& WELLNESS
HEALTH
Spring Edition
TURNING THE
2010
CORNER
HOW FAST FOOD & LACK
OF EXERCISE HAVE CREATED A CHILDHOOD OBESITY EPIDEMIC AH-CHOO!
www.nccoast.com
BUILDING AN IMMUNITY DURING ALLERGY SEASON
GIVE ME STRENGTH
THE UPS & DOWNS OF A STRESSFUL LIFE
PLUS TREATING DIABETES WITH LIZARD LICKS KNOW THE WARNING SIGNS OF A STROKE 4 MUST-HAVE HEALTHY GADGETS
Adolescent & Adult
Orthodontics FREE Initial Orthodontic Evaluation No referral necessary Serving Carteret, Craven and Onslow Counties For Over 30 years
Several Financing Options Available
Smile Makers
Willis, Vanek, Ball & FisCher, PA www.smilemakersnc.com 3606 Medical Park Court Morehead City (252) 726-1137
98 Stonebridge Trail Havelock (252) 447-1181
200 Doctors Drive, Suite G Jacksonville (910) 353-5234
Carteret Surgical Therapy A Division of Carteret Surgical Associates, PA
Your best choice for Orthopedic Physical and OccupaƟonal Therapy • Providing post surgical rehabilitaƟon of total joint replacement, tendon repairs and sports related injuries. • Treatment of sprains, strains, and fractures of the spine, shoulder, elbow, wrist and hand, hip, knee and ankle • Manual therapy for soŌ Ɵssue injuries and trigger points • Massage Therapy • Sports medicine for athletes of all ages • Ergonomic Training and worksite evaluaƟons • Work CondiƟoning Programs
www.carteretsurgical.com 534 N. 35th Street | Suite D | Morehead City | Phone 252.726.1802
Ready to change your life?
Advantages of the LapBand • Least Invasive Surgery • Free seminars and support meetings • No stomach stapling • Only adjustable and reversible surgery • Our surgeons are American Board of Surgery Certified
®
Attend a FREE Lap-Band Weight Loss Surgery Educational Session at the Crystal Coast Civic Center. Held monthly on the second Monday of the month at 6 PM. For more information, please call the Weight Loss Center 252-808-6674. Carteret Surgical Associates, PA (252) 808-6000 • www.ccgh.org
(252) 247-2101 • Extension 2000
&
HEALTH
WELLNESS
‘LET’S MOVE’ PUTTING AN END TO THE NATIONWIDE CHILDHOOD OBESITY EPIDEMIC IS A SIMPLE MATTER OF EATING LESS AND MOVING MORE.
MIND MATTERS
16 8
Understanding the pros and cons of a stressful life.
LIFESTYLES Handle your tissue issues this spring with a stronger immunity to allergies.
14
10
DOCTOR’S ORDERS The inside scoop on diabetes studies and new discoveries in lizard spit.
12
TO THE BEAT Heart disease doesn’t happen overnight, but there are warning signs that let you know it’s coming.
13
WISDOM TOOTH Think you have sleep apnea? The dentist may know before you do.
18
OUNCE OF PREVENTION From skin cancer to strokes, it’s better to prepare now than to suffer later.
NUTRITION INTENTION SPRING IS IN THE AIR AND A CORNUCOPIA OF SEASONAL FOODS ARE AT THE MARKET.
20 4
SPRING 2010
23
TECH TONIC Four gadgets that will turn your house into a healthy home.
22 24 26 27 28 29
WINNING THE FIGHT WORK IT OUT CONSIDER THE ALTERNATIVE GOLDEN YEARS GENERAL HOSPITAL HEALTH AND WELLNESS BUSINESS INDEX
Dual is a new, groundbreaking hearing device that reshapes how performance and design provide the most natural hearing possible, so you can hear better and understand more in any listening situation.
As one of the world’s oldest names in hearing instruments, Oticon is recognized for its ongoing innovation in design and engineering, introducing many of the most pioneering advances in hearing science. This heritage takes a giant leap forward with Dual’s ground-breaking technology, innovative design and fashionable styling ... bring yourself back to where you belong: The world of better hearing.
• The ultimate combination of state-of-the-art technology with a sleek design you’ll want to wear • Understand what others are saying in noisy situations • Use your telephone with ease and convenience • Watch TV at the same volume as everyone else, in the same room
HEARING
Under new management 3110 Arendell St. #8 Morehead City
SOLUTIONS
2129 S. Glenburnie Rd. #12 New Bern
252-672-9911
252-726-8578
7EkRE HERE FOR YOU
carteretobgyn.com
Save Time & Money with these
IN-OFFICE PROCEDURES Endometrial Ablation
A safe, easy, and innovative treatment proven to reduce heavy menstrual bleeding in 90 seconds
Urine Leakage Evaluation Digital Mammograms Extended Hours Available is a permanent birth control procedure Sterilization Essure that can be performed in less than an hour
252-247-4297 3511 John Platt Drive Morehead City, NC
Carteret Ob-Gyn Associates
co-pay
In-o
s only ance carriers e r u d e oc sura ffice pr most In
w w w . N C C O A S T. c o m
with
5
& WELLNESS
HEALTH
Vol. 3, Issue #1 Spring 2010
NCCOAST Communications
Managing Editor Craig Ramey (editor@nccoast.com)
Phone 252.247.7442 800.525.1403
Staff Writer Amanda Dagnino
Published by
Mail 201 N. 17th Street Morehead City, NC 28557 Publisher Tom Kies Advertising Jamie Bailey 252.241.9485
Graphics Manager Kim Moore Design/Layout Amber Csizmadia Graphic Designers Mimi Davis, Amy Gray, Roze Taitingfong
Ashly Willis 252.723.3350 David Pennington 252.247.7442 Wes Rinehart 252.241.4666 (sales@nccoast.com)
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 2010 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.
nccoastcommunications.com nccoast.com email: editor@nccoast.com
In 30 minutes, Motise changed her fate. At 195 pounds, Motise Jones thought being chronically overweight was her fate. Until Curves opened in her neighborhood. She loved all the support and encouragement she received while getting a total body workout. Motise is now in the best shape of her life. “As long as there is Curves, I will be there and encourage others to succeed.” Motise lost 70 pounds.
910-326-1200
DREAM HOME
www.alwilliamsproperties.com
Soundside Healthcare
A NEW AND FRESH APPROACH…
Our Services Include:
50% off Service Fee* 910-346-3663 1931 Gum Branch Rd. Jacksonville, NC 28546
*Offer based on first visit enrollment, minimum 12 mo. c.d. program. Not valid with any other offer.
6
WATERFRONT
with a focus on wellness and healing, rather than medications alone.
STRENGTHENING MILLIONS OF WOMEN
112 Queens Creek Rd. Suite 2 Swansboro, NC 28584
We Can Help You Find Your
Offering a new approach to healthcare ...
First 30 days Free with this coupon. curves.com
PO Box 2385, Atlantic Beach, NC 28557 252-726-8800
SPRING 2010
Gynecology: state of the art evaluation and management of female disorders including hormone testing and bioidentical hormone replacement. Primary Care: comprehensive approach to a wide range of primary care problems, focusing on healing rather than just palliating symptoms. Includes advanced cholesterol screening with non-drug options, management of hypertension and early diabetes – male patients are welcome. Health Revitalization Program: a life-altering eight week program that offers an opportunity to maximize health and overcome chronic disease.
