Cover

Spring Edition 2012

SUN

SAFETY

Make Sure You Stay Healthy During the Long Days of Summer in coastal North Carolina

Your World

Board Prepares to Break Ground On the Crystal Coast Hospice House

Kids & Dental Health

An Area Dentist Shares Startling Statistics About Our Children’s Teeth

www.nccoast.com

PLUS

In the News Elder Driving General Hospital

Coastal

Carolina

Orthodontics WILLIS, VANEK, BALL, FISCHER & RICHARDS PA Serving Carteret, Craven & Onslow Counties for over 30 years!

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Adolescent & Adult braces

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FREE

Initial Orthodontic Evaluation No referral necessary

www.smilemakersnc.com 3606-A Medical Park Court Morehead City (252) 726-1137

98 Stonebridge Trail Havelock (252) 447-1181

G

Dr. Jennifer Orr, MD & Staff Invite You to Experience “Personalized Care for Today’s Modern Woman” at

17 Office Park Drive Jacksonville (910) 353-5234

irlTalk

&

G Y N E C O L O G Y

Specializing in Routine Women’s Health Care and In-Office Surgical Procedures including Endometrial Ablation, Hysteroscopy & Sterilization

Now Accepting New Patients! Call for Your Appointment at (252) 222-0660

4251 Arendell Street, Suite C • Morehead City, NC • Visit Our Website at www.girltalkgyn.com

Get back to life with Dr. Vettichira’s customized SpinaCORE Program s Degenerative Discs s Herniated Disc s Posterior Facet Syndrome

s Acute Back Pain s Neck Pain s Sciatica

C Consultation & Diagnostic Tests O Optimization of Medical Management

Medications and other modalities.

Epidurals, Nerve Blocks, Facet joint & trigger point injections.

ENJOY LIFE ...

R Rehabilitation of the Spine

Free from neck & lower back pain.

Most Insurances Accepted, Referrals Not Required

Carteret Medical Specialists, PLLC

E Education and Maintenance Phase

Education, Lifestyle modification, Home Exercise program.

147 Hwy 24 Suite 102 Hestron Plaza Morehead City

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- IDD TherapyÂŽ - Physical Therapy, Stabilization and strengthening of the Cervical & Lumbar spine, Electrical Stimulation, Ultrasound techniques, Bracing, other Modalities etc.

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Call today for a Consultation with Susan Vettichira MD (Board Certified Physical Medicine and Rehab Specialist, with additional fellowship training in INTERVENTIONAL SPINE CARE)

Jeffrey K. Moore, M.D. Orthopedic Surgeon

David J. Kirby, M.D.

Sports Medicine Specialist

Adult & Pediatric Orthopedic Injuries Sports Medicine ~ Robotic Joint Replacement Carpel Tunnel ~ Fracture Care

Getting you back to the lifestyle you love

Now Serving Carteret and Craven County

East Coast Square

4251 Arendell St. | Morehead City, NC Call (252) 808-3100 for an appointment

spring 2012

New Location

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Family Pharmacy

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Sat. 9:00 am - 12:00 pm

CH WE MATT MOS R’S TITO COMPEICES! PR

Within the cozy confines of Good Neighbor Pharmacy, you can get your prescription filled quickly, accurately and affordably, and still not feel rushed when you ask for wellness advice from our caring, compassionate staff.

So the next time you’re waiting in line at one of those megapharmacies, ask yourself, “Is this really worth it?”

And then head on over to your local Good Neighbor Pharmacy.

For the Good Neighbor Pharmacy location nearest you, please visit www.myGNP.com or call 1-888-GNP-STOR today.

w w w . N C C O A S T. c o m

LL be WE and well informed

12 ELDER DRIVING

OLDER DRIVERS FACE AN ARRAY OF CHALLENGES ON THE ROAD

CHILDREN AND DENTAL CARE

LOCAL DENTIST REMINDS US OF THE IMPORTANCE OF PROPER DENTAL CARE

13 10 IN THE NEWS

Smile for a Lifetime, welcoming baby and

popular health myths debunked.

12 Elder driving

Driving skills can diminish with age.

13 CHILDREN AND DENTAL CARE

The state of our children’s dental health

SUN SAFETY

may alarm you.

16 YOUR WORLD

The board prepares to break ground on

PROTECT YOURSELF DURING THE LONG MONTHS AHEAD

the Crystal Coast Hospice House.

18 Sun safety

With warm months ahead, we’ve

18

Learn what you can do to increase your odds of staying safe.

spring 2012

compiled our favorite rules to help make them safe and healthy.

24 GENERAL HOSPITAL 23 BUSINESS INDEX

For the dental care your family deserves

PAUL F. GETTY, DDS

N VA URGENT CARE From Flu To Minor Emergencies, Fast, Quality, Affordable Health Care Excellent Care

Professionals Who Care About You

Attention to detail by our providers and staff is second to none.

From the u to minor emergencies, the care you and your family receive is top notch.

%XAMS s #LEANINGS s &ILLINGS s 2OOT #ANALS #ROWN "RIDGE s $ENTURES 0ARTIALS #OSMETIC 7HITENING

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Avoid lengthy waits at the emegency room.

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Brand new facility located in Morehead’s newest medical building.

Convenient Location Located directly on Arendell St. Plenty of parking with easy access.

-ONDAY 4HURSDAY AM PM &RIDAY AM PM

East Coast Square

4252 Arendell Street Morehead City, NC 28557

We Welcome New Patients & Emergencies 409 N. 35th St. Morehead City

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No Appointment Necessary

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We now offer metabolic testing to facilitate weight management!

