Health and Wellness Winter 2010 - 2011 Edition

& WELLNESS

HEALTH

Winter Edition

2010 / 2011

Staying Cozy and Fit with Seasonal Soups

Keeping the Beat Heart Month Checklist That’s Sure to Keep Your Ticker Ticking

PLUS Painting ‘Green’ Seasonal Scents Discovering Yoga

Surviving the Season How to Keep Colds And the Flu in Check

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HEALTH

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WELLNESS

TO THE BEAT

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BON APPÉTIT

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NOTHING WARMS YOUR WINTERY SOUL LIKE A PIPING HOT BOWL OF SOUP. STAY FIT AND COZY WITH SOME OF OUR FAVORITE RECIPES.

THE OPPORTUNITY TO PREVENT HEART DISEASE HAPPENS EVERYDAY. CELEBRATE YOUR HEALTH AND FUTURE THIS FEBRUARY DURING AMERICAN HEART MONTH.

IN THE NEWS Take a look at how our state stacks up on health rankings and get a glimpse inside the nation’s 10-year plan.

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LIFESTYLES Don’t feel like crawling around in the dirt just to plant a garden? Why not take the garden with you?

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MIND MATTERS Stop seasonal fatigue this winter with a healthy dose of protein, sunlight and other secrets known to cure the winter blues.

CONSIDER THE ALTERNATIVE

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YOUR WORLD By covering up one problem with paint, you might be creating another.

24

OUNCE OF PREVENTION Cold and flu season is here but there’s still time to prepare.

UNLOCK THE SOOTHING POWER OF ESSENTIAL OILS AND WATCH THE STRESS MELT AWAY. 4

WINTER 2010-2011

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YOGA

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GENERAL HOSPITAL

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HEALTH AND WELLNESS BUSINESS INDEX

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HEALTH 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

Ashly Willis 252.723.3350 David Pennington 252.247.7442

 P C, M C • ()- ..

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Design/Layout Mimi G. Davis Graphic Designers Eddie Boné, Lindsay Parker, Roze Taitingfong

Advertising Jamie Bailey 252.241.9485

• O     • C F  C D C • Z  W • N P W

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Vol. 3, Issue #4 Winter 2010/2011

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 2010/2011 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

Hearing loss?

Turn up the TV. Tell people to speak up.

Don’t answer the phone.

Stay out of restaurants.

Don’t go to movies.

Avoid socializing.

Get an eye exam.

Seems silly, doesn’t it?

Don’t let hearing loss control your life.

The solution is simple — get a hearing screening!

When you lose your eyesight, you lose contact with things.

When you lose your hearing, you lose contact with people.

- Helen Keller

Vision and hearing – we rely on them both constantly. They let us interact confidently with family, friends and colleagues. Everyone gets their eyes checked. Why take your hearing for granted?

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WINTER 2010-2011

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In the News

The Health of a Nation We’re getting healthier, North Carolinians, but not by much. The 2010 America’s Health Rankings were released Dec. 7, by United Health Foundation, showing overall improvements in its 21st annual report. The nation’s overall health improved by one percentage point, but reductions in smoking, preventable hospitalizations and infectious disease were offset by increases in obesity, children in poverty and lack of health insurance, according to the report.

The outdoorsy folks up in Vermont are still fairing the best, once again clocking in as the healthiest state. Mississippi takes the unhealthiest seat this year, with Louisiana, Arkansas, Nevada and Oklahoma rounding out the bottom five.

“The rate of gain, while positive, is wholly inadequate for us as a nation. We know with certainty that many people will suffer consequences of preventable disease unless we strengthen individual healthiness, community by community, across America,” Dr. Reed Tuckson, chief of medical affairs for United Health Group said in a release. “The persistent year after year increase in obesity, physical inactivity, diabetes and other risk factors combined with a still unacceptably high use of tobacco means an increased burden of chronic illness, including diabetes, with medical care costs that will be unaffordable for any state, private employer or individual in the days to come. States are showing that we can successfully deal with health issues, but only by tackling those issues head on.”

North Carolina rose two points in 2010, from 37th place to 35th. The state’s strengths include its low prevalence of binge drinking, low occupational fatality rate and high immunization coverage. Challenges noted include a low high school graduation rate, high percentage of children in poverty and high infant mortality rate.

Significant changes on the 2010 report for the state include a reduction in smoking, down from 25.1 percent to 20.3 percent over the last 10 years.

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WINTER 2010-2011

Our neighbor to the south, Georgia, improved the most throughout the year, rising from 36th position to 43rd, followed by other big climbers Idaho, Nebraska and South Carolina.

“Every state can create effective solutions to many of the health challenges they face,” said Tuckson. “States can use America’s Health Rankings to identify their state’s and other states’ strengths and use those examples to address areas that need attention in their own state.

The key is action. We must continue to work toward impacting change in unhealthy behaviors and other factors that negatively impact a state.”

And in North Carolina we can look no further than Virginia, with a solid 22nd ranking for the last two years, as a mentor. While public health funding in the state dropped from $81 to $68 per person, Virginia maintains a high rate of prenatal care for pregnant women, a low rate of sick days taken by employees and a 12 percent higher graduation rate among high school students.

It is obesity, however, that continues to be the proverbial thorn in the side of our health as a nation. Since 1990, the number of overweight Americans has risen from 11.6 percent of the population to 26.9, meaning today, more than one in four Americans are considered obese.

“Obesity and tobacco use are top contributors to a variety of diseases, including heart disease, cancer, stroke, diabetes and other leading causes of premature death and disability,” said Georges C. Benjamin, M.D., executive director of the American Public Health Association. “We cannot avoid these critical public and personal health battles. We must work with multiple stakeholders and our public health partners to develop with comprehensive solutions to solve this problem.”

The report goes on to isolate smoking, children in poverty, lack of health insurance and diabetes as other contributing factors to poor health.

To read the report in its entirety, visit americashealthrankings.org.

Tobacco War Lights Up The US Surgeon General’s report, “How Tobacco Smoke Causes Disease,” sheds new light on the damaging effects of tobacco use, stating that evidence shows that tobacco products are “lethal weapons capable of shorten(continued on page 23)

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Bon Appétit

Soup’s On Staying Fit and Warm With Wintery Meals

By Amanda Dagnino

C

ampbell’s has been telling us for decades that “Soup is Good Food” and each winter we start to believe them a little bit. On those cold winter days when all you’re dreaming about is a warm pair of slippers and fuzzy pajamas, feel comfortable adding soup to your list of must-haves. It’s packed with nutrition and offers multiple benefits – from aiding digestion to soothing a cold – plus, it warms us up from the inside out.

