2021 Transylvania Health and Wellness Guide And Directory by The Transylvania Times

HEALTH& WELLNESS 2021 TRANSYLVANIA COUNTY

GUIDE AND DIRECTORY

Photo Courtesy of Joan Van Orman – Blue Zones Project A special supplement to The Transylvania Times

TRANSYLVANIA TIMES, February 15, 2021

Happy to be here for you. URGENT CARE • ORTHOPEDICS • PHYSICAL THERAPY From an unexpected mountain biking injury to regaining your active lifestyle, Pardee UNC Health Care has you covered. Pardee Urgent Care services are available for non-life threatening conditions and injuries with extended evening and weekend hours. Our orthopedic services are available for a variety of issues from torn ligaments and sprains to arthritis and joint replacements and to help with your recovery, Pardee Physical Therapy oﬀers rehabilitation to help restore function and mobility while preventing further injury.

45 HENDERSONVILLE HWY. PISGAH FOREST, NC 28768 PARDEEHOSPITAL.ORG/BREVARD

TRANSYLVANIA TIMES, Febrary15, 2021

4 COVID-19 Vaccine Live Long With The Blue Zones Power 9 Five Ways To Protect Hearing Fitness Center Update Transylvania County Parks Beneﬁts of Yoga Physical Activity Guidelines Support Your Immune System The Role That Vitamins Play Transylvania Public Health Blue Ridge Health Pardee Messino Cancer Center Transylvania Farmers’ Market How To Keep Back Pain At Bay

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Pisgah Health Foundation Exercise For Seniors Fall Prevention Tips Transylvania Regional Hospital Value Of Massage Don’t Get Caught Off Guard By Glaucoma Dental Hygiene Is About More Than Teeth How To Stay Fit When Social Distancing Cold Wealther Skincare Tips Digital Health Care With AdventHealth Beneﬁts Of Walking Choices For Long Term Health Care Elder Care Resources Health and Wellness Guide Directory

The 2021 Health And Wellness Guide is a publication of The Transylvania Times. Writers: Derek McKissock, John Lanier, Jeremiah Reed, Alex Perri and Mathew McGregor Editor: Sean Trapp Magazine Design: Leigh Trapp Ad Design: David Metcalfe and Leigh Trapp Advertising: Jessica Alexander and Leigh Trapp The Transylvania Times, 37 N. Broad Street, Brevard, NC 28712 (828) 883-8156 www.transylvaniatimes.com

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TRANSYLVANIA TIMES, Febrary 15, 2021

Rolling Out The COVID-19 Vaccine

A local health care worker administers the COVID-19 vaccine at a drive-through vaccination center. There are roughly 34,000 people who live in Transylvania County, and the effort to make sure every last one of them has the opportunity to get the COVID-19 vaccine is a task assigned to Transylvania Public Health (TPH.) “It takes approximately 20 minutes to administer the vaccine because you get a shot, but you have to wait for 15 minutes to make sure that you don’t have a reaction,” County Manager Jaime Laughter said. “So, if you took that 20 minutes and you multiplied that by 34,000 (about 11,333 hours), it really gives you a sense of how much time it takes just to administer the vaccine. And that doesn’t account for the time and effort put into planning those vaccination events and also entering all that information into the federal system for each shot. I think that may help folks really

think through just how massive of an effort this is, just for our county.” The N.C. Department of Health and Human Services (NCDHHS) sets the guidelines for who fits into what category: The guidelines are as follows: •Phase 1: health care workers and longterm care staff and residents. •Phase 2: anyone 65 or older regardless of health status or living situation. •Phase 3: frontline essential workers. •Phase 4: adults at high risk of exposure and increased risk of severe illness. •Phase 5: everyone who wants a safe, effective COVID-19 vaccine. The quickest way to sign up for a vaccination appointment is through the health department’s website at www.transylvan iahealth.org/covid-19-vaccine-info, but many residents are more comfortable

scheduling their appointments over the phone, Laughter said. The library will serve as the county’s official COVID-19 call center seven days a week, and residents can call (828) 8844007 to sign up for a vaccination appointment and receive other COVID-19 information. Additionally, the county will start using the emergency management alert system to notify county residents of when new vaccination appointments are open as quickly as possible. To receive emergency notifications from the county’s notification system, Transylvania TEAMS, visit www.transylv aniahealth.org and click the link on the homepage that says, “Click here to sign up online for TEAM alerts.” (continued on pg. 6)

TRANSYLVANIA TIMES, Febrary 15, 2021

Here for you and your fa amily

T P TO

2 20

Crriiittical Access Hosp piita ta tal siix i x o ut o f th h e l a s t s e ve e n yea rs

rd, NC 28712 260 Hospital Drive, Brevard, missionhealth.org/trans nsylvania

TRANSYLVANIA TIMES, Febrary 15, 2021

Vaccine Q&A

ular type of vaccine class, these people have been researching this particular type of vaccine for several years now,” said Shea. “So, yes, this vaccine did come to market quickly…but as I understand the process of kind of phase one, two, three trials, normally they’re several years between a phase one trial. And then when a drug or a vaccine does make it to market, usually that’s a several year process. Part of the reason for this acceleration is some of the funds that were made available by the federal government with ‘Operation Warp Speed’ that actually helped push the process along. And, I think, financial incentives were really helpful to the pharmaceutical companies to push the process along because these multiphase trials are really expensive. I think the upfront money put up by the federal government allowed the pharmaceutical companies to move foreword without the financial risk,” he said. Shea also said since the pandemic created urgency around the vaccine, it was much easier to recruit volunteers for the various vaccine trials, a process that generally takes years longer. “I think any time that there is a process like this that occurs quickly, I think there’s always a chance that something might not come out in a trial, in a series of trials, that are done over a several months period

The COVID-19 vaccine was developed in record time. The next fastest vaccine to ever be developed was for mumps, and that took four years. And while many are breathing a sigh of relief now that the U.S. has two COVID-19 vaccines authorized for emergency use, both with 95 percent efficacy. Companies Pfizer and Moderna currently have authorization in the United States after going through the rigorous trial phases of research, and many more vaccines are currently going through trials with promising outlooks. Both the Pfizer and Moderna vaccines require two shots, the initial dose and a follow-up booster either 21 and 28 days after the first depending on which vaccine someone received. The Transylvania Times spoke with local doctor Tim Shea and Transylvania Public Health public information officer Tara Rybka to answer some frequently asked questions about the COVID-19 vaccine and who should take it. Q: How can I be sure this vaccine wasn’t rushed and that pharmaceutical companies didn’t cut any corners in developing this vaccine? A: “As I understand it, this mRNA technology has been out several years and has been investigated by companies like Moderna, and although it’s never been used and this is the first application for this partic-

After receiving the shot, recipients are asked to wait 15 minutes to make sure they don’t have a negative reaction.

TRANSYLVANIA TIMES, Febrary 15, 2021 as opposed to a several years process. But I think that the severity of the pandemic, when you weigh the risks of prolonging the investigation into the vaccine and us continuing as a world really to incur these high death rates, and you balance that with the potential benefits of the vaccine, I think that sways the risk-benefit analyses,

sways things in favor of the being its when vaccine developed,” he said. “Even looking in the phase three trials, where both Pfizer and Moderna randomized folks to either receiving the placebo or a vaccine, those trials contained a lot of people. “They were upwards of roughly 40,000 people with

each vaccine and there were a lot of people in each trial, and amongst those 40,000 folks they didn’t uncover any serious side effects. Now, could a side effect come out that, you know, once this thing goes to market and you start immunizing millions of people? I guess. Might something come out in March, when you know once you bring

it to market? It’s possible… “It’s been a month since we started immunizing people. We’ve given out 8 million vaccines, I’ve not heard of any deaths from the vaccine, and, yet, we’re having 3,000 to 4,000 thousand people a day in this country die of the infection. So, I’d make that point to my patients. (Continued on pg. 8)

Vaccine Q&A (continued)

At least in the short term, we’re certainly not seeing death from the vaccine, and the serious allergic reactions are, really, they’re quite rare.” Q: How do I know I won’t experience any long-term side effects from the vaccine? A: “You have to have a bit of a leap of faith here,” Shea said. “I think that there is always a potential with any medication, with anything that comes to market, that something will be uncovered in a couple of years that we didn’t understand when we first started to give it or when patients first started to take a medication. There’s always that risk, but to me, it ultimately comes down to a balance of risks, and we know what’s going to happen if we don't take action to turn back the pandemic. “The infection is going to continue to spread. We’re going to have to continue to social distance and take all these measures. Businesses are going to be devastated; people are going to face financial ruin. And that’s going to happen. That’s been happening and that will continue to happen. There’s always a risk with medications of vaccines that there could be a long-term unforeseen side effect, but the way in which this mRNA vaccine works, it utilizes a biological pathway that is used every day in all of the cells in our body. “We have our own messenger RNA that our own body codes for, and every hour of every day our own messenger

TRANSYLVANIA TIMES, February 15, 2021 RNA is making proteins in our body for our body to use for us to live. And what this technology is doing is it’s using that existing framework. We’re using a messenger RNA that codes for the spike protein on this virus to make a viral particle. There is no live virus in this vaccine. There is no dead virus. It’s a blueprint for instructions that uses machinery in our body that we already have, that’s already being used every day. That’s the best way I can explain it to patients. “There is absolutely no way to guarantee that there won’t be some long-term issue with the vaccine. It’s a matter of balancing risks, and I think that the risks of the vaccine are much, much less than the risks of continuing to try to live with the pandemic without a cure.” Q: What are some of the long-term effects of COVID-19 for unvaccinated people? A: “For people who get sick with the virus we’re seeing everything from asymptomatic infections, with absolutely no effect on that individual, to death. But most people are experiencing something somewhere in-between: Either a mild flu-like illness that takes them out of work for a few days (10 at the minimum if it’s diagnosed COVID-19)... to some people who are left with long-term sequela (consequences of the previous disease), such as fatigue. They don’t tolerate physical exertion as well as they used to. They’re short of breath. They become winded. They tire much more

easily. Physically, they’re not able to engage in a normal level of daily activities like they used to,” Shea said. Shea also pointed to one study out of Wuhan, China, of people who were hospitalized with COVID-19, but not sick enough to be put on a ventilator. Out of the 1,733 patients analyzed in the study, Shea said a high percentage were struggling several weeks and months later. Of the 1,733 people, the median age was 57. Shea said 63 percent of patients were still experiencing exhaustion or muscle weakness, about one fourth of the patients were experiencing difficulty sleeping and another one fourth said they were anxious or depressed. Q: What kind of relief will the vaccine provide to our health care system? A: “We have spent so much time and resources into battling this pandemic that we’re often struggling to meet just some of the other basic needs that our patients have. Some patients have difficulty coming to the office. I’ve had some patients that I only do tele-medicine visits with. They’re kind of waiting for the pandemic to be over. Some of the routine things that we might normally do like blood work, a hands-on physical exam, we just kind of push some of these things off,” Shea said. “It will allow us to be able to go back and focus on what primary care physicians were able to focus on before, which is keeping people well as opposed to fighting off

disease. A second thing...it’s been exhausting in some medical settings — the effect it’s had on nurses, doctors, physician assistants, respiratory technicians, though this might be more so in hospital settings. In nursing home settings, there are a lot of exhausted health care workers out there. “In my particular setting as an office-based family doc in the small town of Brevard, it’s not been that stressful. There has been a lot of stress on health care workers nationally, and I think it’s beginning to take its toll on some of these folks. So that is going to be a welcome relief to our health care system, but particularly our health care workers. Q: Should pregnant or breastfeeding individuals get vaccinated? A: Both Rybka and Shea said that there are currently no phase three vaccine trial data on pregnant and breastfeeding individuals, but that it does not mean that pregnant and breastfeeding women can’t get vaccinated. “If you’re pregnant or breast feeding, the correct answer is discuss the vaccine with your physician before receiving it. It comes down to everything we do in medicine; it’s risk and benefit. We don’t think there’s going to be risks but we also haven’t done studies in those women to understand if there are risks. A pregnant woman or a breastfeeding woman can still get the vaccine, though,” Shea said. Asked about if he would recommend the vaccine to one of

