Oct2 15 by Daniel Pearson

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OCTOBER 2, 2015

BONUS BLOG SPOT Posted by oncologist James Salwitz, MD on August 1, 2013, at sunriserounds.com (Edited)

Exercise is a powerful tool in the fight against cancer I

+ WALKE

WEDNESDAY, OCTOBER 7

es, October 7 is National Walk/Bike to School Day. Why should kids walk to school or ride their bikes? Because it’s fun. Because it’s healthy. Because it contributes to cleaner, safer communities: walking or biking instead of driving reduces air pollution and traffic congestion. Saving gas saves money too. Walking builds a sense of community. How many children — or their parents, for that matter — know anyone in their neighborhood who lives farther away than one or two doors? Children today get far less exercise than their parents did at the same age, which is one of the reasons why the current generation of young people is projected to be the first generation ever with a shorter lifespan than their parents and grandparents. The majority of parents reading this walked or biked to school when they were young — and they survived! “Oh, but we live in dangerous times now, a different world.” While that may be true in a number of ways, one study found that 99.5% of Americans will never experience any violent crime. The common fear — kidnappings — are extremely rare. Statistically, it’s safer on that score today than it has been since gas was 29 cents a gallon and TVs were all black and white. In fact, slightly more than 100 children are kidnapped by strangers every year in the U.S. By contrast, thousands are kidnapped by family members or acquaintances, and thousands more are killed in car accidents as passengers. In short, walking is safe, far safer than riding in a car. Of course, walking or biking to school doesn’t necessarily mean Please see WALK page 2

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f you had cancer, how good would a treatment have to be, how much would it have to help, for you to use it? How about if it gave you a 5% better chance of cure? A 10% chance? How about a 20% chance to be beat the disease using a treatment that is free of charge and without side effects? “Sign me up,” you say? Nonetheless, only 8% of breast cancer patients use a therapy that has a 25% likelihood of curing them of the dread disease. Ridiculous, but true. What is this magic intervention estimated by the World Health Organization to reduce the risk of getting breast cancer by 20% to 40% and decrease the risk of cancer’s return by 26% to 40%? (That means at least one in four breast cancer patients who would otherwise die could survive.) The sophisticated, high tech, state-of-the art miracle is: exercise. There is no debate that exercise decreases the occurrence of multiple cancers, increases cure rates and markedly improves quality of life.

The incredible thing is, no one does it. In the journal Cancer Epidemiology Biomarkers and Prevention (not high on your reading list, I suspect), a study looked at physical activity levels in 631 women ages 18-64, after treatment for breast cancer. In the first 2 years after diagnosis, 39.5% exercised. A fair start. However, regular exercise fell steadily until 10 years later only one in five exercised at all and only 8% got the recommended minimum of physical activity over the entire period. Reverse those numbers and nine out of ten women reject a treatment modality which has a minimum 25% chance of saving them.

How good is 25%? Would you cross a busy street without looking one out of four times? Would you pull the trigger of a gun pointed between your eyes if it had a one in four chance of blowing your head off? Do you understand that adjuvant chemotherapy, that is medical treatment given after breast surgery to prevent relapse, often improves your chance of survival by only 10%? Chemo gives you a one in ten improved chance to live, while exercise offers better than one in four? It’s a no brainer. How does exercise work? Scientists are not sure. Likely, it is more than simply weight loss. It probably relates to better glucose, insulin, estrogen and other hormone levels, as well as benefits to the immune system. Cardiovascular health supports healing and defense, as well as the ability to tolerate needed medical interventions. Maybe people who are out exercising are spending less time sitting in recliners or in smoke- or radon-filled rooms. Whatever the biology, those who Please see EXERCISE page 2

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OCTOBER 2, 2015

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WALK… from page 1 that kids must do it without parental supervision (even though that’s probably how most of today’s adults did it when they were young). In some neighborhoods, a designated parent from a predetermined list of volunteers provides the walking escort. The initial problem, say some, may be getting enough volunteers; as time goes on and escorts discover how pleasant it is to get out and walk in the morning, the problem becomes too many volunteers. Another way the trip to school is done in some neighborhoods is via walking school buses and bicycle trains. A walking school bus works just like a big yellow real bus, except without the big yellow real bus: the most distant walker(s) go by the next-farthest house with walking kids, or to a central meeting point. Those kids join the “bus” and walk on toward school, picking up more children as they go. The same process can be done in reverse at the end of the school day. “Bike trains” work similarly, except on two wheels instead of two feet. Whether walking or biking, a neighborhood parent can take the lead if desired. When you think about the schools near your home or ones you know about, most of them were built to be near neighborhoods and thousands of homes and children. That’s exactly why they are where they are. Take advantage of that! Do your part to give your kids the precious gift of health by encouraging them to walk, knowing they will be safe, and knowing they’ll be healthier as a result. For more information, visit these websites: • walkbiketoschool.org This site contains lots of ideas on how to arrange a neighborhood walk/bike to school plan, start-up tips, how to get the school involved, suggestions for students at magnet schools and other schools too far to walk to, and more • freerangekids.com This site has lots of information about today’s parents versus yesterday’s, crime statistics as they relate to children’s supervision, and personal first-person experiences of parents +

ave you gotten your flu shot this season? This has become a routine question during my Family Medicine rotation. The possible answers are: “Yes!”; “I already had it,” and NO!” From my experience, age and gender do not appear to be a factor in the answer. Do I care if patients receive it? Of course! Why do I care? Because, as students, there are few things we can do ourselves that can directly and positively impact the health of a patient- and the flu vaccine is one! The influenza vaccine was the first vaccine I administered to a live human being. Despite all the myths surrounding it, a patient came in asking for the flu vaccine and I was happy I could help. Surprisingly so, most of my preceptor’s patients have received the vaccine or ask for it at the clinic. Why am I so surprised? Because as with so many other medical advances, the flu vaccine has been scrutinized by media outlets (both conventional and social). As a medical student, I found myself questioning the validity of the comments made against the flu vaccine. Like most Americans, I turn to Google for answers. However, when it comes to researching science and medicine, I am wary of forums and steer clear from most blogs. I review the

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credentials of articles and filter my search for scholarly articles (using scholar.google.com). Nevertheless, not all patients have access to a computer and/or the internet and as a result, they turn to their healthcare providers for accurate, up-todate information. Although not every patient will agree to receive the flu vaccine, as a medical student, I find it beneficial to bring it up for several reasons. Primarily, it provides me with an opportunity to educate patients about recent studies that have proven the vaccine to be safe as well as efficacious. It also opens the door for more questions from the patient which, at times, serve to make me aware of gaps in my knowledge. Medicine is a unique field in that it is ever-changing. There is always more medical knowledge to be had and more connections in the present knowledge to be made. It is human nature to fear what we do not understand. While working alongside Augusta physicians such as Dr. Princessa Johnson (Ob/Gyn) and Dr. Audrey Henderson (Family Medicine), I have gained a deeper appreciation for educating each patient during their visit. It is rewarding to see patients more at ease once they understand the process of their illness, or in this case, the

