October 2015
October Breast Info! for Breast Cancer Awareness Month
Five Steps That Can Save Your Life! The Right Vaccines For Your Lifestyle Overweight & Cancer
TOP
DOCTORS SPECIAL SECTION Cover Feature:
Knowledge
,
Compassion,
Accessibility Dr. Ricardo Febry and Hospice Associates
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October 2015 • Volume 2/Issue 10
The Story of Two Seeds Two seeds lay side by side in the fertile soil. The first seed said, “I want to grow! I want to send my roots deep into the soil beneath me, and thrust my sprouts through the earth’s crust above me... I want to unfurl my tender buds like banners to announce the arrival of spring... I want to feel the warmth of the sun on my face and the blessing of the morning dew on my petals!” And so she grew. The second seed said, “Hmmmm. If I send my roots into the ground below, I don’t know what I will encounter in the dark. If I push my way through the hard soil above me I may damage my delicate sprouts. What if I let my buds open and a snail tries to eat them? And if I were to open my blossoms, a small child may pull me from the ground. No, it is much
better for me to wait until it is safe.” And so she waited... Then, a yard hen scratching around that early spring morning found the waiting seed and promptly ate it.
Seize the day!!! Never be afraid to try something new. Remember, amateurs built the ark, proffessionals built the Titanic.
Cover: Dr. Ricardo Febry Read more on page 16, “Knowledge, Compassion, Accessibility”, by Mary Bounds, BSN, RN. Photo by Bach Imagery
Table of Contents Notes & News /Page 6 Money Matters /Page 7 by Mike Rich Walgreens: What Vaccines Do I Need? /Page 10 by, Bill Clouded, PharmD Focus on Women’s Health (SMH announcement) /Page 14 by Wendy Barber Spiritual Maturity /Page 15 by Dr. Larry T. McEwan Special Section: Top Doctors /Page 20 by Michelle Carollo 5 Ways to Save Your Life /Page 22 by Michelle Carollo
For Senior Living Magazine Advertising Information Please contact: Mary West at (504) 610-1051 or email to MaryWest2@aol.com
Your Aging Voice /Page 24 by Allison Bounds Senior Sampler /Page 31 by Michelle Carollo
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Meet the Staff of Senior Living Publishers Michelle Carollo & Kelly Walgamotte (985) 445-3644 (985) 778-6171 Editor Lana Walgamotte
Designer Dan Sause
Account Executive Mary West
Photographer Bach Imagery
Contributing Writers Wendy Barber, Allison Bounds, Mary Bounds, Bill Clouded, Dr. Larry T. McEvan, Mike Rich
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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.
Letters to the Editor are Welcome – send signed letters to: Senior Living Magazine 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
Southside Café
October Specials
Pontchartrain Drive / Slidell, Louisiana / 643-6133 in / www.southsidecafe.net • Dine October3154Lunch Specials or Carry Out! All items, prices & times subject to change without notice.
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY BBQ Pork Ribs, 1 Baked Beans, Corn on the Cob & Jalapeno Corn Bread $10.99 Soup: Chicken Tortilla STEAK NIGHT 5:00 - 10:00 PM
4 SAINTS vs Cowboys - 7:30 Sunday Hours 11:00 - 9:00 Brunch All Day
SAINTS @ Eagles 12 Noon
11
Sunday Hours 11:00 - 9:00 Brunch All Day
18 Sunday Hours 11:00 - 9:00 Brunch All Day
SAINTS @ Colts 12 Noon
25
Sunday Hours 11:00 - 9:00 Brunch All Day
5
6
Red Beans & Rice, Smoked Sausage & Beet Salad $8.99 Soup: Veggie Beef
Meatballs & Spaghetti Garlic Bread & Salad $9.99 Soup: Baked Potato
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Red Beans & Rice, Smoked Sausage & Beet Salad $8.99 Soup: Veggie Beef
Meatballs & Spaghetti Garlic Bread & Salad $9.99 Soup: Baked Potato
Smoked Ham Steaks / White Beans $9.99
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Soup: Stuffed Bell Pepper Who's Your Patty?
Corned Beef 14 & Cabbage $9.99 Soup: Smoked Turkey & Cheddar Who's Your Patty?
19 Red Beans & Rice, Smoked Sausage & Beet Salad $8.99 Soup: Veggie Beef
20 Meatballs & Spaghetti Garlic Bread & Salad $9.99 Soup: Baked Potato
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Red Beans & Rice, Smoked Sausage & Beet Salad $8.99 Soup: Veggie Beef
Meatballs & Spaghetti Garlic Bread & Salad $9.99 Soup: Baked Potato
Chicken & Dumplings $9.99 Soup: Black Bean
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Who's Your Patty?
Paneed 28 Pork Loin w/ Baked Macaroni $10.99 Soup: Artichoke & Mushroom Who's Your Patty?
