Health Care in the Sandhills

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Friday, April 1, 2011

FRIDAY, APRIL 1, 2011

THE PILOT — SOUTHERN PINES, N.C.

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New Open MRI Scanner Is Unique to Region FirstHealth Moore Regional Hospital has become the first hospital in the entire FirstHealth of the Carolinas service area and

one of only three in North Carolina to offer MRI scanning with a completely open scanning system. Open scanning is especially beneficial for patients who feel anxious or uneasy in the small, confined spaces of the traditional closed MRI scanners or the partially open MRI systems that some hospitals now have. “Ours is totally different,” says Lisa Nelsen, assistant director, MRI, at Moore Regional. “It’s not the circular tube that people usually associate with MRI. We’ve had some patients who have gone to other facilities thinking they were going

The Hitachi-made Oasis open MRI scanning system at FirstHealth Moore Regional Hospital is the only one of its kind in the FirstHealth of the Carolinas service area and one of only three in the state.

to get an open MRI, and when they got there and saw the same circular tube appearance, they refused to have the scan and came here instead.”

Moore Regional’s new MRI scanner, manufactured by Hitachi, is called Oasis. Unlike closed or partially open scanners, true open scanners such as Oasis can accommodate very large, heavy patients. They also provide more comfort and convenience for patients with limited mobility. “The table will lower to 18 inches off the floor, so it is easier for the older people to get on and off,” Nelsen says. From a diagnostic standpoint, the biggest advantage of Oasis over the partially open MRI system it replaced is the improvement in image quality. “There were some exams we couldn’t do on the previous system, because the images looked grainy,” Nelsen says. “With the new Oasis, we can do any exam we do on our closed MRIs.” Michael Edwards, M.D., a neuroradiologist at Moore Regional, says the clarity of images produced by Oasis is comparable to that of the hospital’s closed MRI scanners. “Overall, we get the same quality,” he says. Moore Regional has three MRI scanners: two closed units in the main hospital and the Oasis open scanner in the outpatient FirstHealth Imaging Center in Pinehurst, which is located in the Pinehurst Radiology Associates building at the

corner of Memorial Drive and Page Road. All three are used to provide physicians with clear images of organs, blood vessels, bones and joints from head to foot. For example, Dr. Edwards uses Oasis to look for brain tumors and to pinpoint the causes of strokes. “We do what’s called an MR angiography, which looks at the blood vessels in the brain,” he says. “We also do a lot of spine work, such as looking at herniated disks and pinched nerves in the neck. This new MRI unit provides very good images for that.” Radiologists also use Oasis to look for torn cartilage and detached ligaments, as well as for diagnostic studies of the liver, kidneys and other vital organs. “The new system allows us to do non-contrast renal artery scans,” Nelsen says. “People who are in acute renal failure cannot have contrast material injected in their vessels, so we haven’t been able to use MRI to look at their renal arteries. Now, with this new system, we can.” FirstHealth of the Carolinas offers Oasis open MRI scanning as well as CT and PET services at the FirstHealth Imaging Center in Pinehurst. The PET service is offered in partnership with Pinehurst Radiology Associates. For more information on either of these services, call (800) 213-3284.

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THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Advances in LASIK Continue in 2011

Ophthalmologists from around the world have spent years researching and perfecting surgical techniques to eliminate dependency on glasses and contact lenses. The concept of corneal refractive surgery is to change the shape of the cornea so that images seen will be focused on the retina. There are two main types of laser refractive surgery available in the United States: Photorefractive Keratectomy (PRK) and Laser Assisted In-Situ Keratomileusis (LASIK). In PRK, the surface of the cornea is treated with a laser. The surface cells then heal over the treated cornea, usually in 3-5 days. While PRK results in more postoperative discomfort and slower visual recovery, it may be the better refractive surgery option for many patients. “LASIK was developed to give faster results with less discomfort,� says Dr. Neil Griffin, corneal disease, LASIK and cataract specialist with Carolina Eye Associates. “Here, a thin flap of corneal tissue is created, gently lifted and excimer laser treatment is applied to the cornea below. The flap is placed back over the treated cornea. Originally, a blade was used to make

this flap but the femtosecond laser has almost entirely replaced the older blade method. “Both surgical options, PRK and LASIK, have their advantages and disadvantages,� Griffin says. “The surgeon determines the most appropriate procedure for each patient during the preoperative evaluation based on the glasses prescription, corneal tissue thickness and other factors.� Lasik has been available in the United States for more than 10 years. During that time, technology and experience have improved vision outcomes and the safety of the procedure. Third generation lasers now provide customized treatments to reshape the cornea. The incidence of glare and halos is now much lower with custom treatments, giving a higher quality of vision to LASIK patients. While glasses are the safest method to correct vision, for many individuals, glasses are a significant inconvenience and may limit activities. All surgical procedures have risks, including refractive surgery. Contact lens wearers can also have significant risks. “The preoperative examination is critical to

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About This Issue

Special thanks to Gretchen Kelly of FirstHealth of the Carolinas

Supplement Design/Layout Martha J. Henderson, Special Sections Editor

For advertising information, contact Pat Taylor at (910) 693-2505 or e-mail advertise@thepilot.com

Contributing Writers Ted M. Natt Jr., Lorraine R. Scantlin Contributing Photographer Glenn M. Sides

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Dr. Neil Griffin, corneal disease, LASIK and cataract specialist, has provided medical and surgical care at Carolina Eye Associates since 1994. evaluate individual risk,� Griffin says. “The degree of the refractive error, the eye exam and general medical health are important factors. Recent technological advances in corneal imaging allow us to detect subtle findings that might increase risk for LASIK.� The American Society of Cataract and Refractive Surgery announced, worldwide, an

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average 95.4 percent of LASIK patients are satisfied with their new vision, according to the first review of the world body of scientific literature. Griffin has provided medical and surgical care at Carolina Eye Associates, in Southern Pines, since 1994. He recommends that you ask your local eye doctor about refractive surgical options.

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PAGE 5

What Your Dentist Really Wants You to Know

Have you ever wondered what your dentist really wants you to know about the health of your teeth, gums and mouth? Below are five tips that can help improve your oral hygiene, as well as make your next dental appointment something you can feel confident about.

1. You Probably Aren’t Brushing Long Enough Learning how to brush your teeth properly is the first step to maintaining healthy teeth and gums. It helps minimize the risk of tooth decay and gum disease, the major causes of tooth loss. Spend at least two minutes brushing, which should include 30 seconds brushing each section of your mouth (upper right, upper left, lower right and lower left), both morning and night. And don’t forget to

brush your tongue to remove odor-causing bacteria and help give you fresher breath.

2. Protect Your Enamel Tooth enamel is the hard outer layer of your teeth. It helps protect your teeth from tooth decay, sensitivity, and is the part of your teeth that people see when you smile. One way enamel loss can occur is when acids from everyday food and beverages, such as fruit, yogurt, salsa, orange juice and sports drinks, attack the tooth surface. If left untreated, enamel loss can lead to larger issues such as cavities. A daily regimen of brushing and rinsing with products containing enamel-strengthening ingredients like fluoride is the best prevention against enamel loss.

