Med Monthly August 2011

Med Monthly August 2011

LIFE SAVER

Dr. Erik Schobitz compares the battlefield with the ER

KATIE’S LEGACY

THE

s c i r t a i Ped ISSUE

A little girl’s favorite movie character helps others

CLINICAL TRIALS CAN BE MORE FUN THAN THEY LOOK PAGE 10

Boy Scout and life saver

contents features 22 LIFE SAVER

Erik Schobitz compares the battlefied to the ER

26 KATIE’S LEGACY

A little girl’s favorite character helps others

31 PRACTICAL APPLICATION

The best sunscreens this summer

15 PREGNANCY WITH STYLE A new lab coat for women

research and technology 8 CLINICAL TRIALS

your practice 12 WIN THE WAR OVER BRUSHING 18 MHEALTH NOW

healthy living 34 THE PLAY’S THE THING

the kitchen 38 EAT BETTER 40 HEALTHY SUMMER FOOD

in every issue 4 editor’s letter 20 book review

26

These ARE the droids you’re looking for

42 for sale 48 top nine

Cover photo courtesy iStockphoto.com

22

needs.

editor’s letter

B

elieve it or not, it’s time for back to school. Here in the South many children have already started classes in August—my son Daniel just started 4th grade. Our issue this month is devoted to pediatrics and those in the medical field who take care of the little people every day.

In this issue, you’ll find George Cox’s feature on keeping kids active through fun activities, which is a real challenge in our busy lives. George spoke with a former Navy SEAL and a karate sensei who dedicate their lives to keeping school-age children fit and healthy. Our newest contributor, Kristy Stevenson, wrote the story, “R2-KT: Katie’s Legacy,” about how a beloved “Star Wars” character cheered up the late Katie Johnson who at six years old was diagnosed with terminal brain cancer. Try not to grab for a tissue after reading about Katie. You’ll also meet Dr. Maria Tranto, an internist/entrepreneur who has developed smart-looking maternity lab coats you can even wear after your pregnancy. Our other physician profile is on my high school classmate, Dr. Erik Schobitz, an Army veteran of the Iraq war and pediatric emergency physician. Back in high school, I had no doubts Dr. Schobitz would go far: twenty years ago he wanted to be a doctor and serve his country—now he’s doing exactly that.

Along with our features, you’ll enjoy Megan Cutter’s book review on Dr. Edward Logan’s “Dentistry’s Business Secrets,” Mary Pat Whaley’s piece on iPhone apps to make your practice more efficient along with preparing yummy healthy meals for your family.

Don’t miss our Top 9 health items for your kids’ lunch box—hope this list will help you out on busy school mornings and all of these items have been road-tested and approved by my son.

If I may take this space to celebrate a little bit: this month is the five-year anniversary of my writing and editing business, Write from the Inside Out. I feel blessed to have worked with so many great people and to have published a chunk of creative work: poetry, memoir and fiction. My most recent book is “Unfinished Projects,” a book of poetry about how we identify with homes and houses. When I’m not working at Med Monthly, I’m busy writing poems for my next book—stay tuned for it next year!

Next month will be a printed issue and we’ll focus on geriatrics.

We’re all going to get older and the most important thing is to stay healthy while we travel into our golden years. In the meantime, connect with us on Facebook and Twitter—we always want to hear from you.

Enjoy our August issue!

Alice Osborn Managing Editor

4 | AUGUST 2011

contributors

Med Monthly August 2011

Bree Sullivan Publisher

Philip Driver

Managing Editor

Alice Osborn

Creative Director

Courtney Flaherty

Contributors

Social Media Director

Bree Sullivan George Cox Kristy Stevenson Marla Broadfoot Mary Pat Whaley Megan Cutter Rita Rao, DDS Will O’Neil

Subscription Information Subscriptions are $69 for one year or $89 for two years. Individual copies are $5.95 each. To subscribe call 919.747.9031 or visit medmonthly.com Med Monthly is a national monthly magazine committed to providing insights about the health care profession, current events, what’s working and what’s not in the health care industry, as well as practical advice for physicians and practices.

We are currently accepting articles to be considered for publication. For more information on writing for Med Monthly, check out our writer’s guidelines at medmontly.com/writersguidelines.

P.O. Box 99488 Raleigh, NC 27624 medmedia9@gmail.com Online 24/7 at medmonthly.com

is an office administrator residing in North Carolina. She is recently married and she and her husband share the love of two golden retrievers.

Bree recently became interested in writing and looks forward to publishing several articles with Med Monthly.

George Cox moved to Raleigh, NC in 1983 and obtained an MA from NC State in 1990. He has ghostwritten two novels and a collection of blogs and short articles. Currently, George is preparing his own novel for publication, and enjoys the opportunity to freelance in his spare time. Besides writing, working, and raising two teenagers, George still finds time to fingerpick a few original compositions on his classical guitar.

Mary Pat Whaley, FACMPE is Board Certified in Healthcare Management and a Fellow in the American College of Medical Practice Executives. She has worked in healthcare and healthcare management for 25 years. She can be contacted at marypatwhaley@gmail.com.

Megan Cutter is a professional writer, editor and creative journaling instructor. In addition to providing writing, editing, coaching for writers and public relations services, she facilitates creative writing workshops, specifically in the areas of writing for health and wellness. To find out more about Megan, visit her at cuttersword.com.

Dr. Rita Rao lives in Dallas with her husband and their two children. Visit her website at www.raodentistry.com/ and read her blog at raodentistry.wordpress.com.

MEDMONTHLY.COM |5

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Our secret weapon against smoking?

Each other.

I first lit up a cigarette when I was 9. I started smoking at 16 and smoked for 15 years. When I wanted to quit, I found out the average person takes 3-4 efforts to quit because nicotine is so powerful. I learned that if you pick it up again, it’s part of a process. It’s not that you failed, that’s just how it works. When I finally quit, I had more weapons to help me — my pills, my support and my nurse practitioner to talk to. Now we have Tobacco Free Nurses to help, too.

Tobacco Free Nurses is a one-stop shop for all nurses, especially nurses who want to help their patients quit smoking and nurses who want to quit themselves. We are nurses who want to benefit nurses and patients, and promote a tobacco free society. Please visit our website or call for further information.

Toll Free: 877-203-4144 | www.tobaccofreenurses.org Support for the Initiative was provided by a grant from the Robert Wood Johnson Foundation in Princeton, New Jersey, to the School of Nursing, University of California, Los Angeles in partnership with American Association of Colleges of Nursing, American Nurses Foundation / American Nurses Association, and National Coalition of Ethnic Minority Nurse Associations.

Photo: Todd Pickering

— Maria, RN

research & technology

Clinical I trials

suppose you can say I got my first real taste of research in graduate school. I had already logged countless hours in the laboratory when some fellow scientists asked me to participate

in a research project on cystic fibrosis. Their instructions were odd but simple: eat fresh jalapeno peppers for 12 straight minutes, and then blow my nose into a jar.

The ways you can contribute to science are many and surprising

By Marla Broadfoot

8 | AUGUST 2011

To a poor graduate student, it was a no-brainer: I would get 10 whole dollars and free food, all for some mucus!? I figured I had already given my blood, sweat and tears to science, so why not add my snot? In hindsight, stuffing myself with nothing but hot peppers for many minutes seems as crazy as those hot dog eating contests shown on ESPN2. My actions put me in the ranks with many like-minded citizens who want to contribute to the scientific endeavor, albeit in more sane ways.

In fact, people who volunteer for research studies usually do so for altruistic reasons, wanting to help researchers find new ways to fight disease or to aid others with a similar condition. Some do consider money a motivating factor, though less than half of study participants cite financial compensation as their reason for signing up. And for those afflicted with an illness in which the standard of care is less than satisfactory, clinical trials can be a way to get better treatment.

PHOTOS COURTESY TRACS

Part of the solution For Sarah Keeley, a clinical trial was the last in a long line of failed attempts to take control of her headaches. Keeley had been suffering from nearly constant headaches since the second grade. A mother of four, Keeley had hoped her headaches, which had become even more frequent and severe during her multiple pregnancies, would get better once all her children were sleeping through the night. Instead, they got worse. She started going to neurologists, keeping headache diaries and taking prescription medications, but nothing seemed to work. So when her doctor, J. Douglas Mann, M.D., a neurologist at the UNC School of Medicine, suggested she sign up for a clinical trial testing a new diet for headaches, she jumped at the chance.

“I remember at the beginning they warned me that I may see an improvement, but I may not,” said Keeley. “The way I looked at it is even if I don’t get any improvement in the headaches, if it helps them determine how to improve headache cycles for individuals, then it is a benefit. It may not benefit me in three weeks, but it is going to benefit me and others later and that was really my goal.

“Besides, my father always told me This article was reprinted from NC TraCS Institute (North Carolina Translational & Clinical Sciences Institute) newsletter.

you can’t complain about something unless you have done everything you can to find a solution. I can’t complain about my head hurting if I don’t try to fix the problem—beyond just me, but for my family and for my kids and for other people who maybe don’t have these same opportunities [to participate in research].”

The clinical trial Keeley enrolled in was based on the notion that the balance of certain types of fats in her brain could be predisposing her to headaches. A year ago in January 2010, Keeley began meeting with Beth MacIntosh, M.P.H, R.D., a bionutritionist in the Clinical and Translational Research Center, a clinical trials unit within the NC Translational and Clinical Sciences (NC TraCS) Institute.