701 N. 35th Street Morehead City

ž of a mile behind the hospital

DAY PASSES AND STUDENT MEMBERSHIPS AVAILABLE

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& WELLNESS

HEALTH

NCCOAST Health & Wellness Magazine

www.nccoast.com

Creative Director Kim Moore

Managing Editor Amanda Dagnino (editor@nccoast.com) Staff Writer Melissa Jones Advertising Director Jamie Bailey 252.241.9485 Account Executives Jasa Lewis 252.648.1272 Anne Riggs 252.725.9114 Ashly Willis 252.723.3350 (sales@nccoast.com)

CO NC

Subscriptions 252-247-7442

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Mail 201 N. 17th Street Morehead City, NC 28557

Graphic Designers Mimi G. Davis Kyle Dixon CO

Phone 252.247.7442 800.525.1403

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NCCOAST Communications

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Vol. 5, Issue #1 Spring 2012

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NCCOAST Health & Wellness is distributed in five counties and other high-traffic sites throughout North Carolina, and is also available by request at nccoasthealth.com. Entire contents, ad and graphic design and nccoast. com copyright 2012 by NCCOAST Communications. Reproduction of any portion of this publication or its website without the publisher’s written consent is strictly prohibited. Information found herein is as accurate as possible at presstime but should be solely used as a guide.

For more specific advice, please consult your family physician.

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Not sure when or where to pick up the next edition of NCCOAST Health and Wellness? Then why not guarantee delivery to your door with an annual subscription. That way you can stay caught up on anything from road races to yoga positions, massage therapy to seasonal allergies and much, much more. Stay healthy year round with NCCOAST Health & Wellness’ spring, summer, fall and winter editions. Just fill out the subscription form below, enclose a check for $10 and mail it to:

NCCOAST Health & Wellness Attn: Roze Taitingfong, Subscriptions 201 N. 17th St., Morehead City, NC 28557

And don’t forget, medical professionals, NCCOAST Health & Wellness advertisers and any other business in the health and fitness industry can have the next edition delivered for free! Just check the appropriate box below and make sure to list your business name.

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For a Lifetime +ĒĞĖĤ . 8Ä–Ä?Ä?Ĥ %%4 1" ÄŁÄ–Ä’ÄĽÄšÄ&#x;Ę BÄ–Ä’ď?ľÄĽÄšÄ—ď?ľÄ? 4ĞĚÄ?

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Chiropractic Care CYNTHIA L. RILEY D.C., C.C.S.P

Spinal Adjustment Physiological Therapeutics Exercise Counseling If yours is a chiropractic case we will tell you and if not, we will tell you that too.

2871 Trent Rd. | New Bern, NC | 252.514.2273 www.wevegotyourbacknb.com

spring 2012

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COASTAL FOOT CENTER DR. VALENTINE HAMILTON

Robert Metts, M.D.

• Diabetic Foot Care • Children’s Foot Care • Skin & Nail Diseases • Foot Injuries / Fractures • Sports Medicine • Heel Pain

Sean Scully, M.D., PhD

• Bunions, Corns, Calluses • Joint Replacements / Implants • Heel Spurs • Neuromas • Hammertoes • Skin Lesions

JACKSONVILLE

910-938-6000 3221 Henderson Dr. (Ext.)

MOREHEAD CITY

252-726-8040

ALL INSURANCE PLANS ACCEPTED AND FILED SATURDAY HOURS AVAILABLE

WeÕll Þx it.

Your best option for orthopaedic care is right here in Jacksonville, at EC Ortho. Here, you’ll receive personal attention and excellent care from our Board Certified physicians and, thanks to our affiliation with Onslow Memorial, you’ll benefit from the resources of our area’s top medical center. But maybe the most important thing that sets us apart is our local familiarity. We understand military families’ needs, accept TriCare, and we’re efficient, typically seeing you within 24 hours. So when you need care, don’t even give driving out of town a thought. Come see us at EC Ortho.

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Check out our website for current workshops and classes � NC Coast Health & Wellness Special �

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2900 Arendell Street, Suite 16 ~ Morehead City Lowe’s Foods Plaza next to Tuesday Morning (9642) (252) 247-YOGA (9642) www.YogaforYouandMe.com w w w . N C C O A S T. c o m

In the News For an application to nominate a child in need, email krystal@sanbornorthodontics.com or visit www.sanbornorthodontics.com.

Cabbage Breeding Program Two scientists with the NC State University Plants for Human Health Institute at the NC Research Campus in Kannapolis are studying more than 300 cabbage varieties as part of the initial phase in a cabbage breeding program.

Dr. Gad Yousef, senior research scientist, and Dr. Allan Brown, assistant professor, recently received grant funding from the US Dept. of Agriculture to begin a study to evaluate the genetic diversity of cabbage. Green cabbage is a rich source of glucosinolates and carotenoids, among other healthy compounds that contribute health benefits. Red or purple cabbage also contains anthocyanins. Despite cabbage’s human health benefits – it helps protect against chronic diseases such as cancer and macular degeneration – the per capita consumption has declined over the last four decades.

Dr. Yousef and Dr. Brown hope to reverse that declining trend. As part of their study, they will evaluate the genetic diversity of a wide range of cabbage germplasm.

According to Dr. Yousef, “Our goal is to identify material that will lead to new and economically viable cultivars for North Carolina farmers.”

“We believe that improved taste and health benefits will lead to greater consumption of this healthy vegetable,” added Dr. Brown.

Over a two-year period, the researchers will conduct most of their work on green, red and Savoy cabbage in a climatecontrolled greenhouse at the Piedmont Research Station in Salisbury and in Dr. Brown’s lab at the NC Research Campus in Kannapolis.

North Carolina is the fifth-leading cabbage-producing state Dr. Robert Sanborn, of Sanborn Orthodontics, announced with an annual crop value of more than $14 million. Nationthe recent formation of his nonprofit organization, Smile for a ally, the crop is valued at more than $400 million annually.

Lifetime. Dr. Sanborn created the foundation to provide brac- Learn more at plantsforhumanhealth.ncsu.edu. es at no cost to children in our area who cannot afford them.

