June23 17 by Daniel Pearson

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MEDICAL EXAMINER recipe feature PAGE 7

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

A strong shot of prevention At 2, 4, and 6 months of age, pediatricians give babies shots. One of the most important shots given in the fi rst two sets is called “HiB”, short for Haemophilus influenzae B, aka “H. flu” or H. flu B” in the medical world. Despite its name, it has nothing to do with the classically defined “flu,” but it is classically known for being the culprit bacteria behind some of the most devastating infections that can plague a pediatric population without these preventive shots. Some of these infections include (but are not limited to) bacterial meningitis that could leave the brain looking like Swiss cheese, bacterial epiglottitis (which causes unfathomable inflammation of the airway before it gets to the lungs, potentially suffocating a child with pus and swollen tissue), and sepsis (infection of the blood stream). All of these infections can be fatal, and if they do not kill the child, they leave him or her potentially debilitated for life. So what is the “B” in H. flu B? There are countless subtypes of H. flu bacteria, categorized predominantly by whether the bacterium has a capsule or not. In other words, if the bacteria has a fancy coat of proteins and sugars and other molecules, it falls into one category (with subtypes A, B, C, D, E, and F based on the components of the capsule), and if it does not, it is considered “non-typeable”. The capsule provides protection for the bacteria against the body’s immune system, making infections with capsulated H. flu (the A through F types) more serious. The most serious infections are caused by type B. On the bright side, however, it is easier to make a vaccine against the capsule, which is why the HiB (H. flu B specific) vaccine exists. We cannot prevent all infections caused by H. flu, but we have made remarkable strides in protecting our kids against the worst kinds of infections it causes. And if we can start protecting them as early as 2 months, I say why not! +

JUNE 23, 2017

Part R of a 26-part series

A RAW DEAL

It’s like one of those wars in a third-world country that goes on for months, maybe years, and hardly anyone knows about it who isn’t directly involved. What war are we talking about? The one between the advocates of raw milk and its opponents. The most enthusiastic voices on each side view the other as a genuine menace to society and a true threat to life, liberty and the pursuit of happiness. In the pro-raw lobby, appeals to personal freedom are as common as Trump tweets. Here’s one of the milder examples: “What we feed our families should not be dictated by the federal government.” Campaigns to legalize the sale of raw milk likewise invoke assaults on basic freedoms. One successful state campaign was announced on a pro-raw website under the headline, “Opposing tyranny is not a fruitless endeavor.” Even so, Big Brother is always watching: a website with a state-by-state listing of raw milk farms and dairies cautioned that “The FDA and State Agencies have discovered this list and sometimes use it for their own purposes, so exercise caution.” It had the feel of an underground illicit drug operation. The same website addressed this warning to the “USDA, FDA and State Ag Agencies”: PLEASE NOTE: Raw milk is Nature’s perfect food and is extremely important for the developing brains and nervous systems of infants and children. Furthermore, in many children not fortunate enough to have started life on raw milk, raw milk given later in childhood has improved autism, behavior problems, frequent infections, deafness, asthma and allergies and other serious health conditions. Please bear in mind that any move you make to stop or hinder a raw dairy operation will actually HARM, not help the infants and children who rely on that milk, and may make it difficult for all children to obtain this milk in the future–including your own children and grandchildren. An interruption in supply can be VERY detrimental to a growing infant or sick child who has no other options. Read for yourself on our Testimonials page. If

IS FOR RAW MILK

Please see RAW MILK page 6

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

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Obviously the online edition of the Medical Examiner just dropped. Your copy awaits at issuu.com/medicalexaminer or at the M.E. blog: AugustaRx.com/news

THE THREE A’S OF GETTING WELL by Ken Wilson Executive Director, Steppingstones to Recovery

he path to recovery is not an overnight one but often a long painful voyage. An addict usually goes through these stages before relief comes to all: AVOIDANCE – The time-honored “I’m not an addict...I can quit anytime I want...I don’t HAVE to have drugs...I’m just a Weekend Warrior...I’ve never been arrested for drugs...I’m not as bad off as a lot of people I know...I don’t spend my money on drugs...drugs have never caused me any problems.” Ever heard some of those statements? Ever said any of those?! If an addict can avoid the issue, he/she can continue on down their using path. No addict wants to stop using...until they have enough pain, and then their mind is wired to think this way: “I’m going to get mom off my tail, my boss off my tail, my wife off my tail, and finish up this rehab...THEN I’m going to use again — but next time I’m going to keep it under control.” Consciously or not, yep, most of the time that’s what the addict’s brain in early treatment is thinking. ADMIT IT! – “Ok, ok, I’ll admit that I have a problem.” Progress? Yes. Perfection? No. This is the fi rst step of all 12-step self-help groups, originating with the program of Alcoholics Anonymous: “We admitted we were powerless over (the drug of choice here), that our lives had become unmanageable.” I can take you to a few bars in town right now and if you asked you would hear drinkers admit, “Yep, I’m an alcoholic... Bring me another beer.” Just admitting the problem earns no trophies, but it is a good fi rst step. It is, of course, a statement made “in the head” at first and not “out of the heart,” but has to be made before help can be received. Please see THREE A’s page 6

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JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

The

PROFILES IN MEDICINE

Advice Doctor

presented by Queensborough National Bank & Trust Co.

HE SAVED AUGUSTA Our headline makes an assertion that may be open to debate, but the arguments in support of the claim are considerable. The gentleman pictured is Dr. William H. Doughty, Jr. He lived from 1856 to 1923, and was a native Augustan. He earned his Bachelors degree from the University of Georgia in 1875 and his Doctor of Medicine in 1878. After postgraduate studies in New York, he returned to Augusta. By 1881 he was a demonstrator of anatomy and a clinical assistant at the Medical College of Georgia, eventually progressing to professor of surgery. In 1910, Doughty had the good — or perhaps bad — fortune to be named Dean of the Medical College of Georgia. It was certainly good to be rewarded with such an esteemed position, but as it happened, 1910 was also the year The Flexner Report was released. Medicine in the United States would never be the same. Commissioned by the Carnegie Foundation, The

Flexner Report examined the entire system of medical education across the United States, and it didn’t like what it saw. It offered scathing assessments of the state of medical education in Augusta, but that was pretty standard fare across the nation. Chicago’s 14 hospitals, for example, were described en masse as “a disgrace” and “indescribably foul.” Overall, Flexner recommended closing all but 31 of America’s then 155 medical schools, including

Augusta’s. Doughty, in other words, inherited a hornet’s nest of controversy and trouble, and was suddenly presiding over what looked like a sinking ship. In a preview of more recent chapters of Augusta history, the prevailing thought was to close the medical college here and move it to Athens. (The Flexner Report, by contrast, had urged UGA to sever all ties with MCG.) Doughty would have none of that, and he took action on several fronts, including upgrading the teaching curriculum to dramatically improve the quality of instruction for future doctors. 1910 also saw the opening of Wilhenford Children’s Hospital, and Doughty also was instrumental in the growth and survival of University Hospital, although he did it with the help of a man who was a bit of a rogue, to say the least. Native Augustan Gazeway B. Lamar was an entrepreneur, blockade runner and profiteer who made a Please see PROFILES page 10

Editor’s note: this is the 14th installment in a monthly series presented by Queensborough National Bank & Trust and the Medical Examiner profiling exceptional physicians and others of note in Augusta’s long and rich medical history.