TRANSYLVANIA TIMES, February 15, 2021 his pregnant patients, Shea said he would and that there are not any ingredients in the COVID-19 vaccine that would hurt an unborn child. “This is just my leap of faith in how the vaccine, the science behind the vaccine, knowing how it works and knowing that there’s not anything in that vaccine that I think is going to harm an unborn child. And, certainly, moms have to protect themselves and their babies. I think the risks of the vaccine are less than the potential benefits. I think it also comes down to the individual patient,” he said. Shea said if the expectant mother is completely sealed off from any potential COVID-19 exposure, has groceries delivered, works from home, their partner works from home and they don’t come into contact with anyone else, he would consider holding off on getting that patient vaccinated. But for people who have to go work in the public, who come into contact with many other people living their day-to-day life, he said he would recommend the vaccine. As far as breastfeeding women, the same logic applies, said Shea. Q: If someone is in phase 1A of the vaccine roll out category and the county has already moved on to another phase, did that person miss their chance to get vaccinated? A: No. According to Rybka, folks are still able to get vaccinated if the county has already moved on to another phase of the

vaccine roll out. They will still be able to set up an appointment if there is one available. Q: Does the vaccination shot hurt? A: Anecdotally, Rybka said, there have been very few complaints of the vaccine being painful thus far in Transylvania County. Q: Should I get vaccinated if I have allergies? A: “The people who should not get a vaccine are people who have had a severe reaction to this dose, to this vaccine…or a severe reaction to any ingredient of the vaccine. Folks who have other allergies, fever, a bleeding disorder or are on blood thinners, are immune-compromised or on medicine that affects your immune system. Those folks should talk to their doctor about whether it’s right for them,” said Rybka. Shea said, “I’m not sure the exact number, but maybe on the order of 1 in 100,000 or so will have a serious allergic reaction, and a lot of times they can be somewhat predictable when folks receive a vaccine. “That’s why we keep them for 15 minutes after they receive a vaccine, and in the case of people who have had serious, lifethreatening allergic reactions to other medications or vaccines in the past, we keep them for 30 minutes. Vaccine sites are prepared to handle any serious allergic reaction. That’s part of the protocol.”

TRANSYLVANIA TIMES, February 15, 2021

Live Longer, Better - The Blue Zones Project And The Power 9 Where are the world’s longest-lived people? National Geographic posed this question to explorer Dan Buettner, a National Geographic Fellow and his team. In 2000, Buettner and his team set out to find pockets of people around the world with the highest life expectancy, looking for the highest proportions of people who reach age 100. His team discovered the five places in the world where people live the longest, healthiest lives. On a map they circled five locations with a blue marker, thus naming the five regions Blue Zones: •Barbagia region of Sardinia, Italy – Mountainous highlands of inner Sardinia with the world’s highest concentration of male centenarians. •Ikaria, Greece – An Aegean Island with one of the world’s lowest rates of middle age mortality and the lowest rates of dementia. •Nicoya Peninsula, Costa Rica – World’s lowest rates of middle age mortality, second highest concentration of male centenarians. •Seventh Day Adventists – Highest concentration is around Loma Linda, Calif. They live 10 years longer than their North American counterparts. •Okinawa, Japan – the longest-lived population of females in the world. They then assembled a team of medical researchers, anthropologists, demographers and epidemiologists to search for evidence-based common denominators among all five places.

Through their research they found nine common denominators: 1. Move Naturally The world’s longest-lived people don’t pump iron, run marathons or join gyms. Instead, they live in environments that constantly nudge them into moving without thinking about it. •2. Purpose Knowing your sense of purpose is worth up to seven years of extra life expectancy. •3. Down Shift Stress leads to chronic inflammation, associated with every major age-related disease. What the world’s longest-lived people have that we don’t are routines to shed that stress. 4. 80 Percent Rule “Hara hachi bu” – the Okinawan, 2,500-year old Confucian mantra said before meals reminds them to stop eating when their stomachs are 80 percent full. The 20 percent gap between not being hungry and feeling full could be the difference between losing weight or gaining it. •5. Plant Slant Beans, including fava, black, soy and lentils, are the cornerstone of most centenarian diets. Meat – mostly pork–is eaten on average only five times per month. Serving sizes are 3-4 ounces.

TRANSYLVANIA TIMES, February 15, 2021

6. Friends @ Five After the work of the day, centenarians spend time with their friends to unwind. 7. Belong Research shows that attending faith-based services four times per month will add four to 14 years of life expectancy. 8. Loved Ones First Successful centenarians in the blue zones put their families first. This means keeping aging parents and grandparents nearby or in the home. They commit to a life partner (which can add up to three years of life expectancy) and invest in their children with time and love.

Walking moais signs.

9. Right Tribe The world’s longest lived people chose – or were born into – social circles that supported healthy behaviors.

Residents enjoy the local fitness trail.

Friday walking moais: residents join to walk different areas in the community.

Blue Zones Project – Brevard is powered by the Pisgah Health Foundation and focuses on three specific areas related to People or “Engagement,” Places or Organizations, and Policy. Tammy Hopkins leads the team’s efforts to engage the community and support programs based around the Power 9 principles through programs like Purpose Workshops, Purpose Moais, Walking Moais, Cooking Classes and Potlucks. The Places Team, led by Sarah Hankey, works with worksites, restaurants, schools, grocery stores and other participating organizations across the community to provide evidence-based best practices and tools to improve overall well-being. Mark Burrows leads the policy work that focuses on ways to support policies that make walking and biking safer and promote healthier food and nutrition access for everyone. To learn more about upcoming projects follow on Facebook at www.facebook.com/bzpbrevard or go to www.brevard. bluezonesproject.com. Those interested in learning more or volunteering may contact Hopkins at tammy.hopkins@ sharecare.com.

TRANSYLVANIA TIMES, February 15, 2021

BLUE ZONES PROJECT 2021 BREV VA ARD EVENTS

COOKING CLASSES

PURPOSE WORKSHOPS

PURPOSE MO OA AIS

February 11 • 6 pm on Zoom with Brevard Seventh Day Adventists

This free two-hour workshop led by certified facilitators uses an interactive process—help you reflect on youS strengths and clarify what matters—you.

for the months of February, March, April, May:

February 16 • 6 pm on Zoom with Katina Hansen March 11 • 2:30 pm with Brevard Seventh Day Adventists March 20 • 2:30 pm with Tina Tanner a April 15 • 6 pm with Brevard Seventh Day Adventists April 28 • 2:30 pm with Aoife Clancy a plant slant caterer May 8 • 2:30 pm with Tina Tanner a May 13 • 2:30 pm with Brevard Seventh Day Adventists

February 18 • 1 pm – 3 pm on Zoom March 1 • 4 pm – 6 pm

Group 1: Mondays • 12 noon Group 2: Wednesdays • 5:30 pm

March 18 • 6 pm – 8 pm April 5 • 4 pm – 6 pm April 20 • 1 pm – 3 pm May 3 • 4 pm – 6 pm

WALKING A MOAIS

May 18 • 10 am – 12 pm

for the months of February, March, April, May:

June 7 • 4 pm – 6 pm

Tuesdays • 8 am

June 23 • 3 pm – 5 pm

Wednesdays • 12 noon Wednesdays • 3 pm Fridays • 10 am

June 10 • 6 pm with Brevard Seventh Day Adventists

REGISTER FOR BZP PROGRAMS: Tammy.Hopkins@Sharecare.com LEARN MORE: https:/ //br / evard.bluezonesproject.com/ FOLLOW US ON FACEBOOK: https:/ //www.facebook.com/b / zpbrevard

TRANSYLVANIA TIMES, February 15, 2021

TIPS FROM THE EXPERTS TIPS FROM THE EXPERTS Sarah Hankey

Angus Graham, MD

Blue Zones Project Brevard Organization Lead

Brevard Orthopaedics P.A Orthopedic Surgery

I think we have all fallen victim to mindless munching before, but becoming a mindful eater isn’t just for the meditators and yogis. Mindful eating should be a goal for all of us. 1. Food is Instruction Mindful eating starts well before you take your first bite. When planning what to eat, consider the fact that food is not just calories, it is instruction for your body. What you eat becomes your blood, affecting the quality of your cells, tissues, organs and mind, so choose wisely. 2. Avoid Drinking with Meals Give your body a better chance to absorb the nutrients from your food by not drinking beverages during your meal. Instead, drink a glass of water 20 minutes before your meals. And rather than using a drink to wash down your food, chew your foods until it becomes close to a liquid state. This will help you to eat less, taste your food better, absorb more nutrients, and make eating more enjoyable overall. 3. Eat with Loved Ones Use mealtime as an event. Sit with loved ones at the table and engage in nourishing conversation. Put your eating utensils down between bites and eat slowly, so you will notice when you are about 80 percent full.

191 West Main Street - Suite B, Brevard, NC 28712 Sarah.Hankey@Sharecare.com

Common Causes of Shoulder Pain and How to Fix Them What are the most common shoulder injuries? The most common shoulder injuries that an orthopedic surgeon deals with are rotator cuff injuries and osteoarthritis. Do I need surgery if I have a rotator cuff injury? Rotator cuff injuries can be painful and debilitating. The rotator cuff is a group of four muscles with their tendons that allow the complex movements of the shoulder. For the most part, rotator cuff injuries do not heal on their own and often need the help of an orthopedic surgeon. What are red ﬂags signaling that I may have degenerative osteoarthritis? Degenerative osteoarthritis is usually seen in the later decades and rarely seen in persons under age 60. Arthritis is often hereditary. Pain and stiffness signal the possibility of arthritis.