A med student’s notebook prevention of one. I am empathic towards the patient who refuses the flu vaccine, but I will not pass up the opportunity to offer it. As medical students, we are required to receive the vaccine during each flu season while completing clinical rotations. I agree with the requirement. Medical students are in daily contact with patients during their clinical years. There is no telling whether the patients we will see on a given day are immune-compromised or healthy. Therefore, by protecting ourselves with the flu vaccine, we also protect those patients who might be more susceptible, making it a win-win situation. And who doesn’t love that? + by Jasmine Rivas, a third year medical student at University of Medicine and Health Sciences, doing a pediatric rotation in Augusta, and offering her insights into medicine today from the perspective of a medical student. Feel free to contact her with questions or feedback: jrivas@umhs-sk.net

EXERCISE… from page 1 exercise not only have better general fitness, but live longer to enjoy it. We all have heard the excuses. I do not have the time; it’s too hot or too cold; I’m am not in the habit of exercising; my knee or my back ais bothering me... All are “valid” reasons not to move. The bad news is that your body does not care! Your immune system, cardiovascular system, neuroendocrine system and every other part that is trying to protect you from deadly disease does not know that you have a deadline, that it is raining, that you hate to sweat or that you are a klutz. Your body only knows that if you do not battle against the disease, then it does not need too either. This is not a benign lifestyle change such as whether you will read a book or watch TV, paint the bathroom blue or pink, or eat apples verses oranges. This a much more basic decision: will I live or will I die? How much is enough? We

should get some sort of regular exercise at least 30 minutes (45 is better), five times a week. Sound like a lot? That is less than 2% of our time. The type of exertion does not matter. Walk, jog, bike, swim, yoga, dance, garden, mow the lawn, tennis or sex (just what the doctor ordered: “Honey, its anti-cancer time”). That means trading one week a year of exercise therapy, for years of cancer free life. So if you have ever had cancer, if you are concerned that you might someday get cancer, if you know someone who met someone that is concerned that they might ever have cancer, it is time to get off your butt and start your war against the disease. There may be no other intervention you can do which has a better chance of protecting you. Stay on the couch, on the other hand,` and you may find it truly is a rest in peace. James C. Salwitz is an oncologist who blogs at Sunrise Rounds.

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

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

Everything you need.

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

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(706) 860-5455 www.AugustaRx.com • E-mail: graphicadv@knology.net Opinions expressed by the writers herein are their own and their respective institutions. Neither the Augusta Medical Examiner, Pearson Graphic 365 Inc., or its agents or employees take any responsibility for the accuracy of submitted information, which is presented for informational purposes only. For specific medical advice, diagnosis and treatment, consult your doctor. The appearance of advertisements in this publication does not constitute an endorsement of the products or services advertised. © 2015 PEARSON GRAPHIC 365 INC.

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

#8 IN A SERIES

OLD NEWS

Who is this?

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

ou might not recognize the face of this noted French neurologist, but his name lives on in the disorder he identified and described. He was born on October 30, 1857 in Saint-Gervais-lesTrois-Clochers, France, and received his medical degree from the University of Paris in 1879. He was a teacher and professor there until 1901, three years prior to his death. He was a noted expert on hysteria, epilepsy and hypnotism, and although none of these figure prominently in his enduring legacy, one of them — hypnosis — was the reason he was famous, or perhaps infamous, during his lifetime. In 1893, a former patient, Rose Kamper, accused him of hypnotizing her against her will, a feat hypnologists hold to be impossible. Kamper’s anger led to her to shoot this poor doctor in the head. Fortunately the wound was only superficial and he recovered. Kamper, meanwhile, was diagnosed with what is now called paranoid schizophrenia, a finding that discredited her and led to the forced hypnosis accusations against the doctor being dropped. Press accounts sensationalized the event and ridiculed the doctor. Prior to these events, however, he had published a paper in 1884 describing nine patients afflicted with involuntary vocal and motor tics and occasional outbursts of “notorious cursing.” He (George Gilles de la Tourette, that is) gave this syndrome the descriptive name maladie des tics, but his mentor and teacher, the influential neurologist Jean-Martin Charcot, renamed it Tourette (or Tourette’s) syndrome in his honor. In 1899, Tourette, who had syphilis, published a paper on the advance of syphilis into neurosyphilis, when the disease attacks the brain or spinal column, leading to paralysis, insanity, or both. Recognizing some of the symptoms as his own and saddened by the recent deaths of his young son and Charcot, Tourette experienced depression and began having suicidal thoughts. He refused to seek treatment, however. About 1902, a colleague relayed the false news to Tourette that a patient in dire straits at an asylum near Lausanne, Switzerland, had asked for his assistance by name. Unaware of the ruse, Tourette went to the asylum and was admitted against his will and held as a patient there until his death on May 26, 1904 at age 46. +

THE RIGHT TO DIE

alifornia’s state assembly approved legislation on September 9, 2015, passing Bill ABX2-15. This Bill will allow terminally ill persons to legally end their lives. The California State Senate is expected to pass the bill into law. This is the second effort by California lawmakers this year to allow doctors to prescribe life-ending medications. The assembly members who had opposed the measure were won over after several changes regarding patient protections were written into the bill, which include the requirement that the person must be physically capable of taking the medications on their own; two doctors must approve the administration of the medications; the patient must have submitted several written requests prior; and there must be two witnesses present. The push to pass the Bill came after 24 other states have introduced aid-in-dying legislation this year, though none have passed. Religious groups and advocates for those with disabilities are opposed to the bill, believing it goes against the will of God and

puts patients at risk for coerced death. Many people are on the fence regarding this controversial issue. Those on either side have valid points of view. This is a highly private and personal decision and one not easily made. The proposed law does not state that if you are of a certain age group or have a disease on a government mandated list, this is how you must proceed. It is a choice, a choice which an increasing number of people want to have available to them. There is no crystal ball for any of us; none of us know

Brittany Maynard (1984 — 2014)

how we will leave this earth, but having options to deal with that unknown is in itself a form of comfort to many. Some don’t wish to linger and be a burden to their family. Some don’t want to see a spouse end up penniless due to a drawnout illness. Others desire to have a say in the manner in which they die and deem most dignified. And, there are those who fear pain and suffering and would like a quick end. Whatever the motivation, the choice is the point. You don’t have to agree with it. For me, the thought of lingering while medical resources, finances and the emotional and physical wellbeing of my children pay the price is obscene. But...I am not in that position, so I really don’t know how I would feel when and if the time comes. This is the crux of the debate and the controversy. The idea of lawfully forced euthanasia for our sick and elderly, while not impossible, is not on the horizon. The right to die is seen as just that to those who are in the best (saddest, really) position to be entitled to an opinion. If your conscience, physical and emotional needs and spiritual heart tell you this is the path to peace for you, then both federal and state law has no business assuming it knows what is best. By passing this bill, California is stating that the decision, the choice, belongs to the people. +