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+ Dear Advice Doctor, I have been employed at the same place for more than 10 years and I’ve been promoted a few times and have gotten several raises, so I’m not unhappy. Even so, I’m getting itchy feet — for no real reason. I could get a new job and absolutely hate it. Should I stay or should I go? — Itchy Feet Dear Itchy, You have brought up a truly fascinating subject. It’s really interesting how many things cause itching — and not just affecting the feet, either. Some poor souls will experience an itch on their hand or arm or anyplace on the body that no amount of scratching will relieve. Doctors suspect the cause in such cases is a misfi ring nerve, but there is no shortage of non-imaginary reasons for itching, including a host of skin disorders, lice, herpes, dry skin, bug bites, hives or allergic reactions, sunburn, healing scabs, ingrown hairs, drug reactions and drug and alcohol withdrawal, shaving, contact dermatitis (where poison ivy, soap, a cleaning chemical or something else causes skin irritation), menopause, and even diseases like lymphoma, Hodgkin’s disease, jaundice and diabetes, among others. There are types of itching that are downright creepy, such as formication — that’s spelled with an “m.” Like formicary (an ant nest or colony), formication is ant-related: the sensation that ants or other small insects are crawling on your skin, or just under the skin. There is also what is known as “contagious itch.” Like contagious yawning, this kind of itching can be caused by merely hearing a discussion about itching, or spiders, snakes, or perhaps something to which you’re allergic or that you find distasteful or disgusting. For relief, a pharmacist might be a good place to start for overthe-counter options. Visiting a doctor or dermatologist is the next logical step for additional weapons against itching. + Do you have a question for The Advice Doctor about life, love, personal relationships, career, raising children, or any other important topic? Send it to News@AugustaRx.com. Replies will be provided only in Examiner issues.

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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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Opinions expressed by the writers herein are their own and/or their respective institutions. Neither the Augusta Medical Examiner, Pearson Graphic 365 Inc., or its agents or employees take any responsibility for the accuracy of submitted information, which is presented for general informational purposes only. For specific medical advice, diagnosis and treatment, consult your doctor. The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2017 PEARSON GRAPHIC 365 INC.

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

#46 IN A SERIES

OLD NEWS

Who is this?

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

SIGNS OF DOMESTIC ABUSE

ust as our last issue went to press came the news that Fred Kummerow had died. Not that we here at Medical Examiner world headquarters had ever heard of him — you may be thinking the same — but he was an eminent scientist and pioneering researcher for many decades, and his research has touched all of our lives and no doubt will continue to do so. Born in Berlin in the fall of 1914, the Kummerows emigrated to the United States when Fred was a boy of eight, processing through Ellis Island on Memorial Day, 1923. A chemistry set given to him as a gift on his 12th birthday set the stage for his entire life, and before his 30th birthday had rolled around, Kummerow had earned a Ph.D. in biochemistry from the University of Wisconsin. He put his degree to good use right from the start. Back then, supermarkets didn’t carry frozen chicken and turkeys. If you’ve ever bought either, thank Dr. Kummerow. During the 1940s he was awarded a federal contract to determine why poultry would turn rancid even when frozen solid. He discovered that a simple supplement added to chicken feed (or turkey feed) solved the problem. But he was to move on to more pressing issues, such as finding the culprits behind heart disease. As far back as the 1950s, he was pointing an accusing finger at trans fats, what we once called trans fatty acids. Fats of this description are created by an industrial process that adds hydrogen — seen on food labels as “partially hydrogenated” oils — giving them a longer shelf life without spoiling. In laboratory studies of animals fed a diet that included trans fats, Kummerow discovered arteries clogged with the residue of trans fats, and he documented his findings in some 460 papers published in scientific and clinical journals. No one was listening. He sounded the alarm for decades, but just as we noted in “Q is for Quackery” in our June 9 issue, ground-breaking discoveries are often ignored. Kummerow’s work was dismissed as the misguided findings of a chemist, not a physician, and especially not a cardiologist. While he was blaming fatty acids, Kummerow worked simultaneously to remove what he considered an unfair judgement against cholesterol. He argued that cholesterol’s risk had been greatly exaggerated and even wrote a book on the subject, Cholesterol Won’t Kill You — But Trans Fats Could. Kummerow never gave up, even though his clinical opinions were ignored for nearly 60 years. The recent (2015) decision by the FDA to completely ban trans fats from the US food supply followed — belatedly...very belatedly — a 2009 petition for a ban filed by Kummerow in 2009. When no action was taken, in 2013 Kummerow (at age 98) filed a lawsuit against the FDA and the US Dept. of Health and Human Services. Finally, the FDA moved to implement the ban, giving manufacturers a three year deadline. As for Kummerow’s cholesterol contentions, he lived what he preached: although he avoided processed foods and french fries, his daily diet included a breakfast of eggs scrambled in butter; three glasses of whole milk a day, and he regularly ate meat and cheese, plus fruits, vegetables and nuts. He was only 102 when he died on May 31, 2017. +

here are several kinds of domestic abuse. All of us need to be familiar with the signs even if this issue doesn’t pertain to our personal situation. You may have a family member, friend or neighbor who is in an abusive relationship and is at a loss as to how to cope. Often, they are embarrassed, especially if the victim is male. Being informed is being prepared. Knowledge is power. Physical abuse: Hitting, punching, kicking, shoving, choking, or slapping. Using weapons to infl ict harm or threaten. Controlling what you eat or when you sleep. Forcing you to do work against your will. Forcing you to use drugs or alcohol. Stopping you from seeking medical treatment or calling the police. Emotional abuse: Attacking your sense of self-worth. Making insults, name calling, criticism and humiliation. Exhibiting jealousy, possessiveness, and accusations of infidelity. Withholding affection, cheating and lying. Psychological abuse: Threatening to hurt you, your

loved ones, pets, children or possessions. Controlling what you wear. Damaging or stealing your belongings. Blaming you for the abuse. Gas-lighting, i.e., telling you something never happened; you don’t remember correctly or you make too big a deal out of everything. Sexual abuse: Harming you in any way during sex, forcing you to watch pornography, Insulting you in sexual ways. Reproductive coercion: Refusing to use birth control. Refusing to let you use birth control; sabotaging birth control efforts. Forcing you to become pregnant or to either have/not have an abortion. Financial abuse: Preventing you from having access to bank accounts, permitting you to only spend from an allowance. Controlling what you buy, stealing your money or refusing to contribute to

household expenses. Stalking: Following you, spying; including cyber stalking. Sending you unwanted packages, letters, texts or messages. Digital abuse: Sending you insulting or threatening messages via text, email or social media. Using social media sites such as Facebook to track what you are doing and where you are. Demanding you send sexually explicit photos or videos of yourself or sending you their own. Looking through your phone and checking your call history, texts, and pictures. Ordering you to turn off your phone or demanding you answer their calls. Domestic abuse is very democratic. It does not distinguish between the sexes, race, age, or economic status. Anyone can end up a victim, so knowing the signs and what to do can be a lifesaving grace. If it is someone other than yourself, you can stage an intervention. Hotline counselors with be able to help you organize one. If you or someone you know is in immediate danger, call 911. For crisis and counseling services call the National Domestic Violence Hotline: 800-799-7233, TTY: 800787-2334. Hotline advocates are available 24 hours a day, 7 days a week and 365 days a year. They provide confidential crisis intervention, safety planning, information and referrals to agencies in all 50 states, Puerto Rico and the U.S. Virgin Islands. +

