PAGE 2
THE PILOT — SOUTHERN PINES, N.C.
About This Issue This special section of The Pilot is printed annually. For advertising rates, call 910-692-7271 Martha Henderson, Design Editor Designers: Kathryn Galloway, BJ Hill, Mechelle Wood, Scott Yancey Content Edited by: Mary Novitsky Information was provided by Metro Services and Contentthatworks.com
FRIDAY, APRIL 2, 2010
h /Â…i ÂŤÂ…ĂžĂƒÂˆVˆ>˜ Ăœ>Ăƒ
ĂƒÂœ ÂˆÂ˜ĂŒiĂ€iĂƒĂŒi` ˆ˜ “Þ ÂœĂ›iĂ€>Â?Â? Â…i>Â?ĂŒÂ…
>˜` >ÂŤÂŤĂ€iVˆ>ĂŒi` ÂˆĂŒÂ° /Â…iĂž “>`i “i viiÂ? }œœ` >LÂœĂ•ĂŒ Â“ĂžĂƒiÂ?v >˜` Â…iÂ?ÂŤi` “i ĂŒÂœ Ă•Â˜`iĂ€ĂƒĂŒ>˜` “Þ ĂƒÂˆĂŒĂ•>ĂŒÂˆÂœÂ˜ Â“ÂœĂ€i ĂŒÂ…ÂœĂ€ÂœĂ•}Â…Â?Þ° /Â…i >ĂŒĂŒiÂ˜ĂŒÂˆÂœÂ˜ >˜` V>Ă€i ĂŒÂ…i ÂŤÂ…ĂžĂƒÂˆVˆ>˜ }>Ă›i “i Ăœ>Ăƒ iĂ?ViÂ?Â?iÂ˜ĂŒÂ°Âť ‡ *ˆ˜iÂ…Ă•Ă€ĂƒĂŒ -Ă•Ă€}ˆV>Â? ÂŤ>ĂŒÂˆiÂ˜ĂŒ Vœ““iÂ˜ĂŒ
>Ă€] ÂœĂƒi] /Â…Ă€Âœ>ĂŒ] i>` >˜` iVÂŽ] >Vˆ>Â? *Â?>ĂƒĂŒÂˆV -Ă•Ă€}iÀÞ iÂ˜ĂŒiĂ€ U i˜iĂ€>Â? >˜` >Ă€Âˆ>ĂŒĂ€ÂˆV iÂ˜ĂŒiĂ€ "Ă€ĂŒÂ…ÂœÂŤ>i`ˆV >˜` ÂœÂˆÂ˜ĂŒ ,iÂŤÂ?>Vi“iÂ˜ĂŒ iÂ˜ĂŒiĂ€ U *Â?>ĂƒĂŒÂˆV >˜` ,iVÂœÂ˜ĂƒĂŒĂ€Ă•VĂŒÂˆĂ›i -Ă•Ă€}iÀÞ iÂ˜ĂŒiĂ€ -ÂŤÂˆÂ˜i >˜` Â˜ĂŒiÀÛiÂ˜ĂŒÂˆÂœÂ˜>Â? *>ˆ˜ >˜>}i“iÂ˜ĂŒ U 1Ă€ÂœÂ?Âœ}ˆV iÂ˜ĂŒiĂ€ U 6>ĂƒVĂ•Â?>Ă€ >˜` 6iˆ˜ >Ă€i iÂ˜ĂŒiĂ€ 7œ“iÂ˜Â˝Ăƒ >Ă€i iÂ˜ĂŒiĂ€ U ``ÂˆĂŒÂˆÂœÂ˜>Â? ĂƒĂŒ>ĂŒi Âœv ĂŒÂ…i >Ă€ĂŒ ĂƒiĂ€Ă›ÂˆViĂƒ ˆ˜VÂ?Ă•`i >Ă•`ˆœÂ?Âœ}Ăž] `ˆ}ÂˆĂŒ>Â? “>““œ}Ă€>ÂŤÂ…Ăž] ÂŤÂ…ĂžĂƒÂˆV>Â? ĂŒÂ…iĂ€>ÂŤĂž] Lœ˜i `iÂ˜ĂƒÂˆĂŒÂœÂ“iĂŒĂ€Ăž] Ă•Â?ĂŒĂ€>ĂƒÂœĂ•Â˜`] /] , ] ] “i`ˆV>Â? Â?>LÂœĂ€>ĂŒÂœĂ€Ăž >˜` > -Â?iiÂŤ iÂ˜ĂŒiÀ° U ->ĂŒĂ•Ă€`>Ăž >ÂŤÂŤÂœÂˆÂ˜ĂŒÂ“iÂ˜ĂŒĂƒ >Ă›>ˆÂ?>LÂ?i vÂœĂ€ , °
The Pilot
P.O. Box 58, 145 W. Pennsylvania Avenue Southern Pines, NC 28388 Copyright 2010
x ÂˆĂ€ĂƒĂŒ6ˆÂ?Â?>}i Ă€ÂˆĂ›i] *ˆ˜iÂ…Ă•Ă€ĂƒĂŒ U ™£ä‡Ó™xÂ‡ĂˆnĂŽÂŁ U 6ÂˆĂƒÂˆĂŒ ĂœĂœĂœÂ°ÂŤÂˆÂ˜iÂ…Ă•Ă€ĂƒĂŒĂƒĂ•Ă€}ˆV>Â?°Vœ“ ĂœÂ…iĂ€i ÂŤ>ĂŒÂˆiÂ˜ĂŒĂƒ V>˜ “>ÂŽi >ÂŤÂŤÂœÂˆÂ˜ĂŒÂ“iÂ˜ĂŒ Ă€i¾ÕiĂƒĂŒĂƒ] Ă€i˜iĂœ ÂŤĂ€iĂƒVĂ€ÂˆÂŤĂŒÂˆÂœÂ˜Ăƒ] ÂŤ>Ăž LˆÂ?Â?Ăƒ] >˜` >ĂƒÂŽ ĂƒiVĂ•Ă€i ¾ÕiĂƒĂŒÂˆÂœÂ˜Ăƒ œ˜‡Â?ˆ˜i°
Board Certified Physicians Specialty Trained in Pain Management
Lawrence Place, MD Steven Karan, MD Paul Kuzma, MD
Robert Oldroyd, MD Matthew Oldroyd, MD Jacland ReVille, MD
Brian Thwaites, MD James Winkley, MD Philip Perrotta, PA-C
The only Pain Management Physicians affliated with FirstHealth Back and Neck Pain Center and FirstHealth Pain Management Clinic
Located in the FirstHealth Specialty Center • 35 Memorial Drive, Pinehurst
910-715-1794 • 910-715-1708 • Fax 715-1785
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
PAGE 3
FirstHealth Back & Neck Pain Center Offers Unique Service to Patients Over the past several years, the treatment of pain has evolved into a specialty called pain management. In the past three years, the pain clinic at FirstHealth Moore Regional Hospital has undergone its own evolution. In 2007, Moore Regional’s pain program moved to renovated space in the Specialty Centers Building at Memorial Drive and Page Road in Pinehurst. Shortly afterward, it adopted a new name: the FirstHealth Back & Neck Pain Center. “This reflects our focus on the most common areas for pain, though we still treat a wide variety of pain issues,” says Tracy Millen, R.N., supervisor of the Back & Neck Pain Center. Back and neck pain can have many causes, and some of them are often difficult to diagnose and treat. It sometimes takes a combination of therapies to stop or reduce severe, persistent pain and keep it under control. In the FirstHealth Back & Neck Pain Center, pain sufferers have one place they can go for a thorough evaluation of their problem as well as access to today’s complete range of pain relief options, including the newest and most advanced
Isaiah 53:5
treatments. “There are so many causes of pain and so many
ways to treat it that patients often simply don’t know where to go,” says Paul J. Kuzma, M.D., the center’s medical director. “We become the patients’ entry point for care, helping them understand how and where to get relief.” Each of the center’s eight board-certified physicians is specially trained and experienced in pain management, and all are associated with Pinehurst Anesthesia Associates. In addition to Dr.
The Healing Place Massage & Wellness
Specializing in Pain Relief/Maintenance Therapy using various techniques Medical Massage Will bill for auto or work accidents. Exfoliating Salt or Sugar Scrub with Massage
"Parafango" Wrap Cellulite and Inch Loss
30, 45 & 60 minute Gift certificates on sale major gift holidays
USANA.COM ID# 3613366
See what Pharmaceutical Grade Supplements CAN DO for your health
10% OFF 1ST ORDER
$10 OFF VISIT WITH MENTION OF AD
Lorraine R. Scantlin LMT NC lic #1144 • Practicing since 1997
673-3246 • 125 North Trade Street Seven Lakes Village • West End Visa • Mastercard • Debit accepted
Kuzma, they are Steven Karan, M.D.; Lawrence Place, M.D.; Jacland ReVille, M.D.; Brian Thwaites, M.D.; James Winkley, M.D.; Matthew Oldroyd, M.D.; and Robert Oldroyd, M.D. The center’s nursing staff is also specially trained in a wide variety of pain management techniques. “We start with the least invasive therapies, such as simple exercises and stretches,” says Dr. Kuzma. “As necessary, we graduate to more aggressive approaches, including medications and even surgery.” For patients who need to see different medical spe-
cialists or therapists for their pain, the Back & Neck Pain Center serves as a central point of contact and coordination, providing assurance that someone is looking out for them and keeping them from getting lost in the shuffle. Depending on the cause and severity of a patient’s pain, the physicians of the Back & Neck Pain Center can provide: Prescription medications Steroid injections Pain medication injections to muscles, joints and “trigger points” (small knots that develop in muscles when they are injured or overused) Selective nerve root blocks Neurostimulation (mild electrical impulses to the spinal cord that block the transmission of pain signals) Radio-frequency interruption of nerve connections in joints between the spinal vertebrae Electrothermal therapy, which uses heat to destroy pain receptors in the nerves of
spinal discs Back & Neck Pain Center physicians also refer patients with chronic pain for: Neurological evaluation Surgical evaluation Physical therapy Chiropractic therapy Psychological/behavioral therapy Biofeedback Orthotic and prosthetic evaluation Massage therapy Acupuncture Relaxation therapy Dietary counseling “The goal of the Back & Neck Pain Center is to stop chronic, debilitating pain or reduce it to the greatest extent possible so that patients can get on with their lives,” Dr. Kuzma says.
The FirstHealth Back & Neck Pain Center is located in the Specialty Centers Building on the campus of FirstHealth Moore Regional Hospital. For more information, call (800) 213-3284.
PAGE 4
TEST YOURSELF:
THE PILOT — SOUTHERN PINES, N.C.
FRIDAY, APRIL 2, 2010
Ten Questions For the Savvy Shopper
BY DEBORAH SALOMON Features Writer
The supermarket is more than a jungle. Good things grow in the jungle. A supermarket stocked with 10,000 items is a minefield where nutrition is trampled, budgets go up in smoke — a place with more temptations than a Greek myth. Thwart the dragon with 10 questions: No. 1: Do I need this product? Impulse buying can be the downfall of budgets and healthy eating. Stores play on this by placing new, attractively packaged foods (with high profit margins) at eye level and on end caps. Don’t be sucked in. Is the product worth trying — or are you simply curious?
No. 2: Am I buying because I have a coupon? No matter how low the coupon price, if the product is frivolous you’re wasting money. Most coupons are issued for new, glitzy prepared foods. Stick to the ones for oatmeal, detergent, chicken parts, soup and items you buy anyway.
any better on sale. If you prefer small-curd cottage cheese stick to it. Loading up on well-priced lasagna noodles makes no sense if you only make lasagna occasionally.
