Health & Wellness

SPRING 2013

Medical Marijuana Pending Bill is

Squashed,

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PLUS Coping with Pediatric Fever Farm Fresh Produce Spots Protecting Our Joints

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Published by: NCCOAST Communications Phone: 252.247.7442 • 800.525.1403 201 N. 17th Street, Morehead City, NC 28557 nccoast.com

Managing Editor

Staff Writer

6

Focus on Fitness

8

The Cure is in the Kitchen

10

Farm Fresh Produce

12

Marijuana Bill Goes up in Smoke

14

Fit for Your Feet

16

Skip Hicks

Joint Health – Today & Tomorrow

Allen Henry Anthony Stamper

18

Make Your Favorites Healthier

19

Making That Time of the Month a Thing of the Past

21

Kids & the Environment

22

Coping with Pediatric Fever

23

Business Index

Amanda Dagnino (editor@nccoast.com) Josh Lambert

Advertising Director

Jamie Bailey 252.241.9485 (sales@nccoast.com)

Account Executives

Jasa Lewis 252.648.1272 Anne Riggs 252.725.9114 Carrie Simonson 252.503.0658 Ashly Willis 252.342.2334

Creative Director

Kim LaChance (kim@nccoast.com)

Layout/Design

Graphics

Production Director

Lead Pressman/Mail Center

Pressman

Commercial Press

Bindery Leader

Bindery Operator

Distribution Manager

Distribution/Mail Center

Pre-Press

Business Manager

Commercial Print

contents

Erin Pallotti Kyle Dixon Mimi Guthrie Rudy Taitague

Edd Moore Jason Yates Rudy Taitague Dorrie Nicholson Tina Best Corey Giesey Georgia Lewis Andrea Vangelist Amy Krysa

NCCOAST Health & Wellness is distributed in five counties and other high-traffic sites throughout North Carolina, and is also available by request at nccoast.com. Entire contents, ad and graphic design and nccoast.com copyright 2013 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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FOCUS ON fitness

Maintaining Health at

Any Age

We typically think of “normal aging” as a steady slide into a sedentary life and ultimately death. In this model you get slower, a little fatter, weaker and stiffer over time. However, as we age we are all faced with a choice, we do not have to follow this normal aging model. We can just as easily tell our body to live as if we are younger for many more years.

It is important to recognize that most Americans will live into their mid-80s. And we know life expectancy has been increasing which could result in you living into your 90s. As we age we may be in great shape or we may be shuffling around with a walker. The normal aging pattern of becoming more decrepit does not sound fun. In fact it sounds down right dreary, with sore joints, teetering balance, obesity and low energy. But we do not have to live the latter portion of our lives like this.

So I can hear you saying, ‘how in the world do I do prevent this from happening?’ The hours, days, weeks and years will go by and your age based on birthdays will get higher, however with three things you can become functionally younger. The three things are: commitment, nutrition and exercise, with exercise being the most important.

Commitment is being engaged with other people. This is the social interaction we need. It is being involved in society, through such things as family, friends, hobbies, church and charity organizations. You do not have to tackle world peace. Your commitment does need to be something you personally care about that creates a reason for you to keep living. Without a reason to live we will become apathetic and sedentary, which will not allow us to live life to the fullest.

Nutrition is a topic that has become unnecessarily overcomplex. We see numerous fad diets come and go and yet obesity continues to rise. If we all step back and think about our eating habits, it is clear that we really do know what we should be eating. We all probably agree that we really do not need to follow the “super-sized” diet that results in us eating a single meal that has a caloric count approaching what we should be eating for the day. So focusing your eating on meals that are centered on vegetables, fruits, legumes and whole grains will be a good place to start. Fish, chicken and eggs are all good sources of lean protein.

Exercise is the biggest change for most people and it is the secret to great health and becoming younger. Historically, humans were more active working physical jobs, raising our own food and generally spending more time moving. A side effect of the modern life is that we have become more sedentary. We sit

health wellness A N D

in climate controlled environments, working at desks or watching televisions. To counter this, we must be more active especially as we age. We need to exercise a minimum of six times per week, to prevent our bodies from decaying.

Exercise maintains healthy circulation in the body and brain.

It helps you manage your weight and cope with stress. Exercise stems age-related losses in bone density and muscle mass while it keeps the heart and lungs strong. Dozens of studies show that people who exercise, on average, live longer than those who don’t, with a reduced chance of heart disease, high blood pressure, stroke, type 2 diabetes, colon and breast cancers, depression, falls and even mental decline.

The best way to get into your new life of exercise is to take a deep breath, make a commitment and jump into it. Your six days of exercise needs to be a combination of aerobic and strength training. You should do serious aerobic training four days and strength training with weights two days a week.

People often have misconceptions about strength training, conjuring images of bodybuilders in the gym lifting very heavy weights. However utilizing a combination of lighter weights, high repetitions and incorporating the whole body approach can result in greater overall benefits. Often times the use of your own body weight is sufficient. Hiring a good certified personal trainer is a good way to get started in strength training. A trainer will educate you, design a program for you and motivate you.

When starting a program, a gradual approach is best to maximize benefits and minimize risks of injuries. Your plan should include a combination of low- and moderate intensity.

Low intensity exercise (60-65 percent max heart rate) is often called fat-burning exercise, since at this low intensity your body proportionally utilizes a higher percentage of fat for energy.

Working out at moderate intensity (70-80 percent max heart rate) will result in overall improvement in your fitness aerobic endurance.

So as the birthdays go by, you have a choice to make. Do you want to follow the normal aging model? Or you can choose to include commitment, nutrition and exercise in your life, resulting in you having a more healthy and active life.

Dyanne Singler is the owner of Momentum Yoga & Fitness in Morehead City. She is a National Academy of Sports Medicine certified personal trainer. Momentum Yoga & Fitness is located at 2900 Arendell St., #16, 252-247-YOGA (9642), www.momentumfitnessnc.com.

