July7 17 by Daniel Pearson

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olygraph tests are a staple of TV crime shows and police procedurals. Boiled down to its basic elements, a polygraph machine is a collection of health monitors taking readings on heart rate, blood pressure, respiration and electrodermal activity (aka: perspiration in the fingertips) and recording all the readings simultaneously. Hence the name polygraph. (Polygraph examiners as a rule don’t use the term “lie detector.”) Would it be a lie to say polygraphs are reliable? Well, it might be expected that using medical equipment to establish legal facts might be fraught with uncertainty, and in fact, a 2001 article in the Journal of Forensic Psychology Practice found that two-thirds of the scientists with credentials appropriate to the subject considered polygraphy to be pseudoscience. A University of Minnesota

professor of psychology and neuroscience called the prevailing scientific opinion among those “who have the requisite background” to be “overwhelmingly skeptical of the claims made by polygraph proponents.” Other scientific reviews have found polygraphs to have the ability to identify lies “at rates well above chance but well below perfection.” That is why judges and juries, not machines, are still relied upon to establish guilt or innocence in a court of law. The US Supreme Court noted in a 1998 ruling that “there is simply no consensus that polygraph evidence is reliable,” unlike clearly factual evidence such as ballistics, DNA found at a crime scene or fingerprints. Research has not established benchmark physical reactions to lying, whether they be physical (such

JULY 7, 2017

as heart rate or blood pressure) or mental (such as by measuring brain activity). Reactions can differ from person to person, and there are techniques that are said to be effective in deceiving the examiner even when lying. Double-agent Aldrich Ames, for instance, passed at least two polygraph tests while spying on the US for the Soviet Union, and “Green River Killer” Gary Ridgway likewise passed a lie detector test. Conversely, innocent people have been known to fail polygraph tests when later DNA evidence proved their innocence absolutely. Would you consent to take a polygraph test to prove your innocence? It could be a great idea — or a flip of the coin. For more information on the history of the polygraph, see “Who is this”?” on page 4. +

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NO NONSENSE

This topic makes us shake and shudder in revulsion. It should be the kind of terminology the average person hears and doesn’t understand, like Mongolian Necrotic Synesthesia or something. Unfortunately, this term appears all too often in news reports here and everywhere. We’re all familiar with it. The term is an all-purpose phrase describing a brain injury that results from abusing an infant — victims are generally less than 1 year old — by violently shaking it in anger or throwing it to the floor or against a wall or furniture. Ironically, the “reason” for this behavior by an adult is a baby who won’t stop crying. Apparently the caregiver thinks violence will work when soothing words have not. It is obviously an illogical crime, committed in the heat of anger and frustration against a completely defenseless victim. Babies are vulnerable in many ways: their heads are disproportionately large and heavy compared to their body size. Their neck muscles are not fully developed yet; infants cannot even hold their heads up. In addition, their brains are exceptionally delicate compared with more mature stages to come as they age — and which sometimes never arrive after traumatic shaking injuries to the brain. What doctors sometimes call abusive head trauma or intentional head injury may not happen all at once. Sometimes the injuries are minor but cumulative, as abuse takes place repeatedly over time. Affected babies can be sluggish and lethargic, not responding normally to light, conversation, and touch. Another common symptom is irritability, which no doubt often leads to further abuse. More severe symptoms include seizures, red scleras (the whites of the eyes), and in all too many cases, a constellation of additional abusive injuries such as bruises, burns and broken bones. It’s difficult to even write these words. If an abused infant survives, the long-term implications are devastating. Blindness and impaired vision can result, along with hearing difficulties or deafness. Seizures may likewise be lifelong. Brain damage manifests as difficulty speaking, or the inability to speak. Learning disabilities are often permanent, as are emotional and behavior problems. The highest priority in any case of abuse — even if it is merely suspected — is to get help. That can be a dangerous mission in a household where violence is obviously present. Taking the first steps may best be done without the knowledge of the abuser. Depending on the severity of the situation, the first step might be calling 911. It might be having the child examined by a doctor. It might be calling child protective services. The important thing is to take the first step, and take it immediately. Failure to do so might mean a death sentence for a defenseless baby. +

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Dear Advice Doctor, I recently twisted my ankle and I’m wearing a boot and using crutches. My doctor told me it would have healed quicker if I had broken it. The problem is the designated parking areas where I work. Mine is two blocks from my building, which is quite a trek in my condition. I’ve talked to my supervisor about a temporary pass for a closer parking space, but he has turned a deaf ear to my problem. What do you think I should do? — The Hobbler Dear Hobbler, Hearing loss is a common problem, unfortunately, especially as we get older. You mentioned that your supervisor turned a deaf ear — singular — to your problem. That, too, is common. Nearly everyone has poorer hearing in one ear than the other, and that ear is usually the left ear. Why? Most of us drive, and our left ear is more often exposed to traffic noise and buffeting winds. Over time the cumulative effect can spell gradual hearing loss. Hearing loss on just one side can also be caused by something as simple as wax buildup, or as worrisome as a tumor that presses on nerves or the eardrum, thereby affecting hearing. The same can happen with an infection that causes fluid buildup in just one ear. Or a small tear or hole in the eardrum. There are even some drugs, such as chemotherapy drugs and some antibiotics and diuretics that can cause hearing loss in one ear. The many potential reasons, some minor, some serious, mean that an examination by a doctor is very important. Some minor problems left untreated can result in permanent hearing loss. Depending on the cause, possible solutions can include medication, surgery, a hearing aid, or even the good news that the problem will resolve itself on its own. The important thing is to get treatment, you hear? + Do you have a question for The Advice Doctor about life, love, personal relationships, career, raising children, or any other important topic? Send it to News@AugustaRx.com. Replies will be provided only in Examiner issues.

MEDICAL EXAMINER

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

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AUGUSTA MEDiCAL EXAMINER

#47 IN A SERIES

OLD NEWS

Who is this?