MYTH OF THE MONTH A flu shot works by giving you a mild case of the flu Think about this one for a moment. It’s a very common belief, but in today’s lawsuithappy society, would any drug company voluntarily and willingly and deliberately seek to infect millions of people with the flu? The answer: no. In truth, the flu shot does not contain active flu virus and cannot infect a person who gets it with the illness. Its actual job is the opposite of that: helping you avoid getting the flu. Flu shots work by stimulating the body to create antibodies that will attack and destroy the flu virus if you happen to come into contact with it. Sometimes (rarely) a person will become

mildly ill after receiving a flu shot. Why? One of the reasons may be that you have been exposed to the flu virus, but your body hasn’t yet had time to create the antibodies necessary to fight it. However, the shot itself cannot be the source of the flu; that is physically and scientifically impossible. As a final note in closing: flu season is right around the corner. + — by F. E. Gilliard, MD, Family Medicine 639 13th St Augusta, GA 30901 706-823-5250

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res? ABOUT WEIGHT LOSS

k good eno r skin can ugh cer? son.”

e need an accurate term for our latest epidemic, one that is overrunning the populace everywhere. The medical costs of this epidemic are monumental. The social implications are devastating. Some call it Dunlap Disease: when your belly done lapped over your belt, making your belt buckle aim at the floor. I’ve coined a new name: humonga rotunda muchalotta. If you’re not familiar with Latin, I’ll give you Bad Billy Laveau’s unofficial translation: “huge” and “round” and “a bunch of it.” This disease afflicts both sexes. When I diagnose women with humonga rotunda muchalotta I do not mean women who are “pleasingly pump” or “vigorously voluptuous.” I mean 116 pound girls who, one minute, are so attractive they could make a foot-washing, evangelical preacher run away from home. Then without warning, the humonga rotunda muchalotta virus invades and the mall cannot stock size 16+ dresses fast enough. Omar The Tent Maker suddenly k

has a backlog of orders for multicolored shifts. You get the picture: Rosanne Barr as seen in a circus sideshow mirror. When I diagnose men with humonga rotunda muchalotta, it isn’t men with just enough insulation to make them somewhat appealing to the opposite gender. It’s men with enough insulation to survive January at the North Pole. God bless women for putting up with the shortcomings of men. Men do not deserve women’s tolerance for one minute. I guess this old joke explains it all: Adam stood in the Garden of Eden, gazing at the attributes of Eve and relishing the afterglow of the night before. Adam muttered half aloud, “God, why did you make Eve so beautiful, so affectionate, and so appealing?” God answered back quietly, “Adam, I made her that way so you would love her.” “But why did you make her just a wee bit dumb?” “I did that, Adam, so she would love you.” I do not believe Eve FREE T AKE-H OME C OPY!

MEDICAL EXAMINER

t s e B was misshaped or malproportioned. Nor do I believe she looked like the air-brushed hotties that stare wide-eyed at us from the magazines in the checkout line at the grocery store or newsstand. No, Eve ate fruits and berries, trimmed the fat off her meat before grilling, and only put a trace of sugar in her iced tea. Maybe she had a single Bud Light with fried fish once in a while. Adam, meanwhile, could not count his beers, and inadvertently invented the beer gut while watching NASCAR and professional wrestling. This was the first occurrence of the pre-epidemic stage of Dunlap Disease, now known to be caused by the Humonga Rotunda virus. Yes, I am talking about people who have love handles, a bubble butt, and a six-month emergency supply

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of fat draped ominously over their belt. However it happened, as a society we got hit with the dreaded humonga rotunda muchalotta virus. Our women got oddly misshapen so that they only look balanced when sitting in an easy chair with a fan going. Our men’s center of gravity seemed to require a can of beer in one hand and a TV remote in the other for proper balance. Used to be a man needed fat to take him through winter periods of enforced fasting. Now we have a Kroger every five miles and a 7-11 every two blocks. They all carry Cokes and Slim Jims. (Have you ever wondered why the most fat-laden product in the store is called a Slim Jim?) So if we are fat, and want to be skinny — remember, if God wanted you to be skinny and showing off a lot of skin, you would have been born that way — we have to do something. Everyone tries. Jenny Craig sells you permission to lose weight, as if fat won’t come off unless you pay Jenny first. Chuck Norris sells tummy flattening machines. Before you buy it, consider how your coat will look hanging on it, because after one month it will be a glorified coat hanger. None of that high dollar stuff works. Not really. Humans will do almost anything to lose weight. Except eating less, that is. I feel compelled to save the world from the dreaded

humonga rotunda muchalotta virus. Here is my solution: Bad Billy Laveau’s Twin Weight Loss Plan It is free. No credit card needed. No payment plans. It will not adversely affect your credit. And it has a double your money back guarantee to boot. • Plan One: Do not eat anything that is white. That leaves out sugar, white bread, fat meat, cake, ice cream, starches, fried shrimp, and milk products. If you fail at Plan One, have no fear. Bad Billy is here. • Go to Plan Two: If it tastes good, spit it out. Eat only what you do not like. You won’t eat much: spinach, liver, wild hickory nuts, beets, tripe, chittlins, mountain oysters, and such. Take before and after pictures. You will lose weight so fast you will soon be on the front of a supermarket tabloid. You will get rich from product endorsement deals. Congress will question you about performance enhancing substances. Best of all there is happiness and fortune in losing weight. Oprah got rich doing it. Oprah says: You think thin is in? I’m here to tell you, fat is where it’s at. She might be right. Her weight has gone up and down more times than a Japanese yo-yo. + Bad Billy Laveau is a formerlyretired MD who wields a pointed sense of humor and now, tongue depressors too. He speaks and entertains at events for audiences not subject to cardiac arrest secondary to overwhelming laughter and glee. BadBilly@knology. net or 706-306-9397.

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OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

M E DIC I N E

I N

T H E

F I R S T

P E R S O N

Long distance call n a sunny Augusta Saturday afternoon eighteen years ago, my phone rang. My dad was on the other end of the line, and he was crying. “Patty, your mom’s hurt real bad,” he said. “She fell and I don’t know what to do.” I could hear my mother moaning in the background, obviously in severe pain. “What happened?” I asked. “She was walking out of the bathroom and she fell onto the floor in the bedroom. Please, you have to help me.” I could picture the exact spot in their house where she had fallen. And I knew my dad’s predicament: the arthritis in his hips was so painful he could barely get around, much less help my mother up off the

floor. My mother, for her part, was suffering from bone cancer. The trouble was, their house is in California. How could I help from Augusta? I was a little bewildered. “Dad,” I said, “I’m 3,000 miles away.” I decided to not even mention the fact that my brother lives in California, less than a mile away. The only answer I got was more moaning from my mother and my dad’s repeated plea for help. I told my dad I’d do what I could. We hung up and I immediately called 9-1-1 and told them the situation. I listened as she called a dispatcher in Orange County,

WE’RE BEGGING YOU!

California, quickly and briefly repeating my story and providing my dad’s address. Within seconds, the Augusta 9-1-1 operator connected me to the fire station just around the corner from my parents’ house. I told the fireman who answered the phone my parents’ address and what was happening. Amazingly, he said, “I know the house. I know your parents. My parents live right across the street. We’re on our way.” I took a moment to thank both the Orange County and Richmond County 9-1-1 operators, then hung

Paramedics were already there.

up and immediately called my dad back. By the time he answered the paramedics were already there. It turned out that when my mother took that step into the bedroom, her femur simply snapped. Then her hip broke when she hit the floor. That was the last day she ever spent at home. I don’t know what technological advancements the 9-1-1 world has seen since that day in 1990, but for me it was pretty effective even then. + — Patty A. Augusta, Georgia Editor’s note: This reader submission previously appeared in a 2008 or 2009 issue of the Examiner. We thought it was too good to remain buried in the archives.