Spend Less
No. 4: Where does this come from? The controversy continues on the environmental impact of farmraised fish, also fish imported from certain Asian countries. The vendor is required to provide country of origin. Know
Eat Better
No. 3: How will I use what I am buying? Don’t be tempted by foods you rarely use. A family that hates cauliflower isn’t going to like it
see SHOPPER, page 5
6 Regional Drive, Suite A Pinehurst, NC 28374
(910) 295-9255
DR. GLENN H. DUNLAP
SPECIALIZING IN SURGICAL & MEDICAL FOOT CARE, BUNIONS, HAMMERTOES, NEUROMAS, CORNS, INGROWN TOENAILS, CALLOUSES, HEEL PAIN, WARTS, DIABETIC FOOT CARE
DR. JEANETTE R. JOHNSON
SPECIALIZING IN MEDICAL FOOT CARE, PROBLEM TOENAILS, CORNS, CALLOUSES, DIABETIC FOOT CARE. PROVIDES HOUSE CALLS AND NURSING HOME VISITS
NEW PATIENTS WELCOME!
FRIDAY, APRIL 2, 2010
Shopper From Page 4 also the origin of produce. Occasionally, an issue will arise about fruit from South America. Quality varies, too. This year, clementines from Israel were of excellent quality. Most important, during the local growing season, select fruit and vegetables from nearby, even if they cost slightly more. You will be supporting growers — and getting a better product. No. 5: What’s added to food I’m buying? Consumers commonly read the Nutrition Facts label for calories, sodium, fat and because the print is larger. Put on your glasses and read ingredients. Brands of raisin bran contain different amounts of sugar. Additives that thicken, sweeten, stabilize, enhance color and flavor may not be harmful — but do you need them? Look for products with the fewest additives: These will be ones with less processing and preparation. Check the FDA Web site (www.fda.gov) routinely — follow food link — for definitions, recalls and warnings. No. 6: Am I getting the best deal? Buy two, get three free is a great deal if you have a big fridge, freezer, pantry and family. Otherwise, be careful about overstocking perishables. Twofer is another way of saying half price. But sometimes half the full price at one store is more than the sale price at another. Check unit prices; the larger size isn’t always the best bargain — although, one larger size usually has less packaging than two smaller sizes. No. 7: Where should I shop? Statistics differ. Some say make the rounds. This works better when stores are clustered or else you’re wasting time, effort and fuel. Other studies
THE PILOT — SOUTHERN PINES, N.C.
PAGE 5
promote shopping at a single supermarket. You know the layout which saves minutes, as does a one-time check-out. Weekly specials and coupon deals should even out prices over a year.
No. 8: Should price be the deciding factor? Use price to your advantage. Just by choosing store brands of cereal, pasta, canned goods and dairy products you may save enough to upgrade from medium to jumbo shrimp, from chuck to sirloin. No. 9: What about outdated merchandise? Again, the fine print. Most dates are preceded by “best if used before …” or “sell by …” Food processors leave a huge margin. Chances are, dairy products, eggs, other fresh stuff will be safe beyond the sell date. When dairy products (and meat) approach the sell date, they are often drastically reduced. Grab ’em and use soon. No. 10: How should I pay for groceries? The days of cash and carry are over. A retail grocers’ association reports that more than half of all grocery purchases do not involve cash. This is to the merchants’ advantage, despite processing charges, because shoppers buy more. Try going back to cash — or at least debit cards. Some banks offer checking accounts which pay interest; one requirement is using a debit card 10 times per month. No amount is too small, even a quart of milk. Other credit cards offer double points for grocery purchases. Select a payment method that provides a bonus but beware: It’s easy to run up a credit card bill at the grocery store, then pay high interest on the balance for months. After a while, this checklist should become second nature. Good for you.
Contact Deborah Salomon at debsalomon@hotmail.com.
Caregivers can perform many hours of due
diligence hoping to make the right decision for a family member. Only when the move is
actually made and the new life experience begins can a caregiver evaluate the success of
such an important decision. After a year now
of observing the level of care my mother has received at Fox Hollow and how happy she is
in her new home, I can confidently say that I made the right decision. Fox Hollow is first
class and my mother receives the care and attention she deserves. Rapport with the team
has been excellent. I highly recommend Fox Hollow to anyone seeking quality care.
-J Hathaway
Eat,
PAGE 6
Drink and Be Healthy How Moderate Alcohol Use Can Be Good for You
Y
THE PILOT — SOUTHERN PINES, N.C.
ou may have heard that moderate drinking can fit into a sensible health plan. It may be beneficial in reducing or preventing certain conditions, such as diabetes, stress, depression, poor cognition and heart ailments
FRIDAY, APRIL 2, 2010
such as hypertension, peripheral artery disease and high blood pressure. Drinking may also help prevent aging effects. Part of the reason is due to alcohol, offers Dr. Mehmet Oz, and most of the reason is the resveratrol that’s found in grape skins,
and thus red wines. Some also surmise that moderate alcohol can fend off the common cold. However, too much alcohol can put you at risk for adverse health consequences. Moderate drinking is defined as one to two drinks
see DRINK, page 7
PARKVIEW IN-HOME AIDE SERVICE, INC. Forty Years Experience in Quality Health Care • Serving Lee, Moore, Harnett, Chatham, Cumberland, Hoke & Wake
• CAP and Personal Care Service, Private Insurance, Private Pay • Certified Nurse Aides, Homemakers, Housekeepers & Sitters
• Available for running errands, shopping, doctor visits, hospital stays and other related services 24 hours a day, 7 days a week • Competitive Prices and Fully Bonded
For a FREE Consultation, Please Call 1-800-777-1475 OR
919-775-1475
PARKVIEW IN-HOME AIDE SERVICE, INC.
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
Drink From Page 6 per day, depending upon sex and age. Women and individuals older than 65 should limit alcohol to one drink per day. A drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80 proof distilled spirits. Saving up your daily alcohol allowances and indulging on a Saturday night is not healthy. Too much alcohol can contribute to liver problems, impaired judgment, thoughts of suicide and a host of other problems. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that moderate drinkers have the greatest longevity. Drinking may be most beneficial to the heart. It reduces heart disease risk by 40 to 60 percent. This is
important because cardiovascular disease is the No. 1 cause of death in the United States, and heart disease kills about 1 million Americans each and every year. The best-known effect of alcohol is a small increase in HDL cholesterol. Other prop-
erties present may prevent inflammation of arteries, promoting better blood flow. Alcoholic beverages may prevent platelets in the blood from sticking together. That may reduce clot formation and reduce the risk of heart attack or stroke.
PAGE 7
Always consult with a doctor before modifying your diet for health purposes. Alcohol may interact with some prescriptions you are taking and may not be advisable for everyone, including pregnant women.
PAGE 8
THE PILOT — SOUTHERN PINES, N.C.
FRIDAY, APRIL 2, 2010
Steer Clear of Heat-Related Illnesses This Summer As summer gets set to hit full swing, scores of people across the country are readying themselves for backyard barbecues, trips to the beach or casual afternoons spent soaking up some sun. While spending as much time as possible outdoors is a summertime tradition, soaking up too much sun can be dangerous. In addition to painful sunburns and dehydration, overexposure to the sun can also result in skin cancer. In fact, according to the Skin Cancer Foundation, 90 percent of non-melanoma skin cancers are associated with overexposure to ultraviolet (UV) radiation from the sun. Those planning on taking advantage of the warmer weather and catching as many rays as possible also must work to prevent other heat-related illnesses. To do so, consider the following tips from the American Red Cross. • Dress accordingly. Lightweight, light-colored clothing reflects some of the sun’s energy away. Also consider wearing a hat whenever possible, or at least during the midday hours when the sun’s rays are their strongest. When sitting out in the sun, be it at the beach or in
the backyard, it’s also wise to use an umbrella. • Drink plenty of water. Caffeinated or alcoholic beverages dehydrate the body. When spending time in the sun, drink plenty of water to stay hydrated, even if you don’t feel thirsty. • Don’t overdo your diet with protein. Diets high in protein increase metabolic heat, thereby raising your risk for a heat-related illness. When it comes to diet in the hotter months, it’s best to eat smaller meals and eat more often. • Take a break. If you’re going outside to mow the lawn or work on the garden, be sure to take plenty of breaks and do so either indoors or under ample shade. • Jog early. Joggers are often especially devoted to their daily runs. However, joggers, no matter how experienced and devoted, are still susceptible to heatrelated illnesses. If possible, run during the coolest period of the day, which is typically early morning between the hours of 4 a.m. and 7 a.m. While summer is a favorite season for many people across the country, it can also be a dangerous time for those who aren’t careful.
Medical Director, Back and Neck Pain Center FirstHealth Moore Regional Hospital
Walter Reed Army Medical Center (1996-2000) Chief of Pain Management Johns Hopkins Hospital (1995-1996) Fellowship in Pain Medicine
Walter Reed Army Medical Center (1991-1995) Residency in Anesthesiology
0 ! %) +(0'.), + -! -- + ((
7E DON T JUST TREAT ALLERGIES WE TREAT 9/5ˆWITH A FULL PATIENT EVALUATION /UR %AR .OSE 4HROAT PHYSICIANS $RS 3TANLEY #OX #ARL "ERK *EFFERSON +ILPATRICK AND 7YMAN -C'UIRT OFFER INNOVATIVE PROCEDURES AND DIAGNOSTIC TREATMENT TECHNIQUES INCLUDING HOME BASED ALLERGY DROP THERAPY AND TRADITIONAL OFlCE BASED ALLERGY SHOTS 4HESE MEASURES CAN SIGNIlCANTLY HELP SEASONAL ALLERGIES FREQUENT SINUS INFECTIONS OR OTHER ALLERGY RELATED ISSUES IN CHILDREN AND ADULTS .O REFERRAL IS NECESSARY 3TANLEY #OX -$ #ARL "ERK -$ *EFFERSON +ILPATRICK -$ 7YMAN -C'UIRT -$
)"' !.+,- ,.+
Paul J. Kuzma, MD
" %
FBS OPTF UISPBU IFBE OFDL DFOUFS
0EDIATRIC AND !DULT !LLERGY 3ERVICES &IRST6ILLAGE $RIVE 0INEHURST .#
Union College / Albany Medical College (1985-1991) Six-year biomedical Education Program
Pinehurst Anesthesia Associates Offer: Consultations • Medical Management of Pain
Epidural Injections • Nerve Blocks and Injections
Facet blocks and Ablations • Intradiscal Treatments Spinal Cord Stimulation • Intrathecal Pumps Cancer Pain Treatments
35 Memorial Drive Pinehurst, NC 28374 P: (910) 715-1794 F: (910) 715-1706
www.pinehurstanesthesia.com
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
PAGE 9
HOW TO BATTLE THE Sixty-three percent of adults 20 years of age and older are obese in the United States, according to statistics by the National Center for Health Statistics, and 127 million people are considered overweight. While excess weight can cause a host of detrimental health effects, there is particular concern about the fat that congregates around the midsection, called belly fat. It’s not just the fat that you can see or grab at that is the problem. Visceral fat, or the fat that forms between organs, is very problematic. That is why it is important to learn about belly fat and come up with a program to reduce it. Mega-T® Green Tea Fat Burning Supplement can be part of the solution. It helps shed excess fat around the midriff when combined with physical exercise and proper diet. Each supplement contains 600 mg. of green tea with EGCG, a natural antioxidant to curb appetite and stimulate metabolism, as well as calcium and a wealth of beneficial herbal extracts. Chromium, garcinia cambogia, guarana, eleuthero, bladderwrack, fo-ti and gotu kola help burn calories and fat, reduce food cravings, fight mental fatigue, increase stamina and eliminate excess fluids.
