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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

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SEPTEMBER 15, 2017

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SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

Help yourself — and others You might have missed it, but CBS Sunday Morning aired a report this month about disaster donations. We posted it on the Medical Examiner’s Facebook page (facebook. com/AugustaRX). Please watch it. To say it was enlightening isn’t quite right; it was actually heart-breaking.

Disaster directors and emergency management officials who were on the ground during and after disasters ranging from Sandy Hook Elementary to Caribbean hurricanes and Asian tsunamis were interviewed.

One thing they all agreed upon regardless of the type of disaster: people’s generous donations are often utterly useless.

After the school massacre at Sandy Hook Elementary, for example, the town received 67,000 teddy bears from all over the world, to say nothing of the

bikes, school supplies, toys, sleds and clothes.

After natural disasters in far-flung corners of the globe, huge shipments of bottled water are often sent from generous donors overseas. In once case the shipping costs alone for the water, which was one days’ supply for 40,000 people, cost $300,000. For just $300, however, portable water purifiers could have been purchased locally that would produce far more water, and do so indefinitely.

Clothing donations sent to poverty-stricken tropical disaster areas have included high heeled shoes, wigs, winter coats, prom gowns, frostbite creme and even pumpkins.

The thinking is, people have lost everything, so they need everything.

That may be true, but it doesn’t mean sending blankets and clothing and water and

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bicycles and wigs and cowboy boots and used teabags and human breast milk — and yes, booties and quilts — is a good idea.

Disaster relief officials are amazed by how generous people are, as well as how impractical many of their donations can be. They conclude that, unintentionally, many donations provide a feelgood experience for the donors, not the victims, and that’s especially true when, as often happens, goods that are donated never reach their intended targets.

What do relief organizations say is the best gift we can give?

Money.

“But giving money is so impersonal,” say many people.

Well, remember this: the people we’re donating to are strangers. There’s nothing intimate or personal about any donation. Even so, the officials interviewed for the CBS report say money is the most compassionate donation we can make: it can become anything it needs to become, and it can be sent halfway around the world in two seconds, reaching the people who need it instantly in exactly the way they need it.

The experts advise a simple rule: think before you donate.

And then donate with your checkbook. +

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PACK AN EMERGENCY KIT The very unpredictability of emergencies is exactly why advance planning is so important. Here are a few basic items to throw into a backpack ahead of time, as recommended by FEMA and the US Department of Homeland Security: • three-day supply of nonperishable food (which can be easily prepared) • can opener (if your kit contains canned food) • Water: one gallon per person per day (three days is the recommended minimum supply) • utensils like paper plates, plastic spoons, cups • battery powered or handcrank radio and a NOAA Weather Radio • first aid kit • flashlight and extra batteries • a whistle to signal for help • duct tape and plastic sheeting to create sheltered space • dust masks • moist towlettes, garbage bags and plastic ties • personal hygiene products (toothpaste, toothbrush, etc) • basic simple tools or a multipurpose tool • ID, documents and matches in a waterproof container • extra clothing (perhaps a few

pairs of extra socks or clothes like sweatshirts for added warmth) or blankets Depending on your individual circumstances, the list could include making sure you have your medications with you, your glasses or contact lenses and accompanying supplies, and pet food for your fourlegged family members.

Outfitters like Academy, Cabela’s, Dick’s and others sell ready-made first aid kits and camp food designed for long-term storage and easy preparation.

Other considerations: establish a family plan, such as meeting by the streetlight at the corner if you have to evacuate your house suddenly.

If everyone knows the assembly point, it can avoid needless worry and delays and prevent additional risk.

For more information, go to www.ready.gov. +

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AUGUSTA MEDiCAL EXAMINER

The

PROFILES IN MEDICINE

Advice Doctor

presented by Queensborough National Bank & Trust Co.

DOCTOR NO. 1 This medical pioneer, Matilda Arabella Evans (right), was born in 1872 in Aiken, South Carolina. A woman from Pennsylvania, however, shaped her life in profound ways.

Heeding a call issued by Abraham Lincoln to help emancipated slaves and those displaced by the Civil War, Martha Schofield, a single 26-year-old Quaker from Bucks County, Pennsylvania, moved to Edisto Island in October of 1865. By 1867, she had fallen ill and had to return home to recover under her family’s care. When her health improved she returned to South Carolina, this time to Aiken, bringing along her life savings of $468.

Using that money, and with donations from friends (and Friends) up north who included Susan B. Anthony, Schofield founded the Schofield Colored Industrial School, which later became the Schofield Normal and Industrial School (see box), then Martha Schofield High School. Today, Aiken’s Schofield Middle School still sits on the original site.

Matilda Evans attended the school until encouraged by Martha Schofield to further her education at Oberlin College in Ohio, long a champion of social justice and progressive causes. Many of its trustees were avid abolitionists, a fact reflected by Oberlin’s “NORMAL” SCHOOLS were created to train teachers. The term comes from the first such school, the École Normale, established in 1685 in France and designed to instill various norms within students. +

admission of black students as early as 1835.

Matilda Evans attended Oberlin on scholarship for almost four years, but left in 1891 for unknown reasons before graduating.

Returning to the AikenAugusta area, she taught at both the Schofield School and Augusta’s Haines Institute (on the site currently occupied by Laney High School) before enrolling at the Women’s Medical College of Pennsylvania in 1893. She earned her M.D. in 1897, and returned to South Carolina to open a thriving practice in obstetrics, gynecology and surgery, treating both black and white patients.

In so doing she became the fi rst African-American woman licensed to practice medicine in South Carolina. She also founded the fi rst hospital for black patients in Columbia, served as president of the Palmetto State Medical Society, and vice president of the National Medical Association.

Dr. Evans died in Columbia in November 1935, her cause of death listed as nephritis. +

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

W E A LT H M A N A G E M E N T Our experienced, financial team focuses on you, our client, to ensure that all aspects of your financial affairs are being monitored and managed appropriately in accordance with your life goals. We welcome the opportunity to serve. Call today for an appointment.

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Dear Advice Doctor, Earlier this summer I went to my 10-year high school reunion, where (surprise, surprise) I saw my old boyfriend. He is not married and neither am I, although I’m kind of in a semi-relationship. Even so, we exchanged phone numbers. Well, about a week ago he called me. Just seeing his name on my phone made my heart skip a beat, but I was with my so-called boyfriend so I couldn’t answer. I’m really nervous about calling him back.

