™
May 15, 2015 - April 15, 2015 • Volume 2/Issue 5
Two Horses Just up the road from my home is a field, with two horses in it. From a distance, each horse looks like any other horse. But if you get a closer look you will notice something quite interesting... One of the horses is blind. His owner has chosen not to have him put down, but has made him a safe and comfortable barn to live in. This alone is pretty amazing. But if you stand nearby and listen, you will hear the sound of a bell. It is coming from a smaller horse in the field. Attached to the horse's halter is a small, copper-colored bell. It lets the blind friend know where the other horse is, so he can follow. As you stand and watch these two friends you'll see that the horse with the bell is always checking on the blind horse, and that the blind horse will listen for the
Cover: La Bella Vita Laser & Vein Center • pg. 16
bell and then slowly walk to where the other horse is, trusting he will not be led astray. When the horse with the bell returns to the shelter of the barn each evening, he will stop occasionally to look back, making sure that the blind friend isn't too far behind to hear the bell. Like the owners of these two horses, God does not throw us away just because we are not perfect. Or because we have problems or challenges. He watches over us and even brings others into our lives to help us when we are in need. Sometimes we are the blind horse, being guided by the little ringing bell of those who God places in our lives. And at other times we are the guide horse, helping others to find their way.
Table of Contents Money Matters /Page 7 by Mike Rich Walgreens: Know Your Numbers /Page 10 by Nikita Taylor, PharmD
Spiritual Maturity /Page 12 by Larry McEwen Skin Care Tips /Page 13 by Mark Manny Top Doctors Special Section /Page 21 by Michelle Carollo Top 10 Things When Choosing A Doctor /Page 26 by Kelly Walgamotte
-Author Unknown
Medical Terminology /Page 32 by Michelle Carollo Back in the Old Days /Page 36 by Joe Dubuisson
For Senior Living Magazine Advertsing InformationPlease contact: Mary West at (504) 610-1051 or email to MaryWest2@aol.com
Staff
™
Publishers Michelle Carollo & Kelly Walgamotte Editor Lana Walgamotte Contributing Writers Lisa Bologna Lisa Clement Mary Bounds Mike Rich
Pg. 4
Senior Sampler /Page 38 by Michelle Carollo
Account Executive Mary West Chief Designer Chris Tiblier Photographer Bach Imagery
Senior Living is published monthly P.O. Box 752, Slidell, LA 70459. Copyright 2015 by Senior Living. No part of this publication can be reproduced without the written, expressed consent of the publisher. Reproduction of editorial content or graphics in any manner or in any medium is prohibited. Opinions of staff & contributing writers do not necessarily reflect the opinions of the publisher. For advertising information, contact Senior Living business department at 985-778-6171 or e-mail at seniorlivingmagla@gmail.com.
Michelle Carollo 985-445-3644 Kelly Walgamotte (985) 778-6171
Letters to the Editor are Welcome – send signed letters to: P.O. Box 752, Slidell, LA 70459. Please include a phone number for verification (it will not be published). E-mail letters to seniorlivingmagla@gmail.com. The Editor reserves the right to edit for length, style and spelling. Postmaster: Send address changes to Senior Living P.0. Box 752, Slidell, LA 70459
Heart HEALTH Your heart is one of your most important organs by: Rebecca Stubenrauch RN, BSN, BC, CDE, CTTS
SMH Cardiac & Pulmonary Rehabilitation Supervisor
Y
ou’ve heard it before: living as a senior is not what it used to be! Longer lifespans means you have more time to enjoy yourself, but it also means more worrying about your health. Aside from the dreaded “C” word, your heart tops the list of concerns. Your heart is one of your most important organs, but you may not know much about how to take care of it. Heart failure, more specifically, is one of the most important heart conditions that you need to know about. Heart failure, in simpler terms, means your heart isn’t pumping as well as it should be. It can’t keep up with its workload, which means your body doesn’t get the right amounts of blood and oxygen it needs to thrive. In other words, your heart is falling short of its very important job!
You can take steps to help prevent heart failure, and if you’ve seen your physician in the past ten years, he or she probably gave you the same list that you’ve heard so often, you can now recite by memory: quit smoking, eat better, exercise more, lose weight. Making healthy lifestyle changes really can have a huge impact on your body’s ability to work properly and improving your quality of life. If you already have heart failure, you have probably experienced the fatigue, breathing problems, lack of appetite, or other symptoms that motivated you to visit your doctor. A diagnosis of heart failure can be scary! With medication and following your doctor’s recommendations, you can still lead a full, enjoyable life.
Take heart—you are not alone! Heart failure is pretty widespread, and it’s pretty serious, making it a hot topic of conversation when you visit your physician once you reach a certain age. According to the American Heart Association, about 5.7 million adults in the United States suffer from heart failure, with the number expected to rise to 8 million by 2030.