“The mission of Smile for a Lifetime is to create self-confidence, inspire hope and change the lives of children in our CarolinaEast Medical Center is offering new parents the community in a dramatic way,” Dr. Sanborn explained. “The gift of a smile can do all of this for deserving, underserved chil- opportunity to share their happy news with the entire Medical dren who, in turn, can use this gift to better themselves and Center. A button has been installed in the labor & delivery unit that allows families to cue a recording of an instrumental our community.”

The Smile for a Lifetime Board has already started receiv- version of Brahms’ “Lullaby” to play over the public announceing completed scholarship applications and will be selecting ment system. The tune is heard throughout the medical center its first recipient soon. The nomination deadline for consid- and has been popular with patients, staff and visitors alike.

Commonly called the “Cradle Song,” the lullaby’s melody eration for the spring awards was March 30. The board will is one of the most recognizable in the world. The piece was continue to accept nominations throughout the year and plans to award 10 lucky children with a Smile for a Lifetime orth- originally written by Johannes Brahms in 1868. Various lyrics in many languages have been added over the decades. The odontic scholarship this year.

A New Reason to Smile

Welcoming Baby

10

spring 2012

be chewed and not swallowed, accidentally swallowing a piece here and there won’t cause major issues. That’s because the gum will simply pass through the digestive system whole and come out with stool. If a large amount of gum is swallowed in a short period of time, then there could be issues, including constipation and intestinal blockage in children.

Myth:

If you keep your eyes crossed too long, they will get stuck that way.

The muscles in the eye are just like any muscles elsewhere in the body. Although they may tire and get sore, they are relatively resilient and can take a lot of wear and tear. Crossing your eyes may tax these muscles, but you won’t do any permanent harm. Rest assured that crossing the eyes will not leave them stuck that way.

Myth:

Going outside with wet hair will make you sick.

project took shape because of a desire to highlight the miracles that happen every day at CarolinaEast Medical Center.

“It’s a really special thing because it offers a cheerful reminder to everyone of the reasons why they entered the health care industry in the first place. It is not just about being there when people are ill or injured, but to care for and celebrate with them at happy moments as well,” said Kelsey Atkins, public relations specialist for CarolinaEast Health System.

The first parents who shared their news through song were welcoming twins to their family. The lullaby played through twice – once to honor each child. For more information, call the CarolinaEast Public Relations department at (252) 6338154.

Popular health myths debunked

Although you will feel colder stepping outside with a part of your body wet, it won’t make you more susceptible to catching a cold. Researchers at the Common Cold Research Unit in England once tested a group of volunteers who were given the cold virus. One half of the group stayed in a warm room, while the others took a bath and stood wet in a hallway for a half hour. The wet group didn’t catch more colds than the dry.

Myth:

Covering your head is most important because you lose 75 percent of your body heat through it.

This calculation is more for an infant whose head makes up a greater percentage of his or her body. In an adult, the figure is closer to 10 percent. Heat can escape from any exposed area of the body. Therefore, it is helpful to bundle up all areas of the body when spending time outdoors in the cold weather.

Well-meaning parents or grandparents often tell children Myth: not to do something with the warning that a serious health Don’t swim right after eating. implication could result. Kids often take their elders at their The basis of this mantra is that when digesting food, the word. But some of these warnings bear more truth than others.

Here’s the scoop on some of the more common misconcep- digestive system pulls blood away from the muscles and the idea is that you could cramp up and drown. While you may tions. have less energy to swim vigorously, chances are you won’t be so weak as to drown.

Myth: Although many health myths prevail, knowing the truth Swallowed chewing gum stays in the stomach for seven years. can help parents educate their children better about which beWhile chewing gum cannot be digested and is meant to haviors are safe and which are risky. w w w . N C C O A S T. c o m

11

Senior Driving

Maintaining a Driver’s License Becomes More Challenging With Age

W

hen a person first earns a driver’s license, they’ve earned more than just the right to legally operate an automobile. To many drivers, a driver’s license is symbolic of freedom and self-sufficiency. The NC Dept. of Motor Vehicles (NCDMV) determines the right to drive by medical ability, not age, with its Driver Medical Evaluation (DME) program, said Marge Howell, NCDMV, public information officer. Forms to submit a request to have a person evaluated for the DME program can be accessed at www. ncdot.gov/dmv/forms.

“A license is administered for eight years until you turn 66, and then you get a five year license. Drivers are analyzed only if we receive a written and signed request for a specific driver to be considered for the medical evaluation program offered by the DMV. We often receive reports from law enforcement or referrals from family members, neighbors or doctors,” said Howell.

According to the DMV, injury is one of the leading causes of death in the US, and most injury deaths are a result from motor vehicle accidents.

Determining if a motorist is safe to drive can be challenging. AAA suggests taking a ride along with a driver you have concerns about to observe driving behavior. According to its website, common questions to ask include: • Does the driver miss or ignore stop signs or other traffic signals?

• Does the driver weave between or straddle lanes?

• Do other drivers honk or pass frequently?

• Does the driver confuse the gas and break pedals?

There are also specific medical conditions that the DMV determines can affect a person and their ability to operate a vehicle. Such conditions include: • Seizures • Diabetes or blood sugar problems with loss of consciousness spells • Blackouts • Visual problems (such as cataracts or glaucoma) • Neuromuscular disorders (such as Parkinson’s disease or multiple sclerosis) • Sleep disorders (such as narcolepsy) • Serious respiratory conditions requiring oxygen

• Heart problems (such as irregular rhythms and uncontrolled high blood pressure) • A recent stroke • Dementia (such as Alzheimer’s) • Mental illness (such as schizophrenia) • Substance abuse disorders (such as alcoholism)

Assess Eyesight

Healthy eyes are essential to being a safe driver, and drivers can assess their eyesight in a number of ways. In addition to visiting an eye doctor for an eye examination, drivers should look for signs that they’re having difficulty with driving. If signs and street markings aren’t so easy to read anymore, you might need a new prescription for eyeglasses. When the glare of headlights at night makes it difficult to see, your driver’s seat might need to be adjusted or you might want to consider antiglare eyeglasses that make it easier to see at night.