Over the next 12 weeks, she received a number of prepackaged meals, advice on which foods to eat and which to avoid, and access to a

website containing easy recipes and tailored shopping lists. Keeley didn’t begin to see any effects until toward the end of the trial, when her headaches started lessening, she regained her energy and began taking on activities with her kids that she never would have attempted before. Though the results of the research study are not yet public, Keeley (and her family) are already reaping the benefits, and are sticking with the diet.

Trying a new diet is just one way that people can participate in research studies, which run the gamut from the more intense testing of investigational medicines or new chemotherapy regimens, to the seemingly trivial completion of questionnaires, diaries and computer games. For example, one trial may ask you to undergo a new treatment for cancers that do not respond to traditional therapies. Another may require you to answer some

questions on how menstrual cycles affect your decision-making. Two very different approaches, both science.

Without such human participation, science would inevitably peter out and stall, making the time it takes to turn a new discovery into a new medicine that much longer. For instance, it takes the participation of 5300 to 5600 patients to get enough data to file for a new drug application with the FDA. Getting there is tricky, as enrollment is completed on time and on schedule in only a mere 14 percent of research studies.

One of the reasons for this delay, at least according to one study, is the finding that only one in five patients ever speak with their physician about participating in clinical trials. The Research Recruitment Office at NC TraCS was created to help research10 | AUGUST 2011

ers recruit and retain the number of research participants needed to populate clinical trials at UNC. The office is also making it easier for people to get involved in research studies through Research Match, a web-based registry supported by the 60 institutions affiliated with the Clinical and Translational Science Awards (CTSA)—including NC TraCS.

Pluses and minuses Taking part in a clinical trial can have its benefits beyond just serving the common good. Volunteers can get free health assessments or medications, counseling sessions and access to cutting-edge treatments or behavioral approaches.

For example, former reporter Lisa Young claims a research study called “Step Up” was the kick in the pants she needed to

start losing weight.

For 18 months, Young attended regular educational sessions at the UNC Weight Research Program UNC Weight Research Program, kept detailed nutrition diaries and worked toward her goals of reduced calories and increased exercise. She says the study gave her guidance and accountability, something that was missing from all of her previous attempts at weight loss. Every six months, Young came onto campus to track her progress, weighing in, answering questions about her diet and walking on a treadmill to assess her physical condition. At the end, she had lost 50 pounds.

“I see people every day who are at that same point that I was, just ready to do something about their weight,” said Young, who now works at the

gym Curves. “My experience was really more like schooling than a study; I felt like I was learning as much as the researchers were, we just had different approaches.”

But though volunteering for a study can have its perks, it also comes with risks. As with all experiments, the outcomes are still unknown, and anyone participating in clinical trials needs to keep that in mind. In many cases, participants won’t know whether they are receiving a placebo or the experimental treatment, and even then, they may experience side effects.

Lisa Wood, whose child Jonah was recently diagnosed with a rare genetic disease called Sanfillipo type C, has done an exhaustive search for experimental treatments that may be able to cure her son. Though Jonah’s illness is deemed fatal, Wood was not willing to try a cord blood transplant – the only treatment available at this time –

Photo by Brian Hoskins

because she thought it was too risky.

“This study was done at Duke, and when I looked at the stats, I saw that 20 percent of these kids died,” said Wood. “I just said hell no, I am not going to do that to my kid. I just couldn’t take the chance. So I have to educate myself on what other options might be out there.”

Wood has started a foundation, called Jonah’s Just Begun, to raise awareness and encourage research on Sanfillipo. Through her efforts, Wood has located enough patients like Jonah to fill a study she does believe in, charting the natural history of the illness. This natural history study, which will be conducted

by Maria Escolar, M.D., director of the Program for Neurodevelopmental Function in Rare Disorders, is needed before any large-scale testing of new therapies can ever been conducted. So you can say Wood is

trying to stay ahead of the game.

Want to Help?

Inspired to do my part to help advance research studies like these, I signed myself up for Research Match, which is a registry of volunteers willing to help with research studies.

So far I have been contacted for two studies, both of which I declined (the first was for pre-diabetics, which I am not; the second was for women wanting to get pregnant again, which I definitely am not). Hopefully I will get the chance to contribute to science yet again; though if I am asked to spend another 12 minutes downing hot peppers, I plan to say no.

For more information about the clinical trials described in this article visit www.clinicaltrials.gov, www. researchmatch.org, or www.tracs. unc.edu.

your practice

Win the war

How to claim victory in the brushing battle CAN YOU SEE MY TEETH

A

s a parent, you have to pick your battles.

Blue socks or red. TV or no TV. Homework now or later.

But when it comes to caring for your children’s teeth, there is only one answer.

You have to win the war.

If getting your toddler or preschooler to brush their teeth is a nightly struggle and mere persuasion fails, you have to get creative. It’s often trial and error, but here are some tips to get some arsenal in your corner: Recruit Disney Or Pixar, or Nick Jr. Find a toothbrush (better yet, let them pick it out) with a character your child gets excited about and build up the hype. And I mean LOTS of “oohs” and “aahs.” My daughter practically drools over anything Dora, and I’m not ashamed to use this.

(A reminder: if you let them brush first, make sure you get a turn to brush their teeth as well to ensure a thorough job.)

Another alternative-a kids’ electric toothbrush. And if mommy and daddy use one, I can almost guarantee your kid’s gonna want to try it out too.

Poetry in motion This is, perhaps, a little unconventional, but sometimes, you have to be. Here is a short poem to recite with your child, especially if he/she likes to read. Just print it out (in large size font) and attach to their bathroom mirror (see sidebar).

This video won’t make it on MTV Advertisers have been using bright colors and music to get kids’ attention for years. So can you. There are many videos available on YouTube that will have your kids singing to the audience of you and the bathroom mirror. Type “Brush Your Teeth Song” in the search area and then just hit play and let them follow along.

Keep in mind that this is just the tip of the iceberg; if one technique doesn’t work, try another. And another, till you succeed. All your efforts will be worth the end result-a good habit built early on that serves your children for a lifetime.

That’s a victory for both sides.

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12 | AUGUST 2011

Can you see my teeth?

I use them to chew.

I chew things like carrots so my teeth stay like new.

Can you see my teeth?

I use them to bite.

I bite things like apples so my teeth will stay white.

Can you see my teeth?

I use them to speak.

I say “t” and “f” every day of the week.

Can you see my teeth?

I use them to smile.

I brush until my grin is as wide as a mile!

- Author Unknown

PHOTO COURTEST ISTOCKPHOTOGRAPHY.COM

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your practice

Pregnancy with style

Maternity lab coats that fit and flatter health care professionals

By Alice Osborn

P

regnant medical doctors or health care professionals can enjoy their pregnancies even more thanks to a maternity lab coat that fits the body

throughout pregnancy and beyond. PROcreations Professional Maternity wear was invented by Dr. Maria Tranto, a solo internist and mom who practices in Weirton, West Va., and her husband, Dr. George Dimitriou, a hospitalist who practices at Allegheny General Hospital. The lab coats help female medical professionals maintain their self-esteem and dignity

PHOTO COURTESY MARIA TRANTO

during pregnancy’s exciting changes.

The seeds of the maternity lab coat began with Dr. Tranto’s pregnancy when she was a resident. She says, “I got very large, very quickly. My program director said I had to wear the coat, so I ended up walking around holding my coat over my shoulder! No one should be made to feel that way! I searched websites and MEDMONTHLY.COM | 15

stores and there were no maternity lab coats on the market, so I used my husband’s lab coat for the duration.

But his lab coat was too long in the length and in the sleeves and it didn’t give me the coverage I needed.”

Years after Dr. Tranto’s pregnancies (her children are now six and nine) her pregnant colleagues asked her how she had managed finding a lab coat that fit right. “That’s when I saw a need in the market for a maternity lab coat. PROcreations truly was invented out of necessity and the light bulb went off! The coat is flattering for the woman’s figure instead of the straight lab coat. They have specialty women’s lab coats available [on the market] but the cost is at least double from what we are offering.”

A New Venture Takes Off Dr. Tranto’s husband pushed her to pursue her idea. “He’s my rock and wonderful partner in life and in business.” In 2008 PROcreations began and took only eighteen months for the first lab coat to hit the market.

They spotted an ad in the local paper for Valley Ventures, which is a non-profit organization that assists entrepreneurs and small business owners to start or expand their businesses throughout the Upper Ohio Valley region.

Director Lou Stein helped introduced the doctorinventors to manufacturers, embroiderers and helped them find their marketers—he told them they could take full ownership their project. Entrepreneurship was completely new to the couple: “Our first coat sold Octo16| AUGUST 2011

ber, 6 2009, we’re still in our infancy, but we’re fortunate to be profitable and to be selling globally,” remarks Dr. Tranto.

PROcreations is a web-based business and depends on its manufacturers to distribute the product.

To market the lab coats to the right audience, the organization targets medical journals, residency programs, and medical schools and has been featured in health magazines and in social media. But perhaps the most effective way of spreading the word is through good old fashioned word of mouth.

It’s All About The Crisp Lines And Slimming Cut The lab coats have two unique features that separate them from regular lab coats. First, they have a pleated expandable bust and second, a patented belt system that buttons neatly across the back and can be expanded up to 10 inches for the last stage of pregnancy. The coats are cut fuller in the arms, and they can also be worn postpregnancy. Dr. Tranto didn’t have the opportunity to wear her coat during her pregnancies, but loves how the coat flatters and fits and wears hers now with the belt tabbed to a smaller belt setting.

All of the coats are made in the USA, but not by Dr. Tranto. “I can’t sew a button!” She laughs. The fabric comes from Missouri and the coats are manufactured in a small Ohio town. They are all made with high quality poly/cotton twill and have been treated with Stain Armor®. They have one chest pocket, two front pockets, and standard side

slip pockets for easy access to the beltline and pant pockets. There is also one interior pocket on the left side for carrying other necessities.