Paneed Veal 8 Baked Macaroni & Green Beans $10.99 Soup: Chicken Tortilla STEAK NIGHT 5:00 - 10:00 PM
Center Cut Bone-In Pork 15 Chop w/Twice Baked Potato Casserole $10.99 Soup: Chicken Tortilla SAINTS vs. Falcons - 7:25 STEAK NIGHT 5:00 - 10:00 PM
Salisbury 22 Steak Garlic Mashed Potatoes, Green Peas $10.99 Soup: Chicken Tortilla STEAK NIGHT 5:00 - 10:00 PM
Chicken 29 Delacroix w/Fettuccine Alfredo $10.99 Soup: Chicken Tortilla STEAK NIGHT 5:00 - 10:00 PM
FRIDAY
SATURDAY
2
Shrimp & Eggplant Casserole w/Fried Catfish $13.99 Soup: Crab & Asparagus
3 LSU vs E. M ichigan 6:00 PM STEAK NIGHT 5:00 - 10:00 PM
9 Shrimp Creole $13.99 Soup: Oyster & Artichoke
10 LSU @ South Carolina STEAK NIGHT 5:00 - 10:00 PM
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Crawfish Ettouffe $13.99 Soup: Shrimp & Artichoke
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Shrimp & Crabmeat Parmesan $13.99 Soup: Crawfish & Corn
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Fried Catfish & Jambalaya $13.99 Soup: Shrimp & Corn
17 LSU vs Flor ida STEAK NIGHT 5:00 - 10:00 PM
24 LSU vs W. Kentucky STEAK NIGHT 5:00 - 10:00 PM
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STEAK NIGHT 5:00 - 10:00 PM
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Notes & News October 2015
Signs of Breast Cancer Breast cancer typically produces no symptoms when the tumor is small and most easily cured. Therefore, it is very important for women to follow recommended screening guidelines for detecting breast cancer at an early stage. When breast cancer has
grown to a size that can be felt, the most common physical sign is a painless lump. Sometimes breast cancer can spread to underarm lymph nodes and cause a lump or swelling, even before the original breast tumor is large enough to be felt. Less common signs and symptoms include breast pain or heaviness; persistent changes to the breast, such as swelling, thickening, or redness of the breast’s skin; and nipple abnormalities such as spontaneous discharge (especially if bloody), erosion, inversion, or tenderness. It is important to note that pain (or lack thereof) does not indicate the presence or the absence of breast cancer. Any persistent abnormality in the breast should be evaluated by a physician as soon as possible.
Fight Breast Cancer with Exercise More than two dozen studies have shown that women who exercise have a 30 percent to 40 percent lower risk of breast cancer than their sedentary peers. The female hormone estrogen seems to play a key role. Women with high estrogen levels in their blood have increased risk for breast cancer. Since exercise lowers blood estrogen, it helps lower a woman’s breast-cancer risk. Exercise also reduces other cancer-growth factors such as insulin. Even older women need to be concerned about estrogen, because after menopause the hormone is produced by fat cells. Women who exercise have less fat and therefore produce less estrogen. With more than 150,000 new
breast-cancer cases reported in the United States each year, preventing cancer through exercise is one of the best ways a woman can take charge of her health.
by Mike Rich
Securities and Advisory Services offered through LPL Financial, a Registered Investment Advisor, Member FINRA/SIP
CFP® LPL Financial Advisor
Mike Rich, CFP® LPL Financial Advisor Pontchartrain Investment Management 2242 Carey Street, Slidell, LA 70458 985-605-5064
Fighting Financial Mediocrity When it comes to their financial lives, a lot of people live by default, rather than by design, just letting circumstances dictate how things affect them. Whereas this “muddling through”, as I call it, can sometimes work, it rarely works well, especially when it comes to money. Muddling leads to mediocrity, and financial mediocrity leads to financial distress. Steve and I are determined to fight it. Here are two things you can do right now: 1. GET ORGANIZED If you are like a lot of
people, you already have a bunch of financial advisors. Don’t think so? Let’s count ‘em. If you have homeowner’s insurance, your agent is one of your advisors. Do you have a mortgage on your house? Well, the person who helped you get it is your advisor. Does a CPA do your taxes, or has an attorney written a will for you? Chalk up two more. In fact, most people have four or five financial advisors, and that doesn’t
even count the person who might be helping with investments and retirement planning. The problem is that your many advisors are not likely to know what the others are up to, so it’s rare that any coordination takes place. Ask yourself this: “When was the last time my advisors came together in a room and helped me plan my year to make my family’s financial life as good as it can be?” If you don’t like the answer, it’s time to get organized, and we can help. Our job is to help our clients sort through everything to make sure the moving parts of your financial life are moving in the right direction. 2. ACCEPT THAT THE TRUE COST OF LIVING IS BIGGER THAN WHAT ANYONE THINKS
Here’s something you probably know from experience: many of the things you buy today cost more than they did last year. Inflation is invisible and insidious and it’s not likely to go away. And, what about new technology and lifestyle upgrades? They contribute to what we call the “true cost of living.” I remember when my wife and I purchased our first microwave oven. It cost about as much as our house note
Cruciferous Vegetables fight off Cancer Stem Cells Scientists have known for some time that cruciferous vegetables have numerous health benefits — from antioxidant to anti-inflammatory and perhaps most importantly anti-cancer properties. But a new study has found that a certain compound and enzyme found naturally in cruciferous veggies may actually prevent the relapse of certain cancers by killing cancer stem cells. The study, which was carried out by Moul Dey, associate professor at the South Dakota
State University Department of Health and Nutritional Sciences, focused primarily on phenethyl isothiocyanate (PEITC) and its precursors in cruciferous vegetables. Dey and her research team found that the precursor compound and enzyme combine while a person chews these vegetables, which then turns into PEITC in the body. Some of the leafy cruciferous vegetables that contain this compound are broccoli, cabbage, cauliflower, and Brussels sprouts.
