FIND OUT WHY THOUSANDS OF PEOPLE I N T H E T R I A N G L E T R U S T DAV I S P L A S T I C S U R G E RY.
E X P E R I E N C E M AT T E R S . DRGMDAVIS.COM
CONFIDENCE LOOKS GOOD ON YOU.
BRE AST SURGERY & BODY CONTOURING FA C I A L R E F I N E M E N T & R E J U V E N AT I O N A DVA N C E D L A S E R & M E D I CA L A EST H E T I C S DUAL COOLSCULPTING
Glenn M. Davis, M.D., F.A.C.S. Jeremy W. Pyle, M.D., F.A.C.S. Board-Certified Plastic Surgeons
2304 Wesvill Court :: Suite 360 Raleigh, NC 27607 :: 919.785.1220
Untitled-1 2
7/7/14 1:57 PM
in this issue
thrive • table of contents
72
6
our thriving 6 community maxine ledger ted powell paula macloud
Aging from the inside out
joe vohwinkle
Nutrition through IV therapy
bill lahtinen
refine 19 & renew Options for tightening the skin Are implants right for you?
90
Identifying a broken bone Eating to avoid type II diabetes
ashley mclean
63
31 healthy & happy
Loving the skin you’re in How to turn back the clock Men and varicose veins
healthcare & 58 service animals special section: 43 weight & health How hormones are associated with weight gain
healthy 90 community Dangerous insects that can cause disease Local restaurants that embrace the local foods movement
health-related events in the 94 triangle
Busting myths about obesity How weight can affect your emotions Is your job making you fat? The real truth behind weight loss drugs
thrive magazine
Weight loss surgery: options & misconceptions
The causes and treatments of heavy mentral bleeding
delicious 78 recipes
1
thrive • our staff & credits
are you ready to
PUBLISHER/OWNERS Maureen Powell & Robyn Mangrum CREATIVE DIRECTOR Stephanie DuBois ACCOUNT MANAGER Scott Kaiser Graphic design Katie Hatfield SENIOR WRITER Heather Green CONTRIBUTING WRITER Maria Magher Tricia Cotton copy editor Jessica Siciliano For advertising information visit or call: www.thrivemagazines.com 919-552-7655 Reproduction of copy or artwork is strictly prohibited. All rights reserved. APPLESEED PUBLICATIONS www.thrivemagazines.com COVER CREDITS Photography: www.waltersandwalters.com Shot on Location at The Grand Ballroom, Raleigh www.grandballroomraleigh.com Hair & Makeup: www.perfectionbypatricia.com. Jewelry: Lulu Avenue, Fine Moissanite & Fashion Jewelry, Ann Machost, Independent Style Advisor. Robyn’s dress: Diane Von Furstenberg Maureen’s top: Anthropologie.
As the expression goes, “Necessity is the mother of invention,” and this time-honored saying couldn’t be more apropos concerning the Triangle’s premier magazine, Thrive. It’s All Here
With a burgeoning influx of people, the arts, big business, higher education, sporting, medicine, fine dining and shopping, the Triangle area has been rife with residents who make their homes here seeking the best of all that gracious living has to offer. In living up to its notoriety as a leading destination for the best of the best, we see the Triangle becoming a trend catalyst, or facilitator, rather than in earlier days as a trend partaker. Supply and Demand
What does this mean for our area and how does it play out? According to two savvy entrepreneurs/wives/mothers who call this growing area home, it meant that the time was NOW to introduce a publication focusing on how our area residents can achieve the most healthful lifestyles possible. Thrive magazine brings together all of the area’s leading, local specialists, tools and resources while sharing an informed eye on the global perspective. Fresh, Informative Content
Robyn Mangrum and Maureen Powell have utilized every phase of their lives and what they have learned by sharing their findings through publishing, in order to support others who find themselves in the same circumstances. Their success has most likely stemmed from the fact that the periodicals they produce are always focused
thrive magazine
on what they know best. Their editorial aim, whatever the subject
2
Ad content is not the responsibility of Appleseed Publications. Appleseed Publications prints articles and features for entertainment purposes only and does not seek to advise readers on medical problems or decisions. Under no circumstances will Appleseed Publicationsbe liable for any damages that result from reliance on or use of the information provided herein.
matter, is found in not striving to fill magazine pages with fluff, but rather by bringing new, fresh perspectives and the most current information that will enlighten and encourage a broad demographic of readers.
thrive • from the publishers
thrive? A Lunchtime Conversation
Connecting the Local Community
Thrive’s Format
And so Maureen, with a post-collegiate
A magazine like Thrive accomplishes
While enjoying a healthful lunch at
career working for House Beautiful
more than just providing readers with
Panera in Apex, Robyn and Maureen’s
and Health magazine in NYC, met for
pertinent information. It actually
creative visions collided and Thrive was
lunch with her friend and cohort Robyn,
becomes a bridge, connecting readers to
born – a magazine built on distinguish-
whose endeavors in the years between
local businesses. In turn, this creates
ing itself from the boring, difficult to
UNCW and parenthood included the
great relationships for the community
read medical journals, with visually
1995 birth of her own Wedding Maga-
and strengthens the area’s economy.
stunning appeal and candid reports,
zine, and later, Premier Baby and Child
Local business owners featured in Thrive
conversations and information for area
magazine in 2002. They discussed their
magazine are confident that they are
residents. In it, readers will find stories
mutual interest in bringing a new maga-
reaching their target audience. Because
featuring people in our community,
zine to the Triangle that would support
of the type of information relayed every
things to do and places to shop. Look for
healthful living by connecting readers
month by the magazine, readers tend
expertise and insights provided by popu-
with all the wonderful resources, goods
to return to the magazine to examine,
lar local businesses, focused on improv-
and services available to them, right in
reread and compare. Even after poring
ing the health of our families, friends
the immediate area.
over it from cover to cover, it is not a
and neighbors.
magazine you simply discard. A Vital Resource for the Triangle
focused their editorial efforts on the
As the Triangle area continues to grow,
subjects which most held their time
so does Triangle pride. Much of that
and interests. Now, with life experience
pride stems from this area’s newly ac-
under their belts, their idea was to bring
quired status as a hub of great concepts
to readers the latest information about
and venues. Thrive magazine serves as a
improving the healthy lifestyles that
“one-stop” resource, providing both new
are obviously paramount to Triangle
and long-time residents with all the right
residents. After covering topics of wed-
information about goods and services
dings, and then parenting, it seemed
for uninterrupted healthy living. Local
only natural that the next frontier would
business owners, via Thrive, are given a
be focused on living life the best way
voice to connect with readers, along with
possible: by becoming the most informed
a forum for sharing the most recent and
and healthy people that they could.
effective information and technology.
Robyn & Maureen
thrive magazine
These kindred spirits had previously
www.waltersandwalters.com
Timing is Everything
3
thrive • the big picture
the big picture
how to get your best professional headshot Your headshot is your calling card for professional work, whether you are a real estate agent, a doctor, an attorney or an insurance agent. The quality of your headshot can determine whether or not people view you as trustworthy and professional, and whether they want to hire you. Though you can’t do much about the quality of the photo after you’ve chosen your photographer, there are plenty of things you can do to make sure the photo gets you the attention you want. Here are a few tips for how to get the best professional headshot: Dressing for the Photo Headshots won’t show off much of what you’re wearing, but you should still choose your outfit with care. Choose neutral colors that enhance your natural features. Stay away from black and white, which can be too stark. You should also avoid bright colors, which can be distracting. Choose simple styles and keep your jewelry and accessories to a minimum. Leave your hair
WWW.VESIC.COM
down, and choose a natural-looking style for both hair and makeup. Your photo should make you appear professional but approachable. Choosing the Location You can choose to take your headshot in a
Get more
thrive
natural setting or a studio. Natural lighting can create a more realistic look, but studio lighting can create a more polished look that is better suited for commercial ventures. Most professionals will need the look that studio lighting can give. However, you may want to choose natural lighting for a headshot that will go with your “about” section to make you seem more personable. Getting Prints The quality of your print is of the utmost importance.
Like us on Facebook to receive daily health & wellness tips. tell your friends to view our online magazine at www.thrivemagazines.com.
Make sure that you get high-resolution images to produce the bestquality prints possible. Using high-res images will ensure that you achieve a professional look for all your print and online marketing. When you choose a photographer to take your headshots, make sure
thrive magazine
that you spend time doing the research to find the right person.
4
The right photographer can produce a truly exceptional shot – the wrong one can cost you business.
our
thriving
community
“Our thriving community� is a fantastic section of the magazine that focuses on local men and women who are thriving in the Triangle area and have overcome or are living with an issue that has in some way affected their health. This section focuses on the positive outcome for each individual as well as how they continue to live healthy active lives. Each story spotlights the coping skills each individual applied to their situation and what personally worked for them
Would you like to share your story? We would love to hear from you. Email us at info@thrivemagazines.com and tell us about yourself or a friend or family member who you would like to see in our next issue. Please also submit a low resolution picture with the email. Applicants must be a resident of the Triangle area. If selected, applicants must be available to have their photo taken at a location shoot.
all photos: www.vesic.com
in healing.
our thriving community • maxine ledger
accepting early menapause Maxine Ledger was not expecting to go through menopause at 35 years old. Most women don’t undergo this
Maxine says that she started to hate
they could look at it together for signs
taking her children to their extracur-
of a pattern.
ricular activities, and she became annoyed when speaking to other parents.
“Before I left, he assured me that I
She even hid from her neighbors,
wasn’t crazy and that maybe it was
which had become good friends. She
early symptoms of menopause,” Ledger
says she wanted to sleep all day and
explains. “I was a little shocked, but
just “felt unwell most of the time,”
felt confident in him. My mum went
including feeling nauseous and bloated
through early menopause and has
and suffering from digestive issues.
violent outbursts, so why not me? All I
change in life until they are in their
could think of was getting a diagnosis
late 40s or 50s. The Mayo Clinic says
Initially, she thought she had irritable
that the average age is 51. However,
bowel syndrome like her mother and
Ledger says that in retrospect, she
went to see a gastroenterologist. After
Her daily chart showed a cyclical pat-
started noticing the signs of premeno-
an endoscopy and several other tests,
tern each month, which confirmed
pause as early as 31.
she discovered that she had a spastic
for her doctor that Ledger was going
stomach, though that would not have
through menopause. She began taking
“Strange and confused – that’s how I
given her all of the symptoms she
birth control for hormone regulation,
felt a lot in the early stages of meno-
experienced. She also learned that she
as well as vitamins to help restore
pause, especially before I knew what
was sensitive to gluten, and after going
what was being depleted and started
it was,” Ledger says. “I was having
on a gluten-free diet, she was able to
exercising more.
a lot of depression and feelings of
relieve some of her digestive issues.
thrive magazine
instant anger, which was worrisome
6
and working hard to find myself again.”
Going through menopause also forced
as I have always been a very happy and
Finally, her doctor told her that her
Maxine accept that her family would
laid-back person. Hanging out with
symptoms were either psychological
not grow biologically. She came from
family became a chore – which was sad
or hormonal, so she saw a therapist
a family of nine children, and she had
because that was my whole world – and
and a gynecologist. The gynecologist
two children shortly after getting mar-
I found everything I did with them to
asked her to record her daily routine
ried at 23. She had her daughter, Kelsey,
be exhausting.”
and symptoms for three months so
when she was 25 and her son, Finley,
our thriving community • maxine ledger
www.vesic.com
when she was 27. Finley was born with hydrocephalus (water on the brain) and had to receive ongoing medical care for the first several years of his life. Ledger and her husband decided to put off having more children until Finley did not need as much care. Later, they became parents once again and adopted a pre-
“I was having a lot of depression and feelings of...anger...I have always been a very happy and
“I finally decided to let it take its course and not to think about it, as it was just another phase in a woman’s life, and nearly every woman experiences it,” she shares. “It was a rite of passage that Mother Nature felt I needed to take.”
laid-back person.”
cious 9-year-old boy, David.
Now 41, Ledger says she focuses on says. “I was now unable to have more
creating balance with a healthy diet
At some point, Maxine and her hus-
children or would have extreme dif-
and regular exercise.
band planned to have more biological
ficulty getting pregnant and it would
children. However, learning that she
probably be very expensive.”
was going through menopause put an end to those plans.
and it has become my mantra,” she With time and the care of her doctor,
says. “I am happy, healthy and able
Maxine has come to accept her
to enjoy my family more than I ever
early menopause.
thought possible.”
thrive magazine
“I felt a hole, a big gaping hole,” she
“I have learned the art of moderation,
7
our thriving community • ted powell
a new
thrive magazine
beginning
8
Ted Powell never had any major
He was so healthy that he even went
“After doing an EKG, my doctor im-
health problems until he was 63. He
25 years without so much as a physi-
mediately sent me to a cardiologist,”
was the type of guy who stayed busy
cal. It was only at his wife’s insistence
Powell said. “After several more tests,
working as an architect, a general
that he finally went in for a checkup in
he admitted me to the hospital for one
contractor and a real estate devel-
October 2010. If he had not gone in for
final test, which resulted in a five-
oper, focusing primarily on shopping
that checkup, he probably would not be
way bypass the next morning. They
centers and office buildings.
here today.
couldn’t believe that I was still alive.”
www.vesic.com
our thriving community • ted powell
Heart bypass surgery like the one
my mental attitude,” he said. “Having
past health issues to control my life,
that Powell received is performed in
come so close to death, I no longer fear
and although I may not treat my body
response to blocked arteries in the
it. Each night, I thank God for another
with the respect that I should, I do
heart. Arteries carry blood to the
day and ask that I wake up in the
with regard to my mind.”
heart, but they can become blocked by
morning, but accept that I may not. If
an accumulation of plaque. The buildup
not, I have had a wonderful life with
Powell will be 67 in July, and he says
of plaque can be caused by genetics or
much to be thankful for.”
that his surgery and his health scare
by lifestyle choices such as smoking,
have taught him to value each day that
eating a high-fat diet or remaining
The year after his surgery, Powell
he has and to do as much as he can.
sedentary. When the arteries become
retired from his real estate work. The
He says that the thing he has learned –
blocked, a potentially deadly heart at-
year after that, he decided to start
and the advice he would give to others
tack can result.
a new career and bought the Niche
– is to “Live each day as if it may be
Wine Lounge in Holly Springs. He
your last – one day it will be!”
Bypass surgery involves grafting a ves-
remains active as the owner and
sel from another part of the body onto
operator, and he uses the space to give
the heart and arteries to help blood
back when he can.
flow around the blocked artery into the heart. Because Powell needed five bypasses, it meant that multiple arteries and arterial branches were blocked. The Centers for Disease Control and Prevention says that about 600,000 people die of heart disease every year in the United States, accounting for
“The Niche has given me the means to give back by hosting many charity events,” he explains. “We have raised thousands of dollars for various causes in hopes that we can help some who have not been as fortunate.”
about one out of every four deaths. The CDC estimates that 395,000 bypass
Powell also spends as much time as he
surgeries are performed each year in
can with his family, which includes his
the United States.
two daughters, Erin and Melissa; his brother, Bob; and his mother, who is
For Powell, the surgery was about more than a statistic.
92. He says he’s also learning how to
what do the different terms for bypass surgery mean? You may hear bypass surgery referred to by different names. Coronary artery bypass graft surgery, or CABG (pronounced “cabbage”), is one common term. This term accurately describes exactly what the surgery accomplishes: grafting (or sewing) a new blood vessel to a heart artery to re-route blood flow around a blockage. You will also hear CABG referred to simply as bypass surgery, and you have probably heard the term open-heart surgery. That is because the procedure is an open-chest operation, where the heart surgeon makes an incision in the chest, opens the sternum (or breastbone), and makes an incision in a membrane
make the most of the time he has.
around the heart to expose the heart for the
“Life is good! I have many new friends
procedure. You have also probably heard
“Not only did it change me physically,
and receive the gift of new ones almost
the terms double or triple bypass or even
but it also had a profound impact on
every day,” he said. “I do not allow my
that needed to be bypassed with grafts.
thrive magazine
FOR MORE INFORMATION ABOUT NICHE WINE LOUNGE IN HOLLY SPRINGS, visit www.nichewinelounge.com
quadruple or quintuple bypass. These terms refer to the number of heart arteries
9
our thriving community • paula macloud
the unexpected
break
Broken hips are typically thought
hospitalized, disabled or hampered by
Paula Macloud learned that lesson the
to be the purview of the elderly.
mobility issues as a result of breaking a
hard way. The 47-year-old mother of
Over a lifetime, bones may lose
hip each year.
two was training for her first 5K run
their density and become weaker, contributing to a greater risk of
However, broken hips aren’t just a
when she started suffering from hip
broken bones in general.
grievance for the aging. People of all
pain. She thought that she had pulled
ages can suffer a broken hip, and there
her left hip flexor and treated it with
A study published in the medical
are many reasons for a break besides
ice and ibuprofen. After a few days
journal American Family Physician
bone weakness.
with no improvement, she went to an
thrive magazine
reported that 300,000 people are
10
just before Thanksgiving last year
urgent care center.
our thriving community • paula macloud
“The doctor went through a series of
thigh, outer thigh and the groin. Any
weakened from the repeated stress of
range of motion moves and felt confi-
attempt to flex or rotate the hip will
running, and then she fell directly on
dent that I had pulled the hip flexor,”
result in significant pain.
her hip shortly after.
x-ray was necessary. He recommended
The morning after Macloud broke her
Macloud says that physical therapy
using crutches and continuing with
hip, she went to Triangle Orthopaedic
helped her, but that she still has some
the ice and ibuprofen.”
Urgent Care. It was there that an x-ray
pain due to the pin in her hip being
confirmed that the hip was broken.
placed too close to the skin. It hurts
she says. “He didn’t even think that an
Macloud said she used the crutches for
her so much that she often limps. Next
the next two weeks. Then one night,
Doctors referred Macloud to a
month, she will return to the specialty
one of the crutches became caught in
specialty hospital, where her broken
hospital to have the pin removed.
the leg of a chair, and she fell hard on
hip was pinned in place.
the tile floor in her kitchen. She landed right on her injured hip.
Recovery was long and involved. Macloud says she used a walker for
“I look forward to building that muscle back and returning to normal,” she said.
Though she was in pain, she just asked
two months, only putting down her
her husband to help her into bed so she
left leg for touch guidance. After that,
Macloud is also looking forward to
could rest. However, she says as she
she started physical therapy and used
beginning her graduate program in
was rotating from front to back while
a cane for two weeks. She went to
Interactive Media at Elon University
settling into bed, the hip broke.
physical therapy once a week for
in July. She enjoys spending time with
two months.
her two sons, who are 19 and 28, as
“After the initial pain, I just asked my husband for a muscle relaxer and to elevate my leg,” Macloud says. “At this point, he still thought the muscle was injured. I knew it was worse than that, but I just didn’t have the energy to say different.”
well as her 5-year-old granddaughter. A bone density scan showed that Macloud’s bones were normal for her
For others who may experience the
age. Her broken hip was caused by
symptoms of a broken hip, Macloud
a stress fracture from running. The
stresses one crucial piece of advice:
American Academy of Orthopaedic
“When in doubt, get the x-ray.”
Surgeons says that hip fractures most commonly occur as a result of a fall directly on the hip, but that stress in-
The American Academy of Orthopaedic
juries can weaken the bone and make
Surgeons says that the symptoms of a
a break more probable. In Macloud’s
broken hip include pain in the upper
case, her bones were most likely thrive magazine
11
www.shanesnider.com
healthy community • joe vohwinkle
solving
the weight problem Like so many others, Joe Vohwinkle
thrive magazine
The problem with American’s growing waistline is no secret. The Center for Disease Control and Prevention reports that at least two-thirds of Americans are considered either overweight or obese, with one-third considered obese. This weight gain isn’t just a cosmetic issue; it can also increase the risk for serious health conditions such as heart disease and diabetes.
12
experienced his weight gain gradually and in phases. He says that he put on the “Freshmen 15” in college and never lost it. Then he got a desk job – and has continued to work a sedentary job in the high tech industry ever since. Then, he put on sympathy weight when his wife got pregnant – twice. Again, he never lost it. Then middle age hit.
healthy community • joe vohwinkle
“I had never been really athletic, but
What finally made the difference was
“Overall, I feel my current lifestyle
when the waistline on my pants was
going to see a naturopathic practitio-
is much more balanced than it was
measurably longer than the length,
ner, which Vohwinkle did at the in-
before. I have my yoga, cardio and
I finally decided to take real action,”
sistence of his wife. The naturopathic
strength-training routines, and I have
Vohwinkle said. “I did not like the way
practitioner didn’t focus on limiting
started adding in Pilates. On the diet
any of my clothes fit. If they were not
food intake, but on the quality of foods
side, just making the decision to avoid
too tight, they just looked sloppy.”
eaten. One suggestion that worked was
gluten forces you to re-assess your gen-
to eleminate gluten.
eral eating choices and move to more
Since he knew that he wasn’t a “carrots
healthy, fresh options.”
and celery person,” Vohwinkle didn’t try to go on a restrictive diet. Instead, he focused on getting to the gym more often and slowly getting healthy.
“ov er a ll , i feel m y c urren t life s t y le is muc h more ba l a nc ed
“It took me about two years of making myself go before I got to the point
Even some frozen foods have ingredients with gluten in them, so eating a gluten-free diet requires eating a lot of fresh vegetables and lean proteins. Vohwinkle says that he
t h a n i t wa s before .”
enjoys some gluten-free crackers and
where I looked forward to getting my
pastas, but he’ll have to cut them out
exercise in,” he said.
if he wants to break through his “I decided to give it a try one day and
current plateau.
