I finally went over at almost 1:00 a.m. to complain and got a bottle rocket shot at me for my troubles! I was speechless! He could have put my eye out! As it was, my pajamas caught on fire. As I see it, I have three options: 1.) Just let it go; 2.) Get them to buy me new pajamas; or 3.) Sue them for all they’re worth for pain and suffering. Which option would you recommend? — Contemplating Litigation Dear Contemplating, That must have been a very unpleasant experience for you. Communication is a basic yet complex capability that sets humans apart from all other forms of life on earth. The medical term for being speechless is aphasia (uh-FAY-zhuh). Although being shot with a bottle rocket is clearly one cause, many cases result from a stroke, that is, depriving the part of the brain that controls speech from its steady supply of oxygen-rich blood. Traumatic brain injury and tumors of the brain can also cause aphasia, which can be mild temporary speech difficulty or the complete and permanent loss of the ability to speak, read and write. Treatment through speech therapy can sometimes be effective, depending on the type and cause of the aphasia in question, but the best course is prevention. Since the most common cause is stroke, aphasia prevention is the same as stroke prevention. The basics: exercise regularly; eat a healthy diet that is not high in fat and cholesterol; avoid tobacco use and consume alcohol in moderation; and control blood pressure. + Do you have a question for The Advice Doctor about love, life, personal relationships, career, raising children, or any other important life topic? Send it to News@AugustaRx.com. Replies will be provided only in Examiner issues.

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

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

A YANKEE’S TOP TEN GUIDE TO SOUTHERN LIVING

uick! Name an internationally recognized symbol of medicine and the medical profession. Sorry to spring a pop quiz on you without warning, but what’s your answer? If you said the stethoscope, give yourself a gold star and take a look at the picture above. That’s the man behind the invention, René Laennec. Born in France in 1871, Laennec’s medical training included using sound as a diagnostic tool. At the time, that usually meant one of two things: percussion was a method of expertly tapping on a surface as a means of assessing what lay beneath, whether hollow and empty or a solid mass; listening was accomplished by a physician placing his ear directly against the patient’s skin. Laennec has been portrayed in histories as an intensely devout and religious man, as well as a kind and generous one. These qualities may have played a significant role in his invention. Treating a young woman one day in 1816, Laennec found that the traditional method of listening, ear to chest, was “rendered inadmissible by the age and sex of the patient.” Percussion was also off the table “on account of [her] great degree of fatness.” Even so, something had to be done. The woman “was laboring under the general symptoms of diseased heart.” On the spur of the moment, Laennec grabbed “a quire of paper” — a couple dozen sheets — rolled them into a cylinder “and applied one end of it to the region of the heart and the other to my ear.” He was pleasantly surprised to discover he could hear the heart much more clearly and distinctly than he had ever been able to do by the ear-to-skin method. The stethoscope was born, a significant moment in medical history borne perhaps as nothing more than a gesture of kindness and modesty to avoid embarrassing a patient. The earliest versions as developed and used by Laennec would be unrecognizable today. Since paper quires were less than durable, Laennec’s fi rst stethoscope was nothing more than a hollow wooden cylinder. Later versions incorporated a bell to place against the patient on one end and a smaller earpiece on the other. Primitive though it might have been, it was an effective and non-invasive diagnostic tool. It was so effective that it worked even when it didn’t: Laennec was able to use autopsy findings to connect the dots in cases where the sounds he heard did not lead to a diagnosis. Although it was too late to help that patient, it was valuable information for future cases. Within little more than a decade (by 1829) a binaural stethoscope seems to have made its appearance, although it wasn’t until 1840 that a British doctor, Golding Bird, described a flexible tube stethoscope. Today’s popular Littmann stethoscopes were invented in the early 1960s by Harvard Medical School professor David Littmann, M.D., offering lighter weight and improved acoustics. +

his month the Medical Examiner celebrates its 10th anniversary. It is a milestone and so I have a list of ten musings about Georgia. I was born and raised in New England and that is as Yankee as one can get. (While engaged and on our way here so I could meet my in-lawsto-be, I asked my fiancé if the difference in religions was going to be an issue for his parents. His answer? He was more concerned about telling them I was a Yankee.) I have lived in the South for a long time and consider myself a transplanted Southerner. I have also lived in the Southwest and the West. I take offense if someone from up North comments on the Civil War and I am quick to point out that Northerners have just as strong feelings regarding the Revolutionary War, so I see little difference there. I love the South and find it to possess a personality unique to itself, a trait I have not found in other geographical areas where I have lived. Georgia has a

grand variety of characters, old world gentlemen, wonderful cooks and wise and active elderly. The climate is mild; the foliage lovely, the food the best and it is rich with its share of our nation’s history. I have enjoyed my love affair with the great State of Georgia and so I offer the following: 1. • If you were not born in Georgia, it is difficult to find meaningful employment if you don’t know someone who is a native. 2. • You must learn to make good fried chicken, sweet tea, biscuits, caramel cake and grits. It’s impossible to survive here without being able to master the basics. 3. • Get used to sitting through the green light. 4. • If “Dixie” is played at a

function, by golly, you better stand. 5. • You must see Augusta in springtime. It is breathtakingly beautiful. 6. • Georgians are not only wonderful storytellers; they will make you laugh till you cry. 7. • If you are a Yankee, you will never be a true Southerner, but if you are here long enough they will do you the kindness of overlooking it. 8. • “Ya’ll” can be singular or plural but in addressing large groups the correct usage is “All ya’ll.” 9. • You don’t drive someone anywhere, you carry them; you don’t think, you reckon, you’re not getting ready to do something; you are fi xing to do it. 10. • Don’t criticize anyone’s car, boat, guns or dog. 11. • Keep your word. For Georgians, this is the 11th Commandment. I have to acknowledge living here has brought me the most personal growth, as well as discovering what true friendship is about. Each state has its high and low points. Georgia is no different in that respect. What sets it apart is the vitality of its people and their innate ability to accept others as they are, most often with a sense of humor and patience. I have appreciated and benefitted from both. +

MYTH OF THE MONTH Pharmaceutical advertising drives up drug prices It would appear to be so, at least at first glance. Prime time TV and major magazine advertising isn’t cheap. Somebody has to pay for all that advertising. The bigger question is, Why does any business advertise? Is it to intentionally drive up the cost of doing business and therefore the cost of their goods and services? Actually, it’s just the opposite. In any business, low sales means that each transaction has to command a bigger pricetag just to cover overhead. The old joke comes to mind about a man trying to sell an apple for a million dollars. A passerby stopped to ridicule the man. “Who

is going to pay a million dollars for a single apple?” “I don’t know,” replied the man, “but I only need to sell one.” By contrast, big box retailers remind us that they save us money through volume purchasing. What they don’t say is that volume sales also save us money because that’s what makes volume purchasing possible. It’s no different with drugs. Advertising results in higher sales. Higher sales results in lower prices. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT A CENTURY OF PROGRESS