William Rawls, Jr. M.D., FACOG
Dr. Maribeth Loynes
F
IRST, DO NO HARM
HEALTH SYSTEMS
Designed by William C. Rawls, Jr. M.D. Offered at Soundside Healthcare
Customized Supplement Therapy that aids patients in choosing the correct supplements for their age and health
3106 Arendell Street, Morehead City, NC - 252-808-2500 www.SOUNDSIDEHEALTHCARE.com
Got Diabetes? Consider volunteering
for a clinical research study Studies conducted locally by major pharmaceutical companies Study visits with Dr. Lucas, medications, lab work, and testing supplies at no cost Compensation for time and travel Many times study participant’s diabetes improves because of frequent doctor visits and education Access to new medications before the public All FDA approved medications undergo clinical trials on large numbers of people; without these trials there would be no new diabetes medications Help yourself, help your diabetes, and help others Dr. Lucas conducts clinical research to better care for our patients and all patients in the future. Consider volunteering. Call today 252-222-5700 Ext. 29
Diabetes & Endocrinology Consultants, PC 611 N 35th St Morehead City NC 28557 252-222-5700 Ext. 29 www.BeachDoctor.com
Lifestyles The Tissue Issue Finding Relief During Allergy Season
A
s the winter snow melts, the long-awaited sun seems to shine a little longer and that’s when the buds-to-blossom routine begins. For many allergy sufferers, however, the beauty of spring means running immediately to the nearest drugstore to pick up a few extra boxes of tissues and maybe a box of antihistamines. Environmental changes are often tagged as the culprits that cause allergies because they introduce some guilty particle to our biological systems, causing our bodies to react negatively, and we want to take guard. The distress seems to be brought on by nature, or we blame an adorable pet. John Sheffield, assistant professor of Physician Assistant Studies at South University, worked as a physician assistant in the US Army, and he has seen a lot of combat against the body’s struggle with allergens. He currently teaches courses on allergy and immunology, and diseases of the head and neck at South University’s campus in Savannah, Ga. “Generally people with allergies understand how they evolve,” said Sheffield. “A trigger, or what we call an allergen, enters the body and causes a symptom. So, when the nose starts running, the eyes start watering or a skin rash appears, what we really want to know then is how can I stop this?” We want to understand why our bodies feel they are under attack, and we want to 8
figure out how we can be free of whatever plagues our respiratory system. Genetics and environment are traditionally fingered as the culprits and, in some cases, the solutions to understanding allergic reactions. Since allergies are clearly a cause-and-effect reality, a natural tendency is to start to examine the problem from the outside in. “Timing is very important,” Sheffield says. “Pay attention if you are having an allergic response and notice if the reaction happens at a specific time of the year. Simple observation can help narrow down a probable allergen, especially when it comes to seasonal allergies.
“Drinking alcohol and smoking is common, and whether you directly participate or not, we all experience to some degree the effects of toxicity on our planet. This exposure to chemical agents that can cause allergies also predisposes us to cancers of the head, throat, mouth, voice box and sinuses,” he explains. With this thought in mind, allergists to holistic healers typically recommend the best approach to long-term relief is avoidance. The natural healing process often requires avoiding highly processed SPRING 2010
foods, alcohol, tobacco and other direct or indirect toxins the body ingests from the environment. Often, health care practitioners will urge the avoidance of the allergen itself. However, given poor air quality and other toxins in the environment, personal avoidance of allergens can become a nearly impossible recourse for the average person. “When you are suffering and need instant relief, what works the quickest and what most allergists will prescribe readily these days are antihistamines and steroidal nasal sprays. A quick dose of steroids has become a cornerstone of therapy to decrease inflammation in the nose almost immediately where the chain reaction of events begins,” Sheffield continues. “This type of therapy brings the patient complete and almost instant relief even though it may be temporary. The sneezing, runny nose, watery eyes, itching and rashes, all the signs that an allergen has created greater inflammation within, is stifled until the next round.” So, what can we do to prevent “the next round?” Build immunity. This is why allergists prescribe taking controlled doses, or injections, of the allergen in order to mount a defense within the body so it no longer reacts to the allergy-causing agent in a violent manner. Alternative healing methods recommend detoxifying the liver, the internal organ where many allergy-causing toxins in the body reside and go to be eliminated. Ultimately with allergies, lowering susceptibility to the allergen through avoidance and a healthier lifestyle will keep us moving and breathing without agony through life’s seasonal changes. Please consult with a physician prior to taking medication or beginning any manner of allergy treatment. Courtesy of ARAcontent
Board Certified Specialists In Diseases Of The Skin, Hair, Nails & Skin Cancer Silk Peel Dermalinfusion Mohs Micrographic Surgery V-Beam Laser • Botox Injections & Dermal Fillers • YAG & Laser Hair Removal • Excimer Laser for Psoriasis Schlerotherapy • Skin Rejuvenation Dermal Fillers Dermatologist Recommended Skin Care Products
Cameron L. Smith, M.D., FAAD W. Ray Gammon, M.D., FACP, FAAD Richard J. Murphy, M.D., FAAD Mary Helen Allen Hutchinson, M.D., FAAD Richard S. Lewis, M.D., FAAD Christopher B. Mizelle, M.D., FAAD H. Kim Park, M.D., Dermatopathologist Matt Brentjens, M.D. FAAD Eric R. Howell, M.D., FAAD Kirsten Schneider, PA-C Valerie Knight, PA-C John Riggs, PA-C Cheryl Jaros, PA-C
&
4251 Arendell Street | Suite A | 252-240-3531 | Morehead City, NC
Greenville 252-752-4124 | Edenton 252-482-5661 | Elizabeth City 252-331-1780 New Bern 252-634-2885
www.easternderm.com
Eastern Dermatology & Pathology
The Athlete’s Foot Zoom Structure
Triax+ 12
www.athletesfootenc.com
Morehead City 252-726-7267
w w w . N C C O A S T. c o m
New Bern 252-637-7770 9
Doctor’s Orders From Lizard Spit to Weight Loss – Perspectives on Diabetes Research By K. Jean Lucas, MD
F
rom the early 1920s when insulin was discovered, until now, research in diabetes has always focused on the patients with the disease. New ideas for diabetes medications come from a variety of interesting places. For example, Gila Monsters, poisonous lizards that live in the desert of the southwest US, only eat every six months. Scientists were wondering what tells the digestive system of this lizard to wake up and process the incoming food. It was discovered that in the saliva of this lizard is a protein called GLP-1, which tells the pancreas to make insulin. The chemical structure of this protein was adapted to make Byetta, a medication approved in 2005 for the treatment of Type 2 Diabetes. Byetta, which is taken twice a day, is not produced by collecting lizard spit from Gila Monsters but is instead manufactured like any other pharmaceutical. Current research studies are trying to obtain approval for a weekly injection of a medication like Byetta. The medication lowers appetite and helps the pancreas make insulin at the right time, thus improving blood sugar control. The medication prevents the rise in the blood sugar after eating and some clinical research studies involve medications which eliminate excess sugar through the kidneys. Other medications under development increase insulin production or improve insulin resistance. We are currently participating in research projects for all these new medications and recruiting volunteers locally. It is unlikely any of these medications will receive approval 10
specifically for weight loss in the near future; however, they do help with weight control. Research is underway to achieve the weight loss indication from the FDA. To ensure safety and efficacy, the FDA requires all medications undergo a rigorous research schedule. Basic research involves animal studies usually using mice, dogs and monkeys – not guinea pigs. If a medication used in animals is safe and effective, it will undergo human trials. Human trials are known as clinical research. Phase 1 tests the medication in healthy adults and Phase 2 tests the medication in smaller numbers of patients with diabetes to determine the best dose. Phase 3 studies involve a larger group of volunteers to prove that the medication is safe and is able to improve control of diabetes. The FDA also now requires all diabetes medications have a long term study to look at heart disease risk in people taking the medication versus people not taking it. Participants in research studies play a more active role in their own health. In diabetes, the studies require blood sugar testing and frequent visits to the physician to improve control of diabetes. By focusing on diabetes, the participants learn more about how to keep their blood sugar controlled while gaining access to SPRING 2010
new treatments before they are widely available. We have patients who have participated in multiple studies and most participants feel they receive real value by participating in research. Patients get involved in research to help themselves, but we never forget they are helping all people with diabetes while they are helping themselves. Pharmaceutical companies are the primary sponsor of clinical research studies in our community. Companies such as Bristol Myers Squibb, Merck, Pfizer and Glaxo write up protocols (detailed outlines of the way a study is carried out). Our practice is one of hundreds of research groups participating all over the world. Each site recruits its own patients based on the rules for what type of participant is appropriate for each study. If the person meets the enrollment criteria, they are able to participate in the study. Study procedures, lab work and meetings with the physician are completely covered by the study. The study medication is provided to the participant at no charge. Most studies provide reimbursement for travel as well. If you are interested in being a participant in the diabetes studies in our office, call Terri or Aimee at 252-2225700, extension 29 or contact us via BeachDoctor.com. You may also check out ClinicalTrials.gov for more general information about clinical trials as well as a listing of trials currently recruiting.
Relax, Enjoy and See the Transformations
isage
108 N. 11th Street, Morehead City |252-808-2639 www.newvisagenc.com
Proudly Offering: Obagi, Latisse, GloMinerals
Treat yourself this summer with a Maui Micropeel This facial is designed to smooth, soften and hydrate the skin using natural extracts from fresh Hawaiian pineapple. Guaranteed to leave your skin feeling refreshed and alive! • Chemical Peels • Botox/Dermal Fillers MENU OF Facials/Microdermabrasion Laser Hair Removal • Vein Treatments • Cellulite reduction with Accent RF SERVICES Skin Tightening • Prescription grade Skin Care
w w w . N C C O A S T. c o m
11
To the Beat Taking Action Against Heart Failure
I
t’s a syndrome that affects more than 5 million Americans – and probably more: heart failure. Heart failure is a serious illness that can affect your quality of life and how long you live, however, with proper medications in the right doses and careful management, you can live longer and feel better. What’s important to know is that heart failure doesn’t develop overnight. It’s a progressive condition – it starts when the heart muscle is weakened after being injured.