3. Use a Full Oral Care Regimen To Keep Cavities at Bay When it comes to cavity fighting, make sure you are brushing twice a day and flossing at least once a day to remove leftover plaque and food that is trapped in the spaces between your teeth. Additionally, mouthwash is a powerful means of protecting teeth from decay and removing food particles lodged toward the back of the throat. “I recommend my patients use a fluoridated mouth rinse, because fluoride is proven to strengthen enamel and fight cavities,” says Dr. Jamie Sands, DDS, whose cosmetic work has been featured on the program “Ten Years Younger” on TLC. “But, not all mouth rinses are created equal! Look for a mouthwash

that contains fluoride, like Crest Pro-Health Complete Rinse.” In fact, according to a survey conducted by Mom Central Consulting, 93 percent of Mom Central testers who were given Crest Pro-Health Complete Rinse with fluoride to sample said they feel more confident going into their next six-month dental checkup.

4. Bad Breath Could be the Result Of Poor Oral Hygiene Bad breath can be caused by a number of things, from the foods you eat to dry mouth, smoking, or even the medications you are taking. What many people don’t realize is that bad breath could also be a result of poor oral hygiene. To help fight bad breath, make sure you are practicing proper tooth brushing habits to remove odor-causing bacteria from the mouth, tongue and teeth. You can also try: chewing sugarless gum to stimulate saliva flow, which naturally cleanses teeth; eating a nutritious diet, as vitamin deficiency can contribute to bad breath; and using a rinse with fluoride to kill bad breath germs and prevent tooth decay.

5. Change Your Toothbrush Tooth brushing removes plaque, which is the residue that can build up on teeth. Plaque can lead to cavities and gum disease. Be sure to replace your toothbrush (or toothbrush head if you use an electric brush) every three months or so because worn or frayed bristles are not as effective at removing plaque as new bristles.

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FRIDAY, APRIL 1, 2011

EDUCATION

Heart Program Pioneers To Open Series on Reid Heart Center

In July 1987, David Cowherd, M.D., University of North Carolina at Chapel Hill, performed the first diagnostic cardiac Dr. Cowherd did his internship and residency catheterization at FirstHealth Moore Regional at the University of Kentucky and later Hospital. Three years later, in September completed a cardiology fellowship at the 1990, John F. Krahnert Jr., University of South Florida M.D., performed the and an interventional hospital’s first open-heart fellowship at South Miami surgery. Hospital. He joined These two pioneers of Pinehurst Medical Clinic and Moore Regional’s awardMoore Regional Hospital in winning heart care program 1987. will team up for a five-part The second program in educational series focusing the Reid Heart Center series on the services of the new will be held on Thursday, Reid Heart Center: The April 21, and will feature FirstHealth Cardiac & Peter Duffy, M.D., cardioloVascular Institute. gist, of Pinehurst Cardiology Their second program will Consultants, on the topic be at 6 p.m. May 19, in the “Diagnosing and Treating Reid Heart Center, which is Heart Disease.” located at 120 Page Road The remaining programs North, between N.C. 211 in the series are as follows: and Memorial Drive, on the I Thursday, May 19, “Is Moore Regional Hospital Your Blood Flowing Like It campus. The first program Should? Abdominal Aortic John F. Krahnert Jr., M.D. was in March. Aneurysm and Peripheral Drs. Krahnert and Artery Disease,” Clinton K. Cowherd will talk about the Atkinson, M.D., and Joel history of heart care at Berman, M.D., vascular Moore Regional Hospital, surgeons, Pinehurst Surgical noting how the program I Thursday, June 9, and its patients have “Shopping for Quality Heart changed over the past two Surgery: What Hospitals decades. Program highMeasure and Why,” Art lights will include informaEdgerton, M.D., heart surtion on patient volumes and geon, FirstHealth characteristics, procedures Cardiovascular and and surgeries, technologies, Thoracic Center techniques, infrastructure I Thursday, June 30, and personnel. “Valve Disease: So You Dr. Krahnert is the senior Think You Have a Heart member of a three-man Murmur,” Peter Ellman, cardiothoracic surgery team M.D., heart surgeon, with the FirstHealth FirstHealth Cardiovascular Cardiovascular and and Thoracic Center Thoracic Center at Moore Each program in the Reid Regional Hospital. He Heart Center series will earned his medical degree begin at 6 p.m. David Cowherd, M.D. from the Wake Forest There is no charge, but School of Medicine and registration is required. completed an internship and residency at the Anyone who is interested in any of these University of Kentucky before starting Moore programs can call (910) 715-1478 or (800) Regional’s open-heart program. 213-3284 toll-free for more information or to After earning his medical degree from the register.

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PAGE 7

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Activities like fishing are positive hobbies that also get kids off the couch.

Encouraging Kids to Live A More Active Lifestyle Unlike their parents, today’s kids often forgo sandlot baseball or games of tag for much more sedentary fare like video games or surfing the Internet. While video games and Internet access aren’t lacking in value, many parents would prefer their kids be more active. Though it can be difficult to get kids off the couch, there are ways parents can help their kids live and embrace a more active lifestyle, which can have benefits both now and down the road. I Make it a team effort. Parents who are concerned their kids aren’t getting enough daily exercise should ask themselves if they’re getting enough exercise themselves. Kids aren’t the only ones who need daily exercise. A good way to encourage kids is to join them. Make daily physical activity a team effort. Kids don’t have to join Mom and Dad at the gym. Instead, go for a nightly walk after dinner, or make time to play catch in the yard. Kids often take cues from their parents even if their parents aren’t aware. Parents who exercise every day are much more likely to have kids who exercise every day as well. Set a positive example for kids and include them in your own fitness routine whenever the opportunity arises. I Minimize television time. The American Academy of Pediatrics recommends older kids watch no more than two hours of television per day. But as any parent knows, most kids average much more than two hours of television per day. To decrease that tube time, parents can take televisions out of their kids’ bedrooms, instead putting televisions only in the common rooms,

which will also allow parents to more closely monitor what their kids are watching. I Encourage extracurricular activities. While parents might find it hard to believe, today’s kids, even with all the video games and additional gadgets, still get bored. Boredom might be contributing to sedentary lifestyles. To combat boredom, parents should encourage extracurricular activities that get kids off the couch. Whether it’s participating in team sports, joining the local or school theater program or even getting a job, parents should encourage kids to do more after school than come home and turn on the television or play video games. I Emphasize activity instead of exercise. Many adults associate exercise with going to the gym or running on the treadmill, both of which are tough to get excited about. Kids might be equally indifferent and less enthusiastic about exercise. Instead of emphasizing exercise, encourage kids to be active. Being active doesn’t have to entail playing a sport or doing any calisthenics. Instead, an active lifestyle is one that’s not spent idling the hours away lounging. Encourage kids to get outdoors and pursue interests other than video games or television shows. I Express interest in kids’ activities. Parents should talk with their kids about their activities. If kids like to fish, ask how they fared after their most recent trip to the neighborhood fishing hole. When parents show an interest in their kids’ activities, kids are more likely to embrace those activities, something that’s especially beneficial if the activities in question are ones that get kids off the couch.