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SOUTHERN style

The Cure is in the Kitchen

W

Whether you have a head cold, an upset stomach, or an itchy rash, fast and inexpensive relief may be sitting on your kitchen shelf. When you look at the science, it turns out your grandmother wasn’t so far off on some of those home remedies she used to swear by. For example, it’s really true that olives can help stave off motion sickness – but only if you eat them when the first symptoms appear. That’s because olives contain tannin, which works to eliminate the saliva that triggers nausea.

It’s also absolutely true that oatmeal has anti-inflammatory properties, and that a finely ground paste of it can help soothe eczema. The neutralizing powers of yogurt and other probiotics also can help get rid of bad breath. From gargling saltwater for a sore throat, taking a spoonful of sugar for hiccups or chewing on a pencil for a headache – they all have a scientific reason why they work.

Every year, without fail, kids and parents get colds, stay home from school and generally feel miserable. And then, the next steps are predictable – go to the drugstore, pick up some medication and hope that it goes away.

However people should not discount old-fashioned cures and home remedies, of which many have been proven to work over the years. Maybe you should listen to Grandma when she tells you to drink chicken noodle soup broth the next time you have a cold.

For centuries, family members have prescribed some unusual home remedies to treat coughs and colds, scrapes and bruises. Whether it’s grandma’s chicken soup or dad’s hot toddy, every family seems to have their own old-fashioned cures. There is usually some form of natural remedy or alternative to western medicine for everything from the common cold and chest congestion to warts and healthy toes – some proven and others mythical.

The following list includes some of the more prevalent treatments, cures and remedies for sicknesses and ailments:

Old Fashioned Flu and Cold Remedy

– To treat a persistent, nagging nighttime cough, bring two cups of water to a boil and add two sliced lemons, 1/2 teaspoon of either mint or dried ginger, 2 tablespoons of honey and 2 tablespoons of sugar. After mixing these ingredients and having brought them to a boil, they soon turn into a syrup.

Once this occurs, add an ounce of liqueur or brandy and take a spoonful of the mixture. Also, mix 1 tablespoon of horseradish and 1 cup of olive oil and let it to stand for 30 minutes; use as massage oil for instant relief for aching muscles.

Good old fashioned

health wellness A N D

chicken noodle soup is also used for quelling cold symptoms.

Soothe a Sore Throat – Soothe your sore

throat by taking 3-4 dried sage leaves and put them into a cup of hot water and let stand for approximately 10 minutes and gargle while still warm. There is also always the saltwater gargle. Add 1/2 teaspoon of salt to a glass of warm water, stir and gargle to relieve the pain.

Calming Nausea – This remedy works well to calm an

upset stomach. Add 2 teaspoons each of dried chamomile and dried basil leaves to a cup of boiling water; leave to steep for 10 minutes. This mixture is sipped and will work well to relieve a child’s tummy ache and just as well for us adults.

Cuts and Scrapes

– Honey is a highly effective antimicrobial, which reduces the chances that cuts and scrapes will get infected. Cayenne pepper is actually a wonder with cuts and bleeders. Just sprinkle a layer of organic ground cayenne pepper on a bleeding, open wound and then wrap a bandage around it. The bleeding stops and the pain is dulled.

Leave this bandage on for an hour or two. Discussion of cuts and scrapes and old time remedies would not be complete without speaking of the use of spider web. Spider web contains a substance that is very effective in stopping bleeding and preventing infection.

Bruises and Bumps

– As soon as possible, beat an egg white with a fork until there are some bubbles (to keep it from sliding off) and apply liberally to the damaged area. Let it dry and repeat twice more. It will prevent swelling and discoloration.

Burns and Sunburns – Pour apple cider

vinegar in a container, dip a white wash cloth in and cover the burned area. When the cloth gets warm, dip it in again and repeat. Continue until all the heat has dissipated from the area.

Home Facials – Apply Pepto Bismol to face, leave on for

Insect Bites – A variety of

insect bites can be treated with ammonia, as well as bee and jelly fish stings. It is a natural neutralizer, almost instantly deadening the pain of a bite or sting.

A similar effect can also be achieved with baking soda, another neutralizer.

Sinus Congestion – Place a few menthol crystals in a cup of hot water and breathe in the hot vapors through the nose. A solution of salt water (1/4 teaspoon to a cup of water) sniffed from the palm of the hand can also unclog a stuffy nose.

Chapped Lips – Mix 100 percent pure sweet almond oil

with sugar to create a paste. Dip toothbrush in mixture and scrub lips. The sweet almond oil helps to moisturize lips while the sugar gently exfoliates away dead tissue. Be careful not to scrub too hard to avoid doing harm to your lips.

Kill Bad Breath – Bring two cups of

water to a boil, add three sprigs of parsley, 1/2 teaspoon ground cloves and a sprinkle of cinnamon.

Strain and use as a mouthwash.

Removing

Warts

– Wart is not only an ugly word but is even uglier when you’re the one having to look at several on your hands or knees. Pick the largest dandelion and rub the milky substance from the cut end of the weed onto the warts.

Placing a piece of duct tape over the warts for a week, removing and repeating has also been known to rid warts.

10 minutes and peel off. When applied to the skin, Pepto Bismol does the same thing it does to your stomach – soothes and coats it. While it is an off-label use of this product, the aspirin and bismuth sub-salicylate contained in this classic pink medicine transforms dull skin and cleans out pores, giving skin a healthy glow.

Natural Home Deodorizers

– To rid the kitchen of unpleasant odors, place a small pot of water on the stove to boil, throwing in some cloves, a few sprigs of rosemary and several lemon rinds. The aroma of this spicy brew fills every room of the house, giving everyone a welcome feeling.

Furniture Polish – Use oils of

different varieties (vegetable or olive oil) and lemon, mixed with water and a small amount of a liquid soap. Shake this mixture well and rub into the wood for a nice lustrous shine for all wooden furniture.