The Heart Failure Society of America (HFSA) offers these tips to patients, their families and individuals at risk. n
Talk to your doctor. One of the keys to making heart disease a diagnosis you can live with is to get diagnosed as early as possible. Simply getting checked by your doctor for heart disease is one of the most powerful steps you can take to maintain your health. Heart failure is diagnosed through a number of tests ordered by your doctor, the most important of which is an echocardiogram or “echo.”
o
Know your risk factors. A number of factors can lead to or indicate an increased risk of heart failure. While the disease can strike people of all ages, it is more common in those aged 65 and older. For people in that age group, it’s particularly important to get checked, because some of the symptoms of the disease can be mistakenly attributed to simple aging. Heart failure risks include: high blood pressure, prior heart attack, a history of heart murmurs, an enlarged heart, diabetes and a family history of enlarged heart.
p
Know the symptoms. Ideally, your doctor can diagnose heart failure before it has major consequences, but it’s important to know the symptoms. Heart failure symptoms include: shortness of breath, even in mild activity; difficulty breathing when lying down; weight gain with swelling in the legs and ankles from fluid retention; and general fatigue and weakness.
Our Caring Professionals Specialize in: • Sports Injuries • Post Surgical Rehab • Aquatic Therapy • Back & Neck Pain • Sprains & Strains • Women’s Health • Strokes • Parkinson’s New Bern
3722 Bridges St • Ste 202 Morehead City Havelock
633-6099
726-9777
444-5600
New Extended Hours: Mon.-Thur. 7:30am-6pm • Fri. 8am-5pm 12
SPRING 2010
q
Adopt a heart-healthy lifestyle. Changing your lifestyle to be more heart-healthy doesn’t mean giving up on a way of life you enjoy. In fact, it can add to your enjoyment of life and have the double benefit of being good for your health. Start by giving up any tobacco use and focusing on a healthy diet. Center your meals on whole grains, fruits, vegetables and legumes – consult cookbooks or cooking magazines for delicious, low-sodium recipes. Other great ingredients are lean meats, poultry, fish and low-fat dairy. Keep trans-fats, saturated fats and cholesterol intake low. The other enjoyable element of a healthy lifestyle is exercise. It can be as simple as going for daily walks that let you take in the beauty of nature or, if you’re able to take on a more strenuous regimen, you could think about trying a sport like tennis, taking yoga classes or going swimming. If you can find an exercise companion, so much the better – you’ll both be getting the benefit of exercise and have a motivating partner. Courtesy of ARAcontent
Wisdom Tooth Lacking Sleep? Your Dentist May Be the First to Ask You By Dr. Roxzanne Amos
W
hile you are certainly aware of the impact that a good night’s sleep (or lack thereof) can have on your daily performance and outlook, did you know that your ability to have adequate restful sleep on a regular basis is crucial to your overall health? The consequences of poor sleep include not only fatigue and poor work performance, but also an increased risk for work related accidents, motor vehicle accidents, cardiovascular disease and stroke. A major medical cause of poor sleep in Western cultures is the interruption of sleep due to sleep related breathing disorders. This is a spectrum of disorders that includes everything from very mild snoring to sleep that is disrupted because the patient stops breathing hundreds of times while sleeping. When the airway becomes blocked during sleep and the patient stops breathing for more than ten seconds, this is called an apneic episode. When you stop breathing during sleep, your brain is deprived of oxygen and wakes up your body just enough to breathe again. The result is poor, fragmented sleep that can lead to daytime symptoms such as excessive sleepiness and impaired concentration and systemic diseases such as high blood pressure, heart disease, bronchitis and depression. In addition, morning time is one of the most common times for heart attacks, especially in males due to low blood oxygen levels and added stress on their heart all night long. You may even know someone who has been diagnosed with a disease on this spectrum called obstructive sleep apnea. Twelve million Americans suffer from some degree of it, which robs them of critical sleep, putting their health in danger. Most people see their dentist more routinely than their physician, so often the signs and symptoms of obstructive sleep apnea can be first detected during a dental exam. Dentists can also diagnosis bruxism, a type of teeth grinding now associated with disruptions in sleep patterns. Diagnosis and treatment of sleep disorders is a complex task. The diagnosis must be made by a properly trained sleep physician. An all night sleep study at a sleep disorder clinic (a polysomnogram) must be completed in order to obtain a diagnosis. Treatment decisions should be made as a “sleep medicine team” with the sleep physician, the dentist and the patient. For the last 25 years, Continuous Positive Air Pressure (CPAP) has been used as the standard of care to treat sleep apnea patients. Today, the American Academy of Sleep Medicine advocates the use of oral appliances in patients with mild to moderate obstructive sleep apnea. So how do you know if you may be at risk for a sleep breathing disorder? There are some simple screening questions that your dentist or healthcare provider can ask you. While it is possible to have these risk factors without sleep apnea, some common
screening questions include: Do you snore? Have a large neck size or high blood pressure? Has someone witnessed you stop breathing during sleep? If you have a positive response to even one of these questions, you should discuss the matter with one of your health care providers. Your life could depend on it. Dr. Amos maintains a private practice in Chesapeake, Va., at The Center for Cosmetic & Restorative Dentistry. She is one of a select group of dentists who has completed the core curriculum at the prestigious Dawson Academy. Most recently, she was awarded the 2010 Health Care Heroes Award for care provided at the Center. Dr. Amos can be reached at info@tccrd.com or 757546-5262.
Bart S. Arthur, MD • Robert G. Blair, MD Raymond J. Bradley, Jr., MD • Donald S. Bright, MD Carl J. HIller, MD • Harold M. Vandersea, MD Mark G. Wertman, MD • William B. Wheatley, MD
Carolina Orthopedics & Sports Medicine, Inc.
Carolina Physical Therapy & Sports Medicine
Carolina Orthopedics & Sports Medicine, Inc. Carolina Physical Therapy & Sports Medicine
Carolina Physical Therapy & Sports Medicine
w w w . N C C O A S T. c o m
13
Let’s Move
Toward Curing the Childhood Obesity Epidemic
W
e hear about it almost every time we turn around these days – from television news to the old mullet wrapper we skim with our morning coffee. We’re overweight, ladies and gentlemen. And not only that – we’re raising overweight children as well. We may be living longer than our predecessors, but the quality of our health during those extended years is directly related to how we lived
14
the first 50. Were you a smoker? A heavy drinker? Did you eat a diet high in fats and sugars? Were you a chubby kid? Bingo. The statistics are staggering. According to the Centers for Disease Control and Prevention, over the past three decades childhood obesity has more than doubled for children age 2-5 and adolescents age 12-19 and more than tripled in ages 6-11. About 16 percent of children in the US (more than 9 million) are overweight or SPRING 2010
obese. Those youngsters, the study goes on to say, have a 70 percent chance of becoming overweight adults; 80 percent if one or both of their parents are overweight. Even more startling – the Institute of Medicine wrote in a 2005 report that 60 percent of obese children age 5-10 had at least one cardiovascular disease risk factor, such as elevated cholesterol, triglycerides, insulin or blood pressure. Twenty-five percent had two or more risk factors.