316 Chestnut St., Brevard (828) 884-2055 • www.missionhealth.org

TRANSYLVANIA TIMES, February 15, 2021

Five Ways To Protect Hearing The saying “You don’t know what you’ve got ‘til it’s gone” is never more true than in regard to hearing. It’s easy to take hearing for granted, but even momentary hearing loss can highlight how vital it is to protect hearing. People rely on headphones or ear buds to listen to music, stream movies or participate in work-related meetings more than ever before. Having the volume too loud can contribute to hearing loss over time. The Centers for Disease Control and Prevention says five in 10 young people listen to their music or other audio too

loudly. Overall, 48 million people in the United States have trouble hearing in one or both of their ears. Johns Hopkins Medical Center reports approximately 15 percent of adults 18 years of age or older report some trouble hearing, and the risk of hearing problems increases with age. Once it’s gone, hearing cannot be restored in many cases. To protect hearing and guard against future hearing loss, consider these recommendations. 1. Ask for a baseline hearing test. It’s easier to measure hearing loss if there is a base

line by which it can be measured. During your annual physical, ask for a hearing test or a referral to an audiologist. This can set the course for monitoring progression of any future hearing loss.

2. Wear hearing protection. There are various types of hearing protection that can filter out certain levels of sound. Many earplugs, like the ones musicians wear or those worn when attending rock concerts,

Brevard Hearing Center Judy C. Welch, AuD, FAAA

Audiology & Hearing Aids Hearing Evaluations • Hearing Aid Sales & Service

FULL TIME LOCAL PRACTICE

828-966-4327 424 South Caldwell Street • Brevard, NC 28712 Serving Transylvania County Since 1986

TRANSYLVANIA TIMES, February 15, 2021 can reduce the sound by approximately 25 dB. Custom fit ear plugs provide more noise reduction, in upwards of 35 to 40 dB. They are optimal for high-noise environments, such as when mowing lawns or operating machinery, according to the hearing loss resource Hearts for Hearing. 3. Turn down the volume. Experts recommend adhering to the 60/60 rule when enjoying audio through headphones. This suggestion is to listen with the headphones at no more than 60 percent volume for no more than 60 minutes a day. Earbuds fit directly next to the eardrum and can be harmful to your hearing. If possible, choose over-the-ear headphones instead. 4. Have custom molds made. Rather than turning up the volume, people can have custom ear molds made for use with earphones, suggests Johns Hopkins. The custom ear molds will block outside noise, allowing for higher quality listening. 5. Keep your ears dry. Moisture in the ear can cause bacteria to grow and potentially lead to infections. Towel-dry ears gently after showering or swimming. Avoid the temptation to use cotton swabs to dry the ears. For the most part, ears are self-cleaning, and using a cotton swab can push wax and cause it to become compacted in the ear canal.

TIPS FROM THE EXPERTS Judy C Welch, AuD Brevard Hearing Center, LLC Audiologist/Owner Use every precaution protecting your hearing, with well-fitted ear molds, plugs and muffs. By using hearing protection every time you are around loud noises, such as machinery, engines, and guns, you are doing your best to keep your hearing acute. Should you develop hearing problems, ask your doctor to refer you to a professional to assess your hearing properly. If you need hearing aids, remember modern hearing technology is far better than old technology, and can improve communication with family and friends, assisting you in staying active and engaged. Seek professional help to determine what is best for you and your budget.

424 S. Caldwell St., Brevard (828) 966-4327 • www.brevardhearingcenter.com

TIPS FROM THE EXPERTS Tim Shipman Owner/Driver STAT Mobility Inc

Maintaining your independence can be simple. Let STAT Mobility help you with all of your transportation needs. Our professional, medically trained staff will take you there with comfort and care, in a new, ADA compliant vehicle. We go the extra mile to ensure that your experience is a positive one. Don't let a lack of quality transportation cause you to miss appointments and events. We look forward to talking with you soon.

828-489-7509 www.statmobilityinc.com

STAT Mobility Inc provides transportation by a medically trained driver in our ADA compliant vehicle.

Service include • Medical appointments • Shopping • Kidney Dialysis • Weeddings and Funerals • Much More

828-489-7509 82 8-489-7509

Serving Brevard and surrounding areas. www.statmobilityinc.com

TRANSYLVANIA TIMES, February 15, 2021

Fitness Center Update When it comes to staying in shape and exercising, COVID-19 restrictions have certainly changed the way gyms in the area are operating, but there are still many options for those who want to get in a workout outside of their home. Workout Anytime, located in Pisgah Forest at the Forest Gate Shopping Center, offers 24-hour access for members. The facility has both weight training and cardiovascular equipment. Members are required to wear a face mask when they enter the facility, but aren’t required to wear them during strenuous exercise. Workout Anytime places an emphasis on sanitization, constantly cleaning the equipment and having hand sanitizing stations around the facility. The gym also has AirPHX air sanitization systems. The facility has blocked off some cardio equipment to conform with social distancing standards, but there are still plenty of machines on which members can get a great workout. For more information, go to www.workoutanytime.com/brevard or call (828) 883-9628. The Brevard Health & Racquet Club, located on Country Club Road, offers many different exercise options. The club previously held multiple group exercise classes throughout the day, but those large classes have been temporarily cancelled in light of the pandemic restrictions. Members can participate in WOD (Workout of the Day) classes, which are held Monday, Wednesday and Friday at 5:45 a.m. There are also Fitness on Demand workouts being offered, which utilizes a variety of different programs. The indoor pool is available through hourly reservations, but there are no group aquatics classes being offered. All of the regular exercise equipment is available for members to use during the club’s regular hours, which are 5:45 a.m. to 8:30 p.m. Monday through Friday, 8 a.m. to 6 p.m. on Saturday and 1 p.m. to 6 p.m. on Sunday. The tennis courts are also available for use. The indoor courts must be reserved, although there are some open court hours available, as well. Pickleball, a sport quickly growing in popularity, is also available, with a weekly clinic for adults running on Wednesdays from 2 p.m. to 3:15 p.m., followed by a kids’ clinic. For more information, go to www.brevardhealthandracquetclub.com or call (828) 883-3005. The Fitness Factory, located on the Asheville Highway, is one of the largest gyms in the area and offers 24-hour access. New members looking to join can do so online, via www.thefitness factory.biz, to cut down on in-person interaction. Cody Siniard, interim general manager, said people have been using the 24-hour access to come in and work out at slower

TIPS FROM THE EXPERTS Greg Maurer Workout Anytime Franchising Systems, LLC Vice President Fitness and Education Exercise for Weight Loss The Sprint 8 Protocol can help you lose 1/3 of your body fat in just two months regardless of your current fitness level. Do a 2 – 3 minute warm-up on any cardio equipment. Then do eight 30second sprints (your best effort) followed by 90 seconds of active recovery (moving without resistance). Research showed that this 20 minute workout done 3 times per week is all you need! For more information go to www.sprint8.com. No equipment necessary – just use body weight exercises like running in place or mountain climbers.

115 Forest Gate Drive, Forest Gate Shopping Center, Brevard (828) 883-9628 • workoutanytime.com

TRANSYLVANIA TIMES February 15, 2021 times to avoid being around larger groups. The facility offers a range of different exercise machines, along with free weights and cardiovascular equipment. Currently, there aren’t any group classes being offered, but, much like the Racquet Club, members can use the Fitness on Demand program to pick whatever exercise program fits their needs. “Somebody that wants group classes or needs a trainer can come in, they pick a class on the iPad and then they walk in the classroom and there is a big-screen TV and they do their exercise through the TV,” Siniard said. Patrons have been taking advantage of that technology, with some members meeting in person to attend virtual Zoomba classes. As with many fitness facilities, Siniard said The Fitness Factory is waiting to see when they feel comfortable reincorporating group classes back into the program. A lot of that effort involves getting feedback from members, who, Siniard said, have been returning to the gym in greater numbers recently. “We’re big on talking to the members and seeing what they are comfortable with. Once they say they would like to do classes again and there is enough interest, we’ll work our way back into that,” he said. For more information, call (828) 883-9832 or visit www.thefitnessfactory.biz. 828 Fitness, also located just off the Asheville Highway, is one of the newest gyms in the area that offers 24-hour access to members. Members have access to a variety of exercise equipment and a highly trained staff who can assist those trying to meet their fitness goals. 828 Fitness isn’t currently offering any group classes; a daily workout is provided to members who want to come in and participate on their own. The facility also offers personal training. Those training sessions can be scheduled once a person has signed up for a membership. For more information, go to www.828fitness.com or call (828) 884-6645. On the southern end of the county, Next Level Fitness, located on the Old Rosman Highway, offers residents access to a 24-hour facility without making the drive back into Brevard. The gym features a variety of exercise equipment, including weights and cardiovascular machines. While members can access Next Level Fitness 24 hours a day, the facility is staffed 11 a.m. to 5 p.m. on weekdays. Next Level Fitness has offered personal training in the past, but is not currently offering those sessions or holding any group exercise classes. For more information, call (828) 966-4419 or go to the Next Level Fitness, LCC, Facebook page.

TRANSYLVANIA TIMES, February 15, 2021

Transylvania Parks When it comes to getting outside for an enjoyable afternoon, Transylvania County and the city of Brevard offer many parks and recreation facilities that are great for a relaxing walk or for a day with the kids at the playground. The Transylvania County Parks and Recreation Department is in charge of overseeing and managing all the parks found throughout the county. This includes a number of facilities, including the multiuse fields located off Ecusta Road, the softball and baseball fields used for Little League, the baseball and softball fields located off the Old Rosman Highway, the Silvermont mansion – which includes the basketball and tennis courts – as well as river

access points located on Island Ford Road and Wilson Road. The hub of the parks and recreation department is the county recreation facility located off Ecusta Road, behind Pisgah Forest Elementary School. This facility serves as the main office, but also includes an air-conditioned gymnasium with a full-size basketball court, as well as gymnastics and other equipment that can be rented. The recreation center annually hosts many events, such as the Land of Waterfalls Senior Games and Silver Arts, youth volleyball, basketball and flag football, as well as the Battle for the Belt adult basketball league in the summer. The facility also hosts pre-

K programs and youth recreation camps. Jared Mull is the director of the county’s parks and recreation department. As with almost every department head, Mull has spent the past year trying to figure out how to offer the community the most services possible while grappling with COVID-19 restrictions. It hasn’t been an easy task, and many programs were canceled last year in light of the pandemic. That being said, Mull is hoping parks and recreation will be able to move forward with its programs in the coming months. “It is a very fluid situation,” Mull said. “This has been the case since mid-March 2020, when we’ve had to adjust to cancel programs, adjust to

constantly changing guidelines, restrictions, etc., to existing programs or incorporating new programs that fit those specific guidelines. “The plan for the winter/spring is to offer programs based under the assumption that things will stay under the same guidelines that we are following now. If things with the pandemic improve, I can see our program offerings changing.” Some of the programs the department plans to offer include: a parks and rec football combine, youth basketball, Winter Wonder Days (pre-K program that meets on Thursdays), remote learning camp every Friday for K-8th grade, a spring break camp, youth volleyball and dodgeball, wiffleball, a Start Smart sports

TRANSYLVANIA TIMES February 15, 2021

program for pre-K and some senior programs at Silvermont (limited to a 10-person capacity). On the municipal level, the city of Brevard and town of Rosman both offer a variety of recreation options. In Brevard, some of the more popular attractions are the multi-use Bracken Mountain Preserve Trail (located near the Brevard Music Center on Pinnacle Road), the Brevard Greenway – a 5-mile multi-use path that connects downtown Brevard to the Pisgah National Forest, Franklin Park – which includes a pool during the summer and a playground facility, Hap Simpson Park and the South Broad Park (located near the library). The city is currently in the works to develop a dog park, as well as revamping Silversteen Park to include a basketball court, a multi-use field and a playground. The newest addition to the city’s parks facilities is the skatepark located at the municipal sports complex off Ecusta Road. The park, which officially opened in August, is made of concrete and was designed based off several public input sessions from the community. Another city skatepark is located at the proposed Tannery Park site at the intersection of McMinn and Silversteen roads. In the town of Rosman, residents can utilize Champion Park Pool for a refreshing dip during the summer months, as well as the adjoining Champion Park playground.

