Oct6 17 by Daniel Pearson

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HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS • HEALTH • MEDICINE • WELLNESS

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

OCTOBER 6, 2017

The

Advice Doctor ©

Dear Advice Doctor, I have a co-worker whose #1 job seems to be avoiding work. She expends more time and energy to avoid doing something than it would take to simply do it. It’s driving me crazy, and I’m someone who actually enjoys work. I like to stay busy. But having her pass the buck to me or someone else every time isn’t fair. How can we get her to stop this annoying habit? — Wanda the Willing Worker Dear Wanda, I’m glad you brought up this important topic. South Carolina and Georgia — Burke County in particular — are considered high-risk states for this sort of thing, especially this time of year. As your question implied, this month begins rutting season for deer, meaning they are on the move seeking mates. They rarely travel alone, so your question was right on target: when you pass the buck, it is quite probable that other deer are in the immediate vicinity. In fact, statistics show that deer-vehicle collisions often involve the second deer the driver sees. The Georgia Department of Natural Resources has done a county-by-county analysis of collisions and deer breeding habits for the entire state. From North Georgia to the Georgia-Florida line, peak mating season can vary from early October to late December. In the CSRA, October is prime time for mating and colliding with deer, with Oct. 20-26 being the period of greatest risk, according to the DNR. And the risk is considerable: • nationwide, deer-vehicle collisions (DVCs) cause 200 deaths and cost more than $4.6 billion annually, and those are 2012 statistics.

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NOT

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(706) 364.1163 • WWW.SCRUBSOFEVANS.COM • 4158 WASHINGTON RD • ACROSS FROM CLUB CAR • M-F: 10-6:30; SAT: 10-4 Please see 1.38% page 2

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ADVICE… from page 1 Most deaths occur after the initial collision, such as a motorcyclist falling off his bike or a vehicle leaving the road (see box, right). Example: last Friday (Sept. 29) in Colorado, 3 people were killed and 4 injured when their car careened off the interstate after hitting a bear. • According to the Georgia DOT, deer are a factor in an estimated 50,000 wrecks each year in Georgia, nearly 14 percent of all collisions. The figures are estimated because drivers do not report most deer accidents. • Burke County, says the DOT, reported 246 deervehicle collisions in 2011, the most in Georgia. • The average claim in a DVC in 2016 was just under $4,000, according to figures compiled by State Farm Insurance. Prevention is the subject of lots of research. A study by the University of Georgia found little benefit from so-called deer whistles mounted on car grills, and equally minimal protection provided by “wildlife warning reflectors” on vehicles, regardless of their color. Human warning devices — deer crossing signs, for example — are also ineffective. From Canada to the Florida Keys, collisions with deer, moose, elk, alligators, bears and other animals is a big problem that has yet to be solved. Traffic engineers and wildlife experts have tried higher fencing, widening roadway shoulders and mowing broader sections of them, infrared sensing systems connected to digital message boards to warn drivers, brighter roadway lighting, mirrors, and even deer hazing, which is exactly what it sounds like: harassing deer populations so severely that they will move somewhere else just for some peace and quiet. A simple and workable solution has yet to be found. Or has it? Buried in a nondescript paragraph of a 261-page

A deer in the headlights! Now what? The natural reaction is always going to be to try to avoid a collision, especially when the other party is named Bambi. There are several very important factors in play, however. If you hit a deer, even a full-grown one, you’re striking something that might weigh 200 lbs. If you veer away to avoid a collision, you might collide head-on with an oncoming vehicle that weighs several tons. Or you might veer off the road and hit an immovable object like a tree or bridge. From a monetary standpoint, hitting another vehicle or object is covered by the collision portion of your car insurance. Collisions raise rates. Striking a deer, on the other hand, is usually covered by your comprehensive coverage. Comprehensive claims typically do not increase insurance rates. The rule of thumb: Don’t veer for deer. Try to stop, but if a collision is unavoidable, continue to brake firmly and hold the wheel with both hands. + Georgia DOT study about the effectiveness of various DVC prevention strategies (or lack thereof) was a comment about a motorist, one Alfred Williams, who wrote to the DOT in 2004 with his simple solution to the problem.

According to Mr. Williams, over an eight-year period he hit eight deer in the short drive (12 miles) between Stilson and Guyton on Georgia Highway 119. Then in 2000 he came up with an idea that he tested for four years before writing the DOT. He simply drove over the reflective highway markers embedded in the road surface on the left side of the driving lane (in other words, on the center line) whenever there was no oncoming traffic. While it might sound crazy, lowtraffic rural roads are the most likely place for DVCs, so it isn’t as suicidal as it might seem at first glance. And since the greatest risk is between dusk and dawn, it’s usually easy to see the lights of an oncoming car well before the vehicle comes into view. Using this tactic, Williams had gone four years without hitting a deer. Sounds like a very useful technique. I would add these additional points: never look at a cell phone while driving, a rule that’s more important during deer season than any other time of year: looking back at a darkened roadway after the light of the dial can leave you just blind enough to miss a deer and end up in a wreck; use high beams on rural roads when the sun is down and there is no oncoming traffic; drive cautiously in rural areas, particularly those with deer crossing warning signs; keep your eyes on the road and sweep your view between both left and right shoulders; and as your question implied, when you pass the buck — or any deer — expect to see more and slow down immediately. + 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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Can you give just 1.38%? Southern summers are not everyone’s favorite time to exercise. To the die-hard athlete, triple digit heat and humidity levels are just lame excuses. They exercise in the heat, the rain, the cold. The majority of us are die-easy athletes. We’ll gladly take heat and humidity as excuses. But now it’s October. Mornings and evenings are cool and getting cooler. Humidity is nowhere near triple-digit levels anymore. Our top excuses for not exercising outside — where being active is a lot more fun than a boring treadmill or a gym full of sweaty strangers — are disappearing by the day. Of course, there’s always the good old standby excuse: no time! Seriously. Who has time to exercise? The answer to that is pretty easy: just about everyone. Let’s break it down: there are 1,440 minutes each day. That adds up to just over 10,000 minutes a week. The Recommended Minimum Weekly Allotment for exercise is 150 minutes. That boils down to roughly 20 minutes per day that should be devoted to being active. That is definitely doable. It’s only 1.38 percent of our time. That bears repeating: One point three eight percent! Even better, the daily 20 minutes or so doesn’t have to be done all at once (unless that’s your preference). A brisk 10-minute walk before work or during your lunch break can be added to another one in the cool of the evening. Boom. You’re done! If daily exercise just won’t fit into your schedule — which is a little hard to believe but possible — you have the option of doing your 150 minutes spread out over three or four days per week instead of seven. The important thing is consistency and regularity. In addition to (or instead of) walking, there are dozens of ways to add physical activity to our daily schedule with almost zero impact on our time. For example, take the stairs instead of elevators or escalators at every opportunity. We expend a single calorie riding an escalator for a minute compared to 10 calories per minute using the stairs. And unlike elevators, there’s never any waiting for stairs. Don’t circle parking lots looking for the closest