Even the first lady, Michelle Obama, has taken notice of the epidemic with her announcement in February of the Let’s Move campaign. According to a White House release, the program will “combat the epidemic of childhood obesity through a comprehensive approach that builds on effective strategies, and mobilizes public and private sector resources. Let’s Move will engage every sector impacting the health of children to achieve the national goal, and
will provide schools, families and communities simple tools to help kids be more active, eat better and get healthy.” Through Let’s Move, the nation’s leading children’s health foundations are coming together to create the Partnership for a Healthier America which the government hopes will accelerate existing efforts addressing childhood obesity and facilitate new commitments toward the national goal of solving childhood obesity within a generation. But why? How did this happen? How did we get here? What are we doing differently as parents? What can we do to help our children lead healthier lives? While there are myriad diet fads and exercise regimens to encourage us to maintain a healthy weight, one basic fact remains true: our intake must not exceed our output. If you ingest too many calories without the benefit of exercise to work them off, your body is going to store the excess. “The energy balance is a central concept,” said Dr. David Collier, director of the Pediatric Healthy Weight Research and Treatment Center at East Carolina University. “It really comes down to that right balance of calories in, calories out. And a very small imbalance day in, day out can cause large weight changes over time.” Dr. Collier uses a regular child-sized juice box as an example. If a 6-year-old child is offered two juice boxes a day over and above his nutritional requirements, it can translate to 7 or 8 pounds of extra weight over the course of a year. It’s a subtle balance, he explained, finding the right amount of calories for growth, development and energy without exceeding the allowance we need. “Generally, most people underestimate calories coming in, particularly with beverages,” he said. “So it’s important to understand how to use that calorie balance. In theory, it’s a simple concept – but it’s very complex. There are a lot of influences on your energy balance and a subtle difference in behavior can have a sustained effect. In addition to socio-economic factors, peer pressure and youngster’s sway toward w w w . N C C O A S T. c o m
those foods that just taste better, there are a variety of variables to take into consideration, Dr. Collier said. “We’ve got $12-14 billion spent on advertising directly to kids by fast food, high sugar, high fat, low fiber fun foods – that influence kids’ thought patterns – which influence the buying patterns of families,” Dr. Collier continued. “Families are up against a pretty significant vested interest who doesn’t necessarily have your best interest, your health interest at heart. There are very large social, cultural and governmental pulls that individual families are up against.” How do chemicals and pesticides used on food interact with our cellular make up? How much exercise is really necessary? Should physical education be required in schools? How much responsibility does our child’s school system have for his nutritional needs? Are some of us genetically predisposed to being overweight? Is there one simple plan that works for everyone? Absolutely not. In fact there are hundreds of ongoing studies at any given moment. But there’s no time to waste in our reaction to what Dr. Collier calls the “number one public health challenge in the world.” “We all want to have the best data, the best evidence, but we really can’t wait for the best evidence so we have to work with what we do have,” he said. “We have the blunt tools at hand. No matter what the problem, no matter how we got here, the tool at hand is still our energy balance and that’s what we need to work with.” Historically, it’s easy to see how the evolution has occurred. Maybe not our parents, but for our grandparents and beyond, exercise was part of daily life. That doesn’t mean they had a great gym membership with a private trainer and a cute new pair of sneakers, but rather participated in some sort of physical work on a regular basis. They walked more and rode less. They worked in the garden or on the farm. They did their own laundry, often by hand. Television wasn’t a household staple until the 1950s, so even most recreational pursuits had some level of activity involved. Cont. on page 25
15
Mind Matters Ahhhh, the Stress of it All
I
t comes from varying places and in varying forms, but stress is an accepted side effect of our overflowing calendars in today’s electronically connected world. Career, marriage, children, chores, finances ... Calgon? If only it were that easy. Stress, to some degree, is a good thing. It motivates us and keeps us moving as we face the challenges of daily life. But too much stress has harmful side effects – and being able to find a balance is key to a healthier life. “If the demands of the stressor do not exceed the person’s resources, he/she feels able to handle the situation and perceives it as a challenge,” explains Dr. Christyn Dolbier, associate professor in the psychology department at East Carolina University in Greenville. “Stressors that are perceived to be uncontrollable, unpredictable, intense, severe and frequent tend to be perceived as more stressful. If the demands of the stressor exceed the person’s resources, then he will perceive a threat and greater perceived stress. In this case, common psychological stress responses include negative emotions such as frustration, anxiety, sadness, anger and feelings of being overwhelmed with things being outside of one’s control or unpredictable.” The excitement of a new project at work that you feel comfortable taking charge of is a great example of positive stress. Feeling overwhelmed and stretched thin by a hectic schedule and a never ending list of responsibilities has exactly the opposite effect – and it can have a severe physical and psychological toll. The list of symptoms itself is overwhelming – headache, back pain, high blood pressure, sleep problems, chest pain, anxiety, depression, increased smoking, drinking, eating, irritability, lack of focus … Sound familiar? Symptoms can ebb and flow – but too much stress over extended 16
periods of time takes a definite toll. There are things that can be done, however. And it all boils down to taking better care of ourselves.
•
•
•
• •
• •
Get to the source. From an unrealistic workload and job security to relationship issues and financial concerns, try to pinpoint what’s bringing you to the brink so you can take steps to deal with it appropriately. Vent a little. Yes, it’s OK to talk about it. Sometimes just carrying the weight of it all on our own is overwhelming enough. Share with your friends and perhaps you’ll find that they will lighten your load. Take a break. Whether it’s a day at home by yourself, a long weekend or a two-week cruise – having time away from work and children is necessary for our mental health. Take advantage of your need for rest and relaxation and don’t stress over the guilt. Set limits. Say no – firmly and pleasantly – and mean it. Choose battles wisely. We can’t all be emotionally charged about every issue that comes down the pike. Choose when you need to stand up for something; and every once in a while, just let it go. It’s amazing how refreshing it can feel. Have an outlet. Read, enjoy a hobby, learn to play an instrument, garden, exercise or get involved in some other activity that is relaxing and frees your mind. Eat smarter. We’ve all heard it before – we get out of our bodies in performance exactly what we put in. A well-balanced diet better equips us for dealing with daily life in every regard.
SPRING 2010
•
Set realistic goals. Don’t expect too much from yourself – we’re only human after all. There is only so much one man can do. Exercise. Again, like diet, it’s a story tried and true. Exercise relieves stress – and it can have a direct effect on our appearance and weight giving us one less thing to stress about. Practice relaxation techniques. Yoga, Tai Chi, meditation, deep breathing – all forms of relaxation therapy show great improvements over one’s ability to handle stressful situations. Even at work, when things get too difficult, take a time out, breathe slowly, gather your thoughts and charge onward. “For most people, it is not possible to eliminate the stressors in life. This is part of life and we need some level of stress in order to remain motivated and engaged,” Dr. Dolbier said. “We can consciously retrain ourselves to respond differently by engaging in some of the stress reduction activities listed.” By Amanda Dagnino
• •
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
Western Blvd Ext 312 Dolphin Drive | Jacksonville DR. ROGER R. ROFF, JR. , BS, DC DR. BRETT WHITEKETTLE, BS, DC
DR. SEAN KEEFER, BS, DC DR. TRACY KEEFER BS, DC
DR. RANDY M. SCHILSKY, BA, BS, DC, F.A.B.S
Trauma Related Focusing on auto accident, work related and sports injuires
(910) 347-4033 www.schilskychiropractic.com
Condition Related
Wellness Related
Offering a wellness plan that Excelling in the treatment of common problems such as lower caters to families and individuals interested in the back pain, neck pain, headaches, chiropractic lifestyle sciatica and arm pain 17 w w w . N C C O A S T. c o m
Ounce of Prevention Bright Ideas Walking the Fine Line Between Tanning and Burning
A
s the weather warms, our winter coats and sweaters are once again tossed into the dark abyss that is our closets to make room for the sleeveless shirts, shorts and bathing suits of summer. The protective gear has been discarded for another season, but summer may be one of the times when we need to protect ourselves more than ever. The Sun Safety Alliance has declared June 1-7 is Sun Safety Awareness Week in hopes of reaching the public about the detrimental effects of the sun just as the thermometer begins to rise. Almost all of us are guilty 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. When we spend time in the sun, little cells get busy creating melanin, a pigment (tan) that helps shield and protect them from the dangerous UV rays. Melanin production happens slowly, which is why most people can’t get a tan in one sitting, but rather build one over several days or weeks in the sun. 18
Those who have a suntan have a little added protection. Their cells are all hopped up on melanin and far safer from the damaging rays. That doesn’t mean a sunburn can’t happen – we all know it can. But once a tan has been established so is our ability to tolerate the sun’s rays for longer periods than those who are rarely subjected to them. 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. So what can you do? Well, you can always avoid the sun, but where’s the fun in that? Nobody wants to stay indoors, especially along the coast where there are so many recreational options during the warmer months. There are some safety precautions, however, that can be followed whenever possible. According to the SSA:
• • • • • • •
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.
SPRING 2010
•
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.