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THE PILOT — SOUTHERN PINES, N.C.

What Does Safe Bathing Mean?

Did you know that unintentional falls are the leading cause of non-fatal injuries in the United States? According to data produced by the National Center for Injury Prevention and Control and the Consumer Product Safety Commission’s NEISS All Injury Program, more than 8 million people a year are injured in falls. Of that number, 1.9 million are 65 or older. Additionally, falls are the leading cause of death for this age group — more than double that of moving vehicle accidents. Safe bathing is about lowering these statistics through designing a better bathroom environment. The bathroom is the most common room in the house for falls. Slippery and wet

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surfaces, cramped quarters and tubs to step over are a dangerous combination for people of all abilities, let alone seniors. One key element of a safe bathroom is a low threshold or barrier-free shower surround. This virtually eliminates the chance to trip and fall, and in some configurations, allows a wheelchair to be rolled into the shower. Look for models that feature a non-skid surface on the shower pan. Grab bars are a must for maintaining balance, fall prevention and helping with the transition from wheelchair to bath. Best Bath offers reinforced fiberglass surrounds, as opposed to ceramic tile surrounds, that allow grab bars and other accessories to be securely installed with screws into the walls in just minutes.

Since you don’t need to find studs or worry about damaging ceramic tiles, grab bars can be added wherever necessary and at any time before or after installation. Similarly, wall-attached shower chairs can be installed just as easily. If you require a bathtub to soothe muscle aches and joint pain, walk-in tubs are an excellent option. They’re easy to step in and out, and the dangerous barrier is removed that exists in traditional tubs. Models are available that fit right into the pre-existing shower surround area. If you or your family members are approaching the age of 65, it’s never too early to plan a bathroom remodeling project. Safe bathing means being prepared and having the desire to stay in your home for years to come.

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PAGE 11

Cardiac Arrest vs. Heart Attack

Many people mistakenly assume cardiac arrest and heart attack are the same thing. However, sudden cardiac arrest is not a heart attack. In fact, there are distinguishable differences between the two that are best explained by detailing what is actually happening when someone is suffering from either one.

What happens during a heart attack?

During a heart attack, blockage occurs in one or more of the heart’s arteries. That blockage subsequently prevents the heart from receiving enough oxygen-rich blood. Research indicates that many people with symptoms of a heart attack actually delay seeking treatment for more than two hours. In a 2010 study published in the Archives of Internal Medicine, researchers found the average delay in arriving at the hospital after the start of a heart attack was roughly two and a half hours. Eleven percent of the more than 100,000 cases examined in the study waited more than 12 hours from the start of symptoms before seeking treatment. Those symptoms can include chest discomfort, shortness of breath and discomfort in other areas of the body that do no improve after five minutes.

What happens during cardiac arrest? When a person is experiencing cardiac arrest, their heart’s electrical system is malfunctioning and suddenly becomes irregular. The heart begins to beat very fast while the ventricles may flutter or quiver. Blood is not being delivered to the body during cardiac arrest, and a genuine fear is that blood flow to the brain will be reduced so drastically that a person may lose consciousness. Unlike a heart attack, cardiac arrest requires immediate treatment. It’s best to seek treatment promptly for both a heart attack and cardiac arrest, but those experiencing cardiac arrest are at much greater risk of death if treatment is not sought immediately. Men and women, young and old, should also keep in mind that heart attack can sometimes lead into cardiac arrest, highlighting the importance of seeking treatment as soon as any symptoms of heart attack begin to appear.

How are heart attack and cardiac arrest prevented? The goal is to keep blood flowing through the body as smoothly as possible. This means avoiding blood clots and the build-up of plaque in the arteries. That might sound simple enough, but plaque build-up and the process of coronary

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artery disease has been shown to begin as far back as childhood, when diets are not typically tailored to avoid heart disease. While it’s impossible to go back in time and change certain lifestyle habits, including diet and exercise routines and regimens, there are ways adults can reduce the build-up of plaque, which can help them avoid falling victim to heart attack and cardiac arrest. I Exercise regularly. At least 30 minutes of daily exercise is recommended. I Eat a healthy diet. A diet low in saturated fat, which almost always equates to eating less red meat, and high in fruits and vegetables is ideal. I Stop smoking. For those who have never smoked or have quit smoking, keep it up. Those who have or continue to smoke, stop. I Don’t procrastinate. These changes can’t wait until tomorrow. As mentioned above, the process or coronary artery disease doesn’t wait for adulthood, and adults who need to make changes cannot afford to drag their feet. The good news is studies have indicated that even those with heart disease can expect to live longer if they simply commit to the necessary lifestyle changes. For more information about heart attack and cardiac arrest, visit the American Heart Association website at www.heart.org.

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THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Fighting Back: How Antioxidants Take on Oxidative Stress BY LORRAINE R. SCANTLIN Special to The Pilot

So what really is going on inside our cells? Our bodies are constantly reacting with oxygen as we breathe, which results in energy production within our cells. Energy is what drives us forward from birth to old age. Whether we’re breathing, walking or growing, energy must be present. However, just as a car releases toxins as it burns gas to move forward, our bodies exert byproducts as a result of energy production. This is a natural process called oxidation. The by-products created by oxidation, known as free radicals, are highly reactive unstable molecules that harbor within our cells. Our bodies are constantly fighting against free radicals produced not only from breathing, but

also from metabolism, exercise, smoking, radiation, certain medications, pollution, alcohol consumption, stresses (happy or sad), basically, life in general. So, what’s the big deal with free radicals? A free radical is unstable and highly reactive because of its unpaired electron. Therefore, it will take one from a healthy cell to restore balance. This, in turn, leaves the healthy cell unstable and susceptible to disease. Thus starts a chain reaction of oxidative stress within our cells, which is believed to accelerate aging and sickness, such as the common cold or flu, as well as chronic diseases, such as cancer, cardiovascular disease, arthritis, chronic fatigue, diabetes and many other age-related diseases. So what are we doing to protect ourselves? Let’s go back to the beginning, creation. We were created to consume that which was given us from above to sustain our lives and keep us healthy. However, man has corrupted much of what we have. Depleted soil, long distance shipping, cheap processing, added chemicals, the list goes on. And, how many of us stay home to cook organic, fresh, local, healthy foods for our families? How many of us take time to regroup

and refresh from life’s daily stresses? Part of our normal metabolism does include a protective process that neutralizes free radicals from their damaging effects. These are the antioxidant nutrients found in our diet of fresh fruits and vegetables, such as vitamins A, E, C, beta carotene and phytonutrients. The importance of antioxidants for protecting our health cannot be overstated. However, antioxidants “sacrifice” themselves in this process, and that is why we need to replenish them through our diet or/and supplements. Antioxidants are measured for their effectiveness in terms of their Oxygen Radical Absorbance Capacity (ORAC) score. For example, an orange has an ORAC score of 750. The USDA recommends an intake of 5,000 ORAC units per day to maintain optimum health. Seven out of 10 doctors look favorably upon antioxidant supplementation for their patients. Nearly 70 percent of Americans take nutritional supplements as an “insurance plan” to supplement their diet. With so many vitamins to choose from, how do we know what and how much our bodies need? Most people rely on advertising or a salesperson