For as many years as Campbell’s has been lamenting its usefulness, doctors have been studying exactly why soup seems to cure what ails us. Is it merely leaning over a warm, steaming bowl that helps clear the nasal passage? Or does chicken noodle soup have some magical anti-inflammatory affect? The speculations run the spectrum from plausible to just plain silly.

The fact of the matter is that soup is an ideal vehicle for getting our required daily allowance of vegetables in one succinct package. There is little clean up. There is little cost.

And there are numerous varieties from which to choose, with options everyone will love, whether carnivore or vegan. Plus, it’s just plain comforting. Nothing is better than a steaming cup of mom’s chicken noodle soup when cold symptoms appear. And a recent study by Penn State University shows that it can also aid in weight loss. People who added a small bowl of soup before their meal reduced their overall daily caloric intake and said they felt more satisfied.

When working with canned or prepackaged soup, be aware of the salt content. Many pre-made varieties can be extremely 10

WINTER 2010-2011

high in sodium, although all of the major brands now offer a full slate of low-salt options to choose from. Keep in mind that if it is too low in salt, you can always add a touch of sea salt at home to give it a little flavor. Just don’t overdo it.

Of course, homemade soup with fresh ingredients is always best. And today’s slow cookers make it an easy alternative, even if you are away from the home during the day. Sure, there’s some chopping to do in preparation, but keep in mind that a nice sized pot of soup can not only provide lunches for a week, but it freezes well, too.

If reduced calories are your focus, make sure you stick to extra lean cuts of meat. Remember that beans and tofu have far less saturated fat than animal sources and there’s no rule that you have to be a vegetarian to enjoy them. To cut back on the fat content, cool your soup in the refrigerator prior to serving, allowing the fat to rise to the top so you can scoop it out before reheating.

While we all know that broth-based soups are the healthiest, counting calories doesn’t mean you should always forsake its cream-based counterpart. If you’re cooking at home, try using whole milk (about 150 calories/8 grams of fat per serving) instead of light whipping cream (698 calories/74 grams of fat per serving) for an adequate, yet lighter, alternative.

Ready to get started? Here are a few of our favorites, but keep in mind that soups are easy to modify and make your own.

Leave out the stuff you don’t like and add a few of your favorite things. When it comes to soup, just about anything goes!

Our TOP 5 Picks 1

Minestrone 2 med. carrots, 1/4-inch pieces 1 med. onion, 1/4-inch pieces 1 large celery stalk, 1/4-inch pieces 2 cloves garlic, minced 3 med. all-purpose potatoes, peeled,1/4-inch pieces 1 can chicken broth 1 1/4 tsp salt 1/4 tsp coarsely ground black pepper 1/4 tsp dried thyme 1 can white kidney beans, rinsed and drained 1/2 pound green beans, 1-inch pieces 1/3 cup small pasta, such as cavatelli or ditalini 1 pound Swiss chard, chopped 1/2 pound spinach 1/2 tsp grated lemon peel Grated parmesan cheese for garnish

Spray a medium pot with cooking spray and add carrots, onion and celery, cooking until brown. Add garlic and simmer for one minute.

Add potatoes, broth, salt, pepper, thyme and six cups water; heat to boiling over high heat. Reduce heat to low; cover and simmer about 10 minutes.

Add kidney beans, green beans and pasta; cook 10 minutes longer before stirring in Swiss chard, spinach and lemon peel. Cook about five minutes or until greens are wilted and tender. Top with grated parmesan if you like.

2

Homestyle Chicken Noodle 1 whole chicken (3-4 lbs) 3 qt low-sodium chicken broth 6 carrots, peeled 4 stalks celery, ends trimmed 3 med. onions, peeled 5 black peppercorns 1 clove garlic, crushed 10 sprigs parsley 2 sprigs thyme 1 bay leaf 2 tbsp unsalted buƩer 4 leeks, tops and roots removed 1 tsp salt 1 tsp fresh-ground pepper 3 c. medium egg noodles

Place the chicken and chicken broth in a large stockpot and set it over medium heat. Roughly chop two carrots, two celery ribs and one onion and add to the broth. Add the peppercorns, garlic, two sprigs of parsley, thyme, bay leaf and enough water to just cover the chicken. Bring the broth to a boil, reduce heat to a simmer, and cook until the chicken is very tender, 1-1 ½ hours. Remove the chicken and place in a large bowl. Strain the broth through a very fine sieve into a large, clean bowl or stockpot. Discard the

vegetables. If caloric intake is a concern, skim any fat off the top of the strained broth. Slice the remaining carrots, celery, onions and leeks into 1/4-inch-thick pieces and set aside. Remove and discard the skin and bones from the chicken, cut meat into 1/2-inch pieces and set aside. Chop the remaining parsley leaves and set aside. Melt the butter in a large Dutch oven over medium heat. Add the vegetables and cook until the onions are clear. Add the chicken, the reserved broth, salt and pepper. Simmer the soup until the vegetables are tender, about 1 hour. Stir in the egg noodles and parsley and cook until the noodles are tender.

3

Mushroom-Soup with Barley 1 oz. dried mushrooms 3 c. water 1 large onion, chopped 2 carrots, chopped 1 celery stalk, chopped 12 oz. cremini or buƩon mushrooms, stems removed, sliced 1 1/2 tsp. dried oregano 2 cans chicken broth 1/2 c. barley 1/4 tsp sea salt

In a small saucepan, bring the dried mushrooms and water to a boil. Remove and let stand for 15 minutes. Meanwhile, coat a Dutch oven with nonstick spray. Add the onion, carrots and celery and cook over medium heat about five minutes. Add the sliced mushrooms and oregano and cook until vegetables are soft. Add the broth, barley and sea salt. Cook for 10 minutes. Line a fine mesh sieve with a coffee filter or paper towel.

Strain the dried mushroom water into the pot.

Rinse the dried mushrooms under running water to remove any grit. Chop and add to the pot. Cook until the barley is tender.

4

looking for a smooth soup, straining it back in will provide the texture you desire. Prior to serving, reheat the puree and stir in cream and top with basil.

5

Curried BuƩernut Squash Soup 3 tbsp extra-virgin olive oil 1 c. onions, chopped 4 cloves garlic, minced 1 tbsp curry powder 1 tsp ground cumin Red (cayenne) pepper to taste 2 1/2 pounds buƩernut squash, peeled, seeded, halved lengthwise and sliced thin 3 c. vegetable or chicken broth 3 c. water 1 lb. tart apples, peeled, cored and chopped Salt and pepper to taste

In a large soup pot over medium heat, add olive oil and onion and sauté until golden brown.

Add garlic, curry powder, cumin and cayenne pepper; cook, stirring constantly, 30 seconds. Add squash, vegetable or chicken broth, water and apples. Bring liquid just to a boil; reduce heat to low and simmer, covered, 25 minutes or until squash is tender. Remove from heat and let cool 15 to 20 minutes. Puree mixture in a blender or food processor and transfer back into soup pot. Season with salt and pepper to taste.