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

THE CANDYMAN CAN’T

or a guy who has been dead since 1947, William Marston has been getting a lot of attention lately. Born in 1893, Marston was a Harvard educated psychologist who created the systolic blood pressure test and made a connection between emotions and blood pressure when he noticed that his wife’s BP would be elevated when she was mad or excited. One thing led to another, and Marston’s observation became part of a polygraph machine invented by John Augustus Larson, then a 21-year-old medical student who in 1920 obtained his physiology Ph.D from the University of California at Berkeley. Larson promptly joined the Berkeley police department, becoming the first police officer in the United States to hold a doctorate degree. He later entered the field of forensic psychiatry. Depending on whom you ask, credit for the invention of the lie detector goes to either Larson or Marston. Not content to rest on whatever laurels he might have earned connected with the polygraph, Marston went on to live a life that was noteworthy and unconventional. His resumé includes development his DISC theory, a personality test still used today based on measurements of Drive, Influence, Steadiness and Compliance. Marston was an early advocate of women’s rights, and it is in this sphere that his legacy is most prominent. After all, he created Wonder Woman for DC Comics. His goal was “to create a feminine character with all the strength of Superman plus all the allure of a good and beautiful woman,” but, unsure of how a female heroine would be received, Marston wrote early Wonder Woman stories under the pen name Charles Moulton. Wonder Woman is said to be based on birth control pioneer and women’s rights champion Margaret Sanger. Speaking of women, Marston’s personal life was certainly unusual, even during the tumultuous Roaring Twenties. He was married to Elizabeth Holloway, and the two permanently shared their home with Marston’s mistress, Olive Byrne, whose aunt was Margaret Sanger. For all practical purposes, he had two wives, and fathered children with both women. In fact, one of Elizabeth Holloway Marston’s children, Olive Ann, was named after Olive Bryne. It was just one big happy family. After Marston’s death from cancer on May 2, 1947, just a few days shy of his 54th birthday, Elizabeth and Olive continued to live in the home. Byrne died in 1985 at age 81; Elizabeth Holloway Marston died in 1993 at age 100. William Marston was honored by DC Comics on its 50th anniversary with inclusion in the book Fifty Who Made DC Great. As for John Larson, the inventor of what he called a “cardiopneumo psychogram,” the so-called lie detector that Encyclopedia Britannica called in 2003 one of the 325 greatest inventions of all time, one source says he spent much of his career in a largely vain effort to redeploy it as a tool for psychiatric diagnosis. As for its lie detecting capabilities, he wrote shortly before his death that it had become “a Frankenstein’s monster which I have spent over 40 years in combatting.” +

have a sweet tooth and often joke that sugar is my drug of choice. Like a lot of people, I have been mindful of my sugar intake lately and have to admit to feeling better, but at the sacrifice of a self-soothing aid. It’s difficult at times to resist, especially a certain soft drink, but I have been doing well with it and it’s for my own good. Recently, Nestle announced it is “considering” selling its American candy brands which include mainstays such as Butterfinger, Baby Ruth, Crunch, 100 Grand Bar and others. These candy bars will not disappear completely, but may be sold under another name, a new label, and possibly have a new formula or recipe. It all depends upon who buys the rights. I think it is safe to say that even if they keep everything else as it is but change the formula or recipe, that will be the end of these treats. Nestle is looking at strategic options for its U.S. candy business which includes the possible sale. This decision is due to falling candy sales. People are taking their health seriously these days

and making healthier snack choices. Reducing sugar intake has become paramount for many people’s diet. Being less dependent on sugar and processed foods is a good thing, but most of us will give in to a sweet treat now and again. Who can resist? Well, we can if they change the texture and/or taste of our

childhood favorites. While these candy bars may stay on the American market, if the taste changes they may as well be gone. Hopefully, whoever makes the purchase will recognize this and leave them unchanged. As they say: If it ain’t broke, don’t fi x it. A lot of us will wax nostalgic at the idea of losing these candy bars. The threat of losing yet another bit of Americana is unsettling, even if it is just a candy bar. They say change is good but why must everything change? There is much to be said about some things being constant in our lives. Candy is an insignificant issue when looking at the big picture, but it’s also true that the little things in life are where we derive some of our biggest pleasures and happiest memories. I can’t think of one unpleasant thing that ties in to candy. It is front and center in almost all of our holidays. It may have no redeeming nutritional value whatsoever but its value stands out in other ways. It can help with a lot of things; from a skinned knee to a broken heart. It can be a bridge to a new friendship, open a conversation or aid in settling an argument. Along with the water pitchers and glasses on the table of peace negotiations there should be candy. The sad news is, if everything aligns, the sale is set to take place at the end of this year. If you have a Nestle favorite, you may want to stock your freezer now. +

MYTH OF THE MONTH You can get poison ivy from someone else’s poison ivy blisters This is a common belief, but it is myth, not fact. At fi rst glance, it would seem logical that contact with the rash on someone else’s skin, and especially the fluid from weeping blisters, could infect the next person. However, neither the rash itself nor fluid from broken and oozing blisters is contagious. What causes the poison ivy rash is urushiol, an oil from the leaves of the plants (which always appear in groups of three, as shown). By the time a rash appears long after contact, urushiol is generally no longer on the skin, and the same is true of the fluid from poison ivy blisters. On the other hand, fresh contact with poison

ivy, when urushiol is still present on the skin or clothing, can definitely be passed from one person to another. The same would be true if the urushiol is on a dog or cat’s fur, or on a toy or some other object, like your gardening tools. Prevention tip #1: Know what poison ivy looks like and avoid it. If you do make contact, rubbing alcohol will dissolve the oils. Rinse off with cold water, since hot will open pores and make things worse. Don’t itch the rash! Apply soothing lotions or creams that will help deaden the itch. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