The coats range in price from $68.50 to $76.00 and professionals have the option of choosing six embroidery colors and two different fonts. PROcreations has done specialty and custom design upon request and if someone has a special logo they are able to accommodate them.

“We wanted to make the coats attractive, appealing and affordable from residents to attending physicians. We’ve also sold to lab techs, pharmacists, veterinarians, optometrists; we weren’t even thinking about that market at the time,” says Dr. Tranto.

“A Nice Buffer to the Storm” Dr. Tranto always felt she wanted to be a physician: “it’s truly my calling.” With her eight years in private practice as an internist who also practices occupational medicine, being a doctor comes first, but she also loves being an entrepreneur which she says is “a nice buffer to the storm.” The storm she refers to is the economic shifts in West Virginia’s Upper Valley that have affected all physicians. Steel mills have shut down, there aren’t as many births, and the population has grown older. She has seen a decrease in reimbursements and an increase in uninsured, so she needed to reinvent herself to maintain profitability and is extremely grateful for PROcreations’ initial success.

Drs. Tranto and Dimitriou are part of a new breed of physicians who aren’t waiting for the market to get better—they are taking matters into their own hands and by doing so, are serving their communities, their patients and the general health care industry.

For more information about the maternity lab coat and PROcreations, visit www.maternitylabcoats.com.

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your practice

mHealth now

How the smartphone in your pocket can be a clinical resource

By Abraham C. Whaley and Mary Pat Whaley, FACMPE

F

or the organized and busy professional on the go, the smartphone has quickly become a necessity on par with a person’s house keys, wallet, or purse. The past five years have vaulted the smartphone from status symbol to musthave business tool by bringing data and communication capabilities from your office to the palm of your hand.

With decision making and communication tools always at the ready, you can be productive from anywhere you are, and you are freed up to bring information to clients, meetings, and conferences without the hindrance of a laptop.

Physicians, practitioners and forward thinking health care organizations are leading the charge to embrace Mobile Health, often called mHealth, or the practice of patient care supported by mobile devices. A survey conducted at the Physician online and mobile community QuantiaMD.com in May of 2011 found 83% of physicians reported using at least one mobile device and 25% used both a phone and a tablet. Of the 17% surveyed who did not use a mobile device, 44% planned on purchasing a mobile device sometime in 2011.

Physicians surveyed reported their top uses for mobile devices as:  looking up drug treatments and reference material (69%)  learning about new treatments and clinical research (42%)  helping me choose treatment paths for patients (40%)  helping me diagnose patients (39%)  helping me educate patients (27%)  making decisions about ordering labs or imaging tests (26%), and  accessing patient information and records (20%)

Why is mHealth such a big deal?

The reason the health care industry is moving so quickly to adopt mHealth practices is because of changing legislative, demographic and financial conditions that are forcing providers and care organizations to seek efficiencies and cost-savings from technology. Many physicians purchased their mobile device not imagining it as a clinical tool, and only later discover its possible uses in patient care. Moreover, since mobile devices are built on platforms that allow for the development and distribution of health care-specific applica-

tions (“apps”) that support clinical practice, software companies are able to quickly respond to physician demand for new and better solutions.

Applications can vary widely in quality, application, and cost, but are generally easy to acquire, test and adopt. Reference works like Davis’s Drug Guide, Taber’s Medical Dictionary and Netter’s Atlas of Human Anatomy are available in searchable, easy-to-use digital versions on iTunes and on the Market for the Android.

Tablets, with larger, shareable screens provide even better opportunities in patient education and imaging diagnostics without having to drag (or roll) a laptop into a care setting, and without the barrier of a screen that separates provider and patient.

Even bigger opportunities are possible when mobile devices are tied into Electronic Health Records (EHRs) to give providers access to their patients’ history at a glance. With the HITECH provisions of the ARRA or Stimulus Act, health care organizations have incentives to adopt EHRs that fulfill “meaningful use” requirements in the next five years. While current adoption of EHR technology is only at around 20 to 25%, health care

RELATED READING Check out this related article, “Why You Should be Using iPads in Your Dental Practice” from our July issue

18 | AUGUST 2011

PHOTO COURTESY ISTOCKPHOTOGRAPHY.COM

analysts David C. Kibbe, MD, MBA and Brian Klepper, PhD writing for Kaiser Health News predict that 2011 and possibly 2012 will find providers “cleaning house” to prepare for a EHR adoption or upgrade, while some organizations will stay on the sidelines to avoid high “switching costs” from legacy electronic and paper systems.

The potential for care is enormous, however, as mobile access to patient data in a secure setting would mean dramatic efficiencies for providers who normally have to rely on either a stationary computer or a retrieved paper record. Mobile patient data would also allow for easier compliance with hospital treatment protocols via alerts, and for consultation amongst physicians outside of their immediate location, as well as ePrescribing to cut down on time, resources, and fraud. Concerns about security, liability and reimbursement are still important issues for vendors, providers and patients but the demand for a more flexible and efficient health care system is driving software companies to offer more powerful and interoperable products that meet these issues head on.

Providers aren’t alone in pushing mHealth forward. Today’s patient wants to be more informed about their care and the options they are presented with medically and financially. The same streamlined access to information that is winning over large numbers of caregivers is empowering patients to make healthier choices in their lifestyles and better decisions navigating the health care system.

According to the Pew Internet and American Life Project, nearly three quarters of Americans (or roughly 59% of the entire U.S. population) have used the Internet to research health information.

As both patients and providers

become more accustomed to having their health decisions supported by mobile data, secure sharing of clinical, audio, and video data between patients and their caregivers will empower the health care system to tackle more of its challenges with technology.

Helpful App resources The ability to download apps (the Market for Android devices or App Store for iPhone and iPad) to fit your specialty and your patient care needs is built right into the device so users can quickly search for and install software without touching a desktop

or laptop. These apps are a great way to get started using your device for mHealth applications, and both can be on your device within minutes of finishing this article. Start your search with these suggested apps below.

Medscape is a product of WebMD, and features full, free access to drug, diseases, protocol, CME and hospital directory information.

Epocrates is a free drug reference app that also has a premium subscription feature for more in-depth info, as well as paid versions of the app for specialties and comprehensive drug interactions.

UpToDate is a web-based service for physician reference and evidence based treatment options, as well as CME for clinician that is planning on releasing an iPhone app sometime this month. Check out UpToDate.com to stay tuned for the app’s release.

book review

Setting up a dentistry practice?

You need this book Review by Megan M. Cutter

Y

ou’re a newly graduated dentist, ready and inspired to treat people, yet, where do you begin? Do you set up a practice on your own or join a practice that is already established? Many dentists believe that if they build an office, clients will come. Maybe this idea worked in the last century, but now patients are choosey about who they call their dentist. Are you setting yourself up for success?

“Dentistry’s Business Secrets “by Dr. Edward M. Logan delves into the world of setting up a dentistry practice with all of the intricacies involved, including some you may not have even considered. He discusses the basics of purchasing an existing practice to building an office from scratch. Although geared to dentists, his advice can also help medical professionals in other fields.

Logan includes many personal anecdotes and opinions, formed by over twenty years of experience, which include starting three dental practices from scratch. In addition, Logan includes a wealth of handy resource material you can refer to again and again. Any health practitioner can relate to the patient you just cannot satisfy, the challenges of running a business in a tight economy, and the

20 | AUGUST 2011

lessons learned from failed media endeavors including expensive radio and television commercial contracts that resulted in no benefit or walk-in clients who are only interested in complimentary services. Logan provides vital information any dentist needs as they grow their practice, such as the steps in purchasing an existing practice, décor selection and keeping overhead costs low. He also discusses how to grow a successful staff, and how to manage the necessary tasks of budgeting and marketing.

Logan invites us to consider that for many clients, “perception is reality,” and “your office environment affords patients their initial impression of your practice philosophy and an insight into your perceived commitment to quality.” Creating smooth procedures, like checkout or collecting payments, can greatly affect how

‘‘

Your office environment affords patients their initial impression of your practice philosophy and an insight into your perceived commitment to quality.”

AT A GLANCE Title: Dentistry’s Business Secrets Author: Edward M. Logan, DDS About: Dr. Logan is a general

and cosmetic dentist practicing in O’Fallon, Missouri. Dr. Logan graduated from the University of Washington School of Dentistry.

More info: Visit his website at

DentistrysBusinessSecrets.com.

PHOTO BY COURTNEY FLAHERTY

your health practice runs. Logan provides sound advice to implementing procedures that are effective in both and time and money and should be a part of any health practice’s operation.

Even more important, Logan discusses that “all-in-one” dentist who rather than outsourcing, creates a full office staff with a front office manager, dental assistant, dental hygienist and business manager. If done right, the perfect team lowers overhead costs and aides in the efficiency of the office because they know their expectations and work to their strengths. Logan also openly discusses the “all-in-one” dentist challenges where the office can be quickly overwhelmed with both treating patients and handling administrative work.

The book has a few flaws: the chapters skip around quite a bit and are quite lengthy at times. Some opinions expressed are quite strong and other health practitioners may not agree. I’m not sure these are well-kept secrets, but Logan’s sound business advice earned through his years of personal experience will help the up-and-coming dentist get going with their practice.

Additional resources found in “Dentistry’s Business Secrets” include insurance benefit definitions, listing of plan types and tips for creating a full marketing plan. While many health practices are concerned about privacy and HIPPA laws, there are several ways to reach out to your patients, Logan suggests. For example, providing new

patient forms online allows the patient to circumvent waiting prior to their appointment and creates a more efficient sign-in procedure.