The Skinny on Belly Fat Belly fat has been linked to an increased risk of diabetes, heart disease, stroke and other lifethreatening conditions. Individuals with belly fat are twice as likely to die prematurely as people without it. Plus, a person doesn’t have to be overweight to have belly fat and be at risk. Belly fat is caused by a combination of factors, including heredity, personal diet, lifestyle and a slowing metabolism that comes with aging. A comprehensive 10-year European study discovered certain statistics: • A man with a waist of 40 inches or more, and a woman
with 35 inches or more were most at risk of belly-fat induced premature death. • Each 2-inch increase in waist circumference was associated with a 17 percent increase in mortality in men and a 13 percent increase in women. • Waist-to-hip ratio is also a factor. A waist-to-hip ratio of greater than 0.9 for men and 0.8 for women is generally considered high risk.
Conquering Belly Fat It may seem like reducing belly fat would be a challenge. However, health care experts report that visceral body fat actually responds very well to a regular exercise routine and healthy diet. Here are some steps to reduce belly fat. • Strength training: Strength training can burn more calories than aerobic exercise alone and may foster faster burning of
fat, including belly fat. Exercises that target the abdomen can help strengthen those muscles and promote a flatter-looking stomach when the fat starts to melt away. • Healthy diet: Read food labels and take the steps to make healthier choices in foods. Replace saturated fats with unsaturated fats. You won’t just see results with belly fat -you’ll be healthier overall, too. • Consider supplementation: The Mega-T® Green Tea Fat Burning Supplement can assist with weight loss goals by burning belly fat, curbing appetite and stimulating metabolism. The product is available at leading drug, food and mass retailers nationally. A healthy diet, exercise and a natural dietary supplement could be your ticket to reduced belly fat. Before starting any diet or exercise program, it pays to talk to your doctor and discuss what would be healthy for your particular situation.
A Heart
Warning Story America’s deadliest illness is also one of its most preventable. Here’s how to take charge of your cardiovascular health today. BY DAWN KLINGENSMITH
Barbara Hunt and Carolyn Reuther live a thousand miles apart and have never met, but in 2007 and 2008, respectively, they received the same devastating news with similar reactions. Told they had heart disease, these otherwise healthy women were stunned almost to the point of disbelief. Both are active and physically fit, choose healthy foods and have normal blood pressure and cholesterol levels. Neither smokes. “I was in shock. I don't have any of the risk factors,” says Reuther, a two-time heart attack survivor. Heart disease, an umbrella term for a number of cardiovascular ailments, is the leading cause of death for both men and women in the United States. In 2005, heart disease killed 652,091 people in the U.S. alone, according to the federal government's Centers for Disease Control and Prevention (CDC). “It kills more people than the next top five killer diseases combined,” says Hunt's cardiologist, Dr. Michael Goodwin, Midwest Heart Specialists, Naperville, Ill. Surviving a heart attack often depends on taking immediate action when symptoms arise; however, in a 2005 survey, most people (92 percent) recognized chest pain as a heart attack symptom, but only 27 percent correctly identified all symptoms and knew to seek immediate medical attention when they arose, according to the CDC. Those other symptoms include pain or discomfort in the jaw, neck, back, arm or shoulder; feeling weak or lightheaded; and shortness of breath. While Reuther had the telltale chest pain, Hunt’s initial symptoms were vague. Neither sought immediate medical
see WARNING, page 11
FRIDAY, APRIL 2, 2010
Warning From Page 10 attention, partly because each was engaging in an activity they thought might be the sole cause of their physical discomfort. Hunt had just hiked to the top of a mountain. Reuther was at her father's graveside services. The bugler was starting to play “Taps.” “That's when the classic elephant-on-the-chest pain began,” says Reuther, 60, of Charleston, S.C. Ironically, when Reuther sought medical help an hour or so later, tests that should have pointed to heart trouble came back negative and she was sent home with anti-anxiety pills. It wasn't until she had her second heart attack two years later, at age 59, that further testing revealed she’d already had one. Jaw, back and neck pain, along with dizziness and nausea, sent her to the Medical University of South Carolina Hospital the second time, when doctors found blockages in the arteries leading to her heart. She is on medication and undergoing cardiovascular rehabilitation, including a supervised exercise regimen, in hopes of preventing a third attack. Hunt’s initial symptoms were mild compared with Reuther’s but no less of a red flag. In February 2007, to celebrate Valentine's Day
THE PILOT — SOUTHERN PINES, N.C.
with her husband, she hiked up a mountain in Palm Springs, Calif., and felt tired and winded. Fifty-nine at the time, Hunt attributed her fatigue to growing older; however, as a precaution, when she returned home to Aurora, Ill., she scheduled a heart scan at Edward Heart Hospital in nearby Naperville because heart disease runs in her family. Her dad had a heart attack while playing church league baseball and died at the age of 38. Her brother’s third heart attack killed him at age 43, and another brother died at age 62 after several previous attacks. Hunt’s heart scan showed a buildup of calcium, and though she had not suffered an actual heart attack like her father and brothers, she had to have triple bypass surgery followed by cardiovascular rehabilitation. Except for family history, other major risk factors for heart disease — smoking, high cholesterol, high blood pressure, physical inactivity and high body mass index (or BMI, a formula to assess a person's body weight relative to height) — are modifiable, says Dr. Jennifer Peura, assistant professor of medicine, Medical University of South Carolina, Charleston. Diabetes is another major risk factor that can be controlled through proper treatment. Studies among people without heart disease have shown that lowering high cholesterol and high blood pressure can reduce the risk of developing heart disease. And studies among
PAGE 11
people with heart disease have shown that lowering high cholesterol and high blood pressure can reduce the risk of dying, having a non-fatal heart attack and needing bypass surgery or angioplasty. Although Hunt and Reuther both got heart disease despite healthy eating habits, generally speaking, “Diet is the cornerstone of prevention,” says Christine Palumbo, a Napervillebased dietician. It’s a key part of treatment, too, along with weight control, stress management and increased physical activity, she adds. “There is research dating back to the 1970s that shows diet can reverse the effects of an unhealthy lifestyle,” Palumbo says, adding that a number of her clients no longer need blood pressure and cholesterol-lowering medications after improving their eating habits. A heart-healthy diet includes plenty of whole grains, fruits, vegetables, beans, nuts and fatty fish, such as salmon and tuna. A healthy eater by habit, Hunt allowed herself a poolside margarita in Phoenix in February 2008 to celebrate Valentine’s Day, the holiday of hearts, and, more important, her health. It was there in Phoenix, a year after her trip to Palm Springs and nine months after her bypass surgery, that Hunt hiked up another mountain — with happier results. “It was like a victory lap,” she says. “It was exhilarating.”
Effective Ways to Banish
PAGE 12
THE PILOT — SOUTHERN PINES, N.C.
FRIDAY, APRIL 2, 2010
Bad Breath One of the first things many people notice about other people is their smile. A beautiful smile can make a strong first impression and boost an individual’s confidence as well. But as strong an impression as a beautiful smile can make, the breath behind that smile is equally important. Bad breath, for example, can quickly negate a good smile, no matter how beautiful it is. While what you eat plays a role in whether or not you have bad breath, other factors influence how your breath smells as well.
Lifestyle Habits Certain lifestyle habits strongly influence an individual’s breath. People who do not brush or floss daily, for instance, are far more likely to have bad breath. That’s because food particles remain in the teeth after eating, promoting the growth of bacteria between teeth, on the tongue and around the gums. That bacterial growth results in bad breath. Another factor that contributes to bad breath is smoking or chewing tobacco. Tobacco-based products are very detrimental to a person's oral hygiene, causing bad breath but potentially contributing to gum irritation, stained teeth and a reduced ability to taste foods as well.
Individual Health Bad breath isn’t always a
reflection of a person’s diet or lifestyle choices. Sometimes bad breath might be indicative of a larger issue such as gum disease. As plaque builds up on the teeth, the resulting bacteria cause toxins to form in the mouth. Those toxins irritate the gums. While gum irritation is often painful enough, allowing it to go untreated can result in worse problems, including damage to the jawbone. Other ailments can contribute to bad breath as well. In addition to diabetes, liver or kidney problems can contribute to bad breath, as can chronic respiratory problems such as bronchitis or pneumonia. Acid reflux can also contribute to bad breath.
Prevention While there's no guaranteed way to banish bad breath forever, there are ways to reduce or prevent it. • Stop smoking. Smokers or people who chew tobacco can greatly reduce their risk for bad breath by quitting. While that's easier said than done, it’s as close to a guarantee to reducing bad breath as smokers will find. • Stay hydrated. Dry mouth often results in bad breath, so staying hydrated by drinking lots of water can reduce bad breath. Also, chewing sugarless gum can stimulate the production of saliva, helping to keep the mouth moist in the process.
HEALTHY
vision Neil Ward, O.D.
OPTOMETRY
ROBBINS PROFESSIONAL CENTER
OFFICE Hours By appt. 910-948-3711 After Hours Emergency 910-948-4216
300 South Middleton St. • PO Box 909 ROBBINS, NC 27325
• Visit the dentist. Many people fear the dentist's chair, but visiting the dentist at least twice a year can greatly reduce the risk of bad breath. A dentist can give a thorough cleaning and will be able to monitor and detect the common problems
that contribute to bad breath, such as gum disease or dry mouth. • Remember Mom and Dad’s advice. Mom and Dad always said to brush twice per day and floss after meals, and that advice is as true today as it was
back then. In addition to brushing your teeth, brush your tongue as well. And be sure to replace your toothbrush every two to three months, or when it begins to look frayed, whichever comes first.
FRIDAY, APRIL 2, 2010
Getting Fit Goes Beyond Lifting Weights
THE PILOT — SOUTHERN PINES, N.C. For those who aren’t fitness fanatics, getting back in shape is a goal to strive for. Though rates of overweight and obesity are high, society has also grown increasingly health-conscious in the last 10-20 years, as the growing number of gyms and other fitness centers can attest. Still, for those hoping to shed a few extra pounds, the first step toward doing so can be the hardest. Many instantly think of the oft-intimidating nature of the local gym, where muscular fitness enthusiasts dominate the landscape. However, getting fit does not have to include weight training. While weight training can be a valuable means to get healthier and shed pounds, there are a host of other exercise options that can lead to very positive results.
Spinning Spinning is a popular and valuable alternative exercise option. However, because it can be so demanding, spinning can be a tough routine for those making a lifestyle change. Once you’ve gotten into an exercise groove, spinning might be something to explore. Often set to aggressive, pulsating music, spinning involves riding a stationary bike through demanding courses featuring hills and other difficult terrain.
Aqua aerobics For those who enjoy time in the pool, see if your gym offers an aqua aerobics class. This might not be as readily available at most gyms as spinning classes are, as lots of gyms don’t even have pools. For those who love swimming, look for a gym that does have a pool, and chances are, that gym will offer some derivation of aqua aerobics, which consists of intense cardio movements mixed with some strength training. The chief benefit of a good aqua aerobics workout is that it will work all your muscle groups with low impact on joints -making it ideal for seniors.
Pilates The popularity of pilates classes is now so great that many gyms offer classes several times per day. Not unlike yoga, pilates is both a physical and mental exercise. The exercises themselves can be quite demanding, focusing on stretching and breathing that strengthens the abdominal core.
Abdominals Few people look at their abs and don't think they could use some work. That said, nearly every gym offers a class focusing strictly on abdominal exer-
PAGE 13
Fusion
perfect fit. That’s because such classes are a combination of other classes. Because they combine so many different elements, these classes tend to run a little longer in length, oftentimes exceeding an hour in length. The benefit of these is that they build up your cardiovascular as well as muscular strength.
For those who subscribe to the idiom that “variety is the spice of life,” fusion classes (also known as total body conditioning) classes could be the
Arguably no alternative exercise class is more widely known than yoga. A centuries-old Hindu discipline aimed at pro-
cises. These usually range anywhere between 15 and 30 minutes in length. Anything longer than that might cause painful and unnecessary muscle strain, so beware of ab classes that might be longer than 30 minutes, especially if you’ve only recently gotten back into exercise.