MYTH OF THE MONTH Drinking ice-cold beverages burns more calories than hot drinks At fi rst glance this might seem like a reasonable conclusion: the body’s core temperature is nearly 100°, so it definitely takes a little energy to bring something ice-cold up to our internal room temperature. And it does. A little. A very little. But certainly not enough to be worth mentioning. To be precise, drinking a glass of ice water compared to drinking a glass of room temperature water will result in burning an additional 8 calories. That is probably about what you would save by not eating one potato chip or a single french fry. Not exactly a great basis for weight loss.

Overall, the body expends about 70 percent of its energy just keeping the lights on and the factory running, things like our heartbeat, breathing, and so on. Next up is physical activity: walking, climbing stairs, texting, etc, which totals about 20 percent of all calories burned. Finally, digestion consumes around 10 pecent of the body’s total energy use. In summary, the young lady to the left did not get her physique by drinking ice water. Oh, if only it were that simple. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

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

o k

ime is the only thing in our lives that is limited. You can have as much of anything else that you want, as long as you are willing to work for it or pay for it. But when time is lost, even a minute, it is lost forever. No amount of money or work can regain the minute you lost. So how much is a minute worth? It depends on who you are, where you are, and what you are. And of greater importance is what you did not do during that lost or wasted minute that you could have done. When you squander a minute, the loss is not limited to you. There is collateral damage, a term we usually apply to warfare. Let’s look at what happens when you waste a minute. When I was at the top of my career, I had seven girls working in my office. Three were nurses. The other four ran the front office and the back office dealing with paperwork. I had 3 other doctors. It was always my intention to have the girls out of the office by 5 PM. They had husbands and children plus the duties of running a household when they got home, not to mention preparing a hot meal in most cases. For the sake of argument, let’s say my last appointment at 4:45 shows up 10 minutes late. Is that a real problem? Let’s see. The patient rushes in and

ABOUT THE COST OF LOST TIME

says, “I just made it before you closed. Sorry about that, but I’m here.” My office staff would start the routine patient induction, and I saw patient as quickly as I could. Assuming it was a routine office visit with no acute findings, the process would take about 20 minutes, that is, until 5:15 PM. None of us left the office until everyone was ready to go. Therefore, it took an extra 15 minutes of my time to see the patient. I can live with that. Doctors are used to that. But what was the collateral damage? The patient being 10 minutes late wasted 15 minutes of time for each of the seven girls and me. The initial collateral damages adds up to two hours of payroll time. My lowest paid girl at that time was $12 an hour, my highest paid made $20; the staff average was a little over $15 an hour. Therefore, the extra time had a direct collateral damage cost of $105, plus my time. If I told the patient that fact and suggested he should pay the cost, do you think the patient would say, “I’m so sorry. Since it’s my fault I think it’s only fair that I pay an extra $105 for the visit”? No. I don’t think so. I think the patient would be insulted and highly miffed. After all, he did not intentionally stay at the mall later than planned. But is that all the collateral damage? Not by a long shot.

E TH

Bes Consider the seven girls, seven husbands, and nine children between them, (total: 23 souls). Each is deprived of 15 minutes of time they would’ve got to spend as family time. That is nearly six hours total (5.75). How do you put monetary value on family time? But we’re still not through. Having pushed back the schedule of the adults by 5.75 hours, now there is almost 6 hours of sleep time lost that night, assuming that the children could not be in bed at their regular time. Monetary cost to me was $105. Over 13 hours (2 + 5.75 + 5.75) in various activities were lost by all individuals involved, all because the last patient was “10 minutes late, but got there before the office closed.” No harm done in the patient’s mind. But the collateral multiple in my case is 60. Just being late by 10 minutes cost me and my staff and their families 13 and a half hours. That is 810 minutes. The same principal applies to your life as well, although the collateral damage factor may not be as high. Once you have lost or wasted a

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minute, it is gone forever. You cannot get it back. You cannot buy it back. Now you can see why I do not have a high opinion of someone “who is always late” and thinks it is cute. Being late is rude and inconsiderate. Being late steals from others connected, even those you do not think about. The ripple effect damages everyone in ways you make not recognize. Because of this, I have developed the unconventional habit of always being early. I admire that in myself (and others). It pays off. So here is a question on this topic for our youth or anyone looking to be hired: If you have an employment interview at 10 AM, what time

Bad Billy Laveau is a formerlyretired MD who wields a pointed sense of humor - and now, tongue depressors too. He speaks and entertains at events for audiences not subject to cardiac arrest secondary to overwhelming laughter and glee. BadBilly@knology.net or 706306-9397. F REE T AKE-HO ME CO PY!

MEDICAL EXAMINER

William S. Morris III Founder, chairman and CEO of Morris Communications and publisher of The Augusta Chronicle.

AIKEN-AUGUSTA’S MOST SALUBRIOUS NEWSPAPER • FOUNDED IN 2006

JUNE 23, 2017

This newspaper is delivered to more than

883 private practice doctor’s offices and to 14 area hospitals.

The Augusta Medical Examiner’s publisher, Daniel Pearson, has continuously published a newspaper 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 Augusta area readers for more than a quarter of a century.

ine c i d E tM

should you arrive? _ 10 AM? _ 9:50 AM? _ 9:45? All those are wrong! Show up at 9:00 AM and tell the receptionist, “I know I’m early. I’ll sit over here out of the way just in case the boss can see me early. I don’t need any coffee. Just call me at your convenience.” What should you learn with all this? Arrive early for your medical appointments. The staff will love you. Arrive late and many people downstream will hate you, even though they don’t even know you. Remember this: If you arrive on time, you are late. +

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JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

RAW MILK… from page 1 you are concerned about safety, rest assured. In the farm-to-consumer distribution model, the farmer receives timely and relevant feedback directly from the customers, something that farmers selling bulk milk never receive. Raw milk is actually the safest food around with so much consumer oversight and also with an extremely efficient built-in anti-pathogen mechanism! If you are concerned about rules, then consider investing the same amount of time you’d spend persecuting a raw milk farmer into advocating for supportive raw milk legislation. “Raw milk is real milk” is a common rallying cry in the pro-raw ranks, and it would seem to hold a fair amount of logic: the closer a food is to its natural state, the better. The less processing involved, the better. Who wants a processed version of any food when a more natural version is available? Raw milk often comes from a local source and offers the benefit of being able to support local farmers. And it has this undeniable fact going for it: people drank unpasteurized milk for thousands of years and seemed to do just fine, thank you. And now for an opposing view One of the major issues in the milk wars is pasteurization. What is it? Simply heating milk in order to kill bacteria. Specifically, milk travels through pipes heated to 161° for 15 seconds. Milk is almost a perfect host for microbial growth, and this quick heating process kills the majority of bacteria which otherwise could cause milk drinkers big problems. Pasteurization does not sterilize milk (or anything else that is pasteurized). Instead it lowers the numbers of pathogens in milk to levels unlikely to cause disease. Diseases prevented by pasteurization include Salmonella, Listeria, Yersinia, Campylobacter, Staphylococcus Aureus, E. coli, Brucellosis, tuberculosis, diphtheria and scarlet fever, among others. But of course, that’s according to the CDC, a.k.a. Big Brother and the forces of tyranny. The pro-raw crowd sees pasteurization just a