Assess Comfort Level

Safe drivers are also comfortable drivers. To assess your comfort level as a driver, ask yourself the following questions before getting back behind the wheel: • Is it troublesome to look over your shoulder and change lanes?

• Has steering become difficult?

• Has your reaction time when switching from the gas pedal to the brake pedal decreased?

If you can answer “yes” to any of the questions above, then it could be that you’re beginning to lose strength, coordination and/or flexibility, which can make it more difficult to operate a motor vehicle. Answering “yes” doesn’t mean you have to give up your driver’s license. In fact, your doctor might be able to prescribe therapies or medicines or suggest a fitness regimen that can make it easier for you to comfortably drive a car. In addition, if you’re having trouble steering or operating a motor vehicle in any way, you might just want to find a vehicle that’s easier to drive, such as one with an automatic transmission that has power steering and brakes.

Although the DMV does not offer driving courses specifically designed for senior drivers, AAA offers a website, seniordrivers.org.

The website offers valuable tools to help analyze your own driving as well as online educational courses to keep you driving safely.

Another option offered by AARP is a driving course located in Jacksonville.

“I recommend the course because it is a great refresher course that seniors need. It helps them become aware of how their bodies are different and teaches them how to better react to driving conditions and what to look out for. The course makes them aware of issues that seniors have as they age like reflection and eye sight,” said Helen Miller, AARP driving instructor.

Aging drivers face obstacles they may or may not be prepared for. When such challenges arise, that doesn’t necessarily mean it’s time to stop driving entirely. Instead, honestly weigh a host of factors before deciding if it’s still safe for you to be behind the wheel.

In 2010, the NCDMV released statewide crash statistics for senior drivers: 2010 Carteret County Crash Report: Carteret County Crashes Fatal Crashes Injury Crashes Ages 65-74 179 2 56 Ages 75-84 91 3 30 Ages 85-89 30 1 10 Ages 90 & older 13 0 4 TOTAL 313 6 100

12

spring 2012

Ounce of Prevention Children and Dental Care Dr. Ronald Venezie, like other pediatric dentists in North Carolina, is alarmed at the number of children experiencing advanced oral disease.

“We’re seeing a growing number of young children with severe dental caries (cavities),” said Venezie, who practices in Apex.

“This is troubling since dental decay is one of the most preventable health problems.” Small children with severe dental caries, sometimes resulting in six to 10 cavities or more, must often be treated by having the teeth filled or extracted in hospital operating rooms under general anesthesia.

According to the Centers for Disease Control and Prevention, 28 percent of preschoolers in the US experience decay in primary or “baby” teeth. And for the first time in four decades, the number is increasing. Currently, among children 2-5 almost one in five (19.1 percent) has untreated cavities.

The CDC also reports disparities in early childhood tooth decay along racial, ethnic and socioeconomic lines: 14.5 percent of white children 2-5 years of age had untreated cavities in 2004, compared with Hispanics of Mexican origin at 24.2 percent and African-Americans at 29.2 percent.

Young children (2-5 years) below 100 percent of the US poverty threshold experienced twice the rate of untreated cavities (26.1 percent) as those above 200 percent of the poverty level (12.1 percent) during the same period. The US poverty threshold is now set at $22,314 in annual income for a family of four.

“It’s essential that parents pay close attention to good oral health during the first year of a child’s life,” said Venezie. “A dentist should examine a child as soon as primary teeth begin to appear, usually during the first six months and no later than the first birthday.

This is similar to a ‘well baby’ checkup and it will not only identify potential problems, it gets the child used to visiting the dentist at an early age.”

The dentist will do a thorough oral examination to spot potential problems, as well as educate parents and the child on proper brushing techniques.

There are other preventive steps parents can take with babies, toddlers and preschoolers: • Clean the baby’s gums with clean, wet gauze after each feeding.

• When teeth start to appear, brush them with a child-size toothbrush and plain water.

• Brush teeth with a pea-sized amount of fluoride toothpaste for children over the age of two.

• Supervise children when they brush to keep them from

swallowing the toothpaste.

• Begin flossing when at least two teeth begin to touch.

• If your child uses a pacifier, don’t dip it in sugar or honey.

• Encourage children to learn to drink from a cup by their first birthday, and discourage use of a training (sippy) cup.

• Encourage healthy eating habits, including plenty of

vegetables, fruits and whole grains.

• Avoid frequent consumption of juices and other sweetened drinks such as soft drinks and sports drinks • Place only formula or breast milk in bottles, never sugar water, juice or soft drinks.

• Ensure your child has adequate exposure to fluoride, and uses approved fluoride toothpastes.

• Talk to your child’s dentist about dental sealants that protect teeth from cavities.

Venezie added that “early childhood tooth decay” is almost totally preventable if parents are committed to establishing good oral health habits early and making sure that children see their dentist regularly.

The NC Dental Society represents 3,500 dentists throughout North Carolina. The NCDS encourages improvement of the oral health of the public, promotes the art and science of dentistry, sustains high standards of professional competence and practice, and represents the interests of the members of the dental profession and the public which it serves. For additional information on childhood oral disease prevention, visit www.ada.org.

w w w . N C C O A S T. c o m

13

yOur eastern Carolina Chiropractic alliance Serving Carteret, Craven & Onslow Counties

M

cLaughlin Chiropractic Center

5039 Executive Dr. Suite 300 | Morehead City

(252) 808-2888 www.mclaughlinchiropractic.com

Dr. Patrick McLaughlin, DC

Dr. Nathan Sprague, DC

Monday-Friday 7-12 / 2-6 | Saturday 8-11

2113 S Glenburnie Road, Suite H | New Bern

(252) 638-6222 www.frogleychiro.com Monday-Thursday 8:30-12 / 2-6 | Friday 8:30-12