Pg. 6
Every year, about 870,000 new cases are diagnosed, and about half of those die within five years. That’s why it’s important to listen to your doctor! The good news for you is that your community hospital, Slidell Memorial, has received the American Heart Association’s Heart Failure Silver Quality Achievement Award for how it treats patients with heart failure. This means the brand new SMH Heart Center provides care that is consistent with the latest scientific guidelines. The goals of following these guidelines is speeding up recovery time and reducing the need for you to come back to the hospital. Hopefully, you won’t need a hospital visit, but if you do, the SMH Heart Center has you covered. SMH Cardiac Rehab hosts a Congestive Heart Failure Clinic each month. For more information, please check the calendar at SlidellMemorial.org, or call (985) 280-8513. Remember, no matter which stage you’re at in your life, make it a point to learn more about heart failure.
by: Mike Rich
You CAN have your cake and eat it, too! All investments have risks. Stocks, bonds, mutual funds, precious metals, real estate, art, and other asset classes can go up, but they can also lose value. Prudent investors are aware of the risk-reward relationship and must give it consideration when making investment decisions. Nevertheless, the risk still remains. Along those same lines, every financial tool has advantages and disadvantages. For example, CDs are considered to be among the safest investments around, but their current rates of return are pretty dismal. On the other hand, fine art might appreciate greatly in value, but artwork generally can’t be converted into cash easily. Frankly, no investment or financial tool is ideal. As they say, you can’t have your cake, and eat it, too.
in and year out. An added bonus is the liquidity of the cash in the policy, which may be used for any number of reasons. This can make a whole life policy another source of income for retirement. And, the death benefit to those you leave behind – such as your spouse – could actually replace the money you spent during your retirement years. What a deal! Just about everyone we know wants to grow and preserve wealth, and whole life insurance is a great way to do it. If you’d like to learn more about this strategy for conservative investors, call us for an appointment. Now, how about some ice cream to go with that cake?
Or, can you? A common strategy among conservative investors is to use whole life insurance as a hedge against other investments, because the cash value of the policy is guaranteed to grow tax-deferred every year (assuming you pay the premiums and don’t take any loans against your policy). This strategy allows the investor to leave some money at risk – in the stock market, real estate, precious metals – with the hope of a higher return, while knowing that low-risk life insurance cash values will continue to grow, year
Mike Rich and Steve Kernahan, Pontchartrain Investment Management, 2242 Carey Street, Slidell, LA 70458 985-605-5066
KNOW YOUR NUMBERS: Get tested at a Walgreens near you! by: Nikita Taylor, PharmD Feeling faint or experiencing frequent headaches and unsure if your blood pressure is high or low? Questions about your body mass index or obesity risks? Well, you're in luck! Many of our Walgreens locations are equipped to provide a variety of health testing services to patients who visit our stores without requiring an appointment. Walgreens has highly trained pharmacists who are always readily available to perform blood pressure testing, blood gluocse testing, cholesterol tests, as well as full body composition assessments. Since many physician ofďŹ ces only schedule patients in 3, 6 and 12 month intervals, it is imperative that patients are well aware of their health status. In addition to the testing, the pharmacists provide counselling and education on the meaning of the test results. Many seniors visit the pharmacy on a daily basis, and oftentimes they require additional attention in between visits to their healthcare providers. Some may ask the question, "why are these health tests important"? For
Pg. 10
instance, there are no physical symptoms when a patient's blood pressure is elevated. Over time, uncontrolled blood pressure can cause complications such as stroke, heart failure, heart attack, blindness and/or kidney problems. The blood glucose test performed can help a recently diagnosed patient ďŹ nd out their current blood sugar level, or measure a person's risk for diabetes based on a full patient history. Cholesterol testing informs the patient of the difference between the good form of cholesterol (HDL high density lipoprotein) and the bad form of cholesterol (LDL low density lipoprotein), the latter of which can clog your arteries. A full body composition assessement can provide insight on risks of obesity, diabetes, and other cardiovascular diseases related to weight. Counseling patients regarding weight can be a sensitive and sometimes overwhelming task, but the goal is to help ensure patients are prepared to take the steps necessary to improve overall health. DIet changes, group sessions, increased physical activity, selfmonitoring, and
overcoming barriers are just a few of the many recommendations the pharmacist suggest during the health testing encounter. The overall goal at Walgreens is to create a wellness experience that goes beyond ďŹ lling patient prescriptions. Our health testing providers encourage patients to take control of their health and visit our pharmacies with any questions or concerns they may have. For those patients who prefer to independently test at home, Walgreens offers a wide variety of home healthcare equipment including blood pressure monitors, glucometers, cholesterol kits, pulsometers, etc. These devices may even be covered by patient's Medicare Part D or commercial insurance plans with a valid prescription from a healthcare provider. Whether you have chronic health conditions or just want to know how well you're taking care of yourself, your Walgreens' pharmacist is waiting at the corner of Happy & Healthy for you!
Spiritual Maturity by Dr. Larry T. McEwen
P
hysical maturity is not an option for any of us and time makes sure of that! However, spiritual maturity is quite another subject. It doesn’t come naturally with time, but is something we must choose, as well as pursue. When we do choose to pursue spiritual maturity, the older we grow the greater and more in-depth our spirituality will become. God will use the circumstances and experiences of life to help us gain this maturity. We will
learn to learn from our successes as well as our failures! We will learn to learn from other people’s experiences, either from what we see or what they share with us. In fact, one of the marks of a spiritually mature person is one who is open to learn from others and that may mean humbling ourselves to admit when a younger person has something to teach us! It has long been a prayer of mine that I will always remain teachable no matter how “physically mature” I get! My dad once told me this: “A truly wise man learns from other’s mistakes. A smart man learns from his own mistakes, but a fool learns from no one’s mistakes.” One of the mistakes I’ve made in my life has been the neglect of my spiritual maturity! It is my prayer, as I grow older, to be more intentional about my spiritual maturity because it matters! The writer of the book of James in the Bible puts it this way in a letter he wrote…
James 1:2 Consider it pure joy, my brothers, whenever you face trials of many kinds, James 1:3 because you know that the testing of your faith develops perseverance. James 1:4 Perseverance must finish its work so that you may be mature and complete, not lacking anything. James 1:5 If any of you lacks wisdom, he should ask God, who gives generously to all without finding fault, and it will be given to him. NIV
Dr. Larry McEwen is a graduate of New Orleans Baptist Theological Seminary with a Doctor of Ministry degree in Leadership and has over thirty years of ministry experience.