THREE A’s… from page 2 little differently. As one article stated, if you buy pasteurized milk “you are getting nothing more than white liquid...an expensive white nutritionally-void, dead substance.” Except that in the original those words were bold and italicized. The article added, “Vitamins A and D are synthetically added back into pasteurized milk,” the implication being that pasteurization destroyed something natural and it was restored chemically, which is to say, in an inferior way. If only that were true, it would be an excellent point. Milk, raw or otherwise, does not contain vitamin D, so pasteurization can’t destroy what isn’t there. Vitamin D is required for calcium absorption, however, so raw milk drinkers are actually getting less calcium than those drinking pasteurized milk that has been fortified with vitamin D. Ditto for the pro-raw claim that pasteurization kills beneficial enzymes. The opposing view (from an article by a Ph.D and M.P.H.): “Enzymes found in raw milk are bovine enzymes which...are destroyed naturally by the human digestive tract. Humans are incapable of using bovine enzymes to aid in digestion.” In the end, people have the right to drink raw milk if it’s their preference and it suits their taste. Many people are doing so every day without ill effects. But it’s a little like the acrobat performing without a net: it’s not a problem until it is, and then it may be a very serious problem indeed, even a fatal one. Given the strong opinions on both sides of the issue, it is unlikely that any one article, this one included, will change many minds. But anyone considering raw milk should be aware that much of the information promoting it is overblown at best and completely false at its worst. Do your homework and make your best informed decision. Here’s one place you might begin: https:// www.cdc.gov/foodsafety/rawmilk/raw-milk-index. html. For local readers, raw milk is illegal to sell for human consumption in Georgia and legal to sell in any retail store in South Carolina. +

I’m reminded of a bumper sticker somebody gave me years ago that says “I’m not an alcoholic – I’m a drunk. Alcoholics go to meetings!” Admitting is not the all-in-all panacea but can lead, in time, to the wonderful next step: ACCEPTANCE – “Whew. Wow. I’m an alcoholic.” When said with unction and certainty, coming from the heart, it has a different ring to it, doesn’t it? Acceptance is full ownership with a mind ready to receive help and go to any length to achieve sobriety and peace of mind. Acceptance doesn’t mean you like having the illness; it doesn’t mean you embrace it or want it, but it is letting go of the previous struggles to hang onto it at any cost. Daily I hear people say, “Getting well is so hard.” My response is usually, “There’s only one thing harder: Not getting well.” Yeah, just try keeping on the addictive path...it leads to jail, institutions, and death according to 12-step selfhelp groups and millions of documented cases. Do I hear you saying, ‘“Ok, I hear all this, but what about me? I don’t even use. I’m the affected family member! What about me?” Good question. Whether this is good news or bad news, the reality is that loved-ones go through exactly the same 3-step process as the affl icted one! Go ahead...document your own path: Remember when you didn’t want to see the truth about your loved one? You were avoiding it through any and all means necessary. Squelching the truth. Then you finally admitted it...all in the head... you didn’t know where to turn or even the questions to ask, but you finally came to the realization of the awful truth through great personal pain, sleeplessness, and possibly financial ruin, or very close to it. Then you finally accepted the truth. Finally you made your way past avoidance and found peace about it all. Now you can do some learning and growing. Now your heart and soul is open to getting well. Finally. +

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JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

Southern Girls Eat Clean Carrot Cake Muffins — gluten-free and delicious!

AT IO

I am always looking for a healthy, clean and nutrient dense breakfast food that I can grab on the go. If you are like me, it is always rushed in the mornings. Even though I try really hard to give myself extra time, I invariably run behind. These muffins are my new favorite go-to breakfast. Recently I found a paleo-friendly recipe for Carrot Cake Cupcakes in one of my many cookbooks, Meals Made Simple by Danielle Walker. Danielle is a blogger and author of several cookbooks. After a very serious illness she found healing through food. She writes the blog.... “Against All Grain.” Danielle’s recipe had coconut cream frosting on top of the cupcakes, which obviously looked amazing. However, as I read over the ingredient list I realized that if I omitted the frosting they would make the perfect “on the go” breakfast muffin. Made with fresh grated carrots, raisins and coconut flour these little muffins pack a nutritional punch. They are so yummy and the recipe is quick and simple, which Carrot Cake Muffins makes it easy to whip up a nutmeg batch on Sunday evening for incorporate. • 1/4 teaspoon ground ginger the work week. 4. Bake the cupcakes for 18• 1/4 teaspoon sea salt I hope you will try this 20 minutes, until a toothpick • 1/4 cups grated carrots recipe and check out more inserted in the center comes • 1/4 cup raisins from Danielle Walker over out clean. Remove the at her little corner of the cupcakes from the pan and Directions: worldwide web: www. allow to cool completely on a 1. Preheat oven to 350 againstallgrain.com wire rack before serving. degrees. Line muffin tin with Enjoy! 5. Store in an air tight paper liners. container in the refrigerator 2. Beat the eggs, honey, Ingredients: for up to one week. + coconut oil, and vanilla in • 4 large eggs (at room the bowl of a stand mixer on temperature) Alisa Rhinehart is half of the medium speed for about 30 • 1/2 cup raw honey blog southerngirlseatclean. seconds, or use an electric • 1/4 cup coconut oil, melted com. She is a working wife hand mixer. • 1/2 teaspoon vanilla extract and mother living 3. Add the coconut flour, • 1/2 cup coconut flour, sifted in Evans, Georgia. baking soda, spices, and salt • 1 teaspoon baking soda Visit her blog for and beat again to combine • 3/4 teaspoon ground more recipes and fully. Fold in the carrots cinnamon information on and raisins and stir well to • 1/2 teaspoon ground clean eating.

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AUGUSTA MEDiCAL EXAMINER

OUR NEWSSTANDS Medical locations: • Children’s Hospital of Georgia, Harper Street, Main Lobby • Department of Veterans Affairs Medical Ctr, 15th St., Main Entrance • Dept. of Veterans Affairs Med. 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) • Georgia War Veterans Nursing Home, main lobby, 15th Street • Augusta U. Hospital, 1120 15th Street, South & West Entrances • Augusta U. Medical Office Building, Harper Street, Main Entrance • Augusta U. Medical Office Building, Harper Street, Parking Deck entrance • Augusta U. Hospital, Emergency Room, Harper Street, Main Entrance • 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 • 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. • Family Y (Old Health Central), Broad Street, downtown Augusta • Hartley’s Uniforms, 1010 Druid Park Ave, Augusta • International Uniforms, 1216 Broad Street, Augusta • Marshall Family Y, Belair Rd, Evans • Parks Pharmacy, Georgia Avenue, North Augusta • Southside Family Y, Tobacco Road, Augusta • Surrey Center, Surrey Center Pharmacy, Highland Avenue, Augusta • Top-Notch Car Wash, 512 N. Belair Road, Evans • Wild Wing Cafe, 3035 Washington Road, Augusta

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.