1.1138.38% 38%%

space. Take advantage of the far corners of the lot and take your pick of dozens of available parking spaces. The extra steps as you walk to the mall, the office or the grocery store (or anyplace else you go), all add up to good things for the body. More about that in a moment. In addition to walking and taking the stairs, some people like to go bike riding. Others love to dance, whether at home or in some social setting. Some people get their exercise in their garden, others by walking the dog. If you have access to a pool that’s open year round, swimming is great exercise. Still others enjoy tennis regularly, even if it is a far cry from Wimbledon quality. That isn’t what matters, and it’s why even grey-headed people still play: it offers fresh air, companionship, and exercise at their pace and level. That goes for basketball, too. If you’re young, running up and down a court with nine other people is a great way to get vigorous exercise and have fun. If you’re older, just shooting baskets by yourself in your driveway or neighborhood park can be just as fun, and it offers a fun way to escape the recliner. Hiking is another enjoyable way to be active, and it doesn’t require a mountain vacation, either.

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Phinizy Swamp, the park around Aiken’s Odell Weeks Activity Center, North Augusta’s Greeneway and the Augusta Canal are all nearby and perfect for a nice hike, a brisk walk, or a pleasant bike ride. Those are just a few of the available area options. For that matter, vacuuming or pushing a lawn mower or raking leaves may not be anyone’s idea of aerobic activity, but they can be just that. The general rule on what constitutes exercise is something that elevates your heart rate, makes you break a sweat, and makes it at least a little difficult to carry on a conversation. You’re a little too winded for that if you’re getting exercise. Why is all of this so important? There is a term in medicine called “lifestyle disease.” It describes any non-infectious disease that is caused or worsened by our lifestyle, our behavior and the choices we make. Included in the constellation of diseases that often come under the lifestyle disease umbrella are obesity, Type II diabetes, osteoarthritis, osteoporosis, chronic back pain and pain in other joints (like knees and hips), cardiovascular disease (including strokes, high blood pressure and heart attacks), and multiple forms of cancer. That list makes preventive exercise look very attractive indeed. As the old saying says, prevention is the best medicine. And exercise may be the best healer there is: you don’t have to be on hold for an hour and a half in an attempt to weasel an approval out of an insurance company; no co-pays or premium payments are required; it doesn’t taste bad; there is no need for it ever to be in short supply or run out; it can be done alone or with others, at any time of day or night that’s convenient to you; your dose can start as slowly and as minimally as your situation dictates, and can take the form you enjoy most; you can increase your dose over time, in fact you may want to, or do so without even realizing it; exercise may be the only medication that is good to be addicted to; it’s the only one that you should relapse back into if you stop and are wracked with withdrawal symptoms; it lengthens life by years and improves sleep quality. Best of all, we can get started today — we should get started today — and enjoy all these benefits with an investment of just 1.38% of our time. +

MEDICAL EXAMINER

AIKEN-AUGUSTA’S MOST SALUBRIOUS NEWSPAPER

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

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

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Opinions expressed by the writers herein are their own and/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.

OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

#53 IN A SERIES

OLD NEWS

Who is this?

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

HOW MUCH???

est assured, hundreds of thousands of men of a certain age and above have heard of this man, many of them without realizing who he is. All it will take to solve the mystery is to reveal his last name: Gleason. If you’re a woman or a young man that name probably means little to you. But for the 230,000 men in the U.S. alone who are annually diagnosed with prostate cancer, his name generally comes up promptly. Dr. Donald Gleason devised the grading system for prostate cancers while working at a Minneapolis VA Hospital in the 1960s. The Gleason score distills a complex cancer down to a simple and understandable rating from 1 to 5, providing a useful reference point for oncologists, pathologists, clinicians, scientists and patients. Its value is illustrated by the fact that it is used worldwide in more than a million cases per year, and has been for more than 50 years. The tissue sample used for the score is obtained from a biopsy of patients who have or are suspected of having prostate cancer, or from a specimen obtained during a radical prostatectomy. As a result, Gleason scores of 1 or 2 are fairly rare. 3 is the most common pattern seen. Generally speaking, pathologists are looking for how well the sample matches what healthy tissue should look like. The score is expressed as a factor of differentiation, with “resemblance” being a good substitute word. In other words, greater differentiation means greater resemblance to normal tissue. Poorly differentiated tissue has a poor resemblance to what it should look like. The higher the score, the more advanced a cancer has progressed. Some doctors give their patients a “modified Gleason score,” based on an adjustment in the grading system adopted by the International Society of Urological Pathology in 2005. A patient might get a modified Gleason score of 3+4 or 4+3. In this scoring, the two most prevalent findings of abnormal cells are both graded, with the first number showing the larger of the two. That means 3+4 is better news than 4+3. +

needed some short-term medications. I called the pharmacy to find out the cost and was told $324.45. I refused the medication and called my doctor to let him know this expense was too great. I was given another option through a mail order company which would cost only $89, but I would have to pay that amount out of pocket. I said I wanted to check with my insurance carrier and ask if they would reimburse me. As soon as those words were out of my mouth, I was told there was yet a third option. When I called the pharmacy to ask the cost of the third set of meds, I was told $16.75. Thinking that perhaps the medications costing $16.75 would not be as effective as the more costly ones, I again called my doctor’s office to inquire about these less expensive choices. I was assured I was receiving quality medications. This really didn’t add up to me (no pun intended) so I called my insurance carrier back and explained the situation. I spoke with a young lady

named Macy who, upon hearing my story, said she had never heard such a tale. She pulled up my drug history and discovered the three different prices were all for the exact same drugs. This bears repeating: THE. EXACT. SAME. DRUGS. She then told me the amount the pharmacy had submitted for reimbursement was a total of $215.83, and insurance settled for $96.24. What this means is that even if I had not questioned it and paid the original $324.45; if I had accepted the out-of-pocket cost of $89; or ended up paying $16.75, the pharmacy still would have submitted $215.83 for payment. The insurance company still would have reimbursed them $96.24. The only difference is how much they would have been able to get from me. A further break-down tells