Do you think I should, seeing as how I’m already dating someone?

— Undecided Dear Undecided, It would not surprise me if hundreds of people reading this column are in the same situation as you, so I’m glad you asked.

These matters of the heart are always important.

When the heart skips a beat, as yours did, or doesn’t operate with its normal rhythm, it’s called an arrhythmia. There are different types of arrhythmias: the heart could be beating too fast (tachycardia), too slow (bradycardia) or perhaps isn’t really beating much at all, but is just quivering (atrial or ventricular fibrillation).

The usual cause (other than old boyfriends) is a problem with the heart’s electrical system. Although you felt it, sometimes people are unaware of their heart’s chronic arrhythmias. That can make an already serious situation even worse, although some arrhythmias last only a few seconds. Prolonged or sustained arrhythmias can lead to stroke, heart attack and damage to other organs, so the best course of action is to have your heart checked as soon as possible. If an irregular heartbeat is detected, the doctor can offer recommendations to lower your risk and manage the situation through a combination of lifestyle changes, medication, ablation procedures or perhaps a pacemaker. These options present few risks and can prevent life-threatening complications. Good luck! + 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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MEDICAL EXAMINER

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The Medical Examiner’s mission: to provide information on topics of health and wellness of interest to general readers, to offer information to assist readers in wisely choosing their healthcare providers, and to serve as a central source of news within every part of the Augusta medical community.

Submit editorial content to graphicadv@knology.net Direct editorial and advertising inquiries to: Daniel R. Pearson, Publisher & Editor E-mail: Dan@AugustaRx.com AUGUSTA MEDiCAL EXAMINER P.O. Box 397, Augusta, GA 30903-0397

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#52 IN A SERIES

Who is this?

SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

OLD NEWS

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POINTS OF INTEREST TO FORMER KIDS

by Trisha Whisenhunt, Senior Citizens Council

AND THE MORAL OF THE STORY IS...

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ictured here is one of the most unusual and eccentric doctors in the long and storied march of medicine down through the centuries. Along the way, many beliefs, practices and procedures have become the latest cutting edge technology of the day, only to fall into disfavor, sometimes quickly, sometimes not, as new research continually illuminates the field with greater clarity.

In the case of this physician, John Harvey Kellogg (18521943), the verdict of history is mixed. He and his brother, Will, are best known for the invention of breakfast cereals through their company launched in 1908, the Battle Creek Toasted Corn Flake Company. Will thought the flaking process should be top secret, but John let anyone tour the factory, and one such visitor, C.W. Post, learned enough to start a rival company, Post Cereals.

Until that point, the brothers’ energies were mainly focused on their Battle Creek Sanitarium, a health resort that was spa, high-class hotel and hospital rolled into one, built upon the principles of the Seventh-Day Adventist Church. The rift created by the Post security breach led Will to leave the sanitarium to focus on cereal, leaving John as the director of the sanitarium.

Its approach to health included the promotion of vegetarianism, good nutrition, exercise, sunbathing (using artificial light in dark winter months), hydrotherapy, abstention from smoking, drinking and sexual activity, and enemas (See “Myth of the Month,” right).

As the Wikipedia article about Dr. Kellogg puts it, “Kellogg made sure that the bowel of each and every patient was plied with water, from above and below.” Explanation: each enema was followed by a pint of yogurt, half of which was eaten, the other half administered by enema. The theory was that bad intestinal flora would be flushed out and replaced by active cultures in yogurt.

Kellogg believed that sexual thoughts were stimulated by diet, and recommended plain, bland food and drink — which by his definition included Kellogg’s Toasted Corn Flakes — the avoidance of meat, and yogurt enemas.

Kellogg’s views on celibacy were unaffected by marriage.

He married Ella Ervilla Eaton in 1879, and their 40+year marriage was apparently never consummated. They maintained separate bedrooms and produced no children.

Kellogg was a staunch opponent of alcohol, coffee and tea, believing alcohol and caffeine to be poisons that lead to physical and even moral deficiencies in any amount.

One factor in the lengthy rift between the brothers Kellogg was Will’s desire to add sugar to the recipe for corn flakes. John was opposed, and considering the sugar content of many cereals today he may have been on to something there. He was also one of the earliest and most vocal anti-smoking campaigners.

Of note: both brothers lived to the age of 91. +

e have become an angry nation. I log onto Facebook and read threats, bad language, insults, calls for destruction of property and bodily harm. People don’t want to listen to differing points of view and aren’t interested in facts before they fly into a rage. We need to control negative and harmful thoughts within ourselves. It is said you are what you eat. I also believe you are what you think and you get what you expect. Attitude is everything.

I offer the following story for your consideration: A man was travelling by car for a long distance and became weary. He spotted an old run-down service station just outside a small town, so he pulled up to the gas pumps to fi ll his tank.

An elderly man came out of the building and approached with a smile, “Fill ’er up for ya?” (The setting is obviously a few years ago.)

“Please,” answered the man as he got out of his car, stretching his back. “I’ve heard that the town up ahead is very friendly,” he said. “I have been looking all over the state for the right place

If I offered you $100,000 to jump out of a plane without a parachute would you do it?

Of course not!

Last chance!

NO! Too bad. The plane in question is sitting on the ground.

THE MORAL OF THE STORY: Know all the facts before you open your mouth. + to build a new home. From everything I hear, this town is a wonderful place to raise children and has all the modern conveniences while still keeping the small-town charm I am seeking. What can you tell me about it?”

“It is everything you have been told,” the elder gentleman replied. “I have lived there all of my life and never thought of leaving. The people are kind, decent, lawabiding and ready to help.”

Just then, a woman in a compact car pulled in for gas.

She began to speak to the older man and as she did, the

fi rst man headed toward the soft drink machine. He made his choice and as he drank he heard the conversation between the older man and the woman. The older man saw the woman was worried and inquired, “Are you ok, ma’am? Is there anything I can do to help you?”

“I hope so,” she answered.

“Can give me some information about this town up ahead? I can’t travel any father today, so I have to spend the night there. I have been told it’s dangerous and full of people you can’t trust.

What do you know about it?”