THE MONEY DOCTOR MONEY’S TIME VALUE

he time value of money is a basic tenet of financial planning that impacts all of us. It is the idea that money available at the present time is worth more than the same amount in the future due to its potential earning capacity. As an example, if someone offers you ten dollars today or ten dollars five years from now, which would you choose? Everyone would take the ten dollars today. The main reason people make that choice is due to inflation, meaning that the cost of most items we consume generally goes up over time. How do the time value of

money and inflation combine to impact our short and longterm financial goals? Over the long-term, it highlights the importance of saving and investing with the goal of growing your money at a rate higher than inflation. Over the short-term, it is important to focus on capital preservation while maximizing your interest rate to keep up with inflation. We spend a lot of time talking with clients about both short-term and long-term goals and how best to maximize their resources to achieve those goals. As part of that we break down the time value of money equation to help clients understand how different parts of the equation impact

their situation. Below are the main items we focus on. Present Value – This is the amount of money you have today earmarked for a specific goal. Interest Rate – This is the rate of return you expect to receive on your money. Different investments will provide different returns. Over a short time period, the impact will generally be small. However, over a long time period small changes in the rate can have a significant impact. When planning for goals decades away it is a good idea to be conservative. We like to use 6% returns as a base long-term projection, and then for comparison we like to show 4% and 8%. This helps

you see the impact of different returns over time. We also discuss the impact of the sequence of returns, because you get different results if you make 8% the fi rst year and 4% the next year vs. 4% the fi rst year and 8% the next year. Time – This is the amount of time you have available to reach your goal. The chart on page 10 (based on retirement at age 65) shows the impact of time on long-term goals. When you are young, time is on your side and working for you; however, when you are closer to the long-term goal time becomes a headwind. Additional Savings – This is the amount of money you save toward the goal each month or year. This is the single most important input in the equation and the one over which you have the most control. Dr. Thomas J. Stanley studied wealth for many years and noted that having the discipline to save over a lifetime is the key reason 80%-85% of millionaires are self-made. It is eye-opening for most people to see what saving a little more each month can do over time. Future Value – This is the amount of money you will have in the future based on Please see MONEY DOCTOR page 10

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JUNE 23, 2017

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

HERE’S WHAT YOU DON’T KNOW ABOUT CHOLESTEROL

AUGUSTA MEDiCAL EXAMINER

by Kayla Parker

common misconception is that reducing the amount of dietary cholesterol a person consumes will all by itself result in improved cholesterol levels and decreased risk of cardiovascular disease. Cholesterol is made in the body, but can also be obtained through animal products in the diet. The most recent studies show that in the general healthy population there are other factors that have greater influences on serum cholesterol levels and that dietary cholesterol has been shown to have very minimal effect. It is for this reason that the USDA, American Diabetes Association, American Heart Foundation and American College of Cardiology’s

previous guidelines — consume less than 300 mg of cholesterol a day — and which specifically limited egg consumption, have been revised to shift the focus to other dietary interventions for improved cardiovascular health. Cholesterol Simplified Cholesterol is a structural component of many cell membranes, a precursor to hormones such as testosterone and estrogen, as well as a precursor to the synthesis of vitamin D. It’s usually simplified into two categories HDL or “good” cholesterol and LDL or “bad” cholesterol, although it’s really a bit more complicated than that. The body can synthesize all the cholesterol it needs

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to maintain its intended functions, and normally keeps this system very tightly regulated. Cholesterol can come from consuming animal products such as eggs, meat, butter and cheese, but excess cholesterol can be excreted by the body through bile. How someone can still have high levels of cholesterol if the body controls what it makes and absorbs? Without going into too much biochemistry, cholesterol is a complex molecule and its production is largely dependent on a ratelimiting enzyme called HMGcoA reductase. Normally, when cellular cholesterol levels are low, this enzyme is turned on and signals the body to either reabsorb cholesterol from the gut, or begin synthesizing it in the liver. Another factor that can turn this enzyme on is insulin, a growth hormone which responds to increases in blood sugar. A spike in blood sugar signals this insulin to be released, activating HMGcoA reductase and telling the body to prepare for growth and the need for an increase in production of cholesterol to make new cells. It is for this reason that restricting cholesterol consumption may still be emphasized for type II diabetics as they are insulin

resistant and their pancreas attempts to compensate for this by producing even more insulin.

of total calories for those that already have elevated LDL cholesterol levels. Trans fats, which are formed through the processing of foods, should be avoided if possible or limited to less than 1% of total daily calories. Because saturated and trans fats can be found in both vegetable and animal products, vegans are still at risk for elevated LDL cholesterol and cardiovascular disease contrary to popular belief.

How cholesterol lowering medications work Many people with high levels of serum cholesterol are prescribed a statin drug. These drugs block the activation cite of HMGcoA reductase to prevent it from receiving the signals to be turned on, signaling to stop the production and reabsorption of cholesterol. These types of fat should be limited to reduce the risk of cardiovascular disease Saturated and trans fats are the types of fats that have been shown to increase LDL cholesterol and the risk for cardiovascular disease. Saturated fats, which are found mostly in animal products but also tropical oils such as coconut and palm oils, should be limited to less than 10% of total daily calorie intake. The American Heart Association recommends to decrease this amount to 5-6%

What can be done to improve cholesterol levels without the use of medication Whether you are on cholesterol lowering medication or not, there are many things that you can do to effectively improve cholesterol levels. • Eat a well-balanced diet high in non-starchy vegetables and whole fruits. Include whole grains as your choice for carbohydrates. Avoid high sugary beverages and foods • Maintain glycemic control. Even if you don’t have diabetes, it’s a good Please see CHOLESTEROL page 15

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AUGUSTA MEDiCAL EXAMINER

PROFILES… from page 3 small fortune during the Civil War serving Southern interests. When Lamar saw the tide of the war begin to turn in the North’s favor, he knew his considerable fortune could be at risk, so as Sherman’s Army approached Savannah Lamar took “Lincoln’s Oath,” swearing allegiance to the U.S. and the Constitution in exchange for amnesty at the war’s end.