to help them in choosing a brand. Studies show many multivitamins are inadequate in supplying the body with what it needs to build healthy cells and fight oxidative stress because of shortcuts in producing their product. These shortcuts result in supplements of low quality, potency and absorbency with ineffective results. Without adequate antioxidants with a high ORAC score, we are gambling with our health and quality of life. A complete, effective, highquality multivitamin will supply all the vitamins, minerals and antioxidants needed in a safe, balanced, absorbable form that protects and builds healthy cells. Do you know if your daily diet and supplements are feeding and protecting all your cells and repairing the damaged ones? A daily diet high in vegetables and fruits and a potent antioxidant supplement is a safeguard against aging and disease. Negligence comes with a heavy price. Lorrraine R. Scantlin is the owner of The Healing Place in West End. For more information on oxidative stress and healthy living, call her at (910) 673-3246.

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THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Steps to Fitness Walking Guide

Walking remains one of the best exercises for people of any age. The pace and resistance can be set by each individual by walking faster or slower, uphill or downhill. Adding light weights can make the workout even more effective. Walking is also easier on the legs and knees than jogging, but can be just as effective a cardiovascular workout.

Why Walk When You Can Ride?

Because walking, even at a moderate pace, is a great way to improve your health. It’s free, easy, requires no special equipment other than a sturdy pair of walking shoes, and it’s easy on the joints. Studies have shown that walking improves circulation, lowers the risk of fractures, supports joints, improves sleep, improves your mood and even lowers Alzheimer’s risk. And, of course, walking burns calories! Rather than calculating mileage or time, you can easily chart your walking progress by counting steps. Most pedometers come equipped with a step counter.

So How Many Steps Per Day Are Enough? On a typical day, a healthy adult’s step count can be classified as follows: I Under 5,000 steps per day is “sedentary.”

I 5,000-7,499 step per day is “low active.” I 7,500-9,999 steps per day is “somewhat active.” I 10,000 steps per day is “active.” I More than 12,500 steps per day is “highly active.” A healthy adult should strive to walk at least 10,000 steps per day. This is best accomplished by calculating your current step count and adding 500 steps each day until you reach 10,000. So, whether you take a stroll around the neighborhood with your kids after dinner, spend some time shopping (and walking) with friends or strike out for a brisk walk on your own with man’s best friend for company, there’s no better time than now to step your way to fitness. On the next several pages, you will find a handy and convenient guide to help you keep track of your daily walking goal and the steps you take toward achieving that goal. This walking guide is provided by FirstHealth of the Carolines.

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PAGE 15

Week 2

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THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Week 4

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PAGE 17

Week 6

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PAGE 18

THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Week 8

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PAGE 19

Week 10

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FRIDAY, APRIL 1, 2011

CONTRIBUTED

Beginners might want to utilize a personal trainer when starting their workout routines.

Training Tips: Avoid Injury While Working Out

Perhaps no New Year’s resolution is as common as resolving to get in shape. After a holiday season filled with treats and social gatherings, it’s no surprise many people hope to shed a few pounds once the season has come and gone. With exercise on the minds of many, it’s a good time to go over a few pointers to ensure that the next trip to the gym does not end in injury. I Be careful of “no pain, no gain.” Many beginners feel their workout isn’t working if it’s not hurting. While mild pain is to be expected, it’s up to the individual to determine if the pain is indicative of something bigger. Swelling and extreme stiffness are not normal, and individuals should cease working out if either of those problems arise. For beginners, expect muscle soreness after the first couple of workouts. This can be painful, but it’s often a result of working muscles that have not been taxed in quite a while. This pain should subside, and once the muscles grow accustomed to being worked, the pain, stiffness or soreness should no longer appear after a workout (this may take a workout or two for the muscles to get used to it). If the pain persists, do not continue to exercise through an injury. Any persistent pain should be discussed with a physician. I Know your limits. Beginners need to be especially aware of their exercise limits. Initially, they shouldn’t attempt to do exercises their bodies can’t handle. Lifting too much weight is common for beginners. Ideally, lift smaller amounts when beginning a workout to get the motion of the exercise down pat. As workouts progress, a person can then gradually add weight. Many fitness professionals feel adding 10 percent each week is a safe and effective approach, but individuals will know after a few workouts what works best for them.

It’s good to push oneself, but don’t push too hard and increase the risk of injury. I Work with a trainer. Personal trainers can help beginners immensely. Trainers can teach beginners how to use machines and stretch properly and can answer any questions beginners commonly have. Trainers can be expensive, but many gyms offer one or two free personal training sessions to new members. Once those free sessions are finished, individuals can continue with the trainer or choose to go on their own. I Fewer repetitions, more sets. A common mistake when beginning an exercise regimen is to dive right in without really knowing the ins and outs of a routine. For example, many people load up on repetitions (reps), feeling the more reps the more effective a workout will be. However, beginners often find fewer reps but additional sets is more effective. So instead of doing four sets of 10 reps, do five sets of eight reps. This might seem too small to make a difference, but beginners often tire near the end of a set, and doing fewer reps per set can help them avoid fatigue and make the most of each repetition and set. I Stay hydrated. Drink water throughout an exercise regimen to remain hydrated. Maintaining proper fluid levels helps avoid cramping and dehydration, which can bring their own batch of painful side effects, including nausea and heart palpitations. For those who work out in the early morning, be sure to drink water before working out to overcome any dehydration that may have occurred while asleep. For those who work out after work, be sure to drink water throughout the day so the body is fully hydrated when the time comes to hit the gym.

FRIDAY, APRIL 1, 2011

THE PILOT — SOUTHERN PINES, N.C.

PAGE 21

Fitness for Fido: Keep Man’s Best Friend Healthy

Dog owners are well aware that caring for man’s best friend has taken on a greater responsibility in recent years. Perhaps that’s a result of the popularity of the cable channel Animal Planet or the television show “The Dog Whisperer,” each of which has helped to educate dog owners about caring for their canines. Caring for a dog might be a daily responsibility, but it’s one that’s often enjoyable for both dogs and humans alike. Dog owners concerned about their best friend’s health or those simply hoping to avoid problems down the road can adopt a daily routine that ensures Fido stays active and healthy for years to come. I Freshen up the dog’s water. While this might seem obvious, keeping fresh water in a dog’s bowl is something many owners overlook, sometimes leaving the same water in a dog’s dish for days on end. Unfortunately, when that happens owners are allowing dirt and dust to build up in the water, which can also become stagnant and prove a great breeding ground for insects if the bowl is outdoors. Humans need a certain amount of water each day to stay healthy, and so do dogs. Change the dog’s water at least once per day and twice if the dog eats two meals per day. Also, keep an eye on the water bowl and refill it whenever it’s empty.

