July24 15 by Daniel Pearson

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9 Easy Ways to Lose Weight What is the best way to lose weight? The easiest way. It’s amazing how complicated people sometimes make it. Instead, here are 9 simple strategies. 1. Lose the liquid calories No more mini-buckets of sugary beverages. Try water instead. 2. Stop snacking Get your crunch from carrots or celery sticks 3. Eat slowly and stop before you’re full To lose weight, all most people need to do is simply eat less food. Slowing down gives your brain time to register that you’re full when you actually are, not ten bites later. 4. Eat more protein, since protein keeps you fuller for longer, among other benefits. 5. Eat more high volume foods Hunger always wins, so eat foods that are higher in volume and that keep you fuller longer, like fibrous green vegetables, lean protein, low fat dairy, low sugar fruit, potatoes, and other roots. 6. Reduce refi ned sugar intake Most people would benefit immensely by reducing refined sugar intake. A little here and there is permissible, but not too much. 7. Lift weights A little strength training is a great way to firm up and to burn calories. Baby steps, then bigger steps. 8. Drink caffeine, since it helps suppress appetite. But make coffee your caffeine of choice, not sugary colas. 9. Have a preset plan to cheat Every diet fails at some point, so plan on it. In fact, create it, perhaps with one guilt-free cheat day/meal per week. One sensible cheat day/meal per week is not going to overpower 6 other days worth of diligent dieting, so don’t self impose unrealistic and unsustainable restrictions. +

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.

3 boys die on Riverwatch T

his is not going to be about the June 1 crash on Riverwatch Parkway that took the lives of three young boys, one age 9, the other two just 8. It’s actually about you and me. The accident, in brief, happened when one vehicle turned left into the path of the other, and was a fixture in news reports for nearly two weeks: three funerals were held in succession, accident reconstruction teams investigated exactly what happened, and eventually charges were filed against both drivers. The fact that children were killed made the story especially heart-wrenching. Since the basic causes were identified — speeding, plus both vehicles ran the red light — it felt like it was a major wake-up call for area drivers. A noticeable drop in both of those behaviors might have been expected around town, even if temporarily. Have you noticed that? At Medical Examiner world headquarters here in Augusta, we have not. We continue to see aggressive driving well in excess of posted speed limits, both on area interstates and major surface roads. It is also amazingly common to see the red light ahead of you change green, and then to see one or two vehicles — sometimes as many as three — zip across the intersection. In any context that is unacceptable driving, but in the aftermath of the fatal Riverwatch collision, that is just sheer contempt for the lives and safety of others. Here is a suggestion from the Medical Examiner: every single time a green light turns yellow as you approach it, dedicate your stop as a tribute to the memory of three little boys who died as innocent passengers in a terrible wreck. +

JULY 24, 2015

9 Ways to Feel Healthier And a few extras thrown in at no additional charge. • Make your bed every day • Have fruit smoothie for breakfast • Skip your coffee and have herbal or green tea instead. • Keep anything artificial and packed with preservatives and other chemicals out of your diet. • Meditate for at least 5 minutes. • Hug someone. It releases endorphins, the feel-good hormones. • Unplug all your devices for at least one hour. • Spend time in nature: go for a walk in a park or by the river. • Drink plenty of water. • Avoid high sugar/high fat combination foods, such as traditional cookies, ice-cream, milk chocolate, cheesecake, etc. • Eat a side green salad with your lunch and dinner. • Eat your lunch outside in fresh air rather than at your desk near the computer. (See p. 2) • Snack on fiber-rich and antioxidant-packed fruits and/or berries. • Watch your posture at all times, but especially when you’re sitting. • Get a massage. • Think of five things to be grateful about in your life. • Smile at strangers. It will give a positive boost to your mood. • Make someone laugh. • Read a book that inspires you. • Clean up your workspace; it will help you be more focused and productive. • Listen to classical music. Studies show it boosts cognitive function. • Sleep at least 7 to 8 hours a night. +

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What is Vitamin D? It is is one of four fatsoluble vitamins (meaning that it is stored in fat when it isn’t being currently used by the body); the other 3 being vitamins A, E, and K. These vitamins are different from the water-soluble vitamins, such as vitamins B and C, which are excreted in urine when the body is not using them. Vitamin D plays many important roles in the body, all of which ultimately contribute to normal growth and development. Children and adults both need plenty of vitamin D to stay healthy, but because children are growing and developing more, it is especially important for their bodies. Vitamin D helps the body absorb and use calcium, keeping bones strong; it helps our immune system fight infections; and it keeps general metabolic processes running smoothly. When our bodies don’t have enough vitamin D, a multitude of health problems can exist. Bones become weak, brittle, and soft, making fractures easy. In children, this is called rickets, and the classic sign is bowing of their legs, although this manifestation is rare to see in developed countries like the U.S. A child does not need to suffer from full-blown rickets to still have a deficiency and associated consequences, though. Studies have shown vitamin D deficiency not only causes poor bone health, but it also contributes to the development of diabetes, thyroid problems, and increased vulnerability to infections. Vitamin D deficiency has also been linked to problems with calcium levels, increased incidence of certain cancers, including breast and colon cancers, high blood pressure, and depression. What makes Vitamin D different from all the other vitamins, both the fat- or water-soluble ones, is that it can actually be made in our own bodies. All that is required is sunlight. The ultraviolet light that is emitted from the sun causes a chemical reaction in our skin that produces an early form of D, a precursor form, which travels to other parts of the body, where it undergoes further chemical reactions, and

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is ultimately converted into the final form of Vitamin D. The version that can be eaten or taken in the form of a vitamin pill can also undergo these reactions to make the final product, so it can be a good substitute if exposure to sunlight is difficult or not recommended. So if vitamin D can be made with sunlight and stored in the body’s fat reserves it sounds easy enough to keep up a sufficient supply, right? Well, that’s just it – most people aren’t getting enough sunlight these days and are not getting any vitamin D in their diets either. Babies whose mothers were vitamin D deficient during pregnancy are likely deficient themselves, as are the babies who are exclusively breast-fed and not receiving any supplementation. Older children can also be deficient if they are not being fed a proper diet, and teenagers can especially be at risk as their dietary habits are commonly less than nutritious. How can we remedy this? Pregnant women should be mindful to ensure they have enough Vitamin D in their own bodies to share with their babies, and exclusively breast-feeding moms should give their infants proper supplementation as recommended by their doctors. In older children, milk fortified with Vitamin D can be a good source of both calcium and vitamin D, which doubles the health benefit. Otherwise, the most simple and cost-free method of maintaining good Vitamin D levels is to get some sun periodically. Current studies show 10-15 minutes of sun exposure in between the hours of 10am and 3pm is adequate for Vitamin D production. It is important to guard against harmful sun exposure and be mindful of the risk developing skin cancer, so any sun exposure longer than 15 minutes should involve the use of sunscreen and skin protectants. Of course, the key to anything in life is moderation, but my guess is that almost everyone would feel better if they got a little more sun and a little more Vitamin D in their lives. It’s D-lightful! +

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JULY 24, 2015

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CSRA Parkinson Support Group

This Month in

MEN’S HEALTH

WHAT: A viewing of the film “Awakenings” complete with popcorn followed by a discussion on research and other topics.