and took up half our kitchen counter. When I saw Mary boil a cup of water in it for tea, I wondered what I had been thinking when we bought that monster. Well, I found out ten years later, when we were in a panic one Thanksgiving day when our newest microwave broke. Thanksgiving in an American kitchen without a microwave? Unthinkable! So, guess what? That luxury is now a necessity and it, along with all the other things we can’t seem to live without, have forever increased our cost of living. Think cell phones and high-speed Internet, to name two. Does that sound like your house? It’s the true cost of living, folks, and it’s growing as the “must haves” enter our lives. And I haven’t mentioned health care and long term care costs. Here’s a sad fact: fully 57% of workers who responded to the Employee Benefits Research Institute’s 2015 Retirement Confidence Survey1 reported that they have less than $25,000 in savings and investments. It’s pretty clear that financial mediocrity is an epidemic in our country. However, it doesn’t have to affect you. Call us, and we’ll help you live your financial life by design, not by default.
The Power of Meditation Meditation is a way to achieve physical, emotional and mental balance. Stress comes in many forms, and nobody is immune to its effects. For this reason, learning how to quiet your mind and just “be” – even for a few minutes each day – can have a positive impact on your overall health and outlook on life. For people with cancer, meditation can help alleviate some of the anxiety they may be feeling about diagnosis and treatment. Practicing meditation can also help patients prepare for surgical procedures as well by reducing anxiety and stress responses in the body.
Meditation is not only beneficial for cancer patients, but can also improve the well-being of caregivers. “Meditation can help caregivers by reducing their stress reactivity and providing them with a tool to help practice self-care techniques for stress reduction and general well-being.
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Notes & News October 2015
Being Overweight & Cancer How your weight changes throughout your life may also affect your risk for cancer. Although more research is needed, studies have shown that the following factors can affect your risk of cancer:
Several studies have explored why being overweight or obese may increase cancer risk and growth. People who are obese have more fat tissue that can produce hormones, such as insulin or estrogen, which may cause cancer cells to grow.
• High birth weight is associated with higher cancer risk. • Weight gain during adulthood is consistently associated with an increased risk for several types of cancer. • Weight cycling (losing and regaining weight repeatedly) may also be a risk factor. Research suggests that maintaining a healthy weight is associated with a lower risk of cancer and a lower risk of cancer recurrence (when cancer comes back after treatment) in cancer survivors.
A Glass a Day Can Significantly Increase Women’s Cancer Risk For a while now, researchers have boasted the health benefits of red wine, including a lower risk of heart disease and degenerative diseases like Alzheimer’s. In which case, drinking a glass of wine a day seems harmless, even beneficial. But a team of researchers from Harvard TH Chan School of Public Health and Brigham and Women’s Hospital in Boston have busted our wine-infused bubble, finding
that just that one glass can increase the risk of breast cancer. According to the study, alcohol consumption has already been linked to a variety of cancers, including colorectal, liver, and esophageal cancer. But for the most part, that risk was applied more so to heavy drinkers. Now, researchers have expanded the breadth of their analysis to include light to moderate drinkers, examining imbibers all across the nation in what they believe to be the largest study to date.
Breast Cancer Facts IN THE UNITED STATES, IT IS ESTIMATED THAT OVER
220,000
MORE THAN
Breast cancer is the most commonly diagnosed cancer in women.
WOMEN WILL BE DIAGNOSED WITH BREAST CANCER THIS YEAR
40,000 WILL DIE
#1 HEART DISEASE Breast cancer is the second leading cause of #2 BREAST CANCER death among women.
ALTHOUGH BREAST CANCER IN MEN IS RARE, AN ESTIMATED
2,150
APPROXIMATELY
MEN WILL BE DIAGNOSED WITH BREAST CANCER
410 WILL DIE EACH YEAR.
1 in 8 women
WILL BE DIAGNOSED WITH BREAST CANCER IN THEIR LIFETIME
associated with the rash lessens as it heals. Other symptoms of shingles can include fever, headache, chills and upset stomach. In some people, severe complications include pneumonia, blindness, hearing problems, brain inflammation, and even death. TD (TETANUS, DIPHTHERIA)
All adults aged 19 and older should get a booster dose of Td every 10 years TDAP (WHOOPING COUGH)
New Grandchild? All adults who expect to have close contact with an infant younger |than 12 months of age. TRAVELING ABROAD?
What Vaccines Do I Need? by: Bill Clouded, PharmD
Adults over 65 can take charge of their health by receiving vaccines for preventable diseases. Medicare Part B and D plans are widely accepted. Immunizations-trained healthcare professionals can administer a wide range of CDC-recommended immunizations and vaccines for adolescents, adults and seniors.* The following vaccines should be considered for seniors: FLU (INFLUENZA) - SEASONAL
Most Insurance Plans cover the annual Flu Shot with no copay. Seniors and people with certain health conditions are at high risk for serious flu compications. HEPATITIS A AND HEPATITIS B
(Hep A and Hep B)- The vaccine, given in two doses six months apart, is injected into the arm or thigh muscle. Both shots are needed for long-term protection. Along with other qualifiers, if you are traveling out of the country you’ll want to check the CDC website to see if your destination requires this vaccine. MMR (MEASLES, MUMPS AND RUBELLA)
Adults who have not been vaccinated nor had the diseases, or don’t know if they’ve been vaccinated or had the diseases and were born after 1957 should get at least one dose.