JULY 7, 2017

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT STIRRING IN MY GUTS

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garage is where you store $500 worth of useless junk while you park a $35,000 car outside on your driveway to deteriorate in the weather. A couple years ago, while rearranging my junky carport, I heard a small pop and felt a stinging pain in my navel. Close examination revealed a new direct hernia the size of the tip of my little finger. I ignored it. Over the next couple years, it gradually enlarged. First, grape size. Then kumquat size. It was not truly painful unless I strained hard. But it was uncomfortable, and I continually and subconsciously held my abdominal muscles tight. That is not fun. In my office, I asked Troy Coon, MD to have a look. He said, “Umbilical hernia. If it doesn’t bother you, leave it alone. It does, get it fixed.” I thought for 30 seconds. “Who’s the best man to fix it?” “James Bardoner, MD. He does Da Vinci surgery with the robot.” Dr. Bardoner examined me and advised. “We can go one of three ways. The older, open method takes two weeks of recovery time and hurts a lot, but costs less. Laparoscopic surgery is quicker, but costs more. Da Vinci surgery with the robot is quicker, more efficient, has shorter recovery time, and costs about the same. Less painful. What you want?” I again considered for 30 seconds and selected quick recovery and less pain. I am not totally stupid.

He explained three probes would be inserted into my abdomen. He would sit in the corner before a computer screen and operate while not looking directly at me. I reverted to my redneck upbringing. “You mean you’re going to let a robot stir in my guts while you’re not even looking at me?” “Something like that.” I said the only reasonable thing. “Let’s rock.” When I arrived at Day Surgery at Doctors Hospital, I was stripped of all dignity and clothing and told to put on a paper gown that had more holes and slashes in it than the Titanic on the day it went down. I have no idea if I put it on properly. The nurse anesthetist gave me some Versed and told me that within a couple minutes I wouldn’t care about anything. She lied. In only a minute my brain switched off. When it came back on, it was two hours later. My stomach hurt somewhat, but not unbearably. My left side looked like I have been a bayonet fight and lost. Three new holes were covered with Derma Bond. My son, Kirk Gilliard, drove me home, or so I am told. I was in and out of the real world and have no idea how we got home. My wife had a light lunch waiting. I slept most of the evening, and had a small ribeye steak for supper. My granddaughter likes ribeyes. No nausea. No vomiting. Just some pain where the robot had stirred in my guts. Not nearly as bad as I had anticipated.

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Bes I had a prescription for 60 Percocet 5. Take 1-2 every 4 hours for pain. I took 2 at bedtime. Big mistake. It cut the pain, but I could not sleep. My head was numb. My brain was dumb. Some sort of suspended animation, I guess. I experienced a bit of opioid euphoria, but that is not desirable when you don’t feel good. The next evening Dr. Bardoner called to inquire on my situation. I was fine. Hurt some, but not the end of the world. I heard strange noise and asked what he was doing. “Walking my dog,” he said. “Walk your dog,” I said. “He needs more attention than me.” “Tomorrow will be worse,” he warned me. “Good night.” He was right. Next day was worse, but not anywhere as bad as I thought. I could eat anything I wanted. I did not move much. My attack Yorkie lived in my lap. She knew I was punny-fied. She did not move except when necessary, and she did not bark. She’s a good dog. On Day 5, I went back to work. 10 hour shift. By day’s end I was dragging. The girl in the office helped me. Not once did they comment on how I

ine c i d E tM

looked. They will tell me that later. I love them more now than pre-surgery. Sometimes a little pain fine tunes your appreciation of others. By Day 6, I had taken 5 Percocets. I do not like them. I will not take any more. No chance I will ever be a pill freak. I must be doing OK. I can stand almost straight and no longer resemble Ichabod Crane. Not much anyway. My wife still speaks to me and fixes whatever I wish to eat. I have not missed any meals. She is the world’s best cook and wife. Why she puts up with me is a mystery for the ages. What should you learn from all this? • Don’t lift heavy boxes of junk when you get old. You might get a hernia. • If your guts need stirring, get James, Bardoner, MD, and his trusty Da Vinci robot.

• Avoid Percocets. They make you stupid, and you can’t sleep. • And if you have surgery, whatever you do, don’t cough, sneeze, or laugh. The next noise coming out of you will render you socially unacceptable and test your religion. • If a friend has surgery, do not go to visit until after Day 4. I can assure you he does not want to go to the effort to be sociable with you while you ask stupid questions like, “How do you feel?” or “Does it hurt?” or “Can I do anything for you?” • Stay away from work until the surgical massacre is at least a week behind you. • If you are old, hire a young man to move the junk in your garage. + 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. F REE T AKE-HO ME CO PY!