TRANSYLVANIA TIMES, FebRUARY 15, 2021

The Various Health Beneﬁts Of Yoga Health-conscious individuals can do many things to improve their overall health. As medical researchers continue to uncover new things about how to achieve optimal health, one practice dating back to ancient times remains a highly effective way to take care of the human body. Though there’s no written records regarding the origins and invention of yoga, the practice is believed to date back to ancient India. The earliest written record of yoga is “The Yoga Sutra of Pantañjali,” a collection of aphorisms that historians believe was compiled sometime between 500 BCE and 400 BCE. Despite its age, yoga has not been studied extensively by medical researchers. According to the National Center for Complementary and Integrative Health, many studies looking into the health effects of yoga have included only small numbers of people and have not been of high quality. As a result, the NCCIH can only say that yoga shows promise in regard to helping people manage or overcome certain health issues, but not that it has been proven to do so. Though yoga may need to be studied more closely and extensively, many people who include it in their regular health care

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TRANSYLVANIA TIMES, February 15, 2021 routines report feeling better both physically and mentally for having done so, and that may not be a coincidence. A 2004 comprehensive review of yoga’s use as a therapeutic intervention published in the Journal of Physiology and Pharmacology indicated that yoga targets unmanaged stress, which has been linked to chronic disorders like anxiety, depression, obesity, diabetes, and insomnia. In addition to that review, the NCCIH notes that research has suggested yoga can: • Relieve low-back pain and neck pain • Relieve menopause symptoms • Help people manage anxiety or depressive symptoms associated with difficult life situations • Help people quit smoking • Help people who are overweight or obese lose weight • Help people with chronic diseases manage their symptoms and improve their quality of life. It’s important that anyone considering making yoga part of their health care routines recognize that there are various forms of yoga, some of which are more physically demanding than others. So it’s best if individuals speak with their physicians before trying yoga so they can find the type that aligns best with their current levels of fitness.

TIPS FROM THE EXPERTS Bridget Pradella BA, CYT-500 Brevard Yoga Center Yoga & Meditation Instructor and Co-Owner Absolutely anybody can practice yoga! No fancy mats or pants required. If you don’t have time for a full-length class, no worries. Whenever you can: •Take a moment to just breathe; breathe slowly with attention. •Take a moment to give yourself a hug when you’re in need of soothing. •Take a moment to reach your arms up to the sky, breathe in deeply and sigh. •Take a moment to lie down in a comfortable position and rest your mind, body and soul. •Take as many moments as you need to find a sense of ease and calm during these trying times.

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TIPS FROM THE EXPERTS Jen Lepkowski, MSN, FNP-C Mercy Urgent Care Nurse Practitioner •When you experience a non-life-threatening illness or injury. By using an urgent care, you’re alleviating the overburdened ER, so that they can care for those who truly need it. •Your primary care physician isn’t available. Mercy Urgent Care is open seven days a week and offers medical examinations, tests and assessments, plus sports and work physicals. •You don’t want to risk exposure to those who are sick. Schedule a virtual visit from the comfort of your home. •You want care from a trusted provider. Not-for-profit Mercy is celebrating 120 years of caring for western North Carolina, including Transylvania County, since 2009.

22 Trust Lane, Brevard (828) 883-2600 • www.mercyurgentcare.org.

TRANSYLVANIA TIMES, February 15, 2021

Physical Activity Guidelines For Children, Adolescents And Adults Staying healthy is a fulltime job for people of all ages. While it might not always prove so easy to exercise or eat right, the benefits of healthy living are undeniable. According to the Partnership to Fight Chronic Disease, “prevention” refers to helping people avoid getting sick or identifying diseases early so treatment can begin. Immunizations and disease screenings are two vital components of preventive care, but children, adolescents and adults can take more active roles in preventive care by embracing physical activity. The Department of Health and Human Services notes that physical activity fosters normal growth and development and can help people feel better, function better, sleep better, and reduce their risk for a large number of chronic diseases. Reducing risk for chronic disease keeps people out of the doctor’s office, or even the hospital, and it also can help save considerable amounts of money. One report from the The Milken Institute estimated that high chronic disease and obesity rates are responsible for more than $1 trillion in lost productivity in the workplace every year. In addition, the National Commission on Prevention Priorities notes that increasing the use of five preventive services to 90 percent

can save more than 100,000 lives in the United States each year. Such services include advising smokers to quit and offering medication or other assistance to help them and providing flu shots for people age 65 and older. In recognition of the role exercise plays in preventive care, the DHHS recommends children, adolescents and adults follow these physical activity guidelines. Children And Adolescents The DHHS recommends that children and adolescents between the ages of six and 17 should get 60 minutes or more of moderate-to-vigorous physical activity every day. • Aerobic: Most of the 60

minutes or more per day should be either moderate- or vigorous intensity aerobic physical activity and should include vigorous-intensity physical activity at least three days a week. • Muscle-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include musclestrengthening physical activity at least three days a week. • Bone-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include bone-strengthening physical activity at least three days a week. Parents can consult with

their children’s physicians to determine age-appropriate muscle- and bone-strengthening activities for their youngsters. Adults The DHHS advises adults to make a concerted effort to move more and sit less throughout the day. Some physical activity is better than none. Adults who sit less and do any amount of moderateto-vigorous physical activity gain some health benefits. For substantial health benefits, adults should get at least 150 minutes to 300 minutes of moderate-intensity, or 75 minutes to 150 minutes a week of vigorous-intensity aerobic physical activity each week. An

TRANSYLVANIA TIMES February 15, 2021

TIPS FROM THE EXPERTS

157 Medical Park Dr # A, Brevard, NC 28712 (828) 884-3440

Remember To Vaccinate Your Children

Dr. Ora Wells, MD Hendersonville Pediatrics Pediatrician Most pandemics have a 3-year cycle and we are only beginning our second year. Hopefully vaccines will shorten the COVID-19 cycle, and will become available for children as well. How do we protect our children? Start with the 3 Ws: Wear a mask, Wash your hands and Watch your distance. The greatest risk factor for children having severe illness or dying from the virus causing this pandemic is obesity. How do we help children and adolescents that are obese? Cut out sugary drinks, and avoid artificial sweeteners, which have a detrimental effect on our metabolism. Drink mostly water and limit dairy to 8 oz. per day or less. Eat less processed food and more whole food (food with no or minimal labeling). Create a plant slant to your meals with more vegetables, fruits, beans, whole grains, nuts and seeds. Children 3-5 years of age should be active all day long with play and other activities. Children 6-17 years of age should have 60 minutes of moderate activity daily. Three of those days should feature vigorous activity like running or soccer, or activities that strengthen muscle and bone like climbing, pushups, gymnastics or jumping rope. Let's do all we can to keep our children healthy in 2021.

157 Medical Park Dr., Brevard (828) 884-3440 • www.hendersonvillepediatrics.com equivalent combination of moderate- and vigorous-intensity aerobic activity can serve as a substitute. Ideally, aerobic activity should be spread throughout the week. Adults should do musclestrengthening activities of moderate or greater intensity that involve all major muscle groups two or more days a week, as the DHHS notes these activities provide additional health benefits. These guidelines also apply

to older adults, but older adults also should incorporate balance training into their exercise routines. In addition, the DHHS urges older adults to consult with their physicians about the appropriate level of effort for physical activity relative to their level of fitness. People of all ages should include physical activity in their preventive health care routines. More information about exercise is available at www.health.gov.

Serving Children In Transylvania County For Over 30 Years. Newborns to teens, our caring pediatricians and staff are here to serve your child’s healthcare needs with expertise and understanding.

Wishing Your Family Good Health.

New Patients Welcome • Please call (828) 884-3440 today to arrange an appointment.

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TRANSYLVANIA TIMES, February 15, 2021

Support Your Immune System Living through an historic pandemic has made many take a greater interest in their own health and wellness. Google Trends shows searches for the terms “immune boost” and “immune system” shot up dramatically between March 15 and March 21, 2020, right when the severity of the COVID-19 dis-

ease began to set in for Americans. There are countless folk remedies, old wives tales, viral Facebook posts and snake oil pitches out there promising to boost one’s immune system, with just one quick purchase or one simple trick. Contrary to popular belief, though, there is no one way to “boost” your immune system,

and, in reality, a “boost” could potentially be more harmful than helpful, as an overactive immune system can cause serious health problems like autoimmune diseases. Still, in pandemic times, many want to take a more active approach to preventing disease in their lives by adopting healthy habits a Brevard wellness advocate believes Eastern medicine can be a great place to start. Acupuncturist and Chinese medicine practitioner at Elk Haven Wellness Center Belinda Roberts believes Chinese medicine can offer some helpful wisdom when it comes to preventative care for everyday folk. Roberts herself suffered a serious health scare in early adulthood, and ever since has been interested in a holistic approach to her health. A few years ago, she completed Chinese medicine school and is now a Chinese medicine practitioner and acupuncturist. In eastern medicine, Roberts said, there is no separation of the immune system and the rest of the body. Each of the body’s operating systems is connected, just as we know that our health is a complete and inseparable blend of our physical, spiritual and emotional aspects.