5 SUMMER SKIN CARE TIPS
FOR SENIORS by Mark Manny Sun damage is the greatest threat to human skin. With age, skin becomes thin, fragile, and less likely to protect and rejuvenate itself. Seniors must take careful precautions to avoid sun exposure as much as possible. Consider these tips to help protect the body’s largest organ this summer.
1.
Sunscreen is the most powerful skin pro- area or porch, especially during the hottest tectant available. Dermatologists recommend parts of the day. The American Academy of Dermatology (AAD) an application of SPF 30 notes that the sun's rays formula to exposed skin are strongest in North “The American daily, whether you'll be indoors or out. SunAcademy of Derma- America between 10 a.m. and 4 p.m. Available now screen of this strength is tology notes that are special summer apscientifically proven to the sun's rays are parel such as t-shirts and absorb 97% of harmful strongest in North hats, designed to protect UV rays, which are able skin from the sun’s rays. to pass through clouds America between and glass. Reapply sunscreen after sweating or showering and apply liberally.
2.
10 a.m. and 4 p.m.”
Whether you’re indoors or out, prevent sun damage to elderly skin by finding a shady
3.
Wear protective clothing and accessories. Cover skin with tightly woven long-sleeved shirts, long pants, wide-brimmed hats, and sunglasses. Also consider laundry additives which give clothing an additional layer of ultraviolet protection for multiple washes.
4. Be cautious of prescribed medications and sun exposure. Some over-the-counter and prescription medications can cause skin to become oversensitive to sunlight. This might result in serious skin damage including sunburn, blisters, rashes or swelling. Consult your doctor to learn more about medication and sun exposure. 5.
Daily cleansing and shaving can irritate sensitive skin. To prevent skin irritation limit exposure to hot water, avoid strong soaps, moisturize skin, and pat dry when using a towel. No single approach is 100% successful in warding off ultraviolet (UV) radiation, a known cause of skin cancer. Be sure to get your skin checked once a year by a medical professional. Vigilance is important!
by: Mary Bounds
Dr. Randall Juleff of La Bella Vita Laser and Vein Center
i th a n e st i ma te d 50-60% of American adults suffering from s o m e f o r m o f v e i n d i s e a s e , D r. R a n d a l l J u l e f f o f L a B e l l a Vi t a L a s e r a n d Ve i n C e n t e r k n o w s there is much work to be done. As th e o n ly b oar d cer ti f i ed Phlebol o g i s t o n t h e N o r t h s h o r e , D r. Juleff is ready and willing to meet the challenges in educating the public and providing his patients with cutting edge technology in the treatment of venous d is o r d er s.
When he graduated Magnum Cum Laude gradually and they learn to live with it, not realfrom Oakland University, Randall Juleff knew izing that a few safe, simple procedures could he wanted to become a physician but had no idea make a huge difference in the way they feel.” In where his dream would eventually lead him. His addition to this misconception, Juleff adds that subsequent degree from Wayne State University many believe vein problems are solely a cosmetic School of Medicine in Detroit, Michigan, was issue. Although vein procedures can produce the first step toward his accomplished career in aesthetically appealing results, one should not cardio-vascular health. After medical school he lose sight of underlying health issues. Again, completed an internship, residency and clinical Juleff contends education is key in changing fellowships at Beaumont Hospital, also in Michi- faulty perceptions concerning these medical congan and in Cincinnati, followed by a Cardio-tho- ditions. “Vein disease can lead to serious comracic fellowship at Tulane University in New plications, including chronic skin ulcerations and Orleans. Once in the deep South, Dr. Juleff de- deep vein thrombosis, commonly referred to as cided to make Louisiana his permanent home, DVT. Deep vein thrombosis is associated with and eventually built a pulmonary embolism, a successful practice on potentially deadly condithe Northshore in Covtion that is considered a ington. medical emergency.” After providing Various factors, inyears of exceptional pacluding age and gender, tient care as a board are known to contribute • Leg aching and heaviness that is worse certified Cardio-vascuto vein disease. As one late in the day lar and Thoracic surages the circulatory sys• Swelling of the lower legs and ankles geon, Dr. Juleff grew tem experiences wear • Restless Leg Syndrome keenly interested in the and tear that can result • Tiredness of the legs, especially at night field of Phlebology, a in faulty valves within • Burning sensation medical specialty that the vein causing the • Leg ulcers concentrates solely on pooling of blood. This • Leg cramps at night • Itching the diagnosis and treatpooling can directly • Eczema like skin rash on lower legs ment of vein disorders. cause varicose veins or • Brownish discoloration of the skin of the With the rapidly emergother symptoms such as lower legs ing technology surRestless Leg Syndrome rounding this field, or leg cramps at night. Juleff’s interest grew Women are more likely into a passion to bring innovative, state of the art to have vein issues due not only to hormonal vein care to the Northshore and to the New Or- changes that occur throughout their lives but leans Metropolitan area. He completed addi- also hormonal and mechanical changes that tional specialized training and is currently one of occur during pregnancy. It is important to realonly five