MEDICAL EXAMINER

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With all the barbecues, family get-togethers and picnics that will go on this summer, you are sure to need a healthy and delicious dip recipe that everyone can enjoy. This dip is one that I created about three summers ago when my husband’s family had a gathering at his sister Pam’s house on Lake Greenwood, SC. We usually have a yearly get-together there and enjoy good food, family and a ride on the lake in the pontoon boat. I took along this dip with some blue corn chips and everyone devoured it. It is now a requirement that I bring this to any Rhinehart summertime gathering. I’m the crazy healthy food nut in the bunch, so I was pleased that they enjoyed something that I prepared. Paula Deen has a recipe that is similar to this using black-eyed peas and bottled Italian dressing. She calls her recipe South Georgia Caviar. I liked that name so I gave my dip the name “Southern Southern Caviar Caviar” because no matter where you live in the South, chopped pinch of salt and pepper. from Kentucky to Florida or • 1/2 yellow bell pepper, Pour the dressing over the all the way over in Texas, we finely chopped beans and vegetables. Stir are not pretentious. Fresh, • 1 Jalapeno pepper, finely well to mix together all simple foods like beans and chopped ingredients. corn are what we prefer over • 1/4 of a red onion, finely Taste and adjust seasoning fish eggs. chopped if necessary. Super simple to put • 1/3 cup of chopped fresh Allow to sit for at least 30 together, you can have cilantro minutes to 1 hour, stirring a this ready in 15 minutes • 1 clove of garlic crushed few times in between. with items that I’ll bet you • 1/4 cup of extra virgin olive Serve with organic blue already have on hand in your oil corn or yellow corn tortilla pantry and fridge. This dip • 3 Tbsp. of Red wine vinegar chips. + is absolutely perfect to add Salt and cracked black pepper flavor to grilled chicken or to taste Alisa Rhinehart is half of the fish as well. blog southerngirlseatclean. Southern Caviar is such Instructions: com. She is a working wife a fabulous dip and a crowd Rinse and drain the black and mother living in Evans, pleaser for sure. Both healthy beans and sweet corn and Georgia. Visit her blog for and clean....I just know your place into a medium sized more recipes and family and friends will love mixing bowl. information on it. Enjoy! Finely chop the red and clean eating. yellow bell pepper, jalapeno, Note: To those that Ingredients: red onion and cilantro and might be admiring • 1 can of organic black place into the bowl with the my beautiful bowl, it’s from beans, rinsed and drained beans and corn. Art on Broad in Augusta, GA • 1 can of organic sweet corn, In a smaller bowl whisk It is handmade pottery by local rinsed and drained together the olive oil, red artist Jerry Pruitt. • 1/2 red bell pepper, finely wine vinegar, garlic and a

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Plus more than 875 doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

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AUGUSTA MEDiCAL EXAMINER

ASK DR. KARP

NO NONSENSE

NUTRITION Joan from Graniteville, S.C. asks: “How can I tell if I am making smarter food choices?” This is a very interesting question, Joan. Life is a work in progress, especially when it comes to learning about food, diet and nutrition. Are you a lifelong nutrition learner? Are you evolving your thinking about nutrition? Here are some

quick ways you can check yourself to find out: Are you moving away from a “knee-jerk” and testimonial approach to nutrition? Are you using a more thoughtful, scientific and evidenced-based approach in your evaluation of the foods you eat, the vitamins and supplements you use and your understanding of how diet and nutrition relate to your own health and life? “Nutrition Job #1” is to be within a normal weight range, as defined by a BMI (Body Mass Index) of 18.5 – 24.9. You can easily calculate your BMI ( https://www.nhlbi.nih. gov/health/educational/lose_ wt/BMI/bmicalc.htm ). Before you start worrying about which foods, which vitamins, which minerals, which eating plan...your attention should be focused on getting within a healthy BMI range. Being overweight is a major risk for having a heart attack, stroke, high blood pressure, diabetes and cancer. Have you learned that the term, “healthy,” is not a term that should be defined by a store, a farmer, a cattleman, a manufacturer of a food or supplement or by the media?

The word “healthy” is defined by objective evidence. Is a food or supplement being recommended by independent nutrition experts, such as the nutrition scientists at The National Academy of Sciences, The Academy of Nutrition and Dietetics or the Office of the Surgeon General? Not one of these groups of nutrition scientists has a food product or supplement to sell. They have no profit motive in their warnings or recommendations. Are you spending unnecessary money to buy foods marketed as “organic,” “superfood,” “natural,” “free-range,” “antibiotic-andadditive-free, “and “hormonefree?” Your focus, instead, needs to be on the fat, calorie, salt and sugar content of what you eat and drink. Are you checking the nutrition labels of the products you buy before you buy them? Are you still going to those “food-elitist” supermarkets or are you shopping at the plain-old, ordinary supermarkets? Are you buying plain-old, regular less-expensive, but equally nutritious food? Spending more money for a food does

not mean it will be more nutritious. Are you seeking out “clean food,” thinking that “clean” means healthy? It doesn’t. Have you stopped looking at just the carbs and protein in a food? Have you noticed that Americans are not dying of protein or vitamin malnutrition? So stop focusing all your attention on just these nutrients. Consider the overall nutritional balance of ALL the nutrients in the food. Nutrition is not a “factoid” where you can focus on just one or two nutrients and expect to have a healthy diet. Are you looking at your eating patterns over a day or a week, not just focusing on what you are eating for one or two meals? Do you think about how your own food choices influence the food culture of your children and family, your workplace and your community? My “No-Nonsense Nutrition” advice for today is simple. When you begin to shift your thinking toward a rationale, evidenced-based approach to what you eat and drink...then, congratulations, you are becoming smarter about food. +

Have a question about food, diet or nutrition? Post or private message your question on Facebook (www.Facebook.com/AskDrKarp) or email your question to askdrkarp@gmail.com If your question is chosen for a column, your name will be changed, to insure your privacy. Warren B. Karp, Ph.D., D.M.D. is Professor Emeritus at Augusta University. He has served as Director of the Nutrition Consult Service at The Dental College of Georgia and is past Vice Chair of the Columbia County Board of Health. You can fi nd out more about Dr. Karp and the download site for the public domain eBook, Nutrition for Smarties, at www.wbkarp.com Dr. Karp obtains no funding for writing his columns, articles or books and has no fi nancial or other interests in any food, book, nutrition product or company. His interest is only in providing freelyavailable, evidenced-based, scientific nutrition knowledge and education. The information is for educational use only; it is not meant to be used to diagnose, manage or treat any patient or client. Although Dr. Karp is a Professor Emeritus at Augusta University, the views and opinions expressed here are his and his alone and do not reflect the views and opinions of Augusta University or anyone else.