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

-HOM E CO P Y! TM

• MED

JANUARY 9, 2015

ICINE

• WEL

LNESS

Who is this? See page 3.

S Specific

M A Measurable

Achievable

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

Relevant

Time-specific

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MEDICINE IN THE FIRST PERSON Everybody has a story. Tell us yours! Send your interesting (or even semi-interesting) stories to the Medical Examiner, PO Box 397, Augusta, GA 30903 or e-mail to Dan@AugustaRx.com. Tell us if you want it “by you” or if it needs to be anonymous. Thanks!

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

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

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

Southern Girl Eats Clean

Thai Green Curry with Vegetables and Brown Rice

I was introduced to Thai Green Curry while we were living in England. I had previously tried a couple of different Thai dishes, but I didn’t venture far beyond the basic Pad Thai. While living there, I met a friend that introduced me to Thai Green Curry. I absolutely fell in love with this dish. It has an amazing combination of flavors: coconut milk, basil and spicy green curry paste. Many people shy away from coconut milk due to its high fat content. However, the fat in coconut milk is absorbed by the body differently than other fats. It is burned more rapidly, and studies show that this type of fat can actually enhance fat and calorie burning. Coconut milk is high in calories, but is not high in carbohydrates, which is very different than cows milk. One cup of coconut milk has 6g of carbs and skim dairy milk has 66g of carbs. Remember, eating clean is not about looking at fat and calories. It is choosing the right foods and ingredients that are beneficial for our bodies. If we do that we don’t need to look at fat and calories. with a whisk, coconut milk, • 1 can of organic coconut Please don’t let all the brown sugar, lime juice and milk (Use light coconut milk different ingredients prevent soy sauce. if you prefer) you from trying this recipe. Pour coconut mixture into • 1 Tbsp. of organic brown The hardest part is chopping the skillet with the vegetables, the veggies. Once that is done, sugar add crushed red pepper and • 2 Tbsp. of fresh lime juice it is super quick and really salt to taste, stir well until • 2 Tbsp. of gluten free soy delicious. Give this recipe heated through only. 1-2 sauce a try and make it your own minutes. • 1/2 tsp. of crushed red by adding chicken, shrimp Remove from heat and stir pepper or any other vegetables you in chopped basil. • Real Salt to taste and your family like. I think Serve immediately over • 3/4 cup of loosely packed eggplant would be a great cooked brown rice. + fresh basil, coarsely chopped addition.

Thai Green Curry

Ingredients: • 4 cups of cooked short grain or long grain organic brown rice • 1 Tbsp. of organic extra virgin coconut oil • 3-4 medium shallots, sliced • 1 Tbsp. of fresh ginger, finely chopped • 3 Tbsp. of green curry paste (I used Thai kitchen brand) • 2 cups of sugar snap peas, ends trimmed • 1 zucchini, cut into 1/2-inch slices & cut those slices into half moon pieces • 1 red bell pepper, thinly sliced into long strips • 4 carrots, peeled, and sliced into thin 2-inch strips • 1 15 oz. can of chopped baby corn, rinsed and drained

Directions: Cook brown rice in a rice cooker or on the stovetop, set aside and keep warm. Heat coconut oil in a large skillet over medium to high heat, add shallots, ginger and curry paste, stirring constantly. Cook for approximately one minute. Reduce heat to medium/ low and add snap peas, peppers, carrots and zucchini. Stir fry for 5-8 minutes, coating all vegetables with oil/curry mixture and cook until vegetables are slightly tender. Add baby corn to skillet and sauté for another minute, reduce heat to a low simmer. In a small bowl, mix together

* Information on the benefits of coconut milk was found at http://www.livestrong. com/article/497546-what-arebenefits-of-canned-coconut-milk/ Alisa Rhinehart writes the blog www. southerngirleatsclean. com She is a working wife and mother living in Evans, Georgia. Visit her blog for more recipes and information on clean eating.

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

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

Plus... 800+ doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

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

WHY DO OUR MEDICINES COST SO MUCH?

ast issue we discussed that in addition to having the most expensive drug supply in the world, the United States drug supply is also the world’s safest. Let’s look at a few forces behind the expense involved in buying prescription drugs in the U.S. The quick and easy answer to why we have high drug prices is simply that we have a free market economy without government price controls. That can be a good thing or not so good: some countries that have more government price controls to keep goods (including medicine) less expensive also have strict governmentestablished wage limits. It’s a trade-off. The point is that price controls abroad can affect our prices here. The government in the other country tells the manufacturer how much they can sell their product for. The low profits — if any — realized from sales in that country are not sufficient to provide for research and other company expenses. The U.S. consumer, without such price control protection in place, is left to make up the difference in profit margin. This is not fair, but it’s life in a free economy. There are other forces at work affecting prices. We have seen in recent years a consolidation of generic manufacturers in the U.S. market. One manufacturer will buy another, and eventually you are left with only a few companies making any given product. In other cases you may have several companies who sell a generic version of a given drug, but only one manufacturer supplies them all. The number of companies actually making the product may be one or just a few. Now let’s look at the older generics that have seen huge price increases overnight. Some of these increases are because of the previously mentioned market forces. Some can be caused by cost of manufacturing changes, possibly due to a raw material shortage that prompted a change in the manufacturing process. Other drugs are claimed to be undervalued and not profitable at the current price by their manufacturer. Sometimes many years go without any real price increase for some generics, yet inflation and manufacturing costs rose every year. This would lead one to think that some of the pricing adjustments are reasonable.

This was not the case for the 1,000 percent or more price increase that we saw attempted once again just a week ago. Daraprim was said to be undervalued by the manufacturer, which tried to institute a 5,000 percent price increase. It is notable that the company had just purchased the product from another maker one month earlier. It only took a couple of days for the high price to be rescinded and a promise to make a more reasonable adjustment to be secured. This was just the latest in a long line of medicines to go through eye-popping price hikes. It started over a year ago with doxycycline, then spread like wildfire to other oral medicines, then to half of the topical creams and ointments as well as eye drops and lately some ear drops. The insurance companies are responding by moving these drugs from the normal lowest tier for generic drugs to a higher tier so that the patient pays a higher copay and therefore the patient absorbs the increase instead of the insurance company. This is frustrating since insurance companies will pass the increased drug cost along to consumers and raise premiums due to “increased costs.” So what is the solution? We don’t have a good answer to this dilemma. The best thing you can do is regularly communicate with your pharmacy, your doctor and your insurance company. Try to find what your doctor feels you need to treat your specific conditions and then look for patient assistance programs that you can use to offset costs. Also look for alternate medicines that may work similar to the preferred one, but is on a lower insurance tier or that has a lower cash price at your pharmacy. Good luck, as it may get worse before it gets better. There is a proposal being made by certain presidential candidates for the government to get involved, but beware of the government and its ability to help with healthcare costs. + Written for the Medical Examiner by Augusta pharmacists Chris and Lee Davidson. Questions, comments and article ideas can be sent by email to cjdlpdrph@bellsouth.net

Beware of online pharmacies (except parkspharmacy.com)

ARKS

HARMACY

Hometown. Not big box.