Tomato-Basil 2 cans crushed tomatoes 2 cups chicken broth 1 bunch fresh basil, chopped 1 large shallot, diced 1/2 onion, diced 3 cloves garlic, sliced 2 tbsp vegetable oil 1 cup cream 3 tbsp sugar Ground pepper

In a large stockpot, heat vegetable oil over medium-low heat. Add sliced garlic, finely diced shallots and onion. Simmer until onion starts to caramelize. Add cans of crushed tomatoes and sugar and simmer for ten minutes. Stir in chicken broth and remove soup from heat. Puree the soup mixture in a blender or liquid-tight food processor.

Put pureed mixture back in the pot. If you’re w w w . N C C O A S T. c o m

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Lifestyles Planting Vegetable Gardens One Box at a Time

or cement block. If you are building a planting box out of wood, you will find redwood and cedar to be the most rot-resistant.

Wood for use around plants should never be treated with creosote or pentachlorophenol (Penta) wood preservatives.

POTTING SOIL A lightweight potting mix is recommended for container gardening. Soil straight from the garden cannot be used because it may contain too much clay. In a container, the bad qualities of clay are exaggerated. It holds too much moisture when wet, resulting in too little air for the roots, and it pulls away from the sides of the pot when dry.

PLANTING Plant container crops at the same time as a regular garden. Fill a clean container to within 1/2 inch of the top with the slightly damp soil mixture. Peat moss in the mix will absorb water and mix in much more readily if moistened with warm water before putting the mix in the container. Sow the seeds according to the instructions on the seed package or set transplants.

By Diane Relf Retired Extension Specialist, Virginia Tech

WATERING

I

f you don’t have space for a vegetable garden, consider raising fresh, nutritious, homegrown vegetables in containers. A windowsill, patio, balcony or doorstep can provide sufficient space for a productive container garden. Problems with soil-borne diseases, nematodes or poor soil can also be overcome by this portably alternative.

Grow vegetables that take up little space, such as carrots, radishes and lettuce, or crops that bear fruits over a period of time, such as tomatoes and peppers, for best use of space and containers.

The amount of sunlight your container garden receives determines what crops can be grown. Generally, root crops and leaf crops can tolerate partial shade, but vegetables grown for their fruits generally need at least five hours of full, direct sunlight each day and perform best with 8 to 10 hours.

FERTILIZING

CONTAINERS There are many possible containers for gardening. Clay, wood, plastic and metal are some of the suitable materials. Containers for vegetable plants must (1) be big enough to support plants when they are fully grown; (2) hold soil without spilling; (3) have adequate drainage; and (4) never have held products that would be toxic to plants or people. Consider using barrels, cut off milk and bleach jugs, window boxes, clothes baskets lined with plastic (with drainage holes punched in it), even pieces of drainage pipe 12

Pay particular attention to watering container plants. Because the volumes of soil are relatively small, containers can dry out very quickly, especially on a concrete patio in full sun. Daily or even twice daily watering may be necessary. Apply water until it runs out of the drainage holes. On an upstairs balcony make provisions for drainage of water, in order to avoid neighbor problems. Large trays filled with coarse marble chips work nicely.

Clay pots and other porous containers allow additional evaporation from the sides of the pots, and watering must be done more often. If the soil appears to be drying excessively fast (plants wilting every day is one sign), group the containers together so the foliage creates a canopy to help shade the soil and keep it cooler.

On a hot patio, you might consider placing containers on pallets or other structures that will allow air movement beneath the pots and prevent direct contact with the cement.

WINTER 2010-2011

If you use a soil mix with fertilizer added, your plants will have enough nutrients for eight to 10 weeks. If plants are grown longer than this, add a water-soluble fertilizer at the recommended rate. Repeat every two to three weeks. An occasional dose of fish emulsion or compost will add trace elements to the soil. Do not add more than the recommended rate of any fertilizer since this may cause fertilizer burn and kill the plants. Container plants do not have the buffer of large volumes of soil and humus to protect them from overfertilizing or overliming. „

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To the Beat

Heart of the Matter Managing Risk Factors One Step at a Time Ken Witt of Carteret General Hospital counsels a patient in the cardiac rehab unit. (Amanda Dagnino photo)

K

en Witt is a man who likes analogies. And exercise, to him, is like a flight, rising slowly to gain elevation, leveling out and maintaining its course once it reaches the appropriate level, and then slowly descending to a nice, gentle stop. It’s with that philosophy that he introduces patients to the idea of daily exercise at the cardiac and pulmonary rehabilitation program at Carteret General Hospital.

14

WINTER 2010-2011

With 30 plus years experience under his belt, Witt has seen a lot of cardiac patients – some who have taken to the life-changing rehabilitation like a fish out of water and others who have resisted every step of the way.

“But after 30 years of this, I still tell people this is the best thing you can do. I feel stronger than ever that rehabilitation is vital to their health,” he said from the small gym on the hospital’s first floor.

From first glance, it looks like just about any small hotel or company gym – equipment is crammed in, pointed in whatever direction is necessary to make it fit most comfortably. Three large televisions with cable news run constantly in the background, strategically placed so one can be viewed from just about any vantage point. There is a water fountain, a bathroom, a check-in desk, scales. But on closer inspection, the oxygen valves along the back wall come into view, and then the crash cart, armed and ready to race into action if an emergency should occur.

And you quickly realize that membership here comes at a price. Every person who walks through the door, and there’s a constant stream of them, has some type of pulmonary issue or heart disease.

According to the American Heart Association, a heart attack occurs when the blood supply to part of the heart is blocked, which can lead to discomfort and/or cardiac arrest, or sudden loss of heart function. Each year, about 1.2 million Americans have a new or recurrent heart

attack, making coronary heart disease the largest major killer of Americans.

The most challenging part of the high number of deaths, is that many of the risk factors that contribute to heart disease are manageable. Of course we can’t change our gender (men are at greater risk than women), heredity (children of parents with heart disease are more likely to develop it themselves) or race (African Americans, Hispanics, American Indians and native Hawaiians are more at risk than Caucasians), there are many factors that we do have control over. Do you smoke? Do

you have high blood pressure?

High cholesterol? Are you physically inactive? Are you overweight?

All play a large role in a person’s risk of developing heart disease

“ … Don’t just sit around waiting for the heart attack to happen.”

-Ken Witt, Cardiac and Pulmonary Rehabilitation Carteret General Hospital (continued on page 18)

Remember Heart Month this February With a Look at Your Risk Factors Anyone interested in lowering their chances of heart disease should know there are many ways you can lower your risk. Some of them we have no control over, like family history, race or gender, but many others can be easily controlled at home.