Guys, let’s face it. We can sometimes be a little stubborn about going to the doctor. Or maybe “cautiously and judiciously reluctant.” Better? The solution — well, a partial solution — will be found right here in the second issue of the Medical Examiner every month. A real live doctor with real live answers. Right here. Tune in!

THE AXIS OF ACCESS

Tuesday, July 28, 2015 at 6:00pm

WHERE:

St. John Towers dining room 724 Greene Street Augusta, GA

CONTACT: Mary Ann Navarro (706) 364-1662 NOTE:

JULY TUESDAY

This event is free and open to the public.

28 +

medicine is practiced. Doctors and patients already converse over multiple phone-based video chat platforms now. This interactive relationship will eventually evolve into using a projected holographic interaction. Yes, I said hologram. The implications of this are tremendous, because it means that health care providers with the right framework can get anywhere there is a high speed data connection to take care of an issue. Instantly. One of your patients was admitted to a hospital out of the country? No problem. Plug in, and you’re right there in their hospital room with them. Diseases are changing very little, yet the tools and capabilities to rapidly diagnose and treat them makes me even more excited for the healthcare environment of our future. Whether one is a busy CEO or an uninsured migrant laborer, both deserve more than just healthcare access. They deserve the best outcome possible, and as rapidly as our medical landscape changes it may not matter as much which hospital a provider decides to work in, because sooner rather than later, people all over the world could be in our online waiting rooms with the push of a button. + Dr. Darren Mack is a graduate of the Medical College of Georgia at Georgia Regents University and is a urologist at Augusta Urology Associates. He is accepting new patients at the Augusta and Evans offices and can be reached at (706) 722-0705. Photo:David Russell Photography

EDITOR’S NOTE: Beginning with the next installment of Dr. Mack’s column (Aug. 21), the focus will broaden from strictly men’s health issues to general health topics. +

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. + 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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Recently a physician colleague of mine discussed his first professional dilemma. He has two job prospects: one, a private metropolitan hospital very crowded with internal competition and pressure; the other, a large public teaching hospital with a predominantly underserved, indigent population. These jobs are light years apart, although he would be technically practicing the exact same specialty at each one. What struck my friend about the decision was not the difference in salary or call; it was the prospect of returning to a hospital that he swore he would not set foot in after he was done training there! I asked him, “What would make you feel more fulfilled, taking care of a CEO who has prostatitis and demands that something be done about it in less than fifteen minutes, or explaining to an emaciated and terrified man in the charity ward of the public hospital that he is dying of kidney cancer? Who needs a doctor more?” With that perspective, there wasn’t much competition between which hospital’s patients needed my friend’s medical skills more. The limited access to treatment at the public hospital means more patients with advanced disease. When it comes to men’s health, however, access is not the only problem. Thankfully, advances in medical technology are helping us take both broader and more efficient care of patients with a multitude of barriers to care. Even in our Affordable Care Act era, insurmountable obstacles for the uninsured and underinsured can result in poor outcomes. Access and insurance coverage, however, are just the first steps. Already, men are less likely than women to have a primary care physician, which puts the overwhelmed front lines of medicine under even more strain. The diagnosis, management, and treatment of medical disorders often requires multiple providers, diagnostic tests, and facilities. As our healthcare information systems move into one nebulous cloud of data, we are moving closer to integrating both primary care and specialists to more efficiently care for everybody. Twenty years from now, a great deal of medicine will literally be handled in a virtual examination room, far different from the way traditional modern

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

(706) 860-5455 www.AugustaRx.com • E-mail: graphicadv@knology.net +

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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.

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

OLD NEWS

Who is this man?

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his installment breaks the rule: you may have heard of this man. His name was Henry Wellcome. He was born in Wisconsin in 1853. When he was 8 years old, the town he then lived in, Garden City, Minnesota, was attacked by Sioux Indians. Henry helped his uncle, owner of the town’s drug store, care for the wounded, triggering a lifelong interest in pharmaceuticals. He studied pharmacy and went to work as a salesman for McKesson & Robbins in 1876. But in 1880, at age 26, Wellcome founded a pharmaceutical company with fellow student Silas Burroughs, naming the company Burroughs Wellcome & Company. After graduation, Burroughs had traveled to London, and because of this Burroughs Wellcome had an international footprint from its very inception — and great success. The fledgling company built its immediate success on something brand new in medicine: pills, or as Wellcome labeled them then, “tabloids.” Before Burroughs Wellcome, most medicines were administered in powder or liquid form. A British artist and explorer, William Brockedon, was regularly exasperated by the crumbly graphite in pencils he used for sketches as he travelled the world. He devised a method of reducing the graphite to fine powder and then compressing it for superior lead. Burroughs saw its potential in medicine and hired Brockedon. The tabloids were an instant success, both as a marketing tool and as a way to ensure more accurate standardized dosing in medicine. Burroughs Wellcome also introduced the concept of direct marketing to doctors, giving them free samples of drugs, and is credited with the introduction of first-aid kits and medicine chests. With complete control of the company upon the untimely death of Silas Burroughs in 1895 at age 48, Wellcome funneled the company’s vast profits into a variety of directions: establishing medical research laboratories, funding archeological excavations in the Middle East, and most notably, acquiring what may be the world’s largest collection of medical artifacts. The Wellcome Collection accumulated more than a million objects, books and other artifacts documenting the history of medicine (including Napoleon’s toothbrush) during Wellcome’s lifetime, many of which are still on display in London at the Wellcome Library, the Wellcome Collection, and at London’s Science Museum. Wellcome became a British subject in 1910, and was knighted in 1932, the same year he was named an Honorary Fellow of the Royal College of Surgeons. Before his death in 1936 at age 82, Wellcome established The Wellcome Trust, still the largest charity in the UK and the second largest medical research charity in the world. The company Henry Wellcome started in 1880 was one of the four large pharmaceutical firms which in 2000 merged to form GlaxoSmithKline (after Glaxo’s 1995 merger with Burroughs Wellcome to become Glaxo Wellcome — by 1999 the world’s third-largest pharmaceutical company — and then the 2000 merger of Glaxo Wellcome with SmithKline Beecham to form GSK). +

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by Trisha Whisenhunt, Senior Citizens Council

RETIRED AND STILL WORKING

he first of the 79 million Baby Boomers to reach the minimum retirement age did so in 2008. However, many are likely to continue working full or part-time as consultants, starting their own businesses, changing to new careers or going back to school. More retirees are volunteering than ever before. In a survey conducted by AARP, 80 percent of respondents said they were planning to work past the age of 65. Many do it for the money or health benefits. Baby Boomers are expected to live longer than previous generations, but many have not saved nearly enough to fund their retirement years. There are other reasons to return to the workforce beside the paycheck. Some seek more meaningful work than they practiced in their careers, some want to hone their skills, others to contribute to their community. Some re-enter the work place for a desire to stay mentally and physically active. Only a third of working retirees are performing work for pay due to the state of the job market. A huge number of