Many physicians are creating blogs that cater to their existing clients and reach out to new clients as well. Logan advises, “It is important to write with your reader in mind, remembering that most people viewing your blog did not attend dental school and are more interested in health tips than detailed information about teeth.”

Logan provides information that not only explores in detail different online tools, but examines the benefits and challenges to a health professional.

Are you ready to begin your practice? “Dentistry’s Business Secrets” should be on your office shelf!

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MEDMONTHLY.COM | 21

Dr. Erik Schobitz is a

LIFE SAVER from the battlefield to the ER

By Alice Osborn

S

aving soldiers’ lives on the battlefield and saving children’s lives in the ER isn’t much different. Both require grit, skills and speed. Dr. Erik Schobitz doesn’t know what a typical day is supposed to look like in a career that’s spanned leading

the assault on the western front during Battle of Baghdad, to helping victims of heat exhaustion in post-Katrina makeshift clinics, to treating children suffering from asthma. Pediatric emergency medicine is a demanding field that also holds great rewards for those, like Dr. Schobitz, who thrive in an ever-changing and stressful environment.

RELATED READING See our related June article on SAR (Search and Rescue Dogs), “Saving One Life At a Time.”

22| AUGUST 2011

PHOTOS COURTESY DR. ERIK SCHOBITZ

MEDMONTHLY.COM MEDMONTHLY.COM||21 25

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Choosing to be a doctor is a personal lifestyle choice. Once you have made that decision, dedicate your whole self to it.”

Dr. Schobitz first discovered his passion for medicine in 1990 as a 17-yearold senior through Fairfax Hospital’s Adopt a School Program which partnered with his high school in Northern Virginia. His mentors placed him in the newborn nursery and he was soon performing basic infant care. After studying biology at William and Mary, he entered Eastern Virginia Medical School in Norfolk, Va, and joined the Army reserves in 1995, receiving his commission upon graduation. He completed his internship and residency at Wilford Hall and Brooke Army Medical Centers at San Antonio, Texas which is a Level 1 trauma center, and the only American Burn Association-verified burn center within the Department of Defense. His trauma care experience helped him when he later entered the combat zone with the 3rd Infantry Division in Iraq.

The Challenges of Emergency Medicine Dr. Schobitz is an attending physician at Shady Grove Adventist Hospital in Rockville, Maryland, the busiest pediatric emergency room in the state of Maryland. He works with very dedicated people who all share a passion for emergency room medicine and strive to meet its daily and hourly challenges such as time management and patients’ unrealistic expectations. “We see people at their worst. It’s also a challenge to go into the rooms and have the parents be upset at you even though it’s not your fault,” remarks Dr. Schobitz.

Any emergency room physician must have a good grasp of time management in this new health care environment because many patients who visit the emergency room have lost their insurance or their family doctor is overwhelmed.

24 | AUGUST 2011

“We try to get the patient in and out while providing good, solid medical care. We want to make sure provide good throughput.” The term “throughput” is taken from the business word to mean the rate at which a system generates its services per unit of time. Dr. Schobitz continues, “From the time the patients arrive to when they leave we try to make the most use of their time so they’re not needlessly waiting around for several hours. As a result, we’re able to be more efficient and do more with less.” He’s the co-chair of a task force on efficiency at Shady Grove and is always looking at several angles for improving care and having rooms available for the next patient.

Being Prepared “When The Balloon Goes Up” For ten months starting in 2002 Captain (Dr.) Schobitz served as battalion surgeon in the Third Bat-

talion, 15th Infantry Regiment, which is part of the 3rd Infantry Division. In Operation Desert Spring, which was the first part of his deployment, his unit was charged with keeping the peace between Kuwait and Iraq and then six months into his deployment “the balloon went up.” This is an Army expression that refers to going into the heat of battle. Now Operation Iraqi Freedom had begun with the Battle of Baghdad and Dr. Schobitz and his team provided everything from basic care to trauma care during the 21 days of combat.

After Iraq, Dr. Schobitz was a fellow in pediatric emergency medicine at Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters.

His combat experience led him to serve on a Disaster Medical Assistance Team (DMAT) and be part of the National Disaster Medical System (NDMS), where he is now the acting medical director for Maryland. He expanded his

service to otheres because he “missed serving a higher purpose when I got out of the military. It was that feeling that you’re contributing to society as a whole especially when you’re in combat, that you’re doing what is needed to protect your country, to protect your family, and not just take care of patients. I really missed that.”

The balloon went up again after Hurricane Katrina and Dr. Schobitz was deployed first to Gulfport and then to Brookhaven, Miss. where he was the strike force commander for a five person team, helping identify bodies and then setting up a self-supporting clinic which served 300-400 people a day.

“Dedicate Your Whole Life to the Profession” When asked for his words of wisdom to young people wishing to be doctors, Dr. Schobitz responds, “I do it because I love it. Not enjoying the profession and its demands is the

worst thing after you go through all of this training. You need to get the experience first so you know what you’re getting into. If you want to be a doctor, volunteer at a local hospital, be a lab assistant, volunteer at a free clinic, shadow a doctor either at a hospital or an office. There’s all sorts of opportunities to see if this is what you want to do.”

“Choosing to be a doctor is a personal lifestyle choice. Once you have made that decision, dedicate your whole self to it and make sure you know what you’re doing. Learn as much as you can and do the best that you can. If you’re not studying, you’re sleeping; you’re not going to the bars and you won’t have a lot of cash in hand in your twenties to go out and play as your friends will be doing; medical school is grueling as is residency.”

His other passion is his family. He is married to Monique, his wife of 16 years. Their twins Ana and Nik, now

11, were born premature while he was a resident in the neonatal ICU in San Antonio, so his interns became his twins’ doctors. “Glad they knew their stuff,” he remarks. The Schobitzes also have a younger daughter, four-yearold Aleah. “I love being a dad and a husband. I coach Little League and am a Scout Leader.”

“The whole reason I went into emergency pediatric medicine is that there’s no greater reward in life than saving the life of a child,” states Dr. Schobitz. “When you have a critically ill child who arrives and the intervention you give that saves the life of a two or three year old, that family will reap the benefits for 70 or 80 or 90 years. It’s such a rewarding part of my job to see that happiness and to be able to figure out what’s going on and reassure the family that it’s going to be OK.” For more information about National Disaster Medical System (NDMS) visit www.ndms.dhhs.gov

MEDMONTHLY.COM | 27

Katie’S

By Kristy S

26 | AUGUST 2011

LeGaCY

Stevenson

MEDMONTHLY.COM |27

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after being diagnosed, Katie’s courageous battle with cancer ended and she passed peacefully in her sleep.

The following summer, a fully functional pink custom-painted R2-KT was completed and presented to the Johnson family. “It was the realization of a dream we had to commemorate Katie and give her a companion through her illness,” Albin says.

Today, Katie’s legacy continues through R2-KT’s mission to entertain children, raise awareness of pediatric cancer, and elicit funds for such charities as the Make-A-Wish Foundation and the Children’s Cancer Fund. Her allies include the 501st, Zig the Pig (mascot for Children’s Chance), and Richland Children’s Hospital where Katie was diagnosed. KT participates in children’s hospital visits, appearances/fundraisers, and events promoting awareness of pediatric cancer and

Hasbro was so enamored with R2KT’s story that they manufactured a one-time-only release of the droid as an action figure. Available at the 2008 Comic-Con, a comic book and sci-fi convention held annually in San Diego, it raised $100,000 for MakeA-Wish. More recently, the 501st sold R2-KT patches to raise $1675 for Red Cross relief following the Japan tsunami disaster; a second run brought in $1800 for Red Cross relief to Missouri tornado victims; and a third run is projected to raise $1800 for the Ronald McDonald House. KT’s original parts have also been auctioned off to help raise money to benefit “Princess Leah,” an infant suffering from undiagnosed birth problems and garnering media attention for the way the Star Wars community has supported her.

To bring R2-KT to your facil-

Katie would be cool with R2-KT helping others. She was grateful for what others did for her and was gracious in accepting their help.

I think the idea of others getting help because of her pink robot would thrill her to no end.” further suggested painting it pink and naming it after Katie—and the concept for R2-KT was born.

In 2005, the R2 Builders Club pulled together to help Albin meet his goal; master droid builder Jerry Greene engineered the project. Knowing that Katie’s time was short, however, club member Andy Schwartz outfitted his R2 unit with a pink makeover and shipped it to Katie’s home—guaranteeing a droid while she was still able to enjoy it. Katie had no idea that her own personal guardian was on the way. She hugged it on sight and slept with it in her room every night. “She never stopped loving it,” Albin says. Less than nine months 28 | AUGUST 2011

other illnesses. “R2-KT brings cheer to little Star Wars fans and reminds them of happier times,” says Albin.

Acting as their ambassador to the Star Wars universe, KT stands by hospital bedsides and reminds kids they have a friend. “Appearances are the key to spreading hope, and hope is an important tool. We’ve been to hospitals where children couldn’t move or even speak, but when R2-KT rolled up to their bedsides the children would lovingly stroke the droid in an attempt to make contact in whatever way they could manage. Hope is a beautiful and intangible product, but well worth R2-KT’s time and energy to try and spread it.”

ity, email her pit crew at r2kt@r2kt. com. Be advised that the droid stays pretty busy, though, so please plan as far in advance as possible. KT’s team is comprised of volunteers in the southeastern US, so if a long distance journey is requested, it may be necessary to sponsor travel expenses so she can arrive safely.