• • •
By Amanda Dagnino
Warning Signs Incidents of Stroke No Longer Limited by Age
W
hen we consider our health, the first things to cross our minds are heart disease and common forms of cancer. The idea of a stroke is often much lower on our list, despite being the third leading cause of death in the US. It has long been seen as a disease of the aged. But a startling new study illustrates that that simply isn’t the case any longer – and it’s something all adults should at least be cognizant of. According to data compiled by university hospitals in Ohio and Kentucky, more young people are having strokes while older people are having fewer. According to the report, which was presented during the American Stroke Association’s annual conference in February, the average age of stroke patients in 2005 was nearly three years younger than the average age of stroke patients in 1993-1994 – a significant decrease, researchers said. In addition, the people age 20-45 having a stroke was up 7.3 percent in 2005, from 4.5 percent in 1994. Dr. Brett Kissela, the study’s lead author and vice chair of education and clinical services at the University of Cincinnati Neuroscience Institute, said he became interested in studying the issue after observing an increase in the young stroke patients admitted to the hospital. They recorded the age of people hospitalized for their first ever stroke from the summer of 1993 to the summer of 1994, then compared it to calendar years 1999 and 2005. In 1993-94, the average age of first stroke was 71.3 years old. The average age dropped to 70.9 in 1999 and was down to 68.4 by 2005. Kissela said it’s hard to know with certainty what is driving this change, but speculated the increased prevalence of
diabetes, hypertension and obesity is a major contributor. “As physicians, we need to look for these potent risk factors even in young people,” he said. “Stroke is a life-changing, devastating disease. It can affect young people, and we hope these data will serve as a wake-up call. From a public health standpoint, we need to do our best to prevent stroke at any age and monitor for stroke and stroke risk factors in all patients.” While incidences of stroke are on the rise, the public’s understanding of the disease is not. A Gallup Survey recently indicated that 38 percent of us don’t know that stroke occurs in the brain, 17 percent of respondents over 50 couldn’t name one stroke symptom and only 40 percent would call for emergency assistance if they thought they were having a stroke.
Know the Symptoms Keep in mind that symptoms of stroke appear suddenly. If your eyes have been bothering you for weeks and you get a little headache when you try to focus on small text then your instincts are probably correct – it’s time for an eye exam. But sudden onset of dizziness, inability to focus and a headache may mean much more. Know the symptoms and react quickly. The ASA notes that the symptoms of a stroke should be addressed just like the symptoms of a heart attack – and that the speed with which medical attention is received may make the difference between life and death.
The primary symptoms include:
• • • • • • •
Sudden numbness or weakness of face, arm or leg, especially on one side of the body. Sudden confusion, trouble speaking or understanding. Sudden trouble seeing in one or both eyes. Severe headache with no known cause Trouble walking, dizziness, loss of balance or coordination. Secondary symptoms include: Sudden nausea, fever, vomiting. Brief loss of consciousness or period of decreased consciousness. w w w . N C C O A S T. c o m
Prevention is Key Like many contemporary health concerns, stroke can be preventable and has been shown to have a direct correlation to lifestyle and habits. So what do you need to do to avoid this debilitating disease: Know your blood pressure. Have it checked at least annually and if it is elevated, work with your doctor to control it. Know your cholesterol number. If it is high, work with your doctor to regain control. Find out if you have atrial fibrillation or cardiac arrhythmia. If you smoke, stop. If you drink, do so in moderation. Include exercise in your daily routine. Eat a lower sodium diet. Take medications as prescribed. Many stroke survivors report that they stop taking helpful blood thinners within two years of their stroke. To learn more, or to find support, visit strokeassociation.org. By Amanda Dagnino
• • • • • • • •
19
Nutrition Intention A Tasty Day in the Neighborhood
W
ith spring here and summer around the corner, most of us are chomping at the bit to get outside and play in our vegetable garden … or take advantage of someone else’s. Spring is a time of awakening and the availability of fresh fruits and vegetables abounds. Growing or buying local foods is a great way to get in the taste of fresh, nutritious foods, support the local economy and be mindful of nature’s welfare. While it may be a challenge to adhere to an all-local diet, just being mindful as to where your produce is coming from can be helpful – local can mean as close to home as possible. It is estimated that the average grocery store’s produce travels nearly 1,500 miles from where it is grown to your refrigerator and that 40 percent of fruits come from overseas. In contrast, growing and purchasing from local food systems produces 17 times less CO2 emissions. Buying produce that is in-season is another way to ensure that you are eating foods at their peak taste and nutrition quality, most abundant, and least expensive. Freezing produce during this time of year is a way to carry over into nonpeak or winter months. You can also join a CSA (community supported agriculture) program or visit local farm produce stands/markets to capture local products. This also ensures that your food dollars are sent directly back to the farmer, therefore increasing their income and making sure the money is spent locally to run their business and home. Remember, knowing part of the story behind your food can be a powerful element of enjoying a meal.
In-Season Produce for North Carolina April
Leafy Greens, Peanuts, Sweet Potatoes, Broccoli, Strawberries
May
Broccoli, Cabbage, Leafy Greens, Peanuts, Strawberries, Sweet Potatoes, Blueberries, Summer Squash
June
Blueberries, Cabbage, Cucumber, Green Beans, Leafy Greens, Peaches, Peanuts, Strawberries, Summer Squash, Sweet Potatoes, Watermelon, Corn, Eggplant, Pepper, Potatoes
July
Blueberries, Butter Beans, Cabbage, Cantaloupe, Corn, Cucumber, Eggplant, Green Beans, Leafy Greens, Okra, Peaches, Peppers, Peanuts, Peas, Potatoes, Summer Squash, Sweet Potatoes, Tomatoes, Watermelons
August
Apples, Butter Beans, Cabbage, Cantaloupe, Corn, Cucumber, Eggplant, Grapes, Green Beans, Leafy Greens, Okra, Peaches, Peanuts, Peas, Peppers, Summer Squash, Sweet Potatoes, Tomatoes, Watermelon
September Apples, Cabbage, Cucumbers, Grapes, Green Beans, Leafy Greens, Peaches, Peanuts, Pumpkins, Summer Squash, Sweet Potatoes, Tomatoes
October
Apples, Broccoli, Cabbage, Cucumber, Grapes, Leafy Greens, Peanuts, Pumpkins, Sweet Potatoes, Tomatoes
November Apples, Broccoli, Cabbage, Cucumber, Leafy Greens, Peanuts, &December Pecans, Sweet Potatoes 20
SPRING 2010
Full service dentistry for the entire family • Preventive Care/Cleanings • Partials/Dentures • Extractions • Tooth-Colored Fillings • Gum Disease Therapy • Crowns, Bridges, Implants • Emergency Treatment • Tooth Sealants
Local Farms & Farmers Markets Carteret County Craven County Onslow County Annie’s Veggies
‘R Garden
Bonnie’s Berries
Parker’s Produce
Hwy 101, Beaufort Stella
Buck’s Corner Farm Peletier
Collard Shack Hwy 70, Otway
Garner Farms Hwy 70, Newport
Guthrie Farm Hwy 24, Bogue
Quinn Farm
Lake Road, Newport
Roberts’ Farm
Roberts Rd, Newport
Simpson’s Farm & Berry Patch Hwy 70, Bettie
Winberry Farm Cedar Point
Willis Farm
Willis Farm Rd, Newport
Merrell’s Farm
Hwy 101, Beaufort
Morehead City Curb Market 1300 Evans St., Morehead City
The Friendly Market
New Bern
Trent Rd, New Bern
Scott Organic Farm New Bern
Village Creek Farm Dover
White’s Farm Vanceboro
New Bern/ Craven Co. Farmers Market Front St., New Bern
Bryant’s Food Stand Gum Branch Rd, Jacksonville
Ketchum Farms Kellum Loop Rd, Jacksonville
Mike’s Farm
Haw Branch Rd, Beulaville
Whispering Dove Ranch
Harris Creek Rd, Jacksonville
Onslow County Farmer’s Market Richlands Hwy & Western Blvd, Jacksonville
General Family Dentistry
We accept most dental insurance plans, including TRICARE and DELTA
friend recommended™
202 W.B. McLean Dr., Cape Carteret (Hwy 24 near McDonald’s)
252.393.8168 www.thedentalcarecenter.com Ask about our Sapphire Whitening 3 minute Professional Home System
COASTAL FOOT CENTER DR. VALENTINE HAMILTON MEDICAL CARE OF THE FOOT • • • • • •
Diabetic Foot Care Children’s Foot Care Skin & Nail Diseases Foot Injuries / Fractures Sports Medicine Heel Pain
SURGICAL CARE OF THE FOOT • • • • • •
Bunions, Corns, Calluses Joint Replacements / Implants Heel Spurs Neuromas Hammertoes Skin Lesions
JACKSONVILLE
910-938-6000 3221 Henderson Dr. (Ext.)