The older generations and their old-fashioned remedies may seem far-fetched at times but those folks were wise. How could we ever know if these tips and tricks really work unless they are tried and tested?

With so many different remedies brought forth throughout time, some folks swear by their healing properties while others are more skeptical and would rather stick to traditional Western medicine. Many of these household remedies and cures have proven medical value for minor medical situations. Try them out next time the flu creeps up or coughing persists throughout the day or night. Any relief is better than no relief, and home remedies tend to be far cheaper than a visit to the doctor’s office or drug store.

Healthy Looking Toes – Soak

your toes in Listerine mouthwash. The powerful antiseptic leaves toenails looking healthy.

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FARM fresh

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Spring is most definitely in the air and that means Eastern North Carolina’s local roadside vegetable markets are in full swing and ready for customers. Nothing beats the flavor and health benefits of farm fresh produce and we’re fortunate to have a variety of farms in the area.

Stop by one of the neighborhood stands and see what is in store. You ever know what kind of goodies you are going to find.

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11

Legislative Bill

Goes Up in

I

It appears that proponents of medical marijuana will have to wait before they see any laws change in North Carolina concerning the legality of the substance for medicinal use. A bill that would have brought legalization to marijuana, also known as cannabis, for medical use in North Carolina was rejected by a legislative committee in February, most likely killing the issue until 2014.

Early American medical journals touted the use of hemp, a variety of the cannabis plant, for treatment of venereal disease and skin rashes. Dr. William O’Shaughnessy, physician for the British East India Company, prescribed cannabis for cholera, tetanus and rheumatism, and also for the treatment of rabies. The popular view of marijuana became colored by the widespread use of opiates during the late 19th and early 20th century. The Harrison Act, passed in 1914, banned the use of morphine and opium. Twenty-three states and the federal government passed laws outlawing marijuana by 1937.

Punishments were strengthened under federal acts passed in the 1950s. Hemp, the once popular crop used in cloth and rope production, was only allowed to be produced by birdseed manufacturers after 1937.

In 1970, the US Congress placed marijuana in the Schedule 1 level of the Controlled Substance Act because it considered it to have no accepted medical use. Last year, voters approved the legalization of marijuana for recreational use at the state level for the first time in history – in Colorado and Washington. Since then, there has been much attention focused on the conflict

12 health wellness A N D

Smoke

By Josh Lambert

between state and federal law, which still classifies the substance as illegal. Eighteen states and the District of Columbia have legalized the medical use of marijuana, and according to Americans for Safe Access, eight other states are considering bills to do the same.

The NC Medical Cannabis Act, or House Bill 84, was introduced into the State House of Representatives on Feb. 7, marking the third session in a row that citizens and lawmakers have teamed together in an effort to pass legislation in support of the medical use of cannabis. The bill’s current sponsors are Rep. Kelly Alexander (D) from Mecklenburg County and Rep. Pricey Harrison (D) and Rep. Marcus Brandon (D) from Guilford.

“I tend to do a lot of reading. In my reading, it became very clear that we have a substance out there that seems to do a lot to alleviate pain. But because the federal government classifies it as a category one narcotic – in other words, because it’s illegal – research has been difficult to conduct,” said Rep. Kelly Alexander. “But a preponderance of anecdotal evidence, research coming out of other countries, as well as the limited research that’s done in this country, seems to indicate that medical cannabis can help a lot of people with a number of different ailments including cancer, and could be delivered at a reasonable cost.”

A legislative committee in Raleigh gave an unfavorable report to the bill after 20 minutes of public comment on Wednesday, Feb. 20. The bill would have put state laws in place to pro-

tect residents of North Carolina from arrest and prosecution for using cannabis if recommended by a physician for certain ailments and illnesses. The bill states the purpose of the article is “to protect patients with debilitating medical conditions and their physicians and caregivers from arrest and prosecution, criminal and other penalties and property forfeiture by allowing the beneficial use of medical cannabis in a regulated system for alleviating symptoms caused by debilitating medical conditions and their medical treatments.”

Not only would the bill have legalized the substance for medicinal use, it would have allowed for medical marijuana centers and dispensaries to be created where patients and caregivers could purchase their medicine legally. The article was intended only to make changes to existing laws in the state that are necessary to protect patients and their doctors from criminal and civil penalties. It would not have changed any current civil or criminal laws governing the use of marijuana for nonmedical purposes.

A wide array of serious illness qualifications are included in the bill, such as cancer, ALS (Lou Gehrig’s), fibromyalgia, multiple sclerosis, HIV/AIDS, Chrohn’s and rheumatoid arthritis, among others. It also states that having any other serious medical or mental condition, or its treatment, approved by a physician or other practitioner authorized to prescribe or recommend a controlled substance, would qualify someone for medical cannabis treatment.

Opponents of the bill see the legalization as a gateway into something negative and harmful. They feel that legalizing medical marijuana would grant legitimacy and cultural acceptance of the substance. How legalization would affect families and children is also another question raised by those who oppose the bill. Questions arise as to the strain this could put on marriages and the fear that children will be much more exposed to cannabis.

Proponents say that patients that can go to a dispensary and get their medication would not be subject to harder drugs when they have to go to the black market drug dealers. One of the major arguments put forth by proponents of its legalization is the fact that alcohol and tobacco are legal under the federal laws and cannabis remains illegal. They also point out the pharmaceutical market and the drugs that are being given to patients for pain such as morphine, which have strong side effects and are more costly.

According to the bill, the economic result of medical legalization would be approximately $250 million per year in revenue for the state within four years of implementation. This figure was based on data gathered from other states where medical marijuana has been legalized and regulated.

“The estimation that fiscal research did last session – about $30 million in revenue – is probably low, especially when you remember that there’s not a whole lot of history in terms of demand, taxation levels and so on. I feel like it will probably bring closer to $100 million a year. This has the potential to be an industry and

“

right now the only people who are benefiting from the demand are the [drug] cartels,” said Alexander.