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ost people celebrate their birthday about once a year. I say about once a year because some people of the XY chromosome persuasion tend to be less than accurate about their exact number of birthdays. But I have the solution. After a woman turns 39, from then on she can celebrate the anniversary of her 39th birthday. I have been celebrating the anniversary of my 49th birthday for some years now. I can’t rightly remember exactly how many. And for the record, I don’t care. Actually, I am not completely sure of my birth date. I was young at the time and have to take the word of others regarding that. To celebrate my latest birth date anniversary, I cooked on my Green Egg, ate too much, took a nap in my favorite chair, and finished off the rollicking date by taking a continuing education medical course online. It was a wild evening for me. I could have gone out to the Redneck Olympics and entered the belly flop contest, but I didn’t. I’m too old and ugly for that. After my nap, I thought back about things that have changed in my lifetime, or more accurately, in the last hundred years. I made a list for you think about: 100 Years Ago: The average life expectancy for men was 47 years. The average US wage in 1910 was 22 cents per hour. The US had 8,000 cars and 144 miles of paved roads. The speed limit in most cities was 10 mph. Fuel for cars was sold in drug stores only. 14% of homes had a bathtub.

8% of homes had a telephone. It was believed that telephones would never be a commercial success because women and children would be too frightened to use them. 18% of households had at least one full-time servant or domestic help. The tallest man-made structure in the world was the Eiffel Tower (1,050 feet tall). The average US worker made $200 to $400 per year. Competent accountants made $2,000 per year. Dentists made $2,500 per year. Veterinarians made $1,500 to $4,000 per year, mechanical engineers about $5,000 per year. 95% of all births were home deliveries. 90% of Doctors had NO COLLEGE EDUCATION! Instead, they attended so-called medical schools, many of which were condemned in the press AND by the government as “substandard.” Sugar was 4 cents a pound. Eggs were 14 cents a dozen. Coffee was 15 cents a pound. Women washed their hair once a month, and used Borax or egg yolks for shampoo. Canada passed a law that prohibited poor people from entering their country for any reason. The five leading causes of death were: 1. Pneumonia and influenza 2. Tuberculosis 3. Diarrhea 4. Heart disease 5. Stroke Penicillin and other antibiotics had not been invented. Pneumonia had a 90% death rate if the victim was overweight. Only 50% of the skinny died. The American flag had 45

t s e B stars. The population of Las Vegas, Nevada, was 30. No one had ever heard of silicone breast implants. Some football players played without using helmets. Crossword puzzles, canned beer, and iced tea hadn’t been invented yet. There was no Mother’s Day or Father’s Day. 20% of adults couldn’t read or write. Only 6% of all Americans were high school graduates. Marijuana, heroin, and morphine were all available over the counter at the local corner drugstores. Back then pharmacists said, “Heroin clears the complexion, gives buoyancy to the mind, regulates the stomach and bowels, and is a perfect guardian of health.” Coca Cola contained cocaine and was commonly called “Dopes.” Women’s panties were frequently homemade from flour sacks. Bras had not been invented. There were about 230 reported murders per year in the ENTIRE U.S.A. A mouse was a four-legged rodent that made women scream and act crazy. If a kid got a spanking in school, he got a worse one when he got home.

THANKS FOR READING! +

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e n i c i d ME

5th graders could actually do math and long division without a calculator, and make change at the store. Every man and boy carried a pocketknife at all times, including when at school and church. By age 12, every selfrespecting boy had a dog, a gun, and a knife. By age 12, girls could sew, crochet, iron, and as well as kill, dress, cut-up, fry and serve a chicken for Sunday dinner. Young ladies were expected to remain virgins until married. Pregnancy before marriage was a family disgrace and the girl was sent far way to have the baby, which was put up for adoption. Single-parent homes usually meant the husband had died in a war or in some other tragedy. Men smoked in public. Women did not. It was disgrace for a man to beat his wife any more than she

needed. Soldiers were admired and respected. Only veterans of war and criminals had tattoos. Being on welfare or getting a government check was a disgrace. Not paying one’s bills and filing for bankruptcy was unheard of. Every decent person went to church regularly. Presidents and presidential candidates always appeared in public wearing a coat and tie. Yes, much has changed in the past century. We have made much progress, medically and mechanically. But are we better off socially or morally? I think 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 706306-9397. NOTE: This Bad Billy classic originally appeared in our Sept. 7, 2012 issue. F REE T AKE-HO ME CO PY!

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PROFILE… from page 3 York Times lauded him as “an internationally known endocrinologist who did early work in oral contraception,” Greenblatt himself calls Dr. Gregory Pincus (1903-1967) the father of the contraceptive pill. While that is true and dates to 1960, Greenblatt was

instrumental in developing the sequential pill in 1961. Dosed in two different formulations to be taken in sequence based on timing of the last ovulation, the pill provides practical birth control for millions of women around the world to this day. Its detractors say it fostered

M E DI C I N E

I N

T H E

F I R S T

the sexual revolution and lax morals of the late Sixties; its supporters say it helped empower women with control over their bodies and their lives. The pill has a wealth of additional applications, helping to treat prolonged P E R S O N

Cooking with gas F

or more than five decades I was totally embarrassed by continuous putrid gas and loud belching. My embarrassment was so bad that I constantly ran off family and friends. They avoided me like the plague. Doctors never mentioned anything to me about my diet. It was always about prescription medicines. I don’t fault them for this. Doctors know patients are stubborn and are going to eat whatever they like regardless of the consequences. After all these years I recently switched to organic, lactose-free milk and yogurt. My problematic gut miraculously ceased. I also

“People avoided me like the plague.” became friends with glutenfree bread such as spelt, found in the frozen bread section of Kroger. Tomato products caused a flare-up in the form of GERD, so I eliminated that as well, along with these culprits: broccoli, beans, spinach, kale, turnip greens, mustard greens and cabbage. I began a glutenfree diet, eliminating whole grains and high fiber, healthy for most people, but not for my stomach and its sensitivities. Drinking from a straw or

chewing gum causes me to have stinky explosive gas and aggravating belching as well. I am not on any prescribed medication, just my own trial and error with food products. I’m now happier healthwise and psychologically than I have been in 25 years. I consume plain water, nothing carbonated. It’s a “live and learn” experience that I’m learning every day to live with what agrees with my gut. It has been almost two months since I made the change and I have never felt better. I can finally say “Hooray! At last I’m a happy camper!” + Submitted by Rochelle Day Augusta, Georgia