Risk factors for heart disease include: • Smoking • High blood pressure • High cholesterol • Diabetes • Obesity • Lack of exercise • Family history Cigarette smoking is the most important preventable cause of premature death in the United States. According to the American Heart Association, it accounts for more than 440,000 of the more than 2.4 million annual deaths.

Cigarette smokers have a higher risk of developing several chronic disorders. These include fatty buildups in arteries, several types of cancer and chronic obstructive pulmonary disease (lung problems).

Atherosclerosis (buildup of fatty substances in the arteries) is a chief contributor to the high number of deaths from smoking. Many studies detail the evidence that cigarette smoking is a major cause of coronary heart disease, which leads to heart attack.

If you have additional questions about your risk of heart disease and/or heart attack, see the calculator at heart.org.

Are you having a heart attack?

While some heart attacks strike suddenly and without warning in true Hollywood style, most start slowly, with mild pain or discomfort. The warning signs include: • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.

• Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.

• Shortness of breath with or without chest discomfort.

• Other signs may include breaking out in a cold sweat, nausea or lightheadedness As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

Learn the signs, but remember this; even if you’re not sure it’s a heart attack, have it checked out (tell a doctor about your symptoms). Minutes matter! Fast action can save lives – maybe your own. Don’t wait more than five minutes to call 911 or your emergency response number. Calling 911 is almost always the fastest way to get lifesaving treatment.

Emergency medical services (EMS) staff can begin treatment when they arrive – up to an hour sooner than if someone gets to the hospital by car. EMS staff is also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too. w w w . N C C O A S T. c o m

15

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WINTER 2010-2011

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To the Beat (continued from page 15)

– making it easy for Witt to ascertain that rehabilitation is the most vital part of the recovery process.

It’s the machines and gym-like atmosphere that greets you when you visit this active corner of the hospital. But physical activity is only one aspect of the rehabilitation process, explained Witt, it’s really more of a overall approach that is necessary for full recovery.

“We really take a multi-disciplinary approach, a change of lifestyles,” he said. “We look at smoking, diet, exercise, stress – all these things play a role. We also work with a registered dietician and that’s a major hurdle for the patient because people are used to eating a certain way for 30, 40 or 50 years.

It’s challenging.”

But it’s also worth it. Witt cited a Mayo Clinic study that followed patients for 18 years, finding that the risk of a heart attack for those patients who completed 36 sessions of rehabilitation was the same as that of the general population three years after their heart event. Those who participated in 36 sessions did better than those who attended 24 or 12.

So that is exactly what patients in Carteret County are prescribed – three days a week for 12 weeks, which includes dietary counseling, exercise, educational programs, relaxation techniques and monitoring of vital signs and health concerns.

Witt said 2009 was the busiest year he had seen since he joined the staff 15 years ago – and 2010 is on target to be about 20 percent higher.

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WINTER 2010-2011

“We definitely have physicians referring more often,” he said.

“When we started I was constantly out there talking to doctors and letting them know how important rehab was. It also has a lot to do with Medicare.”

Heart disease may be the single largest diagnosis among Medicare patients, and the largest financial drain on hospitals across the country, but it wasn’t until two years ago that congress passed a law allowing Medicare to pay for rehabilitation for heart patients. Witt is hopeful that even more doctors will follow suit. And that the public will begin to realize that they have some control over the risk factors leading to heart events.

“Day in and day out we can turn genes on and off,” he said.

“You literally are what you eat. If your diet is poor, change it.

If you smoke, don’t. If stress is an issue, find a way to relax. But don’t just sit around waiting for the heart attack to happen.”

Lifestyle changes don’t have to be painful – they can be gradual. Start walking in the evening after work. Give up soft drinks. Cut back on how much you smoke until you’re ready to give them up for good.

“I always tell people to start out slow,” said Witt. “Slow and sure, safe but effective exercise. There’s no need to work too hard. I tell people to think like the turtle – just mild and moderate. Every time you read the book the turtle wins.”

Mind Matters Stop Seasonal Fatigue Cold

I

f it seems like it’s just harder to roll out of bed every morning when the temperature drops and sunrise comes later, you’re not imagining things – and you’re not alone. Whether they have chronic fatigue, seasonal affective disorder (SAD) or an old-fashioned case of the seasonal blues, many people experience fatigue when seasons change and the weather cools.

Fatigue is common, with up to 50 percent of adults reporting that they feel chronically tired, according to several recent surveys. In fact, at least 20 percent of doctor visits are made by people looking for relief from fatigue, one study reports. The season’s effect on fatigue and depression is well-known, with the American Academy of Family Physicians reporting six out of every 100 Americans suffer from winter depression or SAD. “Shorter days, darker skies, colder weather, poor sleep habits and the stresses that come with the busy holidays and months at the end of the year can leave many people feeling fatigued and depressed at this time of year,” said Dr. Elin Ritchie, a specialist in family alternative medicine.

Even if your case of the seasonal blues is mild, it still makes sense to take steps to help yourself feel better – prolonged fatigue and depression can affect your overall health.

Here are some tips for fighting fatigue: • Get as much (safe) sun exposure as possible. Open drapes and blinds as soon as you get up to allow sunlight into your home. If you can, take a morning walk. Get as much time outdoors as your schedule and the weather permit. Sunlight stimulates the production of Vitamin D in your body and also benefits your mental health. Remember, though, to use sunscreen, as the sun's ultraviolet rays can still damage your skin, even in winter.

• Stick to a reliable sleep schedule as much as possible. Go to bed and rise at the same time every day. And make sure your bedroom is conducive to sleep – declutter, choose comfortable and comforting linens and turn off the TV. • Choose foods that are high in protein. Fruits and vegetables provide many healthful benefits and definitely belong in your diet. But for long-lasting energy, you'll get more

benefit from lean protein (like chicken and fish) and complex carbohydrates such as whole-grain bread or beans. Avoid too much sugar, no matter how tempting those holiday treats appear - sugar's energy rush is usually followed by an energy drop that can leave you feeling more fatigued.

• Find ways to relax. The cooler seasons can be a very stressful time and stress can keep you awake at night. To combat natural levels of stress, find activities that relax you, whether it's container gardening indoors, meditation or aromatherapy.

Relieving stress can help improve sleep patterns.

It’s also important that you support your immune system, especially during cold and flu season. Fatigue can lead to illness.

“New studies show that sleep deprivation has detrimental effects on the immune system,” said Ritchie. “Researchers believe that sleep should be considered a vital part of immune function, as it is clear that sleep and immunity are directly related.”