Though he was feeling healthier, he
specifically avoided all foods with
wasn’t losing weight.
gluten,” Vohwinkle said. “The next
He added, “It may sound trite,
day (just 24 hours without eating any
but this is a lifestyle choice. When
“Exercise helped hold the line, but it
gluten), I woke up feeling better than
you’re doing it for someone else, it is
is a double-edged sword,” Vohwinkle
I could remember waking up in a long
nearly impossible. Once you make
explained. “The more I work out, the
time. This was enough to have to try it
it for yourself, it really is not difficult
more calories I burn, the hungrier I
for a longer period of time.”
to continue. Do I miss a good, greasy
am, the more food I eat. Exercising
pepperoni pizza on occasion? Yes;
more and harder felt good, but it didn’t
Between eating a gluten-free diet and
and when I really do, I splurge and
really help me lose the weight.”
trying a new migraine treatment, Vo-
have some, but this is now once
hwinkle started actively losing weight.
every few months and not weekly.
His problematic snoring even stopped.
I still am not quite where I want
Vohwinkle was also taking a medication for migraines that suppressed
to be, but I have made significant Now, at 51, Vohwinkle who is happily
take off the weight. In fact, even with
married with two beautiful, grown
cardio, strength training and yoga,
daughters, says that he feels better
Vohwinkle was slowly gaining weight.
than he ever has.
progress.”
thrive magazine
his metabolism, making it harder to
13
our thriving community • ashley mcqueen
never let THEM see you sweat!
When you get hot, you may get unsightly sweat marks under your arms or on your back, causing you some embarrassment. You may go to great lengths to try to hide your sweat by either covering up with other clothes or avoiding situations where you will get too hot. Imagine if you had to deal with
stains on my shirts. I would sweat
prescription medications, but nothing
constantly, even when I was not ex-
worked. Ultimately, she had to do
ercising or nervous and even when it
what many others who suffer from
was cold outside.”
hyperhidrosis have to do: Undergo medical treatment.
The condition was especially problematic for McQueen, who held customer
Though surgical interventions are
service positions such as working as a
available to destroy the sweat glands
hairstylist and then working at Wake
or to remove them, McQueen chose
Med. “I was dealing with the public,
a non-invasive procedure known as
so it was embarrassing to have big
MiraDry, which was referred to her by
sweat stains on all my clothes.”
Dr. Hren at Cary Dermatology. “The treatment itself was not terrible
excessive sweat even if it wasn’t hot outside. Maybe just sitting in a board-
McQueen suffered from what is
at all,” McQueen says, describing it as
room, you get wet marks under your
known as hyperhidrosis, or exces-
painless and easy.
arms. Maybe you are on a first date
sive sweating. Hyperhidrosis can be a
and sweat starts to pour down your
general problem, or it can appear on
To start, McQueen said that a fake
back. No matter what you do, you
specific parts of the body, such as the
tattoo was placed on her armpits
can’t stop the sweat from appearing.
underarms or groin area. The condi-
to guide the procedure. She then
tion can be inherited, or it
received injections to numb the area,
can be brought on by other health
ensuring that the procedure was
conditions, such as thyroid disorders
pain-free. McQueen described
or diabetes.
getting the injections as “the only
That’s exactly what happened to Ashley McQueen.
uncomfortable part.”
thrive magazine
“I started having problems with
14
excessive sweating of my underarms
Those who suffer from hyperhidrosis
in middle school,” she says. “It was
aren’t able to treat it with deodorants
The procedure itself involves using
so embarrassing. I would wear big
or other over-the-counter remedies.
a small microwave “gun” that emits
sweatshirts and jackets even when it
McQueen says she tried everything
5800 MHz wavelength of energy to
was hot to hide the sweat marks and
from clinical strength deodorants to
the area to destroy the sweat glands
www.vesic.com
our thriving community • ashley mcqueen
permanently. No incisions are made.
the underarm region, which is about
McQueen, who is now 30, now works
“That’s it really. That easy,” McQueen
2 percent of the body’s total sweat
at Cary Dermatology and is part of
shares. “There was no down time. The
glands. The procedure can reduce
helping others who suffer from skin
next day, I was swollen and tender
sweat volume as much as 82 percent –
conditions. She also has fun spend-
under my arms, but not painful or
which is significant for a person who
ing time with her husband and her
bothersome in any way. After the
is experiencing excessive sweating.
3-year-old son – and she doesn’t have
swelling subsided, I had lumpiness
to worry about excessive sweat. “The results have been life changing
under my left arm. This took about
for me,” McQueen explains. “I am
“I would recommend this treat-
two months to go away, but it wasn’t
much more confident in nervous situ-
ment to everyone and anyone who
anything bothersome.”
ations and in everyday life. I can wear
is bothered by underarm sweating,”
clothes and outfits that I never would
McQueen says. “I would tell them to
McQueen says the procedure had the
have worn before the procedure. I still
stop wasting their money and time on
“added bonus of a decrease in under-
have very mild sweating, but I would
deodorants and medications that do
arm hair. So much less shaving!”
say that I sweat like a ‘normal person.’
not work.”
MiraDry is said to be able to destroy
I wear regular deodorant now, and I
as many as 30,000 sweat glands in
stay dry.”
thrive magazine
and some slight residual numbness
15
our thriving community • bill lahtinen
getting rid of
vein pain
Bill Lahtinen has spent a lot of time traveling, both for his job and for fun. With his work as a systems engineering manager, Bill has traveled around the country and the world. At one point, he was even to California and Washington state three to four times a year. Bill and his wife Elaine love to travel
Over time, the problem got worse.
In January 2008, Lahtinen had a
Lahtinen says that he would often ski
bypass operation, and that made him
near his house before going to work
more aware of and concerned about
and in the evenings, but after awhile,
his circulatory problems. He started
“my right leg would become uncom-
exercising five to six days a week at
fortable and tired very quickly, and
the gym in his neighborhood in the
was more prone to cramps. If I
Chapel Ridge development in Chatham
bumped the leg, it would really hurt.
County. A regular in the exercise room
Surprisingly, I had varicose veins only
noticed his varicose veins and told him
in my right leg.”
about new treatments. He made an appointment at the Carolina
together as well. They have been to 47 of the 50 states, as well as every conti-
Lahtinen says he tried managing the
nent except Antarctica.
problem by not sitting or standing still for long periods. If he was driving
“I had laser ablation to close the deep
When he first started having problems
long distances, he made a point to stop
vein, and ultrasound-guided foam
with varicose veins, Lahtinen, who is
every two hours or so. If he was flying,
sclerotherapy to treat the tributary
almost 70, assumed it was because of
he tried to get an aisle seat so that he
branches,” he explains. “Each treat-
all the traveling he was doing and the
could easily get up and walk during
ment took less than an hour. After
long periods of inactivity that accom-
the flight. He would also schedule
the laser ablation treatment, my only
panied extended flights.
connecting flights, if possible, so that
restriction was no heavy lifting. After
he could break the trip up and walk
the sclerotherapy, I needed to lie with
during layovers.
my leg elevated for 15 minutes. I also
“My first problem surfaced in 1989 after a week-long business trip to Australia,” Bill says. “I developed a
needed to wear a compression stocking
His efforts didn’t work.
thrive magazine
for three days after the laser ablation and for a day after the sclerotherapy.”
blood clot in my right leg. Either I
16
Vein Institute.
misunderstood, or they did not explain
“Finally, the veins became the ‘classic’
that it was due to a varicose vein deep
varicose veins. My right leg looked like
Overall, Lahtinen went in for five treat-
in my leg. I had no visible outward signs
winding mountain roads or swollen,
ments over the course of nine months.
of what I thought were varicose veins.”
twisted streams,” he says.
He shares that the treatment only
our thriving community • bill lahtinen
it out due to scheduling conflicts.
www.vesic.com
lasted so long because he had to draw
“I am very pleased with how the treatments turned out,” he says. “Now that the discomfort is gone, I realized how often I had discomfort. My right leg does not tire as it did before. A bonus, as another one of my exercise mates put it, is I now have ‘pretty legs.’” Now, 25 years after he first noticed problems with his legs, Lahtinen wishes that he had gotten treatment sooner. “My advice is get it done early,” he says. “I allowed my problem to go untreated for far too long. The procedure is almost pain-free. I have had more discomfort having my teeth cleaned.” Bill adds that Medicare and his insurance mostly covered the procedure. He only had to pay for his deductible. Now Lahtinen is enjoying his time traveling with his wife, visiting his four children and four grandchildren, and practicing his hobby of woodworking. His specialties include toy boxes, tables, rocking horses and picture frames for his wife, who is a thrive magazine
retired professional photographer.
17
your healthy body • sugary drinks
sugary poison: how soda and other sugary drinks may be undermining your health An ice-cold soda is a refreshing treat on
Immune System
A recent study from the University of
a hot, summer day. Yet many of us don’t
All the sugar contained in soda and
Minnesota showed a 78 percent in-
drink sodas as treats. Instead, they are
other sweet drinks can negatively af-
creased risk of breast cancer in women
a feature at every meal. Some people
fect the way your body handles insulin.
who drank a lot of sweet sodas. The
wake up with a can of soda instead of a
The sugar spike can make your body
risk was attributed to the way sugar
cup of coffee or a healthy breakfast.
produce too much insulin and can
influences insulin production, which
make many of the processes of your
can also influence hormones.
However, too many sodas can be bad
body resistant to the effects of insulin.
for your waistline and your health. But
Other health risks associated with
don’t think that you’re immune if you
One side effect of this process is that
the consumption of soda and
don’t drink soda: Sugary drinks like
your immune system is weakened.
sugar drinks include kidney dam-
juice and lemonade can have the same
With a weakened immune system, you
age, skin damage and cavities.
negative impact.
are not just at greater risk of minor ill-
Weight Gain and Obesity
nesses like the cold and flu, you are also
In most cases, if you drink a soda or
at risk of developing serious disease.
two a week, or you enjoy the
One of the most immediate impacts of
occasional glass of juice or
soda and sugary drinks is they cause
Many sodas and sugary drinks are also
punch, you have no need
weight gain and even increase the risk
sold in plastic containers that contain
to worry. However,
of obesity. There are about 44 grams
bisphenol A, which is known to disrupt
it can be easy to
of sugar in the average 20-ounce soda
the immune system.
drink more of
thrive magazine
and about 180 calories. Juices and
18
these sweet and
other sugary drinks have similar pro-
Other Health Risks
tasty drinks than we
files. At the same time, these drinks
Studies have shown that soda and
intend, and too much
are nutritionally empty. Unless you
other sugary drinks can have a number
can lead to potentially
squeeze the juice yourself, these drinks
of negative influences on your health.
devastating health con-
are made of sugar and flavorings. Fo-
The excess sugar consumption can lead
sequences. Just make
cus on getting your calories from foods
to an increased risk of Type 2 Diabetes,
sure that you keep a close
that are rich in nutrients instead.
which can lead to an increased risk of
eye on how much you are
heart problems, as well. Studies have
drinking, and save sodas
If you are struggling with your weight,
shown that even in those who don’t
and other sugary drinks for
simply cutting out soda and other sug-
develop diabetes, drinking soda and
treats. If it’s too difficult to
ary drinks may be enough to help you
other sugary drinks alone can increase
keep track, just limit them to
drop a few pounds.
the risk of cardiovascular problems,
special occasions.
including heart attack and stroke.
{ refine & renew }
the latest in plastic surgery & aesthetics
refine & renew • skin after surgery
options
for tightening the skin on your
arms&tummy
Our e x per t: Jer em y W. P y le MD b oa r d c er t if ied pl a s t ic sur geon of Dav i s pl a s t ic sur ger y
Losing weight isn’t your only focus when
who prefer a non-invasive option,
tummy tuck and a lipoabdomino-
trying to get the body of your dreams.
body contouring can be used around
plasty, with the main difference being
Sometimes, no matter how much you
the breasts, abdomen, arms and legs.
how much tissue is removed. Mini
diet or exercise, you still have loose skin
CoolSculpting is a popular non-inva-
tummy tucks target small bulges
hanging off your arms and tummy. Most
sive procedure because it offers the
caused by a separation of the
people experience this excessive loose
least amount of down time. However,
abdominal muscles, while standard
skin after pregnancy or after losing a
Pyle notes, the results are not as
and extended tummy tucks take out
significant amount of weight in a short
dramatic as surgical options.
more tissue and leave a larger scar.
period of time.
A lipoabdominoplasty includes “The most powerful tool we have to
removal of fat around the sides and
“In each case, it is an individual’s
treat extra skin or fat and muscle
the back at the same time as the
story that guides the decision-making
weakness is surgical excision,” Pyle
tummy tuck, providing a more
process,” says Dr. Jeremy Pyle of
says. “The tradeoff with these
comprehensive solution.
Davis Plastic Surgery. “Children are
operations is removal of skin and fat
wonderful, but they are hard on a
but the addition of a scar. Results can
“Adding liposuction can mean the
woman’s body. In the same way, car-
be stunning, however, when the
ability to correct the entire trunk,
rying extra weight around for years
right operation is matched to the
front and back, to get the thin, flat
causes irreversible changes. Regard-
right problem.”
and tight abdomen that people want,”
thrive magazine
less of the cause, a person’s unhappi-
20
Pyle says.
ness with a certain part of their body
For women who have had a child, a
provides me, the surgeon, with an
tummy tuck is a popular procedure.
Those who have lost a lot of weight in
opportunity to help.”
Pyle notes that there are actually
a short period of time may also expe-
many variations on the procedure,
rience loose skin around the arms. In
A variety of options are available for
including a mini tummy tuck, a
that case, a brachioplasty, or arm lift,
treating the excess skin. For those
standard tummy tuck, an extended
may be able to help.
refine & renew • skin after surgery
“This is one of those operations that can make things dramatically different in clothes and solves the problem of hanging arm skin better than anything else we have access to,” Pyle explains. “For folks in whom the hanging skin prevents them from enjoying the warmer weather, this can be life-changing.” Because these are invasive procedures, downtime can take a couple of weeks, depending on the extent of the operation. However, Pyle argues that the tradeoff is worth it.
“I sometimes have to talk people out of seeking only quick-recovery options,” he says. “These are life-changing operations. I don’t want to help just a little. I want to help a lot. The trade off is that the recovery isn’t two days and back at it for most people.” The cost for treatment varies according to the type of surgery chosen, and insurance typically does not cover the cost. In some cases, insurance may cover a procedure if the issue is shown to present health problems. “It’s my job as a guide to help match what a person wants with a surgical option that will get them there,” Pyle shares, including discussing financial dependent upon that ability to match expectations to a treatment plan.”
thrive magazine
options. “Outcomes are 100 percent
21
refine & renew
• are implants right for you?
are implants right for you?
what you need to know about popular procedures Would you like to have high cheekbones
ural breast. However, silicone implants
A chin implant is placed directly on
like Angelina Jolie? Or are you
are thought to pose more risks than
your jawbone. Many kinds of material
self-conscious about your weak chin and
saline implants, which are filled with
are available, including your own fat
wish that Mother Nature had dealt you a
a salt-water solution. In fact, silicone
or bone. Some materials carry a higher
different hand? Many of us have
implants were taken off the market for
risk of infection, like bone, and others
something about our appearance that we
14 years over safety concerns.
are more likely to be reabsorbed over
would like to change but may feel like
time, like fat or certain fillers. It is im-
there’s not anything we can do about it.
Breast implants can range from $5,000
portant to discuss all the options with
Fortunately, with advancements in
to $10,000, depending on the type of
your doctor to get the results you want.
cosmetic surgery, there are plenty of
implant, the size, the doctor, the loca-
things we can do about it.
tion and other extenuating factors.
Implants offer solutions for a range
Cheek Implants Cheek implants can
of cosmetic issues. Want those high
help you get high cheekbones to create
cheekbones? Implants can help you
a new appearance or to help you fight
Butt Implants A lot of people are
get them. Feeling self-conscious about
the signs of aging. Silicone is common-
trying to do everything they can to
that weak chin? An implant can help
ly used, but other materials are avail-
get a smaller butt, but some people
you get a more balanced profile.
able. Cheek implants can produce more
wish they had more in their posterior.
Average costs for a chin implant are around $4,000 to $5,000, depending
dramatic results than fillers alone, but
Butt implants can create a more firm
If you are thinking about getting
they also often have to be placed in
and round shape, which looks athletic
implants, here’s what you need to
conjunction with other surgeries, such
and healthy. The drawbacks of the pro-
know about some of the most popular
as a facelift.
cedure are the same for any implant,
procedures.
which is that infection is possible, as is Average costs for cheek implants range
thrive magazine
excessive bleeding and scarring.
Breast Implants Breast implants
from $3,000 to $6,000 depending on
can be used to enhance your bust line,
location, doctor and the usual circum-
Costs for butt implants are a little
whether you just want bigger breasts
stances.
higher than other procedures: Around
or you are trying to restore shape after
22
on the usual factors.
$7,000 to $10,000.
a mastectomy. Breast implants can
Chin Implant A weak chin can be just
also be used to create balance.
as bothersome as a pronounced chin.
With any cosmetic procedure, there are
It may influence the look of your smile
risks. Make sure you explore the pros
There are two types of breast implants
and your whole jawline. Not only can it
and cons of each procedure with your
that you can get: Silicone or saline. Sili-
impact your confidence, but it can also
doctor to make sure you are making
cone implants are filled with a plastic
change the way people see you.
the right choice for you.
gel that many say feels more like a nat-
thrive magazine
23
refine & renew • loving your skin
loving the skin you’re in
Our e x per t: j. c h a r le s f inn, md, double BOARD CERTIFIED FACIAL PLASTIC SURGEON of f inn fac i a l pl a s t ic s
You may have struggled for years
“After weight loss, especially the heavy
restore the position and volume of the
to lose the excess weight that was
weight loss that can occur after sur-
drooping deeper tissues of the face,”
threatening your health and damaging
gery, it is very common to experience
Finn says. “By directly addressing the
your self-esteem.
sagging in the face, jowls and neck,”
drooping fat in the mid-face, jowl and
says Dr. J. Charles Finn of Finn Facial
neck, a deeper suspension may be
Maybe you followed a diet and exercise
Plastics. “Many believe that it’s just
performed. This creates a very natural
program for years and saw slow and
extra, stretched skin that is causing
appearance to the lifted face, avoiding
steady results until you met your
this look. While this is a contributing
a ‘stretched’ look. A successful facelift
goal weight. Maybe you qualified for
factor since skin elasticity has been
may dramatically improve the nasola-
weight-loss surgery like gastric bypass
heavily depleted from the large volume
bial fold, or groove between the nose
or you decided to have a cosmetic pro-
loss, there are other aspects that play a
and corner of the mouth, as well.”
cedure like liposuction.
role. The underlying muscles and ligaments may also have been stretched
Now you finally have the shape you
over time with age and extra weight
want – sort of. Your body may be
putting strain on them.”
slimmed down, but your skin sags, or you may even have large areas of skin
Many people consider a facelift to
hanging off your body. This is common
address these issues. The procedure
around the abdomen and the arms
can make them feel rejuvenated and
after significant weight loss. Many
refreshed; helping them to create the
“An important point to realize is that
people also suffer sagging skin around
total look they want to match their
there is no single standard facelift op-
the face and neck, which may bother
newfound health.
eration,” Finn explains. “Each patient presents a different anatomic picture
thrive magazine
them more, as it is an area that more
24
Finn says the procedure may also dramatically reduce the appearance of jowls, establish a more firm jaw line, tighten the muscles in the neck and remove or re-contour fat.
people see everyday – and what we see
“In order to create a natural appear-
and requires a different set of tools for
in the mirror.
ance to the lifted face, surgery must
an optimal, natural rejuvenation.”
refine & renew • loving your skin
A facelift is performed on an outpatient basis, so no hospital stay is required. IV sedation is administered, so patients must be healthy and have the go-ahead from their doctors before undergoing the procedure. There is some downtime for the procedure, but the exact amount depends on the patient and on the extent of the work performed. “Though recovery is generally not very painful, recovery does take some patience,” Finn says. “Bruising and swelling vary, but measures can be taken ahead of time to minimize this, such as avoiding blood thinners, the use of Arnica Montana and Vitamin K. Most patients are ‘grocery store ready’ in 10 days, but out to lunch with ‘nosey friends’ by three weeks.” Patients who are still in the process of losing weight should wait until they have reached their goal before they look into getting a facelift. Then they can set up a consultation to explore options. “For many who are planning to lose weight, this surgery can help thrive magazine
serve as motivation for them to achieve their goal,” Finn says.
25
refine & renew • turning back the clock
how to turn back the clock on the mistakes of youth When you’re young, aging seems like something you’ll never have to face. As a result, you feel much more emboldened to make decisions that can have permanent consequences. Knowing that you’ll have something forever doesn’t seem like that big of a deal when “forever” seems like an abstract concept. Getting a tattoo is no big deal. Taking risks with your health by tanning or smoking is no big deal. Yet when you start to age, the reality of “forever” starts to set in. The things you did that seemed adventurous when you were younger may seem foolish now. Fortunately, there are many things you can do to erase some of those early mistakes and restore your body to its somewhat youthful beauty. Tattoos
Tattoos can fade, but they’ll never disappear completely on their own. If you really want to get rid of them, you’ll have to have them removed by a thrive magazine
professional.
26
In some cases, dermabrasion can be used to remove a tattoo. In this proce-
refine & renew • turning back the clock
dure, a sanding tool is used to exfoliate
leave-in conditioner and use other
your skin to its deeper layers, which
moisturizing treatments.
can remove the tattoo over time. In most cases, a laser is used to lighten
Eyebrow Plucking
and ultimately remove the tattoo.