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PNEUMONIA (PNEUMOCOCCAL)
If the patient is 65 years and older who has never received either pneumonia vaccine, PCV13 vaccine should be given then 6-12 months later PPSV23 vaccine should be given. SHINGLES (HERPES ZOSTER)
Shingles is a painful skin rash caused by the same virus that causes chickenpox. Once you’ve had chickenpox, the virus remains in your body in a dormant or inactive stage. If the virus becomes active again you may get shingles. Age, increased stress, and problems with the immune system may increase your chances of getting shingles. The shingles rash usually occurs on one side of the body, in a line along a nerve pathway. The rash begins as a tingling in the area then forms a cluster of small red spots that often blister. The rash can be painful. Shingles rashes can last 2-4 weeks, but in some people the nerve pain can last for months. For most people, the pain
Our pharmacists can provide a comprehensive travel health consultation to help you stay healthy on your next trip abroad. Find out if you need vaccines for Yellow Fever, Meningitis (Meningococcal), Japanese Encephalitis, Typhoid, Rabies and Polio. PREPARE FOR YOUR IMMUNIZATION
Wear loose-fitting clothing. Bring your insurance information and photo ID. If you schedule an immunization, check in 10 minutes before your appointment. Appointments are held for 20 minutes. If you check in more than 20 minutes after your appointment time, you will be seen in the order of arrival. At Walgreens you can get recommended immunizations based on your history and the latest age-recommended guidelines from the CDC. You can view and edit your vaccine history and immunizations received at Walgreens Pharmacy are automatically added to your record. * Vaccines subject to availability. Not all vaccines available in all locations. State, age, and health condition-related restrictions may apply.
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Focus on Women’s Health October 2015
Ladies, Listen Up!
by Wendy Barber
Every October, you get reminded to focus on your health. Breast cancer is the second-leading cause of death for women. During October, pink ribbons are ubiquitous, serving as great reminders to get your mammograms and take care of other health-related tasks you’ve been putting off. But this October, we also want to highlight the leading cause of death— heart disease—and remind women that heart health needs to be a priority, too. . To begin the month, Slidell Memorial Hospital will have some fun activities to encourage breast cancer awareness: IMAGING CENTER CUPCAKES FOR A CAUSE
Wednesday, October 7, 9 a.m. – 12 noon SMH Imaging Center, 1495 Gause Blvd. Anyone can stop by to receive goody bags, breast health information, cupcakes and refreshments. “PINKING OF THE FOUNTAIN” CEREMONY
Thursday, October 8, 9 – 10:30 a.m. SMH Regional Cancer Center fountain, 1120 Robert Blvd. Breast cancer patients and survivors will throw pink dye into the fountain as a symbolic gesture to promote breast cancer awareness. The Slidell High School Marching Band will lead a second line celebration, and cupcakes and refreshments will be available. In addition, the SMH Imaging Center offers a special rate of $50 each for screening mammograms and for DEXA bone density scans. (For more information on this special rate, please call (985) 280-5200.)
SMH WOMEN’S HEALTH ALLIANCE FALL SEMINAR
Tuesday, October 27, 10 a.m. – 1 p.m. The Northshore Harbor Center, 100 Harbor Center Blvd.
To round out women’s health awareness month, the Slidell Memorial Hospital Women’s Health Alliance will focus on helping women become more aware of heart health at its annual Fall Seminar. Each year, about 400 women attend the event, which features health screenings, lunch, a presentation and a fashion show. Make it a point to be aware of your health risks. This October, take the time to focus on yourself, and bring women’s health awareness to the attention of the women around you.
FOR MORE INFORMATION ON ANY OF THESE UPCOMING EVENTS, PLEASE VISIT THE SMH WEBSITE:
SlidellMemorial.org
Know the signs of a heart attack The Slidell Memorial Hospital Women’s Health Alliance is dedicated to educating the community on issues related to women’s health. As a part of its service, the organization wants to help women understand that the signs of a heart attack vary from men to women. Most women are not aware of these signs, which include: • Uncomfortable pressure, squeezing, fullness or pain the center of the chest that lasts more than a few minutes, or goes away and comes back. • Pain or discomfort in one or both arms, the back, neck, jaw or stomach. • Shortness of breath with or without chest discomfort. • Breaking out in a cold sweat, nausea or lightheadedness. Whether it’s learning the signs of a heart attack or getting your screening mammogram, make it a point to be aware of your health risks. This October, take the time to focus on yourself, and bring women’s health awareness to the attention of the women around you.