board certified Phlebologists in the state ize, however, that problematic veins can occur at of Louisiana. His impressive outpatient clinic, La any age, and men can also suffer from poor vein Bella Vita Laser and Vein Center in Covington, health. Other factors that are known to conwas professionally designed to provide patients tribute to vein disease are heredity, a sedentary with the latest, comprehensive treatment for an lifestyle, obesity, and occupations that require array of vein related issues. long periods of standing. It’s also important to Educating the public is an integral aspect of note that some people have completely normal Dr. Juleff’s enthusiastic mission surrounding looking legs but can still have the symptoms and modern vein health. “Most people don’t think it this condition we call Venous Insufficiency. is a real medical problem. The symptoms develop Since symptoms of vein disorders vary from
Common symptoms associated with Venous Insufficiency include the following:
Continued
person to person, Dr. Juleff offers free ultrasonic vein screening at La Bella Vita Laser and Vein Center for patients to learn more about the condition of their veins. After their individual, informative assessment, many devise a personalized treatment plan with Dr. Juleff, then schedule appropriate procedures for optimal results. Most are happy to learn, modern medical vein treatments are frequently covered by many insurance companies including Medicare. Check with your insurance carrier for individual benefits. Recent laser advancements have fostered dramatic improvements in the treatment of venous insufficiency. Gone are the days of invasive vein stripping requiring hospitalization and significant downtime. These newer procedures, performed by Dr Juleff at La Bella Vita Laser and Vein Center, are less invasive, more convenient and have remarkable results. Endovenous Laser Ablation (EVLA) and Endovenous Radiofrequency Ablation (EVRA) have revolutionized the field of Phlebology in the treatment of varicose veins. These advanced, minimally invasive procedures are performed under local anesthesia and take less than one hour to complete. They require no incisions and leave no scarring. Most patients return to normal activities within one day and are surprised at how much better they feel. Some people assume their problems are the result of aging
Pg. Pg.18 18
and are amazed at the improvement. According to Dr. Juleff, “It can have such a tremendous impact on not only the way people feel but also their energy level and desire to be active.” Other patients may benefit from Microphlebectomy, a procedure designed to remove ropey, bulging varicose veins too large or tortuous for EVLA technology. These large veins are removed through micro-puncture incisions measuring no more than 1-2 millimeters in diameter, requiring no sutures. Both medical and cosmetic improvements after this procedure are oftentimes quite significant. Dr. Juleff is frequently asked about spider veins, which appear as small red or purple veins on the leg, neck, chest or face. When found on the legs, spider veins may be associated with Venous Insufficiency and screening is advised. Generally speaking, spider veins are primarily a cosmetic concern and can be treated by Sclerotherapy. This procedure involves injecting an FDA approved solution into the vein with a micro-needle. The veins will close and then disappear over the course of a few months. Facial veins can be treated with various types of lasers, therefore a personal consultation is required to select the best therapeutic approach. Although lifestyle changes such as dieting, exercise or smoking cessation are excellent ways to improve many heath issues, they do not resolve existing vein problems. Vein disease
does not improve with time; unfortunately, the opposite is true. Vein disorders are progressive and can cause chronic swelling and skin discoloration, or in more severe cases, develop into deep vein thrombosis or skin ulcerations. Tragically, if left untreated, these more serious conditions could eventually lead to loss of life or limb. Dr. Juleff and his friendly, skilled staff are available to answer questions about the newest procedures using advanced technology for vein disease. Their goal is to provide safe, state of the art, minimally invasive care while achieving exceptional results for satisfied clients. Dr. Randall Juleff, the only board certified Phlebologist on the Northshore, hopes patients will take their vein health seriously and place their confidence and trust in La Bella Vita Laser and Vein Center. His extensive expertise and commitment to excellence speak for themselves. La Bella Vita Laser and Vein Center is located at 1431 Ochsner Blvd. Suite B in Covington. For more information call 985-892-2950 or visit www.labellavitavein.com
F
inding a physician can be a daunting task. Putting your life in someone elses hands needs to be a well thought out and educated decision. This decision however should not wait until you develop a medical issue. Experts suggest that a person should find a physician and establish a relationship while they are in good health. If you think about it you wouldn’t buy a new vehicle or home with-
out checking it out first. However a good number of people rely simply on the word of mouth from friends or colleagues. There are many online resources that you can used to do some research on physicians in your area, Healthgrades.com, ratemds.com, betterdoctor.com, angieslist.com, healthfinder.gov to name a few. Google can be your friend. Most doctors and hospitals have at least some degree of online presence that can give you valuable insights.