“Katie would be cool with R2-KT helping others,” says Albin. “She was grateful for what others did for her and was gracious in accepting their help. I think the idea of others getting help because of her pink robot would thrill her to no end. She’d smile knowing we’re sharing her pink droid with the children of the world!”

PHOTOGRAPHS COURTESY OF ALBIN JOHSNON (1,2,4) AND R2 BUILDERS CLUB (3)

A

lbin Johnson, Katie’s father, is the founder of the 501st Legion, a Star Wars costuming fan club that does charity work all over the world. Over four thousand 501st Legion members and countless more Star Wars fans rallied together in support of Katie, a funny, precocious child who loved all things pink. Her treatment immediately took a toll on her little body and she struggled to come to terms with weight gain and hair loss. “Katie loved to look pretty for church,” Albin says, “and I noticed a similarity in the design of our sanctuary windows and a Star Wars R2-unit.” He began laying the groundwork for one to be built to watch over Katie as she slept (just as R2-D2 had done for Padmé Amidala in the first trilogy). Older sister Allie

1

THE STORY OF R2-KT (1)Katie and Albin Johnson. (2) Katie sees R2-KT for the first time. (3) Envisioned rendering of the completed R2-KT(4) R2-KT and friends visit Palmetto Health Children’s Hospital.

2

4

3

30 | AUGUST 2011

Practical application

Applying sunscreen is a chore no more!

Check out our list of the nine best sunscreens.

By Bree Sullivan

P PHOTO COURTEST ISTOCKPHOTOGRAPHY.COM

hysicians, during the summer it can be a challenge getting children, as well as adults, to get into a “sunscreen routine.” Make the search for sunscreens a snap for your patients. Whether stick, spray, lotion or gel, here are our top 9 selections to keep everyone’s skin healthy and burn-free this summer.

Wet Skin Kids Sunblock Spray, SPF 70+ Neutrogena, $11.49 This spray product is great for the wet n’ wild crowd. Forget having to drag your kids (or husband) out of the pool for 20 minutes until they have dried off enough to for allow a new sunscreen application to absorb. This product is designed to cut through water and can be applied directly to wet skin without

or dripping off or showing white residue. Once applied to wet or dry skin, it forms a protective barrier that repels water. Bring on the waves!

Cool Colorz Vanishing Sunblock, SPF 30 Banana Boat, approx. $5 This colorful and sweet scented sunblock lotion is a great pick for kids who hate traditional sunscreen.

This sunscreen comes in crazy colors, Blue–Berry Scent, Pin –Bubble Gum or Purple–Grape. Kids find it fun to have pink, purple or blue all over their skin. Parents like it because it’s easy to tell exactly what parts of the skin have been covered since missed spots easily show up. Eventually the sunblock dries clear so that your child doesn’t look like a grape the entire day.

Colored Sunblock Zinc Waterproof Nosecoat Zinka, $5.99 I saw several surfers with this colorful zinc oxide product along the bridge of

their noses and across their cheeks at a surf competition this weekend. Some of the competitors went so far as too coordinate their bathing suits with the sunblock! This product offers the absolute maximum protection available by blocking UVA and UVB rays. It looks cool while providing the highest sun protection possible. It’s perfect for people who typically freckle along the nose and cheeks! Comes in black, red, blue, yellow, pink, flesh, green, army green, white and orange.

Ultra Sheer Dry-Touch Sunblock Lotion, SPF 30 Neutrogena, $9.49 This sunblock offers superior balanced broad spectrum protection.

This was a top pick for face protection since so many sunblocks are oily and can leave your skin with a greasy sheen. This product will absorb into the kids’ skin very well and moms may even want to use it under their makeup since the product doesn’t clump or streak.

MEDMONTHLY.COM | 31

Kids Tear-Free StingFree UltraMist® SPF 50 Continuous Lotion Spray Banana Boat, $9.99 While this spray lotion sunscreen does not have fun colors or scents, it is terrific for fair-haired children and won’t irritate their eyes or skin. The misting applicator sprays on evenly and is perfect for the face with its tear-free formula. This product has an ergonomically-designed bottle to easily spray on the scalp and hairline which are often forgotten in the application process. It’s also available in SPF 30.

Everyday/Year-Round Sunblock Stick, SPF 30+ California Baby, $14.99 This lemongrass-scented sunblock stick is great for “hot spots” like the nose and ears. This product is organic and can be used on babies under 6 months (although you might want to keep baby out of the sun altogether). It can be tucked into a purse, diaper bag or

pocket and offers broad spectrum protection against UVA-UVB rays. Moms: here’s another non-greasy product you can borrow to use under your makeup.

Hawaiian Green Tea Sunblock, SPF 45 Alba Botanica, $9.95

This organic sunscreen lotion with green tea as its primary ingredient smells terrific and feels more like body lotion than your everyday sunscreen.

You probably know that green tea is filled with antioxidants, which protects the body from free radicals that cause inflammation and aging. Here’s yet another product Mom will want to use.

It absorbs easily and is made with nongreasy certified organic aloe vera. Alba also offers a pure lavender scent which moisturizes, calms and soothes skin.

Lip Protectant/Sunscreen, SPF 20 Softlips, $3.69 I met several beach lovers with this product readily on hand. Softlips keeps lips protected while offering a pleasant taste, scent and optional tints and sheens like vanilla, cherry, strawberry, raspberry, mint and wildberry. The average SPF is 20, so for extended sun exposure I’d recommend you reapply often. Available in multi-packs.

SUNSCREEN SAFETY TIPS  If you’re out all day in the sun, be sure to reapply often. The general rule is a shot glass full for the whole body.  Look beyond the SPF number. SPF defends against UVB light, but not UVA rays.

Find a sunscreen that’s broad spectrum and/or contains these ingredients: zinc oxide, titanium dioxide, Mexoryl or avobenzone (Parsol 1789).  Keep your sunscreen in a cool, dark place—never in your glove box or in the trunk of your car.  During the summer wear your sunscreen indoors if there are a lot of windows or while driving.  Apply sunscreen even under your clothes. A white T-shirt only has a SPF of 10, or even less.

Surfer Formula Gel Sunblock, SPF 36 BullFrog, $11.58 This product offers all-day (8 hour) waterproof sun protection with just one application. So if you have a husband like mine who won’t leave the waves, this may be the sunscreen for you! It’s OK for kids who won’t swallow the stuff, but not for babies less than 6 months.

Gel sunblocks are also a great alternative if you have oily skin.

32| AUGUST 2011

—Source: Parade Magazine, 7/17/11

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healthy living

Kids at the Seal Pups training.

The play’s the thing Keeping kids active through fun activities during the summer

By George Cox

S

tatistics show that more and more children are becoming obese at earlier ages.

According to some stud-

ies, the childhood obesity rate has increased two to three fold over the past thirty years, with about 9 million adolescent children considered obese. While these numbers seem disturbing, children can avoid becoming a statistic simply by adopting a more active lifestyle. However, children can get a healthy dose of physical exercise in a variety of fun, exciting ways that build both strength and character.

34 | AUGUST 2011

Organized fitness groups for children Today’s children have the opportunity to belong to a variety of clubs, organizations, and fellowships that provide outlets for physical activity.

Some may offer temporary activities such as seasonal sports, while others not only provide immediate physical training, but teach children leadership skills and self confidence.

Leadership and confidence building in seal pup fitness classes John McGuire, a former Navy Seal, helps children develop good physical conditioning through the Seal Pup classes taught at his Seal Team Physical Training outfit in Virginia (Richmond and Charlottesville) and Washington, D.C. In a series of weekly programs open to ages 5 to 8 (Level 1) and 9 to 12 (Level 2), Seal Pup classes provide one hour a day of rigorous outdoor physical fitness training that also builds children’s confidence and leadership skills.

“Team-building evolutions” including obstacle climbing and rope exercises show children the importance of working as a team. As the Seal Pup Class founder says, “There is really nothing like teamwork to bring out the best in people.”

These fun fitness activities not only build physical strength and stamina, but create confident leaders who make physical fitness a part of daily life. “This class is more than a fitness class; it is about building the child’s leadership skills and confidence.” Children as young as 5 years old become leaders capable of instructing their peers in fitness and team-building exercises, these children continuing the program well into their teenage years and adulthood. Recruiting youngsters to participate in his Seal Pup program, McGuire instills a level of confidence

that children develop upon as they mature. “You can build confidence in people age 5 or 50, but earlier is definitely better.”

Transforming lives through martial arts Martial arts training helps children maintain physical fitness and balance, and teaches them discipline, concentration, and self respect. Sensei Vernard Williams, a fourth degree black belt in Sanshinkai Karate, is the chief martial arts instructor at Karate International of Garner in Garner, North Carolina. He has developed a series of daily classes for young boys

and girls of varying ages. From his Little Samurais (ages 3-6) through his juniors (ages 7-12) to the intermediate teenagers, Sensei Williams combines “intense physical training, individual focus, and character development” to help children stay in shape and ultimately attain their life goals. Children are encouraged to go at their own pace, building both bodily strength and strong character through rigorous training and continual positive reinforcement. Sensei Williams wants to “raise awareness of the martial arts and promote the importance of overall good physical fitness.” Most children who start in

Sensei Vernard Williams in class.

MEDMONTHLY.COM | 39

his classes at an early age continue through the highest levels of mastery, while maintaining good grades in school, reinforcing their confidence and self assuredness, and developing an inner strength they keep throughout life.

Besides private classes and fitness camps like Seal Pup training, municipal organizations, like the YMCA, may offer children physical fitness classes for little to no cost. With proper planning and budgeting, the whole family can take advantage of these life-changing programs without too much of a financial strain.