Dr. Curt Frogley

Dr. Anthony Montero

Trauma Related

Condition Related

Wellness Related

Focusing on auto accident, work related and sports injuires

Excelling in the treatment of common problems such as lower back pain, neck pain, headaches, sciatica and arm pain

Offering a wellness plan that caters to families and individuals interested in the chiropractic lifestyle

Rebuilding Lives With Quality Healthcare

services provided: Urological Services Total Joint Replacement Front row, left to right: Dr. Guirgues, Dr. Marshall, Dr. Marson, Dr. Wertman, Dr. Drury Back row, left to right: Dr. Klose, Dr. Bell, Dr. Bates, Dr. Coles, Dr. Johnson, Dr. Brockman

our providers: Michael A Bell, MD FACS - General & Bariatric Surgery John T. Johnson, MD FACS - General & Bariatric Surgery Dean Marson, MD - General & Vascular Surgery

Fracture Care Kyphoplasty Minimally Invasive Spine Surgery Interventional Pain Injections Arthoscopic Surgery Gastric Bypass/Lapband

Robert Brockman, MD FACS - General & Vascular Surgery

Vascular Surgery

Bradford Drury, MD FACS - General & Thoracic Surgery

General Surgery

Robert Coles, MD FACS - Orthopedics & Sports Medicine Thomas Bates, MD FACS - Orthopedics & Sports Medicine Gary Wertman, DO - Orthopedics & Sports Medicine John Marshall, MD - Physical Medicine & Rehabilitation Ashraf Guirgues, MD - Orthopedics & Spine Surgery Arthur Klose, MD FACS - Urology

Colonoscopy/Endoscopy Thoracic Surgery Colorectal Surgery Physical Therapy Personalized Recovery Programs Strength Training Makoplasty - Robotic Joint Replacement

Taking Care of Our Community for Over 40 Years Conveniently offering two loCations to serve you: 3714 Guardian Ave. Suite E Morehead City, NC 28557

252.247.2101

775-2 Corbett Ave. Swansboro, NC 28584

910.325.0211

urology Center: 221-B Professional Circle Morehead City, NC 28557

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Your World Hospice, New Support for the Crystal Coast’s Terminally Ill

By Melissa Jones

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hen families are challenged with a loved one’s diagnosis of a terminal illness, a special form of care is necessary. Many residents along the Crystal Coast knew there was a need for a facility to offer this compassionate end-of-life care, and together with community and business contributions, the efforts to build an inpatient Hospice facility was created.

Hospice is designed to provide patient care that includes symptom management, emotional and spiritual support and psychosocial intervention and address issues most important to the patient. Care is intended to improve an individual’s quality of life throughout their final days. A multi-disciplinary team of physicians, nurses, social workers, bereavement counselors and volunteers work together to meet the needs of patients in their own home or home-like setting regardless of the patient’s age or ability to pay.

In 2008, the Crystal Coast Hospice House (CCHH) was formed by a group of concerned citizens who recognized the area needed this specialized comfort healthcare for patients with a prognosis of six months or less. Once the need was established by the state, the newlyformed nonprofit group launched a capital campaign to raise the necessary funds.

The site location was chosen to provide a central location to service all of the area’s residents, including Onslow, Craven, Jones and Pamlico counties. The Blue Rock Blue Marlin Tournament and the generosity of the property owners helped CCHH secure land in Newport, just off Hwy 70. The facility will include 10 patient suites in two wings, a six-suite acute care wing and a four-suite residential care wing.

The community has since embraced the project with 16

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CCHH receiving approximately 600 letters of support from the community, including letters from area hospitals, Hospice agencies, long-term care facilities, physicians, businesses and residents.

“The community’s commitment to this project has been one of the most meaningful aspects,” said Robin Nelson, CCHH executive director.

In addition to the letters of support, the group has received $4 million in pledges, donations and grants toward the $5 million needed to fully fund the facility.

Such generosities have “both inspired and awed everyone at CCHH,” said Sarah Strange, CCHH president.

“This is a citizen initiated project that has really captured the hearts of our community. It is so inspirational to realize that we can unite behind this urgently needed project and really make it happen together. We can’t wait until the doors open and the loving inpatient hospice care can be provided to the patients and their families who need it,” she said.

The State Employees Federal Credit Union provided a $1 million grant in September 2011 to name the facility the SECU Crystal Coast Hospice House. This donation is funded by the monthly contributions from the members.

“The leadership investments are tremendous boosts

to our fundraising efforts, but the personal notes of encouragement and those conveying personal stories that we regularly receive from donors, as well as the memorials that families dedicate to CCHH, have really provided tremendous encouragement to the organization’s leadership as we work to build this urgently needed facility,” said Nelson.

Dedicated volunteers have also played an instrumental role during each step of the process so far, helping the agency keep its administrative costs low, noted Patti Schweis, vice president and volunteer coordinator.

“They have accomplished so many important tasks, like obtaining the letters of support for the certificate of need, helping with mailings and fundraisers and reaching out to other members of the community through our campaign efforts,” said Schweis. “Their dedication and willingness to put in many hours have significantly impacted the success we’ve experiences so far.”

Together, monetary contributions and volunteer support, along with the dedication of CCHH employees, the future of a Hospice house is now a reality. On Feb. 27, the NC Dept. of Health and Human Services approved

the Certificate of Need requested by CCHH to build and operate a new facility in Newport. This cleared the way to begin the development of the 12,700 sq. ft. facility to provide inpatient Hospice care. Groundbreaking is anticipated in late spring 2012 and the facility should open in 2013. The new facility will not only provide much needed care, but also 16 full time positions.

So far, CCHH is 90 percent complete with construction documents. Lee Dixon with Coastal Architecture in Morehead City is the architect. Currently, grading work has begun at the site location that involves the installation of two storm management ponds that were required under the purchase agreement, as well as new road construction.