menstrual bleeding, irregular periods, polycystic ovary syndrome, painful periods and hirsuitism (excessive hairiness), among other conditions. As a career researcher, Dr. Greenblatt published more than 500 articles in scientific and medical journals and authored or edited countless scientific and medical texts. He also wrote about his medical specialty for the general public, contributing articles on endocrinology to encyclopedias and authoring several books for general readers. Two of the more notable volumes he wrote were Sex & Circumstance and Search the Scriptures: Modern Medicine and Biblical Personages. If you know anything at all about the Bible, you realize it’s brimming with people an endocrinologist would love to examine: why was Goliath so tall? Why was Zacchaeus so short he had to climb up into a tree to catch a glimpse of Jesus? What medical effect does fasting have? What’s the story about eunuchs? Why did Paul say a little wine is good for the stomach and your frequent cases of sickness? Earlier, when Saul (later Paul) passed out around noon on the way to Damascus, was it heat

exhaustion and electrolyte depletion, or something else? Is homosexuality on the rise today? Then why did the Bible discuss it centuries ago? Inquiring minds want to know — to such an extent that Search the Scriptures went through more than two dozen printings. Speaking of sex (as endocrinologists often do), Dr. Greenblatt’s Sex & Circumstance offers a fascinating peek into the sexual habits or viewpoints of 44 historic characters including King Solomon, Joan of Arc, Napoleon, Adolf Hitler, Hermann Goering, Benito Mussolini, Casanova, President Kennedy, Thomas Jefferson, Benjamin Franklin and Catherine the Great. Profi led are both lifelong virgins and the clinically insatiable; straight, bisexual and gay; the abnormal (Hitler had but one testicle, for instance) and the unexpected: Dr. James Barry, one of the most prominent physicians of the 19th century had upon his death a great surprise waiting for the medical examiner who conducted his autopsy. Dr. Greenblatt and his wife Gwenith had three sons. He died in Augusta at age 80 in 1987. The following year, MCG’s on-campus library was renamed in his memory. +

2011 • Jan. 20: We kicked off a new series called 20 Questions 2011 +

MILESTONES

2012

ALONG THE WAY, 2011 to NOW In our last issue we looked at a few miliestones from the Medical Examiner’s first five years, Issue #1 in 2006 down through 2010. Here are a few of the more recent highlights.

2013

by asking W.G. “Curly” Watson, M.D. In it, he announced his surprising plans to retire. At the time he was already past 100. Other participants in the short series included G. Lionel Zumbro, M.D., Paul Fischer, M.D., Dennis Skelley and Pam Tucker • April 1: This issue contained wall-to-wall jokes. Hundreds of them. Laughter is the best medicine, right? • Guest columnist Susan K. Robertson, LCSW, discussed the difficult topic of domestic abuse in her cover story, “Why Do Women Stay?” • June 3: This issue’s top story was “Food Fight,” examining the plight of those with food addictions and profi ling OA, Overeaters Anonymous. • Oct. 7: “Who was Susan Goodman?” asked our lead story. You say you’ve never heard of her? Oh, yes you have.

2012 • January 6: We were honored to receive a Medicine in the First Person column from WRDW anchor Tom Campbell, Please see MILESTONES page 10

2014 2015

JULY 15, 2016

Southern Girls Eat Clean Pasta Salad Primavera

5. In a large mixing bowl, Add the pasta, chicken, tomatoes, zucchini, yellow squash, onion, yellow bell pepper and Kalamata olives into the bowl and give a good stir to combine all ingredients. 6. Pour the Italian Dressing over the pasta and stir well. Serve immediately at room temperature. 7. Leftovers keep well in the refrigerator for a couple of days. + 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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For the dressing: • 3⁄4 Cup of extra virgin olive oil • 1⁄4 Cup of red wine vinegar • 2 Tablespoons of finely grated parmesan cheese • 2 teaspoons of minced

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The growing season brings an abundance of summer squash. Both yellow crook-neck squash and zucchini are plentiful at this time of year, and I take every opportunity to incorporate them into our meals. One of our favorites during the warm months is this lovely pasta salad. It’s very flavorful and fi lling but still light enough to be enjoyed even on the hottest of Georgia days. I love to have meals planned that are quick and easy and do not keep me inside in the kitchen. This recipe fits the bill. Throw in some toasted sprouted grain or glutenfree bread and you have a fabulous summertime meal. You can make this salad with or without the chicken. Without the chicken it is perfect as a side dish at your summer bar-b-cues or picnics. Personally, I love it with just veggies but my husband prefers it with chicken. Give this healthy and nutritious pasta salad a try this summer. Spend more time outside enjoying the summer than in the kitchen over a hot stove. You and your family will love it. Even the kiddos will ask for seconds. Enjoy! Salad Ingredients: • 1 box of Ancient Harvest Penne Pasta • Optional: 2 cups of cooked pastured, organic or all natural chicken, shredded (I used a rotisserie chicken) • 1 pint of organic grape tomatoes • 1 medium zucchini, sliced and slices cut in half • 1 medium yellow crookneck squash, sliced and slices cut in half • 1⁄4 of a red onion, sliced very thin and slices cut in half • 1⁄2 of a yellow bell pepper, coarsely chopped • 1⁄2 cup of Kalamata olives, sliced

AUGUSTA MEDiCAL EXAMINER

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JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

Pharma cy 4 11

Looking for Likes in all the right places.

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

LET’S GO ON VACATION (WITH OUR MEDICINE) - PART I

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t’s the middle of vacation season, so let’s take a couple of issues and talk about the proper way to take your medicines with you when you travel. We will start with airline travel precautions and then follow up with cruise lines and other forms of travel. You have to be careful when travelling by air, since the destination will have an impact on the regulations you must follow. For domestic flights (travel within the United States), the Transportation Security Administration (TSA) is the governing body. They will allow you to carry medicines in your carry-on bag with the following restrictions. Solid dosage forms such as tablets and capsules are allowed in unlimited quantities in either checked or carry-on bags, while liquids are restricted in carry-on bags. You can get around the 3.4 oz. rule for liquid medicines if the amount is reasonable for the flight. They do not have to be in a zip-lock bag, but the TSA screener must be told ahead of the screening process that you have a medically necessary liquid in your carry-on bag. Other liquids can be put in checked baggage. You may be subjected to additional screening and may be asked to open your medicine bottle as part of the screening process. The TSA does not require labelled prescription bottles and vials for medications, but in the case of a liquid it is smart to have a label. Also, check with the individual states you will be travelling to during your trip, since each state has different labelling requirements. In the case of controlled substances, I think most states require a labelled vial or bottle. Ask your pharmacy if you can get an empty labelled vial for your controlled substances that will hold only the amount required for your trip. This can save space in a number of cases. During TSA screening an X-ray machine is used to scan personal items, so if you do not want your medicine subjected to X-rays request a manual screening before any items enter the X-ray machine. The TSA recommends that all medicines to be carried onto the plane be kept with you in your carry-on bag. This will prevent problems such as lost luggage, and will allow access if a need arises during the flight. Remember, this information is valid only for flights that