Wendy Barber is a Financial Resource Coordinator (FRC) at Slidell Memorial Hospital Regional Cancer Center
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Spiritual Spiritual Maturity M aturity by Dr. Larry T. McEwen
By: Dr. Larry T. McEwen
You might be tempted to think, as a person grows older, their patience grows shorter. After all, as a person matures they surely become more aware of the passage of time and how quickly it slips away. However, the opposite is actually true of a spiritually maturing person. Why is this? Life experience has taught this individual the importance and beauty of patience. They understand patience really is a virtue and when a person is patient to wait for just the right time for things they actually save time. How many times have you foolishly rushed something along only to discover mistakes were made? Someone once gave me this little jewel: “If you don’t take the time As we mature in life, most of us have a strong desire to remain to do it right you’ll have to find the time to do it over!” Oh independent as long as humanly possible! This desire motivates how true! How many times have you rushed into something our plansthinking for the retirement years as had we think without it through and you to liveabout with financial the con- independence, housing independence, and health independence! sequences? As I mature physically and spiritually I’m learning There is nothing wrongupon withthe pursuing these goals the beauty of waiting Lord. Taking the with time atopassion! However, when comes spiritual maturity, opposite is true. listen to God in itorder to to discover His wisdom,the His direction and His just in makes such sense! God’sthe Word this to The moretiming we grow our walk with God, moreputs we itcome way in our the King Jamesdependence version…Isa 40:31 they that realize increasing upon HimBut in every areawait of our upon Why? the LORD shallarenew their strength; they shall mount lives. Because mature person has experienced times in up with wings as eagles; they shall run, and not be weary; and their life when they chose to live independently of God’s directhey shall walk, and not faint. One more thing: Learning to tion, guidance, wisdom and strength. In retrospect, those times have patience also helps us in our relationships with others. were some of the darkest and most difficult of their lives. A spiritually maturing person is very willing to lay down their human pride and admit they need God’s presence, power, and protection every single day. Spiritual maturity recognizes this fact: dependence upon God is the key to living with meaning and purpose. The Psalmist stated this concept beautifully in Psalm 62:5-8…
God’s Word puts it this way…
Col 3:12 Therefore, as God’s chosen people, holy and Psa 62:5loved, Find rest, O my soul, in Godwith alone; my hope comes from dearly clothe yourselves compassion, him. kindness, humility, gentleness and patience. Psa 62:6 He alone is my rock and my salvation; he is my fortress, Col 3:13 Bear with each other and forgive whatever I will not be shaken. grievances you may have against one another. Forgive as the Psa 62:7Lord My forgave salvationyou. and my honor depend on God ; he is my mighty rock, my refuge. Col 3:14 And over all these virtues put on love, which Psa 62:8 Trustall intogether him at allin times, O people; pour out your hearts binds them perfect unity. to him, for God is our refuge. Selah
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.
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Knowledge
,
Compassion,
Accessibility by Mary Bounds, BSN, RN
w
When a cure is no longer possible Dr. Ricardo Febry and his team at Hospice Associates are prepared to provide physical, emotional and spiritual support while they walk beside you every step of the way. Equipped with knowledge, compassion and access to services tailored to fit the patient’s needs, Hospice Associates is clearly making its mark in the arena of hospice and palliative care. As the founder and Medical Director of Hospice Associates located in Metairie, Dr. Ricardo Febry is deeply committed to providing end-of-life care that compassionately controls patients’ symptoms, while maintaining their comfort and preserving dignity in the midst of those they love. Since the inception of Hospice Associates in 2004, Dr. Ricardo Febry has never wavered in his passion. After a decade of dedicated service as Medical Director, Dr. Febry remains intimately involved in all hospice related care and maintains an active role in their multi-disciplinary approach. Dr. Febry brings more than 15 years of direct hospice experience to the organization, as well as his 25 years in Internal Medicine providing ambulatory, emergency, inpatient, critical care, long-term care and end-of-life care services. In addition to his duties as Medical Director, Dr. Febry also finds time to lead Hospice Associates’ telemedicine program, facilitating prompt video access by home bound patients to members of the hospice medical team by use of secure HIPPA compliant technology. When asked what sets Hospice Associates apart from other providers, Dr. Febry replies without hesitation. “Knowledge, Compassion and Accessibility.” Febry takes pride in the wealth of knowledge and level of compassion demonstrated by the members of his staff. In fact, clinical expertise and a caring demeanor are highly considered during the hiring process. Febry believes compassion and clinical confidence are essential to excellence and should be conveyed “loud and clear”. As for accessibility, Hospice Associates guarantees 24/7 coverage, equipped with a call center and supported by ad hoc visits and face-to-face video services. Dr. Febry has a deep appreciation for a physician’s role in hospice as well and believes it is integral to the patient’s trust. “The most important time for a doctor to be available for a patient is at the time he is facing a terminal diagnosis.” Febry advocates that physicians in a position of trust discuss end-of-life care with their patient and not dele-
gate this conversation to outside sources. In fact, Dr. Febry says ideally the trust between a doctor and his patient should be at its highest point during a life-limiting illness. Hospice is not a facility or location as many people assume, but rather a multi-faceted service addressing the emotional, spiritual and clinical needs of individuals who face a life-limiting illness. Hospice care is most often centered in the patient’s home, but can also be provided in alternate locations such as nursing homes or other types of residential facilities. Dr. Febry and his team at Hospice Associates have the experience and knowledge to meet the patients end-of-life needs in a variety of qualifying settings. It is their goal to reduce the stress and pressure on patients and their families, allowing them to make the most of their remaining time together. Britney Gauthreaux, BSN, RN, Administrator and Nursing Director at Hospice Associates couldn’t be prouder of their extensively trained patient management team. “We have a fabulous staff. We’re all about the patient and their families.” Gauthreaux explains in 2014, the decision was made to staff exclusively with Registered Nurses to provide consistent, quality nursing care. She stresses to her staff the importance of their role in end-of-life care, “We have one chance to get it 100%, the correct way, the right way. Because families can not go back and do it differently.” Gauthreaux along with other members of the interdisciplinary team (including social workers, chaplain and nurses) creates a personalized plan of care to provide for the patient’s physical, emotional and spiritual needs while assuring the patient’s pain goal is met. Weekly and bi-weekly meetings are conducted to evaluate progress and modify care according to the patient’s status. It is a collaborative effort focused on excellence with the patient, family and caregiver in mind. Hospice Associates is a member of the National Hospice and Palliative Care Organization and has partnered with the “We Honor Veterans” program. This program provides hospice providers with specialized training and resources to honor, support and care for our country’s veterans and their families. Gauthreaux is proud of their participation in this program honoring veterans, noting this is just another way Hospice Associates strives to serve.