“You can’t take out the immune system and say, ‘Okay I’m going to do this thing, and it’s going to take care of my immune system,’” she said. “The immune system is just one reflection of the whole body, and its very concept of protection and recovery from illness is so intricately woven into the health of our organ systems and our mental health and our spiritual well being. You can’t really separate it out and say, ‘I’m going to take this medicine for my immune system.’ It truly is a matter of caring for your whole self, and that’s why I am advising such big general things as eat well, sleep well, get outside and move well, drink plenty of good water, eat food that is good for you and stay away from sugar.” Philosophically, to take care of your immune system, Roberts said it is a matter of treating your whole body well, but there are a few tips that she said people could take from

Chinese medicine. At the start of a cold, Roberts recommended people right away “treat” the mouth and nose area with warm water by gargling salt water, or doing a nasal wash with salt water or drinking a strong herbal tea. Roberts recommended sage tea and ginger tea for their health benefits and accessibil-

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TRANSYLVANIA TIMES, February 15, 2021 ity. Simply boil fresh sage or sliced ginger to make an easy and effective treatment. In Chinese medicine, balance is an important concept, Roberts said, and acupuncture and targeted herbal treatment can help people who are feeling out of whack. Roberts said, when looking out for respiratory health, Eastern medicine has the concept of “dry” and “wet” lungs. Both are bad, and dry lungs could be a symptom of dehydration, whereas “wet” lungs could be a sign of living in a damp environment (common here in Transylvania County.) People experiencing excess phlegm (a sign of wet lungs) could benefit from acupuncture, Roberts said. There is also growing research that says acupuncture can benefit patients fighting disease. According to a January 2020 study published in the journal Biomedicine & Pharmacotherapy titled “Antitumor Effects of Immunity-enhancing Traditional Chinese Medicine,” there is evidence that Chinese herbal medicine and acupuncture can help fight cancer by targeting tumor cells, with an enhanced immune response in an otherwise immunosuppressed cancerous environment. Roberts also emphasized the importance of sleep for keeping the immune system healthy. She suggested going to bed early is important, as, according to Chinese medicine, the hours between 10 p.m. and 12 p.m. are crucial for organ health, and rising with the sun is important to make sure you’ve received enough sunlight each day. She also said hot water bottles are great to use before bedtime on the lower back, or lower belly, or on the hands and feet to make sure your body isn’t cold before you go to sleep. Diet is a huge part of wellness, said Roberts. Plant-based foods are some of the best preventative measures one can take to keep the body strong and feeling good. Too much dairy or meat is a no-no, said Roberts, and eating seasonal vegetables is a good way to give your body the nutrients it needs at certain times of the year. In the winter, Roberts recommended eating any vegetables that store well or grow well in the cold, such as root vegetables (potatoes, onions and, especially, sweet potatoes), hard winter squashes or cold weather greens, such as kale. Garlic, ginger and green onion are also very medicinal flavors you can add to your cooking. Additionally, Roberts said to make sure that the food is cooked lightly. Not too little, or it won’t be digestible, and not too much, as the nutrients will be cooked right out. She said it was important not to drink too much cold liquid during or before meal times as it inhibits digestion. High quality oil and salt are also important for healthful cooking, Roberts said. (Continued on pg. 26)

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TRANSYLVANIA TIMES, February 15, 2021

She recommends extra virgin olive oil or sesame oil. For exercise, Chinese medicine purports gentle movement like tai chi or qi gong, which focus on slow movement, body posture and breathing technique. Yoga and Pilates are also good forms of exercise, said Roberts. Exercise is an important part of treatment for mental health disorders, such as anxiety and depression, as well, said Roberts. Though the advice may seem generic to eat well, to sleep well and to exercise regularly, they really do provide better treatment than any miracle pill or quick fix. Roberts said if you can ask yourself, “Do I really feel good? Do I feel happy?” you can get a good gauge of your own personal wellness. For people who answered no, acupuncture, herbs and other Chinese medicine practices may be a good option for folks looking to improve their health. “Overall, you just need to be (consistently) doing the most basic things of getting good sleep, getting fresh air and sunshine, eating well and eliminating well, and drinking plenty of water,” Roberts said. “And as Blue Zones reminds us, being with people you love, doing things you love and having purpose in life. I’ve heard over and over again about people who became ill after some big disappointment in life or some loss. We must make paying attention to what we are feeling a priority. True wellness is going to reach maybe beyond your idea of health: ‘I am happy, because I have good friends...or if I’m not well, why am I not well?’ It can definitely come from putting bad food in your body every day, but it’s usually a lot bigger than that.”

TIPS FROM THE EXPERTS

TIPS FROM THE EXPERTS Belinda Roberts Elk Haven Wellness Center Licensed Acupuncturist and Center Director Make good use of the slower pace many of us are experiencing by starting new practices to support your immunity and overall health. 1. Winter wants more ZZZs. Go to bed earlier, sleep in a slightly cool room without a draft or breeze from a fan, and be asleep by 10 p.m. to benefit from the two most restorative hours of sleep. 2. Warm up to better digestion. Consume lightly cooked fresh foods, warm teas and soups, and limit cold foods and drinks, especially at mealtime. Immunity and digestion are closely connected. 3. Practice the basics. Sunshine, social connection and lots of movement are critical to enhanced immunity and staving off the Winter Blahs, the COVID Blues, and anything causing anxiety and depression.

100 Elks Club Road, Brevard (828) 862-3492 • www.elkhavenwellness.com

Paul J. Buchman, L.AC., M.AC., DIPL.AC. Traditional Acupuncture, LLC Board Certified Acupuncturist since 1995 In Chinese Medicine being “pain free” is only the beginning. True healing restores balance and harmony on all levels – physical, mental, emotional and spiritual. And some of the gifts of wellness are a calm mind, a joyful heart, more energy, and a healthy body. Traditional acupuncture sees the self as whole, with everything needed to restore vibrant health. We see “problems” as teachers and “symptoms” as opportunities for healing.

455 S. Caldwell St., Brevard (828) 884-8812 • ru_paul2@yahoo.com

The U.S. National Academies of Sciences, Engineering, and Medicine determined that an adequate daily fluid intake is: • About 15.5 cups (3.7 liters) of fluids a day for men • About 11.5 cups (2.7 liters) of fluids a day for women These recommendations cover fluids from water, other beverages and food. About 20 percent of daily fluid intake usually comes from food and the rest from drinks.

TRANSYLVANIA TIMES, February 15, 2021

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TRANSYLVANIA TIMES, February 15, 2021

The Role Different Vitamins Play

A nutritious diet is a vital component of a healthy lifestyle. When it’s part of a health regimen that includes routine exercise, a healthy diet that’s rich in fruits and vegetables can help people reduce their risk for various illnesses, including chronic diseases like heart disease, cancer and diabetes. Many adults have known about the value of fruits and vegetables since they were youngsters and their parents repeatedly told them how important it was to eat healthy foods. Despite those early lessons, the Centers for Disease Control and Prevention reports that less than 10 percent of adults and adolescents eat enough fruits and vegetables. That’s unfortunate, as fruits and vegetables are loaded with vitamins that benefit the body in myriad ways. The U.S. National Library of Medicine (USNLM) notes that

vitamin deficiency occurs when people do not get enough of certain vitamins. Recognizing the many functions vitamins serve may compel adults and adolescents to include more fruits and vegetables in their diets. • Vitamin A: The USNLM notes that vitamin A helps form and maintain healthy teeth, bones, soft tissue, mucous membranes, and skin. According to the World Health Organization, vitamin A deficiency is the leading cause of preventable blindness in children and increases the risk of disease and death from severe infections. • Vitamin B6: Vitamin B6 helps form red blood cells and maintain brain function. Though the National Institutes of Health notes that isolated vitamin B6 deficiency is uncommon, a deficiency has been associated with various conditions, including a weakened immune system and dermatitis

cheilitis, a condition marked by scaling on the lips and cracks at the corners of the mouth. • Vitamin C: Vitamin C is an antioxidant that promotes healthy teeth and gums, helps the body absorb iron and maintains healthy tissue. In addition, vitamin C plays an integral role in helping wounds heal. Vitamin C deficiency impairs bone function, and Merck notes that in children that impairment can cause bone lesions and contribute to poor bone growth. • Vitamin D: The USNLM notes that 10 to 15 minutes of sunshine three times per week is enough to produce the body’s vitamin D requirement for people at most latitudes. It’s hard to rely on food to supply ample vitamin D, which helps the body absorb calcium that is necessary for the development and maintenance of healthy teeth and bones. • Vitamin E: Vitamin E helps the body form red blood cells

and utilize vitamin K. Green, leafy vegetables like spinach and broccoli are good sources of vitamin E. The Office of Dietary Supplements notes that a vitamin E deficiency can cause nerve and muscle damage, potentially leading to muscle weakness and vision problems. • Vitamin K: Vitamin K helps to make certain proteins that are needed for blood clotting and the building of bones. The T.H. Chan School of Public Health at Harvard notes that the main type of vitamin K is found in green leafy vegetables like collard greens, kale and spinach. Vitamin K deficiency is rare, but it can lead to bleeding, hemorrhaging or osteoporosis. Vitamins are crucial to human beings’ overall health. Eating ample amounts of fruits and vegetables is a great and delicious way to avoid vitamin deficiency.

TRANSYLVANIA TIMES, February 15, 2021

TIPS FROM THE EXPERTS Gaia Herbs

For over thirty years, Gaia Herbs has been connecting people, plants, and planet to create healing. Today, Gaia Herbs is a leading herbal brand in America, trusted for producing the highest quality herbal products assured for purity, potency, and integrity, combining scientific expertise and traditional herbal wisdom. We are proud to call Brevard home!