NEED HEARING PROTECTION WHEN YOUR GARAGE DOOR GOES UP? WE CAN FIX THAT

are confined within the United States. International flights are regulated by the U.S. Customs Service and the laws of the foreign countries to which you are travelling. We will discuss international travel in the next issue. We will also discuss what the regulations are on cruises as it relates to the departure port and other factors. A quick look at state laws gives us the following general rules. Non-controlled prescription items can be possessed without being in an officially labelled container. The obvious example is M-T-W-T-F-S-S AM/PM pill minders. Another example: in North Carolina there are different requirements if you are on probation. Be sure to check with your destination state about this issue as to the letter of their law if this issue applies in your case. Any controlled substance always needs to be in the original vial with label intact. I would recommend that everyone carry a printout from your pharmacy showing all medications you are prescribed and that you are traveling with. This way if an overzealous agent looks at your pill minder with many different pills in it, you can show a list that accounts for all of them. Be sure to add any vitamins or over-the-counter supplements to your list. I would make a duplicate list and staple it to the original printout or have it in the same envelope. Be sure to check your specific state of travel as each state can vary on the letter of the law. +

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Questions about this article or suggestions for future columns can be sent to us at cjdlpdrph@bellsouth.net Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson (cjdlpdrph@bellsouth.net )

But please, stop calling us drug lords.

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JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

Ask a Dietitian DON’T LOSE TODAY AND THEN LOSE MORE TOMORROW by Sohailla Digsby, RDN, LD. Recently on a flight, I sat by a middlle-aged woman with a dreamy smile on her face. She was traveling alone, heading somewhere exciting, I imagined. I was reading nutrition literature like I always do when I fly to conventions to present. The article I was studying caught her eye and she told me she was heading to the Biggest Loser Ranch for a week. I was a little surprised at her destination, considering the dreamy expression I mentioned. She knew that many hours of rigorous daily workouts were ahead of her, as well as extremely minimal meals. After chatting for a bit, I realized the smile was one of hope. Hope for a fresh start. The show, The Biggest Loser, indeed brings hope and excitement to many viewers as they watch contestants transform completely, losing hundreds of pounds over about 6 months of intense workouts and tightly controlled diets. But do you ever wonder about how the next 6 months turn out for them, and the 6 months after that, or even the next 6 years? I don’t wonder. I have worked as a dietitian and fitness pro for about 20 years, so I have watched the trend of outcomes first-hand. Too often I see that hope is held out for what turns out to be fleeting, and not without consequence. Recently, a study was released that compares the initial outcomes of 14 men and women from the 2009 Biggest Loser season to their current status in terms of weight and metabolism. When the contestants concluded their made-for-TV regimen, they had lost an average of 128 pounds. Six years later they have gained an average of threefourths of the lost weight back, and some have gained beyond where they started in 2009. Weren’t they stronger post-training? Perhaps their muscle strength had increased, but metabolically, they were weakened. Metabolism regulates one’s calorie-burning efficacy throughout life. When contestants left the show, their resting metabolic rate (RMR) had decreased by about 24%. Six years later, researchers

evaluated RMR again to learn it had not recovered. The once-enthusiastic contestants now have to work even harder to control their weight: reduced metabolism is their unfortunate, ongoing partinggift. What about their motivation: was it weakened as well? Instead of making step-bystep lifestyle changes that would set them up for ongoing success, they were led to shortterm victory by hype and an extreme regimen that would be unrealistic to maintain once home. This research suggests that extreme measures are not the route to lasting weight loss and overall well-being. (Even those who can hardly see past their class reunion weight goal don’t want a compromised metabolism six years down the road - having to work 24% harder just to burn the calories they would have naturally burned prior to engaging in such extremes). As a dietitian who is often called in as the “cleanup crew” after the painful and inevitable slide off the mountaintop, I suggest “majoring on the majors” with persistence. Consistency is key, with simple, realistic steps for those looking for lasting change - for those who want to feel good in their skin and operate at their personal best. My “lifelong strong” approach requires

honest self assessment and accountability, and trains participants to keep their eyes on the prize (rather than just the scale). The prize is enjoying life at one’s best. The goal of most dieters may simply be to look their best in their jeans, but over time, being one’s best also means feeling good about choices made every day and operating optimally at work and home without suffering from the mental torment of unrealistic goals and the physical evidence of a compromised metabolism. “The best” is different for everyone, and may change from one season of life to the next. It considers the balance of life’s best big-picture, and doesn’t let one important aspect of well-being suffer on account of another. +

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JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

MILESTONES… from page 6

ONLINE… from page 1 hours a week spent staring at screens. At least. A CNN report by Jacqueline Howard broke down the numbers in more manageable terms: Every week has 168 hours. Work takes up 40 of those hours (not counting commuting), sleep at seven hours a night is 49 more, “and if we assume all personal care — such as eating, bathing, dressing, preparing food — is three hours a day, then we have 58 hours a week left over for all other things.” If we’re devoting 50 of the supposedly remaining 58 hours to media for entertainment purposes, when do we play with our kids, talk to our marriage mate, read, pursue a hobby, keep up with the news, exercise or play sports, attend worship services, or volunteer in the community? Or as Teddy Wayne wondered in a June 11 article in The New York Times, when do we just sit and think? In “The End of Reflection” he noted the many moments of an average day that “in a previous era were once occupied by thinking or observing my surroundings... Now, though, I often find myself in these situations picking up my phone to check a notification, browse and read the internet, text, use an app or listen to audio.” This is observable even in traffic: look around you at red lights. How many heads are turned downward, presumably looking at phones? How often does the car in front of you remain motionless for the same reason when the light turns green? I know what you’re probably thinking: “This doesn’t apply to me. I’m not one of those screen addicts.” Perhaps you are not. Then again, a 2015 study measured smartphone use in two ways: how much people said they used their phone versus what an app installed on

What’s good for kids is, in this case, good for grown-ups too. We could all do with a little less screen time. their phones actually recorded. All responses by survey participants averaged out to 37 smartphone uses per day (defined as anything that turns on the screen). The actual number was 85. As the Times article pointed out, if someone is awake for 16 hours a day, 85 times shakes out to interacting with your phone about once every 11 minutes. Although that might sound like a lot, it isn’t all that surprising. Many people check their phone or Facebook account as the last thing they do at night and the first thing they do upon waking. Plenty of others sleep with their phones and will wake up to investigate that random chime at 3:00 a.m. What it all means With few exceptions, screen time is pretty much the same as couch time. Studies have linked screen time with obesity and all of its attendant ills like higher risk of diabetes and heart disease. For kids, excessive media time has been clinically linked to poor sleep habits, poor school performance and behavioral issues. Kids of even recent decades spent their summers and after school hours playing baseball, football and basketball, swimming, building forts, riding bikes, walking the dog, playing catch, flying kites, playing

tag and hide-and-seek, and in a thousand different ways pretending. Today much of that has evaporated, replaced by video games. In their proper place video games are extremely fun. That’s why they’re so addictive. But they can take over people’s lives, robbing sleep, ruining health, stealing social skills, and dulling mental acuity. Lifelong patterns of inactivity can be established. As mentioned at the outset, these devices aren’t going away. They are important tools of modern-day life. Resistance may seem futile. But speeding is ubiquitous and cops don’t seem to be throwing in the towel. Neither is the American Association of Pediatrics. They know children spend an average of 40 hours per week playing video games and watching TV, but they’re sticking to their recommendation that kids 2 years of age and up should spend a maximum of 2 hours per day looking at a screen. (Below age 2 their recommendation is zero.) Hopefully you’re reading this article in the Medical Examiner’s online edition. If so, now would be an excellent time to hit the off button and go for a walk. Or maybe draw a chart so you and your family can manage your daily screen time. +