The site is approximately 11 acres, with nearly six being used as a wooded federal conservation easement. The easement will provide perpetual privacy between the Hospice home, the nearby park and McQueen Ave. The Hospice house will face the new road, which will be named Big Rock Weigh once complete.

To learn more or contribute to the area’s first inpatient Hospice facility, you can visit CCHH’s website at www. crystalcoasthospicehouse.org. 

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Summer Safety

With the Warm Weather Comes a New Batch of Safety Concerns

At the Table

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ere it comes, Eastern North Carolina. The warm sun is starting to peek out from behind the gray clouds of winter and with it comes a variety of safety concerns, from skin damage and food safety to water related accidents and dehydration. There are rules we all know and have discussed before – but it’s always a good idea to review the basics before the season kicks in to high gear.

Almost all of us are guilty of too much sun to varying degrees – from spending an afternoon tanning on the beach to doing a little yard work in shorts and a tank top – but there is a safer approach to summer and any dermatologist (or mother) will tell you it begins with a healthy squirt of sunscreen.

According to the American Cancer Society, most of the more than 1 million cases of non-melanoma skin cancer diagnosed yearly in the United States are considered to be sun-related. Melanoma, the most serious type of skin cancer, will account for about 68,720 cases of skin cancer in 2009 and most (about 8,650) of the 11,590 deaths due to skin cancer each year.

Sunburn is the body’s response to the cell damage from too much UV radiation. As cells become damaged and/or die, the immune system kicks in to help clean up the mess you’ve made. An increased amount of blood is sent to the area, ultimately creating the redness associated with a sunburn. It is one of those miraculous feats our body takes on all by itself – and it’s one we can see. When you depress sunburned skin, it turns white as the blood is pushed away by the finger, but when you remove it, the color returns as the capillaries refill with blood.

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According to the Sun Safety Alliance: • Avoid the sun between the peak hours of 10am and 4pm.

Remember: If your shadow is shorter than you – the sun’s rays are at their strongest.

• Wear clothing made of tightly woven fabric that you cannot see through when held up to the light.

• Put on a shirt. Covering up is ultimately the safest practice of all.

• Wear a wide-brimmed hat, and sunglasses.

• Remember that UV rays bounce off sand, snow, concrete and water.

• Avoid tanning beds, sun lamps and other sources of UV rays.

• Keep very young children (6 months or less) out of the sun.

• Before going outside, sunscreens need to be applied (and reapplied) liberally and evenly over all exposed areas, including ears, necks and lips. People with thin or thinning hair should also apply sunscreen to their scalp.

• Apply a sunscreen with an SPF of 15 (30 for children) or higher whenever you’re outdoors. Use products that provide broad spectrum protection, which means they block both UVB and UVA rays.

• Reapply sunscreen after swimming, perspiring and toweling off.

• Stay in the shade whenever possible!

As always, professionals recommend that you keep an eye on your outer shell throughout the year. Watch for changes in the skin, especially the size and color of moles, growths and spots as well as changes in sensation, tenderness or pain.

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It’s inevitable that at some point during the summer we’ll find ourselves at an outdoor dining event – whether it’s a picnic with the family or a potluck on the grounds of the church. In the heat of the summer it’s important to remember the hot and cold rules for keeping food safe.

Cold perishable food should be kept in the cooler at 40° or below until it’s time to serve and they should not sit out for more than two hours – one hour if the outdoor temperature is above 90°. Hot food should be kept no cooler than 135°. Wrap it well and place it in an insulated container until serving to retain the heat. Again, the items should not sit out for more than two hours.

On the Water

Despite education and public service announcements, drowning continues to be the second leading cause of unintentional injury-related death for children age 1-14. Centers for Disease Control statistics show there were 3,579 unintentional drowning deaths in the US in 2006 – that’s an average of 10 per day. An additional 514 people died from drowning and other boating-related accidents. The statistics go on to note that one in four fatal drowning victims are children under age 14.

• Teach your children to swim – but always keep in mind that water safety lessons don’t make your child drown-proof.

• Never leave children alone near any water – the pool, the ocean, bathtub or puddles.

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mends ice packs on the neck, armpits and groin.

While not as dangerous as heatstroke, heat exhaustion can be common, especially among athletes and individuals who work in high temperatures for extended periods. Symptoms include severe thirst, fatigue, headache, nausea, vomiting, profuse sweating, clammy or pale skin, dizziness and/or a rapid pulse.

The one thing we’ve all heard mention of, especially with the rise in skin cancers during the past few decades, is the detrimental and long-lasting effects of sunburn. According to the American Cancer Society, most of the more than 1 million cases of non-melanoma skin cancer diagnosed annually in the US are considered to be sun-related.

Melanoma, the most serious type of skin cancer, will account for about 68,720 cases of skin cancer in 2009 and about 8,650 of the 11,590 deaths due to skin cancer each year.

According to the Sun Safety Alliance: • Avoid the sun between the peak hours of 10am and 4pm.

Remember: If your shadow is shorter than you – the sun’s rays are at their strongest.

• Put on a shirt. Covering up is ultimately the safest practice of all.

• Wear a wide-brimmed hat and sunglasses.

• Before going outside, sunscreens need to be applied (and reapplied) liberally and evenly over all exposed areas, including ears, necks and lips. People with thin or thinning hair should also apply sunscreen to their scalp. Apply a sunscreen with an SPF of 15 (30 for children) or higher whenever you’re outdoors and use products that provide broad spectrum protection, blocking both UVB and UVA rays.

• Have children follow the buddy rule when swimming.

• Don’t dive into unknown bodies of water. Instead, jump feet first to avoid hitting your head on the shallow bottom.

• Do not use air-filled or foam toys to help protect your child, including noodles and the popular water wings. Instead, opt for an approved life vest made to suit your child’s age and weight.

• Be prepared for an emergency – learn CPR and take a first aid class.