Be sure to clean inside the water bowl at least once per day, and pay attention to any dirt buildup on outdoor water bowls and clean accordingly. I Feed the dog healthy pet food. Though it might seem fun and friendly to feed a dog directly from the dinner table, it’s best to only feed the dog high-quality dog food. All dogs are different, and dog owners should consult their veterinarian as to which food is best for their particular breed. While less expensive dog foods might be appealing, keep in mind such foods might be the equivalent of fast food restaurants for humans, which often provide little or no nutritive value. I Take the dog out every day. Few animals on earth are as naturally active as dogs. Dogs need daily exercise to stay healthy both physically and mentally, so owners should make certain their dog gets substantial physical activity every day. A walk around the block might suffice for smaller breeds, while a trip to the dog park where Fido can run, jump and play with other dogs might be best for medium-sized or larger breeds. Avid outdoors people should take their dog along

for hikes through the woods or along for any other excursions they feel their dog can handle. Consult a veterinarian for the recommended daily amount of exercise depending on the breed, but know that all breeds of dogs need

exercise as part of their daily routine. I Play with your dog. A healthy dog isn’t one that’s just physically healthy, but one that’s mentally healthy as well. Dogs need attention

on a daily basis, as most breeds are highly susceptible to boredom. Make time to play with your dog every day, as play time with a dog can help it avoid feelings of boredom while providing stimulation for the dog. In addition to playing with the dog, try to include an activity such as teaching the dog to fetch the Frisbee. Such activities pull double duty, providing the dog both exercise and mental stimulation, not to mention fun for the dog owner. I Give the dog some freedom. The conventional wisdom that a dog can be chained in the backyard and left there for hours has thankfully fallen by the wayside. Nowadays, such behavior from dog owners is commonly viewed as abuse. Dogs should not be chained for extended periods of time, and exposing dogs to the elements of nature for prolonged periods is potentially very dangerous. A dog’s fur, regardless of its thickness, can only protect it against winter weather for so long, and dogs can overheat very quickly in warmer climates. If the dog must be chained, make sure the chain is long enough to allow for significant mobility and do your best to minimize the amount of time the dog is on the chain.

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FRIDAY, APRIL 1, 2011

FirstHealth Center for Health & Fitness Calendar of Events

! !

The Color of Health FirstHealth Center for Health & Fitness-Pinehurst Date: Monday, April 11 Time: 5:30 - 6:30 p.m. Description: Learn the phytochemicals and antioxidants in fruits and vegetables that can help improve health and reduce risk for disease. Please register by calling (910) 715-1800. Free for members and community.

Transitioning to a Plant-Based Diet FirstHealth Center for Health & Fitness- Pinehurst Date: Tuesdays, April 12-26 Time: 5:30 - 7 p.m. Description: Improve your health by transitioning to a vegan meal plan. The course includes three weekly educational sessions hosted by Darrell Simpkins, M.D., and Emily Colthart, MPH, samples of vegan foods, meal plans, recipes and course workbook. Register by calling (910) 715-1800. Payment due upon registration. $60 members/$80 community Free information session on Thursday, April 5, at 5:30 p.m.

Zumba Spring Fling FirstHealth Center for Health & Fitness-Pinehurst Date: Saturday, April 30 Time: 8:30 - 10:30 a.m. Description: Join us for a free outdoor Zumba spring fling! 8:30 a.m. Kids Zumba, 9 a.m. Adult Zumba

Shallow Pool Swim Lessons for Totally Terrified Adults FirstHealth Center for Health & Fitness-Southern Pines Date: Saturdays, May 7-28 Time: 11 - 11:45 a.m. Description: Classes are suitable for adults and children, ages 12 years or older. Preregistration is required two days prior to class. For more information or to register, call (910) 692-6129. Members $28/Community $35 Private lessons available ($30 for one 30-minute session; $75 for three 30-minute sessions)

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THE PILOT — SOUTHERN PINES, N.C.

PAGE 23

Good and Bad Diet Fads As anyone who’s ever attempted dieting knows, advice on weight loss comes from every corner. Friends might swear by the latest dieting trend while family members may be just as adamantly convinced the trend doesn’t have merit. So what’s true and what’s false? Simply put, combining a healthy diet with regular exercise is the best way to lose weight and keep that weight off. While most adults are fully aware of that fact, that doesn’t stop them from finding the latest fad and letting it dictate their eating habits for days or even weeks. For those about to diet, consider the following good and bad diet fads.

eating. However, focusing on a specific food is certain to deprive dieters of nutrients they sorely need. Cutting out entire food groups means dieters won’t be enjoyed a balanced diet. Also, dieters will begin to crave the foods they’re not getting, which could lead to bingeing. Another side effect to one-food diets is that certain foods can cause some unenjoyable side effects, including dehydration or gastrointestinal problems. Look for balance in a diet, which should eliminate one-food diets from consideration. I Misguided vegetarianism: While vegetarianism isn’t bad, dieters often apply it incorThe Good rectly. When applied I Portion control: correctly, a vegetariMany diets emphaan diet has been size the importance linked to all sorts of of portion control. benefits, including Research has indilower rates of cated it’s not just obesity and heart what we eat that disease. However, causes weight gain, dieters often but how much mistakenly eat a we’re eating as vegetarian diet with well. a foundation of In a study in the cheese and pasta, American Journal of which can actually Public Health, cause weight gain. researchers found Carbohydrate-rich that cookies are foods, while they 700 percent bigger might be vegetarithan the suggested an, will likely result USDA standards. in weight added as And it’s not just opposed to lost. cookies that are When adopting a much bigger than CONTRIBUTED vegetarian diet, be recommended, as Diets that advertise rapid weight loss are sure to include our servings of whole grains and pasta (480 percent), often not a viable long-term solution. fruit and eat foods muffins (333 perlike nuts, beans or even tofu to ensure you’re cent) and bagels (195 percent) are much biggetting enough protein. ger than they should be. While not all diets I Bye-bye, carbohydrates: Arguably no diet that promote portion control are necessarily healthy, portion control on its own is a healthy is more popular than the one that advocates eliminating carbohydrates. This is problematic, way for everyone to approach their daily diet. especially for those who want to combine their I Lifestyle change: Individuals who want to healthy diet with exercise. lose weight should look for dietary tips that Carbohydrates are ideal foods for boosting promote a change in lifestyle and not just energy, which dieters will need if they want to changes in diet. Look for diets that don’t have exercise regularly. Whole-grain breads, oata timeline, promoting fast weight loss in “X� meal and brown rice are all beneficial carboamount of weeks. A diet that promotes a long-term commitment to eating healthy foods hydrate sources. For those desiring to eliminate some forms of carbs from their diets, while also encouraging daily exercise is one eliminate white bread and white rice, as those that’s likely going to be more successful and are low in nutrients. beneficial than one that promises significant weight loss in a short period of time. When it comes to dieting, there are certainly plenty of options touting incredible weight loss The Bad in short periods of time. But dieters should always look for healthy ways to lose weight I One food can do it all: Nearly every and keep it off, which often includes some dieter has heard of a diet that promises you combination of a well-balanced diet that procan eat all you want of a specific food and motes moderation. still lose weight as long as that’s all you’re