Pg. 21
Samuel Alexander, MD Board Certified Obstetrics and Gynecology Dr Samuel Alexander has been providing top of the line women's healthcare for over 25 years. As a physician highly committed to health and fitness, Dr Alexander is an advocate and provider of Ideal Protein weight loss/ lifestyle program with offices in Slidell and Metairie. 985 Robert Blvd., Ste. 105 Slidell, LA 70458 (985) 781-7531
4720 S I-10 Service Rd. Suite 201 Metairie, LA 70001 (504)455-1107
Mohammad Almubaslat, MD Dr. Almubaslat completed his neurological surgery training at Charity Hospital and Tulane University School of Medicine. Dr Almubaslat is the founder of the Advanced Brain and Spine Institute, which adopts the mission of providing the highest level of neurosurgical and spine care in the Northshore and New Orleans area. Advanced Brain and Spine Institute
100 Mariners Blvd #1, Mandeville, LA 70448 (985) 400-3210
Website:
absi-institute.com
Courtney Beatrous-Cooke, Au.D., FAAA Dr. Beatrous-Cooke has vast knowledge of various technologies in the hearing aid industry, as well as experience in nursing homes. Her goal is for her patients to have a better quality of life through better hearing. info@associatedhearinginc.com 433 Metairie Rd, Ste 101 802 W 10th Ave, Ste 4 Associated Metairie, LA Covington, LA Hearing (504) 833-4327 (985) 249-5225 AssociatedHearingInc.com
Richard O. Bessent, MD Board Certified Ophthalmologist Dr. Bessent received his Doctor of Medicine degree from Vanderbilt University, and completed his residency in Ophthalmology at Tulane University. info@surgicaleyeassociates.net Surgical Eye Associates
Pg. 22
1120 N. Highway 190, Covington, LA 70433 (985) 893-5777
Website: surgicaleyeassociates.net
Anita L. Blanchard, OD Board Certified Ophthalmologist Dr. Blanchard received her Doctor of Optometry degree from Southern College in Memphis, and completed her residency in primary eye care with an emphasis in ocular disease management at Lake City VA Medical Center in Gainesville, FL. info@surgicaleyeassociates.net Website: 1120 N. Highway 190, Surgical Eye surgicaleyeassociates.net Covington, LA 70433 Associates (985) 893-5777
Daniel P. Bode, Au.D., FAAA For more than 30 years, Dr. Bode has been helping people hear better by accurately diagnosing hearing problems, creating custom- tailored hearing care plans, and fitting the most advanced hearing technology available. info@associatedhearinginc.com 433 Metairie Rd, Ste 101 802 W 10th Ave, Ste 4 Associated Metairie, LA Covington, LA Hearing (504) 833-4327 (985) 249-5225 AssociatedHearingInc.com
Michael D. Casey, MD AMG Specialty Hospital - Slidell Medical Director Michael D. Casey graduated from LSU New Orleans Medical School in 1983. He completed a Family Medicine REsidency at Earl K. Long Memorial Hospital in Baton Rouge in 1986 and has been in full time practice since then. Currently he practices a Northshore Family Medical Center with 3 other physicians and 4 mid-level providers. Northshore Family Medical Center
1150 Robert Boulevard Slidell, LA 70458 985-646-1122
Website:
northshorefamilynet.businesscatalyst.com
Timothy Devraj, MD Dr. Devraj is Board Certified in Orthopaedic Surgery specializing in General Orthopaedics and Sports Medicine. Louisiana Heart Hospital
70411 Highway 21 Covington, LA, 70433 985-400-5566
Website:
louisianaheart.com
Donald D. Dietze, Jr., MD The NORTH Institute is now part of the Louisiana Heart Medical Group. Dr. Deitze is Board Certified in Neurological Surgery specializing in Neuro-spinal conditions. He is a Member of the Ethics Committee for the American Association of Neurological Surgeons, and a member of the North American Spine Society. Louisiana Heart Medical Group
29301 Dixie Ranch Rd. Lacombe, LA, 70445
Website:
louisianaheart.com
985-871-4114
Pg. 25
TOp TEN Things you should look for in choosing a doctor by: Michelle Carollo Choosing the right doctor can be a challenge. For many we don’t seek a doctor until we need one or an emergency situation has warranted the need for one. If you are able to choose a physician start the process by asking for recommendations from coworkers, neighbors, and friends. However, ultimately you will have to decide which physician is best suited to your individual needs and situation.These concerns should reflect your own needs and priorities. The following questions can help you to define further what is most important for you.
O NE ) Will the physician help you make important decisions? Does the doctor recommend certain screening tests or immunizations that suit your needs at this time?
questions if you don’t understand something is important, it can greatly affect the treatment you receive if you don’t understand your plan of care. Always ask questions if you are unsure.
T WO ) Will you be treated with respect? Are they too busy? Does the he/she take time with you during your visit?
SIX )
T H RE E ) Listens to your opinions and concerns? FOU R ) Explains things in ways you can understand? No all understand the medical terminology that our physician speaks, can he/she explain your diagnosis, medications in a manner that you will understand once you have left the office setting? F I VE ) Encourages you to ask questions? Asking
Pg. 26
Does your physician have the knowledge? Does he/she treat many health problems? It is important to find a doctor with expertise that meets your health needs. Ask if they are certified through the American Board of Medical Specialties. This means a doctor has earned a medical degree from a qualified medical school, completed three to seven years of accredited residency training, is licensed by a state medical board, and has passed one or more exams administered by the certifying board.
S EVE N ) Where is the practice located? Will it be easy for you to get there? Is there ample parking?
E I GH T ) Does the office process insurance claims, or must you pay up-front for services and file the claims yourself? NI NE ) Who covers for the physician when she is away? Whom should you call if you have a problem after-hours? T EN ) What hospital does your doctor use? Your choice of doctor can determine which hospital you go to, if needed, so find out where the doctor has admitting privileges. Does your physician make rounds at the hospital or does he use an inhouse physician? You can use hospitalcompare.gov to see how that facility compares with other hospitals in your area.
Veronica Dugan, MD Board Certified in Internal Medicine, Gastroenterology and Hepatology Dr. Veronica Dugan received her undergraduate degree in biology with a minor in chemistry at Loyola University. She received her Doctor of Medicine degree from LSU Medical Sciences Center. Board Certified in Internal Medicine, Gastroenterology and Hepatology Gastroenterology Group, AMC
58515 Pearl Acres Road Slidell, LA 985.641.8982
Website:
gastrogroupamc.com
Avit "Frere" Gremillion, MD Board Certified Ophthalmologist Dr. Avit Gremillion specializes in the eye care of diabetes, macular degeneration, retinal detachments, and many other sight-threatening diseases and conditions. He is committed to providing care to his patients with compassion, expertise, and excellence. Diagnostic and surgical services are provided with the most advanced technology available. All surgery is performed in Slidell.