more. I asked the pharmacy what the cost of each option was and was told $8.75 for one (they submitted $73.03 to my insurance company for it); $87.99 for another (they submitted $13.44), $227.71 for the third medication (they submitted $129.36). The three amounts they submitted combined added up to the original price of $324.45. The disconnect lies somewhere between my doctor’s office and the pharmacy. My doctor’s office admitted to being aware of the game but does not offer the lesser cost unless you question/ complain; nor do they take any responsibility. I attempted to get a one-onone appointment with an employee of my physician for further explanation but when I showed up for our meeting, she was out of the office. Draw your own conclusions on that. I can’t say if they benefit financially from this scam or not but I have learned a valuable lesson which I will pass on to you: ALWAYS question anything that seems excessive to you. Just because your doctor or pharmacy says it costs ‘X’ amount or is done a certain way doesn’t mean there may not be options. Do your homework. The time spent can mean less money out of your pocket. +

MYTH OF THE MONTH I feel a cold coming on. I need antibiotics quick! If a doctor was to prescribe antibiotics for you to treat a cold, you’re both part of a big problem in medicine today: the overuse of antibiotics, with the result that many people have developed antibiotic resistance. Colds, the flu, the majority of sinus infections, and sore throats are viral in nature, not bacterial, so antibiotics will be no help. Doctors know this, of course. The problem is more likely to An antibiotic be caused by properly prescribed antibiotics that are improperly used by patients. For example, someone gets a prescription and is instructed to take the drugs until the supply is gone. Instead, they feel better in a few days and decide to save

the medicine; a few extra doses may come in hand later. As a result, the bacteria is not killed off and can develop resistance to antibiotics. Meanwhile, other family members may later get the flu or a sore throat and decide to take the antibiotics, not only getting no relief from their illness but making it more difficult for antibiotics to help them in the future. Always take antibiotics exactly as prescribed — never for a cold — and never take someone else’s medicine. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

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

o k

ven though we might want to, never believe the following:

• An email notification that you have won the Liverpool Football Lottery. I won this lottery twice ... in one day. $1 million in the morning and then $5 million in the evening. • Get a free 30-day supply of a new miracle drug at absolutely no risk to you. (Then they ask for your credit card number.) • You can make $200 a day at home stuffing envelopes. • A reverse mortgage lets you control your retirement. (No, it means you sold your home for a low price, but have to pay county taxes and insurance every year, and maintain it until you die. Then your estate has nothing.) • Own gold and silver so that you can survive financially when the monetary system crashes. (Never in world history has a stable country reverted to the gold system.) • When the commentator says there are 2 minutes left in a football game. Those 2 minutes will take at least 15.

ABOUT WHAT TO NEVER BELIEVE

• When the GPS in your car says “Traffic is light on Washington Road.” It is never light on Washington Road.

E TH

Bes

• That your wife, daughter, or granddaughter are “just window shopping” at the mall and your credit card will come home unmolested. • When the “Maintenance Required” flashes on your car, that your car will die immediately. • When the dentist says, “This will sting a little.” That means “hold on, this is gonna hurt like hell, but it won’t last long.” • When your girlfriend or wife says, “Do whatever you want to do. See if I care.” • If you take this pill, you can eat anything you want and still lose weight. • You can use street drugs, but if you take an over-the-counter concoction it will hide the fact that you use cocaine and marijuana. (Yes, some people tell that to the judge thinking it will work. Most of them get to rethink their explanation while sitting in jail. Cops and probation officers have heard this lame excuse so many times, they don’t even bother

to laugh any more. • Lemon juice on your face will make you invisible to security cameras. (Who makes up this stuff? Yes, someone was dumb enough to believe that and robbed store without a mask. They got a couple years in the slammer to think up a better disguise.) • Taking an allergy pill and a vitamin will hide performance enhancing drugs in athletes. • A college degree is the same as a college education. (A degree means you passed all the tests. It does not mean it positively impacted your abilities. It is like a photo: sometimes college just doesn’t “take.”) • Because you have freedom of speech you must disrupt society and force your opinion on others. You do not have the right to make me listen.

ine c i d E tM

• Because you have the right to do something means it is a good idea to do it. You have the right to sit naked in the middle of the street and set your hair on fire. But is it a good idea? • Because you believe something deeply means everyone should think the same way. (Fish believe you should live underwater. Polar bears believe you should dive under ice sheets to get lunch. Neither are good ideas for me or you.) • Because you are right in your own mind means you should compel others to agree. (This is the USA. Everyone has a right to be wrong or stupid as long as it does not infringe upon others.) • Celebrity endorsements will win an election for a so-so candidate.

• If you pay into Social Security for 50 years, there will be plenty of money to support you when you retire. If that is true, why do members of Congress have their own “private retirement fund” at taxpayer’s expense? • The best way to help someone who won’t work is to give them money. No, Dear Hearts, people tend to do what you pay them to do. If you pay them to not work, they will continue to not work ... forever. • When Tim Tebow knelt in prayer on the sideline before a game, it was disgraceful. Now when hundreds of NFL players “take a knee” during the National Anthem, it is a sign of sensitivity and unity. +

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!

Calling all Bad Billy fans! More than two dozen of Bad Billy’s personally handpicked stories are collected together in his first book. Get yours today at amazon.com or barnesandnoble.com For personalized autographed print copies, call 706-306-9397