Trends in eyebrows come and go. If
Surgical excision can be used in
you indulged in the ultra-thin eyebrow
extreme cases.
trend, you may now have over plucked
listened to music too loud in your
brows that won’t grow back in. You can
headphones, you may not hear as
Ear Gauges
treat brows with serums that promote
well now. Usually, hearing loss is
Grunge introduced the fad of wearing
hair growth. While you wait for the
permanent. Corrective surgery may
gauges in the ears, which stretched out
hair to return, use eyebrow pencils to
be possible in some cases, but in all
the lobes and revealed a huge hole in
get a fuller look.
likelihood, you’ll probably have to wear hearing aids.
the center. The problem was that after the gauges were removed, the ears
Tanning
were permanently stretched and hung
By now, we all know that tanning is
Unhealthy Habits
there like Playdoh.
terrible for you. But you may have in-
Smoking and drinking tea, coffee and
dulged when you were younger, think-
red wine can all cause yellowing and
Unfortunately, if you gave in to this
ing it would make you look hot. Now
staining of the teeth. You can usu-
fad, the only way to fix the ear lobes
you may have age spots and wrinkles
ally reverse these damages by getting
is to get surgery. You may have to pay
as a result. To reverse the damage,
professional teeth whitening from a
a couple thousand dollars to get your
you’ll have to get skin treatments in-
dentist. Teeth whitening can involve
ears back to the way they were.
cluding microdermabrasion, chemical
bleaching trays or light therapy. If you
peels and laser light treatment. These
don’t have success with teeth whiten-
Hair Dying
treatments can lighten the spots and
ing, you can opt for cosmetic devices
Bright colors are all the rage among
smooth out the skin.
like veneers or even dentures.
to cobalt blue. Yet to get these looks,
High Heels
Overindulging in Sports
it usually requires bleaching your
High heels may make your legs look
Exercise is good for your heart, but
hair first. Then you have to touch up
great, but they can cause bunions and
if you overdo it with sports, you can
a number of other problems with your
set yourself up for physical problems,
young people, from fire engine red
the color every couple of
feet. You can reverse these problems
such as knee and joint pain. In some
fresh. All this dying can
by seeing a podiatrist. Treatment may
cases, physical therapy may be enough
permanently damage
include wearing corrective footwear or
to help. For long-term damage, you
other devices on your toes, or you may
may need to take medication or even
need to get corrective surgery.
undergo corrective surgery.
weeks to keep it looking
your hair, making it dry and brittle. Reversing the damage is possible, but it will
Loud Music
take time. You’ll
Rock music may sound best at top decibels, but listening to too much
deep conditioning
loud music can cause hearing loss. If
treatments, wear
you went to one too many live shows or
thrive magazine
have to get repeated
27
refine & renew • men & varicose veins
men & vericose
veins
Our e x per t: a shle y b aquero, m.d., f. a .c . s. of c a rolin a v ein in s t i t u t e
“Varicose veins can be painful and dangerous,” Baquero says. Along with the heaviness and skin ulcers, the veins can develop “deep vein thrombosis (DVT), which could produce a pulmonary embolism,” explains Baquero.
While women and the elderly
“For blood to return to the heart from
suffer from unsightly varicose
the feet and legs, it must flow upward.
veins more frequently than other
The muscles of the calf and thigh help
demographics, varicose veins can
pump the blood upward against grav-
also be a problem for men. Some
ity. Valves in the veins (small flaps
research suggests that as much as
that function as gates) open in one
56 percent of men experience vari-
direction to let the blood flow through
cose veins in their lifetime, with
and then close to hold it in place.
the odds increasing with age.
Sometimes, the valves become unable
Deep vein thrombosis is clotting deep
to close properly, allowing the blood to
in the leg. One of these clots could
The condition can affect anyone.
move in the wrong direction.”
become dislodged and travel to your
Dr. Ashley Baquero of the Carolina
When this happens, pressure builds
When a clot travels to the lungs, it is
Vein Institute explains more about
in the veins, which can create the
known as a pulmonary embolism.
what varicose veins are: “Blood
appearance of large, “ropey” veins.
circulates through our bodies via the
The pressure can also cause the legs
There are many different reasons
arteries and veins. The arteries carry
to swell, causing them to feel painful,
why people develop varicose veins.
oxygen-rich blood from the heart to
tired, heavy or full. This doesn’t just
Pregnancy can be a leading cause
the rest of the body. The job of the
cause an unsightly problem that many
for women. However, both men and
veins is to carry blood from the organs
find embarrassing. It also invites the
women may develop varicose veins as
and extremities back to the heart.
potential for issues with mobility.
a result of genetics, obesity or lifestyle
Then the cycle begins again.
Additionally, varicose veins can cause
factors such as sitting or standing for
skin ulcers and bleeding.
long periods of time. Baquero says that
thrive magazine
lungs, which can be life threatening.
28
genetics are the primary cause.
refine & renew • men & varicose veins
Treatment for varicose veins can vary, depending on the severity of the condition. Surgery is rarely necessary. These days, in most cases, the treatment consists of an endovenous ablation of the damaged vein
ASHLEY B AQUERO, M.D, F.A.C .S.
combined with ultrasound guided foam sclerotherapy. These procedures are done in the office setting and
Board Certified Surgeon wtih ov e r 2 0 ye a r s o f ex p e r i e n c e
require minimal local anesthesia with no downtime.
Schedule your complimentar y consultation today!
In some cases, self-care can help to treat or reduce the appearance of varicose veins. Wearing compression stockings may help, as can getting the right amount and type of exercise. You can also help to reduce the risk of new varicose veins or prevent veins from get-
C OMMON SYPMTOMS OF VENOUS DISEA SE
ting worse by avoiding standing or sitting in the same
• Aching/Pain in legs • Heaviness • Swelling • Throbbing
position for long periods of time. Make sure you move around often and elevate your feet periodically. Lowering your salt intake can also reduce water retention that increases pressure in the veins.
• Itching/Burning • Tiredness/ Fatigue • Leg Cramping/ Restlessness
Yo u don’ t have t o l i ve wi t h v a r i c o se o r spi der vei ns.
EUROPA CENTER | 100 EUROPA DRIVE, SUITE 180 | CHAPEL HILL, NC 27517
919.929.6777 | www.carolinaveininstitute.com | Visit us on facebook!
Most insurance accepted
Talking to your doctor can help you determine the right treatment options for your varicose veins or to reduce the risk of new ones. before
after
thrive magazine
29
healthy & happy • weight loss surgery
weight loss surgery: options & misconceptions Sometimes, no matter how well you eat
of 40 or more, or those who have a BMI
changes to your digestive system, that
or how much you exercise, you can’t
of 35 to 40 in addition to a serious
you can eat anything you want after-
lose the weight you want. Even those
health condition such as heart disease
ward because your body will either
who only have 15 pounds to lose un-
or diabetes. Women comprise about
limit how much you eat or will process
derstand the struggle. However, those
80 percent of patients who get weight
it more efficiently. However, your
who are obese understand it even more
loss surgery, according to U.S. News
stomach can grow in size if you con-
keenly. They may battle for years with
& World report, but the surgery is
tinue to eat more than you should, and
their weight, working hard to adopt
equally beneficial for both men and
excess fatty or sugary foods will still
healthier habits, but only make mini-
women.
tax your digestive system. Without
mal progress – or even none at all. Weight loss surgery is an option for
making permanent changes to your
Misconceptions About Weight Loss Surgery
obese individuals who are not making
Weight loss surgery is a ‘cop out.’ Some
progress with losing weight through
Weight loss surgery is a significant and
see weight loss surgery as the “easy”
their own efforts or who must lose a lot
potentially life-saving option for obese
way out to losing weight instead of do-
of weight fast to protect their health.
people. However, many misconcep-
ing the hard work of changing eating
Some options for weight loss surgery
tions exist about it.
habits and exercising more. However,
include:
weight loss surgery is only available
Here are some of the common misconceptions:
to those who have a lot of weight to
• Sleeve gastrectomy • Gastric bypass surgery
Weight loss surgery is a cosmetic
with dieting and exercising in the past.
• Biliopancreatic diversion
procedure. Because weight loss surgery
These people may be experiencing
• Adjustable gastric banding
results in an improved appearance
medical issues or have genetic factors
through reduced weight, many people
that make weight loss more difficult.
restricting the size of the stomach,
mistakenly believe that it is a cosmetic
Weight loss surgery is their only op-
such as gastric banding and sleeve
procedure. However, weight loss sur-
tion, in many cases.
gastrectomy, or they change how you
gery is designed to address the poten-
digest food by using a combination of
tial health problems that excess weight
Weight loss surgery can be a powerful
restricting your stomach or removing
can cause, such as increasing the risk
tool for those suffering from obesity.
or bypassing parts of your digestive
of heart problems and diabetes.
If you think you may be a candidate for weight loss surgery, you should
You can eat anything you want after
talk to your doctor to find out what
weight loss surgery. Many people
procedures may be available for your
Most weight loss surgeries are reserved
think that because weight loss surgery
circumstances and to help you meet
for those who have a Body Mass Index
restricts your stomach size or makes
your goals.
and biliopancreatic diversion. thrive magazine
lose and who have not had any success
These surgeries work by either
system, such as gastric bypass surgery
30
lifestyle, you will regain the weight.
{ healthy & happy }
health &
well-being for men & women
healthy & happy • identifying a broken bone
identifying a broken bone
Our e xpert: bre t t rosenberg, md, BOARD CERTIFIED orthopaedic surgeon, Triangle Orthopaedic Associates, PA
Chances are that when you were a kid, you broke a bone at least once. Maybe you fell from a tree and broke your leg. Maybe you were jumping on a trampoline and landed the wrong way, breaking your arm. Maybe you had an accident on your bike, breaking an arm or a leg.
“Every person experiences pain
says. “But a broken bone is usually
differently.”
associated with at least an ache but more frequently a sharp, severe pain.”
When you break a bone, the pain may be a sharp pain or a dull, aching pain.
If the break is severe enough, you
In some cases, you may simply feel
will be able to tell just by looking at
faint, dizzy or nauseous. If your body
the area.
is in shock from the injury, you may not feel any symptoms for a
“If the extremity looks crooked, that
few minutes.
is the first indication that something
Every year, about 6.8 million people
is wrong,” Dr. Rosenberg says. “But,”
break a bone in the United States.
There are few occasions in which you
he adds, “The only way to know for
Sometimes, they experience a com-
would break a bone and not expect to
certain is to get an x-ray.”
plete break, with the bone snapping
experience pain. If you have a minor
in two just like a twig. Sometimes,
fracture, such as a hairline fracture,
If you suspect a broken bone, it is
they experience a partial break or a
you may feel uncomfortable but may
important to get medical treat-
break that doesn’t displace (move out
not feel severe pain. Another reason
ment as quickly as possible. Go to an
of place). In most cases, if you break a
you may not feel pain is if you have an
emergency room or see a doctor that
bone, you’re going to know it.
underlying medical condition.
specializes in bone care, called an
thrive magazine
orthopaedic doctor. The doctor will
32
“Usually, if a bone is broken, there
“Usually, that is reserved for someone
physically inspect the area and will
is some pain, but there is no pain
with a type of neurological disorder,
take an x-ray.
specific to each bone,” explains Brett
such as a diabetic with neuropathy, or
Rosenberg, M.D. of Triangle
perhaps people with extremely high
Options for fixing the bone depend on
Orthopaedic Associates.
tolerances for pain,” Dr. Rosenberg
the severity of the fracture and where
healthy & happy • identifying a broken bone
it is located. However, some popular
that to heal on its own with casting or
adults need surgery to heal cor-
options include setting in a cast, us-
bracing,” Dr. Rosenberg shares. Other
rectly because they’re bones, unlike
ing braces, pinning, plate and screws
examples, such as if a toe fracture
children, are fully developed and will
or a rod.
shows up in the office can frequently
not remodel as a childrens does with
heal without any treatment by the
growth. Some elderly people will need
orthopedist, but we usually buddy
a joint replacement if they break a
tape to the adjacent toe and place it
bone at a joint level such as the hip.
“If the extremity looks crooked, that is the first indication that something is wrong,” Dr. Rosenberg says. “But,” he adds, “The only way to know for certain is to get an x-ray.”
in a post-op shoe. This would be done more for the comfort of the patient
The key to successful healing is to get
than the healing process.”
the right medical care as quickly as possible after the injury. This will pre-
Dr. Rosenberg says that most frac-
vent the risk of long-term injuries and
tures that children experience can be
will protect overall bone health.
treated without surgery, with some
minimally displaced, we often allow
exceptions of course. However, most
thrive magazine
“If a fracture is not displaced or
33
healthy & happy • from the b’s to the omegas
From the B Vitamins to the Omegas: While you know that you need to eat a well-rounded diet to get a
Vitamin B6
Vitamin B12
Vitamin B3
wide variety of nutrients, there are certain vitamins and nutri-
What is Does
What is Does
What is Does
ents that you need to pay more
Also known as pyridoxine,
Known chemically as
Niacin helps to maintain the
attention to than others. The
Vitamin B6 plays a big role in
cyanocobalamin, Vitamin
metabolism and to provide
B vitamins and omega fatty
hormone regulation, which
B12 also plays a key role in
an ongoing source of energy
acids are among the most
affects everything from fer-
hormone regulation, and it
for the body.
important items to get in your
tility to mental health.
keeps nerves and blood cells
daily diet because they influ-
healthy.
ence everything from your
How Much You Need
mood to your brain health.
Adults need 1.3 mg per day.
How Much You Need
per day, and men need 16
At age 51, men start to need
Children need more Vitamin
mg. Pregnant women need
Here’s what you need to know
1.7 mg, and women need 1.5
B12 as they age, going up to
18 mg, and nursing women
about how much of these
mg. Pregnant women need
2.4 mg in the teen years and
need 17 mg.
important nutrients you need
1.9 mg, and nursing mothers
remaining there through
and why you need them:
need 2 mg. Those who need
adulthood. Pregnant and
Where to Get It
higher doses can take up to
nursing women need more.
Niacin is found in fortified
Adult women need 14 mg
grains, kidney, fish such as
50 mg per day. Taking more than 100 mg can increase the
Where to Get It
salmon and tuna, eggs, and
risk of overdose, which can
Vitamin B12 is found pri-
dairy products.
lead to dangerous conse-
marily in animal sources,
quences such as seizures and
such as meat and dairy. Most
nerve damage.
vegetarians and vegans need to take supplements.
Where to Get It
Vitamin B6 is found in sources like beans, lentils, and whole grains (especially
thrive magazine
oats).
34
How Much You Need
healthy & happy • from the b’s to the omegas
what you need and why Vitamin B2
Omega-3 fatty acids
Omega-9 fatty acids
Omega-6 fatty acids
What is Does
What is Does
What is Does
What is Does
Riboflavin is essential to
Omega-3 fatty acids promote
Omega-6 fatty acids promote
Omega-9 fatty acids, commonly
a healthy metabolism and
brain health, encourage
the health of skin and bones,
referred to as monounsatu-
to the creation of certain
growth, and reduce inflam-
regulate the metabolism and
rated fatty acids, are protective
enzymes in the body. It
mation, which protects the
strengthen the reproductive
against metabolic syndrome
also plays a role in reducing
body against disease.
system.
and cardiovascular disease
headaches, strengthening the
risk factors. Because omega-9
immune system and encour-
How Much You Need
How Much You Need
fatty acids have been shown to
aging healthy blood cells.
500 mg per day. Those who
The American Heart Associa-
increase HDL (“good”) choles-
take more should not go over
tion recommends getting
terol and decrease LDL (“bad”)
How Much You Need
3 grams, as this amount can
5 to 10 percent of calories
cholesterol, they help eliminate
Adult women need 1.1 mg,
increase the risk for serious
from omega-6 fatty acids.
plaque buildup in the arteries,
and men need 1.3 mg. Preg-
health problems, such as
However, it is important to
which may cause heart attack or
nant women need 1.4 mg, and
stroke.
eat them in the proper ratio
stroke.
nursing mothers need 1.6 mg.
with omega-3 fatty acids. Where to Get It
Too many omega-6 fatty
How Much You Need
Where to Get It
Omega-3 fatty acids are
acids promotes inflamma-
500 mg per day. Those who
Riboflavin is most often
found in oily fish like salmon
tion in the body, which can
take more should not go over 3
found in dairy products such
and mackerel, flaxseed and
increase the risk for disease.
grams, as this amount can in-
as milk and cheese, but it can
walnuts.
also be found in some meats and dark leafy greens.
crease the risk for serious health Where to Get It
problems, such as stroke.
Omega-6 fatty acids are found in nuts and plants oils
Where to Get It
like corn and soybean oil.
Oils: canola, olive, peanut, safflower and sunflower; Fruits: avocados and olives Nuts: almonds, cashews, macadamias, and walnuts.
thrive magazine
peanuts, pecans, pistachios
35
healthy & happy • avoiding summer injuries
avoiding common summer injuries tips for
Our e x per t: melv in G. Lee , MD, Chief medic a l off ic er , nor th c a rolin a fa s tmed ur gent c a r e
Sunny days are here again, and that means most of us will be outside soaking up the rays and getting some healthy exercise while spending time with family and friends.
vin G. Lee, MD, Chief Medical Officer,
heat stroke. If you have any fatigue
North Carolina. “This list is designed
from sun exposure, seek immediate
to help individuals and families in the
medical attention at a FastMed clinic
communities we serve to be proactive
for heat illness, as continued exposure
when planning their summer excur-
could become life-threatening if not
sions.”
addressed. In addition to its immediate impacts, long term sun exposure
FastMed Urgent Care, based in North
and damage to your skin can cause a
Carolina, is the sixth largest urgent
number of preventable skin
care in the United States. It has
cancers. Exercising prepared-
However, with the warmer weather
released its 2014 summer injuries and
ness when enjoying the hot
and all that increased activity, your
illnesses list along with tips for enjoy-
summer months will signi-
risk of injury is also higher. Under-
ing a healthy, injury free summer.
ficantly lower your immed-
thrive magazine
standing common summer injuries
36
iate and long-term skin
can help you take the needed steps to
Sunburn and Heat Injury
damage and possible
reduce your risk. This knowledge will
Sunburn is easily preventable by ap-
skin cancers.
also help you better identify these
plying a UV (ultraviolet protection)
injuries if they do happen, so that
sunscreen with a SPF of 45 or greater,
Dehydration
you can get the treatment you need as
which blocks 98% of harmful sun rays,
Up to 60% of a per-
quickly as possible.
as well as wearing a hat to protect the
son’s body weight is
head and face and loose clothing to
water and only a 1 to
“FastMed sees patients visit our
protect the arms, shoulders and legs,
2% drop in water
urgent cares for these common injuries
and finding shade when possible. Heat
weight can cause
and illnesses during the summer
injuries have three levels of severity:
dehydration. Three
months in North Carolina,” said Mel-
heat cramps, heat exhaustion, and
simple steps you can
healthy & happy • avoiding summer injuries
many summer activities can give you
Scrapes, Wounds and Bites
an injury that is commonly seen at
From concrete, splinters, thistles and
FastMed clinics. The most common
thorns, to fleas, mites, chiggers, ticks,
summer sports injuries occur around
parasites, snakes and many other in-
the joints, including the knee, ankle
sects and animals, your summer can be
and elbow. However, tendon tears
hazardous, but with FastMed Urgent
and joint inflammation can occur
Care right in your community, treating
with physical fatigue. Head injuries
these injuries is as simple as walking
should be immediately evaluated by a
right in to a FastMed, any day of the
FastMed provider to determine if the
week, 365 days a year!
patient has a concussion.
take to stay hydrated are: having a water bottle with you wherever you go, eating healthy fruits and vegetables which are made up of water, and recognizing signs of dehydration (lightheadedness, nausea, weakness and fatigue are the most common) followed by immediate action. Athletic and Sports Injuries
jogging, cycling, softball or basketball,
thrive magazine
Whether it’s hiking, swimming,
37
healthy & happy • handling hyperhidrosis
handling
hyperhidrosis Our e x per t: Dr . C ather ine Hr en, MD of c a r y der m atology
Most of us sweat when pumping iron at the
may reduce discomfort for some,
gym or running on the trail with a friend -
others require more treatment.
It would be odd of we didn’t. Many people also sweat when spending time outside
Two other common treatment options
on a hot summer day, even when sitting.
for underarm sweating are Botox injec-
However, most of us don’t look as though
tions and the miraDry procedure.
we’ve been working out after hours of sitting in an air-conditioned room, or during
Botox can be injected into the armpits
an embarrassing situation.
to reduce the amount of sweat produced. The results can last for three
People with a condition called hyperhi-
to six months, but then the treatment
drosis aren’t so lucky. Those who suffer
must be repeated. Because Botox
from this condition sweat excessively
requires multiple, ongoing injections
without normal triggers such as heat
to treat hyperhidrosis, it can be an
or exercise. Hyperhidrosis causes both
expensive treatment option.
emotional and physical discomfort. People with hyperhidrosis may reapply
The miraDry treatment uses electro-
deodorant frequently and avoid situa-
magnetic energy to destroy sweat
tions where others will see their sweat
glands in the armpits and stop the
stains, thus limiting their social or
problem permanently.
professional activities.
thrive magazine
Dr. Catherine Hren of Cary Dermatol-
38
Hyperhidrosis most often affects the
ogy says that the miraDry procedure
hands, feet, and armpits. Although
takes about 90 to 120 minutes, and
prescription deodorants such as Drysol
require only two treatments.
healthy & happy • handling hyperhidrosis
After a lifetime of hiding your sweat, you’ll now have to hide your smile. Underarm sweat? Under control. A happier, drier life is finally here. And that’s because there’s miraDry®: The first and only FDA-cleared device for lasting
treatment of underarm sweat. Immediate, lasting results, a dramatic reduction of underarm sweat, a non-invasive procedure with little to no downtime, and ending your dependency on ineffective antiperspirants. Begin your happiness today, with miraDry.
101 SW CARY PARKWAY SUITE 210 CARY, NC 27511
www.carydermatology.com 919.467.8556
“Sweating stops immediately, but it
take over-the-counter pain relievers
Though the cost may seem high, it is
gradually returns over two to three
and use ice packs to reduce any dis-
less expensive than the cost of Botox
months, which is why two treatments
comfort that might be felt afterwards.
over time, as injections must be
are done three months apart,” she ex-
The miraDry procedure produces
repeated every three to six months to
plains. “During the treatment, the ax-
lasting results by destroying the sweat
maintain the effects. The miraDry pro-
illa is anesthetized with lidocaine and
glands. Clinical studies show that the
cedure produces permanent reduction
epinephrine. There is some discomfort
procedure can reduce sweating in
in sweating.
during that portion of the treatment,
patients who suffer from hyperhidrosis
but then the patient does not feel
by 82 percent.
much at all in the armpit. Some thin-
For many who suffer the embarrassment of hyperhidrosis, any procedure
The cost for two treatments is $3,000,
that offers lasting results may seem
the epinephrine, but we are careful
and Hren says that insurance does not
priceless. If you suffer from the condi-
with the amount we use – just enough
cover the procedure. However, at Cary
tion, talk to your doctor or a derma-
to anesthetize the area.”