After a bill is introduced on the House or Senate floor it is referred to the committee of jurisdiction, which is charged with reviewing measures in the area of law or policy with which the bill is concerned. The committee of referral most often sends the measure to its specialized subcommittee for study, hearings, revisions and approval.

For bills that never make it to the House floor, the committee or subcommittee fails to take further action on the referred bill, effectively “killing” the measure at that point.

Occasionally, a committee will report a measure “unfavorably,” with explicit recommendations against its passage, or it will report a bill “without recommendation,” which has the same effect as an unfavorable report. If the bill passes the subcommittee with a favorable vote, it is sent back to the full committee for further consideration, hearings, amendment and vote. Under House rules, when a bill is given an unfavorable report, “the contents of that bill or the principal provisions of its subject matter shall not be considered in any other measure originating in the Senate or originating thereafter in the House.”

Rep. Paul “Skip” Stam (R-Wake) explained that the bill was given an unfavorable report to curb “harassment” of lawmakers receiving phone calls and emails about medical marijuana. Stam said that the legislature acted in that manner to “be done with it, so people could move on for the session.” This is the third legislative session in a row that a medical marijuana bill has been defeated in North Carolina.

“You end up with Skip Stam being quoted in a newspaper as saying that they were basically being annoyed,” said Alexander. “Only when some unconvinced folks get it through their heads that the citizens of this state are demanding change will something be done. People are wondering ‘are we going to get change?’”

According to a statewide poll conducted by Public Policy Polling in January 2013, 58 percent of respondents approve of allowing the medicinal use of marijuana. There is currently a petition circulating online sponsored by Rep. Alexander requesting 20,000 signatures from the citizens of North Carolina to call upon the members of the NC House to sign a discharge

“I tend to do a lot of reading. In my reading, it became very clear that we have a substance out there that seems to do a lot to alleviate pain. But because the federal government classifies it as a category one narcotic – in other words, because it’s illegal – research has been difficult to conduct,”

“

Rep. Kelly Alexander

(continued on page 20)

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13

MEN’S health

IF THE SHOE fits

Fit for Your

Feet

By Josh Lambert

One of the single most important pieces of equipment for nearly any type of exercise program, whether it’s running, aerobics, hiking or sports, is the right pair of shoes. There is a vast array of choices when it comes to athletic and running shoes and the market is growing and changing daily with new technology and discoveries. With this copious variety of shapes, sizes, brands and categories, finding that perfect shoe can become a daunting task – a task you may regret in the future when that ankle twists due to lack of support or blisters form from friction between the shoe and foot.

It is important to choose the correct type of shoes for the kind of workout or sport in which someone wishes to participate. A shoe made for running is very different from a shoe made for basketball or tennis. For instance, running shoes have little or no lateral stability built into their design because runners don’t move their feet laterally while running – they are only moving forward. Shoes for basketball, tennis and other sports need to be stabilized laterally because people move their feet side to side often while participating. Even walking shoes differ greatly from those for running.

Some newer models of running and athletic shoes appear to be better suited for a space mission to Mars than a run in the park, but many of those neat features that are aesthetically pleasing are actually there to serve a purpose.

Clear inserts filled with gel, freon or air provide extra shock absorption to protect the feet. These features are especially good for people who tend to experience pain in the heels of their feet, but not so for people whose ankles twist easily, as shoes with extra cushioning tend to provide less traction.

One of the first things that someone should do before

14 health wellness A N D

purchasing any type of athletic or running shoe is determine the shape of their feet. This will help illustrate the specific arch type of the foot, which in turn is used to choose the correct shoes for that arch type.

“Measuring your foot is good to get you in the ballpark of the right size, but you will need to actually try shoes on,” said Allen Turner, owner of Athlete’s Foot in Morehead City. “An athletic shoe runs small compared to a dress shoe and the Brannock device we use to measure your feet gives an exact measurement. It gets you close, but you still have to try on different shoes because the brands differ.”

An easy way to find out the foot’s shape is to conduct what is known as a wet test, where a person wets their foot and steps on a piece of brown paper, tracing the footprint left behind. Someone could also simply look at the bottom of their last pair of shoes and see where they show the most wear.

If the print shows the entire sole of their foot with little to no curve on the inside, or if old shoes show the most wear on the inside edge, it is indicative of that person having low arches or flat feet. This means they tend toward overpronation, or their feet roll towards the inside while walking or running. Overpronation can create extra wear on the outside heel and inside forefoot. Anyone with overpronation should look for a shoe with a motion control feature and maximum support.

If the print shows only a portion of the forefoot and heel with a narrow connection between the two, or if shoes show the most wear on the outside edge, this means that person has high arches and tends to underpronate, meaning their feet roll outward. Underpronation causes wear on the outer

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edge of the heel and the little toe on the bottom of the shoe.

These people should look for a cushioned shoe with a soft midsole.

The basic types of running shoes are trainers, crosstrainers, trail runners, racing shoes, walking shoes and minimal shoes. Trainers are heavier shoes designed to provide maximum cushioning. Those looking for an everyday running shoe would probably be best buying a trainer – they are designed to provide maximum cushion. Trainers also come in a lightweight version that offers less padding to reduce the weight of the shoes.

“Not all of the different arch types react the same throughout the gait cycle, which is how your foot rolls while you’re walking with a heel to forefoot transition,� said Turner.

Cross trainers are designed more for traction with a wide surface area that provides a large amount of contact with the ground. Consequently, they provide better control in stop and go situations or when moving laterally. This type of movement makes one vulnerable to rolling the ankle, so cross-trainers are typically built with better ankle support in mind. Trail runners are much like cross trainers, but designed to minimize slippage on all surfaces and maximize protection of the ankles. These shoes are ideal for running in all weather conditions and on uneven surfaces, just as the name would imply.