“I have lived there all of my life,” the older man told her, “and if I had been able to afford it, I would have moved long ago. It is exactly as you have been warned; very unsafe and the people will rob you blind in a heartbeat. I advise caution.”

After the woman finished her business and drove away, the man approached the elder and said, “Excuse me, I couldn’t help but hear what you said to that woman.

Why did you tell her those awful things about the next town, but you told me it’s a wonderful place to live?”

The older man smiled at him and said, “Well, sir, you both are looking for something, and I reckon you both are going to find exactly what you’re looking for.” +

MYTH OF THE MONTH You need to detox — and I know just the place to do it!

Detoxing by colon cleansing or hydrotherapy is based on a centuries-old theory called autointoxication. In brief, the belief is that toxins and undigested foods build up and are encrusted on the walls of the colon, and from there they enter the bloodstream.

The main syllable of auto-intoxication is “toxic:” the body is poisoning itself, supposedly through build-ups in the colon.

All of this is prevented, say its proponents, by flushing the colon with quantities of water, herbal teas, coffee, or enzymes, etc., through a tube inserted in the rectum.

Additional benefits are said to include weight loss, boosting energy, enhancing the

immune system, and eliminating headaches.

Unfortunately, other side effects include lightening the wallets of those who get this procedure ($75 to $100), bowel perforations, dehydration, and infections caused by nonsterile equipment.

It might all be worth it if there was medical evidence from reputable studies backing up the claimed benefits, but quality research in support of colon cleansing does not exist.

Save your money. + — by F. E. Gilliard, MD, Family Medicine 4244 Washington Road, Evans, GA 30809 706-760-7607

SEPTEMBER 15, 2017

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AUGUSTA MEDiCAL EXAMINER

WHAT EVERYBODY OUGHT TO KNOW res?

ABOUT DIETING VERSUS PRISON

k good eno r skin can ugh cer? son.”

C

o k

urly Bill was a troubled soul who had got one toe over the line and ended up before a federal judge who said, “Eighteen months to serve.”

But that was not all his problems. He was 6 feet tall and weighed 300 pounds, which gave him a BMI (Body Mass index) of 40.9. (Read that as morbid obesity.) He also was a diabetic who required twicedaily insulin. He gulped down diuretics and ACE inhibitors to manage his hypertension.

Not being one to give the expected commiserations when he told me of his woes, I said, “Wow. How lucky can one be?

This is the opportunity of a lifetime for you.”

“Lucky? Hell. You must be crazy. I’m going prison. How can that be lucky?”

“Well, look at the bright side.

You have no worries. No rent.

No electric bill. No income taxes. No phone bill. No water bill. And you can get your health straightened out.”

After some misgivings, Curly Bill took my advice to heart. Once he settled in at a prison camp, he got a job tending to the weight set in the Recreation Department.

After he meticulously cleaned and straightened the weights, he did repetitions with each weight he moved.

Then he walked briskly for an hour in the morning and a half hour every evening.

Soft drinks disappeared from his diet. Fruits and vegetables took on a bigger role.

Gradually, fat pounds peeled away. Muscles toned. His gait took on a new confidence. His clothes — prison issue — gradually downsized.

He wrote me a letter each month listing his weight, medications, and general condition. Each letter showed steady improvement.

When his 18 months were up, Curly Bill came by my office. He was a welcome sight. Gone was the mass of fat around his belly. His belt buckle no long stared at the ground. Gone was the wide, waddling gait that made him look like he was swimming when he walked.

He looked like a different man. He was still 6 feet tall, but now weighed a more acceptable 190, which gave him a BMI of 25.9, slightly above the desired 25.0, but far better than before. Curly Bill had lost the equivalent of a teenage girl in weight.

And his medications had changed dramatically. The prison doctor had gradually reduced Curly Bill’s insulin from two shots a day to one

E TH

Bes shot a day, and then to no insulin. He switched him to oral insulin, and gradually took him off them altogether when his blood sugar returned to the normal range. His diuretics and ACE inhibitors were gradually reduced and finally discontinued.

Curly Bill was now drug free and had added at least 5 years to his life expectancy. All thanks to an 18-month prison sentence that afforded him the opportunity and structure to do things with his health that he was very unlikely to do on his own. Sure, Curly Bill lost 18 months of freedom, but he gained several years of longevity, not to mention the dramatic improvement in his quality of life associated with newly found good health and decreased medical expenses commonly associated with obesity, hypertension, and diabetes.

In the past couple decades a collection of certain medical

ine c i d E tM

conditions has been identified called Metabolic Syndrome. It has five components: Obesity (BMI over 25), hypertension, hyperlipidemia (cholesterol and lipids too high), increased waist measurement (35+ inches in women and 40+ inches in men), and diabetes. Curly Bill was the poster child for Metabolic Syndrome.

But prison was the cocoon that allowed Curly Bill to morph from a lumbering caterpillar into a more graceful and attractive butterfly, even if the butterfly did weigh 190 lbs.

A case could be made for Curly Bill thanking the judge and prosecutor for providing the means for his miraculous physical conversion. But he could not bring himself to actually do that. He had had enough of court cases.

At night he still does a few light weight repetitions with some barbells. In the early

morning, he walks a public track. That is where he met his new girlfriend. They are becoming an item. The benefits are profound. For both of them.

Our society is speeding toward a Metabolic Syndrome epidemic. And it is because we have become overindulgent eaters, and physically lazy, too. Metabolic Syndrome does have some genetic components, but we can’t change those. We can change how we eat and how we exercise. We concentrate on what we can change.

The only question is: Are you willing to eat right and exercise on your own? Or must you go off to prison for a couple years to straighten out your health?

Wouldn’t it be better to do it on your own? +

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!

VISION

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

MEDICAL EXAMINER

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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

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AUGUSTA MEDiCAL EXAMINER

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SEPTEMBER 15, 2017

Southern Girls Eat Clean Buffalo Cauliflower - A Healthy Tailgating Snack

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Alisa Rhinehart is half of the blog southerngirlseatclean. com. She is a working wife and mother living in Evans, Georgia.

Visit her blog for more recipes and information on clean eating.

If you had trouble with the Quotation Puzzle in the last issue, it’s because of a typo. Oops! But it’s a good time to remind one and all about the Medical Examiner’s Facebook page. The error and its correction were posted there immediately, so puzzle fans who Like and Follow the Examiner weren’t pulling out their hair.