Deficiency in anti-inflammatory interleukin-10 is a key factor in the cause of Chronic Fatigue Syndrome, according to an article recently published in the Journal of Clinical and Vaccine Immunology. Consider a nutritional supplement, like Del-Immune V, that increases the activity of interleukins in the body. Supporting your immune system may help lessen the symptoms of fatigue. Patients who take a regular dose of DelImmune V to support their immune systems report a significant increase in energy levels.

“This time of year can be exhausting for many reasons,” Ritchie notes. “But a few simple lifestyle changes, healthful diet and immune system support can help you feel more energized throughout the season.”

Content provided by ARA w w w . N C C O A S T. c o m

19

Consider the Alternative

Curing the Winter Blues Makes ‘Scents’ When it’s chilly outside and you’ve had a long day at work, there are few things that can wash all those winter blues away as well as a nice warm bath. However, relaxing into the bubbles and warmth of the water isn’t the only way to dilute whatever may be riding on your shoulders. With a little forethought and a trip to a holistic store, you can mix up an aromatic potion of essential oils that not only smells nice, but relaxes the mind and body into a stress free trance.

For those that may not be the oil mixing type, many holistic and natural stores have their own recipes and often make them in-house, which means there’s a better chance that all the ingredients are natural and made from essential oils. Remember, products labeled as fragrance oils are not the same as essential oils and often contain synthetic chemicals, thus going against any philosophy of natural or holistic healing.

“The pleasant, evocative and completely natural aromas provided by essential oils can have profound and powerful effects on our mental functions,” said aromatherapy expert, Tom Havran. “This phenomenon is universal because of our shared human physiology. Our sense of smell is linked to the area of our brains that processes emotion and retains memory.”

This technique is central to the practice of aromatherapy – and all that you need to partake of it are pure essential oils that are extracted from plants. “The synthetic fragrances found in 20

WINTER 2010-2011

many commercial products aren’t really 100 percent pure essential oils and simply won’t provide the same benefits of true botanically derived essential oils,” Havran added.

Cheering and uplifting scents are provided by peppermint and spearmint oils, by the green, summery-fresh fragrance of sweet basil, and the fruity fullness of grapefruit and tangerine essences.

Dispel sadness with the calming, reassuring and comforting aromas of neroli (orange flower), rose otto and rose absolute.

“These precious essences are as powerful and emotionally supporting as a warm hug from a loved one,” Havran said.

Think of the powerful image of a tree. The wood is solid and strong, the roots deep and secure, the bark thick and protecting, the branches and leaves reaching up to the sun and sky. It’s no accident that essential oils derived from trees can impart a sense of control and security in sad, uncertain times. Sandalwood and cedarwood are centering and balancing, vetiver is grounding and promotes a sense of tenacity, while oils of frankincense and myrrh help facilitate the emotional release and mental expression of pent up grief, and eucalyptus inspires us to check ourselves and take a deep, slow breath.

Tips for fighting the winter blues with essential oils: • Create an ambience of stability by sprinkling a bowl of pine cones with several drops each of cedarwood, frankincense and myrrh.

• Evoke the atmosphere of subtropical sunshine by adding a few drops of grapefruit and tangerine to a pan of simmering water.

• Place a single drop of peppermint or spearmint oil in the palm of one hand, rub hands together, cup them over your face and inhale the uplifting aroma.

• Carry a small vial of aromatic "rescue remedy" in the form of rose otto, neroli, or rose absolute oil. When anything gets you down, simply sniff the open bottle and feel any emotional turmoil dissolve away.

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21

Your World

Rolling Out a Greener World Breathe a Little Easier by Choosing the Right Paint

By Amanda Dagnino

W

hether we rent or own, there aren’t many adults who haven’t found themselves responsible for painting a room at one point or another. Maybe you livened up the den with a bright new shade or covered that overwhelming red that was left in the dining room by previous owners.

Either way, paint is one of the fastest and least expensive ways to give a room a facelift. It’s a mainstay as we put our mark on our surroundings and make them our own, but lately, all the talk about emissions and EPA labeling has made picking the type of paint more confusing than choosing the color.

As concerns over environmental issues continue to rise, safe alternatives for everyday products has become par for the course. But can environmentally-friendly paint options provide the vibrancy and durability we’ve come to love from our favorite brand of paint? And does it really make a difference?

Well, it has certainly gotten the attention of the Environmental Protection Agency (EPA) as it reaches out to raise awareness of the volatile organic compounds, or VOCs, in regularly-used latex interior paint. We all know paint doesn’t necessarily smell all that great – and the smell has a tendency to linger when it is applied without appropriate ventilation. But in recent years, scientists have found that that smell can also release unhealthy pollutants into the atmosphere of our home.

As the paint dries, and for years following application, it emits these VOCs. Chemicals in this family include heavy hitters such as benzene, formaldehyde and ethylene glycol. Without appropriate ventilation, scientists say the chemicals build up within the home, and have been connected to a variety of symptoms, including eye and throat irritation, headaches, dizziness, vision problems and asthma. While it’s true that chemicals in the home can come from a variety of sources, according to the EPA, the highest concentration comes from paint and the related chemicals.

So what is considered an environmentally-safe alternative?

According to the EPA, VOC levels must be lower than 200 grams per liter, although there has been discussion about lower22

WINTER 2010-2011

ing that figure to 150 grams per liter. In order to be marketed as a low VOC paint, the content must be less than five grams per liter.

If there’s one thing we do have to be thankful for it’s that the natural paints of years gone by – think lime-based whitewash – are exactly that, gone. They were notorious for lackluster color options, poor coverage and limited durability – if you wiped the wall, you literally wiped off the paint, too. But that doesn’t seem to be the case any longer. Most major manufacturers have jumped on board, with Benjamin Moore, Olympic, Kelly-Moore and Sherwin-Williams all serving up their own version of low VOC paints (visit eartheasy.com/live_nontoxic_ paints for a complete list). It’s more expensive, expect to pay anywhere from $10-$20 more per gallon, but the peace of mind it buys may be worth it.

Low VOC Paints The first thing you’ll notice about paints with low or no VOCs is that there isn’t much of an odor. The paints use water as the base instead of the usual petroleum-based oil, significantly reducing the fumes. While there are still complaints circulating, most people seem to be having great results with the environmentally-friendly options on the market, commenting on the richness of the color and coverage.

When working with the paint, keep in mind that it does dry significantly faster than traditional paint, sometimes making clean-up more difficult. And if you are working with both water and oil-based paints, make sure you keep your brushes separate – oil and water still don’t mix well.

It’s also important to note that while your paint is low on VOC, the colorant added may not be. Make sure you check with the store clerk about the chemicals being added to create your color – nobody wants to believe they’re helping the environment when they’re not.