Vitreo Retinal Eye Center
67186 Industry Lane Suite A Covington, LA 70433 (985) 867-9100
Website:
doctorgremillio.com
Daniel Harlin, MD Dr. Harlin has received specialized training in neurologic, musculoskeletal, and whole body interventional procedures and advanced imaging utilizing Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). Touro Infirmary St Tammany Parish Hospital Cypress Point Hospital
PO Box 1089 Covington, LA 70434 (504)277-0191
Website: regionalradiologygroup.com
William V. Huval M.D.,FACS Dr. Huval graduated from LSU Medical School 1979/Boston University Residency Program and Harvard Fellowship. He is currently helping patients with varicose vein problems as well as discomfort from peripheral neuropathy. Venous Neuropathy Treatment Centers of Louisiana
Pg. 28
133 Cousin St Slidell, LA (985) 718-4732
3233 S Sherwood Forest Baton Rouge LA (225)636-5184
Truly unique, JoAnn’s Golden Girls is a Personal Care Home that provides the best geriatric care with over four generations of experience in caring for Alzheimer’s, Dementia and Palliative Care. Until now, this family owned and operated business has been known as, “The South’s Best Kept Secret!” Our mission is to celebrate every stage of life while implementing the highest quality of care through our daily activities of living in our ministry of serving others. At JoAnn’s Golden Girls, we believe in the Golden Rule, “Do unto others as you would want them to do unto you.” In our stateof-the-art home, we strive to ensure dignity, integrity and respect by maintaining a family-like atmosphere up to eight ladies without ever adding any tier pricing. Under the direction of physicians and highly qualified teams specializing in the geriatric division, we work together to develop the best offering all new residents plan of care using the most relevant and effective measures to ensure As a thank you for choosing us with your trust, we are ying Supplement that helps each resident is equipped with the highest quality of life they deserve. a free trial of the exclusive, patented EHT Age-Def visit our Facebook page at: ion informat more . For l decline protect against menta www.facebook.com/Joannsgoldengirls or call us today!
L. Phillips Jenkins, MD Board Certified in Internal Medicine, Gastroenterology and Hepatology Dr. L Phillips Jenkins received his undergraduate degree in biology with a minor in chemistry from the University of Mississippi. He received his Doctor of Medicine degree from the University of Mississippi Medical Center. Gastroenterology Group, AMC
58515 Pearl Acres Road Slidell, LA 985.641.8982
Website:
gastrogroupamc.com
Alaina W. Johnson, Au.D., FAAA Dr. Johnson is dedicated to helping her patients achieve the best hearing possible with the latest advances in diagnostics and technology. She has received specialized certification by the Tinnitus Practitioners Association to provide tinnitus management therapy. 433 Metairie Rd, Ste 101 802 W 10th Ave, Ste 4 Associated Metairie, LA Covington, LA Hearing (504) 833-4327 (985) 249-5225 AssociatedHearingInc.com
Randall S. Juleff, MD, FACS One of the most comprehensive vein centers in the state dedicated to providing modern vein care performed in a friendly and relaxed atmosphere. The practice resounds with the attitude that patient care comes first and patient satisfaction is a must. La Bella Vita Laser and Vein Center
1431 Ochsner Blvd, Suite B Covington, La 70433 985-892-2950
Website:
labellavitavein.com
John B. Logan, MD The NORTH Institute is now part of the Louisiana Heart Medical Group. Dr. Logan is a Board Certified Orthopaedic Surgeon specializing in Adult Spinal Surgery. Logan is a Diplomat of the American Association of Orthopaedic Surgeons and a member of the North American Spine Society. Louisiana Heart Medical Group
Pg. 30
29301 Dixie Ranch Rd. Lacombe, LA, 70445 985-871-4114
Website:
louisianaheart.com
Thomas Miller, MD. Psychiatrist / Addictionologist Dr. Miller has served at Pine Grove since 2001. Dr. Miller is a graduate of the University Of South Alabama College Of Medicine. He completed his residency in Adult Psychiatry at Brown University and completed a fellowship in Child and Adolescent Psychiatry at the University of Alabama at Birmingham. Dr. Miller is board certified in Adult, Child, and Adolescent Psychiatry, and Addiction Medicine. Pine Grove Behavioral Health & Addiction Services
2255 Broadway Drive Hattiesburg, MS. 39402 601.288.4740
Website: pinegrovetreatment.com
Matti W. Palo, Jr. MD Dr. Palo is Board Certified in Orthopaedic Surgery specializing in General Orthopaedics and Sports Medicine. He is a member of the American Academy of Orthopaedic Surgeons and holds the Oxford Uni-compartmental Masters Certification. Dr. Palo also has multiple patents pending for orthopedic devices. Louisiana Heart Medical Group
29301 Dixie Ranch Rd. Lacombe, LA, 70445
Website:
louisianaheart.com
985-871-4114