Like us and you too will be ready for the next typo (in the unlikely event we ever have anohter one).

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is melted and all ingredients have combined well.

Toss the cauliflower in the sauce and place it on a baking sheet, reserving remaining sauce.

Bake in the oven for approximately 12-15 minutes or until slightly softened. (Do

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Here is s super quick and delicious appetizer that will satisfy your craving for spicy buffalo sauce and at the same time keep you on track with a healthy and nutritious diet.

Buffalo cauliflower is one of the latest creations on many clean-eating blogs and on Pinterest as well. I have wanted to try this for a while and finally gave it go a few weeks back. My husband, who loves buffalo sauce and generally prefers it on chicken wings, taste tested this fabulous appetizer for me. He went crazy for these little cauliflower bites and I had a hard time convincing him to save a few for me.

Cauliflower is a great source of choline, dietary fiber, omega-3 fatty acids, manganese, phosphorus, and biotin. It is a good source of vitamin B1, B2 and B3, potassium, magnesium and protein as well. In addition to these benefits, one serving of cauliflower contains 77% of the recommended daily value of Vitamin C. I like to serve the buffalo cauliflower with celery sticks and a side of Greek yogurt Buffalo Cauliflower ranch dressing or a lighter, cleaner blue cheese dressing. unsalted butter not overcook. Cauliflower Frank’s is my preferred • 1/2 tsp. of garlic powder should be slightly firm.) brand of hot sauce for this • 1/4 tsp. of paprika Remove from the oven, appetizer. Even though it is a • 1 Tbsp. of fresh flat leaf drizzle a little of the store bought hot sauce, it has parsley, chopped. remaining sauce over the no artificial ingredients or cooked caulifl ower and place preservatives and the flavor is Instructions: onto a serving platter. prefect.

Heat oven to 425 degrees.

Garnish with parsley and These savory little bites will Wash and cut the cauliflower serve with celery sticks and be the hit of any tailgating into bite size pieces and set + dressing of your choice. party with family and friends. aside.

Cheer on your favorite team In a small sauce pan, place * The information on the and stay healthy all at the hot sauce, ghee or butter, nutritional benefits of cauliflower same time. I hope you’ll give garlic powder and paprika. was found at the website www. them a try.

Heat until ghee or butter Ingredients: • 3-4 cups of Cauliflower, broken into bite size pieces (about 1/2 head of cauliflower) • 1/2 cup of buffalo sauce (I used Frank’s hot sauce) • 1-2 Tbsp. of ghee, or

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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.

SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

THIS IS YOUR BRAIN A monthly series by an Augusta drug treatment professional

TREATMENT VS HALFWAY HOUSE

I

by Ken Wilson Executive Director, Steppingstones to Recovery

get daily phone calls from parents of children needing help for substance abuse who are horrified at inpatient treatment prices, which range from about $15,000 to $40,000 per month! And they are even more horrified when they learn that insurance will only pay for the fi rst few days of inpatient treatment as long as the patient is being detoxed.

Barring severe physical/ medical issues policyholders are then discharged, go home, and return to daily “Partial Hospitalization” or “Intensive Outpatient” treatment for substance abuse/addiction.

Adding to the confusion are the numerous 800 numbers for treatment that are out of town

for the most part.

Family members are even more shocked to find that for every halfway house for women, there are ten for men.

Maybe more.

Even more confusing for the novice calling around trying to find placement for a loved one is the difference between treatment per se and a halfway house. The confusion abounds in the legal system when offenders are mandated to “inpatient treatment” for 6 or 12 months – which ain’t happening unless the family has just won the lottery. Courts probably mean “Residential Treatment” for the most part, which is a far cry from “Inpatient” treatment. That denotes a

The world is a better place with us in it.

Let’s help and support each other, shall we?

P

ARKS

HARMACY

Hometown. Not big box.

437 Georgia Avenue, North Augusta, SC

803-279-7450 parkspharmacy.com

hospital, medical services, and locked doors. Well and good if you can afford a daily fee of $1,000 - $3,000 depending on services.

Let’s look at some pros and cons of these two levels of care: INPATIENT TREATMENT PROs: Medical detox is offered, patients are monitored 24/7 by medical staff, doors are locked, food is served, and sometimes individual or group therapy is offered and is usually necessary for withdrawing from alcohol and benzodiazepines CONs: Expensive even with insurance as annual deductibles and copays apply; sometimes people mistake these for “inpatient treatment” which it is not; there is no known insurance coverage for inpatient detox from opiates.

The rationale: “it’s not lifethreatening.” It only feels like it when you are withdrawing from opiates.

TREATMENT (either inpatient or outpatient) PROs: Usually necessary in order to obtain information and personalized “treatment issue” identification and resolution – especially the fi rst time around. You see, knowledge is power. Without it addicts and alcoholics flounder around and try to stay clean & sober on prevalent simplistic comments like “man-up!” or “just say no” or “just stop” or “move away” or “have willpower,” ad nauseum. These and other issues are addressed by a staff of licensed/certified professionals.

CONs: Cost, though some help is available from public/ state agencies for those who are uninsured. And in my opinion, a con if it’s the 10th time in treatment! Chronic relapse probably needs 1-2 years in a halfway house and

work program.

HALFWAY HOUSE PROs: Cost is low as clients are often in a work program.

I know of no free ones these days except for religiousowned ones (and often they have nominal fees). That could be good if the client is religiously inclined but unfortunate if they aren’t.

The best feature of such a program is the long-term nature of them – usually 6-12 months or longer. “Wax on, wax off” (remember the Karate Kid).

The brain takes 1 to 2 years to re-align itself on chemical and behavior levels to being able to make good rational decisions again. It just does.

A halfway house is also an excellent level of care for many clients after completing an Intensive Outpatient level of care. It’s a chance to relearn new living habits and thinking.

CONs: Many halfway houses are unregulated (there is no such thing as a state license for a halfway house) and they are often run by a single figure who calls all the shots. There is an upside and a downside to this of course. Usually there is no “treatment” since a state license from the Department of Community Health is required, and due to the low cost there is no budget for licensed/certified counselors.

Halfway houses can be “rehab” or “recovery” programs but not “treatment” programs by state regulatory/ licensure definitions. Again, an upside and a downside if this is the only level of care enrolled in after detox.