Baby Boomers will be retiring over the next couple of decades. Who will take their place? The number of workers ages 45-64 is expected to increase by 52 percent, while workers age 35-44 will decrease by 10 percent according to the Bureau of Labor Statistics. Demand for good, solid employees is expected to exceed the available labor force as Boomers retire. Many large employers are already developing databases of retirees who want to work. One company, Mitre, headquartered in both Bedford, Massachusetts and McLean, Virginia is a government contractor that manages federally funded research and development centers for the Department of Defense, the Federal Aviation Administration and the IRS. They began a retiree program

in the early 1980s because there was a growing concern that it could lose too much institutional knowledge as its work force retired. Flexibility is one of the key words for both employers and Baby Boomers. They want flexible hours so they may have time to enjoy their family and friends. They want to pursue their leisure activities and travel. They don’t want to work as hard or as long as they once did, but they don’t want to spend all their time in a rocking chair or even on the beach. Going back to work after retirement can bring a changed attitude as well. When a person was young, working to get ahead and raising a family, the focus was paying bills. Now the pressure is off and the older worker is doing a job they really want to do and finding a different level of fulfillment in what they have to offer. A book titled “Age Power: How the 21st Century will be Ruled by the New Old” states that “It’s a relatively fascinating notion of the second half of the 20th century that retirement is a wonderful thing and that you are entitled to be happy, no matter how long you live.” The word retire is defined as to go away, retreat or withdraw. It’s clear that the Baby Boomers are changing that definition. They are living longer, looking younger, are healthier, more active — and they are employed. +

MYTH OF THE MONTH You can damage your ears by holding in a sneeze The odds of doing so aren’t exactly high, but hearing damage is definitely possible. Consider this: research subjects have been asked to sneeze without covering their nose and mouth. Just let ‘er rip, they are told; the nastier the better. Instruments have measured the results at about 100 mph. No wonder it is so important to cover! Considering that a sneeze packs such velocity and does it abruptly — this is not a steady gale, it’s an explosion — it’s easy to see the potential for damage trying to suppress that kind of energy and redirect it into the tiny passages of the Eustachian tube and middle ear.

People are not often seriously injured, but temporary hearing loss, vertigo, and tiny ruptured blood vessels in the eyes and the brain are not uncommon. Even if no injury occurs from suppressing a sneeze, consider its purpose. The body is trying to expel an irritant. The sneeze stifler is trying to defeat this natural defense mechanism. That does not make a lot of sense. Better to be like those research subjects: let ‘er rip. Just be polite enough to cover. + — by F. E. Gilliard, MD, Family Medicine 639 13th St Augusta, GA 30901 706-823-5250

JULY 24, 2015

AUGUSTA MEDiCAL EXAMINER

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

he FDA (Food and Drug Administration) makes sure that any drug brought to the US market is reasonably safe for the consumer. I am told that if you had a one-pill cure for cancer, to meet all the FDA requirements and to get their approval to release it to the public would take 5 to 7 years and could cost $400-$600 million. Certainly we wish to be safe, and we want FDA to have prudent oversight of any new drug. But those numbers mean any new drug coming to market is very expensive. All bureaucracies, including the FDA, tend to have a few things in common: their primary objective is their own survival, expansion of their bureaucratic power, and increasing their size. For example, Homeland Security was set up to make sure our airports are safe from terrorists. They estimated they needed 15,000 employees to handle the job. Two years later they had k

ABOUT SIDE EFFECTS WARNINGS OF MEDICINES 65,000 employees and were still growing. The good news is that we’ve had no airliners blown out of the sky or buildings dive-bombed by passenger jets. The FDA is gradually increasing its reach and grasp, which in many cases is a good thing. On the other hand, it is thought by some that if aspirin (acetylsalicylic acid) was discovered today it might never gain FDA market approval because of the side effects, such as gastric bleeding and interference with warfarin therapy for blood clots. Or consider a better example: what if somebody today invented alcohol. With side effects such as addiction, cirrhosis of the liver, mental dysfunction, gastric ulcer disease, being a major cause of vehicle crashes (there were 112 million “alcohol-impaired driving episodes” in 2012, according to government statistics), and the tendency to lead to marital disharmony, divorce, and the FREE T AKE-H OME C OPY!

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t s e B failure of many businesses... Could alcohol survive FDA scrutiny and make it to the marketplace? Most likely alcohol, if approved, would be a Schedule I controlled substance right alongside heroin. But because of politics and the Average Joe use of alcohol, it is not considered a drug for the FDA to supervise and is commonly sold anyone who is legally of age. Aspirin and alcohol are easily obtainable by anyone who wishes to purchase them. The FDA is requiring that certain products have a “black box” warning attached to the label. Unfortunately, the general population does not read the black box warning much more often than they do the U.S. Constitution. That is a shame on both counts. One the problems of reading black box warnings or looking on the Internet to find side effects of a certain medicine is that the average person is not highly skilled at reading those and understanding exactly what the terminology means.

e n i c i d ME

When FDA-approved clinical trials are performed for marketing, any side effect that occurs must be listed. If one thousand patients are tested and one has nausea and vomiting, this must be included in the side effects list. Does this mean that you will have nausea vomiting if you take the drug? No, it does not. It means statistically you have a 1 in 1,000 chance. Another way of putting it is that 999 patients out of 1,000 did not have nausea and vomiting. Does that mean you should take the drug? Or should not take the drug? That is the individual decision that needs to be made between the physician with his years of experience and the patient with their personal feelings, weighing the potential advantages against the possible disadvantages. That is not easily done. That’s why medicine is an art as well as a science. When you take a medicine, you should educate yourself by speaking with your physician, your pharmacist,

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and reputable sources of information. Side effects can be serious business. However, just because the side effect is listed does not mean it is likely to occur. Most often side effects are something to be aware of and understood, but without great significance to the majority of the population. To conclude on a much lighter and more humorous note, here is an Internet posting that circulated recently among many medical personnel: Why can’t we have just one drug warning label that says, “May lead to multiple, prolonged orgasms”? After all, today, Viagra is marketed to treat erectile dysfunction by producing intermittent priapism. Originally this was considered a negative side effect, but the drug company learned they could make more money by focusing on the side effect than the original Viagra product for hypertension. + Bad Billy Laveau is a formerlyretired MD who wields a pointed sense of humor and now, tongue depressors too. He speaks and entertains at events for audiences not subject to cardiac arrest secondary to overwhelming laughter and glee. BadBilly@knology. net or 706-306-9397.

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The Augusta Medical Examiner’s publisher, Daniel Pearson, has published a semi-monthly newspaper continuously in Augusta since 1990, longer than any other publisher in Augusta except the gentleman to the right, publisher of The Augusta Chronicle, “The South’s Oldest Newspaper,” founded in 1785. We’re still wet behind the ears, but proud to have served readers for a quarter of a century.