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PAGE 24

erry Stremick had packed on a few extra pounds and felt like he needed to shed some weight. “The object was to lose about 20 pounds or so,” the 68-year-old Stremick says. “It was fine when I was 200 pounds and playing football in college.” Stremick took his concerns about his weight to his physician, Philip Mondi, M.D., of Pinehurst Medical Clinic, who gave him a medical referral to the new Exercise is Medicine program at the FirstHealth Center for Health & FitnessPinehurst. “It’s been good,” Stremick says about the program. “It’s been working well, and I’m pleased with it. I’m not ready to make the Senior Tour, but it’s been good. I’ve enjoyed it. ” Exercise is Medicine (EIM) is a health care call to action launched by the American College of Sports Medicine and the American Medical Association that encourages health care providers to make exercise a part of their regular patient treatment plans. Ideally, according to Darrell Simpkins, M.D., participating physicians will begin to regard physical activity as a vital sign — just as they would weight, blood pressure and temperature — and encourage their patients to use exercise to become more involved in improving their own health. “This is a tremendous program to link exercise, patients and their doctors,” says Simpkins, an emergency department physician and medical director for the FirstHealth Centers for

J

FirstHealth’s Exercise Is Medicine Program Emphasizes Medical Importance Of Physical Activity THE PILOT — SOUTHERN PINES, N.C.

Health & Fitness. “Almost everybody is interested in results and statistics, and lots of patients like to please their doctor. This is a way the doctor can say, ‘I’d like you to go to the fitness center,’ and there’s a program available to help them.” After discussing physical activity needs with their patients, participating doctors refer them to

the Center for Health & Fitness-Pinehurst for another part of the EIM program, a professional — and free — exercise assessment and treatment plan developed by a trained exercise technologist. “Our program builds on the EIM initiative by giving participating physicians a referral

FRIDAY, APRIL 1, 2011 pathway and the tools to make appropriate referrals to FirstHealth’s qualified exercise professionals,” says John Caliri, director of the FirstHealth Centers for Health & Fitness. “The referral gives the patient access to a no-cost physical fitness assessment, goal-setting and an actual activity program that’s suited to their specific needs. Participation in the program also includes communication back to the physician so he, or she, can assist patients in effectively using exercise as a prevention or treatment method for attaining or maintaining health.” There are four steps to FirstHealth’s EIM program: Step 1: At every office visit, the physician measures the patient’s physical activity as a vital sign. Step 2: If appropriate, the physician refers the patient to the Center for Health & FitnessPinehurst for a health assessment, consultation and program development. There is no charge to the patient for this service. Step 3: A Health & Fitness exercise technologist meets with the referred patient for the health assessment and to create a personalized exercise program that the patient can perform in the environment of his/her choice (i.e., park, gym, home). The patient receives a two-week membership to the Center for Health & Fitness of his/her choice and, as appropriate, is referred to other health services. (Patients are under no obligation to join the

see PROGRAM, page 25

FRIDAY, APRIL 1, 2011

THE PILOT — SOUTHERN PINES, N.C.

Program From Page 24

CONTRIBUTED

Exercise is Medicine participant Jerry Stremick (seated) consults with his physician, Philip Mondi, M.D., about the FirstHealth program that encourages health care providers to make exercise a part of their regular patient treatment plans and patients to use exercise in an effort to become more involved in their own health.

Center for Health & Fitness.) Step 4: The Health & Fitness staff communicates with the referring physician about the participant’s screening results, participation and progress. Anyone, age 16 and up, who needs to start an exercise program to improve their health can participate in the EIM program as long as they have a physician’s referral — even those dealing with a chronic illness such as hypertension or diabetes or even cancer or heart disease. “It’s a win-win situation,� says Simpkins. “The medical aspect of this is super.� Although participants can exercise wherever they please, the EIM assessments and treatment plans are offered only at the Center for Health & Fitness-Pinehurst because of the availability of the high-tech Technogym Wellness System technology used to record patient data. (See the article on Page 26.) Caliri says FirstHealth’s EIM program is unique because it focuses on the needs and requirements of patients and physicians and makes it so easy for anyone to participate. “Medical fitness centers, such as the Pinehurst center, are uniquely positioned to assist physicians and patients in making the vision of EIM a reality,� he says. “Our program employs exercise professionals with bachelor’s and

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PAGE 25 master’s degrees and nationally accredited certifications who have tremendous experience with clients with all levels of exercise experience and many types of limitations. “Our program’s goal is to remove as many barriers as possible to help patients begin and continue a lifestyle that includes activity. It gives patients the opportunity to take responsibility for their own health and the expertise to help manage that responsibility.� Once EIM participants get their exercise plan, they are free to perform it anywhere they choose — at home, in a neighborhood park, in a community gym or at a retail membership program. Although there is no requirement to join a FirstHealth fitness center, those who do get a month’s free membership and are held accountable with more frequent progress checks and program modifications from their exercise technologist. According to EIM coordinator Kari Garbark, a considerable number of area physicians, including heart specialists and neurologists as well as primary care providers, have eagerly embraced the EIM program. “Many different specialties are recognizing the importance of exercise and how it can impact their patients,� she says. Mondi, Jerry Stremick’s doctor, started referring patients to the EIM program through a pre-launch pilot. A long-time proponent of physical activity, both personally and for his

see PROGRAM, page 26

MRH Foundation Funds Equipment for EIM PAGE 26

THE PILOT — SOUTHERN PINES, N.C.

Ron Schuch knows about the benefits of exercise. He has lost more than 20 pounds, down from 208 to 185, since he began his five-times-a-week exercise regimen at the FirstHealth Center for Health & Fitness-Pinehurst in 2003. As someone who enjoys a good workout, and as a member of the Moore Regional Hospital Foundation Board and its Grants Review Committee, Schuch was particularly interested in a recent Foundation funding request for Technogym Wellness Software for FirstHealth’s new Exercise is Medicine (EIM) program. “The equipment is really state of the art,” Schuch says. “There are only a few facilities in the country that use this kind of technology.” While the EIM program encourages a patient and his personal physician to partner in an exercise plan geared toward improving the patient’s health, the Technogym Wellness System provides the technology for ensuring that the patient safely follows his personal “exercise prescription.” It also stores the information so a program participant and the Health & Fitness staff can follow the participant’s progress and share the information with the referring personal physician. “The real differentiator for us and our clients is this element of communication,” says John Caliri, director of the FirstHealth Centers for Health & Fitness. “The equipment collects data as a person exercises, and the information is available to the exercise specialist who can then guide the participant in modify-

ing and improving his program. This is an ongoing process, as exercise is most effective when regular change is built into the program.” Using information collected by the Technogym system, the Health & Fitness staff can develop an exercise program based on the individual’s specific needs and then safely increase activity levels as the participant progresses through the program. “Physicians know that exercise is effective in preventing or treating 50 or so of the most common chronic diseases and injuries,” Caliri says. “This program, and Technogym’s ability to help us collect, analyze and distribute data, can help us work with the physician to help participants take a more active role in managing their own health.” The Technogym Wellness System is actually software that can be added to the fitness center’s existing Technogym strength-training equipment and will be on its new Technogym cardiovascular equipment (treadmills, stationary bikes, etc.) An exercise professional programs the participant’s “exercise prescription” into a Smartkey. The participant then checks in at a Wellness Expert Kiosk to load their workout session for the day and lets the key do the rest. The software will tell the participant where to begin, and the Smartkey will load the personal settings and provide instructions on each piece of equipment until the prescribed workout is complete. At the end of the work, the participant gets feedback and tracks