Sports activities Lots of active children already enjoy sports, such as basketball, baseball, and soccer; however, these team activities may be too much for the already overweight, inactive child to get into initially. Some children may enjoy more individual sports such as bowling or tennis, something they can do without feeling obligated to a team.

Many cities offer large leagues for baseball and soccer teams, and there are bowling alleys and tennis courts throughout most towns. While getting on a team may be easy for some children, especially those already in good physical shape, other children may need alternative ways to get physical. Challenge your children to participate in sports you can enjoy with them. Tennis is a fun, relatively inexpensive activity that the whole family can enjoy. Bowling is also an entertaining way to keep one moving, although it can be quite costly if enjoyed on a regular basis. If you live in an area with regular snowfall, consider snowboarding or skiing or ice skating as fun winter activities. And what can be more fun or active than splashing and swimming away the hot afternoon hours at a local pool?

As long as children are having fun, 36 | AUGUST 2011

they forget that they may actually be exercising.

Of course, making exercise a family affair is very important. Children need to see their parents and older siblings participating in physical activities, so they can witness firsthand the benefits of an active lifestyle. Families can participate in a walkathon or bike race for various

charities, they can schedule a backyard football or kickball game every weekend, or they can go swimming at a community pool or beach. The trick is to encourage children to have fun during the physical activity so they are not thinking of it as exercise.

Active video games Part of the problem with inactive,

SIMPLE EXERCISES TO DO AROUND THE HOUSE Participating in sports is not the only way to keep our youngsters active and staying fit. Since children love to play games, be creative and turn mundane activities like household chores and yard work into a source of their fun. Consider the following as entertaining ways to keep children active: gardening: arm your child with a trowel and gloves and encourage them to dig in the dirt.

Allow them to choose their favorite flowers or plants for your home garden, teach them how to properly work the soil and arrange the landscape, and encourage them to continue its upkeep with necessary maintenance. Digging in the dirt, pulling out weeds, pushing around a wheelbarrow keeps children busy and you get some free help landscaping. Plus, this activity gets them out of the house and breathing in some fresh air; church functions: even if you are not affiliated with a particular church, contact a local church’s youth minister for a list of events. They are always trying to keep their young parishioners involved in an active lifestyle and may have ideas for some fun, safe things to do away from the television;

nature hikes: whether your home town has public parks or nature trails, a good walk can be fun in small groups. Have your child bring along a friend, a sibling, or the family dog to enjoy a nature walk through a park or garden, teach them about bird watching or horticulture, and watch them rediscover the wonders the natural world around them; game day: help your child organize some outdoor games, whether it is an innocent game of tag, a more serious game of soccer or kickball, or just excuse to toss a Frisbee or football around. Children want to have fun with their parents and siblings, so schedule a game day and take turns choosing this week’s fun. Let the running, jumping, and laughing begin!

overweight children stems from too much time devoted to playing video games and watching television. With the advent of the Wii Fit ® and Xbox Connect ®, children can now actually stay fit while doing something they probably already do indoors anyway.

Manufacturers of these game systems understand the need to keep their customers fit and happy, so they are bringing out new versions of fitness programs, exciting action games, and simulated outdoor sports that encourage children—and parents—to jump, swing, bend, run, and dance.

Never has exercising been more fun!

PHOTO AND ILLUSTRATION COURTESY MICHAL ZACHARZEWSKI

Final word Children want to have fun. Make an activity exciting and children are more likely to participate in it and want to come back for more. Encourage the children to plan the activity, or even research what the community has to offer. Try out for local sports teams or take advantage of a trial membership to a dance studio or martial arts dojo. Put a new spin on traditional games like backyard soccer or kickball, and turn chores like cleaning rooms or walking the dog into treasure hunts and exploration adventures. Be creative, imaginative, and persistent: no matter how old (or young) your children are, you can keep them interested in doing more than sitting in front of the television or computer screen. And keeping your children active will certainly rub off on you as well.

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WANT MORE?  For more about John McGuire and his Seal Team Physical Training team, log on to his website at http://sealteampt.com/  More information about how martial arts can transform children’s lives can be found at http://www.garnerkarate.com/

Med Monthly Not your father’s medical journal

Contact us: 919.747.9031 medmedia9@gmail.com medmonthly.com

the kitchen

Eat better

How to help your children eat fresh and healthy foods throughout the school year

ANTS ON A LOG Suggested ingredients:  Celery or carrots, cleaned and cut into 4- or 5-inch sticks.

For the carrots, cut the sticks in half the long way as well.  Peanut butter or cream cheese  Raisins or nuts of any variety Directions: To make it safer and easier for your children, precut all the carrots and celery ahead of time so they aren’t handling any sharp knives. Spread the peanut butter or cream cheese along the length of the celery or carrot sticks. Line up the raisins or nuts, as if they were marching across the log.

38| AUGUST 2011

W

hen the school year starts, it’s harder to make sure your children are eating well. Between the morning rush, quick school lunches and after-school snacks, it’s easy to lose track of whether or not your kids are eating healthy meals.

Make sure everything your kids need is right in the kitchen. Having a large capacity refrigerator that’s fully stocked with fresh and easy-toprepare foods can help you counter unhealthy lunches and snacking from the get go. One LG French door three-door refrigerator, for example, has a 31 cubic foot capacity, enough room for 51 gallons of milk if you were so inclined. With that much storage space, you won’t have to worry about skimping on healthy lunch food or snacks ... or your children leaving your refrigerator empty after they

come home from school everyday.

Kimberly Nies, home economist for LG Electronics USA, suggests some tips to encourage your children to eat healthy during the busy school year.

Keep fresh ingredients Make sure the foods you store in your kitchen are fresh. The average household throws away about $500 worth of spoiled foods that were forgotten or lost in the back of the refrigerator each year. Some refrigerators like one from LG help keep food fresh longer using a system to maintain the temperature and humidity at the best levels.

Bring lunch Ask your kids to help you make their lunch either the night before, or in the morning before they take off

for school. Present them with several options for sandwich materials including whole-grain breads, cold cut meats, cheese or even egg or chicken salad. Soon they’ll be able to craft their own healthy and delicious lunch all by themselves. Fresh carrots and apples add crunch and healthy fun to their lunch.

Make healthy foods accessible Keep your cupboards and refrigerator organized so your children can find and easily reach healthy options, Nies suggests. Many refrigerators have crisper systems with separate drawers for storing fruits, veggies and even

ready-to-eat snacks. “After a long day of school, even teens have a hard time turning down veggies with tasty dips when they’re right at their fingertips,” she says.

Make fun snacks When grocery shopping each week, make sure you load your list up with fun, snack-friendly ingredients.

For example, “Ants on a Log” are a popular treat for kids. And they’re versatile, so your children can develop the recipe to perfectly suit their tastes. (see sidebar) Other good snack ideas include peanut butter and crackers, fresh fruit, cheese curds or string cheese and even a bowl of shelled nuts.

Keep hydrated When your children are involved in physical activities, you’re going to need to make sure your fridge is stocked with plenty of rehydrating options. Sports drinks and flavored waters are good options, but so is plain chilled water. The LG refrigerators have a tall water dispenser on the door that can accommodate just about any size container so your daughter can quickly and easily fill up her water jug as she’s running out the door for practice.

“Help your children continue to eat healthy once the school year starts by encouraging their healthy eating right at home,” Nies says.

the kitchen

Healthy summer living

S

ummer is the season of relaxation for many, but it’s easy to become lazy on your mission to better health. Plenty of temptations can negatively affect your well being, but with the right tools, you can treat yourself to good health and good times.

Mix it up Seasonal drinks and dishes are a highlight of summer, but too many hamburgers, ice cream cones, and cocktails can have a disastrous effect on your diet and waistline. Fortunately, keeping your body bathing-suit ready doesn’t mean you have to sacrifice taste or variety. And the best part is you need only one machine to create all your healthy summer recipes.

The Vitamix 5200 creates a wide range of nutritious options that taste great.

Whether it’s a whole-fruit smoothie, frozen sorbet, fat-free salad dressing, or veggie dip, this powerhouse machine can whip up endless healthy options. A favorite tool of professional chefs, your new culinary prowess will make summer entertaining a snap.

40| AUGUST 2011

With hundreds of healthy options, the Whole Food Recipes cookbook included with the machine will help you make delicious and smart decisions all summer.

Sun safety After months of dreary, cold weather, you may be eager to soak up the sun’s rays. As good as the warm sunshine feels, though, it can be damaging to your health. More than 2 million people are diagnosed with skin cancer each year, with unpro-

tected exposure to ultraviolet radiation as a leading cause. To lower your risk, make sure you have the right sun-safety tools: sunscreen, sunglasses and a hat. Any time you head outside, generously apply sunscreen and lip balm SPF 15 or higher, taking care to cover all exposed areas, including the back of your neck and tips of your ears. Sunglasses should block 99 to 100 percent of UV rays to best protect your eyes and the delicate skin around them, and a comfortable, wideArticle reprinted courtesy ARA content

brimmed hat will give your head and face added protection.

Feet first Summer is the perfect time to become more active, enjoying the fresh air and scenery while you improve your health. Whether you’re planning to hike a trail, ride your bicycle, run a 5K or just stroll through the park, it’s important to make sure you have the right support. Walking in poorly fitted or thin-soled shoes can cause back and joint pain, blisters, and stress fractures, so invest in quality cross-training or running shoes that provide sufficient cushion and comfort. Make sure that the shoes fit properly and don’t hurt or rub any parts of your feet. Wear thick, sweat-wicking socks, and get ready to enjoy better health in the great outdoors.