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“You can’t kill him!” W

hen my son Brian was seven years old, he had a beloved dog named Sam. Sam went everywhere with Brian. I always knew that Brian was safe when riding his bicycle in the neighborhood because Sam accompanied him and was extremely protective. One day while at work I received a phone call from a cousin who was retired and lived across the street from me. He told me that Sam had hurt himself attempting to jump over the fence in my yard and did not clear it, landing on its sharp edges. He said I needed to come home immediately since Sam would not let anyone touch him. Upon arriving home, I found Sam still hung up on the fence. He was calm with me, and we were able to lift him from the fence. He had severe abdominal

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I’ll never forget that reunion. injuries. About this time, Brian arrived home from school and wanted to come with me to take Sam to his veterinarian. The staff at the animal clinic helped us get Sam inside. After examining Sam the doctor pulled me to the side and said, “Sam is injured badly and my recommendation to you is to put him to sleep.” Unfortunately (or fortunately), my son overheard this and through tears looked at the doctor and then me and said, “You can’t put my dog to sleep, you can’t kill my dog!” The doctor and I looked at each other. I said, “Doctor, please do what

you can to save Sam for my son.” He said, “You will be wasting your money.” My response was, “Do you see my son? He will never forgive me or you if we don’t try to save his dog. His emotional health is worth more to me than the money. I realize Sam probably won’t survive the surgery, but my son will know we tried. That will mean the world to him and help him to heal from his loss.” My son and I left Sam in the care of the doctor. On the way home Brian said, “I know Sam is going to be OK.” The doctor called later to tell us that he had performed surgery on Sam but his internal injuries were significant. He was not hopeful about Sam’s survival but would keep us informed. Two days later while at work I received a call from the doctor.

He said, “I can’t believe that I’m telling you this, but Sam is going to make it. You can pick him up tomorrow and I will instruct you about his care.” The next day, I went to pick Sam up. He was heavily bandaged around his midsection but greeted me with a hardy wag of his tail. The doctor said “I can hardly believe this miracle, but Sam made it.” Sam and I walked to my car. I opened the door to the front passenger seat and Sam climbed in abd looked around, seemingly saying, where is Brian? As I drove home with Sam eagerly looking out the window, I marveled at this God-given miracle. Brian was an only child and Sam was everything to him. God created animals just as he created human beings. They are also the beneficiaries of miracles fostered by love. Upon arriving home, Brian ran to the car to greet Sam. The reunion was a sight to behold, never to be forgotten. Compassion, love and prayers did indeed produce a miracle. Lesson learned. + — by Juanita L. Burney Augusta, Georgia

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Who c ares? APRIL

18, 20

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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.

-HOM E CO P Y! TM

• MED

JANUARY 9, 2015

ICINE

• WEL

LNESS

Who is this? See page 3.

S Specific

M A Measurable

Achievable

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 24, 2015

AUGUSTA MEDiCAL EXAMINER

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I’m sure if you grew up anywhere in the South you remember an abundance of fresh tomatoes and cucumbers in the summer. When I was growing up, we always had a platter of sliced tomatoes, cucumbers and cantaloupe at every meal, even breakfast. I also remember the yummy Tomato Cucumber Salad that my mom would put together as a side dish. Tomatoes, cucumbers and onions marinated in an oil and vinegar dressing. I’m sure that this dish will be on many a Southern table throughout the rest of this summer, such a fresh and healthy recipe that is super easy to prepare. Of course, I love the freshness of this traditional salad just the way it is, but I had to give it my own twist. I added a bit more flavor with the Kalamata olives, feta cheese and oregano. I also used a sprializer for the cucumbers instead if simply slicing them and I think it made the salad more visually appealing. If you don’t have a spiralizer though, slice the cucumbers any way you choose. This dish is so versatile. I actually served it as an appetizer with toasted pita good stir to mix well. • 3 Tbsp. of red wine vinegar bread for a Girls Night Out a In a small bowl whisk • 1-2 tsp. of agave nectar few weeks ago. They loved it together the olive oil, red • 1/2 tsp. of dried oregano and there was none left before wine vinegar, agave nectar, • 1/4 tsp. of garlic powder dinner was served. garlic powder, oregano, salt • 1/4 tsp. of salt ( I used Real Give this fresh and healthy and pepper. Salt brand) salad a try this summer. I’m Pour the dressing over the • 1/4 tsp. of cracked black certain you’ll love it! veggies and toss to coat well. pepper Place in the fridge to chill Ingredients slightly and allow to marinate Directions • 3-4 medium English at least 15-30 minutes before Wash and spiralize (or slice) cucumbers, spiralized serving. + the cucumbers...leaving the or sliced thinly (English peel on. Place into a large cucumbers have a thinner Alisa Rhinehart writes the blog mixing bowl. peel) www.southerngirleatsclean.com Wash and slice the grape • 1 pint of grape tomatoes, She is a working wife and mother tomatoes in half and place sliced in half living in Evans, • 1/4 of red onion, sliced very into the bowl with the Georgia. Visit her cucumber. thin blog for more recipes Slice the red onion very • 1/3 cup of pitted and sliced and information on thin and place into the bowl Kalamata olives clean eating. with the other veggies. • 1/4 - 1/3 cup of Feta cheese Add the olives and feta crumbles • 1/4 cup of extra virgin olive cheese crumbles to the bowl and give all the ingredients a oil

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OUR NEXT ISSUE The Examiner is published on 1st and 3rd Fridays

AUGUST FRIDAY

AUGUSTA MEDiCAL EXAMINER

Pharma cy 4 11

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 24, 2015

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.

HOW TO HELP PREVENT PHARMACY ERRORS

errors. The most important thing you can do as a patient is to ask oday we are going to look at medical errors that occur in the retail pharmacy setting. We will also look at ways for the questions if anything looks different than what you expected. If the color, shape, size or markings of the medicine you receive is patient to help protect themselves from taking a prescription different than the same medicine in past prescriptions, call your that contains an error. pharmacist and ask if you received the right medicine. With multiple In the late twentieth century the Institute of Medicine (IOM) manufacturers and the incredible number of medicine backorders released its findings on medical errors and made proposals over the past few years, there is always the possibility of the to reduce errors in the medical field in the United States. The manufacturer of the medicine changing from one refill to the next. report was apply titled To Err Is Human and highlights why the IOM’s aim is not to eliminate all errors from the healthcare field. The next step is to read your prescription label, as well as the Physicians, pharmacists, nurses and important information sheets that come with your prescription. Make sure all other members of the healthcare that the drug name and physician field are human after all, and try as name is correct on your label, we might, an occasional mistake and that the data on your info will happen. The purpose of sheets match up with what you these reports and proposals is were seeing the doctor for. Again, to learn from our mistakes so we call if there is any discrepancies, make fewer mistakes in the years since sometimes medicines are used to come. Based on the report’s Every year some 2.5 billion prescriptions are filled by pharmacies; for what is called an “off-label” use. recommendations, Congress appropriated $50 million to create a the CDC reports 700,000 ER visits and 120,000 hospitalizations each year Off-label use is both common and are caused by adverse drug events (not necessarily errors). legal. What is it? Let’s say the FDA Center for Patient Safety to analyze has approved a certain medicine for errors and develop protocols to a specific use — let’s say lowering blood pressure — but an “offprevent as many mistakes as possible from being committed. This label” side effect has been noticed: people who take it experience will help ensure patient safety and reduce medical costs in the fewer migraine headaches. If someone gets it prescribed for country as a whole. their headaches, they might notice on the package info that it’s There have been many studies on pharmacy error rates and there designed to treat high blood pressure. That would be an excellent have been as many different results as there are studies. The latest reason to call your pharmacist for double-check. large studies show an error rate of about one percent. I have seen Pharmacists would rather answer a hundred phone calls about reports showing much less than this in previous years, but that just different-looking pills than have one patient take the wrong goes to show the variation between studies from year to year. The medication. One other way patients can help prevent errors is studies also show that the vast majority of pharmacy errors are to learn your medicines. You should know why you take each caught in the pharmacy, so the double-check system is working. medicine, what it looks like, and its name, even if pronunciation is Although zero errors is always the goal, it is often not attainable since pharmacies are staffed by humans. Research has shown that difficult. the response taken when errors occur is important. People should Working together we can all make the pharmacy a safer place. + be held responsible for their errors, but a punishing attitude is counterproductive. Learning from our mistakes is still the best Written for the Medical Examiner by Augusta pharmacists Chris and policy. Lee Davidson. Questions, comments and article ideas can be sent by So let’s look at how you can protect yourself from medication email to cjdlpdrph@bellsouth.net

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ARKS

HARMACY

Hometown. Not big box.