When Savannah fell soon thereafter, approximately 10 percent of the massive quantities of cotton seized by Sherman belonged to Gazeway Lamar (Gazaway in some histories). After the war ended, and after the Supreme Court confi rmed that the Lincoln Oath was all that was required to receive compensation for assets lost

during the war, Lamar filed a federal claim to be reimbursed for his lost property. He received less than he applied for, but still got a check from Uncle Sam for nearly $580,000, reported to be the largest individual payment for Civil War reparations. Although Lamar died just six months later (and is buried in Augusta’s Magnolia Cemetery), his will directed that a portion

MONEY DOCTOR… from page 8

of his estate be dedicated “for the building of two hospitals for the exclusive care of Negro patients” in Georgia. Savannah had already taken its share, but Augusta’s was unclaimed until Doughty took action, asking the Augusta City Council to match Lamar’s funds. They agreed, and Lamar Hospital was built on Gwinnett Street (now Laney-Walker Boulevard) on the site of today’s Tabernacle Baptist Church. Dr. Doughty himself drew the plans for the facility. Although the Lamar Hospital burned to the ground, its name lived on in University Hospital’s (then City Hospital) Lamar Wing, which combined with adjacent Barrett and Jennings Wings in 1915 to create a new campus for the newly named University Hospital, renamed to reflect its clinical association with the nearby Medical

College of Georgia. There was also a William H. Doughty, Sr. He too was a physician who graduated in 1855 from the Medical College of Georgia, instructed, said a 1908 history, “by such eminent preceptors as Drs. Dugas, Ford, Campbell, and others.” Born in Augusta in 1836, the elder Dr. Doughty married at age 19 in October of 1855. William Jr. came along in November of 1856. He would eventually be on staff with the very same preceptors — Drs. Dugas, Ford, Campbell, and others — who trained his father. The senior Dr. Doughty died in 1905 at age 69. His son was still serving as Dean of the Medical College of Georgia (beginning in 1910), when he died at age 66 in June, 1923, from an infection following a tooth extraction. +

This shirt could be yours

FREE! the present value, interest rate, time, and additional savings you input. You can also input the amount of money you desire to have in the future and solve for the other variables. How is understanding these inputs and the overall equation helpful? We use it for many different discussions because you can solve for any variable if you can make assumptions for the other variables. For example, you can figure out how long it will take to save

a certain amount of money or how much money you need to save each month to reach a specific goal. You can even figure out how much your pension benefits are worth today when considering a lump-sum offer. We always encourage our clients to take the numbers you get from these equations with a grain of salt. Life events and economic events are impossible to predict with any certainty. We do our best to plan based on the information we have today while making conservative

assumptions about the future. As with any good plan, the only thing that is certain is change which is why remaining flexible and reevaluating on a regular basis is the key to good wealth management. + by Clayton Quamme, a Certified Financial Planner (CFP®) with Calvary Wealth, LLC (www.calvarywealth. com). Calvary Wealth is a feeonly financial planning and investment advisory firm with offices in Augusta, GA and Columbia, SC.

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We’ve just added this shirt to the haul winners of the Mystery Word contest receive — in addition to gift cards from Wild Wing Cafe and Scrubs of Evans.

FIND THE WORD AND ENTER TODAY! Remember: the Mystery Word is always hidden. It is never in plain sight and it’s never in an article. See all the deets on page 14.

JUNE 23, 2017

11 +

AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Lucy Hornstein, MD, on June 26, 2015 (edited for space)

SO YOU WANT TO CHANGE DOCTORS. HERE’S HOW TO DO IT RIGHT. Patients “break up” with me all the time. Well, not all the time, but it’s not uncommon. There are many reasons, some of which are under the patient’s control, and some which are not. Moving across the country is a good reason to look for a new doctor. (Seriously. When you move several states away, please find a new doctor. I’ll refill your prescriptions long enough for you to get settled, but I have some people still calling me years later “just to keep you in the loop.” I appreciate the love, but come on already.) Even if you haven’t moved that far, far enough that driving to my office is now inconvenient is an understandable reason for a change. It happens. Some people switch because of their insurance. I’ve done my best to participate with most of the major players in my area, but there are some I don’t take. That said, many people have chosen to continue seeing me, paying out of pocket. There are people I’ve misdiagnosed who make no secret about why they want someone else. Sometimes there are people who think I’ve misdiagnosed them who write me scathing letters when requesting their records. Only once has someone been upset enough to sue. Others decide that for whatever reason, I’m not the right doctor for them. I’m OK with that. Then there are the folks who have lost that lovin’ feeling, but in a way that acknowledges the good care they’ve received in the past. Many doctors have forms you can use to transfer records. I have them too, but without any further context, I’m left to wonder a little. If the new doctor is in another state, the situation is self-explanatory. Otherwise, it may give me pause. But not for too long. I’ve learned not to take it personally when patients transfer. I may be momentarily bummed, I’m seldom devastated. All you need to to is send me a simple note telling me where to send your medical records. You don’t need to give a reason. If you’re not happy, I’ll probably have had at least a hint or two of that anyway. If you want to convey that you’re not angry or upset with me, a line like “Thank you for all your good care over the years” is good enough. There is seldom anything to be added by including a long explicit list of all my shortcomings that led you to the decision, but I would like to know if there was a problem — mainly so I can potentially avoid doing the same to other patients — but it doesn’t need to be an essay. It’s always a good idea, in general, to avoid burning your bridges. You never know: You may change your mind and want to come back. I just had a family of six move about half an hour away and asked me to transfer all their records, but they called last week for an appointment. Seems they just didn’t like the new guy, and they figured half an hour wasn’t that far after all. The best way to convey your appreciation for good times in the past is to do it in person. A heartfelt “Thank you” with a handshake or hug means the world to me. +

I’ve learned not to take it personally

Lucy Hornstein is a family physician

Pop Quiz: who are the men on the short list of the greatest of all American presidents? George Washington, Thomas Jefferson, Abraham Lincoln, James Garfield, Franklin Del... Wait, wait, wait. Hold up. James Garfield? Yes. James A. Garfield. According to our featured book for this issue, “Garfield was one of the most extraordinary men ever elected president of the United States. Born into abject poverty, he rose to become a wunderkind scholar, a Civil War hero, a renowned congressman, and a reluctant president who took on the nation’s corrupt political establishment.” He was a passionate abolitionist and a fierce champion of the rights of freed slaves. His intellect was such that he became a university president at age 26, and while in Congress “wrote an original proof of the Pythagorean Theorem.” But just four short months after his inauguration as president, he was shot in the back by a deranged zealot. Garfield survived, although

he was mortally wounded and never recovered. Shot on July 2, 1881, as he prepared to board a northbound train to escape the heat of Washington, Garfield died on September 19 after weeks of pain and misery. Immediately after the attack, Garfield was laid on a mattress and carried into a nearby office where several doctors examined him, all probing the wound with unwashed hands and fingers, even though the work of Joseph Lister was well known at the time (if not practiced). Lister had, in fact, visited America five years earlier and spoke about antiseptic procedures, but most doctors still viewed his

findings with skepticism. As a result, the further explorations of Garfield’s wounds were undertaken with unsterilized instruments, with infection the inevitable result. Alexander Graham Bell was part of the effort to locate the bullet and save Garfield’s life. Had the attack on Garfield’s life happened in 2017, the author believes he would have spent two or three days in the hospital and gone on to a full recovery. Millard writes of visiting the National Museum of Health and Medicine where the remains of Garfield’s assassin are preserved, along with a six-inch section of Garfield’s spine, “a red pin inserted through a hole in the knobby, yellowed bone to show the path of [the] bullet.” It’s a tale of medical history and American history now hardly remembered, says Millard, that should never have been forgotten. + Destiny of the Republic: A Tale of Madness, Medicine and the Murder of a President by Candice Millard, 432 pages, published in 2012 by Anchor Books