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INPATIENT HOSPICE PROGRAM If circumstances present when hospice care can no longer be provided in the home, due to the severity of symptoms or a case of caregiver breakdown, Hospice Associates is readily available to coordinate with appropriate insurance carriers and ease the transition when necessary to their inpatient hospice program.
Over the years Hospice Associates has been showered with glowing testimonials. Families and caregivers frequently express their appreciation and gratitude for the skilled, compassionate, accessible services provided by Hospice Associates. Dr. Febry and his outstanding team are touched by each sincere, heartfelt testimonial commending their exceptional care. “ A special thank you for the compassionate care and medical guidance you’ve given to my family and I. You have helped in ways you will never know. Again thanks and God bless each and every one of you.” Members of the Hospice Associates team that create a personalized plan of care to provide for the patient’s physical, emotional and spiritual needs while assuring the patient’s pain goal is met.
‹ Allyce Lemon, RN with Mr. Herbert Gansar, Navy Veteran and Hospice Associates’ patient
Video session between Medical Director Ricardo Febry, M.Sc,. M.D. in his New Orleans office and one of our hospice patients, Miss Christine Gagnier at her Laplace home.
Hospice Associates has thoughtfully developed comprehensive programs to meet most needs encountered in circumstances surrounding a life-limiting illness. Through these programs and other services they are able to provide comfort and support to patients and their families as they transition through different phases in life. PRE-HOSPICE CARE PROGRAM When a patient facing a life-limiting illness or caregivers have not yet decided to enter a hospice program, Hospice Associates will voluntarily coordinate a pre-hospice palliative management program. This individualized program will be supervised
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by their medical directors until a time when the transition to hospice is desired. HOME BASED PROGRAM Most patients facing a life-limiting illness strongly desire for their hospice services to be provided in the privacy and comfort of their home. Fortunately many patients qualify for home-based hospice care. Hospice care transcends locations and can actually be provided at any site that meets the necessary criteria set by the Center for Medicare and Medicaid Services, including a private home setting. Hospice Associates will be happy to explain qualifying criteria to interested patients and their families.
“ T hank you for the love and support you gave our mother and our family during this difficult time. Words could never express the gratitude we have for all you have done.” “ With deep appreciation and heartfelt thanks to every member of the staff that helped us in every way possible; we are very grateful. God bless all of you.” Hospice Associates, a state licensed and CMS certified facility, is highly acclaimed as a comprehensive, skilled provider of hospice and palliative care. Through commitment to knowledge, compassion and accessibility, Hospice Associates is setting itself apart. Dr. Ricardo Febry and his team of professionals masterfully incorporate a family-centered approach, working to ensure the needs of patients, their family and caregivers are met throughout the hospice experience. Although no one wants to think about the end of life, hospice services have been shown to ease the burden and help patients and families during their difficult transition. Therefore, when a cure is no longer possible, Dr. Ricardo Febry and his team at Hospice Associates hope you will turn to them for physical, emotional and spiritual support while they walk beside you every step of the way. Dr. Ricardo Febry and the trained staff at Hospice Associates are more than happy to discuss any questions or concerns regarding hospice care.
Hospice Associates 3941 Houma Blvd Suite 1A Metairie, LA 70006 - TEL: 504-457-2200
TOP
DOCTORS SPECIAL SECTION Finding 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 without 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.
Tod Alan Aust, MD
Dr. Aust joins the physicians of the Neuroscience and Pain Institute following his completion of the ACGME Fellowship in pain management at the UCLA School of Medicine. He is a well-researched, and published professional who has earned numerous awards and helped many patients overcome their pain problems.
Neuroscience and Pain Institute
76 Starbrush Circle Covington, LA 70433 (985) 892-8934
Website: www.neuroscienceandpaininstitute.com
Muhammed 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
3348 W Esplanade South Metairie, LA 70006 (985) 400-3210
Website: absi-institute.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. For more information, email: info@surgicaleyeassociates.net
Surgical Eye Associates
Pg. 20
1120 N. Highway 190 Covington, LA 70433 (985) 893-5777
Website: surgicaleyeassociates.net
5 Steps to Save Your life! While October is Breast Cancer Awareness Month, you should mark your calendar you should perform a self-breast exam every month. Following these five simple steps could possibly save your life. STEP 1 Begin by looking at your breasts in
the mirror with your shoulders straight and your arms on your hips. You should look for:
* Breasts that are their usual size, shape, and color * Breasts that are evenly shaped without visible distortion or swelling Changes to bring your doctor’s attention: * Dimpling, puckering, or bulging of the skin on the breast * A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out) * Redness, soreness, rash, or swelling
STEP 2 Raise your arms and look for the
same changes.