Lime Wash Yes, it still exists. And it’s a reasonably inexpensive alternative that is much more durable than its predecessors. The basis of the paint, limestone, a calcium-based mineral, is mixed with water to form this crude, yet functional, colorant. Thin, and applied in several coats, whitewash only works on permeable surfaces, such as plaster, concrete, brick and wood.

Over time, the finishes seep into the surface, creating a naturally-weathered look that adds tons of character to exterior hardscapes.

While it can still be a challenge to work with, a wash is a completely natural option.

Milk Paint It’s been around since ancient Egypt, but environmentalists are still singing the praises of natural milk paint. A protein in dairy products is separated from the milk, mixed with water, clay and pigments to form a natural paint. Today, the product is sold in the powder form to be mixed with water at the time of use. This choice definitely reduces options – milk paint only comes in a matte finish and has a shelf life anywhere from 2-48 hours, so it must be used soon after mixing – but it definitely puts you in touch with history.

When making your decision, be sure to talk with the employees at your favorite paint supplier to make sure you’re buying a product that works well with your project. Whether you’re painting a footstool or a bathroom, there are certainly plenty of “green” options available.

(continued from page 8) The Healthy People initiative is grounded in the principle that setting national objectives and monitoring progress can motivate action, and indeed, in just the last decade, preliminary analysis indicate that the country has either progressed toward or met 71 percent of its Healthy People targets.

“Too many people are not reaching their full potential for health because of preventable conditions,” said Asst. Secretary for Health Dr. Howard Koh. “Healthy people is the nation’s roadmap and compass for better health, providing our society a vision for improving both the quantity and quality of life for all Americans.”

Healthy People 2020 is the product of an extensive stakeholder feedback process that integrates input from public health and prevention experts; a wide range of federal, state and local government officials; a consortium of more than 2,000 organizations; and perhaps most importantly, the public. More than 8,000 comments were considered in drafting the new objectives.

Based on the feedback, new topic areas have been included in The US Dept. of Health and Human Services has unveiled the new initiative, including adolescent health; blood disorders; Healthy People 2020, the nation’s new 10-year goals and objecdementia and Alzheimer’s Disease; early and middle childhood; tives for health promotion and disease prevention. genomics; global health; health-related quality of life; healthChronic diseases, such as heart disease, cancer and diabetes, care-associated infections; lesbian, gay, bisexual and transgender are responsible for seven out of every 10 deaths among Americans health; older adults; preparedness; sleep health; and social detereach year and account for 75 percent of the nation’s health spend- minants of health. ing. Many of the risk factors that contribute to the development The new redesigned website, which allows users to tailor inforof these diseases are preventable. mation to their needs, can be found at healthypeople.gov.

ing the lifespan of smokers and nonsmokers alike.”

The report, which was released in early December, lists how smoking contributes to cancer, cardiovascular disease, pulmonary diseases and reproduction and development. It purports that tobacco is a contributing factor in one in every five deaths in the US and that even one random cigarette can trigger a heart attack.

American Heart Association CEO Nancy Brown is urging lawmakers for new federal regulations, including graphic warning labels on cigarette packaging, state funded prevention and cessation programs and higher tobacco excise taxes.

“Policymakers must not allow complacency to rule in the fight against tobacco,” the AHA said in a Dec. 9 press release. “Bold, aggressive measures are needed to save lives, reduce the burden of disease and improve quality of life.”

Spreading the Word

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

23

Ounce of Prevention

Coping with Cold and Flu Season L

ast year’s flu season turned out to be less severe than initially feared, perhaps because the H1N1 scare made people more vigilant about flu vaccinations. Still, according to the Centers for Disease Control and Prevention (CDC), an average 24,000 people in the US die from the flu each year, and more than 275,000 were hospitalized from just the H1N1 virus last season.

Now another flu season is upon us. And while the World Health Organization has declared an end to the H1N1 pandemic, the organization expects the virus to circulate for years to come and to continue affecting young people most severely. That means getting vaccinated against the flu is just as important as ever.

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WINTER 2010-2011

Flu season in the United States typically ranges from November through March and sometimes lasts into early spring. Now is the time to start protecting yourself and your family. The most important step is to get vaccinated, says the CDC. “Whether you’re among the more than 100 million Americans who get a flu shot every year or are on the fence about whether to get one, it’s as important this season as it’s ever been and now as easy as a trip to your neighborhood drugstore,” says Kermit Crawford, Walgreens president of pharmacy services. “Pharmacies have become one of the fastestgrowing and most-trusted resources for flu shots in recent years, offering convenient, accessible and affordable flu prevention and health care services in thousands of communities nationwide.”

While the CDC recommends everyone six months and older get vaccinated, it is especially important for children, pregnant women, the elderly and those with chronic health conditions. Call your doctor if you have questions and contact your town hall or local pharmacy to see if they have a public clinic.

As always, the easiest way to prevent and stop the flu from spreading is by practicing proper hand hygiene. Wash hands with soap and water for at least 20 seconds. If you’re on the go, keep a hand wipe or sanitizer product with you. Also, teach children to cover their nose and mouth with either a tissue or elbow – but not their hands.

Knowing the difference between having a cold and the flu can be difficult as they both share many

of the same symptoms. Keep in mind, while a cold is rarely serious – and often more of a nuisance than anything else – the flu can lead to additional complications, particularly in young children and the elderly.

A key way to identify the flu is the sudden onset of a high fever. A fever is your body’s natural response to an infection.

However, it’s important to know that not everyone with the flu will have a fever. Other flu symptoms can include a headache, general aches and pains, fatigue, exhaustion, stuffy nose and cough. The right diagnosis can make the difference in treatment

and give you faster relief, so getting a quick and accurate temperature is essential.

Remember that the flu is a virus and cannot be treated with antibiotics. While antivirals can cut the duration of the flu by a day or so, you can use some home remedies to treat flu symptoms. Check with your physician for more details.

Treating the Flu • Take a fever reducer and anti-inflammatory like ibuprofen (unless you have stomach conditions).

• Rest, and rest some more.

• Drink more fluids than normal to avoid dehydration.

• Use a sinus rinse if you have congestion.

• Use a humidifier to add moisture to the air and help drain congestion.

• Stay at home to avoid transmitting the virus to other people.

Five Things to Know About the 2010-2011 Flu Season 1. One shot. Last season, millions of people were vaccinated twice - first for seasonal flu starting in September and later for the H1N1 virus. This year, only one shot is needed for protection against both seasonal flu and H1N1.

2. Everyone 6 months and older. For the first time, the CDC is recommending universal flu vaccination - with everyone older than 6 months recommended to get a shot, including pregnant women.

3. Never too early (or too late). Flu shots were available early this year, with some retailers offering them in early August.

A shot now will protect you all season long. Most retailers will offer shots through the spring, or while supplies last. Health experts agree: It’s best to get the shot early and be protected for the duration of the flu season, especially because flu season is unpredictable and no one knows when viruses will begin to circulate or when flu activity will peak.