Yoga
moting control over the body and mind, yoga is offered at nearly every gym or fitness center across the country. Much of yoga is concerned with helping you become stronger, more balanced focused, and flexible. If you’re looking for a noncompetitive environment where you can move at your own pace, this might be the best workout program for you.
Reach Your Goals 99
4 Months (gym only) 4 Months $ (Gym & Tanning)
30
Train like a PRO!!
1 Month Tanning
$
$
159
VASS FITNESS CENTER
Vass Fitness Center Member
3134 US Hwy 1 • Vass, NC • 910-245-3463
PAGE 14
THE PILOT — SOUTHERN PINES, N.C.
Battlefield Experience Helps FHC Psychiatrist Treat PTSD Depending on the war, the debilitating anxiety disorder that can result from the unique trauma of combat might once have been called shell shock, battle fatigue or combat stress reaction. It is a problem that has been noted in the annals of the American military at least since the Civil War. According to a COBOS psychiatrist with FirstHealth of the Carolinas, the more modern terms of acute stress disorder and post traumatic stress disorder (PTSD) are more clinically oriented and identify the conditions as true illnesses that require medical treatment. Fernando Cobos, M.D., is medical director of FirstHealth Behavioral Health Services and is experienced in treating PTSD patients. When he counsels patients who have combatrelated PTSD, he draws from his personal experience of the combat zone. The American Red Cross Moore County Chapter offers all levels of CPR, AED and First Aid training. Participants can enroll in our regularly scheduled classes, or a group (min. 5) can choose to train together at the day, time, and location of their choice. Contact 692-8571 or redcrossmoore@nc.rr.com.
Moore County Chapter
Cobos joined the U.S. Army Medical Reserves shortly after the terrorist attacks of Sept. 11, 2001, and has been deployed to Iraq three times since. “I think that having been there myself allows me to relate better to my patients’ experiences and to have a better understanding of what they have been through and are going through,” Cobos says. “I
also think that knowing I’ve been there helps them feel more comfortable with me and with treatment.” FirstHealth Behavioral Services has begun a group therapy geared toward men who are suffering from combatrelated PTSD. “It’s just taking off,” Cobos
see PTSD, page 15
Randall R. Mercier, M.D.
Fellow Of The American College Of Physicians
Proactive Wellness Medicine
Services Provided Include Stroke care Diabetes Screening Hypertension Cardiovascular Cholesterol Problems Disease Osteoarthritis Skin Problems Osteoporosis Asthma Diabetic Management Allergies Adult ADD Minor surgeries Thyroid Disorder Geriatric Care Cancer Screening Pulmonary Disease
All major insurances, mastercard and visa accepted. 5 Regional Circle, Suite B • P.O. Box 5842 • Pinehurst, North Carolina 28374 910.215.0873 | fax: 910.295.1787
Accepting New Patients
GENERAL DENTISTRY ORTHODONTICS
Paul B. James, D.M.D. Lisa Minor, Dental Assistant Tara Dowd, RDH
116 S. Middleton St Robbins, NC
910-948-4655
FRIDAY, APRIL 2, 2010
Acupuncture Center of the Sandhills
If You Suffer From...
• Allergies • Back & Neck Pain • Cold & Flu • Digestive Disorders • Headaches & Migraines
• • • • •
Diabetes Fibromyalgia Menopause Fertility Stress & Anxiety
Call To Make An Appointment
• Acupuncture • Cupping
692-8049
Gift Certificates Available
• Acupressure • Chinese Herbs
233 West Pennsylvania Ave • Southern Pines
ALLERGY PARTNERS, P.A. In addition to treating your seasonal allergies and asthma we also treat a variety of other condtions: Eczema/Atopic Dermatitis Contact Dermatitis Food Allergy Drug/Antibiotic Allergy Insect Allergy Anaphylaxis Hives/Urticaria Facial Swelling/Angioedema Primary Immunodeficiency Non-allergic Rhinitis Sinusitis Mastocytosis Some of the procedures we perform include allergy skin testing, patch testing, food challenges and drug challenges
Allergy Partners of Pinehurst Diane M. Laber, MD 325 Page Road, Bldg. 3 • Pinehurst, NC (910)-295-6661
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
PTSD From Page 14 says. “Because of FirstHealth’s relative proximity to Fort Bragg and Womack Army Medical Center, we are making an effort to collaborate with the mental health professionals there and develop an ongoing relationship with them.” Cobos calls PTSD a treatable condition that is increasingly recognized as a serious disease that needs to be addressed. “I am optimistic that the stigma associated with PTSD, as well as with mental illness in general, will continue to decrease,” he says. According to Cobos, PTSD is characterized by four basic classes of symptoms: Memories and intrusive recollections, often involving nightmares or flashbacks, during which the individual relives his traumatic experience or a portion of it. Hyper-vigilance, which causes the individual to feel on edge, be unable to relax and startle easily even at such common occurrences as a door closing or a telephone ringing. Avoidance and alienation in an effort to decrease reminders of the traumatic event. (According to Cobos, this can lead to a sense of alienation from friends and family and a narrowed range of daily activities.) A sense of emotional numbing or remoteness that can be very distressing, not only to the individual but also to his loved ones.
Sometimes, Cobos points out, much as possible.” the PTSD sufferer may worry Treatment for PTSD can about friends who are still in involve a range of therapies, harm’s way or experience a including behavioral approachsense of loss or bereavement es, support family therapy and because of others who have died medications. The shared or been injured in combat. experience of a group format “A big part of the treatment of can help the sufferer feel less PTSD is to try to prevent furisolated and alone while providther harm or compliing a place to learn cations from happenhow others cope and ing,” he says. thrive in spite of People suffering similar symptoms. from PTSD may Although improveeven turn to alcohol ment can be slow or drugs in an effort and challenging, to address their especially if it is symptoms. complicated by “This causes new Fernando Cobos, M.D. substance abuse or problems and someother mental illnesstimes progresses to es, it is possible and frank addiction,” many people recovsays Cobos. er. The symptoms of PTSD and “Many people bounce back the resulting behavior changes from some pretty terrible expesometimes result in failed riences,” says Cobos. “I am marriages and relationships, always amazed by how resilient leading to a further sense of loss people are.” and personal failure. Depression The PTSD Group for Men at can, and often does, complicate FirstHealth Moore Regional PTSD, Cobos says. Hospital meets each Monday at “All of these potential compli11 a.m. at FirstHealth cations should be considered and Behavioral Health Outpatient addressed early on,” he says, Services. “and the patient’s family should For more information, call be included in treatment as (910) 715-1535 or (910) 715-3370.
“I am always amazed by how resilient people are.”
Kingswood Nursing Center 915 Pee Dee Road • Aberdeen, NC 28315 910-944-8999
Rehabilitation/Short Term Rehab Skilled Nursing • Dementia Care Assisted Living
ABERDEEN “New Store - Same Familiar Friendly Faces”
Locally Owned by Trey Waters
Visit Trey at the pharmacy for a consultation on Bio-Identical Hormone Replacement Therapy, Thyroid, Weight Loss, Cancer and other illnesses. Specializing in Bio-Identical Hormones, Equine/Veterinary medicine, Pain Management, Hospice and many other areas, including Pharmaceutical vitamins and nutrition. We also offer Prescription Compounding, which is when the medication is tailor made for the patients unique needs (i.e. dose changes, taking out the preservative, changing the way the drug is applied/delivered to the body. We are problem solvers.
Specializing in: Bio-Identical Hormone Replacement, Natural Medicines FREE DELIVERY 1389 N. Sandhills Blvd, Aberdeen, NC 28315 Phone: 910-944-1313 • Fax: 910-944-1153 Trey Waters, Pharm.D. RPh
www.prescriptionshoppes.com
Mary Love McBryde, Pharm.D. RPh
PAGE 15
Mom Told Us to
PAGE 16
THE PILOT — SOUTHERN PINES, N.C.
Our Hands, M And She Was Right
BY JASPAUL S. JAWANDA, M.D. Special to The Pilot
ost of us grew up with a mother who constantly encouraged (i.e., nagged) us to “Wash your hands.” Her commands rang through the house several times a day, but most frequently before meals and often with the hurriedly tacked-on suffix of “with soap.” Well, it seems that Mom, who very often
FRIDAY, APRIL 2, 2010
knows best, had science on her side. From the Centers for Disease Control and Prevention to the Mayo Clinic and other citadels of higher health care, experts in disease prevention routinely extol the virtues of hand hygiene, noting that nothing — that’s right, nothing — does as much to curb the transmission of infec-
see WASH, page 17
You have a Choice in your healthcare! • State-of-the-art high-field MRI & multi-slice CT scan. • Board-certified, fellowship trained radiologists.
• Convenient, pleasant outpatient setting with front door parking and no waiting for appointments.
• Self-Pay Discounts & Payment Plans. • Competitive pricing.
For more information feel free to call us at
910-692-7449
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
Wash From Page 16 tious disease as the simple application of soap, warm water and friction to the human hands. FirstHealth of the Carolinas entered the traditional beginning of flu season this year with a campaign designed to increase handwashing awareness. The program requires JAWANDA the attention of everyone — patients, visitors, physicians, nurses and other employees, and volunteers — in all three FirstHealth hospitals. Called “Save a life, clean your hands,” our awareness campaign is designed to make our hospitals safer by combating the source of many infections and encouraging a change in our hand-washing culture. The primary goal is to ensure that everyone who enters a patient’s room washes his hands upon entering and leaving. The secondary goal — and this is where we encounter the change in culture — involves encouraging patients and visitors to make sure that their caregivers, even their doctors, do just that.
Maybe it’s because the act of hand washing is so easy and the advice so mundane that many of us dismiss it so readily. We’re in a hurry, we’re hungry, soap and water aren’t readily available, or we simply forget. There are plenty of reasons why people don’t wash their hands. But not doing so puts us, and everyone around us, at increased risk of disease. The problem is even (some might say especially) true in hospitals where hand-washing compliance remains low — sometimes well under 50 percent — among people who certainly should know better. Education makes a difference, however, as evidenced by a widely cited Swiss awareness campaign that resulted in a dramatic increase in hand-washing compliance — from 48 percent in 1994 to 66 percent in 1997 — after the implementation of a program that included installing alcohol-based hand rub dispensers at patient bedsides. It should be noted that nosocomial (hospital-originated) infection rates and MRSA (antibioticresistant bacteria) transmission rates decreased significantly during the same period. Because the hands are the main transmitters of germs, you can even make yourself sick if you don’t wash your hands often enough and then put them to your eyes, nose or
Orthotics & Prosthetics OF PINEHURST
Kimberly Wheeler Certified Prosthetist/Orthotist
Carson Perry Certified Orthotist
Jan Thomas Registered Mastectomy Specialist
Accredited Facility
Fax: 910.215.8035
910.295.4489
TOLL FREE: 1-888-295-4489
95 Aviemore Drive • Pinehurst, NC 28374 www.oppinehurst.com Email: info@oppinehurst.com
“We Help Make Life Beautiful Again” For the latest technology in
* Artificial Limbs * “C-Leg Certified” * Breast Prostheses and Mastectomy Supplies * Compression Stockings
* Foot Orthotics * Diabetic Shoes * Braces (Lower & Upper Extremities)
“A Commitment to Care”
PAGE 17
mouth. You can also spread They didn’t believe in it, and deaths but also revolutionized germs to other people by touch- they ridiculed people who did. health care. ing surfaces — such as doorMany times, their number Even then, it would be anothknobs and telephones — that included people who worked in er 50 years before hand washthey also touch. hospitals. ing was recognized — as it is Diseases that are spread That practice began to change today — as the health-care through simple hand-to-hand or about 150 years ago when an worker’s most important tool hand-to-object contact include Austrian physician noted a cor- against the spread of infection. the common cold, flu and any relation between patient deaths Jaspaul S. Jawanda, M.D., is a number of stomach bugs. Most and the student doctors who board-certified physician who people will get over a cold easi- had worked on cadavers in an specializes in the diagnosis and ly, but the flu, especially in anatomy class before starting treatment of infectious discombination with pneumonia, rounds in a hospital maternity eases. He received his medical can be very serious, even dead- ward. By insisting that his studegree from the University of ly. dents wash their hands before Michigan and did further trainThere was a time, and not so touching their patients, this long " ago • • historically, ! • ! when " most " • foresighted • ! # physician •• •• not• only •• •ing at the University of North Carolina at Chapel Hill. people didn’t wash their hands. produced a drop in patient
•
Sleep During Dentistry With I.V. Sedation! Dr. Ritt Kuhn, I.V. Sedation Certified, now offers the ultimate in dental relaxation. I.V. Sedation creates a twilight sleep state with most having little or no memory of the procedure afterward.This level of sedation helps many fearful patients undergo the dental care they need to achieve the smile they desire.