Dermatology, financing is available for
tologist about the treatment options
The procedure is non-invasive and
patients who meet qualifications.
available and determine which one is
rarely requires downtime. Patients can
best for your personal circumstances.
thrive magazine
ner patients may get a bit jittery from
39
healthy & happy • post-op rehabilitation
rehabilitation for postoperative orthopaedic and cardiology patients
Our e x per t: wa nda how ell , dir ec tor of r eh a b ser v ic e s at john s ton he a lth
The skeleton may be the main support system for the rest of the body, but bones are not as strong as they seem. Bones can break fairly easily – you don’t have to be in a major car accident or have a serious hiking mishap to get a bad bone break. Even slipping on the ice on the way to your car can cause a serious injury.
rosis or low bone density by the year
rehab services at Johnston Health,
2020 in America.
says of postoperative rehabilitation for orthopedic and cardiac patients.
If you break a bone, you may simply
“Acute rehab typically involves
be able to get a cast and allow the
strengthening exercises, as well as
break to heal. However, if the injury
training on mobility, transfers and
is severe or if you are an older adult
ambulation. If the patient is using an
already suffering from osteoporosis
assistive device, such as a walker or
or low bone density, you may require
cane, we train him how to use it. We
ongoing rehabilitation to help you
may also work with patients on how
regain movement.
to get up and down steps and stairs.”
Bones can also wear down over time,
Many of the same rehabilitative
If the patient needs to go to a reha-
becoming weaker with age. They can
treatments that are used for patients
bilitation center, Howell says, the
become more brittle, and joints can
with bone injuries are also used to
therapy is more intense and focuses
deteriorate, causing pain with move-
help patients who have suffered from
on helping them perform the activi-
ment. Weakened bones can break
cardiac problems, such as a heart
ties of daily living.
even during normal activity. The Na-
attack. Though the two issues may
tional Osteoporosis Society says that
seem unconnected, cardiac problems
How long rehabilitation lasts
1 in 2 women and 1 in 4 men ages 50
can also lead to mobility issues and
depends on the patient and the
and older will break a bone as a result
weakness.
extent of the injuries sustained.
thrive magazine
of osteoporosis, a condition marked
40
Howell says most patients stay at a
by weakened bones. The organization
“We try to get the patient up and
rehabilitation center for as little as
says that half of all people age 50 and
moving as soon as possible after
a week, or as long as a few months
older are expected to have osteopo-
surgery,” Wanda Howell, director of
after being discharged from the
healthy & happy • post-op rehabilitation
“I Thought A Completely Torn Achilles Tendon Had Ended My Days As A Triathlete - But, Thanks To Orthopedic Surgery And Rehab At Johnston Health, I Came Back To Win Silver At The Nationals In 2012!” Chad Culver Triathlete Smithfield, NC
JOHNSTON HEALTH ORTHOPEDICS
919-934-8171
www.johnstonhealth.org
hospital. Home-care services may
mendations may increase their risk of
also be required, especially for
suffering more health problems and
patients who are suffering from
setting back their recovery.
severe mobility issues.
“Patients who comply with their therapy treatments will do well after
ment depends on a variety of factors,
surgery and across the spectrum of
including how well the patient
rehab settings,” Howell says. Pa-
complies with the treatment plan.
tients are the key to their successful
Treatment may include more than
recovery and outcome. They may have
physical rehabilitation, especially in
the best surgeon and therapist, but
cases involving cardiac problems. For
if patients are not motivated and
example, patients may need to make
engaged in their rehab therapies, then
lifestyle changes such as improving
they could have negative outcomes
their diet or quitting smoking. Those
such as loss of strength, mobility and
who don’t follow their doctor’s recom-
overall function.”
thrive magazine
The success of rehabilitative treat-
41
healthy & happy • your poop and your health
what your poop says about
your health If you’re having digestive issues, it
Some changes can indicate serious
will show up in your poop. If your diet
underlying health conditions,
is deficient in some way, it will show
including cancer, diabetes, and
up in your poop. If you are experienc-
chronic digestive diseases.
ing serious health issues, it will show up in your poop. Make sure you take
Though “normal” stools are typically
a look behind you each time you go to
described as light to dark brown and
check in with what’s up with
a firmness like sponge, everyone can
your health.
experience different ranges of “nor-
thrive magazine
mal.” That’s why it is so important to
42
No one likes to think about what they do when they go Number Two. Most of us prefer to do our business and leave everything a mystery below a closed toilet lid. However, your poop actually says a lot about your health, and taking a peep before you flush can tell you a lot about what’s going on inside your body.
One thing should be clear about your
look under the lid consistently after
digestive issues: Though many prob-
each bowel movement to make sure
lems may be the temporary result of
you understand what is happening
something in your diet or some medi-
with your poop. You can’t get a
cine you are taking, any problems
good baseline without it, and you
that persist should be discussed with
won’t be able to say when something
your doctor. Any abnormalities that
is amiss.
are caused by your diet or medications will clear up in a couple of days.
Check behind you when you use
When problems continue, it is time to
the bathroom to stay on top of your
see a doctor. “Problems” can refer to
health.
anything that is out of the ordinary, which can include a change in shape, size, color, smell or consistency.
healthy & happy • your poop and your health
color Black
possible causes what you can do Bleeding in the stomach or intestines
Watch it for a few days and call a doctor if the problem persists. If stool returns to a normal color, the blackness may have been caused by the dyes in something you ate.
Green
Excess iron, certain medications, dark-colored
Monitor your iron intake. Wait to see if your
foods, such as blueberries
stool returns to a normal color after a few days of not taking the medication or eating the suspected food.
Red
White or Grey
Colored foods, bleeding in the large intestine
Wait to see if it happens again. If it does, see
or rectum
your doctor.
Blockage in the liver
It’s another wait-and-see approach. If the issue does not resolve within a few days, talk with your doctor.
shape Narrow and thin
Blockage in the intestines, such as
Surgery will be required if any blockage is
a tumor
discovered. If the problem persists for more than a few days, see your doctor about getting tested.
other issues Soft stool
Excess oil or fat in the diet
Reduce fats and monitor for improvement.
Sinking stool
Less gas present in the stool
Nothing. This is a normal fluctuation.
Infection, food that is stuck in the colon,
Monitor it and talk with your doctor.
Smelly stool
certain medications Hard stool
Constipation
Add more fiber to your diet and drink more water. Talk with your doctor if the problem persists.
Infection, poor diet, underlying health issues
Add more fiber to your diet. Drink plenty of water to prevent dehydration.
thrive magazine
Diarrhea
43
healthy & happy • healthy meals
eating to avoid
type II diabetes Our e xpert: K athryn Shaw, MD, Member of American Socie ty of Bariatric Physicians of Medi WeightLoss Clinics
Much has been made about the obesity epidemic in our country over the last several years, but the issue is about much more than waistlines. Being overweight or obese can increase your risk for a number of health issues, such as heart disease and diabetes.
betes as a contributing cause of death).
Shaw says that approximately 79 mil-
The ADA says that diabetes was the
lion Americans who were 20 or older
seventh leading cause of death in the
had prediabetes in 2010, based on
United States in 2010.
their fasting glucose or A1C levels.
Type 2 diabetes is the most common
Lifestyle issues like eating a poor diet
form of diabetes. Those with type 2
and not getting enough exercise can
diabetes do not produce or regulate in-
contribute to the incidence of type 2
sulin properly. In the beginning stages,
diabetes. Likewise, making healthy
their pancreas makes extra insulin,
changes can help to manage the dis-
According to the American Diabetes
but later, their bodies aren’t able to
ease or prevent it from occurring.
Association, approximately 29.1 mil-
make enough insulin to keep up with
lion people, or 9.3 percent of the total
their needs.
thrive magazine
population, had diabetes in 2012. That
44
“Studies have shown that people with prediabetes who lose weight and
number was up from 25.8 million, or
Dr. Kathryn Shaw of Medi Weight
increase their physical activity can pre-
8.3 percent, in 2010. The numbers were
Loss, says that prediabetes disposes
vent or delay type 2 diabetes and, in
higher in adults. In 2012, approxi-
people to a higher risk of developing
some cases, return their blood glucose
mately 12.3 percent of adults older
type 2 diabetes, as well as suffering
levels to normal,” Shaw says.
than 20 had diabetes. The rate was
from heart attack or stroke. Shaw
25.9 percent in adults 65 and older.
says that prediabetes is classified by
The Centers for Disease Control and
having elevated blood glucose levels
Prevention recommends that adults
Every year, another 1.7 million new
or levels of A1C, which is a glycated
ages 18 to 64 years old get two hours
cases are diagnosed, and 69,071 people
hemoglobin. A1C levels are a good
and 30 minutes of moderate activity
died from it in 2010 (and another
indication of how well your body is
per week to maintain health. Moderate
234,051 death certificates listed dia-
regulating blood sugar.
activity is described as brisk walking.
healthy & happy • healthy meals
Choose Medi Weight Loss Clinics. It’s the one that works! NO HCG Custom Tailored to Work for You! Medically Supervised
50
$
OFF
YOUR INITIAL CONSULTATION
Start today and lose up to 20lbs. the first month! Call today to schedule your appointment. Greg Brannon, MD
RALEIGH
919.636.3737 2014
The CDC also recommends this age
conditions like prediabetes and type
group gets at least two days per week
2 diabetes. The U.S. Department of
of strength training.
Health and Human Services recommends creating meals that are at
The CDC makes the same physical ac-
least half fruits and vegetables, with
tivity recommendations for seniors age
the other quarter assigned to lean
65 and older. However, for children,
proteins and the remainder to whole
the recommendations are much higher.
grains like brown rice or sweet
The CDC recommends that child get at
potatoes. Eating a well-rounded diet
least one hour of physical activity per
with plenty of whole, natural foods
day to maintain health and well-being.
is a sure way to create health, no matter your age or your other health
Of course, eating a healthy diet healthy lifestyle to prevent health
Beans | A winning combination of high-quality carbohydrates, lean protein, and soluble fiber that helps stabilize your body’s blood-sugar levels and keeps hunger in check. Oatmeal | An excellent source of both is heart-healthy oatmeal: It’s packed with soluble fiber, which slows the absorption of glucose from food in the stomach — keeping blood-sugar levels under control. Salmon | Wild salmon is not only rich in omega 3s but also contain a healthy-fat-and-protein combination that slows the body’s absorption of carbohydrates, keeping blood sugars on an even keel. Almonds | Unsalted almonds provide a healthy, low-carb mix of monounsaturated fats plus magnesium, which is believed to be instrumental in carbohydrate metabolism.
thrive magazine
should also be a centerpiece of a
circumstances.
foods you should eat to avoid type II diabetes
45
healthy & happy • aging from the inside out
aaging new you: from the inside out Our e x per t: Nic ole M. Bent i v egn a , M SN, R N, W HNP-B C of A Ne w You Medic a l W ellne s s s olu t ion s
Hormonal imbalance is one of the leading causes of many under-diagnosed medical conditions men and women experience as they age.
anxiety and depression, as well as declining cognitive function and abdominal weight gain just to name a few. Declining estrogen dramatically increases a woman’s risk of heart disease, colon cancer and osteoporosis.
From thyroid imbalance and adrenal
While the practice of hormone
fatigue, to decreasing testosterone
replacement for women through
and diminishing estrogen, the body
menopause is widely acceptable and
deteriorates at a rapid pace. This
well known, for men it is a different
unhealthy hormonal shift results in
story. For many years, and even still
patient frustration due to a myriad of
today, there has not been too much
unpleasant symptoms.
public discussion about the decline in
thrive magazine
testosterone men experience as they
46
There are estrogen receptors in almost
age. Research tells us that testoster-
every cell throughout the body, and
one is decreasing approximately ten
research now shows there are over
years earlier than it did for the previ-
400 functions for estrogen in these
ous generation, much of which is due
cells. “As women age, estrogen and
to environmental toxins as well as
progesterone alike, gradually decrease
the level of stress and adrenal fatigue
as ovarian function declines. This
seen in many middle aged men. They
causes women to experience hot
are experiencing symptoms of ‘Low T’
flashes, night sweats, sleeplessness,
as early as their late thirties through
healthy & happy • aging from the inside out
Are you experiencing… • Decreased energy • Depression • Sleeplessness
• Decreased libido • Hot flashes • High Stress
At A NEW YOU Medical Wellness Solutions, our trained medical professionals will help you achieve optimal hormone balance through Bio-Identical Hormone Therapy (BHRT) and get your life back on track. Available for Men and Women.
Is it Safe? Yes. We use custom compounded medications that mimic the hormone naturally produced by your body and the slow and steady release of medications helps eliminate the spikes and valleys seen in conventional treatment.
Greg Brannon, MD
Call 919.977.3231 or visit our web site at www.anewyouwellnessclinics.com
Cary Clinic
530 New Waverly Place • Suite 301 Cary, NC 27518
their retirement years. Fatigue,
hormones and optimizing treatment
decreasing the risk that is commonly
insomnia, mental fog, decreased mo-
and care for the prevention of future
associated with synthetic hormone
tivation at work and decline in muscle
age-related conditions.
replacement.
from men who are looking for a solu-
The safety and efficacy of bioidentical
Hormonal balance is the key to
tion to debilitating symptoms.
hormones have been shown in expan-
longevity. Restoring and rejuvenating
sive research worldwide since as early
your body to the right balance using
Traditional medicine has dictated
as the 1940s. Bioidentical hormones
bio-identical hormone replacement
a reactive medical model aimed at
are compounded to match the exact
therapy, lifestyle modifications and
treating the symptoms of disease
chemical structure of the body’s own
nutraceutical supplements, the aging
after it ensures. Bioidentical hormone
endogenous hormone, allowing the
process can be put on hold while the
replacement therapy is individualized
cells to recognize it easily, not work as
living process flourishes.
to each patient with the goal of reliev-
hard to break it down in the body, and
ing current symptoms, balancing
allow it to function in the same way,
mass are common complaints heard
thrive magazine
47
healthy & happy • advances in mammography
advances
in mammography
Our e x per t: dr . da nielle w ellm a n, r a diologi s t spec i a lizing in m a mmogr a phy, wa k e r a diology
The American Cancer Society reveals that one in eight women will develop invasive breast cancer in their lifetime. This year alone, another 232,670 new cases are expected. In addition, another 62,570 cases of noninvasive breast cancer (the earliest form) are expected.
Many of the symptoms of breast
cancer may want to begin getting
cancer don’t show up until the disease
mammograms earlier than 40 –
has progressed. These symptoms may
perhaps as much as seven to 10
include a lump in the breast or the
years earlier.
underarm, breast pain or tenderness, swelling or dimpling of the breast,
In addition to the traditional
nipple discharge or retraction of the
mammogram, 3D mammograms are
nipple. When breast cancer is in its
now available to provide more power-
earliest stages, no symptoms may be
ful screening.
felt, which is why regular self-exams and mammograms are recommended.
raphy represents one of the biggest
About 40,000 women are expected to die this year of breast cancer. “How
The American Cancer Society recom-
advancements in breast cancer screen-
can women best protect themselves
mends that all women start receiving
ing in the past 20 years,” Dr. Wellman
from breast cancer? By getting an an-
mammograms at age 40 and continue
says. “It provides more accurate
nual screening mammogram,” says Dr.
to get one every year. Mammograms
images that help us detect breast
Danielle Wellman, a radiologist who
can help detect breast cancer before
cancer earlier.”
specializes in breast imaging at Wake
symptoms emerge. With a 3D mammogram, 15 images
thrive magazine
Radiology and is co-director of breast
48
“The introduction of 3D mammog-
services. “Powerful new technologies
“The best advice is to be vigilant about
are taken of the breast from many
like 3D mammography are making it
checking for breast cancer because it
different angles, rather than the
easier than ever before to detect breast
is very treatable when detected early,”
single image taken by a traditional
cancer early, when it is most treatable.”
Dr. Wellman says. She adds that those
mammogram.
who have a family history of breast
healthy & happy • advances in mammography
“This allows us to view the breast
early, the survival rate for women with
tissue in thin slices – like flipping
breast cancer is over 90 percent.”
through the pages of a book,” Dr. Well-
Studies show routine breast cancer
man explains.
screen reduces mortality rates by 30 percent – saving the lives of 15,000
Dr. Wellman says that this technol-
to 20,000 women in the United States
ogy allows healthcare professionals to
each year who would have otherwise
see smaller and more invasive cancers
died from breast cancer.
more clearly, as well as to pinpoint the location, size and shape of abnormal
Making lifestyle choices can also help.
tissue more easily. “Living a healthy lifestyle can help “That’s why the use of 3D mammo-
reduce your risk of breast cancer,”
grams has been shown to improve
Dr. Wellman says. “That includes
breast cancer detection rates by up to
maintaining a healthy weight,
40 percent,” Dr. Wellman says.
exercising regularly, limiting alcohol consumption,
Getting a 3D mammogram is no differ-
and not smoking.”
ent than getting a traditional mammogram. The process is the same. The exam only makes moments and the entire appointment lasts about 30 minutes from the time you walk in the door. Not only can 3D mammograms help to detect breast cancer earlier, but in so doing, they can also save patients from having to undergo intensive and debilitating treatments. It can also reduce the rate of error and the need for follow-up exams, which can increase anxiety in patients. “Breast cancer is treatable and curDr. Wellman says. “When detected
thrive magazine
able, but the key is early detection,”
49
healthy & happy • get moving
get moving:
where to start when you are ready to get fit If you haven’t exercised in a while – or ever – you may feel intimidated by the prospect of getting into shape. You know that you need to exercise to have a healthy body and to feel good, but you may become easily discouraged because you get tired quickly and don’t have much strength.
you won’t be able to jump right in
may feel so excited about your new
to an intense exercise program. You
fitness goals that you want to work out
can’t expect to start by running five
every day for a while. However, this
miles. Instead, you may need to run
would be a mistake. If you don’t allow
just one mile – or maybe even half of a
enough recovery time each week you
mile. Over time, you can build up your
put yourself at risk of serious injury,
physical fitness and reach the goals
which will sideline you and throw your
you set for yourself.
progress off track.
You don’t need to overdo it in order
establish goals
to get healthy. Guidelines from the
Before you begin working out, it is
Making changes can be hard. How-
Centers for Disease Control and Pre-
important to establish goals. Do you
ever, changing your lifestyle habits
vention and the federal government
want to lose weight? Do you just want
to include regular, healthy exercise is
recommend 150 minutes of exercise
to exercise more regularly, or do you
important. Once you make the deci-
per week, which is 30 minutes, five
want to reach a specific fitness bench-
sion to get fit, here are a few tips to get
days a week. Meeting that goal can be
mark, such as having a lower resting
you started:
as simple as taking a walk after dinner
heart rate or being able to run a race?
each night.
The goals you have will determine
talk to your doctor
what kind of exercises you engage in
Before you start exercising, it is im-
try a variety of activities
and what pace you set. For example,
portant that you evaluate your current
You’ll get bored fast if you try to do
if you want to get in shape and lose
health level. Talk with your doctor to
the same exercises every day. Maybe
weight, you should participate in a
ensure that you don’t have any health
running is your thing at first, but after
combination of cardiovascular exercise
conditions that could be exacerbated
a few weeks or months of only run-
and strength training.
by exercise. Your doctor can assess
ning, you will probably find it harder
you and give you advice about where
and harder to get motivated to head
It’s never too late to get in shape. No
to start. Your doctor can also monitor
out and run. When you participate
matter what kind of fitness routine
your progress, helping you to tweak
in a variety of activities you can stay
you have had in the past and no matter
your program as you go.
motivated to work out, helping you to
what kind of shape you are in now, you
stick with your fitness plan.
can meet your new fitness goals.
thrive magazine
start slow
50
No matter what kind of physical fit-
allow time for recovery
ness you may have had in the past,
When you get back into exercise, you
Take Charge of Your Health Before Your Health Takes Charge of You! Bioidentical Hormones • 24/7 Healthcare Direct • Executive Level Wellness Exams Essential Health & Wellness is dedicated to improving your health through the prevention of diseases by guiding our patients to lead a long and truly healthy life. Through our programs, Bioidentical Hormone Replacement Therapy, 24/7 Healthcare Direct, Executive Level Wellness Exams and a variety of ancillary services, we help our patients obtain optimal health and improve personal performance and longevity. Sharing our technical knowledge and skills helps us to assist our patients in the Anti-aging process to reach their goal to total wellness.
Essential Health & Wellness
3750 NW Cary Parkway Suite 111 Cary, NC 27513
ehwell.com
(919) 926-3010
healthy & happy • avoiding summer injuries
nutrition through IV therapy Our e x per t: ja me s s t e v en s, md, pr e sident of e s sent i a l He a lth & w ellne s s
Common conjectures about intra-
process of absorption and guarantee-
Though less common, IV therapy may
venous or IV treatment may include
ing direct access straight into the
also lead to:
thoughts of a very ill or severely
bloodstream. Considering this, they
injured person lying in a hospital
usually have a drug-like effect rather
• Increased sense of well-being
bed. However, while IV treatment
than the effect the nutrient would
• Relief of acute migraine symptoms
is often used to administer drugs
have if taken orally.”