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who at the time was being treated for cancer, alas, unsuccessfully • March 16: 2nd-graders from the Martinez Elementary School class of Leslie Nordmann told us what germs are and drew pictures of what they look like, an educational experience for one and all. • June 1: Man of the Year Felix Hoffman donned the tiara to begin his well-deserved reign. After all, the man invented aspirin. • Sept. 7: Are you supposed to pull over to the side of the road for a passing funeral procession by law or is that just tradition? We gave readers the straight scoop. • Nov. 2: The front page story was all about numbers, which can be fascinating. Examples: If a person spent a million dollars a day beginning on the day Jesus was born, he would not yet have spent one trillion dollars; we can detect odors at concentrations as low as one part in 30 billion; red blood cells die and are replaced at the rate of about 2 million per second. • Nov. 16: We again blasted University Hospital for having designated smoking areas. What is this, 1960?

2013 • Jan. 4: An anonymous reader sent in his story for Medicine in the First Person. The title: “The Life and Death of a Pothead.” The struggle is real. • Jan. 4: A debut in that issue was the column “Medicare Matters,” written by Trisha Whisenhunt. Trish is still going strong, and the column has morphed into one entitled “Old News.” • Feb. 1: The front cover noted a dubious achievement, and America is leading the way: For the fi rst time in known human history, deaths from obesity are higher than deaths from malnutrition. • March 15: The cover story was about placebos and the placebo effect. Fascinating stuff.

• May 3: Our total circulation since Issue #1 surpasses 1,000,000 copies • July 12: Alisa Rhinehart and her recipe column premieres with a delicious and healthful Low Country Shrimp & Grits recipe. • Nov. 1: We profi led medical pioneer and Georgia’s own Crawford Long, the man who brought us anesthesia and along with it, much less screaming.

2014 • Jan. 10: We got 2014 off to a rousing start by recognizing The Best — and the worst — Body Parts of 2013. The MVP Awards were led by The Buttocks, a body part we use far too much, followed by The Stomach and The Thumbs, without which texting would be so much more difficult • Jan. 24: We followed up that issue with “Popular Anti-Resolutions for the New Year,” things like “Watch more TV,” “Reduce exercise,” and “Cut back on healthy foods.” Reverse psychology at work. Yes, we’re subtle sometimes. • Feb. 21: With reader input, we gratefully recognized a dozen doctors of distinction who serve patients in the Augusta area. • Oct. 17: For Issue #200 — woo hoo — we profi led the end of the line in healthcare, interviewing Linda Ashley, a funeral director and embalmer at Kinsey & Walton Funeral Home. We do know how to celebrate. We’re running out of patting-ourself-on-the-back space, but 2015 and 2016 are recent enough that we can dispense with them anyway, even though they have seen some cool developments, like the May 15, 2015 launch of the “Who is this?” series on keynote characters in medical history, and the January 8, 2016 debut of The Advice Doctor. He’ll get an answer right eventually. We hope. Thanks for reading! +

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JULY 15, 2016

11 +

AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Kathryn Hayes on May 23, 2016 at themighty.com

4 WAYS TO BE KIND AND AVOID AWKWARDNESS AROUND YOUR FRIEND WITH DIABETES When I was diagnosed with type 1 diabetes in 2007 in high school, I felt bombarded with awkward interactions involving my newfound illness. People didn’t know how to act, and I still sense an uneasiness from people as an adult. When my diagnosis was fresh, these experiences stung and made me feel weird and misunderstood. So here are four ways to be kind to your diabetic friend.

“This is what I have to do to stay alive.”

1. Don’t ever judge food choices! This is number one for a reason. It is beyond rude to say to someone, “Are you sure you can eat that?” Can you imagine saying that to someone on a diet? It’s the same for diabetics. Unless you are their doctor or their parent, don’t judge. You don’t know if they are on a meal plan and they’ve worked it in, if they are celebrating a personal victory (a great A1c! Yes!) or if they are just having a bad day and need a little break. You just don’t know. 2. Be interested. When I was fi rst diagnosed I had all this equipment I had to figure out and bring with me everywhere. I had to learn how to test my blood sugar, calculate how much insulin I needed and give myself needles. Now I wear a pump and a continuous glucose monitor and it makes me smile every time someone is interested in how they work. They are incredible! I’m proud to use them and grateful for how they make my life easier. I love talking about them. 3. Don’t be grossed out. As much as I love when people are curious, it is the worst when someone responds with horror, like I’m a train wreck with multiple fatalities. Back when I had to use needles, I used them at every meal. That means at school or anywhere I happened to be eating. And if you expected me to go to the bathroom to take some insulin, talk to the hand, people! It is just a tiny needle. It is as gross as Sleeping Beauty pricking her finger on a spindle. Get over it! Repulsion is not kind. I can’t tell you how many peoples’ eyes pop out of their heads at the sight of someone poking themselves. This is what I have to do to stay alive. It’s not gross. It’s not wrong. It’s essential. 4. Get to know them deeper. No one is the sum of their health. Just like someone in a wheelchair is more than a wheelchair. Everyone wants people to know who they really are. Sometimes what’s right in front of you can take precedence over what’s under the surface. If people want to talk to me just because I’ve got a medical device stuck to me, that’s not going to make me feel very good. I am more than just diabetic. I have a perspective that is interesting and unique and this is true of anyone with any kind of obvious illness or disability. So don’t judge, take an interest, be kind and use common sense. Make a friend by being a friend. We are all in this together! + Kathryn Hayes lives near Washington D.C. with her husband and three sons. She was diagnosed with type 1 diabetes in 2007.

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There’s no doubt we live in The Information Overload Generation, and here’s a book that we haven’t had time to read yet, but we Googled some information about it. According to some online reviews — hold on, an e-mail just popped up.... okay, never mind, it was just a pitch from Dillard’s for a sale this weekend. Anyway, I believe we were saying that we live in a very informative time in human history. If I haven’t mentioned it previously, there is more information available now than at any time in human history, so much so that it would take many centuries just to read what’s on the Internet — even if we were to read ten hours a day (which would represent a 20 percent reduction from how much time we’re spending now). I’ll tell you this much: my wife and I were having a conversation about this very subject a couple of weeks ago. I specifically remember it because it was during a commercial that played just before halftime of that big game. Anyway, I don’t think we’ve had a conversation since, but we definitely had that one. It was about this very subject and we were pretty much talked out before the

commercial ended. I mean, there is so much to talk about you can’t even begin to cover it, so why start? It’s pointless. Personally, we like to text each other, even if we’re sitting side by side watching TV and surfing the Internet. It has kept our marriage minty fresh all these years. You can say a lot in 140 characters or less, you know? You don’t get all bogged down with messy emotions. Emoticons are quicker. Some people say the Internet has shortened people’s attention spans, but that’s not true. I was on YouTube the other day for hours.