Marc Pittman, M.D. Medical Director THE LOUISIANA MEN’S CLINIC, INC. Fellow of the American Academy of Emergency Medicine, Fellow of the American Academy of Family Physicians, Founder and first Executive Director of the American Academy of Emergency Medicine, on Medical Staff at St. Tammany Parish Hospital from 1980 – current, on Medical Staff at Lakeview Regional Medical Center from 1995 - current, served on the Board of Governors for Louisiana State Medical Society 1998 - 2002, served as President of St. Tammany Parish Medical Society 1999, served as Delegate for LSMS House of Delegates from 1990 – current. THE LOUISIANA MEN’S CLINIC
2659 North Causeway Boulevard Mandeville, LA 70471 985-898-0008
Website: LouisianaMensClinic.com
Ellen Schneider, MD Board Certified Ophthalmologist Dr Schneider has improved the vision of thousands of people earning the reputation as a superbly skilled cataract surgeon. As an eye physician and surgeon with over 25 years of experience, Dr Schneider is committed to providing the most advanced technology in eye care. 985 Robert Blvd • Suite 105 Slidell, LA,70458 (985) 781-7531
4720 S.I-10 Service Road • Suite 406 Metairie, LA 70001 (504) 304-5475
Website: ellenschneidermd.com
Diane Walker, MD. Psychiatrist / Addictionologist Dr. Walker has been with Pine Grove since 1991. Dr. Walker is a graduate of the University of Kentucky College of Medicine and completed a Psychiatry residency at the University of Kentucky Medical Center in 1991. Dr. Walker is board certified in Adult, Child and Adolescent Psychiatry and Addiction Medicine. Pine Grove Behavioral Health & Addiction Services
2255 Broadway Drive Hattiesburg, MS. 39402 601.288.4740
Website: pinegrovetreatment.com
Pg. 33
MEDTERMS Breaking down Medical Termanology by: Michelle Carollo
I
s it Greek, Latin, what is my doctor saying…… Wondering why you can't read what the doctor wrote on your prescription? Often times we visit the doctor or hospital and hear a different language being spoken. Medical terminology is becoming more prevalent in today’s culture from hearing it on television commercials or seeing ads with this sort of terminology. Have you ever wondered what does that stand for? Doctors commonly use a variety of abbreviations in order to rapidly and succinctly record information about, and give instructions to, their patients. Below is a listing of many common terms and abbreviations defined so that you can decipher those charts!
Pg. 34
BPCBCCHFCCSOBDCCADDVTADLFXPVDH&PDMHAHTNIMPCVAKTIALLQCOPDLUQRLSNPOMIPONADODDTROSJVDOUPSAPRNUAQDPFTR/OICUURIB.I.DVSS-
Blood Pressure Complete Blood Count Congestive Heart Failure Chief Complaint Shortness of Breath Discharge or Discontinue Coronary Artery Disease Deep Vein Thrombosis (Blood Clot) Activities of Daily Living Fracture Peripheral Vascular Disease History and Physical Diabetes Mellitus Headache Hypertension Impression Cerebral Vascular Accident (Stroke) Potassium Transient Ischemic Attack (mini-stroke) Left Lower Quadrant Chronic Obstructive Pulmonary Disease Left Upper Quadrant Restless Leg Syndrome Nothing by Mouth Myocardial Infarction (Heart Attack) By Mouth No acute distress Right Eye Deep Tendon Reflexes Left Eye Jugular Vein Distention Both Eyes Prostate Specific Antigen As Needed Urinalysis Daily Pulmonary function test Rule Out Intensive Care Unit Upper Respiratory Infection Twice Daily Vital Signs Stable
and get the results you need!
Mary West
Account Executive (504) 610-1051 MaryWest2@aol.com
Shear Horse Power! by Joe Dubuisson Awhile back, I was at my sister Ruth’s house out on Bayou Liberty Road. She said that she would be cleaning out Daddy’s old shed in the back and wanted to know what I intended to do with the old outboard motor that was in the shed. The old motor, I remembered, had been exiled to the dark recesses of Daddy’s shed many years ago along with my good intentions of one day working on it and getting it back into shape. The first time I remember seeing the old motor was over 50 years ago when I spied it sitting abandoned in a back corner of my cousin Walter Pichon’s shed. “Wow,” I said, “What’s that?” Walter replied that was his and his brother’s old outboard that had long since been retired. They had used it faithfully to take them out in the bayou and lake to go fishing, hunting and trapping. And it certainly had the look of having been well-used! The transom mounting bracket was broken, but was still able to hold the motor on the transom. A short piece of galvanized pipe served as the steering handle, which had long since been broken and lost, and the gas tank had evidence of many dings and repairs. Walter said that the motor was still running the last time it had been used, and from the looks of things, that had been quite awhile. He said the only problem with the motor is that the carburetor float was made of cork and that, after being used for a time, it would soak up gas. To solve the problem, they would take the float out of the carburetor and would let the soaked-up gas dry out, then put it in a warm oven to finish the drying process (sounds like playing with matches in a fireworks factory!).