437 Georgia Avenue, North Augusta, SC

803-279-7450 parkspharmacy.com

OUR NEXT ISSUE DATE: OCTOBER 16

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

Ask a Dietitian SIZE MATTERS

by Pam Brisky, MS,RD, LD pbrisky@gru.edu Forget about counting calories, cutting carbs or studying the rules of the latest fad diet. To lose weight, start by shrinking your portions. In 1957, the average hamburger patty contained one ounce of meat. By 2007, it was 6 ounces for a “regular” hamburger. In that same time span, a “large” soda grew from 8 ounces to 33 ounces and a medium bag of movie popcorn swelled from 3 cups to 16 cups. Food portion sizes have been growing exponentially since the early 1960s and our waistlines have expanded right along with them. The average adult American is now overweight or obese. That’s right, there are more overweight and obese Americans than those at appropriate weight for their height. Even sadder, children between the ages of 12-19 have an overweight-obese rate of just over 50%.

Since the obesity epidemic has been identified, there has been no shortage of articles and books speculating as to why we are larger and sicker than previous generations. Millions of dollars have been spent in research to find the answer too. What none of these writings or research dispute is this: we gain weight when we consume more calories than we expend. How many calories your body needs and the best ratio of those calories from protein, carbohydrates, fat and alcohol is for another article or a private consultation with a registered dietitian. Just accept that the primary reason a person is overweight or obese is due to eating too many calories. So why are we eating more? According to Brian Wansink, author of Mindless Eating: Why We Eat More Than We Think, it is because we eat with our eyes, not our stomachs. Studies he conducted at Cornell University showed what we eat is influenced by plate size

(we eat more off larger plates), portion size (we eat more the larger the portion served) and food visibility (we eat when we see food, even if we are not hungry). He further showed we eat more when we don’t see the whole amount, such as when we order by course at a restaurant or out of a package or container. One of his best known studies also showed we don’t know when to stop eating. In the study, subjects were given a bowl of tomato soup and told to eat only the amount they wanted. Wansink found subjects consumed more tomato soup when a hidden tube kept filling their bowls as they ate. Researchers at the University of North Carolina analyzed data from food surveys conducted in the 1970s, 1980s, 1990s and 2000s. They found that our average daily calorie intake increased from 1,803 in 1978 to 2,374 in 2004 – an average increase of 572 calories per day! Every day! Please see SIZE page 13

Which plate contains the most food?

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OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

HOPE Through Adversity by Helen Blocker-Adams

THE FALL IN OUR ATTITUDE

y favorite time of year is upon us. I love the fall. I love the change of colors of the trees. I love the feel of cool, brisk air on my face when I walk before the sun rises. I love the energy of fall events and activities like outdoor festivals and the fair. I Blocker-Adams love wearing sweaters, coats and scarves. There is even a change in most people’s attitudes when this time of the year rolls around. I think we can all agree this past summer was another scorcher. Even though health and fitness experts make a big deal in the spring for people to lose weight and shed those winter pounds, I wonder how many more people consider starting a healthy lifestyle during fall weather. Yes, I know the back-to-back holiday seasons can put a damper or strain on one’s self-discipline when breaking bread with family. Or what about the

cotton candy, candy apples and incredible French fries in heavy supply at the annual fair? Eating comfort food next to the fireplace late at night probably won’t bode well for that waistline either. Perhaps I have convinced myself that starting a fitness program in the fall may not be such a good idea after all! I do enjoy walking or running outdoors in the fall and winter because the invigorating cold air on my skin keeps me moving. The cool air seems to clear out the cares and concerns of the world and positively impacts my attitude. Does it work that way for you? Annie Hauser wrote in one her blogs in October 2014 about “8 Healthy Reasons to Love the Fall.” I found the article fascinating. Her eight reasons are: Color therapies, fall diet, embrace the weather, catch up on your sleep, hair health, check-up season, football’s fringe benefit and take a breath. I want to elaborate a little on a few of those: color therapy, embrace the weather, football’s fringe benefit and take a breath. Ms. Hauser explains that the beautiful autumn colors are pretty amazing and therapeutic. I mean, think about it – waking up and being able to see multiple bright and vibrant colors in the trees is a very good reason to love the fall.

I believe embracing the weather and football season go hand in hand. Augusta and the surrounding area is in full swing with the football season. I love it. High school homecoming games are right around the corner. We love football in this town. What a perfect way to get a few extra steps in for the day by parking as far as you can from the stadium, or how about walking as far and high as you can in the bleachers. And finally, take a breath. I love the smell of spices, pumpkin, and cinnamon. Experts say those scents may be beneficial to your health. And you have to admit those scents are more prevalent during the fall season. I agree with Annie, fall is simply a special time of the year. You may have many more reasons to fall into a positive attitude about this season. Write them down. Enjoy the new season. Go for an early morning walk or run. And remember, everything starts with your attitude. + Helen Blocker Adams is an educator, life coach/mentor, life agent, author, transformational speaker, grad student www.workinginlife.com www.twitter.com/hbadams www.facebook.com/ helenblockeradams www.linkedin.com/ helenblockeradams

APPS, SCHMAPPS.

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WORLD OF MEDICINE

by guest columnist Creighton Wesley Sloan Aiken, South Carolina

attended Royal Holloway College of the University of London, once as an undergraduate and then as a graduate student. The first time I got London flu I was treated by a London doctor. I was charged nothing. When I returned to the U.S, people were getting sick and dying from the London flu. I was around many people who had it, but I never got so much as a cough. The second visit I made to England I got pneumonia. It was much worse than the London flu, but in neither case was I charged a single penny for treatment even though I was a foreign national, an American. I would like for the U.S. to offer similar healthcare. Here, doctors grow wealthy while some patients go bankrupt trying to pay their medical bills. In England nobody gets charged. We now have Obama Care. I believe we are the richest country in the developed world, but we have the worst healthcare system. +

CSRA PARKINSON SUPPORT GROUP MOVING DAY AUGUSTA 16th annual fundraising walk

SATURDAY OCTOBER 10, 2015 Wilson Family Y track, 3570 Wheeler Road, Augusta Registration will open at 9:00am and the walk will begin at 10:00am and continue through noon. Festivities will include a Movement Pavilion, entertainment, refreshments and a raffle. There is no charge for the Walk but donations are gratefully accepted. Proceeds from the event are used to fund research grants, educational materials and events, a respite program for caregivers and exercise and swim classes. For more information, to form a team, or to make a donation, go online to www. movingdayaugusta.org or call (706) 364-1662. Donations can also be mailed and made payable to CSRA Parkinson’s Walk, 6100 Northside Drive, North Augusta, SC 29841.

Boardwalk to Bark Place Kennnel & Daycare welcoming dogs 30 lbs and under 5873 Huntington Drive Grovetown, Georgia (706) 840-3141 www.boardwalktobarkplace.com

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OCTOBER 2, 2015

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AUGUSTA MEDiCAL EXAMINER

From the Bookshelf The blog spot — Posted by Michael A. Wosnick, PhD, on April 5, 2013 at Edited for space.