So, this is another effort to de-mythologize various avenues of recovery from substance abuse and make your quest for helping others or yourself a little bit simpler. +

SOMETIMES THE CURE needs a cure of its own

Steppingstones to Recovery 2610 Commons Blvd.

Augusta GA 30909

706-733-1935

“

The bicycle is a curious vehicle.

Its passenger is its engine.

SEPTEMBER 15, 2017

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AUGUSTA MEDiCAL EXAMINER

Ask a Dietitian TAILGATING: THE START OF SOMETHING BIG

by Ruth Wilder, RD, LD or 1.5 oz of distilled spirits.

High intake of alcohol can lead to many gastrointestinal problems, including liver cirrhosis. Alcohol is also high in calories, with 1 ounce carrying the same amount of calories as one teaspoon of fat.

Many people wait for November to begin planning for healthy recipes and good nutrition in preparation for the holidays, but September is the true beginning of the season of celebration. There is football season and tailgating, which leads to Halloween, Thanksgiving, Christmas, and then New Years.

September is a time of hanging out with friends, grilling, and endless piles of food. Consider these tips to help you have lots of fun this season, and healthy and nutritious with your tailgating and other social events.

1). Use your plate.

When you are tailgating or at a party, it can be tempting to hang out by the food table and constantly munch. And if you do, you’ll be eating for 4 hours straight. Make

sure you use a small plate and don’t overload it so you can get what you want but also control how much you have. Make your choices and walk away! Aim for a plate of half vegetables and fruits, a quarter grains (whole if possible), and a quarter lean protein. For examples of what a healthy plate might look like, check out the USDA’s website choosemyplate.gov.

This website will help you see what a healthy plate looks like for you as an individual.

2). If you drink alcohol, drink in moderation.

The current Dietary Guidelines for Americans define drinking in moderation as 2 or fewer servings of alcohol per day for men, and 1 or fewer for women, a serving of alcohol being 5 oz of wine, 12 oz of beer,

3.) Bring something of your own.

Are you scared that all the options at your tailgate or party will be deep fried or full of simple sugar? Are you nervous there won’t be any fruits, vegetables, whole grains, or lean protein options for you to put on a plate?

There’s an easy way to relieve that concern: bring something healthy of your own! Bring a food item you know is nutrient dense, full of vitamins, minerals, and fiber to help keep you full. You could bring a vegetable or fruit tray, whole wheat crackers and cheese, or your own creation. Here are some tips to help make your favorite tailgating recipes a little better for you: Try replacing sour cream with non-fat Greek yogurt in your dips and sauces! Half a cup of Greek yogurt has 10 grams more protein than half a cup of sour cream, and if you go with the nonfat version it also has 13 less grams of saturated fat. Foods Please see TAILGATING page 10

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SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

or post it (privately or publicly) at Facebook.com/ AskDrKarp In our next issue!

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Kid’s Stuff NOTES FROM A PEDIATRIC RESIDENT

by Caroline Colden, M.D., Children’s Hospital of Georgia

BRONCHIOLITIS Fall is on its way in, which means cold season is right behind it. One of the biggest manifestations of a “cold” that pediatricians commonly manage during cold season is bronchiolitis, since it is one of the most frequent illnesses to warrant admission to the hospital.

What is bronchiolitis? It is an inflammation of the lower airways that causes difficulty breathing, especially for younger patients (primarily babies) who have small airways. Obviously smaller airways are more susceptible to inflammation.

A viral infection is usually the culprit behind bronchiolitis, and Respiratory Syncytial Virus (RSV) is the most commonly implicated virus, although rhino/enterovirus, parainfluenza, and other viruses can be responsible, too. The viral infection essentially causes inflammation which leads to lots of mucus production and swelling of the airway, clogging up the airway and making it difficult for air to pass in or out of the lungs. This causes the child to work harder to breathe, breathe faster, and in most cases feel distress.

At times, the labored breathing and the distress it causes are so significant that the child may require oxygen and be admitted to the hospital. However, most cases of bronchiolitis are not this bad. The worst of the illness usually peaks around Day 3 of being sick.

The biggest problem caused by viral infections and bronchiolitis (and colds in general) is the swelling and mucus produced in the nose that can cause difficulty breathing. Most babies with bronchiolitis do not need oxygen, but every baby with bronchiolitis needs help getting the snot out of their nose because they don’t know how to blow it themselves.

Because of that, one of the best things a parent can do at home to help get their sick child through the worst of the illness is to suction the secretions out of the nose, which can be difficult at times due to how thick the secretions get. Sterile saline (salt water) can be purchased over the counter at pharmacies and can help tremendously to break up the mucus before suctioning it out. Squirting a few drops into each nostril a few minutes before suctioning (which can be done with a bulb or other over the counter devices aimed at removing mucus from nose) can relieve distress related to bronchiolitis enormously.

That being said, if ever there is a concern about a child’s breathing or illness, do not hesitate to get them medical attention. There is a lot parents can do to relieve symptoms at home, but if there is the slightest question about whether more should be done, further medical evaluation is never a bad choice.

But if a child is not too ill-appearing, and snot and congestion seem to be the main problems at hand, a little saline and suction go a long way. +

TAILGATING… from page 10 high in fat have lots of calories, and a diet high in saturated fat elevates your cholesterol, triglycerides, and risk of heart disease.

Switching full-fat dairy items for low-fat dairy items in your diet is a great way to reduce your intake of saturated fat and calories.

Bring out the grill! Grilling is a better option for you than fried foods. You’ll reduce the amount of fat and calories on your table, and even the neighbors will show up because of those delicious grill aromas.

Add vegetables. You can add vegetables to anything, even your desserts! By adding vegetables you are adding vitamins, minerals, and fiber. You are also making your dish less calories per serving! Try adding a layer of lettuce and tomato to that 7 layer dip, or making a zucchini cake for dessert.

4). Practice food safety.

Food safety is crucial during tailgating season, especially here in the South where

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

Our next issue will be dated Oct 6

ME ✁

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

Cut out, flip upside down and paste back on the page.

fall can feel like summer. The Center for Disease Control (CDC) estimated in 2011 that approximately 48 million people in the United States get sick from a foodborne illness annually, and 3,000 of them die. Food often sits out a long time during tailgates and potlucks, and with that comes increased risk for foodborne illness. 40°-140°F is what is called the “time-temperature danger zone.”