Racing shoes are offered in numerous varieties, which depend largely on the surface where the running will take place, but the main theme throughout the types of racing shoes is that they are lightweight. At approximately half the weight of standard trainers, these shoes allow for maximum speed.

Walking shoes is a broad category and the differences compared to running shoes occur because the motion of walking is different than running. Unless someone is truly trying to run in their shoes on a daily basis, walking shoes will give easier motion and more support. Barefoot, or minimal, shoes are basically a glove for the foot, giving the feel of running barefoot, but protection from punctures and other hazards is lost in translation. These can be quite uncomfortable when the surface has rocks and jagged surfaces.

“Walking and running shoes are going to be similar as far as structure. You get better support and better cushioning in a running shoe. A cross trainer would be the most versatile shoe. However, you don’t have as many options with cross trainers to be fitted for a shoe as you do with running or walking shoes.�

According to experts, it is a myth that foot size doesn’t change in adults or the foot stops growing after a certain point. Researchers recommend measuring your feet once or twice a year to ensure they have not changed. Sizes also vary between brands, so it is important to choose shoes based on fit instead of the labeled size.

“Just because you’re a size 7 at 17 does not mean you will be the same at 40. The arch type changes and feet sort of flatten out over the years for most people. These are just generalities, but almost always your feet get bigger over the years,� explained Turner.

Some advice when buying athletic or running shoes is to shop toward the end of the day because feet swell over the course of the day. They may also expand when someone runs or walks, so shoes should fit feet when they’re at their largest. When trying on shoes, bring the socks that will (continued on page 17)

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15

MEN’S health

ASK THE doctor

Joint Health:

&

Today Tomorrow

Joints are the places in our bodies where bones meet. They roll, glide, rotate or bend like a simple hinge to let you run, jump, exercise and dance. Joints come in different sizes, shapes and varieties, but all of them are susceptible to wear and tear, damage and arthritis.

According to Harvard Health Publications, nearly 20 percent of people in the United States have arthritis. Whether you’re in the afflicted minority or the lucky majority, it’s important to take care of your body and protect joints to maximize their use, mobility and function for as long as possible. It is not only about being able to coax these joints into action for years to come – preventing or limiting the amount of pain or discomfort someone presently feels is a positive as well.

Dr. Jeffrey K. Moore of Moore Orthopedics in Morehead was first board certified in 1991 and voluntarily recertified in 2001. He specializes in primary, complex and revision total joint replacements, arthroscopic surgery of the shoulder and knee and surgery of the hand.

He has an extensive educational background and training. Dr. Moore has considerable experience in early intervention partial knee replacements as well as minimally invasive surgery of the knee and hip.

Dr. Moore provides his insights, tips and information concerning joint protection among younger people in the answers to the following questions:

Q: What are some of the things that are causing some men and women to begin having issues with their joints at a younger age?

A: The two major categories of causes for early joint problems are acute injuries, such as cartilage tears, fractures and ligament tears, and overuse syndromes, which cause tendonitis, joint pain, shin splints, etc.

Q: What are some ways to prolong the health of your joints as you age? How can your diet and physical exercise benefit your joints?

A: One of the main things is weight control. Bones and joints are made of materials that are designed to last a lifetime of

16 health wellness A N D

normal stress and use. Too much stress from obesity causes early joint wear and failure. Regular exercise and a healthy diet will also benefit your joints and prevent injury.

Q: What are some ways in which young people can strengthen their joints? Are there certain things they should be doing?

A: Your joints are controlled by muscles and tendons and if these are kept strong with regular exercise, they will protect the joints from injury. Bones, ligaments and cartilage are all biologic tissues that remain at their strongest if regularly exercised, but not overexerted.

Q: What are some recommendations for someone who experiences the first signs of joint pain or problems?

A: Do things in moderation and refrain from those activities that seem to be causing the pain. Get plenty of rest and apply ice for pain and swelling. Gradually assume regular activities instead of jumping back in and hurting yourself more. If the symptoms become persistent or you don’t see relief, consult your physician for further treatment.

Q: What are some of the more common types of joint injuries you see with younger people? Are some people overexerting their joints without realizing possible damage being done?

A: By far, the most commonly injured joint in younger people is the knee. There are sprains and ligament injuries such as an ACL tear. Cartilage tears are commonly caused by twisting injuries during sports or exercise. We also see a lot of overuse injuries from young athletes who are pushing their bodies too hard.

Making sure that joints are being taken care of at a young age may prevent pain or problems in the future as the body ages.

Exercise is great for joints, but should not be done to a point of overexertion, which will do more harm than good. Keeping an eye out for joint problems will help you stay healthy and active, instead of on the couch with ice on that knee. Accidents happen and joint injuries occur often, so it is important to see a physician for serious joint pain or problems. However, preventative measures can be taken to help strengthen joints and keep them healthy and functional. Don’t take you’re joints for granted and you will jump for joy in the future – without hurting yourself.

MEN’S health

(continued from page 15)

be worn while running, walking or playing sports to ensure the shoes fit well with the socks. Running and walking shoes should feel comfortable right away, so there should be no need to break them in; people should walk or run around the store a bit to make sure they feel good in action.

There needs to be approximately 3/8-1/2 inch between the front of the big toe and the end of the shoe – roughly the width of a thumb. The heel should fit relatively tightly and feet should not slip out when walking or running. The upper part of the shoe that covers the top of the foot should be snug and secure, but not too constricting. The American Academy of Orthopedic Surgeons writes that when fitting in to an athletic shoe, someone should be able to freely move all of their toes while wearing the shoe.

“I have about a 1/8 of an inch of room in mine. I have sold people shoes that have had almost an inch of extra room – I would never wear a shoe that big,” said Turner.

Most people are not professional athletes, or just simply aren’t heavily into running, hiking, tennis or any certain sport. They may only go to the gym occasionally, play tennis with a

buddy or shoot some hoops with their children. For these people, who are more of the weekend warrior when it comes to exercise or sports, a trainer or crosstrainer shoe is probably the best choice.