4. More convenient than you think. Many local pharmacies offer flu shots. In fact, Walgreens, the nation’s largest retail provider of flu shots, offers immunizations at every one of its 7,500 pharmacies and all of its Take Care Clinics nationwide, every day. Some pharmacies even offer flu shot gift cards that make it easy for those you care about to get a flu shot (especially kids away at school and distant relatives).

5. Plentiful supply. According to the CDC, more than 160 million doses of flu vaccine have been produced. That’s more than ever before and a 40 percent increase over last year’s vaccine production, when shortages made it challenging for many to get a flu shot.

Content provided by ARA w w w . N C C O A S T. c o m

25

Yoga Soothing the Chronic Pain of Fibromyalgia

F

ibromyalgia is a common and frequently debilitating chronic pain condition affecting an estimated 11 to 15 million people in the US. Fibromyalgia primarily affects women, but men and children of all ethnic groups are also affected. Annually, fibromyalgia carries a direct cost of care of more than $20 billion, and accounts for a loss of 1-2 percent of the

By Cheryl LeClair nation’s overall productivity.

Fibromyalgia, or “fibro” as it is often called, is a painful condition with an unknown origin. There are no lab tests to diagnose fibromyalgia. To receive a diagnosis of fibro a patient must meet two diagnostic criteria: 1) Experience pain in all four quadrants of the body for a minimum of three months and 2) Tenderness or pain in 11 of 18 specified tender points when pressure is applied. It takes an average of 5 years for a patient to receive an accurate diagnosis.

However, there is promising news for fibro sufferers. In a recent study conducted at Oregon Health & Science University, gentle yoga improved overall fibromyalgia symptoms by 30 percent. Their “Yoga of Awareness” program consisted of gentle yoga poses, breathing, meditation and yogabased coping presentations and discussions. Post study, the participants’ experienced significant improvements in fibro symptoms including pain, fatigue, mood and acceptance and coping strategies.

Stress and fatigue are contributing factors in fibromyalgia.

Pranayama, the yogic breathing techniques practiced in yoga, engages the parasympathetic nervous system, or the relaxation response. A regular yoga practice improves sleep which is critical and often elusive for fibro patients. Restorative yoga poses provide passive stretches for already achy bodies and much

26

WINTER 2010-2011

needed relaxation. Yoga nidra, or yogic sleep, cultivates deep relaxation and full awareness simultaneously, which allows the individual to be more accepting of the pain as well as generating a feeling of deep relaxation and restoration of mind, body and soul.

Yoga is a discipline that includes meditation. Mindfulness meditation cultivates moment-to-moment awareness and acceptance of the condition and associated pain.

Anecdotal findings in my own yoga teaching experience with fibro sufferers has found that they have been able to reduce the use of pain medication with their medical providers’ approval. They also experienced improved sleep, relaxation, awareness and acceptance of the pain with an improved sense of wellbeing. Anxiety and depression are also decreased. The sense of community within the classes creates a safe container for participants and fosters a nurturing environment conducive to healing. One participant said “yoga saved my life.”

Before you begin a yoga practice for fibromyalgia, seek your doctor’s approval. Find a gentle yoga class and a well-trained experienced yoga instructor.

Talk with the instructor before attending your first class and brief him or her on your medical condition. The instructor should be able to provide safe modifications to accommodate any physical limitations and be willing to work with your healthcare provider with your permission.

Cheryl LeClair teaches yoga and iRest® yoga nidra in Morehead City, Swansboro and Camp Lejeune.

Cheryl attended Duke Integrative Medicine’s “Therapeutic Yoga for Seniors” training with instructor Kimberly Carson, who facilitated the “Yoga of Awareness” classes for the study at Oregon Health & Science University. Cheryl can be contacted at cleclair@ec.rr.com.

Sphinx

Supported Seated Twist

• Lie face down, arms alongside your body, forehead and toes resting on the floor.

• Lift your chest and place your elbows directly under your shoulders on the floor in front of you. Place your forearms parallel to each other shoulder-width apart.

• Inhale and press into your palms and forearms as you broaden across your collarbones, slide your shoulder blades down your back, and come into a slight backbend.

• Place one or two bolsters stacked on your mat • Sit at a 90-degree angle from the short end of the bolster with your legs extended and your right hip against the bolster.

• Bend your knees, placing your left leg on top of your right arch of the foot.

• Twist toward the bolster and then bend over the bolster.

• Firm your leg muscles. Extend legs so your toes move toward the wall behind you. Internally rotate your legs by rolling your outer thighs toward the floor. This helps maintain width in your sacrum and length in your lower back, keeping the pose safe for your low back. Extend your legs firmly.

• Turn your head to face the same direction of your knees and let your arms be comfortable.

Repeat on the opposite side.

Modifications

Modifications

Tip your chin slightly toward your chest to relieve any compression in the neck.

If your hips feel uncomfortable, place a folded blanket between the legs. If your knees or ankles are in discomfort, sit on a blanket and add more height to your bolster.

Benefits

Benefits

Strengthens the spine Stretches chest and lungs, shoulders and abdomen Helps relieve stress

Helps maintain the normal length and resilience of the soft tissues Helps to maintain the health of the vertebral discs and facet joints Helps improve digestion Helps relieve stress If you have a spinal disc injury, consult your health-care provider before practicing twists of any kind. You should consult your physician or other health care professional before starting yoga or any other fitness program to determine if it is suitable for you and your health condition.

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in 2011

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Hot Yoga • Gentle Yoga • Massage Yoga Teacher Weekend Immersion Course Alternate weekends, February through April 2011 Deepen your practice or become a Certified Yoga Teacher v NC Coast Health & Wellness Special v Detox with our Far Infrared Sauna 1/2 Price Special - 12 sessions for $144. Expires 3/31/11

*With Full Club Membership

300 Taylor Notion Rd Cape Carteret, N.C. 252-393-1000 www.ccaw.net

AN OFFICIAL SILVER SNEAKERS FACILITY NO WAITING • NO CONTRACTS PROFESSIONAL EXPERIENCED STAFF GET THE MOST FOR YOUR MONEY

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General Hospital New Cancer Center Planned The Carteret General Hospital Foundation has launced a 3-year, $3 million campaign to help construct the new Crystal Coast Cancer Center. The 23,000-sq.-ft. facility will be conveniently located near the hospital at the corner of Bridges Street and Penny Lane.

Upon completion, the patient-friendly facility will house the Raab Oncology Clinic and the Coleman Radiation Center as well as the various specialty services for a wide range of cancers and their treatments. The chemotherapy wing of the building will include both private and semi-private treatment areas overlooking beautifully landscaped gardens featuring fountains and sculptures. The new Cancer Center will provide the local neighbors, families and friends with state-of-the-art cancer treatments in a convenient and comfortable setting to help improve their quality of life and enhance their healing.