Research News Diabetic? Get a tattoo. MIT and Harvard Medical School researchers have collaborated to develop biosensitive tattoo ink which responds to changes in body chemistry. The sensor inks detect changes in interstitial fluid, the fluid in which our cells float around within us. Three different inks have been developed so far: one that goes from pink to purple in response to changing pH levels, another that alerts to high sodium levels when viewed under UV light, and a third and perhaps most intriguing variety: ink that changes from light green to brown as blood sugar rises. Diabetics are sometimes unaware of high or low blood sugar levels until they do a pin-prick blood test — something that many diabetics do several times every day. An at-a-glance display in the form of a tattoo would obviously be a

useful indicator. Right now the inks are just a demonstration project, and they may or may not ever be made available to the public. Effective diet: vegetarian A study published June 12 in the Journal of the American College of Nutrition has found that a vegetarian diet was almost twice as effective in reducing body weight compared to a conventional weight-loss diet, and helped improve metabolism by reducing muscle fat. Kids = slugs Ask people of a certain age to recall their after-school or summer vacation activities and you’ll likely hear about impromptu baseball games, jumping rope, playing catch and tag and hopscotch and hide-and-seek and football and basketball. Ask people of a different certain age — teenagers,

let’s say — about their current summer vacation or after-school activities and the answers might include texting, playing video games, posting on Facebook and Instagram. In fact, the Bloomberg School of Health at Johns Hopkins University released a study on June 15 saying that 19-year-olds are as active as 60-year-olds. Or to put that slightly differently, 19-year-olds are as sedentary as 60-year-olds. The researchers were surprised (unpleasantly) to discover that physical activity among children and teens is lower than previously thought. And it was previously thought to be pretty low already. This report called their activity levels “alarmingly low,” and pointed to it as a likely culprit in the growing epidemic of obesity, particularly among children and teens. +

+ 12

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS

THE MYSTERY WORD

Nice haircut.

That comment really annoys me

by Dan Pearson

What’s wrong with that?

Right. I told exactly ONE Gossip? All I said person I got a trim. And was nice haircut. now you’re like the 4th person to make a comment.

I hate gossip, that’s why.

The Mystery Word for this issue: THIRDYANO

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

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Guns 5. Medical guinea pigs? 9. Door openers 14. Spring 15. Pinnacle 16. Strange and mysterious 17. Narrative of heroic exploits 18. Assemble 20. A second one can be good 22. Overjoyed 23. Invasive beginning 24. Female genital tract inflammation (abbrev.) 26. Coin ______ 27. Jackets adjective 30. Craft beer container 32. Savanna sound 33. Gourmet, informally 34. Eisenhower, informally 37. Ambulance service, briefly 38. Powerful desire 39. Spanish hero (with “El”) 40. Receive 41. Sick 42. Damn, but milder 43. It begins right after high tide 45. Protuberance 46. Uncover 48. ____ off; attack or criticize 49. ____ brain 50. Crescent-shaped 52. Statesboro’s county 56. Position of a magazine or newspaper’s content boss 59. Man is one 60. _____ up; evaluated 61. Sheepdog with a thick, corded coat 62. Brief time period

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

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QUOTATION PUZZLE

U L H B T A A T F U S L P L O H E A F D K B O O H N P I Y T T E I E U R Y A T L Y L N N E A D

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.

63. Secretarial transcriber, in brief 64. Shout 65. Chiefly nocturnal insect

25. Element #53 27. Hall of Famer Maddox 28. Capital of Italy 29. Infuse with Oriental ideas 30. Hockey or soccer defender 31. It follows North (in Augusta) 33. Waste little by little 35. Mill in Augusta 36. Advantage 38. Uber alternative 42. Good and evil embodied within one, for example 44. Defeated 45. Another name for Baal 46. “____ you!” 47. Examine account books 49. Hole in the iris 51. List heading 52. Kill ____ 53. Christiania’s current name 54. Blood blockage 55. 8th Hebrew letter 57. Engage in espionage 58. Shade

DOWN 1. Hemingway title word from a novel set in Pamplona 2. Harvest 3. Biblical wise men 4. Wrench (in Britain) 5. Bibb County seat 6. Screen symbol 7. Hospital charity for kids (abbrev) 8. Brain electricity meas. 9. Brooks of local note 10. Invalidate 11. Public speaking adjective 12. Reality _____ (1994 film) 13. Sown objects 19. Detroit player 21. Saturn compact 24. Furnish; supply

X A M I N E R

5 3

8 8

6 3 9

4 6

5 4

6 5

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.

1 2 3

1 2 3 4 5 6 7 C 4

N 1 2

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

— Terri Guillemets

1.AAAILWWCFDN 2.AARIUISI 3.KOTTPPY 4.SHCHE 5.AOOT 6.KIUU 7.TTEN 8.G

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

Solution p. 14

WORDS NUMBER

— Anne Frank

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

13 +

THE BEST MEDICINE ha... ha...

Moe: Why are you spending so much time in the bathroom? Joe: I accidentally swallowed a bunch of tiles when I was playing Scrabble. Moe: Yikes. That could spell disaster. Moe: I almost got stuck in a burning building today. Joe: How did you get out? Moe: I just tried asbestos I could to get out.

wife asks her husband to go to the market for a few groceries. “Buy a gallon of milk, and if they have eggs, get six.” He comes back a short while later with six gallons of milk. “Why on earth did you buy six gallons of milk?” asks his exasperated wife. “They had eggs,” replies the husband.

Moe: The neighbor’s dog pooped in our yard, so my wife told me to get our shovel and throw it over the fence. Joe: Now really, what did that accomplish? Moe: That’s what I’m saying. We’ve still got dog poop in our yard, and now the neighbors have our shovel. Moe: Who was that at the door? Joe: Some guy said he was collecting for the nursing home. Moe: Did you give him Grandpa? Moe: Know what happens if I steal uranium? Joe: You go to prison? Moe: No. It becomes myranium.