Dr. D. Ritt Kuhn
Certified, I.V. Sedation
Call Before 05/14/10 For A No-Cost Consultation!
Call (910) 692-4450 KuhnDentalAssociates.com
David R. Kuhn DMD • Mandy Kuhn Grimshaw DDS • D. Ritt Kuhn DMD • Bernard Dennison DDS 1902 N. Sandhills Boulevard, Suite H • Aberdeen NC 28315 (Just 5 Miles From Moore Regional Hospital in Pinehurst)
PAGE 18
THE PILOT — SOUTHERN PINES, N.C.
FRIDAY, APRIL 2, 2010
Tackling Childhood Obesity
O
besity is now among one of the most widespread medical problems for children and adolescents. The American Obesity Association reports that about 15 percent of adolescents (aged 12 to 19 years) and children (aged 6 to 11 years) are obese in the United States. Doctors say that obesity among children is one of the country's greatest health challenges. Many health care providers define obesity in a child as weighing 20 percent or more over the healthy range. The percentage of body weight that is fat is also a good indicator of obesity. Boys over 25 percent fat and girls over 32 percent fat are considered obese. Childhood obesity puts youngsters at risk of being overweight adults. It also presents risk factors for other serious health concerns, such as heart disease, stroke and diabetes. Overweight children can also experience psychological side effects. Bullying and teasing by peers may lead to poor self worth and even depression. Some experts believe that breastfeeding and delaying solid foods for infants can help prevent obesity. Teaching children how to eat healthfully as
they age is another way to promote healthy weight. Here are some additional suggestions: • Limit the time spent watching television, playing video games and surfing the Internet to no more than seven hours per week. • Encourage physical activity, such as sports leagues or simply playing outdoors with neighborhood friends. • Set a good example by limiting the fattening foods you eat. Make healthy meals a family affair. • Many people overlook the extra caloric intake of sodas and other soft drinks, not to mention the amount of sugar in these drinks. Serve water whenever possible. • Have children avoid snacking or eating while watching television. They may eat subconsciously while distracted by the show -- and consequently eat much more than is recommended. • Exercise as a family. Get outside and take walks, ride bicycles or swim. If exercise is done together, it’s more likely to be continued. • According to statistics, only one-third of students have regular physical activity at school. Speak to school officials about having more physical fitness
CARTHAGE INSURANCE AGENCY HEALTH HOMEOWNER AUTO LIFE COMMERCIAL Steve Phillips Manager
BONDS
Quality Insurance At A Price You Can Afford, For The Protection You Deserve.
910-947-2957 303 Monroe Street • Carthage, NC
incorporated into students’ schedules. • Pack your child’s lunch so he is less likely to rely on processed or fast foods. • Regular health checkups
can determine if your child is in a healthy weight range. Doctors have the equipment to most accurately measure body mass index (BMI). You can also roughly calculate it at home:
Multiply the child’s weight in pounds by 705. Then divide by the child’s height in inches. Divide this by the height in inches again.
NAMI-MC
N ATIONAL A LLIANCE
ON
M ENTAL I LLNESS - M OORE C OUNT Y
The National Alliance on Mental Illness of Moore County (NAMI-MC) is a dedicated, all volunteer organization whose purpose is to foster hope and respect for individuals with brain illnesses and their families through Advocacy, Education and Support. NAMI-MC sponsors the following Programs and Events. Free and Open to the public:
Family to Family – a series of 11 weekly classes structured to help family members understand and support their mentally ill relative while maintaining their own well being. Peer to Peer – is a unique learning experience for people with a mental illness who are interested in establishing and maintaining their wellness and recovery.
Peer Recovery Support Group – is a support program for anyone with a mental illness diagnosis who is in recovery. It is sponsored by FirstHealth Outpatient Behavior Services in partnership with NAMI-MC. Crisis Intervention Team Training (CIT) – is a pre-booking jail diversion program for sworn law enforcement officers only, designed to improve the outcomes of police interactions with people with mental illnesses.
Field of Hope – is a permanent “Traveling Flag Display” to honor or remember a loved one affected by mental illness and their family members, friends, other caregivers and medical professionals. Pathway to Awareness – is an annual event to bring awareness of mental illness issues to the public’s attention. This year’s event will feature Mariel Hemingway, actress and writer, and granddaughter of Ernest Hemingway. It will also include a “Walk through the Park”, “Ask the Psychiatrists” Forum and our “Candles in the Sky” observance.
Linden Lodge Project - provides the opportunity for additional housing for individuals with a serious and persistent mental illness, in addition to giving them the opportunity to improve life skills in Pinehurst N.C. Meetings are the first Monday of the month, 7pm, Community Room of FirstHealth’s Specialty Building.
NAMI-Moore County • Post Office Box 4823 • Pinehurst, NC • 28374 Local Help Line: 910-295-1053 NAMI-MC Website: www.nami-moorecounty.org
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
First-Ever Non-Surgical Heart Defect Closures Performed at Hospital Until a few months ago, FirstHealth of the Carolinas patients who needed minimally invasive treatment to correct two serious congenital heart defects would have had to seek their treatment at a large outof-town medical center. Both of those treatments are now available at FirstHealth Moore Regional Hospital. Steven Filby, M.D., an interventional cardiFILBY ologist with Pinehurst Medical Clinic and FirstHealth Moore Regional Hospital, recently performed the hospital’s first-ever non-surgical atrial septal defect closure as well as its first-ever non-surgical patent foramen ovale closure. “Both patients are doing well,” says Filby, who was trained in the minimally invasive cardiac procedures at Ohio’s world-renowned Cleveland Clinic. An atrial septal defect or ASD is a congenital (present at birth) heart defect in which the wall that separates the heart’s upper chambers (the atria) does not close completely. A small hole usually has little effect on heart function. With a large defect, however, large amounts of oxygen-rich blood can leak from the left side back to the right side — creating more work for the right side and symptoms that can include palpitations; shortness of breath, especially with exercise; and a susceptibility to pneumonia and bronchitis. People with ASD are also at increased risk for developing atrial fibrillation, heart failure, pulmonary hypertension and stroke. Filby’s patient, a woman in her 20s, was experiencing palpitations that had been controlled by medication for several years but then started again. An EKG revealed that the right side of her heart had become enlarged as a result. During the procedure, Filby made tiny surgical cuts in the groin areas of both of the patient’s legs and then inserted
a catheter in each leg — one with an intracardiac ECHO probe (a tiny camera that allows precise images of the heart) and the other with a wire mesh closure device. After conducting several tests to ensure the device was in the correct position, he released it into place. Over time, according to Filby, the device will become coated with tissue and eventually become indistinguishable from the rest of the heart. “The heart does a very good job of accepting this as a piece of tissue,” he says. The second procedure, the patent foramen ovale closure, involved a man, also in his 20s, who had suffered a cryptogenic (hidden cause) stroke as a result of the defect. The foramen ovale is a small hole in the atrial septum of the heart that is used to speed up the travel of oxygenated blood from the placenta through the
see CLOSURES, page 20
PAGE 19
• Nebulizers • Mastectomy Products • Home Oxygen • Hospital Beds • Portable Oxygen • Wheelchairs • Diabetic Supplies • Ensure & Ensure Plus • Scooters • Seatlift Chairs • CPAP/BiPAP Machines • Compression Hoisery
1680 NC Hwy 5, Suite 160, Pinehurst Plaza • (910) 255-0005 1637 Owen Dr., Fayetteville • (910) 323-1529 Mon-Fri 9am-5:30pm “I am the way, truth and the life” John 14:6
It's as simple as donating your vacation papers, or a few dollars added to your paid subscription to Newspapers in Education. Support our local schools & students the future leaders of the community.
For more information or to make a donation, call 693-2490 or stop by The Pilot on 145 W. Penn. Ave in Southern Pines.
teach (tech) v.
1. to impart knowledge or skill to
“As a small business owner, I have noted the rise in health care costs and understand that investing in the health of my staff is the only way to combat this trend. I’m grateful to work with an insurance company that makes that investment as well by providing health screenings and health education for my employees.” Julian King President, Automated Electronics Radio Shack Aberdeen
There is a face to health care coverage, and I like seeing it. Personal, prompt service, people who listen and ask rather than tell, a company that’s focused on your goals, not its bottom line.That’s the new face of health care coverage.To see it, you don’t have to look far.We’re right here in your backyard. FirstCarolinaCare Insurance Company is a wholly-owned subsidiary of FirstHealth of the Carolinas.
www.firstcarolinacare.com
311-173-10
PAGE 20
Closures From Page 19 umbilical cord to a fetus in the womb. In most cases, the hole will close naturally when a newborn takes its first breath. However, in 25 percent or more of the population, the foramen ovale does not close — causing a patent foramen ovale (PFO), a defect that works like a flap valve and opens under conditions when there is more-thanusual pressure inside the chest. If the pressure is great enough, blood may travel from the right atrium to the left. If there is a clot in that blood, it can cross the PFO, enter the left atrium and travel out of the heart and to the brain (causing a stroke) or into a coronary artery (causing a heart attack). According to Filby, people with PFO don’t need treatment if they don’t have associated problems. But, he says, closure is recommended to prevent recurrent problems in patients who have had a heart attack or stroke. The procedure Filby used to close the PFO in his patient is very similar to the closure procedure for an ASD. Both involve catheters that are inserted into veins in the groin and then are advanced to the heart. The only difference is a slight variation in the design of the
THE PILOT — SOUTHERN PINES, N.C. two closure devices. “Practically speaking,� Filby says, “it’s the same procedure.� With both procedures, the patient is admitted to the hospital through the Outpatient Department, has the procedure while under conscious sedation and without a breathing tube, and then goes home the next day after several hours of bed rest. A typical PFO procedure takes about an hour to complete, while an ASD closure will take two to three hours. Physician follow-up is then prescribed for one month, three months, six months and annually. Although both of his patients were young, Filby says, ASD and PFO defects can show up at any age. “Patients with ASDs typically develop symptoms in the 40 to 50 range,� he says. “Patients with PFOs can present at any time.� A board-certified cardiologist, Steven Filby, M.D., earned his medical degree at the Louisiana State University School of Medicine and completed additional training at Stanford University Hospital in California, the Cleveland Clinic in Ohio and UNC Hospitals in Chapel Hill. For more information on the defect closure procedures he performed at FirstHealth Moore Regional Hospital, call (910) 715-1478 or (800) 213-3284.
FRIDAY, APRIL 2, 2010
ATRIAL FIBRILLATION INFORMATION SESSIONS offered by FIRSTHEALTH ARRHYTHMIA CENTER
Join Andy C. Kiser, M.D., heart surgeon with the FirstHealth Cardiovascular & Thoracic Center, and Mark Landers, M.D., cardiologist with Pinehurst Cardiology Consultants, for a free, interactive presentation,“Treatment Options for Atrial Fibrillation.� What is it, why treat it and how? Medications, ablations, surgery – the confusing menu of treatments for atrial fibrillation is as baffling as this troublesome condition.Treatment options are available. Learn more about them including the minimally invasive Convergent Procedure.