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If you try to stick with a grain free diet, either for health reasons or by choice, you may struggle to find a grain free bread that actually taste good. I have been at this gluten-free and now grain-free lifestyle for about five years now and I have tried numerous recipes for gluten-free/grain-free bread, muffins, and pizza crust. None of them held together very well and none of them were very tasty. They were all dry and crumbled the when you took the fi rst bite. I actually remember throwing a pizza crust in the trash one evening because it was absolutely horrible. My sweet husband ate it, but I just could not. Over the last year, I have finally found several go-to recipes that I use on a regular basis to curb my appetite for bread. Most of the time I am perfectly happy to simply leave the bun off of my burger or sandwich, but every now and then a lettuce wrap just won’t do. I found this particular recipe for grain free bread on Instagram. I follow @barerootgirl on Instagram and she has some amazing recipes that are grain free. Grain-Free Sandwich Bread When I saw this bread and the ingredients, it looked a together. oil or ghee (I prefer coconut bit different than the recipes Pour the mixture into the oil as it has a lighter taste) that I had tried in the past. loaf pan and bake for 55-65 • 1 Tbsp. of apple cider I immediately gathered the minutes or until the top is vinegar what I needed from the golden brown and a toothpick • 1 tsp. of honey pantry and got to work in the inserted into the center of the • 1/2 tsp of sea salt kitchen. bread comes out clean. • 3 cups of blanched almond The finished bread was Remove from oven and flour delicious and the texture was allow to cool for 10-15 • 1/3 cup of arrowroot moist and not at all crumbly. minutes in the pan. Allow powder It made the most perfect BLT cool completely before slicing. • 4 Tbsp. of ground flax meal & Avocado sandwich and Store in the refrigerator in an • 2 tsp. of grass-fed gelatin (I was fab when I toasted it and air tight container or in the purchased on Amazon) + topped with blueberry jam for freezer. • 1-1/2 tsp. baking powder breakfast. • 3/4 tsp. of baking soda Alisa Rhinehart is half of the blog For this recipe, I use a southerngirlseatclean.com. She smaller loaf pan (8 1/2 in. Instructions: is a working wife and mother X 4 1/2 in.) and the bread Preheat oven to 325 living in Evans, slices are smaller than your degrees. Georgia. Visit her blog average store-bought bread. Grease loaf pan with ghee for more recipes and You should keep this bread in or coconut oil and line with information on clean the fridge if you are going to parchment paper if you eating. use within a week or in the choose, set aside. freezer if you want it to last a Add eggs, coconut milk, bit longer. ghee or coconut oil, apple If you are trying to cider vinegar, honey and sea eat a grain free diet and salt to a medium size bowl. occasionally just need a bread Use a hand mixer on medium fi x then I hope you will give speed and blend until smooth. this recipe a try. I think you In a separate bowl, whisk will find it very satisfying, together the almond flour, as I did. Also, check out Bare arrowroot powder, ground Root Girl for more amazing flax meal, gelatin, baking grain-free recipes. powder and baking soda. add the dry ingredients to Ingredients: the bowl with the liquid • 5 pastured eggs mixture and using the hand • 1/2 cup of canned light mixer again, mix on medium coconut milk speed to blend all ingredients • 6 Tbsp. of melted coconut

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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. • 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 almost 900 doctors offices throughout the area for staff and waiting rooms, as well as many nurses stations and waiting rooms of area hospitals.

OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

ASK DR. KARP

NO NONSENSE

NUTRITION Anne Marie from Aiken asks, “Is drinking healthy?” The answer is, YES, moderate alcohol use may be “healthy” for many people, but not for all. Surprised? Drinking moderate amounts of alcohol leads to a decrease in all-cause death rates, specifically, in deaths resulting from cardiovascular disease. On the other hand, binge and heavy drinking is

associated with an increase in death rates from all causes, particularly cancer deaths. The relationship of alcohol consumption to cancer has been previously known. Alcohol consumption is not only related to the occurrence of cancer, but also its recurrence. There has been quite a debate, going on for years, as to whether some alcohol consumption, either as wine or other alcoholic drinks, should be a recommendation added to the Dietary Guidelines. Because there are significant numbers of people who should not drink, it is unlikely that having a drink or two will be recommended as being “healthy” for an entire population. Who are the people who should not drink? 1) If you have the disease alcoholism, or if it is a strong genetic factor in your family. 2) Women who are trying to conceive, pregnant women and breastfeeding women. Major effects of alcohol occur in the 1st trimester of pregnancy, a time when you may or may not even know you are pregnant.

In addition, you need to understand that, during pregnancy, there is no safe level of alcohol consumption. A little bit of alcohol causes a little bit of fetal damage, a little bit more causes a little bit more fetal damage. In other words, there is no threshold below which it is safe for a pregnant woman to consume alcohol. 3) People using equipment, driving or performing any activity that requires judgement, quick reflexes and concentration. 4) Children and adolescents. 5) People on specific medications that interact with alcohol. 6) If you are overweight or obese, remember that alcohol has 7 calories per gram, almost as much as fat and about twice the calories as carbs or protein. So drinking alcohol can be “fattening.” 7) People who choose not to drink for personal, religious or other reasons. Moderate drinkers are defined as men who consume, on average, no more than 14 servings of alcohol per week or women

whose average consumption of alcohol is seven servings or fewer per week. Binge drinking is defined as women drinking 4 or more servings of alcohol in 2 hours; for men, drinking 5 or more servings in 2 hours. Binge drinking in both men and women increases mortality by 16%, mostly from cancer deaths. As an aside, I am always surprised by how much alcohol is defined as “moderate.” In the United States, one “standard” drink contains roughly 14 grams of pure alcohol, which is found in 12 ounces of regular beer, 5 ounces of wine or 1.5 ounces of distilled spirits. What is the “No-Nonsense Nutrition” advice for today? If you do not fit into one of the categories of people who should not drink, studies show that light and moderate drinking is associated with health benefits, particularly in decreased deaths from cardiovascular disease. Having said all the preceding, if you don’t drink already there is no recommendation to begin drinking to be “healthier.” +

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

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OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

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

AN APPLE A DAY by Lo Bannerman Fall is here and apples are ready for harvest! But how does this delicious fruit keep the doctor away? Let’s explore some amazing apple facts to find out. One medium apple contains about 80 calories, 4 grams of fiber, and over 10% of your daily recommended intake of Vitamin C. They are also packed full of antioxidants and phytonutrients that are linked to heart health and lowering cholesterol. They’re great breath fresheners too. Basic apple nutrition is consistent across varieties, so don’t hesitate to explore. A member of the rose family, apples have been grown around the world for centuries. Although Granny Smith or Red Delicious may be the fi rst to come to mind, an estimated 2,500 different apple varieties are grown in the United States alone. Start snacking on Fuji, Pink Lady, or Gala apples for a sweeter variety or try a Jonathan for that tart apple taste. If you want to bake, Golden Delicious apples freeze well and can often be used without peeling due to their thin skin. The skin is also where apples store most of their fiber, which makes this a great choice for your dessert and your health. How can you find the best apples? Look for organic varieties at your local grocery store or grab a basket and head to a nearby orchard. Ellijay, Georgia is known for its many apple orchards and you-pick farms. Plan a road