WITH CANCER, “LOSER” DOESN”T WORK FOR ME I was very saddened to learn of the death of Roger Ebert. Like so many around the world, I was impressed and inspired at how he handled himself in the aftermath of cancer surgery that left him disabled and disfigured and unable to eat, drink or speak. And yet, despite his struggles he remained a dominant force in film criticism, blogging, writing (even cookbooks!) and inspired so many of us with his outlook on life and living. This is not an obituary of Roger Ebert. Dozens have been written and by people who knew him. I did not. I admired from afar. What struck me in reading so many accounts of Mr. Ebert’s death, as it has done many times before with others who died from cancer, is how many of the obits and tributes inevitably referred to how he “lost his battle with cancer.” No, he didn’t. He died from cancer. Cancer is not a game of winners and losers. If you live you win and if you die you lose? How inappropriate is that? That is not to say that most cancer patients and survivors have not bravely battled this disease. Or that they have not in many cases struggled against long odds. I know how hard it is to deal with a cancer diagnosis and to endure even mild cancer treatments. It exhausts the body and the mind, it often robs one of dignity and plays havoc with relationships and families and just about everything else important to us all. So no, I am not saying that people facing cancer are not brave and courageous and are not in a real battle. It’s not the battle part that bothers me – it is the losing part. For those who ultimately die from a cancer, the idea that they have lost a battle implies to me that if they had just done something else differently, then maybe they might have won. The use of the word “lose” is like a zero-sum game to me: if someone or something loses then that means that someone or something else wins. You can’t have a loser if you don’t have winner. We should not so easily give cancer that kind of power over us. To what other diseases or conditions do we give this kind of power? My mother died a few years ago from acute respiratory distress brought on by H1N1. Did anyone say that she lost her battle to a virus? No, she died from a respiratory infection. If someone suffers lifelong hypertension and eventually dies from a heart attack, do we ever say in the obituary that they lost their battle with high blood pressure? Then why do so many deaths from cancer get reported as, “after a long struggle, so-and-so lost his battle with cancer?” It’s not quite blaming the victim, but it does have ring of placing the ultimate responsibility for having died in the hands of the deceased. I know that there will be many cancer patients and advocates who will disagree totally with me, who feel that the battle analogy empowers them somehow. Maybe it does when they are alive and kicking and fighting and scratching and battling. But if they do not survive, then please let us not inadvertently, even subtly, blame them for losing the battle against cancer. Roger Ebert did not lose his battle with cancer. He lived graciously and courageously with it until the very end. In many, many ways, by inspiring and teaching us, he won his battle in other very important ways. He was a wonderful role model right to the end. He did not lose his battle with cancer. He won his battle with cancer and, sadly, he also died from cancer. +

He did not lose his battle with cancer.

Michael A. Wosnick is a retired cancer researcher at the Canadian Cancer Society and the National Cancer Institute of Canada. He blogs at Cancer Research 101 (michaelwosnick.com)

Maybe it’s the fact that we’re still basking in the afterglow of reading Henry Marsh’s excellent Do No Harm (see review in Sept. 4 Medical Examiner). Or maybe it’s the review excerpted on the front cover of this book by Mary Roach, perhaps the best science writer in print today. She is the author of such modern classics as Stiff, Bonk, and Gulp. Of How We Learn she says, “This book is a revelation. I feel as if I’ve owned a brain for fifty-four years and only now discovered the operating manual. For two centuries, psychologists and neurologists have been quietly piecing together the mysteries of mind and memory as they relate to learning and knowing. Benedict Carey serves up their most fascinating, surprising, and valuable discoveries with clarity, wit, and heart. I wish I’d read this when I was seventeen.” For its part, these are some of the publisher’s words about How We Learn: What if almost everything we were told about learning is wrong? In How We Learn, award-

winning science reporter Benedict Carey sifts through decades of education research and landmark studies to uncover the truth about how our brains absorb and retain information. What he discovers is that in our zeal to systematize the process we have ignored valuable, naturally enjoyable learning tools like forgetting, sleeping, and daydreaming. Is a dedicated desk in a quiet room really the best way to study? Can altering your routine improve your recall? Are there times when distraction is good? Is repetition necessary? Carey’s search for answers to these questions yields a

wealth of strategies that make learning more a part of our everyday lives — and less of a chore. Carey shows how we can flex the neural muscles that make deep learning possible. Along the way he reveals why teachers should give final exams on the first day of class and when it’s smarter to stay up late prepping for that presentation than to rise early for one last cram session. And if this requires some suspension of disbelief, that’s because the research defies what we’ve been told about how best to learn. The brain is not like a muscle, at least not in any straightforward sense. It doesn’t take orders well, to put it mildly. If the brain is a learning machine, then it is an eccentric one. In How We Learn, Benedict Carey shows us how to exploit its quirks to our advantage. + How We Learn: The Surprising Truth About When, Where, and Why It Happens, by Benedict Carey, 272 pages, published in June 2015 by Random House Trade Paperbacks

Research News Go for it! There is a sentence in fine print on page 3 of every copy of the Medical Examiner which says, in so many words, that nothing in this newspaper is intended to offer specific medical advice. For that you need to see your doctor. Having said that, a new German study says there is a very low risk that sex will cause a heart attack, even for people who have already had one. One might think otherwise, since the ever-present Cialis and Viagra television ads always advise viewers to consult their doctor to determine if their heart is healthy enough for sex. Researchers in Germany tracked 536 heart patients between 30 and 70 years of age for a decade. During the study period, an even 100 cardiovascular events (such as heart attacks, strokes, or death from heart disease) occurred within the study population. Less than 1 percent of these happened an hour or less after sexual activity. The majority of the events happened 24 hours or

more after sex. A study published by the American Heart Association (AHA) in 2012 found that angina which occurs during the minutes or hours after sexual activity represents less than 5 percent of all cases of angina, and is “rare” in patients who do not experience heart symptoms in other mild to moderate physical activities. To reassure patients and combat the advertising stereotype that sexual activity requires a note from your doctor, both the AHA and authors of the German study recommend that sexual counseling for heart patients after a cardiac event should be done as a matter of routine. Drinking for two Not a good idea. Yet the CDC reported last week that new research says 10 percent of pregnant women drink alcohol. The warning against drinking during pregnancy is wellknown, but even more alarming than 10 percent of expectant women drinking is the finding

that pregnant women are more likely to engage in binge drinking (defined as consuming 4 or more alcoholic beverages on one occasion) than nonpregnant women. Although some minimize the need to avoid alcohol during the second and third trimesters, the brain of a fetus is growing and developing during the entire pregnancy, not just the first trimester. The CDC recommends zero alcohol intake for all women who are pregnant, trying to get pregnant, or who think they might be pregnant. A simple way to cut salt There is a 1,000mg gap between the amount of salt Americans consume and the amount recommended in dietary guidelines. The recommended limit is 2,300mg per day; we average 3,300. A study released last week says simply replacing salt with flavorful herbs and spices — during cooking and at the table — reduced sodium intake by almost 1,000mg per day. +

+ 12

OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

Now that the name has had time to sink in, what do you think?

You mean Augusta University?

by Dan Pearson

My preference was always University of Augusta. Right. Do you like it?