Despite remarkable advances in treatments, cancer continues to impact the lives of nearly all of us, from Cedar Island to Cedar Point and beyond. The new Crystal Coast Cancer Center will help ease the stresses and expenses in time and lost wages consumed by frequent trips to distant medical centers for treatments available right here in the heart of the North Carolina coast.

Welcoming New Patients!

ceanside Family Dentistry G. T HOMAS W ARD J R , D.D.S., PA

COMPREHENSIVE DENTAL CARE • Cosmetic Dentistry • Veneers • White Fillings • VELscope Oral Cancer Screening • ZOOM Advanced Power Whitening • Partials & Dentures • Restorative & Preventative Care for All Ages East Coast Square, South 4251 Arendell Street, Suite I Morehead City NC 28557

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Financing Available Through

Delta Dental & United Concordia Provider

Phone | 252-648-8035 Fax | 252-247-1104 oceansidestaff@oceansidedds.com

www.oceansidedds.com WINTER 2010-2011

Carteret Home Health Recognized Carteret General Hospital proudly announced that Carteret Home Health Services has been named one of the top 500 home health agencies in the country, according to the 2010 HomeCare Elite. Now in its fifth year, the HomeCare Elite identifies the top 25 percent of home health agencies in the United States and further highlights the top 100 and top 500 agencies overall. Winners are ranked by an analysis of performance measures in quality outcomes, quality improvement, and financial performance with Carteret Home Health being the only representative from our local community.

“The 2010 HomeCare Elite winners continue to demonstrate a commitment to providing their patients with the best possible care while performing at the highest level,” said Amanda Twiss, CEO of OCS HomeCare. “We congratulate Carteret Home Health on being one of the top home care agencies in the country. In addition, we salute all forward-thinking providers who are already working on measuring and improving their performance using OASIS-C outcomes and process measures and HH-CAHPS results. This important data will also be used in identifying the HomeCare Elite in the future.”

Penny Carr, director Carteret Home Health and Hospice shares, “We are proud to be recognized for our commitment to quality home health care. Our entire staff, working as a team, has contributed to this honor. We want to continue to be the provider of choice in home health and hospice care in Carteret County by providing the community with the care and support needed in the places they call home.”

The 2010 HomeCare Elite is the only performance recognition of its kind in the home health industry. The data used for this analysis were compiled from publicly available information. The entire list of the 2010 HomeCare Elite agencies can be viewed by visiting ocshomecare.com.

Carteret Home Health is the only not-for-profit home health agency in the County and is a division of Carteret General Hospital.

Last year Carteret Home Health admitted 662 patients in Carteret County. Both Carteret Home Health and Carteret General Hospital are accredited by The Joint Commission. For more information, visit ccgh.org or call 252-808-6081.

Business Index AFFORDABLE HEARING .....................................30 1427 S. Glenburnie Road, New Bern 252-636-2300 ATHLETE’S FOOT ..................................................29 278 Hwy 24, Morehead City 252-726-7267 BELTONE HEARING AID CENTER ........................6 589 McCarthy Blvd, New Bern 252-633-1003 4119E Arendell St., Morehead City 252-726-0643 CAPE CARTERET AQUATIC & WELLNESS .........27 300 Taylor Notion Road, Cape Carteret 252-393-1000 CAROLINA EAST HEALTH SYSTEM......Back Cover 2000 Neuse Blvd., New Bern 252-633-8111 CAROLINA HOUSE OF MOREHEAD CITY .......16 107 Bryan St., Morehead City 252-726-4454 CARTERET GENERAL HOSPITAL...........................3 3500 Arendell St., Morehead City 252-808-6000 CARTERET MEDICAL SPECIALIST........................30 300 Penny Lane, Morehead City 252-726-4000 CARTERET OB-GYN ASSOCIATES .......................5 3511 John Platt Dr., Morehead City 252-247-4297

www.nccoast.com

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 910-938-6000 CHERRYL DAVIS, DDS .........................................31 316 Commerce Ave., Morehead City 252-247-4900 DENTAL CARE CENTER, THE ..............................21 202 WB McLean Drive, Cape Carteret 252-393-8168 DIABETES AND ENDOCRINOLOGY....................7 611 N. 35th Street, Morehead City 252-222-5700 EASTERN DERMATOLOGY ...................................9 4251 Arendell St., Suite A, Morehead City 252-240-3531 EYE ASSOCIATION OF WILMINGTON ............13 1729 New Hanover Medical Park Drive, Wilmington – 910-763-3601 FRIENDLY CAREGIVERS ......................................21 2302-D Arendell St., Morehead City 252-240-1234 FROGLEY CHIROPRACTIC ..................................17 2113 Glenburnie Rd., Suite H, New Bern 252-658-6222

GIRL TALK & GYNECOLOGY................................2 4251 Arendell St., Ste. C, Morehead City 252-222-0660 HEARING SOLUTIONS..........................................5 3110 Arendell St., No. 8, Morehead City 252-726-8578 MCLAUGHLIN CHIROPRACTIC ..........................17 5039 Executive Drive, Morehead City 252-808-2888 MOORE ORTHOPEDICS & SPORTS MEDICINE .....9 4251-B Arendell St., Morehead City 252-808-3100 OCEANSIDE DENTISTRY .....................................28 4251 Arendell St., Ste. I, Morehead City 252-648-8035 SCHILSKY CHIROPRACTIC..................................17 312 Dolphin Drive, Jacksonville 910-347-4033 SPORTS CENTER ..................................................21 701N 35th St., Morehead City 252-726-7070 DR. JAMES WELLS, DDS, PA ................................6 208 Professional Circle, Morehead City 252-247-3010 WILLIS, VANEK, BALL & FISCHER .......................2 Locations in Morehead City, Havelock & Jacksonville smilesmakersnc.com YOGA FOR YOU ..................................................27 2900 Arendell St., #16, Morehead City 252-247-YOGA

3029 Dr. MLK Jr. Blvd.

New Bern, NC 28562 252-637-7770 3029 Dr. MLK Jr. Blvd.

Next to Wal-Mart

New Bern, NC 28562 252-637-7770 Next to Wal-Mart 278 Hwy 24 #C Morehead City, NC 28557 252-726-7267 278 Hwy 24 #C Next to Wal-Mart

Morehead City, NC 28557 252-726-7267 www.athletesfootenc.com Next to Wal-Mart www.athletesfootenc.com

©2010 New Balance Athletic Shoe, Inc.

Style 850 as shown

*when compared to traditional walking shoes

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Financing is Available!

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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

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