Stay hydrated With the temperatures rising and the sun beating down, it doesn’t take

much to break a sweat on a hot day.

Even if you don’t feel thirsty, replacing the water your body loses through sweat is important, as dehydration can lead to heat exhaustion and heat stroke. If you know you’ll be outside for an extended period of time or if you’re heading out to exercise, make sure to bring a refillable water bottle or canteen. Fill it with ice and cold water, and drink 8 to 10 ounces about every 15 minutes.

With the right knowledge and tools, you can make this summer healthier and more enjoyable than ever. Invest in and incorporate these essential items into your lifestyle every day, and you’re sure to feel healthy and refreshed throughout the summer months.

You don’t need magic to help kids get healthy Order a free brochure packed with kid-friendly vegetarian recipes and watch their fruit and vegetables disappear —like magic.

1- 8 7 7- 6 8 5 -k i d s or w w w. K i d s G e t H e a l t h y.org

the sales

Classified To place a classified ad, call 919.747.9031

Physicians needed

Physicians needed

North Carolina

North Carolina (cont.)

Occupation Health Care Practice located in Greensboro, North Carolina has an immediate opening for a primary care physician. This is 40 hours per week opportunity with a base salary of $135,000 plus incentives, professional liability insurance provided and an excellent CME, vacation and sick leave package. Send copies of your CV, NC Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com

physician. This established and beautiful facility offers the ideal setting for an enhanced life style. There is no hospital call or invasive procedures. Look into joining this 3 physician facility and live the good live in one of North Carolina’s most beautiful cities. Send copies of your CV, NC Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, Email: physiciansolutions@gmail.com

Family Practice physician opportunity in Raleigh, North Carolina. This is a locum’s position with 3 to 4 shifts per week requirement that will last for several months. You must be BC/BE and comfortable treating patients from 1 year of age to geriatrics. You will be surrounded by an exceptional, experienced staff with beautiful offices and accommodations. No call or hospital rounds. Send copies of your CV, NC Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com Methadone Treatment Center located near Charlotte, North Carolina has an opening for an experienced physician. You must be comfortable in the evaluation and treatment within the guidelines of a highly regulated environment. Practice operating hours are 6:00 a.m. till 3:00 p.m. Monday through Friday. Send copies of your CV, NC Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com Family Practice physician is needed to cover several shifts per week in Rocky Mount, North Carolina. This high profile practice treats pediatrics, women’s health as well as primary care patients of all ages. If you are available for 30 plus hours per week for the remainder of the year, this could be the perfect opportunity. Send copies of your CV, NC Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com Cardiology practice located in High Point, North Carolina has an opening for a Board Certified Cardiovascular 42| AUGUST 2011

Board Certified Internal Medicine Physician position is available in the Greensboro, North Carolina area. This is an out-patient opportunity within a large established practice. The employment package contains salary plus incentives. Please send a copy of your current CV, North Carolina medical license, DEA certificate and NPI certificate with number along with your detailed work history and CME courses completed to; Physician Solutions, P.O. Box 98313, Raleigh, NC 27624. Email: physiciansolutions@gmail.com or phone with any questions, PH: (919) 845-0054.

Locum Tenens opportunity for Primary Care MD in the Triad Area, North Carolina. This is a 40 hour per week on-going assignment in a fast pace established practice. You must be comfortable treating pediatrics to geriatrics. We pay top wage, provide professional liability insurance, lodging when necessary, mileage and exceptional opportunities.

Please send a copy of your current CV, North Carolina medical license, DEA certificate and NPI certificate with number along with your detailed work history and CME courses completed to; Physician Solutions, P.O. Box 98313, Raleigh, NC 27624. E-mail: physiciansolutions@gmail.com or phone with any questions, PH: (919) 845-0054.

Internal Medicine practice located in High Point, North Carolina, has two full time positions available. This well-established practice treats private pay as well as Medicare/Medicaid patients. There is no call or rounds associated with this opportunity. If you consider yourself a well-rounded IM physician and enjoy a team environment, this could be your job. You would be required to live in or around High Point and if relocating is required, a moving package will be extended as part of your salary and incentive package. BC/BE MD should forward your CV, and copy of your North Carolina Medical License to physiciansolutions@gmail.com View this and other exceptional physician opportunities at www.physiciansolutions.com or call (919) 845-0054 to discuss your availability and options.

ď‚Ą Research and technology articles

Classified To place a classified ad, call 919.747.9031

Physicians needed

Practice sales

North Carolina (cont.)

Indiana

Locum Tenens Primary Care Physicians Needed If you would like the flexibility and exceptional pay associated with locums, we have immediate opportunities in family, urgent care, pediatric, occupational health and county health departments in North Carolina and Virginia. Call us today to discuss your options and see why Physician Solutions has been the premier physician staffing company on the Eastern seaboard. Call 845-0054 or review our corporate capabilities at www.physiciansolutions.com

Pain Management Practice located in Indiana is now listed for sale. The main practice has been serving the community with two satellites located about 30 miles from the main practice. All three practices are being offered for $785,000 with the main practice building offered for $950,000. The two satellite practices being leased for a very reasonable monthly rent. If you are interested in a Pain Management practice that will generate impressive profits from month one, this could be your opportunity.

Contact Medical Practice Listings at (919) 848-4202 for more information. View additional listings at; www.medicalpracticelistings.com

Virginia Urgent Care opportunities throughout Virginia. We have contracts with numerous facilities and 8 to 14 hour shifts are available. If you have experience treating patients from Pediatrics to Geriatrics, we welcome your inquires.

Send copies of your CV, VA Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com Pediatric Locums Physician needed in Harrisonburg, Danville and Lynchburg, Virginia. These locum positions require 30 to 40 hours per week, on-going. If you are seeking a beautiful climate and flexibility with your schedule, please consider one of these opportunities. Send copies of your CV, VA Medical License, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624, and PH: (919) 845-0054, E-mail: physiciansolutions@gmail.com

MEDICAL PRACTICE LISTINGS Medical practice sell - buy View national practice listings or contact us for a confidential discussion regarding your practice options.

919.848.4202

medlistings@gmail.com medicalpracticelistings.com in-house practice experts and attorney 44 | AUGUST 2011

North Carolina Impressive Internal Medicine Practice in Durham, NC; The City of Medicine. Over 20 years serving the community, this practice is now listed for sale. There are 4 well equipped exam rooms, new computer equipment and a solid patient following. The owner is retiring and willing to continue with the new owner for a few months to assist with a smooth transition. Contact Medical Practice Listings at (919) 848-4202 for more information. View additional listings at: www.medicalpracticelistings.com Modern Vein Care Practice located in the mountains of North Carolina. Booking 7 to 10 procedures per day, you will find this impressive vein practice attractive in many ways. Housed in the same practice building with an Internal Medicine, you will enjoy the referrals from this as well as other primary care and specialties in the community.

We have this practice listed for $295,000 which includes charts, equipment and good will. Contact Medical Practice Listings at (919) 848-4202 for more information. View additional listings at: www.medicalpracticelistings.com Family Practice located in Hickory, North Carolina. Well established and a solid 40 to 55 patients split between an MD and physician assistant. Experienced staff and outstanding medical equipment. Gross revenues average $1,500,000 with strong profits. Monthly practice rent is only $3,000 and the utilities are very reasonable. The practice with all equipment, charts and good will are priced at $625,000. Contact Medical Practice Listings for additional information. Medical Practice Listings, P.O. Box 99488, Raleigh, NC 27624. PH: (919) 848-4202 or E-mail: medlistings@gmail.com Internal Medicine Practice located just outside Fayetteville, North Carolina is now being offered. The owning physician is retiring and is willing to continue working

Practice for Sale in Raleigh, NC

EXCELLENT FAMILY PRACTICE FOR SALE

Primary Care practice specializing in Women’s care

North Carolina Family Practice located about 30 minutes from Lake Norman has everything going for it.

Raleigh, North Carolina The owning female physician is willing to continue with the practice for a reasonable time to assist with smooth ownership transfer. The patient load is 35 to 40 patients per day, however that could double with a second provider. Exceptional cash flow and profitable practice that will surprise even the most optimistic practice seeker. This is a remarkable opportunity to purchase a well-established woman’s practice.

Spacious practice with several well-appointed exam rooms, tactful and well appointed throughout. New computers and medical management software add to this modern front desk environment.

Medical Practice Listings For more information call (919) 848-4202. To view other practice listings visit medicalpracticelistings.com

Gross revenues in 2010 were 1.5 million and there is even more upside. The retiring physician is willing to continue to practice for several months while the new owner gets established.

Excellent medical equipment, staff and hospital near-by, you will be hard pressed to find a family practice turning out these numbers.

List price: $435,000.

Call Medical Practice Listings at (919) 848-4202 for details and view our other listings at www.medicalpracticelistings.com

Listing price is $625,000.

PRACTICE FOR SALE

OCCUPATIONAL HEALTH CARE PRACTICE FOR SALE Ensure Optimal Performance of your Global PACS System “With PACSHealth™, I finally have an easy way to monitor our PACS system 24/7. I can rest assured that system data is clean and consistent across the board and errors, if any, are quickly repaired. I can do my job in a fraction of the time that it used to take with better results.”