“The way the shoes have been engineered over the years, they have a real thick heel on them that allows you to land hard on the heel. There is some research now that Westerners are more injury prone because of those over-engineered shoes. All of the companies have come out with this type of shoe called zero drop, which is more like landing flat on the ground. Within the last two years, a whole new breed of shoe has come out,” said Turner.

There are many different types of shoes each designed with a different purpose in mind. One of the best ways to maximize performance and avoid injury is to wear the best shoe for your application. If you truly intend to run cross country, then trail runners are probably the best bet, but if you’re just looking for a gentle stroll in the park on Sunday, then a nice set of walking shoes is best choice. The key when shopping for a pair of shoes is to know where they will be used and buy accordingly.

Turner emphasizes the importance of buying shoes at a specialty shoe store such as Athlete’s Foot compared to purchasing them at a store that does not specialize in shoes and only shoes.

“You will get the right type of shoe for your arch and gait cycle. That’s what we specialize in. We’ll make sure you leave with a shoe that fits your arch and the way your foot moves through the gait cycle,” said Turner.

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17

WOMEN’S health

IN THE kitchen

Make your Favorite Recipes

Healthier

A healthy diet plays a significant role in a person’s overall health. Without a healthy diet, men and women are more susceptible to disease and other potentially harmful ailments. But when many people think of a healthy diet, a lack of flavor is often one of the first things to come to mind.

That’s a common misconception, as a diet that’s healthy and full of nutrients can simultaneously be flavorful. In fact, it’s easy to enjoy many of your favorite dishes in a way that makes them much healthier. Oftentimes, a few minor alterations to a recipe are all it takes to turn the dish from highrisk to healthy.

• Trim the fat. No one wants to eat fat, but fat isn’t

entirely bad for you. Fat can help your body absorb vitamins A, D, E and K, and replacing fat with something like carbohydrates decreases how much these valuable vitamins are absorbed. In addition, dietary fat releases chemicals in the brain that make you feel full, reducing the likelihood that you will overeat. Those are just a few of the benefits of dietary fat, which is an essential element of a healthy diet.

But overconsumption of dietary fat can be dangerous, and many people simply need to trim some fat from their diets.

One way to do that is to reduce how much butter, shortening or oil you use when cooking. For some recipes, you may be able to cut suggested portions of such ingredients by half without replacing them. However, for others, especially those for baked goods, these items may have to be replaced.

In the case of the latter, find a suggested alternative to highfat items and only use half of the high-fat item listed in the original recipe. Chances are you won’t taste the difference, but your body will be better for it.

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• Substitute healthier fare. Sub-

stituting items is another way to turn a favorite dish into a healthier dish without altering the flavor dramatically, if at all. For example, instead of cooking with enriched pasta, purchase whole-wheat or wholegrain pastas, which are higher in fiber and lower in calories. If a recipe calls for using milk, choose fat-free milk instead of whole milk. Doing so reduces your fat intake by nearly 8 grams per cup. Recipes can even be made healthier by simply cutting back on the main dish and adding more vegetables. Instead of using the recommended amount of meat or chicken, scale back and make up for it with additional vegetables, which reduces your caloric and fat intake while adding more vitamins and minerals to your diet.

• Change your methods. Certain

cooking techniques are healthier than others. Frying foods or cooking with fat, oil or salt is not the healthiest way to prepare a meal. Some of your favorite dishes that call for frying or cooking in oil can be just as flavorful if you opt for healthier methods like braising, broiling, grilling or steaming.

When recipes call for basting foods in oil or drippings, forgo these unhealthy options and baste foods in vegetable juice or fat-free broth instead.

What you use to cook can also be healthy or unhealthy.

Nonstick cookware won’t require you to use oil or butter to keep foods from sticking to the pan. This reduces the amount of fat and calories you will consume, and you likely won’t notice a difference with regards to flavor.

Men and women who enjoy food and cooking their own meals can take several steps to make those meals healthier without sacrificing flavor.

ASK THE doctor WOMEN’S health

Making That Time of the Month a Thing of the Past

By Dr. Berniece Redmond

It’s just one week out of your month. That’s not so bad, right? That’s only 12 weeks out of each year if everything goes as it should. The average woman begins this story at the age of 11 and it continues to approximately age 52. So that’s a total of three months per year for 41 years. Just think, 12 years of your life spent having your period! That was your mother’s history.

Fortunately for today’s woman, times have definitely changed.

In younger women who desire to have children in the future, hormonal birth control may be of benefit in reducing bleeding during the cycle. Advances in our understanding of hormonal contraceptives now allow the option for longer intervals between cycles. There are oral contraceptives that are packaged as a three month supply allowing for four periods per year. It’s possible to use many different birth control pills this way, even those that are packaged as a monthly supply. It is also important to get instruction from your physician if you try to prevent monthly periods.

Changing the way that you take your pills to try to stop your monthly period can cause spotting and if not done correctly, the effectiveness for preventing pregnancy can be diminished.

Some women worry about the safety of not having a monthly period. It is true that women taking no hormonal medication should have a monthly period to allow the lining to shed each month, however, when taking birth control pills the lining gets very thin. When this occurs it decreases the bleeding during the period. Having a period every three months is sufficient and safe.

Another option for decreasing the monthly cycle is the Mirena IUD. Mirena contains a small amount of hormone that is released locally within the uterus to thin the lining. In many women this causes periods to either stop or become much lighter and less often. Mirena lasts for five years and can be placed and removed in the office with no time off from work. In addition to the benefit of having periods less often, it provides excellent birth control for those that need this option. IUDs are the most common form of birth control used worldwide due to their convenience and an effectiveness of greater than 99 percent. They can also be used soon after pregnancy and during breastfeeding. Because they contain no estrogen, they can even be used by women who have blood clotting disorders.

For those that are beyond the desire for future fertility, there is a surgical option called endometrial ablation. This procedure has been available for about 20 years but the technology to perform the procedure has improved drastically during this time.