(800) 831-7780 • gaiaherbs.com

TRANSYLVANIA TIMES, February 15, 2021

Transylvania Public Health: Pivoting To Provide Services During COVID-19 Transylvania Public Health has played a large role in the county’s response to COVID-19 over the past year. Public health staff have been identifying new cases, conducting case investigations to identify likely exposure sources, notifying contacts of their exposure to someone with COVID-19, assisting with testing and providing technical assistance to the county’s longterm care facilities, tracking data trends and sharing information with the public, and, now, working to provide COVID-19 vaccinations. But in parallel to these new activities, many core public health functions are still going on. “Members of the public will notice that we’ve had to make changes to adhere to the guidelines for social distancing within our offices, but even with all the staff time being devoted to the COVID-19 response, we’ve been able to carry on with other public health work behind the scenes,” said Transylvania County Health Director Elaine Russell. Administrative and business functions have continued, with new changes to funding due to COVID-19 and many more phone calls from the public. Efforts to quickly identify and prevent the spread of other communicable diseases have continued. The department’s lead communicable disease nurse is still responding to cases of Hepatitis A, HIV, syphilis and other diseases. To limit the number of people in the clinic, nurses have been offering carside service for immunizations. Women’s health services and STD testing have continued with very limited appointments, with most birth control refills being

handled over the phone. In addition to their regular responsibilities like tracking immunizations, providing flu shots in schools, and supporting students with medical needs, school nurses have been providing technical assistance to schools, helping identify cases and close contacts in school settings, and answering lots of questions. Transylvania Public Health’s vital records staff are carefully tracking death certificates to quickly identify any that list COVID-19 as a cause of death so nurses can follow up to request medical records. Transylvania County’s WIC Program has continued to offer nutrition education, access to healthy foods, and breastfeeding support for low-income families, but all services have shifted to be available remotely. All WIC services can be provided over the phone at least through May 20, 2021. “We are currently serving over 100 more clients per month compared to pre-pandemic numbers,” said WIC Director Laura Rinehart. “We’re happy to be able to provide these services when our families need us most.” Food benefits are available using an e-WIC debit card that can be loaded remotely and used immediately in stores on the same day that clients get enrolled. Clients do not need to come into the office to verify eligibility or receive services. To access WIC services or learn more about eligibility and how to become a WIC client, call (828) 884-1753. Health education and C.A.R.E. Coalition staff have continued their work to increase access to healthy foods, support

TPH employee in mid-January giving a COVID-19 vaccine in Rosman. worksite wellness initiatives, provide education to students, and prevent underage drinking and drug use. Most of these efforts have shifted to remote meetings and activities, and these staff members have also been assisting with the COVID19 response. In Environmental Health, visitors will notice precautions to prevent the spread of COVID-19, such as social distancing reminders and plexiglass shields. The demand for septic and well permits had been increasing steadily for several years but has increased dramatically since the pandemic started. At this time, environmental health is not offering private water testing, but can give referrals to private labs that can provide this service. Many food service establishments in the county have had to make changes to their regular operations to offer take-out only or limited dining indoors, and

public health inspectors have been providing assistance with interpreting new guidance from the state. “Inspections for food and lodging are taking longer because of the new requirements for distancing and PPE that must be worn,” said Environmental Health Supervisor Jim Boyer. “We appreciate the public’s patience and understanding as we all transition through this difficult time.” To learn more about Transylvania Public Health, visit www.transylvaniahealth.org or call (828) 885-3135. Offices are located at 106 E. Morgan St. in downtown Brevard; personal health and WIC services are on the third floor, while environmental health and administrative services are on the first floor. WIC is a program of the U.S Department of Agriculture. USDA is an equal opportunity provider and employer.

TRANSYLVANIA TIMES, February15, 2021

Blue Ridge Health As the COVID-19 pandemic continues to impact the lives of thousands of individuals across western North Carolina, many within Transylvania County are seeing a glimmer of hope in the arrival of the COVID-19 vaccine. Upon approval of the first vaccine by the Food and Drug Administration in early December 2020, staff at Blue Ridge Health (BRH) began preparing for its arrival by planning community-based vaccination clinics. The first event hosted by BRH-Transylvania occurred on Jan. 19, with others scheduled to occur as additional vaccines arrive. “During the early planning stages, we knew we wanted to create a process that allowed us to vaccinate as many people as possible while making it a seamless experience for patients,” said Michelle Hogsed, RN, director of quality management at BRH. “After reviewing several options, we chose to implement a drive-thru method which prevents patients from having to stand in line and allows us to quickly and safely vaccinate large groups at one time.” Individuals arriving at the event expressed extreme gratitude to the staff, with many being overcome with emotions as the realization they were receiving the vaccine instilled hope that life after the COVID19 pandemic may not be far away. “The response from those attending the vaccination events has been resounding, with many thanking staff repeatedly for their dedication and commitment,” said Dr. Richard Hudspeth, BRH chief

A Blue Ridge Health of Brevard team helped out recently during a vaccination clinic held at Brevard Music Center. executive officer. “The health care heroes who make up our organization have shown incredible resiliency and selflessness. Our staff’s unwavering commitment to the communities we serve, as well as our partnerships with Brevard Music Center, Pisgah Health Foundation, Transylvania Public Health, and the other health departments and foundations throughout the region have been integral to the success of this and the other vaccination events we have hosted.” In the end, the countless hours of planning and preparation paid off. Many patients had

feelings of apprehension as they arrived at their scheduled appointment time but quickly had their fears alleviated. “Blue Ridge Health has done an awesome job with rolling out the COVID vaccines,” said one vaccine clinic attendee. “Staff was friendly and knowledgeable, checking on us three-to-four times to make sure we weren’t having any adverse reactions. We were in and out in less than 30 minutes. Very impressive.” For more than 57 years, BRH has remained committed to being a steadfast safety-net for the communities it serves

across western North Carolina, and that commitment remains today. As it continues to navigate life during a pandemic, BRH will use the opportunity to further scale its services to meet the ever-changing needs of those it serves. Those eligible to receive the COVID-19 vaccine should go to www.brchs.com to learn more and to register for upcoming vaccination events as they are scheduled. To learn more about BRHTransylvania and the array of health care services offered, visit the website or call (828) 883-5550.

TRANSYLVANIA TIMES, February 15, 2021

Ceelebrate the good g life

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Tryon Estates is a warm and inviting neighborhoo od in one of the South’s swe eetest small mountain towns, w Columbus, NC. A premie er Acts Retirement-Life Community, Tryon Estate es offers worry-free living g in beautiful f homes and eleg gant apartments that off ffe er a range of customizable liv ving options.

With a lovely e campus surrounding a lake, Tryon Estates off ffers easy access to an arrray of recreational and cultural activities, both on and off campus. This includes workshops and studios, a myriad of outdoor adventuress, world-f ld famous art and d food scenes, wineries and a host of historic small towns nearb n y.

Leave Yo our Worr o ries Behind

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At Tryon E Estates, you’ll ﬁnd a wond derful community of neighbo ors who can’t wait to hea ar your stories and share in activities. And there’s always a place to discover a waterfall, catch a mounttain view or collect an armload d of wildﬂowers. Tryon Es E tates residents know they’v y e found the perfect pla ace to celebrate the best yearss of their lives.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Pardee Opens Its Doors To Provide Known for its beautiful waterfalls, trails and Pisgah National Forest, Transylvania County is packed with opportunities to get active outdoors. Whether you’re an athlete, a weekend warrior or an active older adult, Pardee UNC Health Care has you covered with the care you need so that you can keep up with your favorite activities. In fall 2020, Pardee expanded its services in Transylvania County by opening three new clinics in Brevard – urgent care, physical therapy and orthopedic services – all at one convenient location. Orthopedic doctors, surgeons and a physiatrist with Southeastern Sports Medicine and Orthopedics staff the orthopedic clinic. The new clinics are located at the entrance of Pisgah National Forest in the former Rite-Aid building at the corner of N.C. 280 and the New Hendersonville Highway.

Pardee will continue to expand services to Transylvania County with the addition of primary care in 2021. Urgent Care If you or a loved one experiences a minor injury or illness, Pardee Urgent Care Brevard is here to help. The location is open Monday to Friday, 8 a.m. to 7 p.m., and Saturday and Sunday, 9 a.m. to 6 p.m. You can even reserve a spot in advance by visiting www.pardeehospital.org/brevard. Pardee Urgent Care Brevard offers symptomatic COVID-19 testing, flu shots, sports physicals, digital X-rays for sprains or simple fractures, stitches for minor cuts and gashes, and treatment for ear infections, urinary tract infections, rashes, upset stomach, diarrhea and sore throat. Call (828) 435-8100 for more information.

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

A Number Of New Services Orthopedic Services Pardee’s nationally recognized orthopedics program offers traditional and minimally invasive orthopedic surgeries, joint replacement surgery, spine care and surgery, and physiatry. The highly experienced team of surgeons and providers at Southeastern Sports Medicine and Orthopedics have been treating patients in western North Carolina for decades and can help you recover from an unexpected injury or simply feel like yourself again. Southeastern Sports Medicine and Orthopedics specializes in sports medicine, broken bones, sprains, torn ligaments and joint replacement surgery. Hours for Southeastern Sports Medicine and Orthopedics are Monday to Friday, 7:30 a.m. to 5 p.m. Call (828-435) 8200 or visit www.pardeehospital.org/brevard for more information.

Physical Therapy Pardee Physical Therapy Brevard offers education and individualized physical therapy to treat neck and back pain, joint pain, stroke or neuromuscular disorders, sports injuries or balance problems. Hours for Pardee Physical Therapy Brevard are Monday to Friday, 8 a.m. to 5:30 p.m. Call (828) 435-8300 or visit www.pardeehospital.org/brevard for more information. While the clinics are new, Pardee has been a presence in Transylvania County since 2018, providing certified athletic trainers to support student-athletes in Transylvania County Public Schools. Whether you need care for a minor cut or sprain, an evaluation for a broken bone, or physical therapy to help you bounce back after surgery, Pardee’s caring and experienced team is ready to help you get back to the activities you enjoy most.

Messino Cancer Centers (MCC) For over 30 years, Messino Cancer Centers (MCC) has been providing a full range of exceptional cancer services for adult patients with all types of cancer and blood disorders. As a community oncology practice, its primary purpose and passion is to provide advanced cancer treatment in a setting close to where patients live, so they can be surrounded and supported by family and friends. MCC physicians provide state-of-the-art evidence-based medicine with personalized and compassionate care. MCC offers innovative treatment options through clinical trials, on-site infusion therapy, home delivery of oral cancer medications, financial counseling, emotional and nutritional guidance and 24/7 care management support – all under one roof. The physicians of MCC are grounded in the region of western North Carolina and devoted to providing care to patients in their communities. For more information, go to www.messinocancercenters.com.

TRANSYLVANIA TIMES, FebRUARY 15, 2021

Transylvania Farmers’ Market

In 2021, The Transylvania Farmers’ Market will continue with its year-round Saturday morning market and the precautions and policies they established in 2020. “It was definitely a challenging year, and we were sorry to have to cancel events and a variety of activities at our market,” said Leslie Logemann, market manager. “We really look forward to a day when we can bring back music and special events, but the safety of our community comes first. As we head into the new year, we plan to continue our market, as it has been this last year, and we will adjust when we can. Being a source for fresh, local food right now is what is most important.” A curbside shopping area was just one addition to the market in 2020 and something that will continue in 2021. From April through December 2020, the market served over 1,000 cars in that area. Each Saturday morning during market hours, customers can pull up along Rice Street, place an order, and have a market employee do their shopping for them, placing purchases

TRANSYLVANIA TIMES, February 15, 2021 in the trunk or back seat with minimal contact. A curbside menu is even available on the market’s website, updated each Friday, to make planning that much easier. In 2020, the market also added the ability to accept SNAP/EBT (food stamps) at the market, and they received grant funding that allows the market to match dollars spent from an EBT card. “We are so happy that at a time when food insecurity is such a challenge in our community, this program will continue into 2021,” said Logemann. “That means that anyone with EBT benefits (including P-EBT) can bring their card to the market and for every dollar they spend, we can give them one free food dollar. It’s essentially halving the cost of food purchases.” The market is currently looking at other programming that might be possible in the midst of the pandemic. The market started a Healthy Food Corner on its website with seasonal recipes that feature local food and they look forward to continuing that program. In a partnership with Brevard Yoga Center, they now have a Vimeo channel, with online yoga classes. And, when it is safe for individuals from other households to gather, they also look forward to bringing back their Walking Wednesdays program in a new partnership with the Transylvania County Library. With vendors selling local produce and products, the Transylvania Farmers’ Market is open year-round on Saturday mornings at 200 E. Main St. in downtown Brevard. For current hours and information, visit www.transylvaniafarm ersmarket.com and follow the market on Facebook and Instagram for regular updates.