That’s what I’m thinking. This isn’t over yet.

Well, there’s always next year.

The Mystery Word for this issue: STINTED

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

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QUOTATION PUZZLE

20 21 22 23 24 ACROSS 1. Once more 25 26 5. Vietnam offensive 27 28 29 30 31 8. Blocker start 12. Building in downtown 32 33 34 35 36 37 Augusta 38 39 40 14. St. Louis landmark 41 42 43 44 45 16. No-name abbreviation 17. _____-Bifida 46 47 48 49 18. Capital of Peru 50 51 19. Indian peasant 20. Mover at a regatta 52 53 54 55 56 57 21. Goose color in Augusta? 58 59 60 61 62 23. Kidney-related 25. Large marbles 63 64 65 26. Dark Angel star 66 67 68 27. Severe/sudden 29. French painter (1619-1690) by Daniel R. Pearson © 2015 All rights reserved. Built in part with software from www.crauswords.com 32. Daniel, former MCG president DOWN 34. Palmetto energy co. 33. Religion of Allah 1. The Sun Rises missing title 35. Fond du ___, Wisconsin 36. IV word 37. Medical test for men (abbrev) 38. Metal-bearing mineral 2. California valley 42. _________ Row 39. Steady or kiss follower 3. Islamic chieftain 43. Start for some schools 40. “_____ a boy!” 4. Pale 44. Neck back 41. Glasgow _____ Scale 5. Anklebone 45. WJBF affiliation 43. Bibb County seat 6. Great lake 47. Extinct emu-like bird 45. Square end of a wall 7. Ted Turner’s movie station 49. This sometimes introduces 46. Jessye’s last name 8. Noted Doug of Augusta a defect 48. Downton ________ 9. New Age singer 51. Duck with soft down 50. Roman garment 10. Type of kit 52. The A of CSRA 51. Heroic; great 11. Fire ____ 53. Brain ___ 52. _____-American 13. Capital of Morocco 54. Shakespeare, notably 54. Coffin stand 15. Columbia County city 55. Therefore (Latin) 55. And so on 22. Monetary unit of Angola 56. Duct start 58. Focus on 42-D 24. Flow back 57. Red coin 59. Mild oath 25. Large beer or wine cask 58. Grant of Augusta 61. Number opposite nine 26. Seat of Georgia’s Wheeler 60. A break in continuity 63. Encounter County 62. Letters after I, sometimes 64. Packaging weight allowance 27. Hank or Tommy 65. Ben of note in Augusta 28. ____-therapy 66. Candied roots 30. Liquid waste 67. A book docs use 31. Gritty partner 68. Royal introduction 32. Fabled bird of Arabian Nights Solution p. 14

— Jay Leno

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

9 6 7 3 4

5 6 7

6 6 8 4 8 1

2 1

2 3 2 7 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.

H 1 1 2 3 4 C H 1 2 3 4 5 6

S W 1 2 3 4 5 6 S F 1 2 3 4 5 6

F 1 2 3 4 5 1 2 3 4

C 1 2 3 4 1 2 3 4 5 T T U 1 2 3 4 5 6 1 2 3 4

1 2 3 4 5 5

1.JRBFAIFHTMTS 2.TUEHHORLAEI 3.WARVCUUAARS 4.TNCTINIAEHR 5.IDYYCTES 6.TRSCS 7.E

SAMPLE:

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

L 1

O 2

V 3

E 4

I 1

S 2

B 1

L 2

I 3

N 4

D 5

WORDS NUMBER

THE MYSTERY WORD

OCTOBER 2, 2015

THE BEST MEDICINE ha... ha...

mean?” The dad says, “Gay means happy.” The boy asks, “Dad, are you gay?” The dad replies, “No, I have a wife.” What do Harry Potter and Kermit the Frog have in common? Hogwarts

ow does the Pope pay for things online? Papal

How did the hamster die? He fell asleep at the wheel. “I’m sorry,” the building maintenance company HR manager told the applicant, “but the floorcare position you applied for has already been filled.” “You don’t have any other floorcare jobs?” asked the disappointed and out-of-work janitor. “Unfortunately not,” said the manager. “All I can offer you a job cleaning mirrors. Would you be interested in that?” “I could see myself doing that,” said the man. Did you hear about the faith healer who had a date with a lady in a wheelchair? He stood her up. “Whatever you do, son, always give 100%,” the father told his son. “Always, Dad?” “Always,” said the father. “Well, unless you’re donating blood.” A boy says to his father, “Dad, what does gay

Who was the first person to use Control-C as a shortcut? Moses. A pathetic golfer was getting frustrated with his lousy game and began blaming all his mistakes on his experienced caddie. As the round came to an end, the golfer said, “You must be the worst caddie in the whole wide world.” The caddie replied, “I don’t think so, sir. That would be too much of a coincidence.” (I didn’t think that golf joke was very good, but everyone kept telling me it was subpar.) How do Muslim women get wrinkles off their faces? Fabric softener. Moe: My neighbor is incredibly rude. Joe: Why do you say that? Moe: Last night — correction: this morning — I repeat — this morning at 3:15 a.m! he starts pounding on my door! Joe: Whoa! I wouldn’t answer my door at that hour unless my house was on fire. Moe: I wouldn’t have either, but luckily for him I was still up playing my drums. +

Why subscribe to the Medical Examiner? Because no one should have to make a trip to the doctor or the hospital just to read Augusta’s Most Salubrious Newspaper.

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SUBSCRIBE TO THE MEDICAL EXAMINER By popular demand we’re making at-cost subscriptions available for the convenience of our readers. If you live beyond the Aiken-Augusta area or miss issues between doctor’s appointments — don’t you hate it when that happens? — we’ll command your mail carrier to bring every issue to your house! NAME ADDRESS CITY