• Adults should avoid alcohol, drugs and medication that may fog your judgment.

• Remember, and teach your family members, the dangers of rip currents. Swimming parallel to the shore when caught is the safest way to find your way back to shore. It’s important not to panic because it reduces your available energy.

On the Shore

Spending long periods of time in the sun can lead an array of complications from heatstroke and dehydration. At times, your body can build up too much heat, raising your internal temperature beyond its comfortable 98.6 degrees to life-threatening levels. According to the CDC, heatstroke is the most serious heat-related illness. Symptoms include skin that is extremely hot to the touch and an altered mental status and behavior. Victims may become irrational, agitated or even aggressive.

If you believe someone may be suffering from heatstroke, move them immediately to a half-sitting position in the shade and call for emergency medical help. In high humidity climates, the CDC recomw w w . N C C O A S T. c o m

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Tips for Treating a Jellyfish Sting

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ew things are as relaxing and fun as spending a day soaking up the rays on the beach. Be it with the family, a few friends or simply a solo trip to the beach with a favorite book, there’s something about the ocean air and summer sand that makes the beach a favorite locale for so many people around the world.

But, nearly everyone who has been to the beach has also fallen victim to one of the ocean’s more formidable residents. Jellyfish stings are almost as common as sunburns when going to the beach. While beachgoers can protect themselves from sunburn with some sunscreen or a beach umbrella, no such protection from jellyfish exists. Ocean swimmers might not be able to protect themselves against jellyfish stings, but knowing how to treat one can make all the difference.

What Happens When a Jellyfish Stings?

Jellyfish often thrive when the water is at its warmest, making late summer the most likely time to be stung by a jellyfish. When that happens, it’s often because a person has brushed up against a jellyfish’s tentacles. Those tentacles contain nematocysts filled with venom that lodge in the skin once a person has brushed up against or stepped on a jellyfish. While it’s most likely to happen in the water, beachgoers who aren’t careful might also step on a jellyfish that’s near the water’s edge, often along the wet sand. The jellyfish can even get you from beyond the grave, as a person can be stung by a dead jellyfish.

How Can a Jellyfish Sting Be Treated?

Because they’re so common, many veteran beachgoers are familiar with treating a jellyfish sting. However, for those who are new to the jellyfish sting game, the following approach is an effective means to treating a sting.

• Remove the tentacles. Jellyfish have many nematocysts that can keep stinging until they’ve run out of venom, meaning a single jellyfish can do lots of damage to swimmers who are not aware they have been stung. That said, be sure to remove all the tentacles first by lifting 20

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them off the skin. Ideally, do so with a stick to avoid being stung on the hands or arms. Do not scrape the tentacles off the skin, as that will likely result in more stings as the tentacles brush up against the skin.

• Use sea water to rinse the skin. Fresh water activates the nematocysts, leading to more painful stings. When rinsing, do so with sea water and avoid scrubbing the skin. Scrubbing also activates the nematocysts, so the most effective and least painful approach is to simply rinse the affected area with sea water.

• Trust in vinegar. Using vinegar to treat a jellyfish sting is not just an old wives’ tale. White vinegar deactivates the unfired nematocysts, keeping beachgoers from any further stings. Because jellyfish stings are so common, beaches in Australia often provide or sell vinegar, and many beachgoers in Australia bring vinegar along to the beach to treat potential stings. One old wives’ tale that does not appear to bear any merit is using urine to treat jellyfish stings. Though some swear by it, this treatment has not been proven to be effective.

• Another lesser known treatment is using baking powder. Dust the affected area with baking powder or flour if vinegar or sea water isn’t working. Other alternatives include lemon juice, meat tenderizer, rubbing alcohol, or household ammonia.

• Be sure to remove the stingers. Removing the stingers is an important part of treating a sting. Use the dull edge of a knife, preferably a butter knife, and scrape the nematocysts. Shaving the area similar to shaving your face or legs might also be an effective way to treat a sting. At the beach, you can also use sand and a shell to scrape away the nematocysts.

• Don’t ignore the pain. Sunburn treatments you might already bring to the beach can be doubly effective when used to treat pain resultant from jellyfish stings. Products that contain lidocaine or benzocaine might help treat the pain or redness resulting from a sting.

her legs outward and practice floating and kicking. Begin by kicking any which way, eventually evolving to a controlled kick once he or she is more comfortable.

3. The next step is to practice a few strokes. A breast stroke may offer more propulsion and buoyancy than a simple doggy paddle. Have the child stand in the water and practice pushing water out of the way in the desired stroke.

Then he or she can practice doing it while floating with an adult providing some added support under the belly. With time he can learn to float and stroke at the same time.

4. Once the separate elements are mastered, it’s time to put them all together. He can choose to simply launch off of the pool bottom or kick off of the side. It’s important to stress that the kicking motion is like the accelerator of the car; it will keep him moving and also keep him afloat. Swim strokes will simply steer him and provide propulsion assistance. Knowing that each motion has its own importance will help the child remember that all are needed to swim and stay afloat.

5. Once the child has become comfortable swimming above the water, he or she may eventually want to learn to swim below the water, which many people find to be less tiresome and allows one to cover more ground faster. Swimming underwater employs the same techniques as above, but the child will need to be comfortable holding his or her breath for a long period of time. This can be practiced standing in the water and dunking the face or body (with supervision nearby) underwater. Don’t encourage kids to hold their nose because both hands will be needed to swim underwater. After the child has grown accustomed to holding his her breath stationary, he or she can try doing it underwater and swimming.

Swimming is an important skill to learn, one that’s both practical and fun.

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Teaching a child to swim can enable him or her to enjoy a life filled with fun in and around the water, something that’s hard to avoid along the Crystal Coast. Especially when living in an environment that is surrounded by bodies of waters, teaching our children basic swimming techniques is as important as teaching them how to walk.