• Reduction of acute asthma attacks
and life-saving fluids to a person
• Enhanced recovery after surgery
who is ill or injured, it can also
The benefits of IV therapy are wide-
• Reduction of chronic fatigue • Improvement of digestive disorders
be used to treat a variety of other
ranging. Stevens says that some of the
health conditions ranging from
most common benefits of IV therapy
mild to severe.
include:
“Intravenous nutritional therapy is a
n
way to directly feed specific vitamins,
n
minerals and other natural supplements directly into the blood stream,”
n
Prevention of infection of illness
explains Dr. James R. Stevens, the
n
Enhanced athletic performance
“It is a safe, powerful and innovative
president of Essential Health & Well-
n
Improved immune system
therapy that supports the resolution of
function
numerous health problems,” Stevens
us have poor diets or digestive illness.
n
Detoxification from toxic metals
says. “Even if you’re healthy, IV admin-
These may lead to unhealthy guts and
n
Reversal of nutrient deficiencies
istration of a wide range of vitamins
result in inadequate absorption of our
n
Slowed progression of
and minerals is an extremely effective
Parkinson’s symptoms
way to boost your nutritional status,
daily nutrients. Moderate to highthrive magazine
Decreased cold, flu, allergy and sinus symptoms
ness. “Unfortunately, the majority of
52
Increased energy
The benefits [of IV therapy] can be immediate or longterm, depending on the health issue and the severity of the symptoms.
dose nutrients, when given through
accelerate your athletic performance
IV, bypass the gut, eliminating the
and prevent illness. It is especially im-
healthy & happy • avoiding summer injuries
portant when flu season is around, or
comfortably
before and during stressful situations.”
while the nutrients are being infused.”
IV infusions are typically adminis-
Unfortunately, insurance typi-
tered once a week, though they can be
cally does not cover IV therapy, so
reduced to once a month depending
most patients have to pay for the
on the health issue and your goals for
procedure out of pocket. The costs
treatment. Each infusion can take any-
can range from $50 to $190 per
where from 10 minutes to two hours
treatment, but it depends on what
to administer, again depending on the
vitamins or minerals are being
severity of symptoms or the type of
infused.
treatment. In the meantime, the treatment
Though many people might be nervous about the infusions because they require inserting a needle into the vein, Stevens says that they are not painful. “IV therapy is very well tolerated since it is the same components you’d find in your multivitamin,” he says. “IV therapy involves inserting a small catheter into a vein in your arm in order for the vitamins to go directly into your bloodstream. The amount of pain felt is similar to going to the doctor to get your blood drawn for labs. Once the catheter is placed, there is no discom-
patients of all kinds. A short list of medical conditions that may benefit from IV therapy: n Asthma n Migraines n Hepatitis n Fibromyalgia n Muscle spasm n Chronic fatigue n Upper respiratory infection n Parkinson’s disease n Anti-aging n Allergic rhinitis n Chronic sinusitis n Herpes outbreaks n Acute strain or injury n Coronary artery disease (hypertension) n Depression n High cholesterol n High blood pressure
thrive magazine
fort and the patient is able to sit there
is growing in popularity for
53
healthy & happy • menstral bleeding
the causes and
treatments of
heavy menstral bleeding
Our e x per t: a ndr e a s. luk e s, md of the c a rolin a women’s r e se a rc h a nd w ellne s s c ent er
Many women experience a heavy
Andrea S. Lukes, MD of the Carolina
yet may be anemic,” Lukes says. “This
flow day when they get their
Women’s Research and Wellness
is something providers should ad-
monthly periods. However, some
Center says that as many as 25 percent
dress and ask about at annual visits.
women experience bleeding that
to 30 percent of women of reproduc-
There are now accepted terms used to
is even heavier, and it occurs
tive age experience heavy menstrual
describe menstrual bleeding and these
consistently from month to month.
bleeding. Smith says that as many as
terms are more interpretable to both
The issue doesn’t just cause an
70 percent to 80 percent of women
clinicians and patients.”
inconvenience – it can be extremely
experience uterine fibroids by the time
painful and impair a woman’s qual-
they turn 50, and uterine fibroids are
If it is determined that a woman has
ity of life, including creating an
a common cause of heavy menstrual
heavy menstrual bleeding, the treat-
iron deficiency and causing more
bleeding.
ment will depend on the cause. Some
serious health complications.
Heavy menstrual bleeding can be caused by a variety of factors. It can be induced by growths like fibroids or polyps in the uterus, or it can be caused by disease or blood disorders. Certain medications, such as anti-
women may be able to take medica-
Since “heavy” may be a subjective term for many people, it is important for women to talk with their doctors if they feel like they are experiencing heavy menstrual bleeding.
thrive magazine
coagulants, can contribute to heavy
54
tion, while others may have to undergo surgical treatment. Non-surgical treatments include Lysteda, a non-hormonal medication that is only taken during the days of heavy bleeding; NSAIDS (nonsteroidal anti-inflammatory agents) taken dur-
menstrual bleeding, as can some birth
“Often, a woman considers her bleed-
ing the days of heavy bleeding; and a
control devices, such as the copper
ing to be heavy and will complain of
variety of hormonal medications,
IUD. Conditions like endometriosis
this to her healthcare providers. On
including contraceptives. For exam-
and sexually transmitted diseases can
the other hand, some women do not
ple, the Ortho Evra patch, Nuva Ring,
also contribute.
consider their menses to be heavy,
or Mirena intrauterine device may
healthy & happy • menstral bleeding
Women’s Wellness Clinic excellence in gynecology
We are dedicated to providing the best of care. Our all female staff combines experience, compassion, and state of the art technology in order to offer you personalized attention.
We consider it a privilege to care for you.
www.cwrwc.com
Providers: Andrea Lukes, MD, MSHc, FACOG Amy Stanfield, MD, FACOG Makayla Downs, FNP - BC
all be able to help regulate hormones
Treatments like hormonal medications
as it has a high rate of effectiveness
that contribute to heavy menstrual
can offer the added benefit of provid-
and lower number of side effects.
bleeding.
ing contraception. Conversely, surgical
249 E NC Highway 54 Suite 330 Durham, NC 27713 919.251.9223
Surgical options include removal of fibroids or other growths, endometrial ablation, or hysterectomy.
treatments like hysterectomy can
Ultimately, the treatment that
prevent further childbearing, so they
works for each woman depends on
should be reserved for older women or
what is causing her heavy menstrual
those who are assured of not wanting
bleeding, as well as her other health
to have more children.
conditions. If you think that you are experiencing heavy menstrual bleed-
Dr. Lukes notes that some hormonal
ing, talking to your doctor about all
a range of treatment options that are
treatments also carry increased risks,
the options can help you make the
appropriate for their particular cir-
such as clotting. She often recom-
best choice for your body.
cumstances so that they can make the
mends the use of the non-hormonal
choice that is best for them.
medication Lysteda to her patients who can’t take hormonal medications,
thrive magazine
Doctors should present women with
55
healthy & happy • hearing loss & your health
how hearing loss
is tied to health Our e x per t: s t eph a nie ga lloway, doc tor of audiology, A s sur ed audiology & he a r ing s olu t ion s
It is easy to consider hearing loss an affliction only suffered by the elderly. However, while the Hearing Loss Association of America says that one out of three people will experience loss in hearing by age 65, in actuality, two thirds of the people suffering with hearing loss are below the age of 65, making it a problem that knows no age limit. Understanding the signs, symptoms,
I don’t understand.’ They may also ac-
physical, emotional, and social well-
and possible causes of hearing loss can
cuse others of ‘mumbling’ all the time.”
being. Dr. Galloway states that many
help you recognize the need to seek
people may start to isolate themselves
and receive treatment early, if possible.
Some causes of hearing loss are genet-
and withdraw from activities they once
The earlier treatment begins, the great-
ic, either present at birth or gradually
enjoyed because they cannot hear what
er chance of long-term success.
declining over time. Some may be age
is going on. They find it is too taxing to
related or caused by prolonged noise
try to understand, it can be exhausting
“There are many signs of hearing loss,”
exposure or other trauma. What many
and cause physical tension as well as
Doctor of Audiology Stephanie L. Gal-
people do not realize is that some
tension between the hearing impaired
loway of Assured Audiology & Hearing
reasons people lose their hearing may
and their communication partner(s).
Solutions explains. “Some signs may
be caused by or linked to other health
Constantly asking for repetition or
be more obvious than others, such
conditions, such as heart disease,
constantly having to repeat what is
as turning up the volume of the TV
diabetes, and dementia. Often times,
said can be frustrating for all parties.
louder than usual, or louder than
hearing loss can occur concomitantly
other people prefer. An individual with
with these and other problems, such
Unfortunately, there is no cure for
hearing loss may also ask for repeti-
as depression, cognitive decline, and
many of hearing losses mentioned
tion many times during a conversation
increased incidence of falls.
above, but successful treatment is avail-
thrive magazine
or ‘lean in’ to the conversation to get
56
able with hearing aids. The success and
close to the person speaking. Hearing
The impacts of hearing loss can be far
satisfaction rates have increased dra-
impaired people often say, ‘I hear, but
reaching and may affect an individual’s
matically with the help of technological
healthy & happy • hearing loss & your health
Better Hearing is Better Living
DIAGNOSTIC HEARING TESTS • EVALUATIONS FOR HEARING AIDS • HEARING AID PURCHASES & FITTINGS HEARING AID REPAIRS & ADJUSTMENTS • ADVANCED AUDIOLOGY SERVICES Assured Audiology & Hearing Solutions is proud to provide hearing care, hearing aid services, and audiology services for residents of Fuquay-Varina, Holly Springs, Apex, and the surrounding communities. We are committed to educating our patients, so they are able to make well informed decisions about the treatment options and methods to pursue. As a part of this service, we are available to conduct educational programs for organizations throughout the community. Feel free to contact us for more information.
Patient satisfaction is our priority, even extending to lifetime coverage on every hearing aid we fit! 7629 PURFOY ROAD, STE 109 FUQUAY-VARINA, NC 27526 (919) 762-0358
www.assuredaudiology.com
HOURS: MON - THURS 9 AM-4PM FRI 9 AM-NOON
“As with any other physician, make
When you receive your hearing aid(s),
These include directional microphones
sure you feel comfortable with your
Dr. Galloway recommends getting all
and systems to help manage feedback,
doctor of audiology,” Dr. Galloway
the information about them, including
or whistling, from the hearing aids, as
says. “This should be a long-term
a warranty, how repairs are handled,
well as noise management algorithms
relationship with ongoing care of
and the return policy. Get everything
to improve performance in the presence
your hearing health, as well as your
in writing and make sure all the poli-
of background noise. The comfort and
hearing aids…It should never be a case
cies are explained up front. “When you
size of the instruments has also signifi-
of getting hearing aids and then never
make an investment like this that per-
cantly improved. “Many times, I have
returning to the office. It is an ongoing
tains to your quality of life, you want
to really look to make sure my patients
process where I continually monitor
to get the most usage and return on
are actually wearing their hearing aids.”
my patients’ hearing and schedule
your investment,” Dr. Galloway says.
Galloway says.
regular maintenance on their hearing
“The only way that will happen is if
aids, as well. This goes on for the life of
you feel comfortable enough with your
the hearing aids.”
doctor to communicate openly and
Choosing the right doctor is essential to getting the correct treatment and successfully managing the condition.
honestly regarding your experiences.”
thrive magazine
advances in hearing aids in recent years.
57
healthy & happy • animals keeping us healthy
how service dogs & animals Dogs
Cats
Horses
maids, companions and guides.
health issue
health issue
health issue
Dogs are not alone. Animals of
Blindness, limited mobility,
Heart problems, mental
Blindness, limited mobility,
all kinds are able to be trained
physical disability, heart
health issues
mental health issues
to help people monitor health
problems, allergies, mental
issues, to get around if they are
health issues, diabetes
how the animal helps
how the animal helps
Dogs aren’t just man’s best friend, they can also be nurse
struggling with mobility, and
Often referred to as “Angel
Miniature horses are popular
how the animal helps
Cats,” service cats or therapy
as guide animals because
Dogs are the classic ser-
cats can alert owners to
they are large enough to lead,
Here are just a few of the
vice animal. They are best
the threat of an imminent
but are small enough not to
animals commonly able to be
known for serving as guides
seizure or heart attack, usu-
cause injury, unlike a regular
trained to serve as companions,
for those with blindness or
ally by pawing at the person
horse. Full-sized horses are
with information about the
limited sight. However, they
or sitting on them. Cats can
often used in mental health
health issues and conditions
can also be trained to sense
also serve as companions for
therapy for those suffering
they help to monitor or treat:
when a person is about to
those suffering from mental
from issues like depression,
experience a severe health is-
health issues, helping to re-
anxiety and cognitive disor-
sue, such as a heart attack, or
lieve anxiety and depression.
ders such as autism.
much more.
when someone needs to take medication, such as when an allergy attack is about to strike or when blood sugar drops too low in a diabetic. Dogs have long been used as therapy animals for those suffering from trauma or
thrive magazine
mental health issues.
58
healthy & happy • animals keeping us healthy
can help us and keep us Pigs
Monkeys
Birds
health issue
health issue
health issue
Blindness, limited mobility,
Physical disabilities
Diabetes, limited sight,
mental health issues
healthy
limited mobility, mental how the animal helps
health issues
how the animal helps
Those with spinal cord
Like the miniature horse,
injuries are the most com-
how the animal helps
many types of pigs are just
mon benefactors of service
Birds like parrots and
the right size to serve as
monkeys, but people with
macaws are able to service
guide animals for those who
many other types of physical
as both service and therapy
are blind or who have limited
disability or limited mobility
animals. Some birds are
mobility. Pigs can also be
can also benefit from these
able to send when blood
trained as therapy animals
helpful animals. Service
sugar is falling in diabetic
for those suffering from a
monkeys can retrieve objects,
patients, alerting them
variety of mental health
push buttons, hold food and
to the need to eat or take
conditions. Service pigs have
drinks and much more. They
medicine. Some birds can
made news in recent years
can even move an arm or a leg
help to retrieve objects for
as passengers have fought
in a wheelchair.
those with limited mobility,
airlines for the right to bring
or to help navigate people
them on board.
with limited sight. Other
A range of animals are available to provide service, guidance and companionship, including unexpected choices like snakes and iguanas. Talk with your doctor about resources for service animals in the Triangle and throughout the state.
birds have been trained to help people through mental health issues, such as calming a person who has anger issues or providing comfort to those with depression and anxiety.
thrive magazine
59
healthy & happy • diabetic retinopathy
diabetic retinopathy: combating
vision loss
Our e x per t: dr . milton ja me s, md of nor th c a rolin a e y e e a r nose & throat
When most people think of
ity,” Dr. James says that swelling of the
cases,” James shares. “In fact, you
diabetes, they think of how it
macula may cause vision loss.
may have advanced disease and not be
affects blood sugar and insulin
aware of it.”
levels. Many don’t think of vision
“Additionally, new and abnormal blood
problems being associated with
vessels may grow or proliferate onto
diabetes. The risk of developing
the surface of the retina,” he says.
diabetic retinopathy or the disease
“These blood vessels tend to be fragile
progressing increases over time.
and may bleed into the back segment
Over 80% of patients with diabetes
of the eye. This proliferative form of
will develop retinopathy.
DR can fill the eye with blood and cause significant loss of vision.”
“Diabetic retinopathy, or DR, is a
Diabetic retinopathy is typically discovered during an eye exam, when the eye doctor finds changes to the eye. In some cases, patients will present blurred vision believed to be due to a need for glasses, but in fact, they have decreased vision from DR.
condition that affects the retina, the
The problem is common. “Diabetes is
back layer of the eye and an important
the leading cause of new cases of legal
Dr. James also says that patients who
part of the visual pathway,” explains
blindness and decreased productivity
have severe swelling of the macula
Dr. Milton James of North Carolina
in adults between the ages of 20 and
may have blurry vision or loss of some
Eye Ear Nose & Throat. “In DR, the
74,” James reports.
central vision. Patients who have
retinal blood vessels may become
experienced proliferation of abnormal
‘leaky.’ As a result, the blood, fluid, and
Getting regular eye exams is an
blood vessels may notice floaters in
fatty deposits that normally live in the
important part of diagnosing diabetic
their vision.
blood vessels leak out into the center
retinopathy, as there may be no
of the retina.”
visible symptoms.
“All people with diabetes – Type I
thrive magazine
and Type II – are at risk for diabetic
60
Since the center of the retina, or
“An important point to stress is that
retinopathy and should have a com-
macula, “provides the best central acu-
DR does not cause eye pain in most
prehensive eye exam performed at
healthy & happy • diabetic retinopathy
A CENTURY OF EXPERIENCE, A LIFETIME OF CARING
North Carolina Eye, Ear, Nose & Throat has a 100 year tradition of providing advanced, friendly, caring treatment to every patient. Our staff and physicians deliver comprehensive, state-of-the-art care in a personal community-based setting. We do not charge a facility fee at any of our offices.
EYE CARE • EAR, NOSE & THROAT CARE • LASIK • AUDIOLOGY • SPEECH PATHOLOGY SERVING THE TRIANGLE FOR 100 YEARS IN FOUR CONVENIENT LOCATIONS North Durham
4102 N. Roxboro St., Durham 27704 919-595-2000
South Durham
5726 Fayetteville Rd. #102, Durham 27713 919-287-3443
Cary
1110 SE Cary Parkway #100, Cary 27518 919-859-6771
Roxboro
911 Ridge Road #A, Roxboro 27573 336-597-2829
WWW.NCEENT.COM
least annually,” James says. “Patients
Patients can reduce their risk of devel-
manage any issues early before vision
may need more frequent eye exams,
oping diabetic retinopathy by carefully
loss occurs.
especially when their diabetes is not
managing their diabetes. Dr. James
well controlled, it is a chronic condi-
says that patients should work with
Of course, proper self-care through
tion, or retinopathy has been detected
their physicians to carefully control
eating a healthy diet and getting regu-
in the past.”
blood-sugar levels and to manage as-
lar exercise is also essential to manag-
sociated medical conditions with their
ing diabetes and reducing the risk of
diabetes, such as hypertension and
developing diabetic retinopathy.
high cholesterol. Dr. James urges that, “A commitDr. James explains that an ophthal-
ment to wellness by the patient and a
mologist should be a part of every
coordinated medical effort is impor-
patient’s healthcare team, and the
tant when managing diabetes and the
ophthalmologist and physician should
associated ocular complications.”
communicate closely to detect and
thrive magazine
Treatments for diabetic retinopathy depend on the severity of the condition and how it manifests in the eye. Laser therapy, intraocular injections, and retinal surgery are all potential options.
61
healthy community • superfoods & antioxidants
beans:
the powerful meat-free protein
Beans, beans, they’re good for your heart.
As you can see from the chart below,
You can mash beans and turn them into
The more you eat, the more you … well,
most beans are high in fiber, calcium,
dips or patties that you can fry up as
never mind that last part. Beans may be
iron, folate and manganese, which are
burgers. You can even use beans as a base
known as the musical fruit, but they are
all essential nutrients. Beans are an
for breads and desserts.
also a very powerful plant-based protein.
especially good choice for pregnant
Vegetarians or those simply looking to
women who need folate. They are also
If you aren’t sure how to cook beans, get
eat less meat in their diet can substitute
a good choice for anyone trying to eat a
a good cookbook or go online to browse
beans in a lot of dishes to get the protein
healthier, more plant-based diet. The high
recipes. Try adding one meatless day to
they need. Love tacos? Just double up on
fiber content will make you feel full more
your week and focus on plant-based pro-
beans and skip the beef. Want stir fry?
quickly, which will reduce your cravings
teins like beans for your meals instead of
Try mixing in some beans with veggies
and help you stick to your healthy diet.
meat. You’ll add a variety of protein and
instead of steak or chicken.
other essential nutrients to your diet. Beans don’t have to be just a side item on
You have dozens of options for beans.
your plate. You can make main courses
Give beans a try. You may be surprised at
Here’s what you need to know about some
that are built up around beans. You can
what they can do for your health.
of the most popular types of beans and
boil beans and add them with other
how much protein they contain.
ingredients, such as rice or pasta.
soy beans | Soybeans have the highest protein of any beans. Therefore, they are frequently used in meat substitutes, such as commercially made “burgers.” They are also the basis for tofu and tempeh. Recommended Amounts: 1 cup per day Protein: 28.62 grams Other Important Nutrients: Isoflavones and phyteoestrogens, which are thought to fight breast cancer and reproductive cancers. white beans | White beans are excellent in chili, soups and salads. They can be eaten warm or chilled. Recommended Amounts: 1 cup per day Protein: 17.4 grams Other Important Nutrients: High in fiber, calcium and iron. black beans | Black beans are excellent savory beans that pair well with many Spanish and Latin dishes. They can be mixed with rice, served in soups, added to chili and so on. Recommended Amounts: 1 cup per day Protein: 15.2 grams Other Important Nutrients: High in fiber, iron, folate and thiamin.
thrive magazine
kidney beans | Kidney beans are most often found in chili, soups and salad. They are large, red beans that are shaped like kidneys, giving them their name. They have a strong flavor. Recommended Amounts: 1 cup per day Protein: 15.3 grams Other Important Nutrients: High in fiber, folate and manganese.