"EAUTY (AS .O !GE ,IMIT ,ASER HAIR REMOVAL -ICRODERMABRASION &ACIAL TREATMENTS 0EELS &ACIAL WAXING $ERMAPLANING -INERAL MAKE UP #ALL
(ANNAH #OX %STHETICIAN
Tuesday, April 13 5:30 p.m. Monroe Auditorium FirstHealth Moore Regional Hospital Conference Center This presentation is free, but space is limited. Please call (910) 715-1478 or (800) 213-3284 for more information or to register. You may also register online at www.firsthealth.org under Classes and Events
HCOX PINEHURSTSURGICAL COM WWW JKILPATICKMD COM
'IFT #ERTIl CATES ARE AVAILABLE www.firsthealth.org Working Together, First In Quality, First In Health 244-20-10
Common Risks for Prostate Cancer FRIDAY, APRIL 2, 2010
If asked to name the most common non-skin cancer in America, many people would no doubt be quick to guess lung cancer. And that would not necessarily be such a bad guess considering the popularity of cigarettes and cigars. But those people who answered lung cancer would be wrong. According to the Prostate Cancer Foundation (PCF), prostate cancer is actually the most common non-skin cancer in the United States, affecting one in six men. Chances are an overwhelming number of Americans know a friend or relative who has had skin cancer, or they might have even suffered from the disease themselves. Unfortunately, many Americans might also know someone who has succumbed to prostate cancer, as the PCF notes that more than 25,000 fall victim to the disease every year. Fortunately, an educated male has more than a fighter’s chance against prostate cancer. The following are some of the
THE PILOT — SOUTHERN PINES, N.C.
risk factors associated with prostate cancer. • Age: Most men are aware they need to visit the doctor regularly, including increasing the frequency of those visits as they go through middle age and approach retirement. Increasing the frequency of visits as you get older is important, as prostate cancer is rarely diagnosed in men under the age of 45. Age, however, is not man’s best friend with regard to prostate cancer. According to the PCF, the risk sharply increases as a man grows older. A man under 40 has a one in 10,000 chance of being diagnosed with prostate cancer, while a man between the ages of 40 and 59 has a one in 38 chance. The numbers only get riskier from there, as men over 60 have a one in 15 chance of diagnosis. Overall, 65 percent of all prostate cancer diagnoses are in men over the age of 65, underlining the importance of visiting the doctor more frequently as we age. • Race: African-American must be especially diligent when visiting their physicians,
“Prostate cancer is \actually the most common non-skin cancer in the United States, affecting one in six men.”
PINELAKE
Short Term Rehab - Long Term Care Physical, Occupational & Speech Therapy Compassionate Skilled Nursing Care
Located At 801 Pinehurst Ave in Carthage, NC
(910) 947-5155
Call Us Today For A Tour
as they are 61 percent more likely to develop prostate cancer than Caucasian men. Perhaps most unsettling is that African-American men are 2.5 times as likely to succumb to prostate cancer.
• Family history: Men with a father or brother who has had prostate cancer are twice as likely to develop the disease. Men with two or more relatives who have had the disease are four times as likely, emphasiz-
PAGE 21
ing how important it is for any man, regardless of his age, with a family history of prostate cancer to visit his doctor regularly and discuss prostate cancer as early as possible.
PAGE 22
THE PILOT — SOUTHERN PINES, N.C.
For Better Health
Whether stressed or ill, patients are beginning to look beyond talk therapy to fingerpaints, and it just might be what the doctor ordered. By Anna Sachse
FRIDAY, APRIL 2, 2010
tressed out, sad and frustrated, but unable to pinpoint why? Maybe those doodles you made while on the phone with your boss mean more than you think, but what exactly lies beneath those jagged lines and spirals? More and more patients are turning to art therapy, a respected, certified form of therapy, to find out. For the most part the healing power of paints and clay is something about which many patients remain skeptical. “Art therapy integrates the fields of human development, visual art and the creative process with models of counseling and psychotherapy,” explains Cathy A. Malchiodi, a spokesperson for the American Art Therapy Association, Alexandria, Va. “It is based on the belief that the creative process involved in artistic self-expression helps people to resolve emotional problems, develop interpersonal skills, increase self-esteem and self-awareness, reduce stress and achieve insight.” Art therapy is used with people of all ages in order to assess and treat Attention Deficit Disorder, Alzheimer’s, autism, anxiety, depression, substance abuse, family and relationship issues, mental and emotional difficulties, physical and neurological problems. “It has shown particular effectiveness with individuals who have experienced trauma,” adds Malchiodi, a licensed professional clinical counselor in art therapy, “such as children who have been abused, adults who have experienced traumatic loss, witnessed a traumatic event or have had a traumatic medical
FRIDAY, APRIL 2, 2010
condition such as cancer, and even returning military who may experience post-traumatic stress as a result of their experiences.” Part of the reason art therapy may draw out more reluctant patients is that it allows the individual to naturally create an abstract representation of their feelings rather than being restricted by having to find the proper words to explain their exact state of mind. “Traditional therapy for many people brings to mind ‘talk therapy’ in which the client discusses life issues with the therapist and together they explore the origins of problems and strategies for changing dysfunctional patterns,” says Carol Lambias, MS, a private-practice creative arts therapist in Poulsbo, Wash. “However, many of the problems that plague us have roots in the unconscious areas of our life. Art can reflect aspects of ourselves that we may not be able to put into words, and can be a safe container for expressing emotions that may feel overwhelming.” Although there are no steadfast rules, Lambias explains that different mediums can affect people in different ways. Drawing mediums like pencils, crayons and pens offer control and lend themselves well to mental exploration. Paints are more fluid and emotionally expressive. Collage is a great medium for people who feel self-conscious about their drawing and painting skills. People with developmental disabilities often enjoy practical projects such as making a clay bowl or weaving a scarf. And hands-on mediums, like finger paint and clay work, are more likely to cause clients to regress (revert to earlier stages of development). Yet another medium is touch drawing. This technique involves moving your hands on a sheet of paper that has been placed over a smooth surface of paint; the resulting impressions are seen upon lifting the page. “A multitude of images are born from within, through the touch of the fingertips,” says Deborah Koff-Chapin, an author and artist as well as the founder of the Center for Touch Drawing, Langley, Wash. “What emerges is a series of visual imprints of deep inner states.” One of the benefits of touch drawing is that it can be done even if someone doesn’t have the ability to hold a tool. “It is being introduced to Parkinson’s patients and their caregivers,”
THE PILOT — SOUTHERN PINES, N.C.
says Koff-Chapin, who originated the technique herself in 1974. “Nurses are using it in wellness retreats, and hospital chaplains and hospice workers are incorporating it into their work with patients and their families.” Art therapy programs are found in hospitals, clinics, public and community agencies, wellness centers, educational institutions, businesses and pri-
vate practices. But if you want to test out the therapeutic effects of art for yourself right now, choose a theme that’s meaningful to you, advises Lambias, and explore it by making a collage with words and images cut from magazines. You can also create a mandala – geometric designs used to symbolize the universe in Hinduism and Buddhism – using abstract shapes to repre-
PAGE 23
sent aspects of your theme, or make a symbol or logo for your theme. “Choose positive themes to start and save deeply traumatic issues for times when you have therapeutic support,” says Lambias. “Notice thoughts and feelings that arise, both while you create and over time as you revisit your artwork.” “I can’t emphasize enough that you do not have to have
any art skills or special talent to benefit from art therapy,” adds Lambias. “Art therapy is about self-expression and self-discovery; the creative process itself is as important as the work produced, sometimes more.”
Should I have a Mammogram every year? When should I have my first Mammogram? Have questions about Mammograms? We have answers. PinehurstRadiology.com
DIGITAL MAMMOGRAPHY X-RAY - ULTRASOUND
30 Memorial Drive Pinehurst
910-295-4400
www.PinehurstRadiology.com
Health Innovations Pharmacy
FREE DELIVERY!
• No Waiting in long lines • Medication Flavoring • We Deliver the Sandhills Area • Friendly & Professional Advice • Independently Owned & Operated
WHY WE ARE DIFFERENT
Tim Clark, RPh 295 Pinehurst Ave, Southern Pines
910-246-5155 • 866-246-5155 • 910-246-5157 Fax www.healthinnovationspharmacy.com
20% OFF Services
• Compounded Medications • Physical Therapy Gels/Solutions • Creams / Ointments • Suppositories • Topical Pain Cream • Capsules • Suspensions• Chewable Pet Treats For Your Pets • Drive Thru Window
BRING IN THIS COUPON AND RECEIVE Expires 5/31/2010
Any item over the counter
Prevent Common Illnesses From Spreading Through the House
Over 40 years in step with excellent care Since 1966, Sandhills Pediatrics Inc. has provided quality pediatric care for all the children in the Sandhills Region.
Well Child Clinic a comprehensive program caring for your child from birth to college
ADHD Clinic diagnostic evaluation and treatment of ADHD Taking care of a sick child isn’t fun. However, taking care of a sick child, a sick spouse and yourself when you all are sharing the same germs can mean more than a few sleepless nights. It can be quite a struggle and lead to lost days of work and school. To prevent this catastrophe from occurring, it’s essential to keep communicable diseases from spreading throughout the household. Some parents give up on the idea of stopping viruses or bacteria from spreading among family members. But with some diligence you can help keep sickness contained, even while caring for an individual who is under the weather. Here’s how. • Everyone needs to wash their hands frequently. It doesn't matter if it’s with hot, cold or soapy water. Washing hands is the single most effective way to prevent the spread of germs, say experts. Generally viruses can live on surfaces for a few hours or days. Touching a surface and then touching your eyes, nose or mouth is an easy way to internalize the germs. Ensure that children and adults wash their hands adequately several times every day. Sing a little song while washing, such as “Twinkle, Twinkle, Little Star,” to be sure enough time — at least 20 to 30 seconds — has elapsed to clear off germs. • Sanitize around the house. You don't have to hand out hazmat suits just yet. But take the time to wipe down shared items with a disinfectant. Focus on doorknobs, remote controls, light switches and faucets. You can also throw plastic toys in the dishwasher and linens into the washing machine to clean them. • Keep your sick kids home from school. School and other public places can be a breeding ground for germs. There’s no point subjecting other kids or teachers to your child's sickness. This could only cause others to become sick and then result in a rebound effect with your child. Keep your child home until he or she is over the worst of the cold, flu, fever -whatever is ailing him or her. • Don't share glasses or silverware. Unless you want to swallow a mouthful of germs, avoid using the same serviceware as a sick individual. Also, replace toothbrushes after the person is feeling better.