Water safety is nothing to take lightly. The Centers for Disease Control and Prevention note that in 2007 there were 3,443 fatal unintentional drowning in the United States, averaging 10 deaths per day. An additional 496 people died from drowning and other causes in boating-related incidents. More than one in five fatal drowning victims are children ages 14 and younger.

Although teaching a child to swim does not negate the necessity to carefully watch young children whenever they are around water, it does offer a measure of safety. A child who knows how to swim may be able to prevent an injury or get out of harm’s way better than one who is floundering in the water. In fact, the CDC recommends it as one method of preventing water-related injuries.

Teaching kids to swim requires some patience and general knowledge of swimming techniques. Parents or caregivers unsure about their teaching abilities can enroll their children in swimming courses offered in their towns and cities.

Adults choosing to teach swimming on their own can try these techniques.

1. Start by teaching the child to blow bubbles out of his mouth and nose. This teaches the youngster how to prevent water from being inhaled. With only his or her mouth and nose under the water, the child can blow out and create bubbles. Once this technique is mastered, he or she may be less frightened about water going up the nose.

2. Have the child hold on to the side of the pool or a floatation device if out on a lake or in the ocean. The child should extend his or

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Help Your Child Learn to Swim

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General Hospital Carteret General Hospital Embraces New Slogan

Our Mission Is Your Health Carteret is not the same hospital from 15 years ago. Since that time, the hospital has celebrated a collection of awards and accolades including the Silver Award for heart failure treatment as recognized in US News & World Report and added the latest technology such as the new orthopedic robotic arm. Designation as a Blue Distinction Center for Knee and Hip Replacement as well as achieving the Joint Commission Gold Seal of Approval for Knee and Hip Replacement strengthens how Carteret provides quality health care. To reflect accomplishments and move forward with future achievements, the Hospital has embraced a new slogan “Our Mission Is Your Health.”

Over several months, staff, corporate board members, volunteers and administration pondered ideas for a new slogan at Carteret. Community relations committee chair and corporate board member, Ginger Parker shared, “We initially explored ideas to reflect the recent awards and recognition, the enhanced focus on quality and safety throughout the hospital, and the addition of the best technology. We soon realized that our discussion continuously remained on the importance of the health and wellness of our patients.”

Carteret’s slogan will reach outside the walls of the organization.

Beyond caring for illness and injury, Carteret General is focused on partnering with the community to promote health and wellness in hopes that hospitalization or readmission will not be necessary. Supporting these efforts are outpatient programs for diabetes, wound care and healthy heart. By focusing on care in the outpatient setting and on the transition of care, Carteret is able to improve the health of the community and enhance quality of life.

The new slogan “Our Mission Is Your Health” focuses on the Hospital’s patient-centered approach to health care and expresses the commitment to help individuals enjoy long and healthy lives. As Carteret General looks to what is ahead, the commitment to patient experience is most evident through efforts to reduce wait times in the emergency department. This has been a priority so the hospital invested in the community and the CGH Urgent Care on Bridges Street continues to offer an alternative for non emergency care.

The hospital’s slogan comes just as new CEO, Dick Brvenik begins his fifth month and moves forward with

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several new projects and changes to expand services.

“As we work to make Carteret General Hospital even better for you and your family, we are committed to the promise that stands behind our new slogan, ‘Our Mission Is Your Health,’” said Brvenik. “The updated slogan reinforces the focus on caring for each and every member of our community.”

Reaching out to the community is not the only focus. Carteret General values staff and recognizes that their physical and mental well-being is critical to their success in caring for others. The hospital provides numerous resources to staff to encourage healthy lifestyle choices such as tobacco cessation programs, health assessments, weight loss support, healthy and fresh food options in the cafeteria and stress reducing techniques such as a relaxation room. Additionally, Carteret supports nursing mothers who are working and offers a private lactation room to encourage best nutrition for babies.

Every day Carteret focuses on providing quality health care with exceptional compassion and respect. Already in 2012, Carteret is making strides to embrace the health of the community by bringing new technology and enhanced services for orthopedics. Using Makoplasty robotic arm technology, Carteret is proud to be the only hospital on the coast of the Carolinas to offer patients the latest in orthopedic surgical options for knee resurfacing and hip replacement. New techniques to reduce recovery time and pain, are also in place for anterior hip replacement. With this new technology, the Hospital is making another significant investment in quality on a day-to-day basis.

“Carteret General’s mission and vision for patient care must be focused on an ever rising bar of excellence. Through our focus on safety and continuous improvement in the quality of the care we provide we are striving to improve the health of those in Carteret County and surrounding areas. Carteret General’s recent recognitions for excellence in many areas attest to the success of our efforts,” states Dr. Jeff Vinton, medical staff chair. “The new slogan expresses the Hospital’s commitment to excellence and recognizes that patient care is the centerpiece of everything we do.”

More than using the slogan in promotional ads, the hospital vows to make “Our Mission Is Your Health” an integral part of how Carteret cares for you and your family. Carteret General Hospital promises to continually improve services and make advancements throughout the entire hospital to ensure patients and families have access to highest quality care and groundbreaking technology right here in Carteret County.

The timing of the new slogan coincides with the hospital celebrating its 45th year of service and celebrating significant achievements. New business ventures have enabled the creation of outpatient services for neurology and gastroenterology at Carteret Medical Group. Expanded MRI options are now available through a partnership with Coastal Radiology Associates and Eastern Radiologists in creating Seashore Imaging. Featuring an open bore MRI, patients experience maximum comfort with a large, ultra-short bore. Additional awards include recognition as a Bariatric Center of Excellence for weight loss surgery and Carteret Home Health was honored as a HomeCare Elite Top Home Health Care Provider.

For more information about Carteret General Hospital, visit www.carteretgeneral.com or call 252-808-6000. Our Mission Is Your Health.

Michelle Lee Carteret General Hospital

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For Appointments Call 252-838-8822 www.beaufortvisionclinic.com 23