Now, endometrial ablation can be performed in the office with mild sedation and local anesthesia and takes only two minutes for the actual procedure in many cases. The recovery time is limited

to the day of the procedure usually allowing for return to work the next day. This procedure allows for patients to have much less heavy periods, and in up to 50 percent of women, no period at all. Endometrial ablation is not a form of birth control and is used in conjunction with a permanent birth control method.

All of these less invasive opportunities to correct heavy or prolonged bleeding have greatly reduced the need for hysterectomy. Despite these advances, there are still some women that have such difficulty with pain or heavy bleeding that the above options do not solve the problem. Hysterectomy is offered and is a great option when other therapies have failed to work.

Many issues go into making the decision for more advanced surgery and removal of the uterus. One confusing issue for many is the method of hysterectomy. At times it requires an incision on the abdomen to remove the uterus but often the procedure can be done through very tiny incisions with a laparoscope. You see a lot of ads these days about robotic surgery – and for many complicated and advanced cancer procedures it can be helpful, however, for simple hysterectomy, having a robot to do the hysterectomy verses having a laparoscope really makes no difference. Only in cases of cancer and more advanced procedures does the robot offer any additional advantages. Unfortunately, it does add a tremendous extra cost to the care provided and may extend the length of time that a patient has to be under anesthesia for the surgery.

When considering your options for surgery, it isn’t always best to assume that more technology is better. Your best resource is the confidence and relationship you have with your physician to help guide you through the options available for your particular condition.

Life is fast paced and you need the opportunity to work, play and enjoy your time. Your period should not be a problem that impacts the rest of your life. There are so many options available that most all women can have improvement in their symptoms. Start by keeping a calendar of your cycles and list any associated symptoms that you notice like pain or irregular bleeding. Then make an appointment to see your physician to discuss which treatment is right for you.

Dr. Berniece Redmond is an obstetrician/gynecologist in practice since 1997. She is a native of North Carolina and practices with Carteret OB/Gyn in Morehead City.

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19

(continued from page 13)

petition to permit a floor debate on the matter of legalizing medical cannabis. The petition has generated more than 16,000 signatures to date.

According to Alexander, there is actually one last parliamentary effort that can be launched to get the bill taken off of the unfavorable listing, however, that would require a twothirds vote and it would be a motion to move HB 84 from the unfavorable to the favorable calendar. He says it is unlikely that two-thirds of the members of the House would vote to move the bill from unfavorable. But what it will do, he said, is show everyone who is currently sitting in an elected seat and those that show up for the vote on record as to what their position is. Even though they would be voting on a procedural motion, a vote in favor of the motion would basically be a vote in favor of the underlying proposition; a vote against the motion would be a vote against the proposition. According to Alexander, that gives people who are paying attention a gauge by which they can measure their elected representatives.

“I will absolutely continue this fight. I think it’s unconscionable that people who are suffering and who are in reach of relief can’t get it,� Alexander said. “We are in a bizarre position where physicians will confidentially say to patients ‘this may help you, but I can’t prescribe it because it’s a schedule 1 drug and it’s against the law.’ Therefore, we have people now quietly being directed to essentially go into the black market for their medication. That makes no sense.

“For those of us who have been chosen as elected officials, it is incumbent upon us to be on posture where we are willing to receive opinions of the citizenry. I would encourage citizens not to stop, but to intensify expressing their opinion on this matter.�

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20 health wellness A N D

CHILDREN’S health

Protect

Kids Environmental from

Factors in the

Year Ahead

As many across the globe adopt more eco-friendly lifestyles, protecting the environment remains a top priority. The popularity of hybrid cars continues to rise while more and more communities are recycling and reusing. Each of those things is an effort to decrease carbon footprint and protect the environment from human behaviors that can be harmful to the planet.

But what about protecting kids from the environment? According to the Environmental Protection Agency’s Office of Children’s Health Protection, children might be especially vulnerable to adverse contaminants in the environment. That’s because a child’s bodily system is still developing, and kids eat more, drink more and breathe more in proportion to their body size. In addition, kid’s behaviors can expose them to more chemicals and organisms. But parents can protect their kids from potentially harmful environmental factors in a number of ways.

Help kids breathe easier

One of the best ways parents can protect kids is to take steps to help them breathe easier. By doing the following, parents can do just that.

• Quit smoking.

• Quit smoking in the home or in the car.

• Keep the home clean, routinely removing dust and mold.

• Eliminate pet dander, which can trigger asthma attacks and allergies, around the house.

• Monitor ozone levels and keep kids indoors on ozone alert days when air pollution is high.

• Reduce motor vehicle idling.

Protect kids from lead poisoning

Lead poisoning is another environmental factor that puts kids at risk. The US banned the use of lead-based paint in 1978, but homes built prior to 1978 were not under restrictions. That means lead exposure is still a possibility in older homes, so parents should take the following safety measures to ensure their kids aren’t at risk.

• Have homes built before 1978 tested for lead paint.

• Have kids’ blood tested for lead. These tests can detect high levels of lead and are most important for children between

the ages of 1 and 2. Levels of lead in a child’s blood typically increase rapidly from six to 12 months of age and often peak somewhere between 18 and 24 months.

• Wash children’s hands before they eat, and be sure to wash bottles, pacifiers and toys thoroughly and often.

• Wash windows and window sills to protect kids from dust and peeling paint contaminated with lead.

Protect kids from CO poisoning

Carbon monoxide poses a significant threat to adults and children alike. According to the Journal of the American Medical Association, carbon monoxide is the leading cause of accidental poisoning deaths in the US. Parents can help kids avoid falling victim to CO poisoning in a variety of ways.

• Have fuel-burning appliances, furnace flues and chimneys professionally inspected once a year. If any problems arise, address them immediately.

• Never use gas ovens or burners for heat.

• Never use barbecues or grills indoors or in the garage.