62
garbanzo beans | Garbanzo beans are also known as chickpeas. They are ground up and turned into hummus, a popular and healthy dip or spread. They can also be eaten whole in salads and pastas. Recommended Amounts: 1 cup per day Protein: 14.5 grams Other Important Nutrients: High in fiber, folate, manganese, iron, copper and magnesium.
weighing in
a thrive special section devoted to
your weight & your HEALTH
THRIVE SPECIAL SECTION: your weight & your health
spotlight: how hormone fluctuations are associated with weight gain
Our e x per t: s c ott g. a nder s on, md fac og, of blue r idge ob / gyn
As a woman, you may already under-
and found an average weight gain of about
effects of progesterone is fluid retention, so
stand some of the ways that hormones
2 pounds every four years. Eating processed
women will weigh more premenstrually.”
can affect your weight. As your men-
foods and sugary drinks contributed to
strual cycle approaches, you may see
higher weight gain, and eating a plant-
This weight gain averages around 3 to 4
a slight rise in your weight thanks to
heavy diet while also exercising slowed
pounds, but it can be as high as 10 pounds.
hormone changes that influence
weight gain. Getting between six and eight
your metabolism and cause you to
hours of sleep also had a positive effect on
Eating a diet high in complex carbohydrates
retain water.
keeping off the pounds.
during these time may help you to reduce
Yet there are many more ways that hormones can influence your weight, whether you are a man or a woman. Your thyroid plays a significant role in your
Hormonal changes can be significant leading up to and through menopause, and these can have a big influence on weight.
food cravings and minimize weight gain. Staying away from salt, fat, sugar and caffeine can help you to reduce water retention and weight gain. Taking a calcium supplement may help with the mood shifts caused by hormonal fluctuations, and taking
hormonal regulation, and changes in your
a magnesium supplement may help with
thyroid can influence your weight.
reducing bloat. The National Institutes of Health also
“A low (or underactive) thyroid, called hypo-
noted that aging could lead to weight gain
Hormonal changes can be significant
thyroidism, will cause weight gain, as well
because of the loss of muscle tissue, which
leading up to and through menopause, and
as hair loss, constipation, cold intolerance,
also plays a role in regulating metabolism
these can have a big influence on weight.
and fatigue,” says Scott G. Anderson, MD
and hormones. “Menopause generally does two things,”
FACOG of Blue Ridge Obstetrics. Alternatively, hyperthyroidism will cause weight
For women, the reproductive cycle has a
Anderson says. “One: It redistributes fat
loss. Thyroid medicine is sometimes abused
strong influence on hormones and weight
tissue. It won’t cause weight gain directly,
for weight loss, but hyperthyroidism can
throughout life.
but with the loss of estrogen and gain in testosterone type hormones, a more male
thrive magazine
also cause heart problems.”
64
“As far as monthly fluctuations, a woman’s
distribution of weigh occurs. It moves
Hormones can also change as you age,
weight will definitely change over the
away from the hips and buttocks and
causing your metabolism to slow. The Mayo
month, mostly related to fluid shifts,” An-
towards the abdomen/middle. Two: Meno-
Clinic cited a study that followed over
derson explains. “Progesterone levels tend
pause may slow metabolism. The slowing
100,000 men and women in good health
to be high premenstrually, and one of the
of the metabolism can cause weight gain.
THRIVE SPECIAL SECTION: your weight & your health
OBSTETRICS GYNECOLOGY INFERTILITY
NOBODY CARES FOR YOU BETTER Endometrial Ablation (NovaSure®) Tubal Sterilization (Essure®) Advanced Laparoscopic & Robotic Surgery (da Vinci ®) In-Office Ultrasound Caring for the women of the Triangle since 1952.
NORTH RALEIGH AREA REX HOSPITAL AREA
11001 Durant Rd 919.781.2500 3200 Blue Ridge Rd 919.782.9005
This can be fought with regular exercise and a good diet.”
blueridgeobg.com
Menopause and Weight Gain PANTONE® 5275 C
Whether you are a male or female, hormonal fluctuations will occur in relation to your stress levels, your diet, how much sleep you are getting, and processes that are happening in your body as you age. Though you may not be able to do anything
PANTONE® 576 C
The same metabolic set point holds true for your post-menopausal body as it did before “the change.” To restore balance, figure out what is going on at the core of your physiology and emotions. One of the blessings of menopause is the stripping away of the masking effects of estrogen. While this process may produce symptoms, it becomes much easier to get a handle on underlying individual susceptibilities and what’s not functioning well for you. Many women have conditions such as insulin resistance or adrenal fatigue that have been developing for a long time, but it’s only after estrogen levels dip that the symptoms become noticeable. Once apparent, it becomes easier to know what to do about it.
about some of these changes, you can minimize weight gain by following a healthy lifestyle that includes a diet with plenty of exercise and sleep.
thrive magazine
complex carbohydrates and getting enough
Why does weight gain occur so easily for women as they age? Worldwide, the prevalence of obesity has doubled since 1980. Because this is most notable in developed countries, much of this trend can be traced to a sedentary lifestyle and consumption of highly-processed foods. Also, your fat cells and your hormones are part of a system-wide biofeedback network that orchestrates your appetite, metabolism, heat regulation, digestion, and detoxification. – from WomensHealthNetwork.com
65
THRIVE SPECIAL SECTION: your weight & your health
spotlight: busting myths about obesity The rates of obesity are expanding
medical conditions can also predispose the
Diet is not the problem. It’s exercise.
about as quickly as our waistlines are.
body to weight gain.
Many health experts have said that Americans don’t get enough exercise, which can
The Centers for Disease Control and Prevention reports that 35.7 percent of
Many studies have also shown how stress
have devastating consequences for both
adults in the United States are obese,
and other factors can influence what we
our weight and our health. Even Michelle
as are 17 percent of children ages 2 to
eat without our knowledge. One study
Obama has gotten in on the issue, promot-
19. The numbers are only expected to
by the Journal of Personality and Social
ing more physical activity through her “Let’s
rise in the coming years.
Psychology showed that stress and being
Move” campaign. Although regular exercise
overwhelmed with having too many choices
is important to maintaining a healthy
Obesity has been called an “epidemic,” and
predisposes people to choosing higher
weight and body, a lack of exercise can’t
everybody from your grandma to the talking
calorie foods with less nutritional value.
be blamed on the obesity epidemic. The
heads on television have something to say
Another study by The Journal of Consumer
Centers for Disease Control and Prevention
about it. Unfortunately, that means that
Research showed that people are more
reported that there was no major decline
many myths have been spread, making it
likely to make poor food choices after
in exercise levels between 1980 and 2000,
harder to educate about the issue and cre-
completing demanding tasks. These food
when obesity rates in the country doubled.
ate real change.
choices were not conscious. Therefore,
The agency reports that exercise outside
eating habits are not always controlled by
of work has actually increased (even if jobs
simple will power.
have become more sedentary).
Obesity is caused by genetic factors.
The truth about obesity is that it’s a
People who are obese eat a lot of food
While genetics does play a role in a
complex issue. There is no one reason why
and can’t control themselves.
person’s propensity to become obese, it is
people become obese, and there is no one
You don’t become obese simply because
not the only factor. People whose genetics
solution that will reverse the problem.
you eat too many donuts, and you don’t
or medical conditions contribute to weight
The first step in solving obesity is creating
eat too many donuts simply because you
gain can still reduce their weight through
education and awareness, and then working
don’t know how to say “no.” Many complex
a combination of a healthy diet, regular
to make resources available so that people
factors contribute to a person’s weight.
exercise, or even surgery. A study by Human
can get the treatment they need.
Some medical issues such as hormonal
Molecular Genetics found that the overall
imbalances, thyroid disorders and metabolic
rates of obesity have doubled between
syndrome can make it extremely difficult for
1980 and 2000, which is faster than could
people to lose weight, even if they are eat-
be accounted for by genetics alone.
Here are just a few of the many myths that
1
2
66
ing a low-calorie diet and exercising. These
3
sources
thrive magazine
have been spread about obesity:
1 www.carlsonschool.umn.edu/assets/113144.pdf 2 www.d.umn.edu/~dglisczi/4501web/4501Readings/ Shiv%281999%29FruitOrCake.pdf 3 hmg.oxfordjournals.org/content/15/suppl_2/R124.full
THRIVE SPECIAL SECTION: your weight & your health
spotlight: how weight can affect your emotions You already know how your emotions
can serve as a constant reminder of this,
in the Journal of Clinical Psychiatry 1 found
can affect your weight. Consider how
leading to feelings of extreme frustration
that the consequences of weight gain could
we feel right after a long and stress-
and failure.
include impaired physical ability and mental
ful day at work – Our first instinct is to
health problems such as depression. These
reach for a slice of pizza followed by
Depression and Other Mental Disorders
issues can also exacerbate mental health
a big piece of chocolate cake, not a
Excess weight can cause serious psycho-
disorders that the person may already have,
salad or fruit. If those poor eating habits
logical issues such as depression, anxiety,
such as schizophrenia.
caused by stress and depression last for
and mental disorders. The reasons for this
a continued period, it is easy to pack on
are as complex as the reasons that we gain
Mental and Physical Health
the pounds.
weight in the first place.
We all know that it’s not healthy to carry extra weight or to be obese, but many of
What you might not know is that your
Some may develop low self-esteem and de-
us are still learning just how far the con-
weight can also adversely affect your
pression because of the constant negative
sequences of carrying excess weight go.
emotions. Its influence goes beyond making
feedback they get from family and friends.
Through public education, it is possible
you feel bad because you have a muffin top.
While comments may be rooted in concern
to create changes that can help
Excess weight can significantly impair your
for their loved one’s well being, some family
overweight and obese people get
self-esteem, bring down your overall mood,
and friends may end up lecturing over-
the help they need
and even cause depression.
weight and obese people about their need
to get healthy. By changing
to get healthy by asking them constantly
the way we talk about
Feelings of Frustration and Failure
about what they are eating or how much
the issue, we can
People who are overweight or obese know
they are exercising, or reminding them
also minimize
that they need to lose weight. Many prob-
regularly about their excess weight.
the effects that weight gain
ably try to lose weight by starting a diet or adding some exercise to their day. However,
Of course, society itself does a good
has on
losing and gaining weight is more complex
enough job of reminding people that they
emotional
than what a person eats or how much he
are overweight or obese. Images of rail-thin
health.
exercises. Psychological issues, health con-
models and photo-shopped celebrities tell
ditions and genetics can all influence how
us all how we should look, while few of us
much weight a person gains or how quickly
actually do.
he loses weight. In addition, excess weight can cause a person’s hormones to shift out of balance,
may not get results. The excess weight
which can lead to mood disorders. A study
1 www.ncbi.nlm.nih.gov/pubmed/10548135 thrive magazine
For many, simply dieting and exercising
source
67
THRIVE SPECIAL SECTION: your weight & your health
spotlight: is your job making you fat? They say you should never trust a
69 percent said they gained weight. Other
those saying that they gained more than 20
skinny chef. While most of us aren’t
positions that reported significant weight
pounds, and 59 percent saying they gained
surrounded by food all day, our jobs
gain on the job included:
more than 10 pounds.
could still be making us fat – we just don’t earn any bonus credibility points
n
Engineer
Reasons for Weight Gain on the Job
for it.
n
Primary school teacher
Not surprisingly, the biggest reason that
n
Nurse practitioner or physician’s
employees report gaining weight on the job
assistant
is that they are sitting down all day. Office
Your profession doesn’t have to involve cooking delicious foods to make you gain
n
IT manager
workers like administrative assistants do
weight. In fact, many typical 9-to-5 posi-
n
Legal professionals, including
the bulk of their work in front of a computer
attorneys and judges
screen. Their only opportunity to get up
n
Production workers
and move typically involves walking to the
n
Scientists
restroom or going to get a snack. Unfortu-
tions lead to a number of factors that can cause you to pack on the pounds.
nately, most professional positions involve
Career Builder surveyed workers in 2013 about weight gain on the job, and found that
Overall, 41 percent of workers said they
sedentary work. Meanwhile, you’re unlikely
administrative assistants were the
gained weight on the job, with 30 percent of
to find many brick layers or landscapers
most at risk of putting
who say they’ve gained weight because of
on pounds,
their careers. Stress was the second biggest factor that many people cited for gaining weight on the job, and the problem encompasses many smaller issues. First, those who have
thrive magazine
a stressful work environment with a very
68
THRIVE SPECIAL SECTION: your weight & your health
busy schedule often have to skip meals or
to feel hungry more often, that you’ll be
around as much as possible. Go
eat in a hurry. If they skip meals, they are
craving foods that are high in fat and sugar,
for walks on your lunch break or
throwing their metabolic process out of
and that your body will be predisposed to
install a sit/stand desk to give
balance, encouraging fluctuations in blood
store fat.
you opportunities to get on your
sugar levels that could encourage binge eat-
feet while you’re working.
ing later in the day, which can promote fat
Many office environments also feature
storage. If they are eating in a hurry, they
bountiful unhealthy snacking opportunities.
Plan ahead and pack a healthy
are likely to eat out of the vending machine
There always seems to be a birthday cake,
lunch and snacks. You’ll
or grab fast food, which means they are
a potluck celebration for someone’s retire-
ensure you always have some-
presumably eating foods that are high in fat
ment, or a dozen donuts in the break room
thing healthy to reach
and calories but low in nutrition.
that someone brought in just to be nice. It
for when you’re in a hurry,
is difficult to resist these temptations, and
and you’ll feel satisfied
Stress also contributes to hormonal imbal-
you may feel bad not participating in these
and less likely to indulge in
ances, which have a significant impact on
social events. However, you’ll also end
unhealthy treats.
weight. Increased adrenaline, cortisol and
up eating more unhealthy foods than you
insulin production mean that you are likely
should. Fighting the Bulge You don’t have to be a victim to your working circumstances. If you work in a sedentary job, get up and move
thrive magazine
69
THRIVE SPECIAL SECTION: your weight & your health
spotlight: the psychological connection between obesity and your past
They say to let the past stay in the past,
relationship with food or can have a very
but for some people, it isn’t that simple.
Childhood events can cause depression
low self-esteem, both of which contribute
Things that happen in the past can stay
later in life. Child abuse and neglect can set
to poor lifestyle choices that can lead to
with you for years and years maybe
people up for chronic depression and anxi-
unhealthy weight.
even your whole life. They can have an
ety throughout their adulthood, which can
impact on the way you think, the way
increase their probability of obesity. The
Treating Obesity
you feel and the way you behave. They
American Psychological Association says
Before some people can be treated for
can even have an impact on the way
that people who suffer emotionally strain-
obesity, they must receive the psychologi-
you eat.
ing incidents as adults, such as major illness
cal treatment that they need. Childhood
or job loss, can also have a higher risk of
scars linger long into adulthood, and if they
As doctors and scientists are continuing to
obesity. Treating obesity must also address
are not addressed, they can continue to
learn more about the complex factors that
the psychological problems that contribute
threaten the mental and physical health of
contribute to obesity, they are beginning
to it, including identifying and addressing
those who suffer from them. Some things
to understand the psychological link. For
problems rooted in childhood.
you can’t just “get over” with time.
other psychological conditions. For others,
Sexual Abuse and Obesity
Treatment for obesity must take a
psychological problems can contribute to
Childhood trauma can have the strongest
multi-faceted approach that recognizes
obesity.
influence on depression later in life. Sexual
its multiple influences. In addition to the
abuse is linked to obesity in both children
ongoing psychological care that some
Depression and Obesity
and adults, according to Obesity in Action.
patients need, they must also be examined
Depression can cause changes in a person’s
Though this may seem like a problem for
for medical conditions and perhaps even
hormonal balance and immune system,
only a minority of people, the Centers for
receive medication. Counseling on how to
which may change the way their body
Disease Control and Prevention reports
create a healthy diet or exercise plan is
processes food and cause them to crave
that 1 in 6 boys and 1 in 4 girls are sexually
important, but it is only one small piece in
more fatty and sugary foods. A 2008
abused before they turn 18.
the puzzle.
some, obesity can cause depression and
thrive magazine
study in Clinical Psychology1 reported that
70
depression could contribute to a higher risk
Sexual abuse can predestine these children
of obesity because of these physical varia-
for chronic depression, anxiety and other
tions, as well as an impairment of self-care,
mental disorders, which can, in turn, in-
which causes people to eat poorly and to
crease their risk for obesity. These children
exercise less often.
(and later adults) can form an unhealthy
sources 1 www.sciencedaily.com/releases/2008/06/080602152913.htm
THRIVE SPECIAL SECTION: your weight & your health
spotlight: the REAL truth behind weight loss drugs
It would be so easy to lose weight if
You Still Have to Diet and Exercise
loss drugs that were contaminated with
all we had to do was pop a pill. Forget
All weight loss pills come with the warning
laxatives, prescription drugs and other in-
about months and months of exercising
that they are not effective when taken
gredients that were not listed on the label.
and watching what you eat. A pill that
alone. You still have to eat well and exer-
promises to curb your appetite or to
cise regularly if you expect to lose weight.
Not All Natural Supplements are Safe
block the fat that you eat could make it
No diet pill can counteract the effects of
Many people also mistakenly believe that
so much simpler to achieve your ideal
a poor diet and a sedentary lifestyle, no
if something is billed as “natural,” then it
shape and to encourage health.
matter how effective it is. Some diet pills
is safe. After all, what could be dangerous
may be able to enhance your efforts and
about an herb or ingredient taken from na-
Fortunately, according to advertisements,
help you lose weight a little more quickly,
ture? In reality, many natural supplements
there is such a pill. In fact, there are thou-
but you have to make healthy changes to
can be just as dangerous as prescription
sands that promise to help you lose weight.
get things started.
supplements. Some herbs can act as stimulants, increasing your heart rate and
ABC News says that Americans spend $18 billion a year on these magic pills. Unfor-
Not All Supplements are Safe
putting you at risk for a number of health
tunately, in reality these pills and supple-
Many people believe that if they are
issues. Natural supplements can also be
ments are ineffective at best, and damaging
buying something from the store or a
mixed with prescription ingredients yet still
to your health at worst. Here’s what you
pharmacy shelf, that it is safe. Most
be labeled as “natural.”
need to know about weight loss drugs:
consumers mistakenly believe that the Food and Drug Administration approves weight
If you want to lose weight, the best way to
They Don’t Work
loss supplements, but the agency does not
do it is always going to be to eat a healthy
Some weight loss drugs, particularly those
consider these pills to be drugs. Weight
diet and to get plenty of exercise. Magic
given by prescription, can be effective for
loss pills do not have to undergo any safety
pills are just that: “Magic,” and we all know
some people. However, the results are not
review before they go on sale. The only
that magic doesn’t exist.
as dramatic as those portrayed in weight
time the FDA intervenes is if there are a
loss ads, and results can take a long time
high number of complaints about a
to achieve. For most people, most weight
particular supplement.
loss drugs do not have any impact at all. The FDA often issues warnings about
some people might lose weight because of
weight loss drugs if it receives enough
lifestyle changes they make in conjunction
reports about dangerous side effects. Last
with taking the pills.
year, the FDA released a list of 69 weight
thrive magazine
Results may be similar to a placebo, and
71
THRIVE SPECIAL SECTION: your weight & your health
obesity & sleep: what are the risks? Obesity is epidemic in the United
tive sleep apnea are obese. Conversely,
risk for other major health problems, like
States, with almost two-thirds of the
about 40 percent of people who are obese
heart disease. Obesity itself also increases
country now considered overweight
have obstructive sleep apnea. These
the dangers associated with heart health.
or obese according to the Centers for
statistics indicate a glaring correlation
Obesity creates an unhealthy cycle.
Disease Control and Prevention. A lot
between the two.
Excess weight escalates the risk of
of the education about obesity focuses
sleep problems, including sleep apnea or
on its potential health risks, such as
Depression
depression that causes sleep loss, which
type 2 diabetes. However, obesity
Obesity also has a strong link to depres-
in turn increases the risk of heart disease.
can affect you in ways that you might
sion, anxiety and other mental health
A study from the Michigan Metabolomics
not have thought of, such as limiting
issues. Not only do many obese people
and Obesity Center found that teens who
your sleep.
suffer from low self-esteem, but the
are obese and who are not getting enough
hormonal and other physical changes that
sleep have a higher risk of heart related
Obesity can have a big impact on the quan-
they experience can also alter their mood,
issues. While most people should sleep
tity and quality of sleep you get, which
and even their brain chemistry, causing
between eight and nine hours per night,
can, in turn, increase your risk for serious
them to develop depression and other
the teens in the study were averaging
health problems.
mental health disorders. Psych Central
seven hours each night.
reports that at least 66 percent of patients Sleep Apnea
seeking weight loss surgery for obesity
Obesity and Sleep
The most common sleep problem associat-
have a history of mental health problems.
Obesity is a complex problem with a multitude of health risks. Sleep is vital
ed with obesity is sleep apnea. Those who suffer from sleep apnea experience short
A prevalent symptom of depression is lack
to good health, and obesity can
periods of shallow or stopped breathing,
of sleep. Though some may sleep more
threaten sleep quality and quantity,
which can disrupt sleep or impair the qual-
when they are depressed, many suffer
creating even more health risks
ity of sleep. Sleep apnea can also cause
from insomnia. By increasing the risk for
than obesity alone. One step
heavy snoring, which can further impair
depression, obesity also increases the risk
towards getting better sleep
the quality of sleep that sufferers get.
for insomnia and other sleep disorders.
could be to lose some weight.
thrive magazine
Even nominal weight loss
72
Obesity can cause sleep apnea because
Heart Disease
can help you to sleep more
the excess body weight puts pressure on
Not getting enough sleep has more seri-
or to get higher quality sleep,
the chest and lungs, making it harder to
ous consequences than being sleepy the
which can increase energy and
breathe. Stanford University reports that
following day. Research has shown that
make it easier to live a healthy
about 70 percent of people with obstruc-
ongoing sleep deprivation can increase the
lifestyle.