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progress. Participants can even send messages to or receive messages from their trainer to keep them on track and motivated. The “most exciting part” of the process, according to Caliri, involves including the participant’s personal physician in the communication loop. “Physicians will have options about how they want to be communicated with, eventually even having the ability to receive updates directly into the patient’s Electronic Medical Record,” Caliri says. Schuch was on hand for demonstrations of the Technogym system and was so impressed by what he saw that he encouraged the Grants Review Committee to fund the disbursement request of $430,652. “I think it’s going to be absolutely fantastic, and it will really help the community,” he says of the EIM program. “With obesity, diabetes and high blood pressure being such overpowering problems in our society, I think this program has the potential to be really fantastic and for our fitness center to be a leader (in the medical fitness industry).” Note: While an Exercise is Medicine participant can choose to follow his “exercise prescription” in the venue of his/her choosing, the Technogym Wellness System is available only to members of the FirstHealth Center for Health & Fitness-Pinehurst because of the location of the equipment.

FRIDAY, APRIL 1, 2011

Program From Page 25 patients, Mondi describes EIM as an “excellent program” that could be “beneficial to almost everyone,” especially the chronically ill, patients with strength and flexibility issues, and those at risk of falling. He has been impressed by the level of the treatment plans, which are tailored to each participant’s specific abilities and needs. “My patients have been very responsive and think this is going to be a great program,” he says. “Once they see what their options are, I think a fair number will ask to be referred. The sky’s the limit.” If you think you might be interested in a referral to FirstHealth’s Exercise is Medicine program, talk to your primary care provider or call (910) 715-1833.

What Parents Need To Know About Infant Health FRIDAY, APRIL 1, 2011

THE PILOT — SOUTHERN PINES, N.C.

New parents want to do what’s best for their babies. With National Infant Immunization Week scheduled for April 23-30, now is a great time to make sure the babies in your life are on track with their immunizations. Infants are born with natural immunity to some diseases, inherited from their mothers, but this immunity soon wanes and is gone by 6 months. That’s why pediatricians start immunizing infants against infectious diseases at birth — by the time their inherited immunity is gone, they will be protected by vaccines. “The diseases we immunize infants against are all still here, including measles, whooping cough and Hib meningitis,” says Dr. O. Marion Burton, president of the American Academy of Pediatrics (AAP). “These diseases are dangerous and sometimes deadly. In California, 10 infants died of whooping cough, or pertussis, in 2010, the worst epidemic in more than 40 years.” Other states across the country have seen similar whooping cough epidemics as well as outbreaks of other vaccine-preventable diseases. That’s why its important to vaccinate infants against pertussis as soon as they are old enough — around 2 months — and to follow the recommended schedule for other vaccines.

The AAP recommends the following immunization schedule during the first year: I Hepatitis B vaccine at birth, 1-2 months, and 6-12 months. While adults exposed to hepatitis B have only a 10 percent chance of becoming chronic carriers of the virus, babies have a more than 95 percent chance of developing severe health problems, including liver cancer, if they are exposed. Young children have been infected by becoming “blood brothers” or sharing chewing gum. Children can become infected from caretakers, family members or friends who may not know their own hepatitis B status. I Rotavirus, Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b, Pneumococcal and inactivated Poliovirus vaccine between 2 and 18 months. Immunization has made these diseases relatively rare in the U.S., but they are not eradicated, and so they remain a constant threat to infant health. Vaccination is the only way to not only protect your child, but prevent an outbreak in your community. I Yearly influenza vaccine after 6 months of age. Influenza is an unpredictable virus and in some children will cause severe illness, even death. Influenza kills scores of children every single year, according to the Centers for Disease

PAGE 27

PHOTO COURTESY OF MONART DESIGN - FOTOLIA.COM

Immunizations will keep your baby happy and healthy. Control. I Measles, Mumps, Rubella, Varicella and Hepatitis A after 12 months. Measles cases in the U.S. are usually “imported” by people who travel outside the United States, become infected and return home. The virus is so contagious that any unvaccinated person nearby will become sick. This happened in 2008, when an infected traveler exposed dozens of other people,

including children whose parents decided not to immunize them. The AAP advises parents to adhere to their pediatrician’s recommendations regarding vaccine schedules. It is the best way to ensure children are protected from diseases when they are most vulnerable. For more information on immunizations and how to best protect your child, visit www.aap.org/immunization.

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Feeling Sluggish Prescription Medications Hard Time Losing Weight Muscle or Joint Pain Digestion Problems Frequent Colds or Infections Dark Circles Under Eyes Program Features Include: All products necessary for seven day detox, daily email updates to keep you informed and on track, online Facebook page dedicated for discussion, and guided healthcare professional supervision.

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PAGE 28

THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Mindfulness Program Helps Address Stress, Anxiety Do you spend a lot of time dwelling on the past or thinking about the future? That doesn’t leave much time for enjoying the present, does it? Often, when people feel overwhelmed by stress, it is at least partly because they can’t stop reliving what has already happened or fretting about what is to come. The Mindfulnessbased Stress Management Program offered by FirstHealth of the Carolinas teaches people how to relieve stress and anxiety by focusing on the here and now. A new eight-week mindfulness program will begin April 25. Sessions will be held Monday evenings from 6:30 to 9 p.m., and there will be a workshop on Saturday, May 14, from 9:30 a.m. to 4 p.m.