TIPS FROM THE EXPERTS Leslie Logemann Transylvania Farmers’ Market Market Manager Want to add more local produce to your plate? Learn what’s in season. Purchasing local produce supports area farmers and you’re filling your plate with produce that was just picked, not shipped or artificially ripened. Local = delicious and nutritious. Visit your local farmers’ market. Look for a farm stand, farmers’ market, or store that sells local produce, and which best fits your needs and schedule. Plant a garden. There’s nothing quite like cutting lettuce for a salad right before you make it! Start small with herbs and lettuce, and before you know it, you’ll be growing tomatoes, cucumbers, and more. Learn to freeze, can & preserve. Whether it’s online or through a local organization like Cooperative Extension, there are a lot of great ways to learn. The taste of summer that you’ll get when you thaw that batch of tomatoes in the middle of winter will make it worth any effort.

200 E. Main St., Brevard (828) 548-0660 • www.transylvaniafarmersmarket.com

TRANSYLVANIA TIMES, FebrUARY 15, 2021

How To Keep Back Pain At Bay Back pain is a part of life for many people. The American Chiropractic Association says 31 million Americans experience low back pain at any given time, and experts estimate that up to 80 percent of the population will experience back pain at some point in their lives. WebMD says back pain is the second most common reason people visit the doctor. Your local physical therapist can assist you in formulating the correct plan of action for you. • Try exercise. Routine exercise is not guaranteed to eliminate back pain, but it can make it less frequent, advises doctors at Harvard Medical School. Low back pain due to muscle strain or muscle spasm can be tamed by exercise. Yoga, or a similar stretch-based exercise, can be very effective at alleviating back pain. • Maintain proper posture. Slouching over computers or looking down at phones while texting may be doing damage to the back. Work ergonomically and take breaks to stretch. Sit up straight in chairs and try to keep a straight back while walking as well. • Shed some pounds. Extra pounds at the midsection can shift the center of gravity and put strain on the lower back, advises WebMD. • Don’t smoke. The Arthritis Foundation says research shows a high prevalence of spinal stenosis and back pain among smokers. • Try a different sleeping position. Talk with a doctor about the best position for sleeping to ease up back pain. It may include being on your side with knees pulled up, or placing a pillow under your knees if you’re a back-sleeper. • Lift cautiously. Always bend at the knees and use the legs to lift items. This can help you avoid straining your back. Back pain can be overwhelming, but with some strategies a person can reduce his or her propensity for pain.

CLEAN, SAFE, READ DY because you’re our priority

We continue to take every precaution and measure possible to ensure that our patients have a safe and clean environment to begin and continue physical therapy treatment.

our clinic is CLEAN

the environment is SAFE A be READY for a remarkable exxperience Conveniently located at:

102 College State Drive, Suite 7, Brevard P: 828-966-3129 • BenchMarkPT.com

Elizabeth C. Orv vis, PT T, DPT T, OCS, CL CLT Board Certiﬁed Orth hopedic Clinical Specialist

WE ARE HERE FOR OUR COMMU UNITY Y. WE ARE HERE FOR YOU.

TRANSYLVANIA TIMES, FebrUARY 15, 2021

TIPS FROM THE EXPERTS Elizabeth Orvis, PT, DPT, OCS, CLT BenchMark Physical Therapy Board Certified Orthopedic Clinical Specialist Did you know that more than 80 percent of us will experience low back pain (LBP) at some point in our lives? Physical therapy is proven to be an effective treatment strategy for: •Correcting posture •Improving core strength and stability •Improving hip mobility Weight and Wellness Beneﬁts from physical therapy: •Reduced pain •Increased strength and cardiovascular fitness •Improved balance, coordination, and flexibility Post Injury: Why is physical therapy important? •Pain management techniques •Manual interventions to improve joint motion or decrease muscle guarding •Altering biomechanics •Therapeutic exercises to assist with tissue healing

102 College Station Dr. Suite 7, Brevard 282-966-3129 • BenchMark.urpt.com

Pisgah Health Foundation The Pisgah Health Foundation is a public 501 (c)(3) charity founded in 2019 by a board of seven caring individuals focused on improving the health, wellness and lives of western North Carolina residents. The organization evolved out of the Transylvania Regional Hospital Foundation. Pisgah Health Foundation’s purpose is to improve health and wellness by addressing healthy opportunities in targeted social determinants, including health, food insecurity, housing, social cohesion and education. Board members include Cathleen Blanchard, Dave Neumann; Dr. Jamie Ramsey, Jeremy Purcell, Art Fisher, Dr. Jim Tyson and Dr. Jim Wright. Lex Green, CPA, serves as president. In 2020, the Pisgah Health Foundation was grateful to provide numerous COVID-19 rapid response grants to health and social service organizations during this unforeseen national pandemic. Targeted assistance has included COVID-19 testing, food insecurity, housing, legal assistance, youth and adult support, and a variety of other specific needs designed to mitigate the negative health and economic impact during this time of need. In addition to COVID-19 rapid response, Pisgah Health Foundation has provided educational scholarships, social determinant of health impact grants and hosted the first ever virtual Camp Bluebird of WNC camp for cancer survivors to bond and celebrate life. Pisgah Health Foundation is the key sponsor of the precedent setting Blue Zones Project - Brevard. This innovative program encourages citizens to adopt healthier lifestyles and join together to hold one another accountable to ensure fitness, good eating habits and improved mental health. In 2021, Pisgah Health Foundation encourages all citizens to become “Pisgah Health Insiders.” To join, one can visit www.pisgahhealthinsider.org and register at no cost to become an advocate of our foundation. Advocates can also make more impactful investments when desired. It’s a wonderful opportunity for people to get involved, learn about their well-being all while allowing us to serve so many needy citizens. As we all exit the pandemic through vaccination and meaningful health progress, our staff and volunteers are working toward a new and healthy year in all stages of life from fitness, to mental and emotional health all the way to supporting one another in new careers, home life and relationships. As a community, together, we can take small steps to making the world a better place to live and making the healthy choice the easy choice. To learn more about Pisgah Health Foundation, visit www.pisgahhealthfoundation.org or email info@pisgah healthfoundation.org

TRANSYLVANIA TIMES, FebrUARY 15, 2021

How Seniors Can Approach Exercise Exercise is a vital component of a healthy lifestyle. By making exercise part of their day-to-day routines, people of all ages, including men and women over the age of 65, can greatly improve their overall health. The American Academy of Family Physicians notes that seniors should aspire to be as active as possible. Exercise is a great way to incorporate physical activity into your daily routine and has been linked to reduced risk for diseases such as heart disease, diabetes and osteoporosis. Though adults with chronic illnesses may be hesitant to exercise, the AAFP notes that it’s possible for men and women who have been diagnosed with such conditions to exercise safely. In fact, the Centers for Disease Control and Prevention notes that regular physical activity is one of the most important things seniors can do for their health and can potentially prevent many health problems associated with aging. Frequency Of Exercise Seniors, particularly those who have not exercised much in the past, may not know how much exercise they need to reap the full rewards of physical activity. Though it’s best to discuss exercise with a physician prior to beginning a new regimen, various public health agencies advise seniors to get at least 2.5 hours of moderate aerobic exercise each week. Brisk walking is one example of moderate aerobic exercise. Seniors who want to sweat a little more when exercising can replace moderate aerobic exercise with one hour and 15 minutes of vigorous exercise, such as jogging, each week. Is Strength Training Safe For Seniors? The CDC advises seniors to incorporate muscle-strengthening activities into their weekly fitness routines twice per week. Lifting weights, working with resistance bands, heavy gardening, and even some forms of yoga qualify as muscle-strengthening activities. Exercises that use your body weight for resistance, such as sit-ups and push-ups, also can help build strength. Always speak with a physician before beginning a muscle-strengthening exercise regimen and, if possible, work with a personal trainer, especially if you’re a novice. When To Stop A Workout It’s imperative that seniors recognize when to stop working out. Exercising more than is recommended by your doctor can increase the risk of illness or injury. In addition, stop exercising if any of the following symptoms appear: • Dizziness or shortness of breath • Chest pain or pressure • Swollen joints • Nausea • Tightness in muscles or joints • Pain anywhere in the body • Throbbing or burning sensations Exercise can help seniors stay healthy and feel more energetic throughout the day. Before beginning a new regimen, seniors should discuss physical activity with their physicians.

DIZZY? UNSTEADY? CHRON NIC PA AIN? 59 Oakdale St. Brevard, NC 28712 P: 828.966.9036

YOU’RE NOT ALONE.

TRANSYLVANIA TIMES, FebrUARY 15, 2021

TIPS FROM THE EXPERTS

Jeff Parlier, OT/L

Dr. Robbie Mann PT, DPT Fyzical Therapy and Balance Center Clinical Director

Occupational Therapist & Owner Opus Mobile Therapy, PLLC

Balance Tips 1) Create a safe home environment. Remove clutter from the floor, add grab bars in the bathroom and stairwells, mark thresholds with brightly colored tape, and create wide walking paths. 2) Just like with improving strength and flexibility, balance can be improved through practice, practice, practice. 3) Prevention is key! Assessment by a physical therapist before you experience a fall or major deficits in balance, strength, or flexibility can help you maintain and improve your current levels of function and reduce your risk of falls or injury in the future. Check out the Facebook Page for Blue Zones Project-Brevard for great ideas and for meeting others seeking life-enhancing changes in their lives.

In 2021, get the most out of your therapy appointments. Mobile therapy provides individualized therapy at home and aligns you with your tasks and environment. 1. Improve Independence: regain self-care and mobility independence in the home with equipment, techniques, and rehabilitation. 2. Increase Safety: receive a home safety assessment and learn strategies to prevent falls and increase safety. 3. Age in Place: create a safe home for older adults by aligning the environment to the person. 4. Gain Conﬁdence: build a partnership with a health care expert who knows your home environment, your daily activities, and your goals.