THRIVE SPECIAL SECTION: your weight and your health
thrive magazine
73
THRIVE SPECIAL SECTION: your weight & your health
stress & weight: how your busy schedule
may be contributing to your expanding waistline Our stress response was designed to
Unfortunately, in our modern day environ-
Managing Stress for Weight Loss
protect us from immediate dangers
ment, we don’t respond to stress in the
Not all people respond to stress in the same
like a wooly mammoth stampeding in
same way we would have in our hunter-
way. However, chronic stress can have
our direction or a lion hunting us for
gatherer days. Instead of having that burst
unhealthy consequences for everyone.
lunch. Hormones such as adrenaline
of energy, you likely sit and worry. After
Of course, the best way to mitigate these
and cortisol are released during these
initially suppressing your appetite, stress
consequences is to reduce the incidence of
types of situations to help us either
hormones then increase it. Long-term stress
stress. For some people, this means partici-
fight these dangers or to run fast
can have you reaching for high-fat and
pating in activities like meditation or finding
enough to escape them.
high-sugar foods even if you are not hungry,
more time to relax. Some simply focus on
and it can make you feel hungry more often.
finding ways to change their perception of
Both can contribute to steady weight gain.
activities and events so that they do not
Fortunately, we don’t typically have to
cause them to feel stressed.
worry about being eaten by a lion in this day and age, but our stress response doesn’t
Fat Storage
know the difference between the threat
Your stress response also encourages
One of the most popular ways to manage
of a lion and the threat of a past due credit
your body to increase insulin levels, which
stress is to exercise. Physical activity of
card bill. That means that your body pumps
is used to move sugar from the blood to
any kind can control your insulin levels and
out all those stress hormones but doesn’t
the muscles. In a lion attack, you’ll need
counteract the effects of adrenaline and
use them the way nature intended. You sit
that sugar to give you as much energy as
cortisol. Physical activity is, after all, what
around stewing in adrenaline and cortisol,
possible to run as fast as you can. When
your stress response is designed to support.
which can have dire consequences for your
you’re dealing with a crappy boss day in and
Everyone must determine their own strate-
health and your waistline.
day out, that surge in insulin isn’t used up.
gies for combating stress. What some may
Instead, your insulin levels remain elevated,
find enjoyable, others may find stressful. If
which encourages your body to store fat.
you are battling the bulge, it might be time
Adrenaline and Cortisol
to look at your stress levels and figure out
thrive magazine
To understand how stress can cause you to
74
gain weight, it is first important to under-
Stress also encourages your body to store
stand the function of adrenaline and corti-
visceral fat in your belly. This is the fat that
sol. Adrenaline is designed to help you move
lies deep within your abdominal tissue and
quickly and strongly. Cortisol is intended to
muscle, making it much harder to get rid
help your body replenish its nutrient stores
of. Visceral fat also increases your risk of
after its burst of activity.
potentially deadly diseases, including heart disease and diabetes.
how you can bring them down.
sources 1 www.sciencedaily.com/releases/2008/06/080602152913.htm
THRIVE SPECIAL SECTION: your weight & your health
spotlight: what foods are making you fat? Diet advice is always changing. First,
healthy alternative to chips. However, dried
fat was the enemy, but you could eat all
fruit has five to eight times more calories
the carbs and sugar you wanted as long
than its fresh counterpart, as well as more
as they were low in calories. Now, fat
sugar. Commercially made dried fruit also
is your friend and you should eat plenty
usually contains added sugar, which adds to
of “good” fat if you want to lose weight,
its waist-busting properties.
but sugar and carbs will make you pack on the pounds.
Skip dried fruits and stick to fresh choices. You’ll take in fewer calories and you’ll feel
Trying to stay on top of the latest nutritional
more satisfied because of the fiber and
can send up the calorie count on these
data can give you whiplash from all the
water content, which makes you full.
foods and drinks. The addition of artificial sugars can cause hormonal disruptions that
back and forth. What information can you trust? Are fats good or bad? Will eating
Granola
can inhibit the way your body processes fat
carbohydrates give you the energy to work
Granola has long enjoyed a reputation as
and sugar, causing you to store more fat.
out, or will they make you retain weight?
a “health food,” so consumers have been
Understanding your nutritional options is
given a sense of false confidence and have
about much more than just looking nice in
Some things remain the same no matter
overindulged in the treat. Granola actually
what else changes – like that fresh fruits
has a lot of nuts and grains that are high in
and vegetables will always be healthy op-
calories. Depending on the mix, other fats
tions, and that some foods will always make
and sugars may be added, as well as dried
you fat. Here are a few foods you might not
fruits or even chocolate. It is a high-calorie,
know could be making you fat:
high-fat and high-sugar food that should only be consumed in small quantities.
Dried Fruit
It’s best to avoid any “diet” or “light” foods and just choose the real thing. If it is a food that is high in fat or sugar, indulge in moderation.
Fresh fruit is an excellent choice for snacks
“Diet” Foods
a bikini. The Centers for Disease Control
or meals as they are inherently low in
Diet soda and foods that are billed as
and Prevention estimates that one third
calories and fat, and have natural sugars
“light” foods because they are low in fat
of people over the age of 20 in the United
that are easily broken down by the body.
could actually be making you gain weight.
States are obese, and that number is
Dried fruit might seem like a good choice
Most of these food and drinks are packed
expected to increase. One of the best ways
when you want to have something quick
with sodium or sugars. (They have to
to prevent the spread of this problem is to
and easy to nosh on, or when
The addition of real sugar
choose healthy foods for each and every meal and snack.
thrive magazine
you want a crunchy but
make up the taste somehow.)
75
THRIVE SPECIAL SECTION: your weight & your health
spotlight: what health problems are linked to obesity?
Excess weight isn’t just a cosmetic
of suffering from a stroke. Their findings
stops. Obesity can cause sleep apnea be-
issue. Obesity is about more than an
were based on a meta-analysis of studies.
cause excess body weight can put pressure
unsightly muffin top and not being
on the chest and lungs, making it harder to
comfortable wearing a bikini at the
Type 2 Diabetes
beach. Obesity is defined as having
Excess body weight is one of the biggest
greater than 20 percent more weight
risk factors for developing Type 2 Diabetes.
Infertility
than is defined as normal and healthy
The condition is closely linked to insulin
A delicate balance of hormones governs the
for your weight, and all of that extra
levels in the blood, which increase as fat
reproductive cycle. When women carry ex-
weight can lead to a host of health
in the body increases. The Harvard School
cess weight their hormones can be thrown
problems.
of Public Health says that the risk of Type 2
out of balance, which can cause problems
Diabetes increases seven-fold for men who
with ovulation and irregular menstrual
Obesity rates doubled between 1980 and
have a BMI of 30 or more, and 12-fold for
cycles. Both can lead to infertility. The Har-
2000, according to the Centers for Disease
women with the same BMI.
vard School of Public Health reports that as much as 25 percent of infertility related to
Control and Prevention, and the Stanford Hospital and Clinics reports that healthcare
Osteoarthritis
related to obesity costs over $150 billion ev-
Carrying extra weight can put a big burden
ery year and about 300,000 people die each
on your bones and joints. Osteoarthritis
Many more health problems are associ-
year from obesity-related health problems.
and other joint problems are common in
ated with obesity, including some types of
Just a few of the health problems that have
obese individuals. The knees and hips are
cancer, metabolic syndrome, incontinence,
been linked to obesity include:
the most common problem areas, but other
digestive issues, as well as depression and
joints throughout the body can be affected.
other mental health disorders. Even just
Heart Disease and Stroke
Replacement surgery may be required in
being overweight can increase your risk
An increase in body fat can lead to raised
some cases, but losing weight can help to
for these health conditions. It is important
blood pressure, cholesterol, blood sugar
relieve pressure on the joints.
to work with your doctor to monitor these
thrive magazine
ovulatory problems can be linked to obesity.
issues while also developing a plan to lose
and inflammation, all of which can increase
76
breathe.
your risk for heart disease and stroke. The
Sleep Apnea
weight incrementally, and to make healthier
Harvard School of Public Health reported
Sleep apnea is a condition in which people
lifestyle choices that will lead to long-term
that those who are obese have an 81
stop breathing for short periods during
change.
percent higher risk of developing coronary
sleep. It primarily causes people to get
heart disease than those who are of normal
poor sleep because they wake frequently
weight, as well as a 64 percent higher risk
throughout the night when their breathing
THRIVE SPECIAL SECTION: your weight & your health
spotlight: is there a connection between genetics and obesity?
When you overindulge on vacation, you
also found it in humans. The gene does not
Science has only identified some of the
come back a few pounds heavier. When
encourage obesity, specifically, but it does
genes that are linked to obesity. The so-
you enjoy one too many treats over the
create conditions that make it easy to put
called “common” obesity may be linked to
holidays, you start to develop a belly
on or retain weight.
hundreds of genes.
simple: If you eat more calories than
Another study in the Journal of Clinical
Genetics and the Future
your body expends, you gain weight. If
Investigation found a gene that created
Though it has become clear that genetics
you eat the right amount of calories for
increased cravings for high-fat foods. The
can play a strong role in whether or not a
your body and level of activity, you don’t.
presence of the gene could override the
person becomes obese, genetics alone can-
willpower that many people believe is
not be blamed for this growing problem. The
needed to curb weight gain.
CDC has noted that although obesity rates
as jolly as Santa’s. The equation seems
Many believe that this is how people be-
have risen dramatically in the last couple of
come obese, as well. If you continually eat to excess, you gain a lot of weight. Though
A UCLA study found that genes control how
decades, our genetics cannot have changed
the idea makes sense with what we know
our bodies respond to a high-fat, high-sugar
significantly in that time, so it is not pos-
to be true, it is only partially accurate. Life-
diet. With the “wrong” genetics, you could
sible to link the issue to genetics by itself.
style choices such as diet and exercise are
be predisposed to put on more weight when
just two factors responsible for the rising
consuming these items.
Genetics may be among dozens of reasons for obesity in a particular individual. Other
rates of obesity. Many studies have shown The Centers for Disease Control and Pre-
factors include stress, medical conditions
vention says that even genetics that we all
the person may have and, of course, life-
Different Genetic Roles
share can play a role in our risk of obesity.
style choices. Some people who carry the
Several genes have been identified that
The so-called “thrifty gene” is intended to
genes that can predispose them to obesity
can be a factor in obesity. The Journal of
help us survive in times of famine or food
may never become obese.
Human Molecular Genetics says that some
scarcity. Our society has evolved to the
are linked to both rare and common types
point of having a steady abundance of food,
It is important to know what role genetics
of obesity.
but our genes haven’t evolved to compen-
can play in your weight so that you can be
sate. Therefore, we are still subconsciously
aware of particular challenges you might
A study in the journal Science found a rare
conserving food energy while faced with
face with your weight and protecting your
genetic mutation that prevents the body
excess. Instead, our bodies create an
health. However, relying on genetics as an
from burning fat. The original study found
abundance of fat.
“excuse” for your obesity can put you at a
that genetics also plays a role in obesity.
disadvantage.
thrive magazine
the mutation in rats, but later research
77
thrive magazine
healthy community • recipes
78
healthy community • recipes
Almond-stuffed Pork Chops cooking time: 15 minutes prep / 50 minutes cook Serves 4
nutrition per serving ingredients n 4 New York (top loin) pork chops, 1 1/4-inch thick n 1 tablespoon butter n 1/4 cup almonds, chopped n 1/4 cup celery, chopped n 1/4 cup onion, chopped n 2 tablespoons water n 1 teaspoon chicken bouillon granules n 1/2 teaspoon dried parsley flakes n 1/8-1/4 teaspoon almond extract n 2 slices white bread , cut into 1/2-inch cubes n 1 tablespoon browning and seasoning
chops on roasting rack in shallow roasting pan. Bake, uncovered, until internal temperature is 145 degrees F. (check temperature in thickest part of meat), 35-45 minutes. Combine browning and seasoning sauce and 1 tablespoon water in small bowl, if desired; brush over chops. Bake for 2 minutes more. Remove toothpicks from chops.
serving suggestions
Calories: 433 calories Protein: 39 grams Fat: 26 grams Sodium: 284 milligrams Cholesterol: 117 milligrams Saturated Fat: 9 grams Carbohydrates: 10 grams Fiber: 1 grams recipe from porkbeinspired.com
Basic stuffed chops with almond crunch. Serve with a mixed green salad and sautĂŠed green beans.
sauce, optional n 1 tablespoon water
cooking instructions For stuffing, melt butter in medium saucepan over medium heat. Cook almonds, celery and onion in hot butter until vegetables are tender. Stir in the 2 tablespoons water, bouillon granules, parsley flakes and almond flavor. Add bread cubes; toss to moisten bread cubes. Cut opening in each chop from the outer side; widen opening into pocket, being careful not to cut through the other side of the chop. Fill pockets in chops with equal amounts of stuffing.
Heat oven to 375 degrees F. Place stuffed
thrive magazine
Secure with toothpicks.
79
healthy community • recipes
Lemon Artichoke Chicken Serves 4
ingredients n 4 chicken breast halves, boneless & skinless n 6 tbsp flour, divided
cooking instructions In shallow dish, combine 4 tablespoons
a boil and cook until reduced by half , about
f lour and black pepper. Dredge chicken
6 minutes.
breast halves in mixture.
n 1 tsp black pepper n 1/2 cup butter, divided
In large skillet over high heat, melt ¼ cup
n 1/2 cup chopped green onions
butter (1/2 stick). Add green onions; sauté
n 2 cups chicken stock or broth
over medium heat until softened, about 2
n 1/4 cup dry white wine
minutes. Add chicken to pan; cook, turning
n 1/4 cup f reshly squeezed lemon juice
once, until lightly golden brown on both
n 1 can artichoke hearts, quartered
sides, about 3 to 4 minutes per side. Remove
n 1 tsp salt
chicken from pan and keep warm.
n 1/4 cup capers n 1/4 cup chopped parsley
Add chicken stock and wine to pan, stirring to scrape bits of f bottom. Bring mixture to
In small bowl, knead together remaining 2 tablespoons of f lour and ¼ cup butter. Whisk into sauce and stir until thickened. Stir in lemon juice and artichoke hearts. Stir in salt. Add chicken and cook, covered, until heated through, about 7 minutes. Just before serving, add capers and chopped parsley to chicken.
nutrition per serving Calories: 380 calories Fat: 25 grams Saturated Fat: 15 grams Carbohydrates: 19 grams from the culinary center
thrive magazine
of kansas city
80
healthy community • recipes
thrive magazine
81
thrive magazine
healthy community • recipes
82
healthy community • recipes
Asparagus Pesto with Gnocchi & Ham cooking time: 15 minutes prep / 20 minutes cook Serves 4
ingredients n 2 cups ham, cubed n 12 ounces asparagus, * n 3/4 cup basil leaves n 1/2 cup Parmesan cheese, grated n 1/3 cup walnut pieces
Meanwhile, coat a skillet with nonstick cooking spray. Cook ham cubes in skillet until heated through. Stir remaining portion of the pesto into ham cubes; heat through. Drain gnocchi and toss with pesto-ham mixture.
n 1 tablespoons garlic, minced (6 cloves) n 1/8 teaspoon black pepper n 1 16-oz package potato gnocchi, OR 8 ounces rotini (about 4 cups)
serving suggestions If desired, substitute 12 ounces coarsely chopped broccoli for the asparagus. Cook broccoli in a small amount of boiling water about 5 minutes or until tender. Drain and cool.
cooking instructions
Calories: 355 calories Protein: 23 grams Fat: 19 grams
n 1/4 cup olive oil, OR cooking oil n 3 tablespoons water
nutrition per serving
Sodium: 1070 milligrams Cholesterol: 63 milligrams Saturated Fat: 8 grams Carbohydrates: 22 grams Fiber: 2 grams recipe from porkbeinspired.com
Snap off and discard woody portions of asparagus. Cut into 1-inch pieces. Cook asparagus in a small amount of boiling water about 5 minutes or until tender. Drain and cool. For pesto, in a food processor or blender, combine asparagus, basil, cheese, walnuts, olive oil, water, garlic and pepper. Cover and process or blend until nearly smooth, scraping sides occasionally. Divide pesto into thirds. Transfer 2 portions to freezer containers. Freeze for up to 3 months. Set aside remaining portion.
age directions.
thrive magazine
Prepare gnocchi or rotini according to pack-
83
healthy community • recipes
Grilled Tequila Steak Pizza cooking time: 30 to 40 minutes marinade time: 15 minutes to 2 hours Serves 4
ingredients n 2 beef Flat Iron Steaks (about 8 ounces each) n 1 cup cooked fresh or frozen corn
cooking instructions Combine marinade ingredients in small bowl. Reserve 2 tablespoons for topping. Place beef steaks and remaining marinade in food-safe plastic bag; turn steaks to coat. Close bag securely and marinate in refrigerator 15 minutes or up to 2 hours, turning occasionally.
kernels n 1 cup chopped tomato
Meanwhile, combine corn, tomato, 2 tablespoons cilantro, salt and reserved 2 tablespoons
n 2 tablespoons chopped fresh cilantro
marinade in medium bowl. Cover and refrigerate.
n 1/4 teaspoon salt n 4 medium whole wheat or flour tortillas
Remove steaks from marinade; discard marinade. Place steaks on grid over medium, ash-
n (about 8-inch diameter)
covered coals. Grill, covered, 10 to 14 minutes (over medium heat on preheated gas grill, 12 to
n 1 cup shredded Chihuahua cheese or
16 minutes) for medium rare (145°F) to medium (160°F) doneness, turning occasionally.
Mexican cheese blend n Chopped fresh cilantro (optional)
Remove steaks; keep warm. Place tortillas on grid. Grill, covered, 1 to 2 minutes or until
marinade
cheese starts to melt.
toasted. Turn tortillas over; sprinkle evenly with cheese. Grill 1 to 2 minutes or until toasted and
n 1/4 cup fresh lime juice n 1/4 cup tequila
Carve steak into thin slices. Season with salt, as desired. Top tortillas with equal amounts of
n 1 tablespoon minced chipotle pepper in
beef and corn mixture. Garnish with cilantro, if desired.
adobo sauce
cook’s tip To cook fresh corn on grill, pull back husks from corn, leaving husks attached. Remove and discard corn silk. Bring husks back up around corn; tie in place with kitchen string or strips of corn husk. Soak corn in cold water 30 minutes or up to several hours. Remove corn from water. Place on grid over medium, ash-covered coals; grill, covered, 20 to 30 minutes (over medium heat on preheated gas grill, 15 to 25 minutes) or until tender, turning occasionally. To cook frozen corn on stovetop, heat nonstick skillet over medium heat. Add corn; Cook over medium heat 4 to 6 minutes or until thoroughly heated, stirring occasionally.
nutrition per serving 485 calories; 23 g fat (11 g saturated fat; 7 g monounsaturated fat); 100 mg cholesterol; 726 mg sodium; 33 g carbohydrate; 4.4 g fiber; 33 g
thrive magazine
protein; 7.8 mg niacin; 0.4 mg vitamin B6; 5.3 mcg vitamin B12; 2.9 mg iron; 36.5 mcg selenium; 8.9 mg zinc; 106.9 mg choline.
84
healthy community • recipes
thrive magazine
This recipe is an excellent source of protein, niacin, vitamin B6, vitamin B12, selenium, zinc and choline; and a good source of fiber and iron.
85
thrive magazine
healthy community • recipes
86
healthy community • recipes
tiffany goodall’s Beetroot, British
Asparagus & Smoked Salmon Salad with Yogurt & Pepper Dressing prep time: 5-10 minutes cooking time: 5 minutes
Serves 2
ingredients
cooking instructions
for the salad:
Place the asparagus tips into a pan of boiling water and cook for 3-4
n 1 pack (approx. 125g) asparagus tips
minutes.
n 135g watercress and salad leaves n 100g smoked salmon
Meanwhile assemble the salad leaves and watercress onto 2 small
n 2 cooked beetroot dipped in vinegar (not pickled), cut into
plates and lay on the smoked salmon.
eighths n Black pepper to season
Add the beetroot. Then drain the asparagus tips and lay on top of
n 1 lemon, juiced
the salad.
for the dressing:
Finally mix the dressing ingredients together and drizzle over the
n 3 tbsp horseradish cream
salad with lots of black pepper over the top. Finish with the lemon
n 2 tbsp Rachel’s Organic Natural Yogurt
juice.
n 1 tsp white wine vinegar
“This salad is a gorgeous starter for late summer, and the horseradish gives it a perfect kick against the soft silky asparagus and subtly flavoured beetroot. It’s a fab combination.”
thrive magazine
87
healthy community • recipes
Strawberry Almond Ice Cream Sandwich Serves 4
ingredients Chocolate Striped Almond Sponge Cake: n 1 3/4 oz. blanched almonds, finely ground n 1/4 oz. bread flour, sifted n 1 large egg white n 1 large whole egg n 1 large egg yolk n 1 3/4 oz. granulated sugar n 1/4 oz. unsalted butter, melted n 2 - 3 tsp. cocoa powder; sifted Almond Sails: n 1 1/2 oz. unsalted butter n 1 1/4 oz. granulated sugar n 1/2 oz. glucose or corn syrup n 1/2 oz. heavy cream n 1 1/2 oz. blanched sliced almonds, lightly crushed n 1/4 oz. rolled oats California Strawberry Compote: n 1/2 c. California strawberries, cut in segments n 1 tbsp. granulated sugar n 1/4 tsp. Meyer lemon juice n 1/4 tsp. Tahitian Vanilla Dark Chocolate Sauce: n 1/8 tbsp. Dutch cocoa powder n 1/4 c. granulated sugar n 1/4 c. Water n 1 oz. Dark Chocolate n 1 oz. Unsalted butter
thrive magazine
Creme Anglaise:
88
n 4 large egg yolks n 2 oz. granulated sugar n 1 c. heavy cream n 1/2 Tahitian vanilla bean, split
healthy community • recipes
preparation Chocolate Striped Almond Sponge Cake:
Almond Sails:
Heat oven to 325 degrees F. Line a 1/2 sheet pan or large cookie
Heat oven to 350 degrees F. Line sheet pan with parchment paper.
sheet, with parchment paper, reserve. Set electric mixer with whip
Combine butter, granulated sugar, glucose (or corn syrup) and cream
attachment. Thoroughly combine the ground almonds and flour in a
in a saucepan; set over medium heat; bring to a boil. Stir in almonds
bowl, reserve. Place egg white in a mixing bowl; reserve. Place the
and oats; cook for 2 to 3 minutes; immediately remove from stovetop.
egg, egg yolk and half of the sugar in a separate mixing bowl.
To test consistency - spoon a little batter onto a cookie sheet; place in over and bake for a few minutes -If (A)Batter spreads too thin - return
Set the second bowl over barely simmering water, bring egg to 120
pan to stove and reduce a little long to thicken; (B) Batter does not
degrees, stirring constantly. Remove bowl from water, transfer to
spread thin enough - thin with a little cream and test again.
mixer, whip at high speed for 1 minute, reserve. Exchange mixer whip attachment for a clean one. Place egg white bowl under mixer. Add
Spread batter onto sheet pan. Place sheet pan in oven and bake until
remaining sugar to egg white; beat a medium speed until thick and
batter turns golden brown. Immediately remove sheet pan from oven
foamy but not to peaks.
and cut almond into triangular sails - use a sharp French knife. Cool sails; store in airtight container until needed.