This means that foodborne illness causing organisms grow best at these temperatures.

Minimize the risk of foodborne illness by keeping your cold foods cold and your hot foods hot. Use coolers with ice, and hot pots.

Don’t eat foods that have been at outside temperatures for more than 2 hours, and limit it to 1 hour if the temperature is above 90°F. Also, avoid cross contamination; make sure to keep raw meat in a separate cooler from ready to eat foods, and use separate cutting boards and knives for your meats and produce. No one wants to get sick on game day! +

M.E. WOULD LOOK A LOT BETTER AS “WE” LET’S HELP EACH OTHER. CALL TODAY TO DISCUSS HOW TO TRANSFORM M.E. TO WE. 706.860.5455

SEPTEMBER 15, 2017

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AUGUSTA MEDiCAL EXAMINER

The blog spot From the Bookshelf — posted by Emily Dalton, MD, on September 1, 2017

THE PARABLE OF THE PIZZA SHOP One day a man decided to open a pizza shop. The fi rst week he sold pizzas and collected money from his customers; the happy customers ate hot pizza, and the man made some money.

The next week many of his customers who came in had pizza insurance, and had already paid Blue Wall Insurance for their pizzas. Since so many of his customers had purchased pizza insurance, the man signed a contract with Blue Wall agreeing to discount his pizzas in return for a larger volume of customers. And so it went with United Pizza Insurance, PizzaNet and Pizzaetna.

The man started having trouble getting the pizza insurance companies to pay for the pizzas he sold, and he had to wait a few months for his payment. They also started meddling with his cooking and trying to dictate what toppings he could use. They even restricted the use of some of the more expensive ingredients. He had to hire extra employees to fi ll out forms and paperwork they required before they would reimburse him. This all cost more, so he raised his pizza prices accordingly.

The next week some elderly customers came in and said that the government would pay for their pizzas. So the man agreed to discount his pizzas for the elderly people on the government plan called PizzaCare.

The following week some poor people came in and wanted to buy pizzas with a government program called PizzaCaid. So the man signed a contract with PizzaCaid.

Blue Wall Pizza Insurance, United Pizza Insurance, PizzaNet insurance, PizzaCaid, and PizzaCare all had different requirements for the man before they would pay him. He was going crazy trying to keep up with all the different things he was expected to do. He had less and less time to devote to cooking his pizzas. He had to hire more employees to do data entry and scanning for a new mandatory electronic pizza record keeping system. His expenses kept going up, and the demands on his time and energy kept increasing. He had to hire more and more helpers and had less and less time to devote his cuisine.

Then these different organizations decided that the man would be obligated to improve the quality of his pizza shop and they gave him projects and more data entry to do. They withheld part of his payments until he did them.

Finally the man said, “Enough!”

He closed down his shop and went gluten free. +

Elderly customers got theirs paid for

by PizzaCare

Emily Dalton is a physician who blogs at Dr. Emily’s Blog.

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MEDICAL EXAMINER IS ONLINE

• issuu.com/medicalexaminer • •

Unfortunately, many of us need this book. The person who always knows just what to say and when to say it — not to mention how to say it — is the exception. For most of us, getting bad news from some medical tests, losing a baby, finding out a friend has cancer, or any one of dozens of other health-related bombs that one of our friends may have dropped on them (including death), and it can be very difficult to know what to say.

Sue Halpern to the rescue.

Her book, The Etiquette of Illness, was born of personal experiences and those of her friends. And let’s face it: we’ve all been to these places.

In one case, she had lunch with a friend who had been diagnosed with cancer and was undergoing treatment. One of this woman’s close friends hadn’t called or returned any of her calls in months, roughly since the time of her diagnosis.

The friend didn’t know what to say, so she didn’t say anything.

All of us can identify with that to some degree. It’s not always easy to comfort someone who has experienced a death in the family or who

has received some sobering and serious bad news from a doctor. Neither do we want to rush in like a bull in a china shop in some imaginary race to be the first to reach out to someone. As the title reminds us, there is etiquette involved.

No points are awarded for being the first to extend words of comfort, any more than there are for being the last. It can be beneficial to get one’s thoughts together, do some research on the subject of the person’s diagnosis, and give careful thought to what you’ll say. That’s where this book comes in handy. Halpern, a psychotherapist, social worker, and human being, offers sound

advice on great ways to avoid that nagging guilty feeling we get when we retreat from a friend in their time of need instead of reaching out to help.

Granted, we could tweet our friend or send them a text, but that has to rank near the top of bland and impersonal ways to communicate. Nor is there any law against getting help from Hallmark — quite the opposite in fact — but simply buying a card and signing it, or adding a few words (“thinking of you at this difficult time”) is a poor substitute for a few warm words spoken directly to a friend. Better to call or visit and send a card. Ah, but what to say when you call? There is the rub.

Fortunately for us all, here’s a book that offers “what to say when you can’t find the words.” We’ve all been there — and will be again in the future.

Unless, that is, we learn The Etiquette of Illness. + The Etiquette of Illness, What to Say When You Can’t Find the Words, by Susan P. Halpern, 208 pages, published in 2004 by Bloomsbury USA

Research News Cancer risks A September 7 report from the American Institute for Cancer Research finds “strong evidence” of links between colorectal cancer and lifestyle.

Specifically, including whole grains in our daily diet reduces the risk. These include whole grain breads and brown rice, and the more a person eats, the lower their risk. At least three servings a day are recommended.

On the other hand, red meats, processed meats, alcohol and obesity all increase the risk. Processed meats include foods like lunch meats, bacon and hot dogs.

Their regular consumption elevates the risk of colorectal cancer, as does being overweight or obese, and two or more daily alcoholic beverages.

The good news in any diet scenario is that regular physical activity protects against colon cancer. The dietary recommendations that

reduce colorectal cancer risk are also beneficial for overall health.

The report was based on an analysis of 99 clinical studies involving some 29 million people.

Brain food is everywhere The link between nutrition and cognitive performance is nothing new, but a study released earlier this month by researchers at the University of Illinois may have found the proverbial smoking gun.

It’s not a simple quest considering that we eat all kinds of foods that contain all kinds of ingredients.