STEP 3 Look for any signs of fluid coming
out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).
STEP 4 Lay down, using your right hand to
feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter. Make sure you cover the entire breast from top to bottom and side to side. Move from your collarbone to the top of your abdomen and from your armpit to your cleavage. Follow a pattern to be sure that you cover the whole breast.
Begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows. This up-and-down approach is the most common. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you’ve reached the deep tissue, you should be able to feel down to your ribcage. STEP 5 Finally, this step is easier done in the
shower when your skin is slippery or wet. Feel your breasts while you are standing or sitting. Cover your entire breast, using the same hand movements described in step 4.
Coming next issue! Special section in our November issue, highlighting local veterans.
To have your veteran included in Senior Living Magazine, send photos and a brief bio to: seniorlivingkw@gmail.com or Senior Living Magazine P.O. Box 752 Slidell, LA 70459
DEADLINE OCTOBER 15
Anita L. Blanchard, OD
Board Certified Therapeutic Optometrist, 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. For more information, email: info@surgicaleyeassociates.
Surgical Eye Associates
1120 N. Highway 190 Covington, LA 70433 (985) 893-5777
Website: surgicaleyeassociates.net
D’Wan J. Carpenter, DO
D’Wan Carpenter brings her Osteopathic Medicine experience to help patients focus on disease prevention and health maintenance. As a Doctor of Osteopathic Medicine, she helps patients recognize the body’s relationship of nerves, muscles, bones and organs.
Neuroscience and Pain Institute
76 Starbrush Circle Covington, LA 70433 (985) 892-8934
Website: www. neuroscienceandpaininstitute.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
Your Aging Voice by: Allison Bounds
You’re already losing your hair and teeth, but did you have to lose your voice too? Many seniors struggle with that on-again off-again voice. By the end of the day they just can’t get their words out and making a simple phone call to a loved one can seem like an insurmountable task.
While there is no way to prevent typical voice maturation, we can do several things to promote vocal health. REFRAIN FROM SMOKING
Exposure to cigarette smoke causes vocal fold edema and irritation
Pg. 24
and leads to decreased mucosal lining of the vocal folds. When the mucosal lining separates from the vocal folds, individuals experience that low raspy voice many recognize in long-term smokers. MANAGE MEDICAL CONDITIONS
Medical conditions such as heartburn or gastric reflux can
cause vocal fold irritation. Seek medical care to control persistent reflux or heartburn. STAY HYDRATED
Drink at least 6 glasses of water daily and limit caffeinated and alcoholic beverages, which can dry out vocal folds. The sensitive tissue in the vocal folds require adequate moisture to function
As individuals age, their voices go through many changes; the term for these changes is presbyphonia. Older adults can expect to experience reduced vocal endurance, pitch changes and difficulty projecting their voice; these are all typical signs and symptoms of the aging voice. While the reverse is true in adolescence, senior women will actually experience decreased voice pitch while aging men will notice an increase in pitch. According to Dr. Steven Cloud, a speech-language pathologist and professor at the University of Southern Mississippi, our voices begin aging in our early twenties when the laryngeal cartilages slowly start to ossify, or turn to bone. This ossification process continues on into adulthood and ceases around age 65. Many researchers believe this phenomenon causes that distinct aging voice we recognize in seniors. Others believe these voice changes are a result of a lifetime of vocal use. Furthermore, throughout our lifespan, the vocal folds become thinner due to decreased muscle fibers and mucosal tissue. This thinning, which often causes incomplete vocal fold closure, can induce changes in the quality and loudness of one’s voice. Older adults often complain of reduced volume and vocal harshness. Many seniors also feel it has become an effort to talk. Vocal difficulties in seniors are not always related to getting older. Hoarseness and other changes in your voice may be a warning sign of other health issues and should be evaluated by a trained professional, such as an Ear Nose & Throat doctor or speech-language pathologist.
properly. Eat plenty of whole grains, fruits and vegetables: Include plenty of Vitamin A, E and C in your diet in order to keep mucus membranes healthy. AVOID VOCAL ABUSE
Long term vocal abuse such as yelling, throat clearing and coughing can lead to vocal nodules, polyps and cysts.
Chad M. Domangue, MD ACGME Certified and Double Board Certified in Neurology and Pain Management. As a neurologist and pain management specialist, Dr. Domangue has extensive experience in interventional pain management. Dr. Domangue’s goal is to diagnose and institute a pain management plan to help his patients return to a pain-free life where normal activities are enjoyed. Neuroscience and Pain Institute
76 Starbrush Circle Covington, LA 70433 (985) 892-8934
Website: www. neuroscienceandpaininstitute.com
Ricardo Febry, M.Sc., M.D.
ABIM-certified 1995-2005, NBPAS-certified 2015-2017. Dr. Febry completed his Internal Medicine training at Tulane School of Medicine-affiliated hospitals in 1994. He founded and oversees Internal Medicine Consultants and TeleMD360, in addition to founding and functioning as Chief Medical Officer of Hospice Associates since 2004.
Hospice Associates
3941 Houma Blvd, Suite 1A Metairie, LA 70006 (504) 457-2200
Services: Inpatient Hospital, Long-term Care, Hospice and Palliative Medicine
Avit “Frere” Gremillion, MD
Board Certified Ophthalmologist. 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.