437 Georgia Avenue, North Augusta, SC

803-279-7450 parkspharmacy.com

JULY 24, 2015

AUGUSTA MEDiCAL EXAMINER

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

BREAKFAST BITES

by Benjamin Sisic, MS,RDN,LDN, Dietetic Intern Graduate Augusta Area Dietetic Internship, University Hospital Breakfast means “to break the fast.” Breakfast is actually a more recent term and came into the vernacular around the 15th century with its definition of a morning meal. Before this change, dinner was actually the first and only meal eaten. Because there was no artificial light yet, dinner was eaten around lunchtime. The term lunch did not exist before the 19th century. Breakfast did not become popular until the 16th and 17th century, when coffee and tea were made more available. Historically, the ancient Egyptians, Greeks, and Romans ate some kind of morning meal. Ancient Egyptian peasants ate beef, bread, and onions in the morning. They needed it before pulling giant stones and assembling them into pyramids. Ancient Greeks were more versatile and commonly had figs, olives, bread, and wine (for dipping bread) for breakfast, or what was known as ariston. Ariston was the meal eaten before doing the days chores. Interestingly, the Greeks also ate Tigenites, or pancakes made of wheat flour, olive oil, honey, and curdled milk. The ancient Romans ate ientaculum. It usually consisted of foods from the evening meal before and could include cold meat, raisins, nuts, salads, olives, cheese, bread, and mulsum, a mixture of wine, honey, and spices. The Roman soldiers ate a sort of

porridge made from roasted spelt wheat or barley, which they called pulmentus. Once religion spread throughout the world, breakfast fell out of favor due to the belief that eating breakfast was a sign of gluttony. However, eating breakfast was acceptable when a nobleman traveled and the ban on breakfast was also revoked when a king was on religious pilgrimage. The idea was that it was much harder to come by good food during travels compared to the food that was available at home. Once caffeinated beverages became popular around the 16th and 17th century, breakfast enjoyed a comeback as biscuits and cookies make a great accompaniment to coffee and tea. Breakfast is important for, well, breaking the fast. The fasting period is from the last meal or snack eaten before bed and lasts until the next meal is eaten. For many, the fasting period lasts approximately 10 to 12 hours. For those who skip breakfast, it can last up to 18 hours. With an extended fasting period the body enters into a catabolic state where lean tissue and fat is broken down to supply fuel for the brain in the form of glucose and ketones and to maintain homeostasis. Breaking the fast is, therefore, important to quickly bring in fuel and nutrients and initiate anabolism, which is the building

up and remodeling of the body. Other than bringing in fuel and nutrients and kick starting anabolism, eating breakfast has been shown in research to have multiple benefits over breakfast skipping. For instance, breakfast eaters tend to have a lower body mass index (BMI) and a lower waist circumference. BMI is a comparison of your weight to your height. For example, if a person is 5 feet 10 inches tall and weighs 170 lbs, his or her BMI would be about 24.5. A normal range is between 18.5 and 25. If your BMI is less than 18.5 you are considered underweight, and if it is 25 or above you are considered overweight. Both a high and low BMI increase disease risk, but a high BMI predisposes a person to lifestyle diseases such as heart disease, diabetes/pre-diabetes, cancer, high blood pressure, depression, and others. (Note on BMI: BMI is used to study large scale population and not individuals. Also, older adults with a BMI slightly higher than 25 have better longevity.) Waist circumference, too, is a predictor of lifestyle diseases and it is an independent risk factor outside of BMI. A waist circumference of less than 37 inches for males and less than 31.5 inches for females is ideal. Anything above those measurements increases disease risk. While the reasons that breakfast eaters have lower BMI and waist circumference have not been discerned, some prevailing ideas concern caloric intake and appetite. Breakfast eaters distribute their calories more evenly throughout the day and are less likely to overload the body with excessive calories at any one meal. Breakfast skippers, on the other hand, consume a large amount of calories in the evening and consume more calories from junk food. In addition, eating breakfast decreases appetite throughout the rest of the day. Another reason that eating breakfast confers a protective benefit may be due to increasing

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insulin sensitivity. Insulin is a hormone that is released in response to glucose (from carbohydrates) and amino acids (from protein), though it is much more affected by glucose. Insulin is like a key: it travels to a cell, unlocks the doors, and lets glucose and amino acids enter to do their work. Over time our cells become less responsive to insulin due to age, sedentary lifestyles, poor food choices and poor sleep habits,

among other reasons, and we may become insulin resistant. Insulin resistance is a hallmark in diabetics. Additionally, data from the Nurses’ Health Study that included over 46,000 participants suggests that skipping breakfast or eating breakfast irregularly increases the risk of diabetes. More bad news comes from a study done by Farshchi et al (2005) Please see BREAKFAST page 10

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JULY 24, 2015

AUGUSTA MEDiCAL EXAMINER

BREAKFAST… from page 9 in which they took breakfast eaters and had them skip breakfast for 14 days. After the 14 day period, they were given a lunch and had their postprandial insulin measured. A postprandial measurement is the measurement taken 2 hours after the last meal. What the researchers found was that the participants’ insulin was higher than usual, which means that it took more insulin to cover the same amount of glucose and amino acids than if the participants had not skipped breakfast. So the question is this: what can we do to maintain a healthy BMI, control appetite and calorie intake, and improve insulin sensitivity, particularly if someone has diabetes? Part of the answer is simply eating breakfast. The other part involves how much and what we eat for breaffact. Luckily we have some research to help us. Ever hear the old adage “eat breakfast like a king, lunch like a price, and dinner like a pauper”? A study published last year in the Journal of the American College of Nutrition sheds some truth on those wise words. Researchers divided participants into two groups and put them on a reduced calorie diet for a 3-month period with the same macronutrient distribution (55% carbs, 30% fat, 15% protein), but with a twist. One group consumed 70 percent of calories in the first part of the day distributed over breakfast, lunch and a snack, and the rest of the calories — 30 percent — with dinner and a snack. The other group consumed 45 percent of their calories for dinner and a snack. What the researchers found was that the group who ate most of the calories in the first part of the day improved their insulin sensitivity and had greater fat loss. In more good news, studies have shown that a protein-rich breakfast decreases appetite, increases satiety, and leads to greater weight loss compared to a standard protein breakfast. This in no way implies a high protein diet. The typical American, if they eat breakfast, will usually consume about 10 grams of protein for breakfast, 20 at lunch, and 60 at dinner. Distributing protein more evenly throughout the day in 30 gram portions may be more advantageous and confer a protective effect on health. To sum it up, a study published in Obesity Biology and Integrated Physiology demonstrated that a big breakfast rich in protein and fats improved glycemic control in type 2 diabetics, reduced A1c (a long term measure of blood sugar), and lowered needs for medication. Now that’s good news! +