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JULY 7, 2017

AUGUSTA MEDiCAL EXAMINER

Ask a Dietitian WHAT’S IN A SPORTS DRINK? by Danielle Dunnagan, MS, RD, LD We’ve all seen the TV commercials portraying an athlete consuming a sports drink as a convenient way to refuel shortly after an exhausting practice. But what’s really in a sports drink? Are they just for athletes? How did they become so popular? The sport drink industry started in 1965 when an assistant coach for the University of Florida football team took a particular interest in why the summer heat was affecting his players’ performance at practice. The football staff decided to collaborate with a team of scientists at the university to determine a solution to their problem. The results indicated that the football players were not adequately replacing carbohydrates, fluids, or electrolytes, following exercise and thus a product named “Gatorade” was developed. In general, sports drinks are typically a calculated blend of carbohydrates, electrolytes, and water. Simplified, this translates to a water-based

beverage with sugar, salt, and sometimes a few extra micronutrients added in. I’ll explain the science behind why these ingredients can be beneficial for physical performance later, but fi rst, let’s define what each ingredient is and its purpose in the human body. Our bodies are comprised of approximately 60% water and the body requires water for digestion, energy and oxygen transport, temperature regulation, and many other biological processes. We lose water every day, mostly through urination and perspiration (sweat) and it’s up to us to replace it through what we eat and drink. However, it should be noted that sweat is made up of more than just water alone. The human body also loses sodium (salt), potassium, and a few other micronutrients such as calcium and magnesium through perspiration. These additional nutrients, also referred to as electrolytes, help maintain fluid balance and assist in muscle and

nerve regulation. During periods of heavy perspiration or significant water loss, the body becomes at risk for dehydration, especially if insufficient amounts of water and sodium are not replaced. This is why sports drinks characteristically claim they contain added electrolytes for optimal hydration. That leaves only carbohydrates to explain. This nutrient is our body’s main source of energy and can be found in a variety of foods and beverages such as grains, fruit, milk and even some vegetables. During exercise our body’s energy levels become depleted. These fuel levels, more specifically known as muscle glycogen stores, can be replaced by consuming carbohydrates. This is why most sports drinks contain sugar. This “simple” or “refined” form of carbohydrate provides easily available energy for our muscles but lacks extra nutritional value. Now that we’ve defined what’s in a sports drink, let’s discuss who could possibly benefit from consuming them. As a general guideline, most individuals could benefit from consuming a sports drink to aid in replenishing lost nutrients if exercise duration is greater than 60 minutes, or shorter but with higher intensity. Water is probably sufficient for low to moderate intensity exercise or physical activity. It should also be stated that the average American consumes well Please see SPORTS DRINKS page 10

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JULY 7, 2017

AUGUSTA MEDiCAL EXAMINER

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above the recommend dietary sodium (salt) intake of 2,300 mg. So don’t forget to read the labels on sports drinks, because most have salt added to them. Last but certainly not least, sports drinks are not our only way to refuel following an intense workout. Food and other beverages can also be used to refuel the body. Fruit, grains, milk and yogurt are a few examples of dietary sources of carbohydrate that provide additional nutrition and aid in replenishing muscle glycogen losses. Add a serving of protein for a more complete recovery snack or even a dash of salt if sweat losses are high.

Overall, sports drinks are specially formulated to help refuel muscles after high intensity exercise or physical activity lasting longer than an hour. Water is an excellent choice for most low to moderate level activities. Don’t forget that sports drinks contain calories from carbohydrates and also have salt added to them. Use the information in this article as well as your own judgement to determine if sports drinks might be a beneficial beverage for you. + Sources: • Clark, Nancy, MS, RD, CSSD. Nancy Clark’s Sports Nutrition Guidebook. 5th ed. Champaign, IL: Human Kinetics, 2014. Print. • U.S. Department of Agriculture. U.S. Department of Health and Human Services. 2015–2020 Dietary Guidelines for Americans. Dec. 2015. Web. 30 May 2017. • “Gatorade. G Series Sports Drinks for Energy, Hydration and Recovery.” Gatorade - Heritage and History of Gatorade. Stokely-Van Camp, Inc, 2017. Web. 31 May 2017.

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11 +

AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Jennifer Lycette, MD, on June 26, 2017 (edited for space)

NOT EVERY STORY ENDS THE WAY WE WANT With the inundation of advertisements and news stories on new cancer treatments, there is a misconception that there is a treatment success for every cancer and situation. I hope one day that is the reality, but it is not yet. Some time ago I wrote a metaphorical letter about cancer and hospice to someone to reassure him that he, his family, and his loved one’s doctors, had truly done everything possible. He told me it was helpful to him and I thought it might be helpful to others. Here it is (slightly altered from the original letter to protect privacy):

The dragon is ruthless

Dear friend, Once upon a time a wise and experienced colleague of mine shared with me that he often viewed the task of a medical oncologist as akin to a knight fighting a dragon. We raise our swords and drive the dragon back for as long as we can, but too often, even from the onset of the battle, we know we will not win, and ultimately it is the dragon which will be victorious. Most of the time, we do not know when or why the dragon attacks or how it chooses its victim. We have limited weapons to battle the dragon. Sometimes, our weapons succeed at first, and the dragon may even retreat fully from view. But with no warning, it can return. And when it does, to our dismay, the initial weapons that seemed successful now fall uselessly to the wayside. We grab in desperation for another weapon. A cadre of knights toil steadily to invent new weapons. Different dragons have different vulnerabilities. We stock our arsenals. There are some dragons who are easily weakened, and we can drive them back with new weapons. But we watch the ever shrinking arsenal, aware that with each weapon used we get closer to the day when the arsenal will be depleted. The dragon is ruthless, and cares not who its victims are. It is at this point where the knight must drop his or her sword. If the dragon cannot be stopped, what can be done to save the village? This is what hospice means. It does not mean we are abandoning the village. It means that we know from our experience that this kind of dragon is too powerful. We have learned from our past battles that no human power can turn it back. Hospice is the shield we place over the village. So why go to battle at all, one might ask? Perhaps because sometimes we find a chink in the dragon’s scales; a weapon that did not work before suddenly weakens the next dragon. It gives us hope. We start saving more villages. Villages everywhere feel more secure. But even so, some dragons remain immensely powerful. Our weapons bounce off their scales like harmless droplets of rain. This cancer was one of those worst-of-all dragons. I think your loved one, and all of you, were exceptionally brave and you had the best knights fighting on your side. I want you to know that there was nothing overlooked — no better knight or secret weapon somewhere else that might have changed things. We are but mortal. (As Atul Gawande has written about in Being Mortal.) + Jennifer Lycette is an oncologist who blogs at the Hopeful Cancer Doc