Fold the almond mixture into the reserved whole egg mix. California Compote: Stir the melted butter into the egg mix. Fold egg whites into egg mix.
Place 2 Tablespoons of strawberries in a medium bowl. Add the
Place 1/4 cup of batter in separate bow; fold in enough cocoa powder
sugar and mash the mixture is smooth. Add remaining strawberries,
to color; transfer to a squeeze bottle set with a medium tip; reserve.
lemon juice and vanilla; stir to combine. Cover and let them macerate
Pour the batter onto the reserved paper lined hotel pan and gently
for several hours to marry flavors before using.
spread with flat blade spatula until even. Squirt diagonal stripes of the reserved cocoa batter over the pan. Place pan in oven and bake
Dark Chocolate Sauce:
at 325 degrees for 12 - 15 minutes until golden. Remove hotel pan in
Combine cocoa powder, sugar and water in small saucepan, bring to
oven and cool at room temperature.
a boil and continue to cook for 1 minute. Stir in chocolate; cook until melted. Remove saucepan from heat; stir in butter. Reserve.
Use a 3” round cutter to cut 9 pieces of sponge cake from reserved Creme Anglaise:
ABS pipe on a sheet pan lined with parchment paper. Place a cake
Set mixer with whip attachment. Place eggs and sugar in a mixing
circle in the bottom of each mold. Place a circle piece of cake on top
bowl and set under mixer; beat at medium speed until light and fluffy.
of each and press down to make a compact sandwich. Cover with
Place cream and vanilla bean in saucepan over medium heat; bring to
plastic wrap and freeze for 1 hour. To serve: place sandwich in center
scalding point. With mixer set on low, slowly pour the cream into the
of chilled plate; spoon some chocolate sauce next to sandwich;
yolk mixture. Place the mixing bowl over simmering water; heat the
lay strawberry compote over one edge of sandwich; dot plate with
Creme Anglaise slowly, stirring constantly - do not over heat or sauce
Creme Anglaise and dust with cocoa powder, top sandwich with some
will break. When Creme Anglaise is thick enough to coat the back of
whipped cream and garnish with Almond Sail and mint sprig, serve
a spoon remove from heat and return to mixer. With mixer set on low,
immediately.
gently beat Creme Anglaise until cool. Transfer Creme Anglaise to
Ice cream sandwiches never looked more elegant. Almonds, strawberry compote, creamy custard and dark chocolate are just a few of the stars in this gorgeous dessert.
a clean container; cover surface with plastic wrap; refrigerate until needed. Creme Aglasise can be thinned to desired consistency with the addition of a little heavy cream.
thrive magazine
cake. Set 4 - 3” bottomless ring molds of 4 identical sections of 3”
89
healthy community • dangerous insects
more than itchy bites: The weather is finally warming up across North Carolina. That means
Most insects are just an annoyance, leaving behind itchy bites and
that the flowers are blooming, the trees are sprouting, and the bugs
welts. However, some bugs can carry potentially dangerous diseases
are starting to pop up everywhere. You may have already noticed a tick
that they can pass on to you. Here’s what you need to know about the
or two on your body after you spent a morning working in your garden.
potential dangers of the insects you might find in your yard:
Female Insect | Flea
Insect | Lonestar Tick
Where It’s Found | Fleas live in cool, shaded areas near ani-
Where It’s Found | Dense woods and brushy areas;
mals. They cannot survive in extreme heat or humidity, and
common in the Southeast.
they cannot survive without an animal host for most than a couple of days. Inside, they can live in carpet or pet bedding. Diseases It Can Carry | Fleas carry two primary types of
disease: Cat scratch disease and plague. Cat scratch disease can cause serious illness, and it is transmitted through a
Diseases It Can Carry | Human monocytic ehrlichiosis,
tularemia, possible Rocky Mountain spotted fever. Symptoms | Fatigue, headache, fever, muscle pain, joint
pain, circular rash around bite.
scratch, bite or lick from an infected cat (who will show no
Prevention and Cure | As with other types of ticks, the
symptoms). Plague is spread by a flea biting an infected
best prevention is to wear long layers of clothing and to put
animal and then biting a human, and it can cause large sores
on an insect repellent. Clear your yard of dense bushes or
and abscesses, infection and even death.
clusters of trees, and keep the yard free of leaves.
Symptoms | Symptoms of cat scratch disease include fever,
fatigue, headache and swollen lymph nodes. Symptoms of plague include large sores and boils, swollen glands, fever, chills, headache and fatigue. Prevention and Cure | Treating your pets and home for thrive magazine
fleas is the best way to prevent transmission. Treatment is
90
possible for these diseases, but it must be given early before infection and other serious complications set in.
male
healthy community • dangerous insects
dangerous insects that can cause disease
Insect | Mosquito Insect | Tick
Where It’s Found | Mosquitoes lay their eggs on or near
water. However, when they mature, they can live in areas of
Where It’s Found | High grass, leaf piles, wood piles, brush,
tall grass and brush. They also tend to congregate near areas
forested areas
of standing water, such as in bird baths, puddles or even
Diseases It Can Carry | There are several varieties of ticks,
inside old cans or tires.
and each can carry different diseases. Possible diseases in-
Diseases It Can Carry | Like ticks, mosquitoes can carry a
clude: Anaplasmosis, babesiosis, ehrlichiosis, lyme disease,
wide variety of diseases. Some examples include encepha-
powassan, rickettsiosis, Rocky Mountain spotted fever,
litis (at least six different kinds), West Nile Virus, Dengue
Southern Tick-Associated Rash Illness, Tickborne Relapsing
Fever, malaria, Rift Valley Fever, and Yellow Fever. Health-
Fever, tularemia and 364D rickettsiosis.
line says that diseases spread by mosquitoes have caused
Symptoms | Because there are such a wide range of diseases
that ticks can carry, symptoms can also vary widely. How-
more deaths than all the wars in history. Mosquitoes can also cause heartworms in dogs.
ever, some common symptoms of tickborne diseases include
Symptoms | Symptoms vary according to the disease, but
fever, chills, aches and pains and rash. In many cases, the
common issues include high fever, headache, neck stiffness,
rash takes on a bull’s eye shape at the site of the bite.
joint stiffness, chills, nausea, tremors, seizures, swelling of
Prevention and Cure | It is important to keep your yard
the brain, and inflammation. Prevention and Cure | It is important to keep stagnant
in order to make it less attractive to ticks. When you are
water away from your home and to wear long layers while
outside, wear long sleeves and pants, long socks and a head
you are outside. A bug repellent can also keep mosquitoes
covering. Wear bug repellent on yourself, and put tick
at bay. Vaccines are available for some diseases, such as
drops on your pets. If you contract a disease from a tick,
malaria, and treatment is available for many of the dis-
treatment may be available. However, some diseases, such
eases spread by mosquitoes. However, early intervention
as Lyme disease, are chronic.
is critical.
thrive magazine
manicured and clear of debris like leaf piles and wood
91
healthy community • local restaurants
local restaurants that embrace the local foods movement The local foods movement has been growing in the Triangle in recent years. Many restaurants have opened or begun offering foods made with ingredients sourced from farms right here in the Triangle. Some focus exclusively on a farm to table menu, while others supplement their offerings with these locally grown foods. Some focus on simply offering foods that are closer to their natural state, including dishes made with whole and organic ingredients. When you go to these restaurants, you can feel good about eating out since your meal will be more like what you make at home. Here are a few local restaurants for you to try that are embracing the local and whole foods movement:
ing customers coming back for more.
Irregardless Cafe and Catering |
From mouth-watering artisan cheeses to unique and creative dips and sauces, this is a must-visit eatery. Irregardless Cafe has been offering fresh Information | 919-363-0000
and locally sourced food since 1975 – long
5160 Sunset Lake Road, Apex
before it was a trendy choice. When the
www.littlehennc.com
restaurant started, all menu items were vegetarian. Now there are more choices
The Humble Pig | This
on the menu, but they all feature farm-
barbecue business in
fresh ingredients. Vegetarian, vegan
Cary started as a labor
and gluten-free meals are still featured
of love for a husband
prominently. The Vegan Eggplant Mous-
and wife team but became a full-time
saka is exceptional, and meat eaters will
business for them after they experienced
love the Pesto Penne Chicken. You can
layoffs. Not technically a restaurant, The
also enjoy live music every night at the
Humble Pig serves up locally sourced bar-
cafe. Catering is also available.
becue in a traveling food truck or through catering. All pork, chicken and beef are
Information | (919) 833-8898
purchased from local suppliers, and
901 W. Morgan St., Raleigh
produce, sides and desserts are purchased
www.irregardless.com
from local farmer’s markets. Their pulled Little Hen | Little
pork plate is their specialty, but their
Watts Grocery | Chef Amy Tornquist
Hen has created quite a
banana pudding can’t be missed.
takes the
thrive magazine
stir in the community
92
helm at
when it comes to getting
Information | (919) 616-1852
Watts Grocery in Durham. Tornquist
the word about local foods out! Devel-
www.thehumblepig.com
has created a menu that is built around
oped by a husband and wife team, The
local and seasonal ingredients, and the
Stachlers, this dynamic duo strongly
restaurant is committed to sustainable
believe in meeting the demands of diners
agriculture. Almost all the ingredients
for accountable and sustainable farm-
are “caught, smoked, picked or cured”
to-table cuisine. With an ever-changing
from suppliers within two hours of the
menu, Little Hen takes prides in keep-
restaurant. Watts is open for lunch,
healthy community • local restaurants
dinner and brunch. A late night menu is
Tribeca Tavern | Locally brewed beers
Information | (919) 680-2333
also available with wine and desserts. The
and dishes
107 E. Parrish St., Durham
low-country seafood gumbo cannot be
made from
www.bullcityburgerandbrewery.com
missed!
some locally sourced
Lilly’s Pizza | Who
Information | (919) 416-5040
ingredients are served up at this Raleigh
says pizza has to be bad
1116 Broad St., Durham
restaurant. The menu features standard
for you? All pizzas at
www.wattsgrocery.com
pub fare, such as pizzas, wings, burgers
Lilly’s are made from
and sandwiches. The bison burger is ex-
scratch from locally sourced and or-
Burger Fi | Burger
ceptional, and the beer battered fish and
ganic ingredients. Vegetarian, vegan and
Fi in Raleigh aims to
chips are a delicious classic.
gluten-free pizzas are available. All pizzas
produce a distinctly fla-
are piled high with toppings, and all are
vorful burger by using
Information | (919) 465-3055
so delicious you won’t believe they’re
all-natural Angus beef
500 Ledgestone Way, Cary
made from wholesome ingredients. The
raised ethically and without the use of
www.tribecatavernnc.com
Five Point pizza is amazing, but you can’t
hormones. All burgers are cooked fresh,
go wrong with any of the choices.
and no frozen patties are used. Local and
Bull City Burger & Brewery | The
seasonal ingredients are used wherever
local foods movement
Information | (919) 797-2554
possible. Come for the burgers, but make
has been growing in
810 W. Peabody St., Durham
sure to come back and try the dogs,
Durham, and Bull City
www.lillyspizza.com
including the Chicago-style or New York-
Burger was one of the
style dog. In addition to the menu, the
early leaders. The menu is
Scratch Baking | Just
restaurant itself is stocked with environ-
simple: Burgers and hot dogs. Yet the con-
like its name suggests,
mentally sustainable furniture, such as
cept is much more elevated. Everything
Scratch Baking makes
tables and chair made from recycled Coke
in the restaurant is made of locally raised
all its pies from scratch
bottles and recycled wood. All the restau-
and produced meats and vegetables. All
and from wholesome, locally sourced
rant’s business practices are focused on
meats are grass fed and raised without
ingredients. The bakery has relationships
reducing its carbon footprint, right down
the use of hormones or antibiotics. All
with local farmers to supply all its ingre-
to how much electricity is used to cool
produce is local and organic. If it’s not in
dients. The menu changes seasonally to
the space.
season, it’s not served. (Sorry, no toma-
match the supply. This isn’t just a dessert
toes for your burger in the winter.) Even
shop. Sure, you can get a great apple pie
Information | (919) 659-8700
the sodas on tap are organic. Of course,
here, but you can also enjoy savory fare
2052 Renaissance Park Place, Cary
beers are locally crafted, as well, at this
like pickled egg salad or heirloom cheese
brewery. Come in March for “Exotic Meat
grits.
(919) 999-3700
Month” and try out an ostrich burger or
3004 Wake Forest Rd, Suite 100, Raleigh
alligator burger.
Information: 111 W. Orange St., Durham www.piefantasy.com
thrive magazine
www.burgerfi.com
93
healthy community • local health events
health-related events The Triangle is home to a number of things to do to encourage good health and fitness. We have the Duke Forest, Eno River, Umstead Trail, Jordan Lake and many
september august I’m Too Sexy 5K August 5 | Downtown Durham
actually flat throughout. It begins and ends
Learn to embrace what makes you sexy
at the Cedar Fork Community Center in
inside and out at this co-ed and stroller-
Morrisville. Check out www.runnc.com for
friendly race in Durham. Declare that you
more details.
are too sexy for diabetes, heart disease or whatever other ailment you are trying to defeat. See www.2sexyfamily.com/ for more
Get Heeled 5K Run & Family Walk Sept 14 | Chapel Hill
you can hike, bike, run or
information.
You don’t have to be a Tarheels fan to par-
top fitness facilities and medical centers. We have excellent farmer’s markets and natural grocers.
ticipate in this race to raise money for the Pound the Path for our Troops August 9 | Raleigh
UNC Lineberger’s Pediatric Oncology and
This 5K run/walk in Raleigh will raise
whole family to have fun and raise money
money to support the USO of North Caro-
for a good cause. See www.getheeled5k.
lina. The event is hosted by the Wil-Mar
com/ for more information.
In addition to all these
for more information.
The 5K and 1 mile fun run will be held at
excellent resources, the
the cross country course at WakeMed Soc-
Triangle also hosts a number
event designed to promote overall health.
of healthy living events each year. Here are some of our top picks for now through next January:
Hematology Clinic. Race or walk with the
Golf Club. Visit www.wilmargolfclub.com
Run for Life August 23 | Wake Med Soccer Park
thrive magazine
Despite its name, the course for this 5K is
other natural areas where even swim. We have some
94
Jack & Jill Ran Up the Hill 5K Sept 13 | Morrisville
cer Park in Cary. The event is a fun family See sites.google.com/site/raleighrunforlife for more information.
Triangle Global Health Consortium First Annual Health Conference Sept 14-15 | Umstead Park | $65 This inaugural conference will be held at the UNC Friday Center. See www.triangleglobalhealth.org for more information.
october Great American Cross Country Festival October 4 | Wake Med Soccer Park This family friendly festival includes 8K, 6K, 5K and 3K trail runs. Enjoy running in the scenic WakeMed Soccer Park while spending time with family and being a part of the community. For details, see www. nationalscholastic.org/gacc.
healthy community • local health events
in the triangle november Health 2.0 NC Triangle - Will You Engage? October 10 | Downtown Raleigh This conference at 711 Hillsborough Street in Raleigh will feature speakers and presentations on emerging topics in healthcare innovation and digital healthcare. See http://www.eventbrite.com/e/ health-20-nc-triangle-will-you-engagetickets-8407409789?aff=eorg for more information. What’s New and What’s True in Alzheimer’s Disease October 16 | Duke University This talk will be presented by Dr. James Burke, the director of the neurology clinical research unit at Duke University Medical Center. For information, visit Senior Health Support of the Triangle at www. shstriangle.com/events.html. Bull City Race Fest October 19 | Downtown Durham Come out for a half marathon, 5-mile run and 1-mile fun run, as well as a food truck rodeo. There will be a half dozen live bands playing along the course, and cash prizes will be given for the best costumes. Bring the whole family, and visit www.bullcityracefest.com for more information.
City of Oaks Marathon / Half Marathon November 2 | Downtown Raleigh This is one of Raleigh’s premiere races. Thousands come out for the full and half marathon that wind through downtown. A pre-race health expo is also presented. www.cityofoaksmarathon.com for more information. Step Out Walk to Stop Diabetes November 8 | Dorothea Dix Campus This walk at the Dorothea Dix campus is sponsored by the American Diabetes Foundation to help raise money and awareness for diabetes research and prevention. See www.diabetes.org/stepoutraleigh for more information.
december Raleigh Jingle Bell Run/Walk for Arthritis December 6 | Raleigh Get in the holiday spirit and raise some money for arthritis research while you sweat off holiday indulgence in this fun holiday walk and run in Raleigh. See www.jinglebellrunraleigh.com for details. Run at the Rock Trail Race December 6 | Burlington If you prefer a longer race, check out this 7-mile and 14-mile trail race in Cedar Rock for more information.
Healthcare professionals are invited to attend this course teaching resuscitation methods for newborns at the time of delivery. The course is offered in conjunction with the American Heart Association at Wake Med. See http://events.triangle.com/ raleigh_nc/events/ for more information.
january Commitment Day 5K January 1 | Raleigh/Cary What better time to dedicate yourself to a new, healthy lifestyle than on the first day of the New Year? This Commitment Day race is held to encourage that new healthy lifestyle. The race is held around the country, and the Raleigh race actually starts in Cary then finishes at the Koka Booth Ampitheatre. See www.commitmentday. com/raleigh/ for more details. Souper Bowl 5K January 31 | Coats This 5K run and walk raises money and awareness for the His Daily Bread Community Soup Kitchen in Coats. Every participant gets a bowl of soup at the finish line. See https://www.facebook.com/ events/1401317550104710/ for details. thrive magazine
Park in Burlington. See runattherock.com
Neonatal Resuscitation Program December 9 | Wake Med
95
thrive • directory of advertisers
directory of advertisers / summer-fall 2014 HEALTH SERVICES
HEALTH & WELL BEING
ALLERGIES
Carolina Vein Institute . . . . . . . . . . . 29
Carolina Vein Institute . . . . . . . . . . . 63
NCEENT . . . . . . . . . . . . . . . . . . . 61
Essential Health & Wellness . . . . . . . 51
Wake Radiology . . . . . . . . .ins back cvr
VEIN HEALTH
FastMed Urgent Care . . . . . . . . back cvr DERMATOLOGY
Johnston Health . . . . . . . . . . . . . . 41
Cary Dermatology . . . . . . . . . . . . . 39
NCEENT . . . . . . . . . . . . . . . . . . . 61
PROFESSIONAL SERVICES PHOTOGRAPHY Vesic Photography . . . . . . . . . . . . . 4
hearing services
ORTHOPAEDIC HEALTH
Assured Audiology and Hearing
FastMed Urgent Care . . . . . . . . back cvr
Solutions . . . . . . . . . . . . . . . . . . 57
Triangle Orthopedic Associates, P.A. . . . . . . . . . . . . . . 33
NUTRITION & WEIGHT LOSS Medi Weight Loss Clinics . . . . . . . . . 45
WOMENS HEALTH services
thrive magazine
A New You-Cary . . . . . . . . . . . . . . 47
96
PLASTIC SURGERY & SKIN RENEWAL
Blue Ridge OBGYN . . . . . . . . . . . . . 65
Davis Plastic Surgery . . . . . .ins front cvr
Essential Health & Wellness . . . . . . . 51
Finn Facial Plastics . . . . . . . . . . . . 23
Wake Radiology . . . . . . . . .ins back cvr Womens Wellness Clinic . . . . . . . . . 55
3D MAMMOGRAPHY WE’RE TALKING WAY BETTER IMAGING, EARLIER DETECTION, FEWER FALSE POSITIVES AND LESS CHANCE OF A CALL BACK. END OF DISCUSSION.
3D MAMMOGRAPHY • GREATER ACCURACY • REDUCED ANXIETY • NOW AT WAKE RADIOLOGY Let’s have a frank discussion. You can’t treat what you can’t detect. And 3D mammography, along with your regular 2D exam, is revolutionizing breast cancer detection. How? By significantly improving clarity for earlier detection and fewer false positives. Which, of course, reduces recall rates and the anxiety that comes with additional tests. To learn more about 3D mammography or to schedule an appointment, visit wakerad.com. Like we said, you can’t treat what you can’t see. And now we’re seeing better than ever. Wake Radiology | North Hills Breast Center | 919-232-4700 | wakerad.com Daily, evening and Saturday appointments | 20 minutes from check-in to exam completion
Untitled-1 1
Job # 1350.WRA.13 • Job Title: 3D Mammography Ad 7/8/14
8:14 PM
WE HAVE YOU COVERED Over 40 locations in North Carolina including: APEX, NC - CREEKSIDE LANDING DRIVE 919.249.1259
FastMed Urgent Care is designed with your busy schedule in mind. At the end of a workday, on weekends, and even on the holidays, when you need medical assistance for non-life-threatening
CARY, NC - CORNERSTONE DRIVE - FAMILY PRACTICE 919.650.3660 CARY, NC - TEN-TEN ROAD 919.362.5871 CHAPEL HILL, NC - EAST FRANKLIN STREET 919.913.0996 DURHAM, NC - HOPE VALLEY ROAD 919.313.3900 FUQUAY-VARINA, NC - NORTH MAIN STREET 919.552.1733 GARNER, NC - NC HIGHWAY 42 WEST - FAMILY PRACTICE 919.329.5000 HOLLY SPRINGS, NC - BASS LAKE ROAD - FAMILY PRACTICE 919.346.1482 RALEIGH, NC - CREEDMOOR ROAD 919.825.4000 RALEIGH, NC - EAST MILLBROOK ROAD 919.719.0119
conditions, you need it now – promptly, professionally, and with a personal touch.
Urgent Care • Family Medicine Most Insurances Accepted Open 365 Days A Year • Online check-in Onsite X-Rays and Labs • Walk-Ins Welcome Visit our website for a complete list of service, locations, hours, and helpful healthful resources.
fastmed.com Untitled-1 3
7/7/14 1:57 PM