PET VET J

WHEN PIGS FLY

ust so you know right up front, this edition of Pet Vet isn’t going to be about pigs flying. It’s going to be about flying dogs and cats. But the headline was too tempting to resist. When a family move or vacation includes air travel and our four-footed furry friends Fido and/or Fifi, there are a few factors that can make it a much smoother experience for all concerned — and when we say all concerned, we’re talking mainly about the pets, not the humans. For starters, let’s see if simplicity will work: can you bring your pet on as carry-on luggage? “Yes,” might very well be the answer. Obviously the answer is a resounding no for a Saint Bernard, but a small dog or cat that can be kept in a crate small enough to fit under your seat or on your lap is allowed by many airlines. What about your airline? Communication is very important. You don’t want to just show up on travel day carrying an unannounced Yorkie. This is a matter to discuss with the airline even before you make your reservations. Among the possible issues: • your pet’s age. Federal regulations require pets to be at least 8 weeks old and to have been weaned at least 5 days before flying. • your pet’s health. Most airlines require a health certificate by a veterinarian based upon an examination done no longer than 10 days prior to travel.

READ THE MEDICAL EXAMINER — AND MUCH MORE — AT THE MEDICAL EXAMINER BLOG

or, if that isn’t possible, at least try to find flights that don’t involve plane changes. • your pet’s size. Big dogs (or, harkening back to our title, pet pigs), obviously cannot fly in the cabin with people. They will have to be in a crate in the hold. By federal law, airlines cannot accept a pet for travel unless they can guarantee temperatures your pet is exposed to will not drop below 45°F or rise above 85°F for more than a maximum of 45 minutes. As mentioned earlier, communication at every step of the way, from prereservation information gathering to final boarding, is extremely important, and we aren’t just talking about between you and the airline. Your veterinarian should also be involved at every appropriate step along the way. It’s a good idea to reconfirm everything with the airline the day before travel, and to

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• your destination. Flights to foreign countries raise potential issues that can be identified and resolved by contacting the destination country’s embassy here. • travel time. Whenever possible, book nonstop flights,

allow extra time by arriving at the airport earlier than normal. Other important items to consider: • make sure the crate — whether it will ride in the hold or with you in the cabin — has a secure closing device so it will not open accidentally. • line the bottom of the crate with absorbent material for obvious reasons, using blankets or towels that your pet is accustomed to if at all possible. • as mentioned in last issue’s article about land travel with pets, be sure your pet is well acclimated to being in its crate long before traveling. The more you can do to associate being in the crate with pleasant experiences, the easier it will be when the crate becomes its mobile home. • put a leash on your pet before placing it in the crate, and make sure its collar is secure. Consider a halter collar if escape has been a problem in the past. • just as placing identification inside luggage is recommended in addition to the outer ID, it’s a good idea to have additional identification on your pet (perhaps on its collar) and inside the crate which should include your complete contact information. • inquire at both departure and arrival airports about pet walking areas, since you’ll want to visit those as late as possible before boarding and as soon as possible after landing. • ask your veterinarian about travel foods and specific feeding instructions. An empty stomach or only a very light feeding is usually recommended for pets before travel. • even if your pet is riding in the hold instead of the cabin, advise the gate attendant and after boarding, the flight attendants of that fact. You may get prioritized or expedited departure privileges when the plane lands. +

JULY 24, 2015

11 +

AUGUSTA MEDiCAL EXAMINER

From the Bookshelf The blog spot — Posted at the blog Ascultation (nslijmdblog.com) by cardiologist Ira Nash MD, FACC, FAHA, FACP on November 4, 2014.

SOMETIMES “SORRY” IS ALL IT TAKES In my administrative role, I have the great pleasure of signing thank you letters to patients and family members who have acknowledged the great care they have received by one of our physicians or other caregivers. It is a nice way to tell the patient “we got your note” and to simultaneously recognize the provider by copying her or him. The best part is that I get to read the patients’ letters, which are filled with gratitude, and remind me of the great privilege we have to make a positive difference in the lives of our patients. Sadly, I also have to deal with the occasional patient complaint. Although these are clearly a lot less fun to address, they also point out the impact that we have on the lives of the patients and families that we serve. I recently had a complaint referred to me that reminded me of another important lesson about dealing with patients. An attorney had called on behalf of a family member for whom we had failed to provide timely and compassionate care. As a result, the patient suffered unnecessary pain, heightened anxiety associated with a possible delay of a needed procedure, and the frustration of dealing with an unresponsive office. Not a pretty picture. I called the attorney to get the details, and started the conversation by sincerely apologizing for the experience her loved one had had. I told her that I was also interested in the details so that I could provide constructive feedback to the care team, and perhaps use her experience to improve care for future patients. I was a bit startled when she replied, “you know, all I really wanted was for someone to apologize. Thank you so much for calling.” In retrospect, I don’t think I should have been as surprised by her reaction as I was. It doesn’t take a rocket scientist – or a malpractice attorney – to figure out that most patients who have had a bad experience are not looking for compensation or “revenge.” They are looking for compassion and for validation. They want us to recognize that we treated them poorly, that we did not intend to do so, that we care about them, and that we will try to do better. Sometimes “sorry” is all it takes. +

An attorney called...

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Kirkus Review: “A doctor’s experiences in a unique corner of the medical world.” At Laguna Honda Hospital in San Francisco, the doctors and nurses provide long-term care for the sick poor; the working and living environments are unlike that of any other hospital in the country. Physician Sweet accepted a job at Laguna Honda since they were willing to offer her a part-time position (extremely rare at the time), and she was interested in continuing to practice medicine while simultaneously pursuing a doctorate in the history of medicine. What was originally supposed to be a months-long stopover turned into a career spanning more than 20 years and countless life-altering realizations about the nature of medicine. In the dozen or so patient success stories, Sweet’s warm, anecdotal style shines brightest. The author’s compelling argument for Laguna Honda’s philosophy of “slow medicine” will make readers contemplate if perhaps the body should be viewed more as a garden to be tended rather than a machine to

be fixed. UTNE review: At Laguna Honda Hospital in San Francisco, the last almshouse in the United States, health care is almost unrecognizably, well, hospitable. A nurse knits blankets for the patients in her care, and multi-bed wards invite positive social interaction between the long-term and the terminally ill. Time is an ample resource for gardening, for community, and, most importantly, for healing. But even this oasis of humane care is not free from the pressure to maximize efficiency:

A changing administration threatens to pull Laguna Honda into the fast-paced world of modern medicine, where doctor-patient relationships are sacrificed and hospital stays are cut to the minimum. This is where Dr. Victoria Sweet discovers that inefficient health care—the kind that allows a doctor to make an unhurried and accurate diagnosis, and to demonstrate commitment to the patient’s healing process—may be the most cost-effective approach. Sweet paints a dynamic portrait of Laguna Honda over a 20year span, taking sabbaticals for a PhD in Hildegard von Bingen’s premodern medicine and a 1,200-mile pilgrimage to Santiago de Compostela that inform her philosophy on the merits of slow medicine. God’s Hotel by Victoria Sweet is at its core testimonial to the body’s remarkable ability to heal when it is provided with the simple ingredients of time and care. +

God’s Hotel — A Doctor, A Hospital, and a Pilgrimage to the Heart of Medicine by Victoria Sweet, 432 pages, published in 2013 by Riverhead Books

Research News Why nobody can eat just one You’re going to eat just one French fry. That’s what you tell yourself. And so that’s what you do. But then you eat a second one. And a third. And then you not only polish off them all but you want more. Why? Research teams that included the University of Georgia published their answer to this question earlier this month at the annual meeting of the Society for the Study of Ingestive Behavior. Working with mice, researchers discovered that high-fat foods rather quickly alter the composition of intestinal bacteria and also affect communication to the brain. It could be compared to a radical management change at a factory: the newcomers aren’t yet in direct or efficient communication with headquarters. As a result, they may overproduce some widgets that the home office would say aren’t needed.

Translating that to the body, researchers believe the sudden changes delay or interfere with the normal gut-brain communications that signal fullness. That stuffed feeling and the message to stop eating comes long after we’re already stuffed. When regularly repeated, the result is obesity. More weed news A new study published in the Journal of Bone and Mineral Research explores another promising medical application of marijuana. Researchers at Hebrew University and Tel Aviv University say that the administration of the nonpsychotropic component cannabinoid cannabidiol (CBD) significantly helps bone fractures heal by stimulating bone formation and inhibiting bone loss. The findings hold clear potential for further research into applying CBD to combat osteoporosis and other bonerelated diseases.

Coaches can prevent injuries Although the thermometer still says sizzling and the calendar reads July, football practice is mere weeks away. In the nick of time, the American Orthopaedic Society for Sports Medicine says research proves teaching coaches about injury prevention and contact restriction rules definitely pays off. Players who in turn get comprehensive injury prevention education from their coach are much less likely to be injured during practice and games. Tracking 71,262 youth football players (ages 5 to 15) from South Carolina, Indiana, Arizona and Massachusetts during the 2014 season revealed a total of 370 injuries. Players who received no training experienced practice injuries at a rate of 7.32 per 1000 athletes and a game injury rate of 13.42. By comparison, players who received either a Pop Warner-developed training program or one developed by USA Football had injury rates from 3.42 per 1000 players down to as low as 0.97. +

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JULY 24, 2015

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

Sorry you’re having so much My cousin is nothing trouble at home. but trouble.

Didn’t you have her evicted once before?

Yes. This makes the second time.

So how do you view her now?

As my second cousin twice removed.

The Mystery Word for this issue: ELIMMATE

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Strike breaker 5. Jefferson of note 10. _____ville, SC 14. _____ deaf 15. Show emotion theatrically 16. Still 17. Individual facts 18. Male servant 19. Sewing case 20. Backyard astronomer 22. Opposite one of two 23. “First, __ __ harm” 24. _______ ant 26. Fire residue 29. Lair 30. Final part 34. Diagnostic test (Med.) 36. Maker of pewter utensils 37. Blocker beginning? 38. Augusta’s downtown and uptown _____ 39. A church’s central part 40. Supervisor 43. Academic essays 45. Architectural column in the form of a man 46. Period of history 47. Trauma pt. destinations 48. Think; be absorbed in thought 49. Short letter 51. One of the Jacksons 54. Red disk on a bike 59. Impressed 60. Christmas song 61. Home of Columbus 62. Inhibitor lead-in 63. Useful; advantageous 64. Contact _____ 65. Out of _____; not working well together 66. Tall and thin 67. Like a printer’s fingers

24 29

Click on “READER CONTESTS”

QUOTATION PUZZLE 31

38 41

46 48 52

VISIT WWW.AUGUSTARX.COM

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

23 26

Simply unscramble the letters, then begin exploring our ads. When you find the correctly spelled word hidden in one of our ads — enter at AugustaRx.com

E N O V H N Y M I S E S E E

47 50

S R C T H E O W O U E A T G H E

R E S H

Y R S R P H E V E O W T E G A P E H — Oscar Wilde

DOWN 1. Genital herpes, HIV, etc 2. Outer garment 3. Rectangular pier 4. Facial hair 5. Former Augusta mayor 6. River in South America 7. Small burrowing rodent 8. Repeats 9. Adjust, as a clock or alarm 10. Gas used in metal cutting 11. Word before salt or mat 12. Cyanotic 13. Islamic chieftain 21. Deities 22. Leave out 25. Uncooked 26. Head of an abbey 27. “My mind is like a ____” 28. Very similar to a hostel 31. Efface 32. Not ever 33. Apparel 35. Ambulance worker

36. National standard? 38. Put on a pedestal 41. Obscenity 42. Greek goddess of the dawn 43. Downtown’s _______ tours 44. Detest 46. Envelop 50. Famous bacteria 51. Sticks 52. Out of town 53. Vegas trademark 55. Great Lake 56. At that time 57. Hog sound 58. Promising or optimistic, as a view of the future 60. Mongrel dog

DIRECTIONS: Recreate a timeless nugget of wisdom by using the letters in each vertical column to fill the boxes above them. Once any letter is used, cross it out in the lower half of the puzzle. Letters may be used only once. Black squares indicate spaces between words, and words may extend onto a second line. Solution on page 14.

X A M I N E R

6 9

5 9 6

Solution p. 14

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.

R 1 2 3 4 5

1 2 3 4 5

U 1 2 3

I 5

N 1 2

’ 1 2 3

1 2 3 4 5

1 2

1 2 3 4 5 6 7

B 1 2

1 2 3 4

8 9 10 11

1 2 3 4 5 6 7 8 9

1.AABBCINIGITTTTY 2.OOOOHHATEENUS 3.LIAUETTTS 4.TTHLERN 5.GREESI 6.PRN 7.FIG 8.LL 9.LY 10.A 11.R

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 24, 2015

13 +

AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE Summer Travel ha... ha...

What did the pirate say when he turned 80? “Aye, matey!” What is the hairdresser’s oath? First, harm no ‘do.

wo Texans were arguing about whose ranch was the biggest. “Well, I’ll put it to you this way,” said the first one. “I can get in my truck before sunrise, drive all day long, and by sundown I still haven’t hit the other side of my spread.” The other guy looks down, spits, and says, “Yeah, I used to have a truck like that too.”

The blonde and her husband had been having arguments about her driving. One day they even had an argument about how bad her parking skills were. With that, she stormed out, got in the car and tore off in anger to go shopping. Two hours later she came back home with a number of shopping bags and a satisfied smirk on her face. “It seems that someone agrees there’s nothing wrong with my parking abilities,” she said to her husband. “Oh really?” he replied doubtfully. “Yes, really,” she said, holding up a piece of paper. “This note was on my windshield. Know what it says - in big letters?” “No, but I’m sure you’ll tell me.” “It says ‘parking FINE.’ Wasn’t that nice?”