– Scottsdale Medical Imaging Ltd

• PACS Status Reporting • System Monitoring Dashboard • Audit Log Management/ HIPAA Compliance Tool

Greensboro, North Carolina Well-established practice serving the Greensboro and High Point areas for over 15 years. Five exam rooms fully equipped, plus digital X-Ray. Extensive corporate accounts as well as walk-in traffic. Lab equipment includes CBC. The owning MD is retiring, creating an excellent opportunity for a MD to take over an existing patient base and treat 25 plus patients per day from day one. The practice space is 2,375 sq. feet. This is an exceptionally opportunity. Leased equipment includes: X-Ray $835 per mo, copier $127 per mo, and CBC $200 per mo. Call Medical Practice Listings at (919) 848-4202 for more information.

Asking price: $385,000

www.pacshealth.com tel: 1-877-877-1457 info@pacshealth.com

To view more listings visit us online at medicalpracticelistings.com

MEDMONTHLY.COM |45

Classified To place a classified ad, call 919.747.9031

Practice for sale

Practice for sale

North Carolina (cont.)

South Carolina (cont.)

for the new owner for a month or two assisting with a smooth transaction. The practice treats patients 4 and ½ days per week with no call or hospital rounds. The schedule accommodates 35 patients per day. You will be hard pressed to find a more beautiful practice that is modern, tastefully decorated and well appointed with beautiful art work. The practice, patient charts, equipment and good will is being offered for $415,000 while the free standing building is being offered for $635,000.

Contact Medical Practice Listings for additional information. Medical Practice Listings, P.O. Box 99488, Raleigh, NC 27624. PH: (919) 848-4202 or E-mail: medlistings@ gmail.com

Hospital support is also an option for up to a year. The listing price is $395,000 for the practice, charts, equipment and good will. Contact Medical Practice Listings for additional information. Medical Practice Listings, P.O. Box 99488, Raleigh, NC 27624. PH: (919) 848-4202 or E-mail: medlistings@gmail.com

Primary Care practice specializing in women’s care. The owning female physician is willing to continue with the practice for a reasonable time to assist with smooth ownership transfer. The patient load is 35 to 40 patients per day, however that could double with a second provider.

Exceptional cash flow and profitable practice that will surprise even the most optimistic practice seeker. This is a remarkable opportunity to purchase a well-established woman’s practice. Spacious practice with several well-appointed exam rooms, well-appointed throughout. New computers and medical management software add to this modern front desk environment. This practice is being offered for $435,000. Contact Medical Practice Listings for additional information. Medical Practice Listings, P.O. Box 99488, Raleigh, NC 27624. PH: (919) 848-4202 or E-mail: medlistings@gmail.com

South Carolina Lucrative E.N.T. practice with room for growth, located three miles from the beach. Physician’s assistant, audiologist, esthetician, and well-trained staff. Electronic medical records, Mirror imaging system, established patient and referral base, hearing aids and balance testing, esthetic services and Candela laser. All aspects of otolaryngology, busy skin cancer practice, established referral base for reconstructive eyelid surgery, Botox and facial fillers. All new surgical equipment, image-guidance sinus surgery, balloon sinuplasty, nerve monitor for ear/parotid/ thyroid surgery. Room for establishing allergy, cosmetics, laryngology & trans-nasal esophagoscopy. All the organization is done, walk into a ready-made practice as your own boss and make the changes you want, when you want. Physician will to stay on for smooth transition.

46 | AUGUST 2011

Practice wanted North Carolina Pediatric Practice Wanted in Raleigh, North Carolina Medical Practice Listings has a qualified buyer for a Pediatric Practice in Raleigh, Cary or surrounding area. If you are retiring, relocating or considering your options as a pediatric practice owner, contact us and review your options. Medical Practice Listings is the leading seller of practices in the US. When you list with us, your practice receives exceptional national, regional and local exposure. Contact us today at (919) 848-4202.

Med Monthly Med Monthly is the premier health care magazine for medical professionals.

By placing an ad in Med Monthly you’ll reach: family medicine, internal medicine, physician assistants and more!

Call us today to place your classified!

919.747.9031 Also available online 24/7

medmonthly.com

Exceptional North Carolina Primary Care Practice for Sale

MD STAFFING AGENCY FOR SALE

Established North Carolina Primary Care practice only 15 minutes from Fayetteville, 30 minutes from Pinehurst, 1 hour from Raleigh, 15 minutes from Lumberton, and about an hour from Wilmington. The population within 1 hour of this beautiful practice is over one million. The owning physician is retiring and the new owner will benefit from his exceptional health care, loyal patient following, professional decorating, beautiful and modern free standing medical building with experienced staff.

The gross revenue for 2010 is $856,000 and the practice is very profitable. We have this practice listed for $415,000. Call today for more details and information regarding the medical building.

Our Services: • Primary Health • Well Child Health Exams • Sport Physical • Adult Health Exams • Women’s Health Exams • Management of Contraception • DOT Health Exam • Treatment & Management of Medical Conditions • Counseling on Prevention of Preventable Diseases • Counseling on Mental Health • Minor surgical Procedures For more information call Medical Practice Listing at (919) 848-4202.

To view our other listings, visit medicalpracticelistings.com.

Great opportunity for anyone who wants to purchase an established business.  One of the oldest Locums companies  Large client list  Dozens of MDs under contract  Executive office setting  Modern computers and equipment  Revenue over a million per year  Owner retiring  List price is over $2 million

Please direct all correspondence to mdstaffingforsale@gmail.com.

Only serious, qualified inquirers.

Practice For Sale

Large Louisiana Pediatric Practice

Practice at the beach Plastic Surgery practice for sale with lucrative E.N.T. specialty Myrtle Beach, South Carolina Practice for sale with room for growth and located only three miles from the beach. Physician’s assistant, audiologist, esthetician, and well-trained staff. Electronic medical records, Mirror imaging system, established patient and referral base, hearing aids and balance testing, esthetic services and Candela laser. All aspects of Otolaryngology, busy skin cancer practice, established referral base for reconstructive eyelid surgery, Botox and facial fillers. All new surgical equipment, image-guidance sinus surgery, balloon sinuplasty, nerve monitor for ear/parotid/thyroid surgery. Room for establishing Allergy, Cosmetics, Laryngology & Trans-nasal Esophagoscopy. All the organization is done, walk into a ready made practice as your own boss and make the changes you want, when you want. Physician will to stay on for smooth transition. Hospital support also an option for up to a year. The listing price is $395,000.

For more information call Medical Practice Listing at (919) 848-4202. To view our other listings, visit medicalpracticelistings.com.

This Louisiana Pediatric Practice treats an average of 30 plus patients per day and is open 4 ½ days per week. The owner/MD treats patients and she has a part time physician assistant that provides a second provider 2 to 4 days per week. Fully equipped and staffed, this practice is ready for the new owner to accept a full patient load. The MD that owns the practice will be moving to join her husband in California during the summer or as soon a proper transfer in ownership takes place.

She is more than willing to continue with the practice for a few months to assist with a smooth transfer.

Asking price: $165,000 Call Medical Practice Listings today and we will be happy to provide more details regarding this pediatric practice opportunity!

(919) 848-4202 | MedicalPracticeListings.com MEDMONTHLY.COM |47

top

kid- friendly lunch box foods

1

BOTTLED WATER Encourage your child to drink an 8 oz. water bottle at lunch rather than juice. They can even refill it during the day!

2

4

HUMMUS DIP

Take a can (15 oz.) of garbanzo beans, a pinch of cumin, and tablespoon of olive oil and mix all together in the food processor. Serve in a small plastic container with snap peas, carrots, bagel or pita chips, and celery slices.

Choose pasta shapes that are kid-friendly like orzo, ABC’s, hearts or macaroni.

Sauté two cloves of garlic, a tablespoon of olive oil and a half cup of finely chopped onions in a saucepan. Cut up several cherry tomatoes extremely thin then add peas and corn to the sautéed mix. Then add all to the pasta. Provide your child with a plastic fork (tell her to bring it back!) and small plastic container for the pasta.

48 | AUGUST 2011

GREEK YOGURT

It’s more dense than regular yogurt, plus it’s packed with protein and has fewer carbs. Comes in a lot of flavors besides plain, too!

Take two slices of sourdough bread, top with a thin slice of mozzarella cheese, a teaspoon of olive oil and two tablespoons of tomato sauce.

Pop your creation into your panini maker or on the stove and voila! Wrap in foil to help retain the heat till lunchtime.

3

Pack a plastic baggie with baby carrots, small slices of celery or frozen blueberries. Tell your child that if they can’t finish their veggies at lunch to save them for afterschool.

8

PIZZA GRILLED CHEESE SANDWICH

PASTA PRIMAVERA

7

VEGGIES

APPLESAUCE An old favorite. Now there are more choices on the shelves than ever before. Beside the “regular” flavor, there’s cherry, cinnamon, and mango-peach. Throw a spoon in the lunchbox and your kid is all set!

STRING (MOZZARELLA) CHEESE Always a hit with the kids, it’s mess-free, it’s easy to open and it can stay reasonably cool as long as it’s packed in an insulated lunch box with an ice pack.

9

TRAIL MIX—YUM!

Find a healthy mix without the M&Ms. You can even make your own with dried bananas, almonds apricots and pineapple.

Just be sure no one in Trey’s class has a tree nut allergy.

RECIPE SOURCE: WWW.THEVISUALGUIDE.COM PHOTOS COURTESY ISTOCKPHOTO.COM AND MICHAEL LORENZO.

Do your patients’ moms and dads have trouble making healthy choices for their kids’ lunches? We’ve selected 9 lunch box foods that are both tasty and nutritious.

We’ve got a lot of bright ideas Let us show you how MedMedia9 can market your practice.

Visit us online at medmedia9.com or call 919.747.9031 to learn more.

Scan this QR code with your smartphone to learn more.

IMAGINE THAT!