Surgical Eye Associates
1120 N. Highway 190 Covington, LA 70433 (985) 893-5777
Website: www.doctorgremillio.com
William V. Huval M.D.,FACS
Dr. Huval graduated from LSU Medical School 1979/Boston University Residency Program and Har- vard Fellowship. He is currently helping patients with varicose vein problems as well as discomfort from peripheral neuropathy..
Venous Neuropathy Treatment Centers of Louisiana
133 Cousin Street Slidell, LA (985) 718-4732
3233 S Sherwood Forest Baton Rouge, LA (225) 636-5184
Randall S. Juleff, MD, FACS
Phlebologist. 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: www.labellavitavein.com
Dr. Ammar Mekari After graduating from LSUMC, with numerous honors and awards, completing externship at UMDS Dental School, Guy’s Hospital, London, UK, and Assistance Hopitaux Publique de Paris Dental School in Paris, France, Dr. Mekari joined many professional organizations, including the American Academy of Facial Aesthetics. His innovative vision is to deliver the best care possible to his patients and to continually set the standards of excellence. Mekari Dental Studio (504) 888-1414
3939 Houma Blvd. Building 5, Suite 219 Metairie, LA 70006
Website: www.mekaridentalstudio.com
Dr. Michele Spector
Dr. Michele Spector received her Doctor of Audiology degree from the University of Florida and is the founder of Hearing Clinic of Greater New Orleans. Her passion lies in bringing better hearing to patients through cutting-edge, personalized hearing healthcare treatment.
Hearing Clinic of Greater New Orleans, LLC
2633 Napoleon Avenue #703 New Orleans, LA 70115 (504) 301-1271
9605 Jefferson Highway, Suite B River Ridge, LA 70123 (504) 739-7989
Ronald C. Segura, MD
Double Board Certified in both Physical Medicine & Rehabilitation and Interventional Spine/Pain Management, Dr. Segura specializes in diagnosis and treatment of spinal disorders, he utilizes X-Ray guided spinal injections and minimally invasive spine surgery. His philosophy in treating the whole patient focuses on pain reduction and improved functional ability for an enhanced quality of life.
Neuroscience and Pain Institute
76 Starbrush Circle Covington, LA 70433 (985) 892-8934
Website: www. neuroscienceandpaininstitute.com
Jonathan D. Thompson, MD
Double Board Certified in PM&R and Interventional Pain Medicine, Dr. Thompson has lectured to medical professionals on complex pain disorders and diseases that result in chronic pain. Dr. Thompson is trained in the most advanced technologies and treatments for acute and chronic pain conditions, and he takes pride in the time and accessibility he provides in caring for his patients.
Neuroscience and Pain Institute
76 Starbrush Circle Covington, LA 70433 (985) 892-8934
Website: www. neuroscienceandpaininstitute.com
TM
Senior Sampler
Senior Sampler
October 2015
eese Dip PREPARATION Chicken Sausage and Spinach Frittata Preheat the oven to 350 degrees F.
INGREDIENTS In a medium bowl, mix the mayon-PREPARATION cheese, 1softtablespoon oilcheese, Cheddar cheese, 1. Set Monoven to broil on high. 2. Heat naise,olive cream ½ sweetterey onion, diced olive oiland over medium heat in a large, Jack cheese, green onions 1 small red pepper, diced oven-safe skillet. Sautee onion and cheese cayenne pepper. Transfer the mixture to a 2 large chicken sausage links, green pepper until softened (about 3-5 shallow baking dish, such as a minutes). 9-inch pie 3. As onion and pepper cook, k cheese chopped (I lovepan. Aidell’s apple chicken sausage, combine eggs, egg whites, salt and Top the mixture with the cracker d but use your favorite kind!) until heatedpepper in a medium bowl, stirring to crumbs and bake through, 2 large heaping handfuls fresh spinach combine. 4. Add the chicken to peppers 15 minutes. (aboutabout 4 cups) and onion and cook for an additional uch as Ritz Remove the pan from the oven andAdd spinach and cook until 3 eggs 2 minutes. 4 egg whites wilted, about 1 minute. 5. Add eggs top with the bacon. Serve immediately with umbled (I used ¾ cup egg whites from a carton) to skillet and lightly stir. Allow eggs to your favorite type of chip. ½ teaspoon salt ¼ teaspoon freshly ground black pepper
set (do not stir!) until sides are firm and middle still appears slightly wet, about 4–5 minutes. 6. Transfer pan to the oven and broil for 3–5 minutes, until top of frittata begins to brown slightly. 7. Slice and serve. . Makes six slices .
rty Rye
PREPARATION
Avocado Hummus 1. Brown meats and drain off fat.
INGREDIENTS juice from the beans) 2. Add meats and cheese in frying pan and 1/2 teaspoon sea salt Add the following to a food processor: 1/4 teaspoon cayenne pepper stir over low heat until melted. Mix in 1 can of white beans, drained and rinsed PREPARATION spices and Worcestershire sauce. 1 avocado, cubed re sauce juice from 1/2 of a lime Blend until smooth…. EASY AS THAT! 3. Spread mixture on cocktail 1 tablespoon + 1 teaspoon of olive oil rye .slices. Serve with Pretzel Crisps . (for a lower fat option: substitute oil for 4. Place on cookie sheet and bake approx-
imately 10 minutes at 400°F until hot. Serve hot or warm.
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