Friendly Rd, Morehead City w w w . N C C O A S T. c o m
MOREHEAD CITY
252-726-8040
ALL INSURANCE PLANS ACCEPTED AND FILED SATURDAY HOURS AVAILABLE
21
Winning the Fight Need Hope? We’ve Got Miles
C
elebrating its 20th anniversary this year, the charitable Mile of Hope event is slated for Saturday, May 8, on the beach in front of the Atlantic Lodge, Atlantic Beach. The annual undertaking offers children suffering with cancer and their families a fun filled getaway at the beach – far from hospitals, tubes, treatments and tests. For the past 19 years, hundreds of patients and families from all over North Carolina have been invited to share in the fun. They come from all walks of life, from all areas of the state. The only thing the children have in common is that they are being treated in the pediatric oncology departments at ECU, UNC-Chapel Hill or Duke University. The public is invited to join the fun as the guests converge on the beach on Saturday morning for the sandcastle building competition. People are encouraged to come and enjoy the sun, watch the children bring their designs together and perhaps even build their own and share in the fun. The cost of care for a family dealing with childhood cancer is very high and most of the families do not have money left over
Carteret County’s Most Complete Fitness Center
to go on vacations. They usually spend all their time and efforts toward the child with cancer. The Mile of Hope offers the diversion of a brief getaway from the daily trauma of dealing with childhood cancer Organized by the Optimists Club and spearheaded by Ed Moore, founder of the sand sculpting team Sandy Feat, the event has been recognized locally, statewide and nationally for the benefits it has provided to the patients as well as to their families. This year’s theme is a luau, and will feature sand sculpting, learning how to scuba dive, a “pig picking,” fun at an amusement park, hunting for shark’s teeth, touring the NC Aquarium at Pine Knoll Shores, and interacting with real pirates! Everyone is encouraged to come out and show their support to this group of special visitors.
Indulgence
SALON & SPA
the CRYSTAL COAST’S FAVORITE full service salon
701 N. 35th Street Morehead City ¾ of a mile behind the hospital
• Fitness Equipment • Indoor and Outdoor Pool • Group Fitness • Personal Training • Much, much more Join our Preferred Client Program For only
$49.99
Phone: 252-726-7070 www.sportscentermorehead.com 22
SPRING 2010
Month
www.indulgencesalonandspa.info 4644 Arendell St. Morehead City 252.247.9729
Tech Tonic Gadgets for a Healthier Home and Family
F
rom MP3 players to e-books, technology is an integral part of the modern home. However, when we think of technology and how we use it on a daily basis, entertainment is at the front of our minds, not health and wellness. As a doctor and a mom, Jennifer Trachtenberg, fellow of the American Academy of Pediatrics and a pediatrician at The Mount Sinai Medical Center, recommends four household gadgets that will help make for a healthier home and family.
Air purifier:
The EPA says levels of indoor air pollution can be between two to five times higher than outdoor air. Poor indoor air quality can negatively impact many people’s health. In fact, some cold-like symptoms, including sneezing, sore throats and running noses can be triggered by indoor allergens such as dust, mold spores and pet dander which are commonly found in indoor air. One way to improve indoor air quality can be to use air purifiers. One such air purifier is the Honeywell HEPAClean UV Tower Air Purifier which is a new model that combines three air cleaning technologies: carbon zeolite pre-filter which can reduce common household odors, ultraviolet light which can reduce viruses, bacteria, fungi and mold spores and HEPAClean filters which can remove up to 99 percent of allergens from the air passing through the filter. Fever is often one of the first signs of the flu, and also a sign when you’re most contagious. The Braun ThermoScan Ear Thermometer is used by more pediatricians and moms in the US than any other brand. This advanced thermometer is proven to be more accurate than rectal and temple measurements and features patented technology, such as its pre-warmed tip and positioning guidance system that ensures accuracy every time.
Thermometer:
Humidifier:
Keeping the air a little moister can relieve your children’s congestion and coughs, and help them sleep better. A humidifier adds essential moisture to any room, providing temporary relief from dry eyes, dry nose, flakey skin, and chapped lips. When selecting a model right for you, it’s important to look for new humidifier technologies like the ultraviolet light chamber in the Vicks GermFree Humidifier that kills up to 99.9 percent of mold and bacteria in the water.
Hygrometer: Keeping the humidity level at a good balance in your house is important for relieving chest congestion, soothing parched skin and even reducing static electricity in the air. If you think your home humidity levels might not be up to par, a hygrometer is a handy device available at most drug stores. Hygrometers provide a digital readout of the relative humidity in your home, and are compact and low-cost. New research indicates the flu will have less of a chance of surviving on surfaces and in the air if you use your hygrometer and humidifier together to keep humidity at the ideal 40 to 60 percent level. With just a few handy gadgets, you can ensure a healthier living space for yourself and your family. Courtesy of ARAcontent w w w . N C C O A S T. c o m
23
Work it Out No More Excuses It’s Time to Get Fit and Stay That Way By Sharon Watling
I
don’t have time to exercise. I don’t like to sweat. I’m afraid I’ll get hurt. I can’t afford a gym membership. The treadmill is boring. I can’t stand to eat one more carrot stick. Sound familiar? By now we all know why eating right and exercising are good for us. Unfortunately, unless we’re one of those lucky people who can eat whatever we want and who just naturally loves to move, it seems hard to make exercise and eating well a part of our lives. But we don’t have to run marathons, sweat to the oldies, look like Arnold, or eat like a bird to be healthy. There are many things we can do during the day to increase our fitness without spending a dime, breaking a sweat, getting sore or starving to death. Of course, if you have health concerns, be sure to check with your doctor first. The American College of Sports Medicine (ACSM) says our goal should be to accumulate 30 minutes of moderate activity three to five times a week. The good news is it can be an accumulation of short activities rather than 30 continuous minutes. Take 10-minute walks. Pull weeds for 10 minutes. Dance to your favorite tunes in your living room. Take the stairs. Even vacuuming, making beds, or scrubbing the shower can count! Any combination of activities that elevates our heart rate slightly for a total of 30 minutes meets our cardio quotient for the day. How easy is that? How many times do we find ourselves standing around waiting for a pot of water to boil, the microwave to beep, the dog to come in, or the kids to finish up something? What about when we’re on the phone? Why not use those minutes to do squats, pliés, wall push-ups, leg raises, 24
or standing crunches? The ACSM recommends eight to 10 repetitions of one exercise for each major muscle group two to three times a week. No expense, no sweat, not even any time commitment. What about eating and weight? To make the most of our improving heart health and toned muscles, it may be necessary to lose some weight. The key is not to go on a diet. A diet is something we do for some period of time, and when it’s over we gain all the weight back, right? That’s because we usually go right back to the habits that caused us to gain the weight in the first place. In fact, it would be a miracle if we didn’t regain the weight. Like our small steps to exercise more, there are easy things we can do to eat better. Plus they will likely have the side benefit of taking off some weight. Start by cutting out virtually all empty calories like sugary or salty snack foods. Substitute fruits, veggies, beans, and whole grains. Collect recipes that use the whole foods our families will eat, and be patient while our palates adjust to new foods. Stock the pantry and fridge so we’ll have the ingredients when it’s time to cook. Then, measure portions with measuring SPRING 2010
cups. Read labels to learn portion sizes. Yeah, they sure can seem microscopic. But after a few weeks, it’s surprising how smaller portions satisfy us. Don’t strive for perfection. “Most of the time” is good enough. We can enjoy special occasions, but when they’re over, we simply return to our improved eating habits. We just need to be sure our special occasions don’t outnumber our regular days! Getting fit doesn’t have to be a huge, intimidating, dreaded undertaking fraught with fear of failure. There are many small steps most of us can easily fit into our lives that can have significant benefits to our health. Why not add some today? Sharon Watling is a retired teacher and corporate executive. She received her personal trainer certification at UNC-Chapel Hill Cardiac Rehab Center from the Aerobics and Fitness Association of America. She specializes in mid-life fitness and offers group and private personal training. CrystalCoastFitnesstoGo@gmail.com, 252726-7841, CrystalCoastFitnesstoGo.com.
Cont. from page 15
So our ancestors were definitely moving more. They also ate much better. Eating out was what they did on special occasions – and it hardly ever included fast food. Instead, on a daily basis, they ate home-cooked fresh food, much of which came from their own gardens or nearby farms. No pesticides, no growth hormones, no artificial flavoring. The routine of today’s typical family is a stark contrast. Our transportation is motorized, our food is processed and our schedules are packed so tight that just planning a home cooked family dinner seems like an impossibility. Add television, DVDs and video games to the mix and we’re literally technologically advancing our children into obesity. Is this really progress? It is … we just have to be equipped to handle it.