This book is built upon an interesting premise: examine the history of cardiac surgery not by profiling surgeons but by examining surgery itself. July is the Medical Examiner’s annual anniversary month (our premiere issue was dated July 1, 2006), so this issue marks the beginning of our 11th year. By coincidence (possibly), author Thomas Morris chose eleven key advances to measure the history of cardiac surgery. Centuries ago the heart was viewed as inoperable — untouchable, even — in much the same way a mechanic would view taking apart an engine while it’s running as impossible. Today, the hearts of infants in the womb have been successfully operated on. It would seem natural for a book like this to view the entire topic with awe and reverence, and it would be nice if that were possible. Unfortunately, as one review notes, the history of cardiac surgery is marked by tales of “triumph, reckless bravery, swaggering arrogance, jealousy and rivalry, and incredible ingenuity.

For example, although it was Robert Hooke of the 17th century who first suggested the value of a “cardiopulmonary bypass” — what we would call a heart-lung maching that would make it possible to stop the heart for surgical purposes without compromising circulation — no one invented one until the 1950s. Between concept and reality, one of the ideas tried during pediatric heart surgery was to connect a child to one of its parent’s circulatory systems, creating a medical procedure with a potential mortality rate of 200%. Speaking of mortality, the history of heart surgery is

littered with bodies — not all of them human. Most procedures sport a nearly 100% human mortality rate as they were being developed and perfected, and the lives of countless animals, most of them dogs, were also sacrificed on the road to better outcomes. As one review of the book states, it’s not for the squeamish. Pioneering 17th century physician and anatomist William Harvey, for instance, dissected his own father and sister upon their deaths, discovering in the process the then novel fact that the heart is a pump, not the seat of the soul. A U.S. surgeon based in Europe during World War II perfected a flawless technique (his patients had a mortality rate of zero) of removing shrapnel from beating hearts and repairing the damage. It turns out that the history of heart surgery is, well, heartstopping. + The Matter of the Heart: A History of the Heart in Eleven Operations by Thomas Morris, 368 pages, published by Thomas Dunne Books

Research News Prostate cancer breakthrough In a development that one researcher called “a once-in-a-career feeling,” oncologists have discovered that combining two existing therapies cuts the risk of death for men with high-risk prostate cancer by 37 percent. “This is one of the biggest reductions in death I’ve seen in any clinical trial for adult cancers,” said the lead author of the study presented before the American Society of Clinical Oncology. The new strategy combined standard hormone therapy and a drug called abiraterone. Prostate cancer is the second most common form of cancer in men in the U.S., second only to skin cancer. AMD drug holds promise As far too many people know, AMD stands for agerelated macular degeneration, the leading cause of vision loss among older adults. But an intriguing 18-month study

has found a drug that works to slow vision loss — but only for a certain class of people, and that is what has researchers excited. They found that 60 percent of the study participants (a mere 129 patients overall were in the study) had a gene variation which makes the immune system go slightly awry, a genetic flaw that specifically triggers AMD in the first place. Ironically enough, the drug tested in the study, lampalizumab, was only effective in the patients with the genetic flaw. As with most developments in medical research, it will take some time for scientists to figure out how to maximize the nefit of their discovery for AMD patients, but the initial view is that this finding could lead to a major step in preventing AMD. Fried fries It was all over the news since our last issue: fried

foods are bad for you. This was not exactly a news flash, but the new study that got all the headlines was a little more specific, stating that eating fried foods contributes to early death. Following study participants for 8 years, researchers found that for those who ate fried potatoes more than twice a week the risk of death was twice as high as those who didn’t. Why? Dating back 8 years means trans fats were part of the equation ( the full FDA ban on trans fats doesn’t take effect until 2018). Fries are also usually liberally sprinkled with salt, another risk factor. Finally, fries are usually prepared in restaurants (not at home) where hydrogenated oils are used — repeatedly. Oils break down with each frying, which causes more oil to be absorbed into food. Like fries? Try the home version. +

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JULY 7, 2017

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

You wanted to tell me something?

by Dan Pearson

If I can be perfectly honest with you...

You have cosmetic dentistry.

Sure. What’s up?

Isn’t that the term for lipstick on your teeth?

Say what?

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Prince of India 5. Breath crackles 10. Villain Sweeney 14. Responsibility; burden 15. Take in as one’s own 16. Notion 17. Type of grass 18. Move rhythmically 19. 1st or 2nd, as examples 20. Deviate suddenly 22. Obamacare reformers 23. Sea eagle 24. Pen sound 26. Norse god of thunder 28. Jaw muscle 32. Phasing 36. Word of contentment 37. Huge 39. She’s a soccer star 40. Med. image 41. ________ massage 43. Farm denizen? 44. Electrically charged atom 45. Greased 46. Command to a horse 47. Endow with a soul 49. Smooth; continuous 53. Auto line from 1897-2004 55. A Hemingway 56. Type of instrument 59. Cam prefix 61. Hotel _____ (2004 film) 65. Jewish calendar month 66. Absurd 68. Way of applying paint 69. Trigonometric function 70. Lymph structures 71. Fencing sword 72. Soviet news service 73. Do a certain Walmart job 74. Computer brand

Simply unscramble the letters, then begin exploring our ads. When you find the correctly spelled word hidden in one of our ads — enter at AugustaRx.com All Mystery Word finders will be eligible to win by random drawing. We’ll announce the winner in our next issue!