Asthma preventative care and Asthma education to school age children
195 West Illinois Ave Southern Pines, NC
(910) 692.2444 1035 Seven Lakes Drive Suite A - West End, NC
(910) 673.1600
8a 1p 6p 9a
-
12p 5p 8p 12p
}
Monday - Friday
Saturday
The Acute Care After Hours Clinic - Southern Pines Office only.
sandhillspeds.com
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
PAGE 25
Warning Signs of Alzheimer's As persons age, many understand there are certain things that are changing and need to be accepted. Someone who was once a night owl might now realize they work better on a full night's rest. Those who tended to spend long days at the office might realize they now need to head home at quitting time to better preserve their energy. While both of those realizations manifest themselves physically, another more troubling problem occurs mentally. Alzheimer's disease affects as many as 5.3 million people in the United States alone, and Alzheimer’s and dementia triple health care costs for Americans age 65 and older according to the 2009 Alzheimer’s Disease Facts and Figures report from the Alzheimer’s Association. Part of the fear associated with Alzheimer’s disease is the uncertainty surrounding it. While seniors might be willing to admit they can’t burn the midnight oil like they once did, few can accept or are willing to admit they might be suffering some mental side effects of aging as well. Therefore, it’s often up to friends and family to look for the warning signs of Alzheimer’s. If you see or suspect any of the following signs in a friend or relative, consult a physician immediately. • Disruptive changes in memory. The Alzheimer’s Association notes that one of most common, particularly in its early
stages, indicators of Alzheimer’s is forgetting recently learned information. Other memory disruptions that could indicate Alzheimer's are forgetting important dates or events, routinely using memory aides such as notes or asking for information more than once. • Difficulty planning or solving problems. Some people begin to struggle with planning, both developing a plan for a given task or following another’s plan. This can include difficulty with daily responsibilities such as following recipes or monthly tasks like making sure the bills get paid. Tasks that once took a few moments might now take a lot longer as well. • Difficulty performing familiar tasks. Familiar tasks often seem foreign to people with Alzheimer’s. This can include driving a car, understanding a favorite game or cleaning the house. • Losing track of time or place. Seniors who begin to lose track of time, forget what season it is or where they are might be suffering from Alzheimer's. Many times, people with Alzheimer's only understand things that are happening immediately. • Problems with vision and spatial relationships. While many people are quick to assume vision loss is a standard sign of aging, such loss could also be indicative of a larger problem such as Alzheimer’s,
which can make it difficult for seniors to read, judge distance or distinguish between colors. In addition, someone with Alzheimer’s might walk past a mirror and think someone else in the room, unaware the person in the mirror is their own reflection. • Difficulty with conversation. Sometimes, people with Alzheimer’s have trouble maintaining or joining a conversation. Some people might struggle with vocabulary, such as calling things by the wrong name, while others might stop in the middle of a conversation and not be able to continue. Most typical is when a person cannot find the right word to express a given idea. • Misplacing items and being unable to retrace steps. Nearly everyone misplaces an item from time to time. However, this is more common among those with Alzheimer’s, who might put their car keys in the refrigerator or routinely lose items such as the remote control or their eyeglasses. When such items are misplaced, a person who could have Alzheimer’s will find it nearly impossible to retrace their steps. • Poor judgement. People with Alzheimer’s can suffer from poor judgement as well. This includes making poor financial decisions or paying less attention to grooming and appearance.
Drug and Home Care
Your Complete Home Care Center
Oxygen Therapy, CPAP & BIPAP for Sleep Apnea, Nebulizers, Hospital Beds, Lift Chairs, CPM’s, Manual and Motorized Wheelchairs, Diabetic Care, and much more!
Mon.-Fri. 9am-6pm or call 24 hours/day and 7 days/week!
300 Kelly Road • Pinehurst
910-295-0575 • 866-762-2797 www.mabrysdrug.com
Come See The Difference! A Hometown Business Serving Hometown Folks!
Simple Ways to Protect
Your Hearing
PAGE 26
THE PILOT — SOUTHERN PINES, N.C.
As people age, certain ailments or conditions are considered part of the territory. For example, athletes understand the need to start pulling back as they age, altering their training in an effort to ease the toll exercise can take on their bodies. Also, many seniors make sure to drink enough milk as they age to keep their bones strong. Another ailment or condition adults often expect as they age is a gradual loss of hearing. While hearing loss is widely considered a product of old age, young people — adults and children included — actually can take steps to protect their hearing long before they’re considering retirement. And it’s important young people do just that. According to the House Ear Institute (HEI), roughly 32.5 million people in the United States alone have a hearing loss, approximately 30 percent of which is a direct
NOW
result of exposure to excessive noises. Thought it might seem early for young people to start protecting their hearing, it’s never too early to do just that. The following means to protecting hearing can help bury the misconception that hearing loss is a fact of life when reaching older adulthood. • Take “quiet” breaks. Much like professionals who work at computers all day must take periodic breaks to give their eyes a break, it’s ideal for everyone to take periodic “quiet” breaks to give ears a rest as well. It's also important to note that ears can be safely exposed to 85 decibels (dB) for up to 8 hours per day. However, the maximum time of safe exposure to 100 dB is just 15 minutes. Though it might not seem much higher, the effects are enormous. When purchasing headphones or other audio
OPEN
A Neighborhood Pharmacy & PCCA Compounding Lab
Hate to Wait?
We’re the Fastest in Town! Located in Whispering Pines, 7305 NC Hwy 22
(on the corner of Hwy22 & Ray's Bridge Rd- in Helen's Dress Shop Building)
Mon-Fri 9-6 & Sat 9-1
910-949-3700
products, be sure to research the maximum decibel level. • Don’t purchase front row seats. Concertgoers no doubt love getting as close as possible to their favorite bands. However, doing so can prove very harmful to hearing, even if it’s only done every so often. When near on-stage monitors or amplifiers, position yourself a safe distance away from amplifiers and other speakers. Musicians can even take steps to protect their hearing by practicing below performance levels whenever possible. • Stop going places where raised voices are the norm. Hazardous sound environments are all around us and should be avoided whenever possible. Loud music concerts, construc-
FRIDAY, APRIL 2, 2010
tion zones where loud power tools are used regularly and even vehicles traveling at high speeds with the windows rolled down are all hazardous sound environments. A good rule of thumb is to avoid locales where you routinely need to raise your voice to be heard. If you must raise your voice, chances are you’re hurting your ears the longer you are there. • Protect your ears regularly. Ear protection might not be the coolest thing a person can do in terms of looks, but it's as effective as anything when it comes to protecting your ears. Foam, silicone or premolded earplugs are all effective at protecting the ears when in an extreme sound environment. Ear protection products should have a
noise-reduction rating (NRR) of at least 9 dB. This should not be a problem, as most products have a minimum NRRof 22 dB. What’s more, technology has helped hearing protection products a great deal. High fidelity ear hearing protection reduces. all sound frequencies equally, and many people feel wearing such products make listening to music more enjoyable. • Don’t be patient if you suspect hearing loss. Anyone who experiences sudden changes in hearing or suspected hearing loss should immediately report their suspicions or concerns to an otolaryngologist (ENT). Even if it ends up being a passing problem, it's better to be safe than sorry.
Dr. Renee has over a decade of experience in holistic healthcare and offers a menu of services including massage, chiropractic adjustments, nutritional & hormonal counseling, women's health, Applied Kinesiology and Sacral Occipital Technique.
Serving Seven Lakes for over 25 years
SEVEN LAKES CHIROPRACTIC
R. Reneé Cowan, D.C. 1064 Seven Lakes Dr • West End, NC 27376 (910) 673-BACK (2225) • We file insurance. Same day appointments.
H o l i s t i c he a l t h c a r e f o r t he w h o le f a m i l y
FRIDAY, APRIL 2, 2010
THE PILOT — SOUTHERN PINES, N.C.
PAGE 27
FirstHealth Telehealth Program Expands This article originally appeared in the January 3, 2010, edition of The Pilot. FirstHealth’s telehealth program began as an innovative idea from the medical professionals in FirstHealth Home Care. It received early support from the Foundation of FirstHealth and was later expanded with a grant from the Duke Endowment. In five years, the telehealth service has benefited more than 3,000 patients in Moore, Montgomery, Richmond, Scotland, Lee and Hoke counties. A three-year, $750,000 Telehealth Network Grant from the U.S. Department of Health and Human Services (DHHS) will now allow the program to reach even more patients. “When we first started imagining the possible benefits of telehealth monitoring for home care, we had no idea that, in just five years, we would be making a difference for so many patients,” says Patty Upham, director of FirstHealth Home Care Services. “This program is an example of the successes we can achieve when we work
together. The vision and financial support of the Foundation of FirstHealth enabled us to take the first step and launch a program that has improved health care throughout the communities we serve.” Telehealth is the wave of the future for home health care. Using simple, easy-to-understand computer technology, patients transmit specific health information over their home phone line to a centralized monitoring station where it is read by qualified medical personnel. Anything unusual is noted, and appropriate followup is scheduled. Telehealth monitoring not only enables the Home Care staff to stay closely connected to patients even when they are not actually in the home, but it also helps patients understand how to better manage their own health. “As patients or caregivers send us the information each day, they begin to recognize how simple actions make a difference in their health,” Upham says. “They make the connection between the country ham biscuit that they ate for breakfast and their elevated blood pressure. One of the unexpect-
ed advantages of telehealth is tional high-resolution digital the educational opportunity it cameras. Funds also assisted provides for our patients and with employment of a full-time families.” telehealth nurse coordinator to FirstHealth’s telehealth sermanage the program. vice, which uses The new grant will equipment provided allow the program to by ViTel Net of add at least 50 moniMcLean, Va., began toring units and supwith a pilot program port the addition of funded by the Moore three staff memRegional Hospital bers: a coordinator, a Foundation. The community liaison pilot worked so well and a technician. that FirstHealth and “To optimize this the Foundation partservice, we are netnered to purchase 18 working with the telehealth units and FirstHealth four digital camera Emergency kits to be used for Departments and Patty Upham wound assessment. Family Care A $250,000 grant Centers, area health awarded through the departments and the Duke Endowment in the sumMoore Free Care Clinic,” mer of 2006 allowed Upham says. “When we work as FirstHealth to acquire 70 addia team, our patients score. It’s a tional monitoring units for a winning combination.” total of 90 as well as four addiThe success of the telehealth
“This program is an example of the successes we can achieve when we work together.”
program at FirstHealth is in no small part due to the financial support of the Foundation of FirstHealth. “This program is an example of how our Foundation members’ investments affect the quality of life and health in our communities,” says Kathleen Stockham, president of the Foundation of FirstHealth. “We provide the dollars that support the ideas and nurture them into sustainable, successful programs that make a real difference. Our initial $20,000 investment has reaped great returns for our patients. The outcomes speak for themselves.” Telehealth monitoring helps keep patients at home, where they want to be. One of the primary goals of home care involves reducing admissions and emergency department visits.
see TELEHEALTH, page 28
Autumn Care
OF BISCOE
A UNIQUE BLEND OF NURSING AND REHABILITATION WE ENCOURAGE YOU TO STOP IN AND TOUR OUR FACILITY TO SEE WHAT WE MEAN BY “THE AUTUMN DIFFERENCE.”