Bill: Why don’t blind people like to go skydiving? Will: Because watching your life flash before your eyes is pretty boring when you’re blind? Bill: No, because it scares their seeing-eye dogs. What did the lumberjack say to the trees? “Run, Forest, run!” Why did the cowboy buy a dachsund? To get a long lil’ doggy. What is a tree’s favorite drink? Root beer. Why did Cinderella always put her fingers on clean glass? She found her prints charming. A Roman sitting at the bar gets the bartender’s attention and holds up two fingers. The bartender brings him five beers. What’s the difference between a rock guitarist and a classical guitarist? One plays three chords for 30,000 people. The other plays 30,000 chords for three people. +

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.

+ +

SUBSCRIBE TO THE MEDICAL EXAMINER

With Seniors by Kathy Crist

Summers are often the ideal time for family caregivers to take their senior loved ones on vacation, to reunions or on group outings. Travel can be physically and emotionally stressful at any age, so planning ahead will help ensure older adults stay safe and comfortable on the trip. Many older adults eagerly look forward to summer traveling, but also can feel overwhelmed and nervous about getting to their destination and enjoying their stay. With a few pre-trip action steps, older adults can relax and enjoy their time away without incident. Crist Here are some proven summer travel tips to assist senior adults whether driving, flying, taking a train or riding a bus. About a month before traveling, be sure the senior consults with his/her doctor to discuss any special health needs and refill prescriptions. If they have a chronic medical condition, ask the doctor to write an overview of the loved one’s medical history and provide medication instructions in case of an emergency. If there is a risk for blood clots when sitting for long periods, ask if his/her doctor recommends wearing compression stockings while traveling. Know your elderly loved one’s physical limitations. Make sure the senior gets plenty of rest before and during travel. In the excitement of the journey, it’s easy to overdo and pack in too many activities each day. Take frequent breaks. Make use of travel resources. When purchasing tickets or detailing an itinerary for the trip, plan ahead for accommodations and any dietary, mobility or medical needs. Even if mobility assistance isn’t normally needed, walking longer distances can quickly exhaust seniors. Pack for the worst-case scenario. Keep all of the senior’s prescription medications with you at all times; travel delays or scheduling issues are common. Dress for comfort. In warmer weather, lightweight clothing in light colors reduces overheating. Loose, comfortable clothing is best for traveling seniors to help with optimal circulation. Avoid direct sun and stay hydrated. Seniors are particularly vulnerable to heat stroke and heat exhaustion. Be sure they stay hydrated and wear sunscreen and a hat. Prevent picking up germs and illnesses. Wash your hands frequently and carry a hand sanitizer. Staying in a hotel and frequenting public places leaves the entire family susceptible to exposure to extra germs and sickness. Visit tourist sites, public places and restaurants during nonpeak times. Crowded, noisy surroundings can be difficult for seniors’ hearing and mobility. When planning a trip, include your loved one in the planning from the beginning so he/she can communicate personal needs and travel interests and feels included. If your senior may need more assistance than you will be able to provide, consider hiring a caregiver to travel with you. Senior care companies like Right at Home can offer senior care travel services. + Right at Home is dedicated to helping caregivers and those needing care by providing private-duty care giving services. Right at Home has served the CSRA since 2005. For more information, please call 803-278-0250 or visit us on the web at www.rightathome.net/csra.

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

We STATE

your

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

www.facebook.com/AugustaRX

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JULY 24, 2015

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED The Mystery Word in our last issue was: ASPIRIN ...cleverly hidden (by the pillow) in the p. 2 ad for THE JB WHITES BUILDING Congratulations to JESSICA TRAYNUM, 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. HOUSE FOR RENT IN N AUGUSTA For Rent: House: two bedroom, one bath, kitchen with stove and refrigerator, bonus room, laundry closet with washer/dryer hook ups, basement, screened porch, handicap ramp. New carpet in bedrooms and living room. Nearly new vinyl floor in kitchen, double pane windows. Near North Augusta Public Safety and NA community Center. Within walking distance of Greenway. Ideal for students, a couple or single person. Handicapped ramp entrance. $650.00 per month, a security deposit of $650.00 is required with first month’s rent. No pets ! Rental Application required. Prefer 1 year lease. Call 803 599 0781 for appointment to see. 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. AUGUSTAGAHOMESEARCH.COM Foreclosures • MLS • Rentals • Builders 706-564-5885

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.

MISCELLANEOUS 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

HELP WANTED PART TIME HELP NEEDED MATH AND SCIENCE TUTORS NEEDED: Local tutoring company seeking qualified math and science tutors. Please reply to: info@maeseducationcenter.com

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

SERVICES

PET CARE in Martinez-Evans area. Dogs to 40 lbs, $9.00. Cats (1-3), $9.00 For interview/information, phone 706-829-1729

HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706.267.9947

CEMETERY PLOTS Side-by-side cemetery plots for sale located at the Heart Section of Hillcrest Cemetery. $3600 for BOTH. (706) 798-8495

BIBLE BY PHONE - Free daily Bible readings; for Spiritual Encouragement and Growth. Call 706-855-WORD (9673)

Thanks for reading the Medical Examiner!

F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS 706-823-5250

FOR SALE: GORGEOUS, immaculate, never occupied townhome located mins from Medical District. 2 bed, 2 bath,

The new scrambled Mystery Word is found on page 12

SENDING US A CLASSIFIED?

THE PUZZLE SOLVED C O A T

A N T A

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

WHAT’S YOUR DRUG OF CHOICE?

S T D S A B B O T

S I E V E

H O T E L

Augusta Medical Examiner Classifieds

(OURS IS COFFEE)

J A M S

A W A Y

N E O N

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

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2.25

2.50

2.75

3.00

3.25

3.50

3.75

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5.75

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7.75

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9.00

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

I T E R A T P E V A S E R N E E N R E F A R O T I L E E D

S E T O R M A I W T T R O L L E Y

A C E T Y L E N E

B A T H

B L U E

E M I R

E R A S E

N E V E R

D R E S S

O I N K

R O S Y

H A T E E C T O H L E I N

QUOTATION PUZZLE SOLUTION: Page 12: “Some cause happiness wherever they go - others whenever they go.” — Oscar Wilde

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:

V O L E

QUOTATION

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

A M A Z O N

SEE PAGE 12

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.25

B D E E A V R G A D O N D E P S Y A R S E A M O M U S E T D C I U C R

7 1 6 9 5 2 3 4 8

8 4 9 6 3 1 2 7 5

2 3 5 7 8 4 1 9 6

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9 5 4 3 2 7 8 6 1

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1 8 3 5 4 9 6 2 7

4 9 7 2 6 8 5 1 3

5 6 2 1 7 3 4 8 9

WORDS BY NUMBER

VISIT DRUGOFCHOICECOFFEE.COM

“There is nothing in a caterpillar that tells you it’s going to be a butterfly.” — R. Buckminster Fuller

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

JULY 24, 2015

15 +

AUGUSTA MEDiCAL EXAMINER

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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 24, 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