trip to this northwestern Georgia region and stop by Mercier Orchards, Hillcrest Orchards, or Red Apple Barn to name a few. In addition to apple picking, you may find yourself riding a tractor, drinking cider, or lost in a corn maze during your visit. If you can’t decide where to begin, attend the Ellijay Apple Festival on October 8, 9, 15, and 16 (visit www. georgiaapplefestival.org for more details). When you get them home, store your apples in a cool, dry place for two to four weeks or place them in the refrigerator, when ripe, for one to two months. Try to give your apples open space (one bad apple truly does spoil the bunch) and keep them away from other fruits and vegetables, as they give off an ethylene gas that increases ripening and spoiling speeds. Here are some great apple snacking ideas. • Hold the Cracker: Thinly slice an apple and use in place of a cracker with your favorite cheeses. • Baked Apples: Halve and core an apple and place skin

down on a baking sheet. Top with cinnamon, brown sugar, and butter and bake at 350 degrees for 30 minutes. • Lunchtime Crunch: Add thin apple slices to your turkey sandwich for a sweet and delicious crunch. • Sweet and Savory: Add a peeled and chunked apple to your next stew for a subtle sweetness that compliments fall flavors. Looking for an easy spin on a more traditional apple use? Try this in your slow cooker:

SLOW COOKER APPLESAUCE Ingredients • 3 lbs. (about 5-6) apples, any variety or a mix • 1/2 cup water or apple juice Directions Slice and core your apples. Place all ingredients into your slow cooker, cover, and cook on low for at least six hours. Use a potato masher or immersion blender to puree the applesauce until the desired consistency. Transfer to mason jars or other storage containers. Store applesauce in the refrigerator for about a week or freeze for up to six months. Applesauce Notes: • Try adding cinnamon or vanilla extract to your next batch for added flavor. • Leaving the skin on increases the fiber content and adds texture to your applesauce. If you aren’t a fan, feel free to peel your apples or test the thin skin of Golden Delicious apples. (You can peel before or after cooking. The skin falls right off after cooking but be careful: it will be very hot.) • Play around with different apple combinations to change Please see APPLES page 10

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OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

APPLES… from page 9

Part Y of a 26-part series

up the sweetness and undertones of your applesauce. • Double or even triple the recipe until your slow cooker is full. Check in at six hours and keep cooking if you want a smoother applesauce. Freeze any leftovers and savor the homemade taste year-round. What would you make with a bushel or a peck? A peck of apples weighs about 10 pounds while a bushel weighs about 42 pounds. The average person in Europe and the United States consumes about 46 pounds of apples each year. That’s equivalent to 8 gallons of applesauce! Enjoy! Editor’s note: This article previously appeared in the Medical Examiner in October of last year.

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Ain’t nobody got time for these, let alone talk about them, but there are important facts that every woman should know. For starters, there are many issues in health, medicine and wellness which qualify for initial self-treatment. No one would seek medical attention for a stomach ache; we’ll start with some Alka-Seltzer or maybe Pepto-Bismol and see how things go. Yeast infections are not in that category. Doctors say if you even think you have a yeast infection you should see your doctor fi rst. Why? One reason is that symptoms of yeast infections are the same as other conditions that are much more serious, such as STDs and bacterial vaginosis. Another reason is that if you misdiagnose your condition and take antifungal medication when you don’t actually have a yeast infection, it can make future yeast infections harder to treat. Finally, the most common overthe-counter antifungal creams and oitments can take up to a week of application to take effect, compared to a single-dose pill (fluconazole) that your doctor may prescribe. Other factors to be aware of: while the OTC medications are safe to take if you’re pregnant, that is not the case with fluconazole. Speaking of pregnancy, a side effect of some medications taken for yeast infections is an annoying tendency to weaken condoms and diaphragms. That can lead to unwanted pregnancies and unwanted STDs. Next issue, the end of the line — Z is for... —unless we start over with a fresh 26, that is.

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OCTOBER 6, 2017

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AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Linda Girgis, MD, on September 27, 2017 (edited for space)

BREAST CANCER AWARENESS NEEDS TO CHANGE Pink ribbons are everywhere, and we all know what that means: breast cancer. While this has helped raise awareness about a horrible killer and the importance of early screening, it does not address the fact that there is still no cure for stage IV cancer or the fact that men get breast cancer as well. Yes, it is important that we all know that breast cancer is prevalent in our society and early screening saves lives. But in our victory cheers of awareness raising, we grow passive in finding cures. Millions of dollars go into making the pink ribbon more visible. Heck, even the NFL players wear pink for the month of October. Yet in the U.S. someone dies from breast cancer every 14 minutes. Currently, many discoveries are being made about genetic factors in breast cancer. The therapies to match the discoveries are slow in coming. And even slower in reaching patients who need them. October is the only month designated for breast cancer awareness, yet women die every day from breast cancer. A flurry of marketing is done by every type of company to be seen as caring about a deadly disease. But how much do these companies give versus how much profit they bring in under the guise of raising awareness? Imagine if every one of them really cared about raising money to cure breast cancer. When you see a store or other business outlet with their pink ribbons showing, ask them. Call them to task for their use of the pink ribbon. Ask them if they know how many women in the U.S. die every day from breast cancer and if they even know that 400 men die every year from this disease. There has been so much advocacy done in the past that women need to get screening mammograms and do monthly breast exams. I doubt if there is anyone left we can teach that to. But, the message of breast cancer awareness does not change year after year. We need to change our message. We need more research into metastatic breast cancer and in men The pink ribbon spreads the false sense of security that we as a society are winning against breast cancer. It lessens the ugliness of the disease and lulls people into a false sense that this is not such a malignant monster. If sticking a pink ribbon somewhere makes you feel better, then by all means do so. But be ready to back up your display of advocacy: know the real statistics about breast cancer and put your money where your sense of duty is, namely raising awareness that more money is needed for research). While you may feel you have done your civic responsibility by joining the pink brigade, remember that many men and women are still suffering and dying. Many big organizations, such as the Susan G. Komen foundation, raise millions of dollars. Yet the majority of their money is not turned over for research needed to find a real cure. They sponsor educational programs and public awareness campaigns. But these days, even your insurance company reminds you to get a mammogram. Mammograms are very important tools for detecting breast cancer. But the money spent money telling people what they already know could be much better spent on research to cure the disease. Women suffering from metastatic breast cancer are not served by pink ribbon campaigns at all. We should focus our efforts where it is most needed. Before we open our checkbooks, we should know how our money will be spent. If it is for more pink ribbons, perhaps we should look elsewhere. Breast cancer will only be curable in men and women when we research and develop the right therapies. Anything else is just spin. + Linda Girgis is a family physician who blogs at Dr. Linda.