But anyway, I read part of a review of a review of this book, and from what I could figure out, it’s like he might be saying the Internet is frying our brains or something, which is like totally untrue and everything. People can still be deep and stuff. You should see some of the stuff on Twitter. But like I was saying — wasn’t I? — it’s stupid to think the Internet is making us dumb. If it is, how did we find out about this book? Is he saying his own book is dumb? You can even get an e-version of this book. Honestly, we’re probably not going to read this book. If we want to be insulted by total strangers we can get on Facebook.And besides, this book has 276 pages. That’s a lot. It probably doesn’t even have any pictures. No sir, we’ll pass on this one. We can wait for the movie. + The Shallows: What The Internet Is Doing to Our Brains by Nicholas Carr, 276 pages, published in 2010 by W.W. Norton & Company NOTE: This Examiner review originally appeared here on Jan. 20, 2012. Since then the book was nominated for the Pulitzer Prize in non-fiction.

Research News A migraine breakthrough It was René Laennec, our “Who is this?” subject (page 4) who said without a diagnosis there can be no treatment. But even an accurate diagnosis can only go so far. A cause of the diagnosis is crucial. That has long been one of the obstacles to preventing migraine headaches. Doctors have long wrestled with exactly what triggers migraines: is it primarily a vascular issue (related to blood supply) or neurological? A new study by the International Headaches Genetics Consortium analyzed data from 22 studies which included over 65,000 migraine sufferers in more than a dozen countries. Their findings suggest vascular and muscle problems (not nerves) play the key role in causing migraines. While doctors have long realized that every migraine patient is different and what works for one patient is

completely ineffective for the next, researchers feel the study will help divert treatments away from unusual triggers and focus on what is most likely to work. That’s music to the ears of migraine sufferers, for whom every minute of ineffective treatment can be excruciating. Bad manners kill Well maybe not kill, but they can certainly sicken. That’s the news from our neighbors up the road at Clemson, where researchers explored the consequences of violating the “No doubledipping” rule. You know the rule: when you dip your chip into the salsa, that’s it. One dip per chip. Subsequent dips require a fresh chip every time. Clemson researchers bit a chip, dipped it into sterile water and then measured bacteria in the water. They also dipped whole, unbitten chips (the control group).

The results were surprising. Compared to the whole chip water, the water into which the bitten chips were dipped had 1,000 more bacteria per milliliter of water. They performed the same experiments using salsa, cheese dip and chocolate syrup. All three had elevated levels of bacteria after the simulated double-dip, but the salsa bacteria level was five times higher than the other two. The reason: researchers think that the watery consistency of salsa means that contaminated post-dip drips fall back into the bowl, something that doesn’t happen with the thicker cheese dip. Study authors caution that it’s not likely to be a life-anddeath issue, but remind people that anything from a cold or flu all the way to the plague can be spread by saliva. Getting sick or not can be a simple coincidence — or who you go to parties with. +

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JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

Whew, this weather has been sizzling.

Absolutely scorching.

by Dan Pearson

I’m going to a plastic And there is no surgeon tomorrow for a relief in sight. break from this heat.

How’s that Haven’t you seen the going to help? ads for coolsculpting?

The Mystery Word for this issue: ERY W BLEATT

THE MYST

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Sharon Jones backer 4. Augusta visitor of old 8. White of the eye 14. Famous Ernie 15. Century plant 16. Type of justice 17. Two months ago 18. Poet 19. Take part in, as in battle 20. Peach follower 22. Three days aft. 34-D 23. Injure 24. Legal adjective 29. Shun 31. Tavern 32. Your sister’s daughter 33. Negative vote 34. Used to be 35. Center lead-in 36. Coloring material 38. An undertaking with risk 40. Grand ___ 41. Rank; putrid 43. Drug drips 45. Depart 46. Its capital is Cairo 47. Wood sorrel 48. Jackets’ intro 50. The next tech trend: _____ tech 52. Blocker prefix 53. Prefix with day or night 54. Helped or encouraged 57. Wan 61. Jack of classic TV 62. Conclusion 63. Downtown street 64. Lees 65. Food label abbrev. 66. Corroborate; affirm 67. Advise (Archaic) 68. Type of milk or sauce

21 24

33 37 42

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DOWN 1. Slightly used new car 2. Having wings 3. Hitchcock classic 4. Loose sleeveless outer garment 5. Clock descriptor 6. Theater in Washington, D.C. 7. ____ Talk 8. Javelin 9. Carry on 10. North ____ 11. Bush Field abbrev. 12. Manipulate; tamper with 13. Bandage type 21. Secretary of State under Reagan 22. Temp. 24. Dave the Brave (1989-1996) 25. Title of a knight 26. Division of a school year 27. Glacial epoch 28. Former name of Sri Lanka 29. Jackson’s first name

30. Journey 31. Prefix meaning all-inclusive 34. Four days after 22-A 35. DOE site 37. New Age singer 38. A and B, for example 39. Light type (Abbrev.) 42. Arrest response? 44. Crafts partner 47. Medical College on Telfair 48. Walton’s first name 49. Odor ________ 51. Bathroom fixture 52. Wearied by dullness 54. Like some necessities 55. Internal prefix 56. June 6, 1944 57. _____ Tour 58. Nouveau intro 59. Permit 60. Harper of note 61. M.D. desk ref. Solution p. 14

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

8 9 2 1

4 8

1 5 6 7 2 8 2 1 7 2 3 4 8 4 3 2 9 4 5 1 7

U D O K U

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

Use the letters provided at bottom to create words to solve the puzzle above. All the listed letters following #1 are the first letters of the various words; the letters following #2 are the second letters of each word, and so on. Try solving words with letter clues or numbers with minimal choices listed. A sample is shown. Solution on page 14.

I 1 2 3 4 5 6

1 2 3 1 2

1 2

E 1 2 3 4 5 6 7 8 9

1 2 3 4 5 — Christopher Lasch

1 2 3 4 5

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

SAMPLE:

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

L 1

O 2

V 3

E 4

I 1

S 2

B 1

L 2

I 3

N 4

D 5

WORDS NUMBER

THE MYSTERY WORD

JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

13 +

THE BEST MEDICINE ha... ha...

nock, knock! Who’s there? Control freak! Control— Stop, stop! Okay, now you say, “Control freak who?”