Pg. 36
After the float dried out, they’d put the float back into the motor, and it was good for a few more trips on the bayou. Walter said if I wanted the motor, I could have it. What? Asking a kid if he wanted his very own outboard motor? Gee whiz! My very own outboard motor! Even with the old motor being an antique, it was kind of like asking Mike Tyson if he would like to be in another fight. Besides, didn’t he know that any kid will bring home all sorts of things, but especially if it was his very own outboard motor — what a treasure! It was like dying and going to fishing heaven! Knowing that Mama wouldn’t let me go blowing up her kitchen (and maybe the house) by trying to dry the gas out of the old carburetor float, I proceeded to try to fix the float. Since no replacement parts were available for the ancient motor (and no money to buy them if they were!) I snagged one of my Daddy’s old thermos bottle stoppers to assist in the repair effort. Back then, thermos bottles used a tapered cork for a stopper, and after removing it from the thermos top, I worked diligently to file and sand the cork down into a cylinder that would replace the old carburetor float in the outboard. I spent many hours in the shed working on that cork, shaping it down to the perfect cylinder for the float replacement. It was a lot of work, but it was a labor of love. After shaping it down, I coated it with shellac and replaced it in the engine. With two new spark plugs, gas in the tank, a couple of attempts on the pull rope, and some minor adjustments to the fuel settings, the old motor popped a couple of times, and — much to my elation
— that old-timer started up. I had my very own running out- was trying to avoid the two spark plugs that stuck up on top of board motor! the cylinders on each side. One thing I could say for sure was That opened up whole new areas that the spark system was really hot. of exploration and adventure on the Touching one of those plugs would bayou for me. Mounted on the stern “ I was trying to steer that old really rattle the old eyeteeth. of an old homemade boat, my runEventually I made it back withmotor by holding the back of it ning buddies and I could now cruise out any major mishaps or collisions, with both hands while looking over and into Daddy’s old shed went the in style. Of course, I use the word “style” my shoulder to see where the boat outboard motor with plans for getvery liberally. After all, a homemade back to it and making a new was heading, or what new collision ting boat and an antique motor aren’t steering handle for it. That was back course I was on, whichever way in the late fifties. highly regarded for style — or reliability either. One day, after a few Now, years later, standing outyou want to look at it. “ good years of steady use, the old side my Daddy’s old shed, I looked outboard and I had made a trip aldown at that dusty, cobwebbed most out to the lake. I went to make a turn, and nothing hap- motor and thought of all the pleasure and freedom it had given pened, so I pushed a little more on the old pipe handle, and off me. That motor had served me well; it deserved to be cleaned it broke. and tinkered with by appreciative hands, and that’s just what I Talk about quite a time getting back that afternoon! I was did. The handle has finally been fixed — it only took some trying to steer that old motor by holding the back of it with both forty-plus years to do it — and I replaced those long-cold spark hands while looking over my shoulder to see where the boat plugs and some missing screws. was heading, or what new collision course I was on, whichever Fond memories of my younger days kept me company while way you want to look at it. I was making the old outboard respectable again. Sometimes, Holding on to steer was just half the problem, the other half it serves us well to age a project!
Senior Sampler Quick and Easy Chinese Chicken Salad 6 cups finely shredded cabbage *Hint – Purchased pre-packaged coleslaw mix* 2 cups cubed cooked chicken 1 large avocado, cubed Click to see savings 4 green onions sliced diagonally 2 tablespoons toasted sesame seeds
INGREDIENTS 1/2 pound asparagus, trimmed and cut diagonally into 1-inch pieces 11 Ounce can of Mandarin Oranges Drained Click to see savings 1 1/2 cups vegetable oil Click to see savings Crispy Chow Mein or Wonton Noodles
DRESSING INGREDIENTS 2 Tbsp rice wine vinegar 2 Tbsp brown sugar 1 ½ Tbsp of Low Sodium Soy Sauce 1 Tbsp Sriracha sauce (Optional for added Heat) 1 ½ Tbsp fresh ginger grated DIRECTIONS 1. Quick boil the cut asparagus in about 1
quart of boiling water. About 2 to 3 minutes. Drain, then plunge asparagus into ice water to stop the cooking. Drain and set aside. 2. Prepare the Soy-Ginger Dressing: In a medium bowl, whisk together 2 tablespoons rice wine vinegar, 2 tablespoons brown sugar, 1 1/2 tablespoons soy sauce, (Optional: 1 tablespoon Sriracha), and 1 1/2 teaspoons grated fresh ginger. Slowly drizzle in 1/4 cup vegetable oil, whisking constantly. Season with salt to taste. 3. In a large serving bowl, toss the cabbage, chicken, and asparagus with the dressing. Top with avocado, orange slices, and wonton strips, then garnish with green onions and sesame seeds.
Southern Corn, Crab and Creole Tomato Salad
INGREDIENTS 1 tablespoon grated lemon zest 5 tablespoons fresh lemon juice 1 tablespoon extra-virgin olive oil 1 teaspoon honey 1/2 teaspoon Dijon mustard Click to see savings 1/4 teaspoon salt
Pg. 38
1/8 teaspoon freshly ground black pepper 1 cup fresh corn kernels 1/4 cup thinly sliced basil leaves 1/4 cup chopped red bell pepper 2 tablespoons finely chopped red onion 1 pound lump crabmeat, shell pieces removed 8 (1/4-inch-thick) round slices ripe creole tomato 2 cups cherry tomatoes, halved DIRECTIONS Combine lemon zest, 3 tablespoons lemon juice, 1 tablespoon extra-virgin olive oil,1 teaspoon honey 1/2 teaspoon Dijon mustard Click to see savings
1/4 teaspoon salt 1/8 teaspoon freshly ground black pepper in a large bowl, stirring well with a whisk. Set aside 1 1/2 tablespoons juice mixture. Add remaining 2 tablespoons lemon juice, corn, ¼ cup basil leaves, 1/4 cup red bell pepper 2 tablespoons red onion, 1 pound lump crabmeat, to remaining juice mixture; toss gently to coat. Arrange 2 round tomato slices and 1/2 cup cherry tomatoes on each of 4 plates. Drizzle about 1 teaspoon reserved juice mixture over each serving. Top each serving with 1 cup corn and crab mixture.