Pink ribbons don’t help patients

There is perhaps no one in all of medicine held in greater esteem by both their fellow healthcare providers and the general public than the ER trauma physician. We think of them as the ultimate doctor because they’re ready to treat whatever comes in at any hour of the day or night. In truth, however, most ERs are staffed by or connected with physicians in multiple specialties, so the same ER physician doesn’t usually have to set a broken bone one minute and deliver twins the next. It’s a little different in this book, however, where there is exactly one trauma surgeon in a small hospital in a small town, the setting for sixteen life and death short stories. Here is an excerpt from the Kirkus review of this book: Although the stories and characters in emergencymedicine physician Green’s debut collection are fictional, he bases them on real experience, giving readers an insider’s look at a rural trauma ward. Unsurprisingly, several stories deal with loss, tragedy, and the difficulty of letting go. Others touch on misdiagnoses of

character: a seemingly neglectful meth-head mother turns out to be a good Samaritan (“Saviors”); in “Family,” an alcoholic and annoying ER regular redeems himself by running off a threatening pill-seeker and becomes the hospital’s trusted security guard (“sometimes all a person needs is a chance to prove himself”). Big-city ERs are commonly the setting for medical dramas, so the particular challenges of an understaffed and remote emergency department will be less familiar to readers, and the stories exploring these particular challenges are among the collection’s strongest. “This

is the only ER in town. I am the only ER doctor awake in the county right now,” writes the narrator (also called Dr. Green) in “The Crew.” He’s awakened at 2 a.m. for an incoming trauma: four teenagers dead or dying from a car accident on prom night. In the big city, a team of 20 specialists might be on hand; here, the trauma team is one doctor (himself), two nurses, and a respiratory tech. The title comes from a private joke—they call themselves “the crew that do,” which is “a quiet comfort in the middle of the night.” They need this comfort even more on this night; doing the math, Dr. Green realizes that there is a “one-in-fourteen chance that one of our kids was in that car.” It’s the paradoxical, poignant condition of their work that, to function well, they have become a tight knit family who can shut down their emotions—even if it could mean coding one of their own family members. Here are well-written stories about keeping one’s head and humanity in the raw world of emergency medicine. + Trauma Room Two, by Philip Allen Green, M.D.; 162 pages, published in Sept. 2015 by Create Space

Research News Don’t skip breakfast On Oct. 2 the American College of Cardiology released the results of a study in Madrid, Spain, which found that skipping breakfast or having a skimpy breakfast leads to an increased risk for atherosclerosis or hardening and narrowing of arteries due to the build-up plaque. Ironically enough, breakfast skippers had the greatest waist circumference and the highest BMI, blood pressure, blood lipids (fats), and fasting glucose levels of any group in the study. Given the above, researchers not unsurprisingly found skippers to have an overall unhealthy lifestyle, including the greatest likelihood of smoking, frequent alcohol consumption, and overall poor diet. The habits are common: of the more than 4,000 study participants, only 27 percent ate a healthy breakfast (defined as consuming at

least 20 percent of the day’s energy/calorie requirements). Those who skipped breakfast (definition: less than 5 percent of their energy needs; example: a cup of coffee) totalled the smallest group at just under 3 percent of people studied. The largest group, nearly 70 percent, were those who had a low-energy breakfast (more than 5 percent of their energy needs but less than 20). Doctors who conducted the research say people commonly compensate for skipping breakfast by eating more later in the day, usually not healthful choices. They added that skipping breakfast can cause hormonal imbalances and alter circadian rhythms. More proof, they say, that breakfast is the most important meal of the day. got MS? A study just published in Frontiers in Neurology says that for people with multiple sclerosis (MS), a healthy

overall lifesytle is clearly linked to decreased pain. Specifically, getting regular exercise, eating a healthy diet and not smoking were identified as key factors in reducing chronic pain for people with MS. While a healthful diet and not smoking may seem logical enough, researchers addressed how exercise can benefit people who find exercise to be painful, the very thing they don’t want to do. On the one hand, research has found that exercising despite pain caused by MS can increase a person’s pain threshold and pain tolerance. That gradually reduces the perception of pain sensations. At the same time, exercise can promote nerve health and foster neuroregenerative effects. That can gradually help heal the very source of pain in the first place. Put together, healthy living is a one-two punch against the pain of MS. +

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OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

Do you still work out at the gym Yeah, but it’s all the time? getting annoying.

Why do you say that?

People are just so stupid.

Like today I saw this idiot on a treadmill but a water bottle in the Pringles holder.

Like how?

EXAMINER CROSSWORD

PUZZLE ACROSS 1. Hyper letters 5. Famous architect 10. Offers a price 14. Sullen 15. Augusta Mall anchor 16. Orinoco Flow singer 17. Supporter 18. Decorative 20. Famous Ott 21. Fairy tale beast 22. Where the big hit is on a record 23. Metallic compound 25. Not to 26. Grunge icon 28. ____ Grove of Little House 31. Wheeler County seat (GA) 32. The Band follower 34. 28-A is one 36. Vault adjective 37. Canal keeper? 38. ____ tap 39. Self-esteem 40. Every ambulance has one 41. Jefferson’s other name 42. Woman proficient in yoga 44. Medical District Blvd 45. Word often before (and after) old 46. Savannah, for example 47. Strict 50. Wait; stay 51. Next year’s new alums 54. Stubborn; strong-willed 57. Mr. Mondrian 58. Scottish Gaelic language 59. Jinx 60. Sicilian volcano 61. Corner of note 62. Measured (out) 63. Indian peasant or tenant farmer

W C N G T P E S A T V C O H S I H I T O A H T E E S V A H D C E E T

45 48

Click on “READER CONTESTS”

QUOTATION PUZZLE 29

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

VISIT WWW.AUGUSTARX.COM

25 28

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

21 23

The Mystery Word for this issue: TALLPEA

— Author unknown

DOWN 1. 33-D’s partner 2. Clinton’s opponent 3. Uproar 4. Like some ice 5. Polygon having all angles equal 6. Cheerful 7. Window element 8. Smoltz stat 9. Doctrine or philosophy suffix 10. Berry, soldier atop Augusta’s Confederate monument 11. Inca sun god 12. Group of two 13. Transaction 19. Type of bird? 21. Potpourri 24. Feeble, as an excuse 25. Earth ____ 26. Headland 27. Study suffix 28. Small songbird

E I E G O R N U I C S T S

29. _________ Hospital 30. Site of 2006 Winter Olympics (in Italy) 32. Medical prefix 33. 1-D’s partner 35. Exam 37. Queue 38. Walk in water 40. Vital ______ 41. The D of DMB 43. Augusta’s Meadow _______ 44. Like most roofs 46. Wash lightly 47. Mets’ former home 48. Division of a school year 49. Relaxation 50. Low-quality diamond used in cutting tools 52. Most populous city in Nevada after Las Vegas 53. Quick!!! 55. Ted Turner’s movie station 56. Regret 57. For each Solution p. 14

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

X A M I N E R

5 1

6 3

6 5 7 9 8

3 5

4 8

6 7 2

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.