Moe: I hate to brag, but I have the perfect son. Joe: Does he cuss? Moe: Nope. Joe: Does he smoke? Moe: He wouldn’t dream of it. Joe: Does he drink whiskey? Moe: He hates the stuff. Joe: Does he disobey or talk back? Moe: Never. Joe: Wow, I guess you really do have the perfect son. How old is he? Moe: He’ll be six months old next Tuesday. Ten soldiers are camping in the forest when they capture two enemy stragglers. They tell the two, “Normally we kill enemy troops, but today is your lucky day. We’re in a good mood, so we’re going to let you go - on one condition: you have to make us all laugh.”

The two enemy soldiers think this is a very fair offer, so the first one starts telling a hilarious joke. Nine of the soldiers laugh their heads off, but since one didn’t — and a deal is a deal — they have to kill the first enemy soldier. The second guy is understandably very nervous now, so he ends up telling a very mediocre joke very badly. This time the only one laughing is the same guy who didn’t think the fi rst joke was funny, so the second enemy soldier met the same fate. Puzzled, one of the soldiers asked, “How come you laughed at the second joke? I thought the fi rst one was a lot funnier.” “I agree,” said the soldier. “It just took me a minute to get it.” “Soldier!” “Yes, sir?” “I didn’t see you at camouflage training today.” “Thank you, sir!” Moe: Where can I learn to make ice cream? Joe: Sundae school. Moe: Why are proteins so cranky? Joe: Probably because they’re made up of mean ol’ acids. What do you get if you cross a rabbit with a hippo? A reprimand from the ethics committee and the immediate loss of your funding. What lies at the bottom of the ocean and twitches and fidgets constantly? A nervous wreck. +

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

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

ON THE ROAD TO BETTER HEALTH A PATIENT’S PERSPECTIVE Editor’s note: Augusta writer Marcia Ribble wrote a long-time column in this paper entitled The Patient’s Perspective reincarnated in this new format. Feel free to contact her at marciaribble@hotmail.com Going out to retrieve the newspaper before sunrise this morning, the street lights were still on and a haze of fog surrounded them, casting murky shadows like one of the fi rst scenes in the fi rst Harry Potter movie. The feeling was so similar that I half expected a character from the movie to emerge from the shadows and capture the lights from all the poles on my street, snuffing out the lights, so Hagar could safely deliver the infant Harry Potter to his Muggle aunt and uncle. I remembered how the mystery of that moment took time to unfold and create understanding, and the laughter later as the owls brought hundreds of letters from Hogwarts for Harry. I might forget what I had for breakfast yesterday morning, but those memories of having a rich imagination are such a pleasant diversion. Feeling that playful imagining as throwback to childhood, it set me to giggling and enjoying the déja vu of the moment. At 72 it’s still fun to recognize the child parts of myself that all those years of living, no matter how difficult they may have been, have not managed to snuff out. Being in touch with the person that I still am, linked up to a long chain of memories. Drinking my coffee I retrieved the memory of sobbing when Heidi was finally able to go back to her beloved Grandfather and her real home in the mountains. I remembered her taking a soft white bread roll to Peter’s grandma who had trouble eating the rougher doughs of the whole grain breads available to the mountain people. That thought connected to today’s world in which we now choose to eat those whole grain breads because they are actually healthier for us. Go figure! I am obviously not a child now or I wouldn’t have survived and raised five children. But in order to be a whole person at my age, all of me needs acceptance and love. And that awareness brings me to a new and delightful return to my childhood self—adult coloring books. Those coloring books make possible a lovely expansion of our present selves by reincorporating a childhood experience, while simultaneously upgrading that activity to a much more sophisticated level. When I fi rst started to hear about them, I was hesitant to give them a try. I still recall my childhood experiences of coloring outside of the lines, feeling I had destroyed the page in the coloring book and setting it and my crayons aside as a worthless endeavor. I worried a little about whether I’d feel similar feelings of frustration and failure. But one day a few weeks ago I was at the store to buy a bunch of Pilot G2 gel pens for my puzzle books and I decided that I could afford a small investment in learning something both new and old. The coloring book, colored pencils, colored inks, and paint pens sat on my dining room table for close to three weeks before I sat down to try them out. Guess what? I still color outside the lines sometimes, but it no longer matters. I found out that I love seeing the colors emerge. I enjoy thinking about which colors are appealing when next to one another in the picture. Interestingly, the experts on healthy aging say that some ways to avoid or at least delay dementia involve being willing to engage one’s mind, to learn new things, to remain involved in the world. Applying a little creative imagination to coloring books is one of those ways. My friend Jerry quilts, and her quilts are a masterpiece of placing colors in juxtaposition. Her mind ought to last well into her centenary years. +

OUR NEXT ISSUE DATE: AUGUST 5

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JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED Kid’s Stuff ACATION V R E M M N SUlast issue was: ISinOour The MysteryWWord D R O Y ER TABLET THE MYST

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

...very cleverly hidden (in the bricks) in the p. 16 ad for AUBEN REALTY APARTMENTS However, we had no winner! Want to find your name here next issue? The new Mystery Word is on page 12. Start looking!

The Celebrated MYSTERY WORD CONTEST ...wherein we hide (with fiendish cleverness) a simple word. All you have to do is unscramble the word (found on page 12), then find it concealed within one of our ads. Click in to the contest link at www.AugustaRx.com and enter. If we pick you in our random drawing of correct entries, you’ll score our goodie package! SEVEN SIMPLE RULES: 1. Unscramble and find the designated word hidden within one of the ads in this issue. 2. Visit the Reader Contests page at www.AugustaRx.com. 3. Tell us what you found and where you found it. 4. If you’re right and you’re the one we pick at random, you win. (Winners within the past six months are ineligible.) 5. Prizes awarded to winners may vary from issue to issue. 6. A photo ID may be required to claim some prizes. 7. Other entrants may win a lesser prize at the sole discretion of the publisher.

The new scrambled Mystery Word is found on page 12

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I don’t know about you, but I sweat like it’s my superpower. I can completely drench myself even if I am not working out really hard. Just sitting in my hot car is enough to force those salty beads of sweat to surface on my upper lip and forehead. With all my sweating, I am very conscientious about hydrating myself. Very few things feel as bad as a dehydration headache. Fortunately, I am a fish when it comes to drinking water. I have a pretty good thirst mechanism and sometimes I’ll even drink water just because I’m bored. But I am finding that many people are not like me. They are what I call “camels” who can somehow go for hours, even an entire day, without the urge to drink anything. Usually they feel fine if they are not overexerting themselves or exposed to a lot of heat, so they will be relatively asymptomatic despite being dehydrated. Over time they have acclimated themselves to this state. This can be dangerous because if someone who is already dehydrated loses more water, severe dehydration can occur and hit hard. Symptoms can include headache, nausea, drowsiness, dry mouth, increased heart rate, “seeing spots,” generalized weakness, and dizziness with standing. Some people

report feeling like their heart is pounding. If dehydration is severe, alterations in mental status or fainting can occur, and if not corrected quickly, can result in hospitalization. Water comprises a greater percent of a person’s body weight than anything else. So when a person has not taken in enough fluids, the entire body suffers. Tissues become dry, normal metabolic functions are impaired, and blood becomes thicker and more difficult to circulate throughout the body. As a result, the heart needs to pump harder and faster