Scientists can’t follow people around 24/7, so many studies are self-reported, meaning they depend on participants to remember and report everything they eat and drink, including Twinkies and other guilty pleasures.

Through a complicated series of investigations and explored food and brain

connections, researchers think that monounsaturated fatty acids, what you and I always call MUFAs for short, are great for brains.

For the record, MUFAs are found in olive oil, avocados and nuts. So the smart thing to do would be to increase their presence in our diets.

Fit — and fat (temporarily) Spanish researchers have news for pregnant women: moderate aerobic exercise during pregnancy is safe and beneficial for both mother and baby, even for women who were not physically active prior to becoming pregnant. Activities like running and jumping should be suspended, but low impact moderate exercise offers no risk of premature birth, fetal distress or low birth weight, say researchers, and can help prevent pre-eclampsia, excessive weight gain, Csections and gestational diabetes. +

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SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

THE EXAMiNERS +

by Dan Pearson

I had two things to heat up. The first one The microwave in the I entered “90,” and it breakroom is broken. What happened? heated for 90 seconds.

Well hold on. The second ’ thing needed more time, so L I typed in “100” and it just quit after only a minute. Something is N broke all right.

I

That doesn’t sound broke.

© 2017 Daniel Pearson All rights reserved.

EXAMINER CROSSWORD

PUZZLE

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

We’ll announce the winner in our next issue!

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Click on “READER CONTESTS”

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R K T C O R V S H H M C N S O A I I E D E E E W E T T O N O O S D N N C — Merry Browne

by Daniel R. Pearson © 2017 All rights reserved

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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.

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by Daniel R. Pearson © 2017 All rights reserved. Built with software from www.crauswords.com

U D O K U

DIRECTIONS: Every line, vertical and horizontal, and all nine 9-square boxes must each contain the numbers 1 though 9. Solution on page 14.

Use the letters provided at bottom to create words to solve the puzzle above. All the listed letters following #1 are the first letters of the various words; the letters following #2 are the second letters of each word, and so on. Try solving words with letter clues or numbers with minimal choices listed. A sample is shown. Solution on page 14.

1

2

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3 1

O A 1 2 3 4 1 2 3 4 5 6 7 8 9 10 F 1 2 1 2 3 4 1 2 3 1 2 3 4 5 6 7 8

1.DLOTIIBAA 2.TINSAHIN 3.DTESLF 4.IAYE 5.TB 6.IU 7.DL 8.IE 9.T 10.Y

SAMPLE:

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

L 1

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V 3

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by Daniel R. Pearson © 2017 All rights reserved

BY

The Mystery Word for this issue: NIVOSI

VISIT WWW.AUGUSTARX.COM 1

ACROSS 1. Plant used for food flavor 5. Pace 9. Enterprise _____ 13. Continent 14. Augusta building 16. Capital of Western Samoa 17. Engrossed 18. Pendant hanging from the roof of the mouth 19. Dank; humid 20. Morris follower 22. Sex drive 24. Viper 25. Rule of _____ (in burns) 26. Cyanotic 28. Abbrev. in gynecology

by Daniel R. Pearson © 2017 All rights reserved. Built in part with software from www.crauswords.com 29. Sinoatrial _____ 32. Med intro 66. Factor lacking in Augusta 30. Watch faces 33. RMH opponent in 1968 (according to Azziz) 31. Heron 34. Kind; not harmful 67. They come in groups of 18 32. Gladys Knight backup 36. Electrically charged atom 33. 2001 computer 37. A small amount DOWN 34. Casey’s brother 38. New York athlete 1. Do no...

35. Natal start 39. Where the Wild Things ___ 2. Jacob’s twin 37. Like very bad friends 40. What police do 3. Tears 38. Jelly container 42. Pale 4. Boat in Paris 41. Late Meet the Press 43. Mr. DiCaprio 5. Decline; downswing moderator (d. 2008) 44. Very sweet (in champagne) 6. Large marble 42. Synonym for 8-D 45. It’s followed by 3, 4, or 5 7. Large flightless bird 45. Type of justice 46. Facebook update 8. Pale; ashen 46. I.M. _______ 48. Graceland singer 9. Where Oliver Hardy grew up 47. Hidden, medically 50. Dawg’s conf.

10. Apple product 49. People Who _____ 51. Save 11. Prom ride 50. Expand 53. Sunroom furniture?

12. One circuit 51. Augusta painter Ed 57. Liver fluid 15. Irma brought it 52. Chateau in Braselton GA 58. Declare 21. Exploit 54. Word with high or cap 61. Computer command 23. Graduate of Summerville 55. Brink 62. Damage Academy (and Pulitzer winner) 56. “Dress for Less” chain 63. Like some pools 25. Bethesda health inst.

57. Breast self-screen (abbrev.)

64. People stretch them 26. Main Street Augusta 59. Fuss 65. Nasal doc 27. Slow (in music) 60. The ___ of Steve (2000 film) 28. Non-med doctor’s degree Solution p. 14

WORDS NUMBER

THE MYSTERY WORD

SEPTEMBER 15, 2017

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AUGUSTA MEDiCAL EXAMINER

THE BEST MEDICINE

The cannibal decided to live on his own. He just got fed up with other people.

T

wo farmers are milking their cows one day when suddenly a fly starts buzzing around one of the farmers and then zooms into his cow’s ear.

The cow starts jumping around, shaking its head, snorting and mooing, but then settles down and stops. Just then the farmer looks down and sees the fly swimming in his milk pail.

“Reckon how that fly got from Bessie’s ear into the pail so fast, Clem?”

Clem looked over and said, “Ain’tcha ever hear’d of ‘in one ear and out the udder?’”

Playing chess with elderly people in the park is a relaxing way to spend a fall afternoon — if you can find 32 of them.

This guy comes into work on a a construction site one day carrying a thermos.

A new kid on the job had never seen one before and was curious.

“What is that?”

“This thing?” the guy asked, holding up his thermos. “It’s called a thermos. It keeps hot stuff hot and cold stuff cold.”

“Wow. I gotta get me one of those!” said the new guy.

And the very next day he had one. “Good for you!” said the man from the day before.

“So what did you bring for lunch today?”

“Chili, and ice cream for dessert,” he said, holding up his thermos.