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AUGUSTA MEDiCAL EXAMINER

STATE

SIZE… from page 9

In another study by Brian Wansink at Cornell University, 18 recipes that were published in every edition of the Joy of Cooking cookbook from 1936 to 2006 were analyzed. He found the average calorie per serving increased 63% and the culprit was the serving size. A study published Sept. 14 in the Cochrane Database of Systematic Reviews involving 6,700 subjects found that participants who were routinely offered larger sizes ate more food and drank more caloric beverages compared to those participants served smaller portions, but who were allowed to replenish their plate as often as they wanted. The investigators determined that with improved portion control, calories would drop 22-29%. In one of my favorite studies on portion size distortion, scientists judged the change in portion sizes over the past 1,000 years by evaluating 52 of the best-known paintings of the biblical Last Supper. They evaluated the size of portions on the plates relative to the disciples head size and found that plate sizes in the paintings increased by 66% and food portions have grown about 70% in the past one thousand years. There is no doubt that bigger portion sizes lead to bigger waistlines and the attendant health problems associated with obesity. On the bright side, portion size is something you can change, without getting rid of your favorite foods. So what is a portion? The secret to portion sizes is in your hand. A clenched fist equals 1 cup. A one-cup portion would be appropriate for raw or cooked vegetables, fruit, cooked pasta or chips. Half-cup or half-fist portions work for cereals, rice or mashed potatoes. The palm of your hand represents roughly 3 ounces of lean protein – poultry, fish, shellfish or meat. A cupped hand holds about 1 ounce of food which is a good measure for dried fruits or nuts. Your thumb is about 1 ounce, a good portion for cheeses. The tip of your thumb from the knuckle up is 1 teaspoon. That is a good portion for high-fat foods like butter, margarine or mayonnaise. Of course, if you don’t want to use your hands, an actual measuring cup will do nicely. Don’t let portions control you. Control them with these additional tips: When eating out: • Split an entrée with another person • Order dinner from the lunch menu • Ask for a to-go box when the meal is served and portion half of the meal to go before you start eating • Ask about half portions • Avoid all you can eat buffets • Say no to upsizing • Have a salad and order the dressing on the side When eating at home: • Downsize to 9-inch plates or use a salad plate • Avoid mindless munching in front of the TV. Place snack-size (one hand full) amount of food into a bowl or plate and leave the rest of the package out of sight. • When cooking in large batches, freeze excess food right away. • Read labels on packaged foods. Your portion may be larger than the “serving” listed on the package. • Use a measuring cup or scale to measure portions until you are comfortable eyeballing portions. • Fill half your plate with vegetables; split the other half with whole grains and lean protein. • Place tempting foods like cookies, chips or ice cream out of sight and move fruits and whole grains to the front at eye level • Satisfy your sweet tooth in a healthy way like a fresh fruit parfait mixed with low-fat yogurt or a baked apple topped with cinnamon. • You don’t have to portion out raw vegetables and salads, but be mindful of dips and dressings. • Slow down and chew your food well. Give yourself at least 20 minutes to eat before going back for seconds. • Try to eat meals at regular times. Skipping meals leads to overeating at the next meal. +

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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

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OCTOBER 2, 2015

AUGUSTA MEDiCAL EXAMINER

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

...cleverly hidden (on the boy’s shirt) in the p. 9 ad for DANIEL VILLAGE BARBER SHOP Congratulations to CHRISTINA ARMBRUSTER, who scores a coveted Scrubs of Evans gift card, 2 movie passes courtesy of Health Center Credit Union, and a $20 Wild Wing Cafe gift certificate. Want to find your name here next issue? The new Mystery Word is on page 12. Start looking!

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

EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC.

SERVICES

HOUSEBOAT FOR SALE Tradewinds Marina, 30 minutes from Augusta. Live at the lake - or have a second home there with NO grass to mow! Recently upgraded. $65,000 Text me at (803) 640-9732 for pics ONE BDRM COTTAGE FOR RENT with off-street parking/carport in Hill area 2 blocks from college. Washer/dryer. We furnish water, you pay electric. $675/$500 dep. No pets. (706) 736-7168; email: ronst79@gmail.com Pictures avail. AUGUSTAGAHOMESEARCH.COM Foreclosures • MLS • Rentals • Builders 706-564-5885 FOR SALE: GORGEOUS, immaculate, never occupied townhome located mins from Medical District. 2 bed, 2 bath, master en suite, walk-in closets, office. 1450 sq ft. hardwood floors throughout, fabulous upgrades, custom kitchen and baths. Floor to ceiling windows, fenced yard. Partially furnished! 120k OBO. 803-507-6621.

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

BEING PAID WHAT YOU ARE WORTH? Then make more money! Watch movie all out interview: ExtraMoneyInterview.net

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

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

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

FISHING CLUB wants more grey-haired members. Meet 2nd Thurs of month at Harbor Inn Restaurant, 12 noon. “Adventure Before Dementia” Info: (706) 736-8753 or (706) 829-1729

MISCELLANEOUS

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

ANTIQUE maple dinette set with buffet corner cabinet table with pull-out leaves. Four chairs with two captain’s chairs. Excellent condition. $300. Double bed early 1930s with mattress spring coverlet shams $150. Call (706) 860-2170 WANT TO BE HEALTHY? (Energy, weight loss, mental clarity) Go to gethealthyat.le-vel.com See video and Facebook. Sign free as customer.

FIND SERVICE PROVIDERS • GET RID OF UNWANTED STUFF Place your classified ad in the next issue of the Medical Examiner. The cost? 25 cents per word. Call your banker to arrange financing, then mail your cashier’s check to the Medical Examiner. (Registered mail recommened for added security)

Thanks for reading the Medical Examiner! The new scrambled Mystery Word is found on page 12

SENDING US A CLASSIFIED?

THE PUZZLE SOLVED

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

WHAT’S YOUR DRUG OF CHOICE?

Augusta Medical Examiner Classifieds

(OURS IS COFFEE)

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

.75

1.00

1.25

1.50

1.75

2.00

2.25

2.50

2.75

3.00

3.25

3.50

3.75

4.00

4.25

4.50

4.75

5.00

5.25

5.50

5.75

6.00

6.25

6.50

6.75

7.00

7.25

7.50

7.75

8.00

8.25

8.50

8.75

9.00

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

A A R M E Y A

T A L U S S C A N A G A P

E T R C H I M A E R E A L B L E B L A M A M C O N A B E P I B I E R A D T R E H D R

B A R N A R D

E N Y A

T A O N O T L

U R I A N B E C E H R O G P O

N I P T S T A Y T E A R

C E N T

QUOTATION PUZZLE SOLUTION: Page 12: “If God had wanted us to vote he would have given us candidates.” — Jay Leno

The Sudoku Solution

COFFEE IS GOOD MEDICINE

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

Send this form with payment to:

A R A O R C O N

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

QUOTATION

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

N A P A

SEE PAGE 12

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

.25

A L S O

VISIT DRUGOFCHOICECOFFEE.COM

9 6 7 2 5 8 1 3 4

8 5 3 4 7 1 9 6 2

2 1 4 9 6 3 7 5 8

3 9 2 7 8 5 6 4 1

4 8 6 1 3 9 5 2 7

5 7 1 6 2 4 8 9 3

6 2 5 3 1 7 4 8 9

7 4 8 5 9 2 3 1 6

1 3 9 8 4 6 2 7 5

WORDS BY NUMBER “I have always found that mercy bears richer fruits than strict justice.” — Abraham Lincoln

Multiply by number of times ad to run: x Total submitted: $

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

Thanks for reading!

www.AugustaRx.com

OCTOBER 2, 2015

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AUGUSTA MEDiCAL EXAMINER

PROFESSIONAL DIRECTORY DERMATOLOGY

ALLERGY

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

CHIROPRACTIC

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

Steven L. Wilson, DMD Family Dentistry 4059 Columbia Road Martinez 30907 706-863-9445

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

OPHTHALMOLOGY

EMPLOYEE BENEFITS

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

CALLING ALL M.D.S!

...SENIOR LIVING

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

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

THERAPEUTIC MASSAGE

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

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

Group & Benefits Consultants Inc. 3515 Wheeler Rd, Bldg. C Augusta 30909 706-733-3459 Floss ‘em or lose ‘em! www.groupandbenefits.com

Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048

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

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

DRUG REHAB

COUNSELING

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

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

DEVELOPMENTAL PEDIATRICS

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

DENTISTRY

LASER SERVICES

PHARMACY

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

VEIN CARE

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

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

WEIGHT LOSS

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

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

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

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AUGUSTA MEDiCAL EXAMINER

OCTOBER 2, 2015