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. MEDICAL OFFICE Large brick twophysician office for sale or lease. Newly renovated, convenient, very busy location in charming Aiken, South Carolina, just 15 miles from Augusta. Call Kay at (803) 270-1740 FOR SALE 3 bedroom/2 bath, single garage Townhouse in Martinez. Master/ bath down, 2 upstairs bedrooms share bath, large loft for office, playroom, den; wood-burning fireplace, covered back porch. Freshly painted with new flooring, lighting and ceiling fans. Easy access to Riverwatch Parkway, Washington Rd, I-20, Augusta. 1987 sq.ft. $147,900. 706-836-7001. ROOM FOR RENT 1 room, private bathroom, 2bdrm MH on private lot. Clean quiet neighborhood. Non-smoker. $600 monthly. Must be stable, verifiable references and income. Cable and Internet included. Warrenville, 5 min from Aiken, 20 min to Augusta. (803) 270-2658 POND VIEW! Evans all-brick 2-story with solar panels. Avg. electric bill $170 in Northwood, 3,400 sqft. Call 1-800401-0257, ext. 0043 24/7 for price and details. AUGUSTAGAHOMESEARCH.COM Foreclosures • MLS • Builders • Rentals (706) 564-5885

MISCELLANEOUS SUNSET MEMORIAL GARDENS Opening and closing at Sunset Mem. Gardens in Graniteville. Sale: $760 (Value: $1520+) Call 706-736-0596

THE PUZZLE SOLVED

ANTIQUE maple dinette set with buffet corner cabinet table with pull-out leaves. Four chairs with two captain’s chairs. Excellent condition. $300. Double bed early 1930s with mattress spring coverlet shams $150. Call (706) 860-2170 WANT TO BE HEALTHY? (Energy, weight loss, mental clarity) Go to gethealthyat.le-vel.com See video and Facebook. Sign free as customer. BEING PAID WHAT YOU ARE WORTH? Then make more money! Watch movie all out interview: ExtraMoneyInterview.net CEMETERY SPACES (2) Sunset Memorial Gardens, Graniteville SC adjacent to lighted military flagstaff, includes granite bench with urn space, installation and inscription. All $4700 ($8600 value). Spaces only: $2700. Call (803) 2953033 FISHING CLUB wants more grey-haired members. Meet 2nd Thurs of month at Harbor Inn Restaurant, 12 noon. “Adventure Before Dementia” Info: (706) 736-8753 PET CARE in Martinez-Evans area. Dogs to 40 lbs, $15.00. Cats (1-3), $15.00 For interview/information, phone 706829-1729

SEE PAGE 12

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

The Sudoku Solution

SERVICES HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706-267-9947 BIBLE BY PHONE - Free daily Bible readings; for Spiritual Encouragement and Growth. Call 706-855-WORD (9673)

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.

Please see KID’S STUFF page 16

Our next issue date: Aug. 5

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

— Christopher Lasch

JULY 15, 2016

15 +

AUGUSTA MEDiCAL EXAMINER

WHAT NEXT … from page 1 to do this for you because of the kids...” etc., etc, ad nauseum. This person is giving the addict the power. The message the addict gets is, “I know I can keep this up becasue you still love me even when I drive you up a wall.” The Provoker is selfexplanatory: “Stop that...If you don’t quit I’m gonna tell your boss...You’re just a sorry husband...You make me feel like getting drunk myself... For the hundredth time I’m telling you I’m gonna kick you out if you drink one more time.” Yada, yada, yada. The addict knows The Provoker

will not make good on any of these threats because they never have done so. Words mean nothing, actions mean everything. The best thing a loved one or family member can do to support the addict/alcoholic in recovery is to just live a good life. Sleep well, eat well, exercise well, have a clear boundary, and take off their T-shirt that says “Please Wipe Your Feet On Me.” You see, addiction is a family disease, like a clotheshanger mobile. Remember those? When any one element in the family system gets offbalance, the balance of the

whole system goes haywire. When one member of the family upsets the balance of the system, other family members move from their stable and established positions of balance to try to

restore equilibrium. In the process they only further disrupt the balance. The addict wouldn’t be able to keep practicing his or her active addiction if all in the system would just fi rmly

maintain their positions. I would highly recommend a self-help program such as Al Anon for affected family members. Locally, call 706860-8331 for their schedule or go online to Al-Anon.org. +

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

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PROFESSIONAL DIRECTORY ALLERGY

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

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

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

DENTISTRY

DERMATOLOGY

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

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

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

FAMILY MEDICINE

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

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

PHARMACY

YOUR LISTING HERE

SENIOR LIVING

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

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

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

VEIN CARE

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

WEIGHT LOSS

I+

M.E.

PSYCHIATRY

+ 16

KID’S STUFF… from page 14 in order to compensate, and this can be perceived by the dehydrated individual as a pounding or racing heart. To make things more complicated, the dehydrated state can decrease the amount of blood returning to the brain to help it do its daily work. As a result, dizziness, “fogginess,” and mental impairment can result. If a dehydrated person stands up too quickly, fainting can occur. The symptoms and severity of dehydration can be especially dangerous in children. Children cannot recognize signs and symptoms of something such as dehydration the same way an adult can, and can be confused about why they are feeling bad. They can also have trouble articulating their need for fluids to a caretaker. Furthermore, children manifest signs and symptoms of fluid depletion and volume loss a little differently than adults, so it can be more difficult to recognize dehydration in a child. But because of their smaller size and overall smaller

JULY 15, 2016

AUGUSTA MEDiCAL EXAMINER

everything, dehydration can affect them more profoundly than it would adults. For this reason, it is especially important to monitor fluid intake and loss in children. Fluid losses don’t necessarily need to occur in the form of sweating or from exposure to heat; increased urination, illness, fever, diarrhea or vomiting can all lead to substantial losses that will need vigorous rehydration. Regular water is never ever a bad option, but if a child is particularly at risk for dehydration, special drinks like Gatorade, Powerade, Pedialyte, or any drink that contains water as well as electrolytes will be helpful. Soda and juice are less desirable, since soda has almost no nutrient content

and juice is packed with sugar. At the end of the day, however, any fluid is better than no fluid, especially with the heat that characterizes Augusta during the summer. So I urge everyone who reads this article today to be mindful of staying hydrated and to be especially mindful of keeping the little ones around us hydrated too. Summer is one of the most enjoyable times of year, especially if you don’t spend it in the Emergency Room. Stay cool, Augusta! +

HEALTHY HABITS ARE CONTAGIOUS

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