• Never allow kids to sleep in rooms with unvented gas or kerosene space heaters.

• Do not run cars or lawnmowers in the garage.

• Install CO detectors throughout the home, inspecting each detector at least once a year.

Protect kids from the sun

Overexposure to the sun is another environmental risk that can prove harmful to kids.

• When kids are going out in the sun, make sure they are wearing hats, sunglasses and protective clothing.

• If visiting the beach or spending ample time outdoors during the warmer months, always apply a sunscreen with a minimum SPF, or sun protection factor, of 15.

• Keep infants out of direct sunlight.

• Minimize the amount of time kids spend in the midday sun, typically between the hours of 10am and 4pm, when the sun is most intense.

More information about protecting kids from the environment is available at wee.epa.gov.

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21

CHILDREN’S health

Facts About Childhood Fever

Fevers scare many parents. When a child’s temperature rises, it can induce panic and helplessness. But when parents recognize that fevers are oftentimes not incredibly harmful to children, that recognition can reduce panic and overreliance on fever-reducing medication.

If a child is healthy, a fever does not necessarily indicate anything serious. A fever is a rise in temperature initiated by the hypothalamus in the brain, which acts as the body’s internal thermostat. The average body temperature is 98.6° F (37° C), but if body temperature is measured consistently throughout the day, this temperature will fluctuate. In fact, body temperature is often lower in the morning and higher in the middle of the day.

In many cases, the hypothalamus raises body temperature as the result of an infection or illness, according to the Nemours Foundation for Children’s Health. It is believed that making the body less hospitable to viruses and bacteria helps reduce their propensity to grow and multiply. A fever is often a good indicator that a person is sick, which can sometimes be difficult to determine if there are no apparent symptoms. This can help parents and doctors discover what is triggering the fever.

For parents of toddlers and older children, a fever of 103° F or less is generally nothing to run to the doctor about. There is no inherent harm in letting the fever run its course, and it can actually prove beneficial in fighting the viral or bacterial illness that is causing the fever in the first place.

If you have a newborn, a fever of 101° F or higher should be considered a medical emergency and should be evaluated by a doctor right away. Youngsters age 7 weeks to 3 months should be brought to a doctor immediately if they have a fever of 101° or higher.

If a child has a fever of 104° or higher and his or her body temperature will not come down to 101° or 102°, even with treatment, this is a cause for concern. This guideline, courtesy

22 health wellness A N D

of renowned childhood medical expert Dr. Bill Sears, can help parents determine if their child’s body temperature is something they should be concerned about.

{

Normal temperature 97° to 99° degrees (36° to 37.2° Celsius).

Low-grade fever 99° to 100.9° degrees (37.3° to 38.3° Celsius).

Common fever 101° to 103.5° degrees (38.4° to 39.7° Celsius).

High fever any fever over 103.6° degrees (39.8° Celsius).

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Most pediatricians agree that a fever should not be treated with acetaminophen or ibuprofen if it is not making a child extremely uncomfortable. These medications can be used if the child has pain or is complaining about how they feel about the fever. Acetaminophen is used every four hours while ibuprofen lasts a little longer and is given every six to eight hours.

When checking fevers, parents often wonder which thermometer is best. While some parents employ the lips-on-theforehead method, there are more accurate methods of determining temperature readings.

• Glass thermometers: These have been around the longest and have a proven record of accuracy. They do take the longest to read a temperature and can be difficult when dealing with fidgety kids. They can be used orally, rectally or under the arm, giving parents options.

• Ear thermometer: This quick and easy thermometer has become a favorite method. But accuracy can vary, giving different readings from each ear.

• Temporal thermometer: Another quick method, this thermometer is swept across the temporal artery in the forehead and has a better accuracy rating than the ear thermometer.

ADVERTISING directory Athlete’s Foot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Medical Park Pharmacy . . . . . . . . . . . . . . . . . . . . . 7

5136 Hwy 70 Ste B-3, Morehead City 252-726-7267

301 Penny Lane, Morehead City 252-726-0777

Beaufort Vision Clinic. . . . . . . . . . . . . . . . . . . . . . . 7

Moore Orthopedics & Sports Medicine . . . . . . . 3

300 Campen Road, Beaufort 252-838-8822

4251-B Arendell St., Morehead City 252-808-3100

Carteret General Hospital . . . . . . . . . . . . Back Cover

Nova Urgent Care. . . . . . . . . . . . . . . . . . . . . . . . . . . 7

3500 Arendell St., Morehead City 252-808-6641

4252 Arendell St., Morehead City 252-222-0204

Carteret Ob-Gyn Associates . . . . . . . . . . . . . . . . . 5

Simpson’s Greenhouse & Berry Patch. . . . . . . 11

3511 John Platt Dr., Morehead City 252-247-4297

759 Hwy 70, Bettie 252-728-3508

Coastal Foot Center. . . . . . . . . . . . . . . . . . . . . . . . 15

Singing Bowls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

3221 Henderson Drive, Jacksonville 910-938-6000

252-354-7672

Eastern Dermatology. . . . . . . . . . . . . . . . . . . . . . . 17

272 Hwy 70 East, Sea Level 252-225-4411

4251 Arendell St., Suite A, Morehead City 252-240-3531

EBLU Yoga & Zumba Wellness Studio . . . . . . . 20 4252 Arendell St., Morehead City 252-240-1335

Family Pharmacy & Home Medical. . . . . . . . . . . 5 338 Howard Blvd., Newport 252-223-3291

Liftavator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 3302 Hwy 70 E, New Bern 888-634-1717

Snug Harbor on Nelson Bay . . . . . . . . . . . . . . . . . 2 Willis, Vanek, Ball & Fischer. . . . . . . . . . . . . . . . . 3 Locations in Morehead City, Havelock and Jacksonville smilesmakersnc.com

Winberry Farm Market . . . . . . . . . . . . . . . . . . . . . 11 1006 Cedar Point Blvd., Cedar Point 252-393-2281

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