• Short Term Rehabilitation, Long Term Medical Management and Respite Care • In house rehab team consisting of Physical, Occupational and Speech Therapies • In house Laboratory, X-Ray and Pharmacy Services • Medicare and Medicaid Certified, Hospice Contract, Private Insurance • Medical Director, 24 Hour Physician Coverage, 24 Hour Licensed Certified Staff • Individualized Care Program, Restorative Programs, Specialized Nutritional Programs • Pain Management, Complex IV Therapy, Tracheostomy Care, Enteral Feeding, Wound Care Management • Facility Transportation for outside appointments
401 LAMBERT ROAD PO BOX 708 BISCOE, NC 27209 PHONE: (910) 428-2117 FAX: (910) 428-1165 ADMIT110@AUTUMNCORP.COM
PAGE 28
THE PILOT — SOUTHERN PINES, N.C.
chronic obstructive pulmonary disease (COPD) has been a telehealth patient since early From Page 27 September. His wife, who is his caretaker, is nervous about his condition. When his oxygen According to data collected levels fall below the accepted over the first six months of the numbers, the monitoring nurse program, the overall agency rate can help assess his condition. for home care hospitalizations Telehealth does not replace was 25 percent while the nurse/patient contact. Instead, it FirstHealth telehealth rate was extends the resources of home 18 percent. care organizations and offers For emergency department daily interactions that benefit visits, the overall average each patient. agency rate was 20 percent Nationally, patients who use while the rate for telehealth telemedicine are found to patients was just 14 percent. become more self-aware and “Our overall hospitalization gain invaluable knowledge about rates consistently remain below their medical conditions and the state and national averages,� overall well-being. Upham says. “Our patients are In addition, the tools help the very happy with the program. telehealth staff to make accuWe are able to detect subtle rate, data-driven decisions that changes before they become improve care and reduce real health problems. We believe recovery time. that this program is making a Every patient who is admitted difference, and our patients into FirstHealth’s Home Care prove it.� program is considered for Here are a couple of examples: telehealth eligibility. A 68-year-old female with Patients stay in the program as high blood pressure recently long as they are eligible for added telehealth monitoring in home health services. The averher home. Her blood pressure age length of participation is started out normal, but began to about 40 days. trend upward over time. The “The nurse/patient contact will Home Care nurse was able to always be the most important contact the patient’s doctor and part of what we do,� Upham make medication adjustments says. “We cannot replace that. without a trip to the office or the This technology simply gives the hospital. The patient now nurse another tool, a very reports feeling much better. powerful tool, to improve the A 73-year-old male with quality of patient care.�
FRIDAY, APRIL 2, 2010
Telehealth
/Ă€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠ`ÂˆĂƒi>ĂƒiĂƒĂŠÂœvĂŠĂŒÂ…iĂŠi>Ă€]ĂŠĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠi>ÀÊ ˆ˜viVĂŒÂˆÂœÂ˜Ăƒ]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠÂ…i>Ă€ÂˆÂ˜}ĂŠ>˜`ĂŠL>Â?>˜ViĂŠ`ÂˆĂƒÂ‡ ÂœĂ€`iĂ€Ăƒ]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠi>Ă€ĂŠÂ˜ÂœÂˆĂƒi]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠÂ˜iÀÛiĂŠ `ÂˆĂƒÂœĂ€`iĂ€Ăƒ]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠV>˜ViĂ€]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠĂŒĂ€>Շ “>ĂŒÂˆVĂŠÂˆÂ˜Â?ÕÀÞ]ʓ>˜>}i“iÂ˜ĂŒĂŠ>˜`ĂŠV>Ă€iĂŠÂœvĂŠĂŒÂ…iĂŠÂ˜>Ăƒ>Â?ĂŠ V>Ă›ÂˆĂŒĂžĂŠ>˜`ĂŠĂƒÂˆÂ˜Ă•ĂƒiĂƒ]ĂŠiĂ›>Â?Ă•>ĂŒÂˆÂœÂ˜ĂŠ>˜`ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠ >Â?Â?iĂ€}ˆiĂƒ]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠĂŒÂœÂ˜ĂƒÂˆÂ?ĂŠ>˜`ĂŠ>`i˜œˆ`ĂŠÂˆÂ˜viV‡ ĂŒÂˆÂœÂ˜]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠ>ÂˆĂ€Ăœ>ĂžĂŠÂŤĂ€ÂœLÂ?iÂ“Ăƒ]ĂŠĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠÂœvĂŠ `ÂˆĂƒi>ĂƒiĂƒĂŠÂœvĂŠĂŒÂ…Ă?iĂŠÂ?>Ă€ĂžÂ˜Ă?ĂŠÂĂ›ÂœÂˆViĂŠLÂœĂ?ÂŽĂŠÂ…Âœ>Ă€Ăƒi˜iĂƒĂƒ]ĂŠ ĂŒĂ€i>ĂŒÂ“iÂ˜ĂŒĂŠ ÂœvĂŠ ĂƒĂœ>Â?Â?ÂœĂœÂˆÂ˜}ĂŠ `ÂˆĂƒi>ĂƒiĂƒ]ĂŠ VÂœĂƒÂ“iĂŒÂˆVĂŠ Ă€iVÂœÂ˜ĂƒĂŒĂ€Ă•VĂŒÂˆĂ›iĂŠ ĂƒĂ•Ă€}iÀÞÊ ÂœvĂŠ ĂŒÂ…iĂŠ Â…i>`ĂŠ >˜`ĂŠ ˜iVŽ°
5IFSF T " -PU 8F %P UP )FMQ 0VS 1BUJFOUT
)"' !.+,- ,.+
" %
FBS OPTF UISPBU IFBE OFDL DFOUFS
xĂŠ ÂˆĂ€ĂƒĂŒ6ˆÂ?Â?>}iĂŠ Ă€ÂˆĂ›i]ĂŠ*ˆ˜iÂ…Ă•Ă€ĂƒĂŒ vĂ€ÂœÂ“ĂŠÂ?ivĂŒ\ĂŠ .OW ACCEPTING PATIENTS
>Ă€Â?ĂŠ7°Ê iÀŽ]ĂŠ ĂŠÂәx‡äÓ£™Ž]ĂŠ ivviĂ€ĂƒÂœÂ˜ĂŠ °Ê ˆÂ?ÂŤ>ĂŒĂ€ÂˆVÂŽ]ĂŠ ĂŠÂәxÂ‡Ă¤Ă“ÂŁĂˆÂŽ]ĂŠ &IRST6ILLAGE $RIVE 0INEHURST .# -ĂŒ>˜Â?iÞÊ °Ê ÂœĂ?]ĂŠ ĂŠÂәx‡äÓ{äŽ]ĂŠ7ޓ>Â˜ĂŠ/°Ê V Ă•ÂˆĂ€ĂŒ]ĂŠ ĂŠÂәx‡äÓ{Ă“ÂŽ
Are You or Your Loved One Affected by Memory Problems? • Trouble recalling names or words • Trouble remembering recent events • Asking repeated questions • Difficulty with driving directions • Memory decline noticeable to others
If you have memory loss or mild cognitive impairment (MCI) and are between the ages of 45 and 90, you may be eligible to participate in a global clinical research study to evaluate an investigational drug as a future potential treatment. Volunteers may receive: • Study-related medical care • Investigational drug • Laboratory testing • Memory testing • Compensation for time and travel
For more information, call
Cammie Hellegers at (919) 681-3986 00017846
Ă€iĂŠĂžÂœĂ•ĂŠĂ€i>`ĂžĂŠĂŒÂœ
Dfm\ Fe ĂœÂˆĂŒÂ…ĂŠĂŒÂ…iĂŠÂ˜iĂ?ĂŒĂŠÂŤÂ…>ĂƒiĂŠ ÂœvĂŠĂ€iĂŒÂˆĂ€i“iÂ˜ĂŒĂŠÂ?ÂˆĂ›ÂˆÂ˜}Âś
C
Res
sea er a ema ÂœÂˆÂ˜ĂŠĂ•ĂƒĂŠvÂœĂ€ĂŠ>ĂŠVÂœÂ“ÂŤiÂ?Â?ˆ˜}ĂŠÂŤĂ€iĂƒiÂ˜ĂŒ>ĂŒÂˆÂœÂ˜ĂŠ>LÂœĂ•ĂŒ il to ll 800-2 t befor ve your e 8 info /Â…iĂŠ6ˆÂ?Â?>}iĂŠ>ĂŒĂŠ Ă€ÂœÂœÂŽĂœÂœÂœ`]ĂŠÂœÂ˜iĂŠÂœvĂŠĂŒÂ…iĂŠviĂœĂŠĂ€iĂŒÂˆĂ€i“iÂ˜ĂŒĂŠ @vi 2-2053 April 2 llag eatb or send 3: VÂœÂ“Â“Ă•Â˜ÂˆĂŒÂˆiĂƒĂŠÂˆÂ˜ĂŠ ÂœĂ€ĂŒÂ…ĂŠ >Ă€ÂœÂ?ˆ˜>ĂŠĂŒÂ…>ĂŒĂŠÂœvviĂ€ĂƒĂŠĂŒÂ…iĂŠÂŤĂ€ÂœĂŒiVĂŒÂˆÂœÂ˜ĂŠÂœvĂŠ ˆvi >Ă€i\ rook
a woo n d.or g
Friday, April 30
Â…ÂœÂœĂƒiĂŠiÂˆĂŒÂ…iÀÊ10 a.m.ĂŠÂœĂ€ĂŠ2 p.m.
Seven Lakes Country Club ÂŁĂ“{ĂŠ °Ê iĂ›ÂœÂ˜ĂƒÂ…ÂˆĂ€iĂŠ Ă›iÂ˜Ă•iĂŠUĂŠ7iĂƒĂŒĂŠ ˜`]ĂŠ ĂŠĂ“Ă‡ĂŽĂ‡Ăˆ UĂŠMeet membersĂŠÂœvĂŠÂœĂ•Ă€ĂŠ>VĂŒÂˆĂ›iĂŠ>`Ă•Â?ĂŒĂŠÂ?ÂˆĂ›ÂˆÂ˜}ĂŠVÂœÂ“Â“Ă•Â˜ÂˆĂŒĂžÂ° UĂŠ ÂˆĂƒVÂœĂ›iĂ€ĂŠÂ…ÂœĂœĂŠÂœÂ˜iĂŠVÂœĂ•ÂŤÂ?iĂŠrecently prepared, priced and sold their houseĂŠÂˆÂ˜ĂŠĂŒÂ…iĂŠ*ˆ˜iÂ…Ă•Ă€ĂƒĂŒĂŠ>Ă€i>ĂŠÂˆÂ˜ĂŠÂ?Ă•ĂƒĂŒĂŠ>ĂŠviĂœĂŠÂ“ÂœÂ˜ĂŒÂ…ĂƒÂ° UĂŠ i>ÀÊvĂ€ÂœÂ“ĂŠĂŒÂ…iĂŠÂŤiÂœÂŤÂ?iĂŠĂœÂ…ÂœĂŠ>Ă€iĂŠĂŒ>Žˆ˜}ĂŠ>`Ă›>Â˜ĂŒ>}iĂŠÂœvĂŠ>ĂŠ maintenance-free lifestyle° U ˆ˜`ĂŠÂœĂ•ĂŒĂŠÂ…ÂœĂœĂŠreduced entrance feesĂŠV>Â˜ĂŠÂ“>ÂŽiĂŠ ĂžÂœĂ•Ă€ĂŠĂ€iĂŒÂˆĂ€i“iÂ˜ĂŒĂŠ`Ă€i>Â“ĂƒĂŠ>ĂŠĂ€i>Â?ÂˆĂŒĂžt UĂŠ i>Ă€Â˜ĂŠ>LÂœĂ•ĂŒĂŠĂŒÂ…iĂŠĂƒÂˆ}˜ˆwV>Â˜ĂŒĂŠqĂŠ>˜`ĂŠĂƒĂ•Ă€ÂŤĂ€ÂˆĂƒÂˆÂ˜}ĂŠqĂŠ tax advantagesĂŠÂœvĂŠ ˆvi >Ă€i°
ĂœĂœĂœÂ°6ˆÂ?Â?>}i ĂŒ Ă€ÂœÂœÂŽĂœÂœÂœ`Â°ÂœĂ€} 800-282-2053
Primary Care
Advanced Medicine, Genuine Compassion
Pulmonary
Endocrinology
Gastroenterology
Cardiology
Hematology/Oncology
Ancillary Services: Bone Density Testing, Cardiac Stress Testing, Coumadin Clinics, Coronary CTA, CT, X-ray, Echo, Ultrasound, High Complexity Lab, Pulmonary Function Testing, Nuclear Cardiac Testing. East Clinic
Outpatient Cancer Center
West Clinic
Sanford Cardiology & Pulmonary & Sleep Medicine
South Clinic
Sanford Medical Group (Joining May 1, 2010)
205 Page Road, Pinehurst 90 Memorial Drive, Pinehurst 1902-C North Sandhills Boulevard, Aberdeen
Neese Clinic
102 Gossman Drive, Southern Pines
220 Page Road, Pinehurst 110 Fields Drive, Sanford
555 Carthage Street, Sanford
Lumber River Cardiology
705-B Lauchwood Drive, Laurinburg