Medicare and most major insurance cover group sessions. Admission personnel verify health

insurance coverage and discuss rates and payment options with potential participants. Elizabeth Manley, MSN, R.N., C.S., a clinical nurse specialist with FirstHealth Outpatient

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Behavioral Services, teaches the mindfulness program. “Anyone who considers himself or herself negatively impacted by stress is eligible,” she says. “Mindfulness training also can help people with a variety of psychological and medical conditions that are made worse by stress.” Clinical studies have found that mindfulness-based stress management can be an effective component of treatment for conditions, including chronic pain, fatigue, high blood pressure, recurrent depression, sleep disorders, compulsive overeating and even heart disease and cancer. The FirstHealth program has yielded similar outcomes. “People often realize that their busy minds and physical tension — the manifestations of stress — are exacerbating their health problems,” Manley says. Mindfulness involves various forms of meditation that enable a person to block out distractions and fully experience the present moment. “The concentration and focus that this requires can give us our life back,” Manley says. “If we are preoccupied with other things

and just going through the motions at any given moment, then we’re not really experiencing the moment. Mindfulness is a way to have a quality of life that doesn’t include so much stress.” Mindfulness is different from relaxation therapy in that the goal isn’t simply to relax your body and let your mind go blank. “The objective of mindfulness is to observe your thought processes and how you are being affected by your thoughts and then, over time, to be able to choose your thoughts,” Manley says. “This is not a quick fix. It requires daily practice and discipline.” Manley has taught mindfulness-based stress management at FirstHealth since 1998. She took training for health care providers with Jon Kabat-Zinn and Saki Santorelli of the Center for Mindfulness in Medicine, Health Care and Society at the University of Massachusetts Medical School, the largest academic medical center-based stress reduction program in the country. To learn more about the FirstHealth Mindfulness-based Stress Management Program or to apply to participate in the program that begins on April 25, contact Elizabeth Manley at (910) 715-5217. Preregistration is required, and registration for this program closes April 8.

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Preventive & Restorative Care For All Ages

910-215-4554

10 Memorial Dr. • Pinehurst (across from Pinehurst Trace)

FRIDAY, APRIL 1, 2011

THE PILOT — SOUTHERN PINES, N.C.

PAGE 29

Old-Time Feel New Pharmacy Incorporates Cafe, Market Reprinted from the March 23 edition of The Pilot.

BY TED M. NATT JR. Business Writer

rey Waters chose downtown Southern Pines to integrate all of the knowledge he has gained as a pharmacist in the past decade. “I started out working relief in other people’s pharmacies,” Waters says. “I did this for two long years and kept a journal of what worked and what didn’t.” Specialty Pharmacy, which opened last month on Broad Street in the former Tina’s Turn space, is the eighth pharmacy that Waters has started in central North Carolina since 2004. But this time he added several new twists, including Specialty Cafe & Market in the adjoining space previously occupied by That’s A Deli. “Each pharmacy has incorporated new elements, but I have never had the experience of integrating food, a market, a clinic, a lab and a pharmacy all into one,” he says. “It’s been a building process and now all the pieces have come together.” Waters, 32, who lives in Southern Pines, picked Broad Street because he believes in a “vibrant and diverse” downtown. “So this where I’d like to build the flagship pharmacy,” he says. “The concept is a throwback — a downtown apothecary where the pharmacist who knows you makes up personalized remedies unique to you. “The focus is on wellness. The whole idea is to integrate the things that have been around for centuries with modern medicine.” The old-time feel begins the minute one walks into the pharmacy. All of the products are displayed on handcrafted cabinets and shelves built by Mike Sorenson, a green builder and retrofitter of renewable and efficient energy solutions. “This wood is so cool and really gives the pharmacy a unique look,” says Waters, pointing out a bullet still embedded in the swinging door at the end of the counter. There are two compounding labs — sterile and nonsterile — in the middle of the space and a medical clinic in the back. “We’re not going to be a doc-in-the-box,” Waters says. “It’s going to be by appointment only. I’d rather see the problem get fixed than managed.” Alisa Sorenson, a registered nurse who will

T

see PHARMACY, page 30

GLENN M. SIDES/The Pilot

Owner-pharmacist Trey Waters, head chef Maggie Gartman and Alisa Sorenson, the patient care coordinator, stand behind the handcrafted counter at Specialty Pharmacy in downtown Southern Pines. Gartman and Sorenson run Specialty Cafe & Market in the adjoining space.

PAGE 30

THE PILOT — SOUTHERN PINES, N.C.

FRIDAY, APRIL 1, 2011

Pharmacy From Page 29

be the clinic’s patient care coordinator, says the clinic will focus on preventive medicine. “Let’s catch people before they get sick,” she says. “Our goal is to help them with wellness as opposed to treating their illness.” Sorenson has already consulted with patients at Waters’ other pharmacies. “Alisa has produced tremendous results ... based on her training in medicine and her knowledge of alternative approaches,” Waters says. Sorenson will also serve as the “bridge” between the pharmacy and the cafe. “I’m going to be showing people how to make good choices,” she says. “The cafe is the next step after the education. In addition to serving food, we’re going to conduct cooking classes. The focus will be on proper nutrition.” The cafe’s head chef is Maggie Gartman, a recent graduate of the natural chef program at the Pittsboro campus of Central Carolina Community College. “My goal is to bring health to the kitchen,” Gartman says. “If you’ve got quality ingredients that are farm-fresh and health-based, you’ve got a good meal that makes you feel good.” The cafe, which is open 8 a.m. to 6 p.m. Tuesday through Saturday and 11 a.m. to 3 p.m. on Sunday, will use products grown by

GLENN M. SIDES/The Pilot

The cafe and market is in the space once occupied by That’s A Deli. local and regional farmers as much as possible. “We really hope to celebrate the food that’s in this area,” Gartman says. “The tremendous success of Farm to Table shows that people in

our community care about what they eat.” Waters believes customers will also care about customized prescriptions, which is why he has two compounding labs.

“I love compounding because it’s a niche,” he says. Compounding is the mixing of drugs by a compounding pharmacist to fit the unique needs of a patient. Before mass production of medications became normal, compounding was a routine activity among pharmacists. In fact, its practice dates back to the origins of pharmacology. “The chain drugstores don’t focus on taking care of the patient,” Waters says. “Their focus is get them in, get them out. When I started out, my goal was to sell more prescriptions and make more money. I wanted to rock-and-roll, and we did. “But this time we wanted to make an impact by doing something big that incorporates all of our knowledge and puts the customer first.” Essentially, Waters wants the two businesses to be a one-stop shop for healthy living. “We want to make money, of course, but we also want to give back,” he says. “Ten percent of our profit every Tuesday will go to a charity.” Randal Moore, a public relations and marketing consultant, believes that Specialty Pharmacy has taken the industry “back to the future.” “What you’ve got here is a perfect storm of different concepts,” Moore says. Waters hopes that Moore is right. “I often stay up late at night wondering if I left something on the table,” Waters says. “I am so humbled by this.” Contact Ted M. Natt Jr. at tnatt@thepilot.com.

Susan Bailey OD

Phone: 910-947-7740 Carthage and Broadway 919-258-5002

How do you define healthy living?

Visiting with friends Croquet

Time in the chapel

We have all this and more! Tai chi A leisurely stroll

Golfing Reading a good book

A refreshing dip in the pool

Call today and reserve your private tour of our spacious homes, quaint cottages and beautiful apartments. Discover all Belle Meade and Pine Knoll have to offer as two

Nationally Accredited Continuing Care Retirement Communities.

Call

910-246-1008 today for lunch and a tour!

Nurturing the mind, body, and spirit of our residents for more than 50 years. St. Joseph of the Pines is the leading provider of senior living and healthcare serving the Sandhills region since 1948.

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