•
•
•
So what can we do now? According to Dr. Collier’s clinic: • Be a role model. Eat smart and move more. Children learn by watching parents make healthy choices. Encourage healthy food choices without being too restrictive. • Limit sugar-sweetened beverages. Drink water, sugar free beverages or low fat milk. Sugar-sweetened drinks like soda, sweet tea, Kool-Aid and sports and energy drinks provide no nutritional value yet the extra calories promote weight gain. • Eat five servings of fresh fruit and vegetables a day. Try to include one at every meal or snack. • Eat a healthy breakfast every day. Eating breakfast has been
10% off
Hair, Tanning, Facials, Massages, Body Wraps, Waxing, Nails
ANY SPA SERVICE Must mention this ad for discount. Exp. 6/30/10
Now featuring: Forever Natural Nail System for Fast Growing Nails
252-393-8166 536 Cedar Pt. Blvd., Cedar Point
•
•
•
shown to increase test scores, attendance and class participation. Healthy choices include fruit, whole grain cereals and oatmeal, toast, yogurt and low fat milk. Limit eating out, especially fast food. Children are more apt to eat fruits and vegetables when dining at home with the family. Make it a goal to dine together at least 5-6 nights per week. Turn off the television and sit together at the table. Limit portion size. When you order food, always choose the ‘kids meal’ or small regular sized portions. Allow the nutrition information to guide your way. Limit screen time to less than two hours a day with no TV in the bedroom. When your child is watching TV or playing he isn’t using many calories. Encourage children to do something active instead, like riding a bike, playing basketball or dancing. Engage in 60 minutes of moderate to vigorous activity daily. Get active with your child – go for a walk together, go for a bike ride or play. Make sure your child gets a good night’s sleep. Experts recommend that children 18 months-3 years get 12-14 hours; 3-5 years, 11-13 hours; 5-12 years, 10-11 hours; and teens, 9.25 hours per night. Reward your child with nonfood items. Give him a hug, buy him a book or just spend time together.
By Amanda Dagnino
Healthier you
in 2010
25,000 sq ft facility offering: Indoor Pool & Hot Tub Indoor Basketball Court Swimming Lessons Indoor Cycling Floor and water aerobics Pilates & FREE Yoga Classes* FREE Cycle Classes* Mom’s Morning Out* Personal Training Professionals Free Weights & Cardio Equipment Over 30 Treadmills and Elliptical Trainers Over 35 Free Weight and Strength Equipment *With Full Club Membership
300 Taylor Notion Rd Cape Carteret, N.C. 252-393-1000 www.ccaw.net w w w . N C C O A S T. c o m
AN OFFICIAL SILVER SNEAKERS FACILITY NO WAITING • NO CONTRACTS PROFESSIONAL EXPERIENCED STAFF GET THE MOST FOR YOUR MONEY
25
Consider the Alternative ‘Honoring Your Wisdom’ Holistic Health Fair
T
he Whole Health Resource Network has partnered with Carteret Community College (CCC) and Carteret General Hospital in presenting “Honoring Your Wisdom” a holistic health fair being held at Carteret Community College’s McGee Building from 9am to 3pm Saturday, April 17. Registration begins at 8:30am; admission is $5 and includes a light lunch. The Whole Health Resource Network (WHRN) is a nonprofit organization with the mission of educating the community about the complementary and alternative health and wellness resources available in the Crystal Coast area. “Honoring Your Wisdom” has been held annually since 2000 and is comprised of 20 interactive seminars held throughout the day. Guests spend the day at the CCC’s beautiful soundview conference facility and will have the opportunity to learn about massage and bodywork, dance and movement, yoga, stress and pain management, energy work, counseling and chiropractic. There are also seminars on food and nutrition, herbals and natural health products. Keynote speaker for the 9am opening of the event is Dr.
Hot Yoga • Gentle Yoga • Pilates • Massage Private Yoga Sessions Available Eco-friendly fitness wear. Made in USA Check our website for current workshop offerings Monthly lecture series with Dr. Rawls
William Rawls Jr., who is certified by the American Board of Holistic Medicine and a fellow of the American College of Obstetrics and Gynecology. The keynote speaker for the closing at 2pm is Patti O’Rourke, RN., MA, CHPC, holistic nurse and a founding member of WHRN. Anyone interested in joining the Whole Health Resource Network may visit WholeHealthResource.com and complete the online membership form. The regular membership cost is $36 annually or $88 with a business listing on the WHRN website and printed directory. For additional information, call 252-247-9642.
Yoga Benefit Slated for Injured Veterans
Yoga for You has teamed up with Olympus Dive Center’s 5th Annual Michael J Norwood Memorial Dive to offer a day of yoga dedicated to those who have selflessly served their country. Yoga for You has put this day together in order to benefit SUDS (Soldiers Undertaking Disabled Scuba). SUDS is designed to help improve the lives of injured veterans returning from Iraq and Afghanistan by training the warriors in a challenging and rewarding activity that can help facilitate the rehabilitation process and promote mobility. SUDS also works with the Divers Alert Network, more commonly known as DAN, which is supported by the largest association of recreational divers in the world. One of the four pillars of yoga, Karma yoga focuses on the adherence to duty while remaining detached from the reward. It is selfless service unto humanity and a path to self-realization. Nonattachment brings freedom from sorrow and fear and in return purifies the heart. The “Dive into Yoga” event offers classes at 9am, 11am and 1pm. Chair massages will be available, but space is limited. Browse the silent auction items and make sure to get your name down on the list as the auction will end promptly at 2:30pm. The Yoga classes are fit for any level and will be taught by a variety of instructors. All of the proceeds from this event will be donated to SUDS. Please visit yogaforyouandme.com or call 252-247YOGA for more information.
26
SPRING 2010
General Hospital CARTERET GENERAL HOSPITAL Walk for Babies Join Carteret General Hospital in supporting the Crystal Coast’s March for Babies on Saturday, May 8 at Shevans Park, Morehead City. March for Babies is a March of Dimes event that raises money for research, education, advocacy and baby services. For more information, contact Clifton Lee at 252-269-1844 or blue_oceans.sail@ yahoo.com. ASMBS Designates Hospital as Bariatric Surgery Center of Excellence Carteret General Hospital and Carteret Surgical Associates have been named an American Society for Metabolic and Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence®. The ASMBS BSCOE designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery. To earn a Bariatric Surgery Center of Excellence designation, Carolinas Center for Weight Loss Surgery, a division of Carteret General Hospital and Carteret Surgical Associates, underwent a series of site inspections during which all aspects of the program’s surgical processes were closely examined and data on health outcomes was collected. Gold Star Status and Smoking Cessation Referral Award Presented Carteret General Hospital in Morehead City was recognized by NC Prevention Partners (NCPP) as earning Gold Star Standard status for excellence in quit tobacco programs for employees and for winning the December Mini Fax Referral Challenge to the NC Quitline (1-800-784-8669). Carteret General Hospital referred the most patients and employees to the NC Quitline of any medium-sized hospital in the state, something it does consistently. Carteret General Hospital was also recognized by NC Prevention Partners for providing the highest standard of excellence
CARTERET GENERAL CALENDAR OF EVENTS
From left, Val Russell RN; Elaine Keating RN; Melva Fager Okun, senior program director; Heather Mountz, Quit Tobacco coordinator; Fred Odell, Carteret General Hospital CEO; Beth Beswick, vice president of human resources; Rosey Liles, administrative assistant; Donna Cheek, vice president of patient care services; Dr. Leon Morrison, vice president of medical affairs.
for tobacco cessation programs offered to their employees. Hospitals receiving this acknowledgment are considered Gold Star Standard Hospitals.
CAROLINAEAST HEALTH SYSTEM Public Invited to Have Personal Documents Shredded Free of Charge CarolinaEast Health System and document management partner, CINTAS, are teaming up once again to provide the community with an opportunity to shred sensitive, personal documents at no cost. The third annual event will be held on Saturday, April 24, from 10am-1pm on the CarolinaEast Medical Center campus at 2000 Neuse Boulevard in New Bern. “Protecting personal and confidential information is of ever-increasing importance in an age of identity theft,” said Megan McGarvey, director of public relations for CarolinaEast. For the second year, as an added bonus during the event, nurses from CarolinaEast will provide free blood pressure screenings and prescription medication tracking advice. For more information, call 252-633-8154.