After a long night of bar hopping and drinking, “Can someone give me a sentence that a guy is showing a few of his friends around his starts with I?” asked the teacher. “Billy?” new apartment. They end up in the bedroom, “I is the...” begins Billy. where a huge brass gong sits on a stand next to “Stop! Never use ‘is’ after I. We always use his bed. ‘am’ after I. Go ahead then, Billy.

“What’s with the gong?” somebody asks.

“Ok. I am the ninth letter of the alphabet.”

“That’s not a gong,” the guy says. “It’s a talking clock.”

Editor’s note: Moe and Joe are on vacation “How does it work?” this week. + “Try it,” the guy says, handing his friend a

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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 When I was younger, a lot younger, I was unaware that as my ability to get in my car and travel diminished, I would then be introduced to part of me that could keep right on traveling, what I call my traveling pain. I had no clue at all that such a phenomena existed. Today pain is likely to pop up first in one place and then in another without ever so much as asking my permission to explore my body.

This morning I raised my arm to comb my hair and my shoulder creaked out loud like a door hinge that needs oiling. I looked at my shoulder asking in that nonverbal way we have with our body parts, “What in Sam Hill are you thinking?”

It didn’t seem to be aware that I needed to go grocery shopping when it sent an electric twinge down to my elbow, prompting an involuntary “OUCH!” Had to be my right shoulder, of course, given that I’m right handed.

So I lifted and stretched my shoulder, doing the exercises I learned when I broke my left shoulder, and the creaking gradually diminished, allowing me to do my shopping, bring in the groceries, and put them away. The rest of the morning was pretty comfortable and I sat down in my lift chair got my feet up and put myself in a semi-reclining position to rest a bit after walking for two hours. I rested so well that I fell asleep and took a nap. “Just resting my eyes” I would have said if anyone had asked.

Waking up I noticed I had company: a stabbing pain in my right hip. Sciatica had arrived for a visit. I stretched my back, to the left, to the right, down, and up. This only energized the traveling pain, which spread across my hips from one side to the other. Then it sent a shooting pain into my little toe, just to surprise me with how fast it can travel, and promptly scooted up to visit my ankle, inhabiting the area I broke in the eighth grade.

That’s one thing about the traveling pain. I never know where it is going to pop up next to awaken me to its presence in case I might not have noticed it. I owe most of the traveling pain to an advancing case of degenerative arthritis in my spine. My discs are herniated and impinging on nerves, and if I move wrong things are going to hurt until the nerves get tired of the sensory overload and stop working for a while. My vertebrae are breaking down and are less able to do the work I demand from them.

I have an appointment soon with a pain clinic to manage the pain, which I think is pretty funny. I am imagining the conversation there and I am sure it will resemble Charlie Brown’s discussion about different kinds of fears, and his realization that he has all of them. Where does it hurt? Everywhere. When does it hurt? Most of the time. It’s a traveling pain and it doesn’t stop fi rst to discuss its itinerary with me. +

than s s e L +

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Sure enough, a few seconds later from the other side of the wall someone screams, “Knock it off, jackass! It’s 2 a.m!”

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SEPTEMBER 15, 2017

AUGUSTA MEDiCAL EXAMINER

THE MYSTERY SOLVED

143

The Mystery Word in our last issue was: PRENATAL

...cleverly hidden on the bottom shelf in the p. 9 ad for MILLER DRUG THE WINNER: PETER CRAWFORD 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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We publish on 1st and 3rd Fridays

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QUOTATION QUOTATION PUZZLE SOLUTION: Page 12: “Preconceived notions are the locks on the door to wisdom.”

— Merry Browne

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BY NUMBER “The only disability in life is a bad attitude.”

— Author unknown

SEPTEMBER 15, 2017

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AUGUSTA MEDiCAL EXAMINER

Part X of a 26-part series

X-RAYS

Everyone reading this has probably had an X-ray, if not several. They are an indispensable tool in modern medicine with lots of applications in many fields of science and everyday life.

Airport screeners use them in security inspections, and it’s no surprise: an X-ray delivers about 10 million times more energy than a radio wave. That’s also a clue why X-rays can be harmful while radio waves are not. It’s also why pregnant women should not have X-rays unless absolutely necessary in critical emergencies.

In 2011 a camera that employs X-ray technology was developed capable of capturing 4.5 million frames per second. By contrast, a typical HD camera captures 24 frames per second.

Despite such advances, and new and advanced imaging techniques that do not employ X-rays (such as MRI and ultrasound), X-rays still account for 60 to 80 percent of all diagnostic images.

CT (or CAT) scans, on the other hand, do use X-rays, and are a much more powerful imaging tool. They take thousands of X-ray pictures that are combined to create an image that is 3-dimensional, and so can be viewed from any angle.

Or the individual slices can be analyzed to view cross-sections of the body.

IS FOR X-RAYS

Naturally, these thousands of pictures expose patients to more radiation.

These exposures are often expressed by comparing them to the natural background radiation we’re exposed to every day from nature. For example, an ordinary chest X-ray is the equivalent of 10 days of natural background radiation; a dental X-ray, just one day’s worth. A CT scan of the chest, by comparison, exposes a person to as much radiation in a few moments as they would naturally experience in two years. An X-ray of the spine is said to deliver about 6 months’ worth of radiation in a few seconds; a CT of the spine, the equivalent of two years.

When X-rays were accidentally discovered by William Roentgen in 1895, medical applications were being employed within weeks. That was in part due to Roentgen’s recognition of the universal value of the technology. If he had decided to patent the discovery, its applications would have been restricted and more expensive. When the technology was new, people had no clue that anything about X-rays was dangerous. Combine that with its availability and problems were sure to occur, and they did.

One early novelty was the portable X-ray machine used by a shoe company in many department stores. The images were used to show how cramped and constricted some people’s feet were in their old shoes, followed by a second X-ray showing the roominess of the new shoes. One shoe salesperson who operated a machine 10 to 20 times a day for a ten-year period developed severe dermatitis in her hands, and a shoe model for the company had such serious radiation burns that she ended up having her leg amputated. The first person known to be killed by X-rays was Clarence Dally, an assistant to Thomas Edison, who worked with X-rays for years, eventually causing hair loss, skin lesions, and finally the amputations of both his arms. He was just 39 years old when he died in 1898. +

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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

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AUGUSTA MEDiCAL EXAMINER

SEPTEMBER 15, 2017