Click on “READER CONTESTS”

QUOTATION PUZZLE 33

H O H A S A S N A T T U W R T O U T C T O T G R T R I C T A I G E U I C N T O B T H I N G Y N O E Y Y H

DOWN 1. Deprives 2. Once more; again 3. Famous Allyson 4. Houston team 5. Med. district Blvd. 6. Dentist’s org. 7. NY Island 8. Disney prototype community 9. GA county named for Jefferson Davis’ VP 10. Ty Cobb’s team 11. River in central Europe 12. University dept. head 13. Anti-drug acronym 21. Contend 25. Pelvic exercise 27. ____ of office 28. Ike’s better half 29. 25-time baseball All-Star 30. New Slang performers (with “The”) 31. Fair attractions

— Eliezer Yudkowsky

33. Public perception 34. A person can be dressed to these 35. National access points 38. Assisted 41. Bar in downtown Augusta 42. Washington Road Cafe 48. Large quantity, informally 50. CPR trigger 51. Kitten’s cry 52. Gas in the old days 54. Mister in Tijuana 56. Point intro? 57. Hip bones 58. Sisters 60. Past tense of bid 62. Neck back 63. Event causing Alexander Hamilton’s death 64. Adam and Eve’s #2 son 67. Originally called; or literally: “born”

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

X A M I N E R

7 9

4 2

8 9

1 5

5 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.

O 1 2

O 2

O 1 2 3 4 5 6 7 8 9

5 1

1 2

O 1 2 3 4

— Hippocrates

1 2 3 4 5 6

1.STAGRDIN 2.SEOOOOO 3.TOMM 4.HEED 5.DTI 6.YIN 7.GM 8.E 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

The Mystery Word for this issue: DOOSPII

VISIT WWW.AUGUSTARX.COM 1

Solution p. 14

WORDS NUMBER

THE MYSTERY WORD

JULY 7, 2017

13 +

AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE Moe: It only takes me one drink to get totally plastered. Joe: Really? Moe: Really. I just can’t remember if it’s the 9th or the 10th.

minister told his congregation, “Next week I want to talk about the sin of lying. To help you understand the subject, I want everyone to read Mark chapter 17 beforehand.” The following Sunday as he opened his sermon, the minister asked for a show of hands. “How many of you have read Mark 17?” Nearly every hand went up. The minister smiled and said, “Mark has only sixteen chapters. I will now proceed with my sermon on the sin of lying.” Doctor: You have three left to live. Patient: Three what? Three months? Years? Doctor: Questions.

Moe: Have you heard about that new broomstick that just came out? Joe: No, what about it? Moe: It’s sweeping the nation. Moe: I buy all my guns from a guy named T-Rex. Joe: Oh yeah? Moe: Yeah. He’s a small arms dealer.

Dad: Remember son, nothing is absolute. A smart person will always have doubts. Only a complete idiot is 100% convinced about everything. Son: Are you sure, Dad? Dad: Absolutely. A snail is walking home late one night when he gets beaten up and mugged by two slugs. He pulls out his cell phone and calls the police, who arrive promptly and ask him for a description of the attackers. “To be honest,” he said, “it all happened so fast...” Moe: Did you hear about the two silk worms who had a race? Joe: No, what happened? Moe: They ended up in a tie. Moe: Why did you name your dog Syndrome? Joe: So that if he jumps on people I can say “Down Syndrome!” +

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 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

STATE

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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 I was recently hospitalized because some lotion for dry skin actually burned both of my legs from knee to ankle. On entering the hospital, after a night of frantic itching and bubbling of blisters on both legs, I was relieved to be in a situation where I would get expert care. And I did get expert care from the burn and wound specialist; however, the same cannot be said of the hospitalist responsible for my overall well-being. While I was very clear about the meds I normally take, including showing the list of prescriptions I take and the amounts of them needed, the hospitalist decided that I should take only a fraction of those necessary meds for edema, diabetes, and etc. In addition, although I should have been on a no-salt diabetic diet, I received the regular diet. As a consequence, while the specialist was working to decrease the swelling in my legs to aid healing, I actually gained 16 pounds in four days and the swelling in my legs got worse. In addition to that, my blood sugars kept rising until they hit 469, although at home they had been normal and my A1c had been 6.5 the week before I entered the hospital. That also increased the amount of fluids I was retaining because I was drinking a lot of ice water for the thirst diabetics get when our blood sugars are too high. For the last two days I was in the hospital, the hospitalist also ordered a saline solution IV because he said I wasn’t getting enough fluids. One thing I have learned recently is that there is a direct correlation between my diabetic control and fluid retention. When my diabetes is in control, the amount of swelling in my legs goes down. When it is out of control, the swelling goes up, and healing in my legs is profoundly compromised, one factor that in diabetics often leads to amputations. Once I got home and back to my normal diet, salt control, and taking the correct amounts of my insulin and diuretics, the weight dropped off dramatically and rapidly. My blood sugars once again gained normalcy, and I started to feel a lot better, as well as having my legs heal more rapidly. The worst part of that bad experience is losing trust that the hospital is able to adequately care for patients; moreover, I have a deep concern for patients who are admitted in a far more fragile state that might not be able to survive that kind of treatment - or lack thereof. I am not sure what changes need to happen. It may be that the hospitalists are not well enough supervised by the hospital. There may be a dangerous cost-cutting ordered by the hospital administration that is reflected in the lack of salt-free, diabetic diets for patients, as well as under-medication. It may be that not enough patients are speaking out about insufficient care. Regardless of the cause, it needs to be remediated before a patient who could be saved dies. +

ha... ha...

Moe: What’s the difference between an alcoholic and someone who just likes to drink? Joe: That’s easy. A drinker knows when the liquor store closes. An alcoholic knows when it opens.