2009 Auxiliary Volunteers of the Year Announced The CarolinaEast Health System Auxiliary board has named three honorees as 2009 Volunteers of the Year. They are, from left, June Thomas (caring), Joe Urbaniak (service) and Audrey Carson (support). 28
SPRING 2010
APRIL 2010 Thur. 15: Wine Tasting & Art Show Benefit. 6-8pm. Help raise money for a new Cancer Care Center by attending a Wine Tasting and Art Show benefit at First Citizens Bank, 411 Front St., Beaufort. Tickets are $15. Enjoy a variety of wines from local distributor, Nancy Greer, and admire art by local artists. For more information, contact Jessica Fitzgerald at 252-725-3219. Wed. 21: Childbirth & Breastfeeding Classes. 7pm. Five week classes are held in the CGH Education Center on Bridges Street. Fee is $65.75 and includes breastfeeding class. Breastfeeding class only available for $20. Call 252-728-7517 to register. MAY Mon. 10: Look Good Feel Better for 5 Tue. 11: Leukemia/Lymphoma/ Myeloma Support Group. Noon. Lunch is provided. Call 252-808-6642 to register. Tue. 18: Better Breathers. 3pm. Meeting Room B. Call 252-808-6616. Wed. 19: “Oh, My Aching Back.” 5pm. Free one hour seminar for anyone who suffers from back pain or osteoarthritis. Call Carolinas Center for Joint & Spine at 252-808-6200 to reserve your seat. Thur. 20: Colorectal & GI Support Group. 5:30pm. Meeting Room A. For patients with colorectal, esophageal, liver, pancreatic and gastric cancers. A light meal is served. Coordinated by the Raab Oncology Clinic. RSVP 252-808-6642. May 28-31: CGH Urgent Care Opens Memorial Day Weekend. New Urgent Care for minor emergencies will open at 3722 Bridges St., just across the street from the hospital and near Medical Park. Use when your primary care doctor is unavailable and you need help for a problem that is not an emergency such as sprains, simple cuts and burns and ear infections. Open Friday, Saturday & Monday noon – midnight and Sunday, noon – 8pm. Closed June 1–3 then will reopen seven days a week for extended summer hours. Call 808-6641. JUNE Tue. 15: Tickled Pink – Breast Cancer Support Group. 5:30pm. Call 252-808-6642 for more information.
Business Index
www.nccoast.com
AL WILLIAMS................................... 6 PO Box 2385, Atlantic Beach 252-726-8800
CARTERET OB-GYN ASSOCIATES...... 5 3511 John Platt Dr., Morehead City 252-247-4297
THE DENTAL CARE CENTER ............ 21 202 WB McLean Drive, Cape Carteret 252-393-8168
MCLAUGHLIN CHIROPRACTIC........ 17 5039 Executive Drive, Morehead City 252-808-2888
ATHLETE’S FOOT.............................. 9 252-756-7267 or 252-637-7770
CARTERET SURGICAL THERAPY ........ 2 534 N 35th St. Ste. D, Morehead City 252-726-1802
DIABETES AND ENDOCRINOLOGY... 7 611 N. 35th Street, Morehead City 252-222-5700
NEW VISAGE ................................ 11 108 N. 11th St., Morehead City 252-808-2639
CIELI DAY SPA ............................... 25 536 Cedar Point Blvd, Cedar Point 252-393-8166
EASTERN DERMATOLOGY ................ 9 4251 Arendell St., Suite A, Morehead City 252-240-3531
SCHILSKY CHIROPRACTIC .............. 17 312 Dolphin Drive, Jacksonville 910-347-4033
BETTER HEALTH STORE, THE ........... 29 3011 Bridges St., Morehead City 252-240-2710 CAPE CARTERET AQUATIC & WELLNESS ................................. 25 300 Taylor Notion Road, Cape Carteret 252-393-1000 CAROLINA EAST HEALTH SYSTEM ............BACK COVER 2000 Neuse Blvd., New Bern 252-633-8154 CAROLINA PHYSICAL THERAPY .................12, 13 252-726-9777 astern@carolinaorthopedics.com CARTERET GENERAL HOSPITAL ........ 3 3500 Arendell St., Morehead City 252-808-6000 CARTERET MEDICAL SPECIALISTS .... 30 300 Penny Lane, Morehead City 252-726-4000
CHERRYL DAVIS, DDS .................... 31 316 Commerce Ave., Morehead City 252-247-4900 COASTAL EYE CLINIC ..................... 31 802 McCarthy Blvd., New Bern 252-633-4183 3504 Bridges St., Morehead City 252-726-1064 COASTAL FOOT CENTER ................ 21 3221 Henderson Drive, Jacksonville 910-347-1211 CURVES .......................................... 6 112 Queens Creek Road, Suite 2, Swansboro 910-326-1200 1931 Gum Brand Road, Jacksonville 910-346-3663
ECIM ............................................. 30 906 W.B. McLean Road, Cape Carteret 252-393-9007 FRIENDLY CAREGIVERS .................. 29 2302-D Arendell St., Morehead City 252-240-1234
SPORTS CENTER ............................ 22 701N 35th St., Morehead City 252-726-7070
FROGLEY CHIROPRACTIC............... 17 2113 Glenburnie Rd., Suite H, New Bern 252-658-6222
US CENSUS BUREAU ..................... 11
HEARING SOLUTIONS ..................... 5 3110 Arendell St., No. 8, Morehead City 252-726-8578 INDULGENCE SPA ......................... 22 644 Arendell St., Morehead City 252-247-9729
The
Licensed Home Care Agency
Meeting the Needs of All Age Groups • Personal Care • Geriatric Care • Companionship • Bed Rest, Pregnancy & New Mom Care • Light Housekeeping • Medication Reminders • Meal Preparation • Transportation • Respite Care • Others as Needed or Required FREE IN-HOME Consultation
Providing affordable and flexible care for just a few hours, or up to 24 hours. We accept private pay, long term insurance and Medicaid.
2302-D Arendell St. Morehead City, NC 28557 www.friendlycaregivers.com
Phone: 252-240-1234 Fax: 252-240-1232 Toll Free: 1-877-599-5624
SOUNDSIDE HEALTH CARE .............. 6 3106 Arendell St., Morehead City 252-808-2500
WILLIS, VANEK, BALL & FISCHER...... 2 Locations in Morehead City, Havelock and Jacksonville thesmilesmakersnc.com YOGA FOR YOU ............................ 26 2900 Arendell St., # 16, Morehead City 252-247-YOGA
Better Health Store
HOME HEALTHCARE EQUIPMENT AND SUPPLIES • Durable medical supplies for your home needs • Mastectomy supplies & products by Tru Life, Jodee, American Breast, Airway • Compression Garments by Jobst, Medi, Juzo • Diabetic Shoes by Drew, Aetrex, Acor Buck & Ruth • Orthotics by Aetrex, Spenco, Walker/Runner, Outdoor/Hiking, Matthews Work/Dress, Support Insoles Certified Fitters • Golden Recliner Lift Chairs 54 Years Experience • Incontinent Supplies Mon-Fri 10 to 5 (also by Appointment) • Bathroom Safety Items 3011 Bridges Street, Morehead City • Blood Pressure Monitors (Next to Williams Hardware) • Wheelchairs - Standard/Power • Walker, Canes, Crutches & Braces
252.240.2710
w w w . N C C O A S T. c o m
29
GENERAL & SUBSPECIALTY MEDICINE Internal Medicine • Oncology • Sleep Center Gastroenterology • Rheumatology • Pulmonary Medicine • Endocrinology • Endoscopy Center Aviation Medicine • Pediatrics • Neurology
DIAGNOSTIC SERVICES Radiology • Nuclear Medicine • CT Scanning COLA Accredited Laboratory • Ultrasound • MRI Bone Densitometry • Digital Mammography
PRIMARY CARE Acute Illness • General Medicine Laboratory Service • Diagnostic Testing
www.ecim.com 1-800-676-8221
SERVING EASTERN NORTH CAROLINA
NEW! Primary Care Highway 24 Cape Carteret 252-393-9007
Primary Care Highway 17 South Pollocksville 252-633-1010 or 224-4591
Primary Care 532 Webb Boulevard Havelock 252-447-7088
Sleep Center 2117 Glenburnie Rd. New Bern 252-633-1010
Physical Medicine & Rehab
30
SPRING 2010
Primary Care Berne Square New Bern 252-638-4023
Pediatrics Berne Square New Bern 252-636-1919
EXCELLENCE IN EYE CARE J. Kenneth Chance, M.D., F.A.C.S. Harold H. Cameron, M.D. Bettina B. Meekins, M.D., F.A.C.S. Dean P. Ouano, M.D. Cooper D. Kunkel, M.D. Cara D. Hamm, O.D. Medical & Surgical Diseases of the Eye
Complete Optical Department 802 McCarthy Boulevard, New Bern - 252.633.4183 3504 Bridges Street, Morehead City - 252.726.1064
w w w. coa st a le ye cl i n ic.ne t D. C A. D S C C F D
Creating a more esthetically pleasing smile is an exciting way for patients to enhance their overall appearance. These amazing results can be created in one to three dental visits. To schedule an esthetic consultation, please call
252-247-4900 The no-pain, no-grind, no-shot perfect smile.
C A | M C .CCS. w w w . N C C O A S T. c o m
31