Moe: A lion would never drive under the influence. Joe: No, but a Tiger would. Moe: I love old movies Joe: That reminds me, what is E.T. short for? Moe: Probably because he has tiny legs. Moe: Hey, that dog you sold me yesterday dropped dead today! Joe: That’s odd. He’s never done that before. Moe: I was at a friend’s house today and this is amazing: he has a dog born without a nose. Joe: What? How does he smell? Moe: When I got there he had just had a bath, so pretty good actually. Moe: What do you call a procrastinating woodpecker? Joe: A wouldpecker. Moe: I love jokes with unexpected punchlines. Joe: Kangaroo. +

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

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

ON THE ROAD TO BETTER HEALTH A PATIENT’S PERSPECTIVE Editor’s note: Augusta writer Marcia Ribble wrote a long-time column in this paper entitled The Patient’s Perspective reincarnated in this new format. Feel free to contact her at marciaribble@hotmail.com Going out to retrieve the newspaper before sunrise the other day, the street lights were still on and a haze of fog surrounded them, casting murky shadows like one of the opening scenes in the fi rst Harry Potter movie. The feeling was so similar that I half expected a character from the movie to emerge from the shadows and capture the lights from all the poles on my street, snuffing out the lights, so Hagar could safely deliver the infant Harry Potter to his Muggle aunt and uncle. I remembered how the mystery of that moment took time to unfold and create understanding, and the laughter later as the owls brought hundreds of letters from Hogwarts for Harry. I might forget what I had for breakfast yesterday morning, but those memories of having a rich imagination are such a pleasant diversion. Feeling that playful imagining as throwback to childhood, it set me to giggling and enjoying the déja vu of the moment. Although I’m beyond 70, it’s still fun to recognize the child parts of myself that all those years of living, no matter how difficult they may have been, have not managed to snuff out. It’s being in touch with the person that I still am, linked to a long chain of memories. Drinking my coffee I retrieved the memory of sobbing when Heidi was finally able to go back to her beloved Grandpa and her real home in the mountains. I remembered her taking a soft white bread roll to Peter’s grandma who had trouble eating the rougher doughs of the whole grain breads available to the mountain people. That thought connected to today’s world in which we now choose to eat those whole grain breads because they are actually healthier for us. Go figure! I am obviously not a child now or I wouldn’t have survived and raised five children. But to be a whole person at my age, all of myself needs acceptance and love. And that awareness brings me to a new and delightful return to our child selves—adult coloring books. Those coloring books make possible a lovely expansion of our present selves by reincorporating a childhood experience, while simultaneously upgrading that activity to a much more sophisticated level. When I fi rst started to hear about them, I was hesitant to give them a try. I still recall my childhood experiences of coloring outside of the lines, feeling I had destroyed the page in the coloring book and setting it and my crayons aside as a worthless endeavor. I worried a little about whether I’d feel similar feelings of frustration and failure. But one day a few weeks ago I was at the store to buy a bunch of Pilot’s G2 gel pens for my puzzle books and I decided that I could afford a small investment in learning something new and old. The coloring book, colored pencils, colored inks, and paint pens sat on my dining room table for close to three weeks before I sat down to try them out. Guess what? I still color outside the lines sometimes, but it no longer matters. I found out that I love seeing the colors emerge. I enjoy thinking about which colors are appealing when next to one another in the picture. Interestingly, the experts on healthy aging say that some ways to avoid, or at least delay, dementia involve being willing to engage one’s mind, to learn new things, to remain involved in the world. Applying one’s creative imagination to coloring books is one of those ways. My friend Jerry quilts, and her quilts are a masterpiece of placing colors in juxtaposition. Her mind ought to last well into her centenary years. +

+ 14

JUNE 23, 2017

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED

137

The Mystery Word in our last issue was: FRACTURE

...very cleverly hidden (on the man’s chest) in the p. 2 ad for WINDSOR JEWELERS THE WINNER: GWEN HOPKINS 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

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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.

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EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. FOR RENT 1 BR/1BA Condo. Summerville across from AU. Historic, rehabbed, hardwood, stainless kitchen, washer/ dryer with trash, water, pest control included. $900. Excellent location and condition. 706-738-5606. Link for full information: https://coolcondoforrent.wordpress. com/2014/07/04/for-rent/ 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

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

FOR RENT 2000+ sqft warehouse space w/ loading dock, Walton Way Medical District. Available immed. $850.00/mo. incl. utilities. 706-564-1644

F. E. GILLIARD, MD FAMILY MEDICINE Acute & Chronic Illnesses Occupational Medicine PROMPT APPOINTMENTS (706) 760-7607

ROOM FOR RENT with private bathroom and full house privileges. Martinez $600/mo (706) 840-6860

MISCELLANEOUS

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

WANTED: PARTTIME nursing assistant, bathing, dressing, grooming, etc. for quadriplegic man, must live within 15 minutes of North Augusta, $10/hour 803-4395149 Arthur.Shealy@Gmail.com CEMETERY SPACES (2) Sunset Memorial Gardens, Graniteville SC adjacent to lighted military flagstaff, includes granite bench with urn space, installation and inscription. All $4700 ($8600 value). Spaces only: $2700. Call (803) 295-3033 FISHING CLUB wants more grey-haired members. Meet 2nd Thurs of month at Harbor Inn Restaurant, 12 noon. “Adventure Before Dementia” Info: (706) 736-8753

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THE PUZZLE SOLVED A

T B

O W

P G

M O

SEE PAGE 12

QUOTATION QUOTATION PUZZLE SOLUTION: “Think of all the beauty still left around you and be happy.” — Anne Frank

The Sudoku Solution 2

WORDS BY NUMBER “A day without a nap is like a cupcake without frosting.” — Terri Guillemets

JUNE 23, 2017

15 +

AUGUSTA MEDiCAL EXAMINER

CHOLESTEROL … from page 9 idea to eat smaller portions of carbohydrates paired with lean protein and/or unsaturated fats throughout the day to maintain steady blood glucose and energy levels while preventing unnecessary insulin spikes • Replace saturated and trans fats with healthy monounsaturated and polyunsaturated fats such as fatty fish, avocados, and liquid vegetable oils • Get regular exercise – at least 150 minutes per week of moderate physical activity (unless medically contraindicated) • Lose weight if overweight. Even just a 5-10% reduction in weight can have a positive effect on both insulin sensitivity and cholesterol levels

• Quit smoking • Limit alcohol intake • Manage stress better Consistently making good dietary choices can add up to improved cholesterol levels over time. Please contact your dietitian for more information and diet recommendations specific to you and your health goals. + Works Referenced • Fuller, N. R., Sainsbury, A., Caterson, I. D., & Markovic, T. P. Egg consumption and human cardiometabolic health in people with and without diabetes. Nutrients 2015; 7(9), 7399-7420. • Mahan, L. K., & Raymond, J. L. Krause’s food & the nutrition care process. Elsevier Health Sciences 2016; • Eide, Georgia. Cholesterol. Diagnosis: diet. Nutrition science meets common sense. Available at: http://www.diagnosisdiet.

com/food/cholesterol/. Accessed 1/11/2017. • Würtz P, Wang Q, Davey Smith G, et al. Metabolomic Profi ling of Statin Use and Genetic Inhibition of HMG-CoA Reductase. Journal Of The American College Of Cardiology (JACC) [serial online]. March 15, 2016;67(10):1200-1210. • Pietrzykowska, Nadia B. Benefits of 5-10% weight loss. Obesity Action Coalition. Available at http://www. obesityaction.org/wp-content/ uploads/Benefits-of-5-10-PercetWeight-loss. Accessed 1/11/17. • U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available at http://health.gov/ dietaryguidelines/2015/guidelines/ • American Heart Association. Know Your Fats. Available at www. heart.org/HEARTORG/Conditions/ Cholessterol/Preventiontreatmento fHighCholesterol/Know-Your-Fats. Accessed 1/25/2017.

The

Will he ever get one right? Probably not.

Questions. And answers. On page 3.

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

WEIGHT LOSS

I+

M.E.

PSYCHIATRY

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AUGUSTA MEDiCAL EXAMINER

JUNE 23, 2017