+ 14

JULY 7, 2017

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED

138

The Mystery Word in our last issue was: HYDRATION

...very cleverly hidden (in the salad) in the p. 7 ad for WILD WING CAFE THE WINNER: KATELYN MANSELL Want to find your name here next time? If it is, we’ll send you some cool swag from our goodie bag. The new Mystery Word is on page 12. Start looking!

The Celebrated MYSTERY WORD CONTEST ...wherein we hide (with fiendish cleverness) a simple word. All you have to do is unscramble the word (found on page 12), then find it concealed within one of our ads. Click in to the contest link at www.AugustaRx.com and enter. If we pick you in our random drawing of correct entries, you’ll score our goodie package!

That’s how many back issues of the Medical Examiner are available at

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. Limited sizes are available of shirt prize. 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

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

Augusta Medical Examiner Classifieds

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

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

issuu.com/medicalexaminer You can subscribe to the online edition free!

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. LAND Land for sale: 14 acres, wooded, beautiful rocky creek flowing through; 45 min from Augusta, walking trails cleared to enjoy while planning future development. Perfect getaway or homesite. Outstanding schools (K-12) 4 mi. away. $49,000 (706) 831-9015 FOR RENT 2000+ sqft warehouse space w/ loading dock, Walton Way Medical District. Available immed. $850.00/mo. incl. utilities. 706-564-1644 ROOM FOR RENT with private bathroom and full house privileges. Martinez $600/mo (706) 840-6860

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

.50

.75

1.00

1.25

1.50

1.75

2.00

2.25

2.50

2.75

3.00

3.25

3.50

3.75

4.00

4.25

4.50

4.75

5.00

5.25

5.50

5.75

6.00

6.25

6.50

6.75

7.00

7.25

7.50

7.75

8.00

8.25

8.50

8.75

9.00

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

FOR SALE 3 bedroom/2 bath, single garage Townhouse in Martinez. Master/ bath down, 2 upstairs bedrooms share bath, large loft for office, playroom, den; wood-burning fireplace, covered back porch. Freshly painted with new flooring, lighting and ceiling fans. Easy access to Riverwatch Parkway, Washington Rd, I-20, Augusta. 1987 sq.ft. $147,900. 706-836-7001. ROOM FOR RENT 1 room, private bathroom, 2bdrm MH on private lot. Clean quiet neighborhood. Non-smoker. $600 monthly. Must be stable, verifiable references and income. Cable and Internet included. Warrenville, 5 min from Aiken, 20 min to Augusta. (803) 270-2658 POND VIEW! Evans all-brick 2-story

with solar panels. Avg. electric bill $170 in Northwood, 3,400 sqft. Call 1-800401-0257, ext. 0043 24/7 for price and details.

SERVICES PETS Dogs walked, cats sat, in the comfort of your home by retired pharmacist. No kennel noise, fleas, disease, transport cost/time. Avail 7 days/wk in Martinez/ Evans. $15 per visit. References. Call for free interview at your home. Call Buddy for your buddy: (706) 829-1729 HOUSE CLEANING Your house, apartment, rental move-outs. Thorough, dependable. Weekly, or whatever schedule you prefer. References. 706-877-0421 F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS (706) 760-7607

MISCELLANEOUS 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 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

Send this form with payment to:

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QUOTATION QUOTATION PUZZLE SOLUTION: “You cannot change history but you can get it right to start with.” — Eliezer Yudkowsky

The Sudoku Solution 5

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

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

We publish on 1st and 3rd Fridays

WORDS BY NUMBER “To do nothing is sometimes a good remedy.” — Hippocrates

JULY 7, 2017

IT’S A QUESTION OF CARE How can my parents afford care if they did not plan or save appropriately?

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AUGUSTA MEDiCAL EXAMINER

There are options for providing care for an aging person either in their home or in an assisted living sort of environment. • One option that is often considered is the VA Aid and Attendance Pension for wartime veterans and/or their surviving spouses. This is a monthly monetary benefit awarded to the veteran or his/her spouse based upon the amount of care they establish as needing on a monthly basis. This benefit can be used to pay for care at home or in an Assisted Living facility. You can apply for this through the VA, through your local county Veterans Affairs office, or you can hire an attorney who specializes in assisting with these applications and guiding you through the process. • If someone owns their home and the property on which it sits, they can consider a reverse mortgage. These are controversial in that they’re not always as beneficial as they are presented to be, but in certain circumstances they can be the answer to a shortage of funds • Medicaid is the fallback program that provides care for people who have not saved, invested, purchased long-term care insurance, or acquired other means to pay for their care. Medicaid in both South Carolina and Georgia offer programs that offer limited services in the home to help care for an aging or disabled person. They also have programs that help pay for personal care homes and nursing homes.

There are physical and financial requirements the person must meet to be eligible. • Lastly, family, friends and church members are often the only feasible resource to provide the care that the aging or disabled person needs, when they do not have the savings to pay for it on their own. Family members, in particular, provide an uncountable number of hours that equate to a significant financial benefit for their loved ones. Often, families will work together to create a rotating schedule of family members who provide care, and they will sometimes even supplement out of their own pockets to hire care intermittently to give family members a break. You can also utilize grants through the Parkinson’s or Alzheimer’s associations to provide small — but vital — sources of money for respite care services. + For the last decade, Amy Hane has been committed to serving the CSRA community by guiding those going through mental, physical and social issues related to caring for an aging or disabled loved one. She assists families with transitions to higher quality care for the safety and wellbeing of all involved. Amy holds both Bachelor’s and Master’s degrees from the University of South Carolina, is a licensed Master Social Worker in South Carolina and Georgia, an Advanced Professional Aging Life Care Manager and also a Certified Advanced Social Work Case Manager.

PROFESSIONAL DIRECTORY ALLERGY

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

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

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

DENTISTRY

DERMATOLOGY

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

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

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

FAMILY MEDICINE

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

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

PHARMACY

YOUR LISTING HERE

SENIOR LIVING

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

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

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

VEIN CARE

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

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