E 1 2 3 4 5 1 2 3 4

1 2 1 2

T 1 2 1 2 3

. 1 2 3

1 2 3

G 1 2 3 4 5

— Phyllis Diller

1.ABFGMNSTU 2.AEEINOOPT 3.ADDDGV 4.EHY 5.RT

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 6, 2017

AUGUSTA MEDiCAL EXAMINER

13 +

THE BEST MEDICINE ha... ha...

patient stepped on the scale at her doctor’s appointment and was surprised to see she weighed 154 pounds. “I won’t mind of you take off that last 4,” she joked to the nurse making notes in her chart. “I think that can be arranged,” replied the nurse with a wink. When the doctor came in a few minutes later and looked at her chart he said, “Well, well. I see you’ve lost weight. You’re down to 15 pounds.” Moe: What do you get from a pampered cow? Joe: I give up. What? Moe: Spoiled milk. Moe: What do you call lazy kangaroo kids? Joe: Pouch potatoes? Moe: Ever notice that it takes a baseball player more time to run from second base to third than from fi rst to second? Joe: Yeah. Why is that? Moe: Because there’s a shortstop between second and third. Three guys are fishing when an angel

suddenly appears. The fi rst guy says, “I’ve suffered from back pain for years. Can you help me?” The angel touches the man’s back and he feels instant relief. The second guy points to his thick glasses and begs for a cure for his poor eyesight. When the angel tosses the lenses into the lake, the man gains perfect 20/20 vision. As the angel turns to the third man he instantly recoils and yells, “Don’t touch me! I’m on disability!” A Jewish father was troubled by the way his son turned out, so went to see his Rabbi about it. “I brought him up in the faith, gave him a very expensive Bar Mitzvah. It cost me a fortune to educate him. Then he tells me last week he has decided to be a Christian. Rabbi, where did I go wrong?” “Funny you should come to me,” said the Rabbi. “Like you, I brought my boy up in the faith, put him through university...cost me a fortune. Then one day he tells me the same thing: he has decided to become a Christian.” “What did you do?” asked the father. “I turned to God for the answer” replied the Rabbi. “What did he say?” pressed the father. “God said, ‘Funny you should come to me...’ “ Moe: Edgar Allen Poe is not watching where he is going and is about to walk into a tree. You only have enough time to say one word to him before he hits the tree. What do you say? Joe: POETRY! +

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

STATE

ZIP

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

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 As I age, one faculty I’m thankful to still have is a vivid imagination, and it serves me well. Sometimes, when my physical limitations leave me feeling stuck in a box, my imagination can pick me up and carry me anywhere I might want to visit. For example, I love to travel, but after two knee replacements, flying is out of the question. Every part of my mind and body remember the public intimidation and humiliation of being groped on my private parts at the airport in the TSA line because my implants set off the alarm. My friends found me sitting, weeping, because I was so hurt emotionally, so invaded, so disrespected, so devastated by a stranger’s hands touching my breasts and my crotch, the inside of my legs. In any other circumstance I could have pressed charges for sexual assault, but not with the all-powerful TSA. That was over ten years ago, and it still stings too much to even consider getting on an airplane again. That consequence creates the kind of trauma that causes PTSD. So I watch HGTV, especially those programs that visit places too far for me to drive to. Right from my recliner, I can be in Peru, Hawaii, a little private island anywhere islands exist, Ireland, the rest of Europe, Asia, South America, Africa, Samoa, or Tahiti. Right now, a newlywed couple is looking for a home in Australia where they are moving for a PhD program in oceanography. I get to imagine myself walking on the beach, with my feet in sand and crystal blue water only a hands length away. Waco, Texas is nearly a three-day drive from Augusta, but I can watch Fixer Upper and get a feel for farm life on Magnolia Farm. Chip and Joanna and their children work and play together on the farm and in town, often visiting places I might like to visit if I lived closer. They’ve gone to a woodworker’s shop, antique shops, and it was fun watching them design their little bakery where cupcakes are the primary sweet for sale. Even the cooking shows on the Food Channel can transport me to places all over the world, and many that are closer to home. I get lots of ideas from the many cuisines and cultures Guy Fieri visits on his series, Diners, Drive-ins, and Dives. I can hang out with Mario Battalli in Italy, or be part of the action with Giada de Laurentiis as she prepares a fabulous feast. I love being in the kitchen with the Pioneer Woman and riding in the truck with her as she takes a meal to her family who are separating calves from the cows. The Drummonds are almost family as I’ve watched their family gatherings, the growing up of their children. Those shows all take me on adventures with them. I’ll never be wealthy enough to afford her kitchen, her garden, her town, but I can visit the Barefoot Contessa as though I fit in. These few adventures don’t begin to cover the ways I can escape from my chair: there are books and magazines, and the grand imagination resource of the Internet. So I may be unwilling to fly and severely lacking in travel money, but I can travel the world, and it’s good for my health to enjoy traveling, even if it’s only imaginary. +

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+ 14

OCTOBER 6, 2017

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED

144

The Mystery Word in our last issue was: VISION

...cleverly hidden on the boards of the truck in the p. 5 ad for STORIES LAID ON A STUMP THE WINNER: CARL E. HOWARD II 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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EXAMINER CLASSIFIEDS HOMES, APARTMENTS, ROOMMATES, LAND, ETC. LAND Land for sale: 14 acres, wooded, beautiful rocky creek flowing through; 45 min from Augusta, walking trails cleared to enjoy while planning future development. Perfect getaway or homesite. Outstanding schools (K-12) 4 mi. away. $49,000 (706) 831-9015 ROOM FOR RENT with private bathroom and full house privileges. Martinez $600/mo (706) 840-6860 FOR SALE 3 bedroom/2 bath, single garage Townhouse in Martinez. Master/ bath down, 2 upstairs bedrooms share bath, large loft for office, playroom, den; wood-burning fireplace, covered back porch. Freshly painted with new flooring, lighting and ceiling fans. Easy access to Riverwatch Parkway, Washington Rd, I-20, Augusta. 1987 sq.ft. $147,900. 706-836-7001. ROOM FOR RENT 1 room, private bathroom, 2bdrm MH on private lot. Clean quiet neighborhood. Non-smoker. $600 monthly. Must be stable, verifiable references and income. Cable and Internet included. Warrenville, 5 min from Aiken, 20 min to Augusta. (803) 270-2658 POND VIEW! Evans all-brick 2-story with solar panels. Avg. electric bill $170 in Northwood, 3,400 sqft. Call 1-800401-0257, ext. 0043 24/7 for price and details.

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

MISCELLANEOUS CEMETERY SPACES (2) Sunset Memorial Gardens, Graniteville SC adjacent to lighted military flagstaff, includes granite bench with urn space, installation and inscription. All $4700 ($8600 value). Spaces only: $2700. Call (803) 295-3033 FISHING CLUB wants more grey-haired members. Meet 2nd Thurs of month at Harbor Inn Restaurant, 12 noon. “Adventure Before Dementia” Info: (706) 736-8753

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THE PUZZLE SOLVED A D A M

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QUOTATION QUOTATION PUZZLE SOLUTION: “The path to success is acting on the advice we give others.” — Author unknown

The Sudoku Solution 2 3 8 4 5 9 6 7 1

6 9 1 2 8 7 5 3 4

5 7 4 6 3 1 2 9 8

1 8 6 3 9 5 4 2 7

7 4 3 1 2 6 9 8 5

9 2 5 8 7 4 3 1 6

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WORDS BY NUMBER “Never go to bed mad. Stay up and fight.” — Phyllis Diller

OCTOBER 6, 2017

IT’S A QUESTION OF CARE How do I choose the ideal assisted living for my loved one? by Amy Hane, a licensed Master Social Worker in South Carolina and Georgia, an Advanced Professional Aging Life Care Manager and also a Certified Advanced Social Work Case Manager.

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AUGUSTA MEDiCAL EXAMINER The choices among assisted living these days can be daunting. There is “traditional” assisted living and “memory care”, and now some assisted living communities offering a “premier” level of care which falls between traditional and memory care levels. In addition to the level of care you need to choose for your loved one, it’s important to understand which details about an assisted living environment can make it more ideal. • There is continuity and longevity of staff. The staff gets to know your loved one, which helps in the type and detailed level of care they provide to your loved one. The staff includes everything from the administrator to the activities coordinator to the personal care assistants to the nurse. The staff even includes maintenance personnel, who understand the

comings and goings of your loved one. (The maintenance person is in the building all day long with your loved one just like the other staff.) Everybody within the assisted living facility will end up knowing your loved one, so if there’s high turnover, this could impact the quality of care your loved one receives since there are new faces and therefore a new learning curve over time. • The assisted living community has a nurse on staff. Often, assisted living facilities will use a licensed practical nurse (LPN) and will have a registered nurse (RN) on call. Some assisted living facilities have the LPN in the building from approximately 8 a.m. until 5 p.m. five days per week. However, the trend seems to be having the LPN available through second shift until about 11 p.m. This is in part because

the needs of the typical assisted living resident are becoming more medically complex. • The community offers convenient in-house services. Examples of beneficial in-house offerings include a physician, a podiatrist, or a beauty salon. It would be wonderful to begin to find assisted livings that have dentists who come into the building, as that is a muchneeded service. • Consider the location. Your loved one will want to see you and you will want to visit him or her. If the location of the Assisted Living community is convenient for you or the other people who will visit regularly, you will be able to visit more often and this in turn will increase the chances that your loved one’s care is even better as you will be able to catch nuances in their needs and determine if these are being consistently met. +

TO OUR READERS AND OUR ADVERTISERS

PROFESSIONAL DIRECTORY ALLERGY

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

AMBULANCE SERVICE

AMBULANCE • STRETCHER • WHEELCHAIR

706-863-9800

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

FAMILY MEDICINE

DENTISTRY

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

F. E. Gilliard MD, Family Medicine 4244 Washington Road Evans, GA 30809 Floss ‘em or lose ‘em! 706-760-7607 Industrial Medicine • Prompt appts.

Jason H. Lee, DMD 116 Davis Road Augusta 30907 706-860-4048 Steven L. Wilson, DMD Family Dentistry 4059 Columbia Road Martinez 30907 706-863-9445

DERMATOLOGY

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

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

Georgia Dermatology & Skin Cancer Center 2283 Wrightsboro Rd. (at Johns Road) Augusta 30904 Medical Center West Pharmacy 706-733-3373 465 North Belair Road www.GaDerm.com Evans 30809 Vein Specialists of Augusta Resolution Counseling Professionals 706-854-2424 G. Lionel Zumbro, Jr., MD, FACS, RVT, RPVI 3633 Wheeler Rd, Suite 365 www.medicalcenterwestpharmacy.com 501 Blackburn Dr, Martinez 30907 Augusta 30909 706-854-8340 706-432-6866 Parks Pharmacy Karen L. Carter, MD www.VeinsAugusta.com www.visitrcp.com 437 Georgia Ave. 1303 D’Antignac St, Suite 2100 N. Augusta 29841 Augusta 30901 803-279-7450 706-396-0600 If you would like your www.augustadevelopmentalspecialists.com www.parkspharmacy.com medical practice listed Your Practice in the Professional And up to four additional lines of your choosing and, if desired, your logo. Directory, Keep your contact information in Steppingstones to Recovery Psych Consultants call the Medical this convenient place seen by tens of 2610 Commons Blvd. 2820 Hillcreek Dr Augusta 30909 thousands of patients every month. Augusta 30909 Examiner at Literally! Call (706) 860-5455 for all 706-733-1935 (706) 410-1202 706.860.5455 the details www.psych-consultants.com

PHARMACY

VEIN CARE

COUNSELING

DEVELOPMENTAL PEDIATRICS

YOUR LISTING HERE

DRUG REHAB

PSYCHIATRY

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AUGUSTA MEDiCAL EXAMINER

OCTOBER 6, 2017