59 Oakdale St., Brevard (828) 966-9036 • www.fyzical.com/western-carolina

828-577-9150 www.opusmobiletherapy.com

Fall Prevention Tips Falls are one of the leading causes of injury for the elderly, according to the Centers for Disease Control and Prevention (CDC). Annually, about 3 million older adults are treated in emergency departments for a fall injury, and at least 300,000 older people are hospitalized for hip fractures, 95 percent of which are caused by falling. Women also fall more often than men and account for three-quarters of all hip fractures. However, there are several preventative steps seniors can take to reduce their risk of fall injuries. Balance and targeted exercise are key. “Balance has been considered to be an important vital sign, meaning that good balance is correlated to good health,” said Brevard physical therapist Robbie Mann of FYZICAL Therapy and Balance Centers. “Poor balance has been associated with falls, hospitalization and death, so, as we age, it is essential to perform exercises designed to maintain balance in order to reduce the risk of falls. “People tend to avoid practicing balance exercises at home out of fear that they may fall, and they are often unaware of which specific balance activities will benefit them most,” he said. “Similarly, strengthening routines commonly performed in gyms or exercise classes often do not target the specific stabilization muscles that are important for maintaining the joint stability, strength and balance needed to stay healthy. “Since each person is unique, a thorough assessment performed by a physical therapist is key in determining which areas of the body need more mobility and which areas need more strengthening,” Mann said. “Likewise, balance deficits are unique to each person and can be evaluated by a physical therapist.

In addition to a personalized balance plan, tai chi or gentle yoga are great for helping increase balance, according to the CDC. The Transylvania County Farmers’ Market began offering free community yoga this year. Due to COVID-19, the classes are held online for the time being. Beginner classes can be accessed at no charge at www.vimeo.com/tfmarket. According to the CDC’s fall prevention guide, there are several risk factors that contribute to falls in the home. Biological risk factors include muscle weakness or balance problems, medication side effects, chronic health conditions, such as arthritis and stroke, vision loss, and loss of sensation in feet. Behavioral risk factors include inactivity and risky behaviors, such as alcohol use or standing on a chair in place of a step. Environmental risk factors include clutter and tripping hazards, poor lighting, lack of stair railings, lack of grab bars inside and outside the tub or shower, and poorly designed public spaces. Understanding these risks can give people an idea of where they should take precautions, and finding a trusted specialist is an important way seniors can make sure to stay mobile and independent as they age. Above all, prevention is key. “Assessment by a physical therapist before you experience a fall or major deficits in balance, strength or flexibility can help you maintain and improve your current levels of function and reduce your risk of falls or injury in the future,” said Mann. “Just like with strength and flexibility, balance can be improved through practice, practice, practice.”

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Transylvania Regional Hospital Transylvania Regional Hospital, a member of Mission Health, an operating division of HCA Healthcare, is a community hospital serving Transylvania and the surrounding counties. The hospital offers 30 inpatient rooms. Transylvania Regional Hospital offers comprehensive services through more than 300 physicians and advanced practitioners representing a full spectrum of specialties. At Transylvania Regional Hospital, we are focused on your health and well-being. Formed in 1933 with the mission to serve the health care needs of this community, we remain true to that commitment by providing state-of-the-art health care delivered with the personal attention for which we are known. Transylvania Regional Hospital is your right choice for health care, right here at home. Our comprehensive range of services include the following: •Acute medical/surgical care •Outpatient adult behavioral health •Critical care/intermediate care

•Cardiac/pulmonary rehabilitation •Infusion services •Lab services •Urology •Women’s care •General surgery •Orthopedics, including joint replacement and sports medicine •Endoscopy •Pain management •Physical, occupational and speech therapy •Radiology •Sleep lab •Wound care/ostomy services •Short-term skilled nursing facility •Diabetes prevention/management •CarePartners Home Care & Hospice •Emergency Care

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Offers A Variety of Services Distinctions and Advancements in Care Transylvania Regional Hospital was recently recognized as a Top 20 Critical Access Hospital (CAH), which is created annually by the National Rural Health Association’s (NRHA) Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health. Critical Access Hospitals are rural community hospitals with 25 or fewer beds that serve as vital safety net institutions, crucial to preserving the health of rural communities. The determining factors for the Top 20 CAHs were based on the results of the Hospital Strength Index and its eight indices of performance: inpatient market share, outpatient market share, quality, outcomes, patient perspectives, cost, charge and financial stability. This elite group of hospitals was selected from The Chartis Center for Rural Health’s 2020 Top 100 CAH list, which was released earlier this year. “I am so proud of the top-quality care our team members provide, which has allowed us to earn this recognition – an honor we have held for six out of the last seven years,” said Michele Pilon, chief executive officer and chief nursing officer of Transylvania Regional Hospital. ABUS: A Revolutionary Screening Tool for Women In 2019, Transylvania Regional Hospital acquired a state-of-theart piece of medical technology to add to its breast cancer fighting (and finding) arsenal. The technology is an automated whole breast ultrasound machine (ABUS), which was developed specifically to find breast abnormalities in women with dense breast tissue, who make up nearly half the female population and who comprise 70 percent of breast cancer cases. These women are at significantly higher risk of developing breast cancer than others. ABUS has been revolutionary in the world of cancer detection. This screening is typically done in conjunction with a traditional mammogram and takes about 30-40 minutes. Unlike regular mammography, the ABUS uses sound waves to create 3D pictures of the breast tissue. Many cancers are being caught earlier with ABUS, and 35.7 percent more cancers have been found in women with dense breasts as compared to using just the standard mammogram. Additionally, invasive cancer detection in women with dense breasts has increased by 55 percent. Community members can feel confident that they have, in TRH’s Breast Program, one of the most advanced breast programs in the region at their disposal. We invested in another progressive screening tool prior to ABUS – the 3D tomosynthesis mammogram – which offers more complete and superior images as compared to traditional mammograms. We’ve offered 3D mammograms since 2015, and gaining the ABUS technology is a critical complement to our women’s screening service menu.

We urge all women to speak with their physicians about the new ABUS option. To schedule an ABUS screening at TRH, call (828) 883-5021. Scanning Advancements TRH has a new 64-slice CT scanner with the latest dose reduction software. It additionally offers a greater area of coverage, providing faster, higher resolution imaging, especially for imaging of patients presenting with stroke symptoms. We will be able to accommodate larger patients than ever before with a larger bore for added comfort during imaging. TRH also has a new 1.5T MRI scanner, the new magnet with latest software platform which will provide much faster imaging and reduce the length of time patients will have to be in the MRI machine. It will increase our capability to image patients requiring musculoskeletal imaging for orthopedic issues, as well as increase our capabilities for abdominal imaging and GI referrals. The new MRI machine has a wide bore also to accommodate larger patients and increase comfort during scans, this will also help those that are claustrophobic get through their exams easier. A music system is also being installed for patient comfort. For more about imaging at TRH, call (828) 883-5192.

Hospice is about qualit y of life. Start the converrsation.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021 money.” “Those aren’t positive ways to live through your life,” Layton said. Wilson has also experienced clients in similar situations. “I had a lady with a frozen shoulder,” he said. “She couldn’t put her clothes on. She couldn’t put her shirt on. It was just painful. And I saw her probably three or four times, giving her a couple of tips here and there.” The woman and others, Wilson said, would “break down” after treatment because they weren’t in pain. “That’s the joy of being the body worker/massage therapist, bringing the joy to someone that’s in pain, and you can help them get out of pain,” he said. The CDC estimates that 50 million Americans, or 20 percent, suffer from chronic pain, and Wilson and Layton both acknowledge the incredible mental and physical burden that can have on people. Wilson described many of his patients feeling lighter after sessions. Once the body is aligned properly, gravity’s impact is not as painful for people. “If we’re aligned...then gravity will flow through you, instead of bringing you down in certain ways,” Layton said. And while chronic pain clients certainly make up a portion of a bodywork specialist’s clientele, Layton is quick to point out that by no means should someone feel the need to only turn to bodywork once pain stops becoming ignorable. “Something I hear a lot is, ‘I wish I did this sooner,’” Layton said. “People put it off, or they don’t want to spend the money, or, maybe, it just isn’t that bad. But for the most part, that stuff doesn’t go away. It only gets worse. As we get older, we get less hydrated. The tissues are less hydrated. They’re less flexible. I just think it’s awesome when people are more proactive and stay on it,” Layton said. Wilson believes the work has the potential for people to connect with their own bodies and to be more grounded and aware of themselves.

TIPS FROM THE EXPERTS Chanley Layton Brevard Rolfing and Massage Structural Integration Practitioner When sitting in the car, take some simple steps to avoid bad habits that can lead to chronic misalignment. You want your hips to be slightly higher than your knees; that helps the spine elongate and relieves pain in the back and glutes. If your seat doesn’t adjust, fold a towel into a rectangle and place it in the rear of the seat, under your sit bones. Keep your foot and ankle aligned with the pedal, rather than cocking your foot sideways. Don’t sit on a wallet that can throw off the alignment of your pelvis.

41 N. Rice St., Brevard (828) 421-9554 • www.brevardrolfing.com

TIPS FROM THE EXPERTS Bobby Wilson Path of Massage and Wellness Licensed Massage Therapist LMBT

Become more aware of your body and how it functions throughout the day, and understand your patterns – breathing, walking, resting, working, etc. 1. Breathe: acknowledge the breath, feel the flow and rhythm. Try meditation to silence the mind…and just breathe. 2. Posture: It’s okay to be OCD about posture. Line up the Ear to the Shoulders to the Hip to the Knees to the Ankles. Line it up! 3. H20: drink it, love it…keep yourself hydrated. 4. ICE: Heat is nice, but ice is good too. Try both. 5 minutes: ice on the quadriceps and heat on the hamstrings, then flip it and flip it again. 5. Movement: Do simple movements that lengthen your body… no need to stretch to the max every time. Most of all, be happy with you!

41 N Rice St., Brevard (828) 384-3869 www.facebook.com/pathofmassageandwellness/

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Don’t Get Caught Off Guard By Glaucoma Vision should never be taken for granted. Appreciating one’s sense of sight involves scheduling routine eye exams and taking steps to protect one’s eyes. But safeguarding vision also involves understanding the various conditions that can affect eye health. Glaucoma is a group of eye disorders that can lead to progressive damage to the optic nerve. People who experience glaucoma can lose nerve tissue and eventually suffer vision loss. Understanding what contributes to glaucoma can help people take the steps necessary to reduce their risk. The American Optometric Association says that glaucoma is the second leading cause of blindness for people over the age of 60 — although it can occur at any age. The Mayo Clinic states that many forms of glaucoma produce no warning signs and changes in vision may occur so gradually they are not detected until the condition has reached an advanced stage. There are various types of glaucoma. However, primary open-angle glaucoma is the most common form, affecting about three million Americans, indicates the Glaucoma Research Foundation. Primary open-angle glaucoma occurs when the eye’s drainage canals become clogged over time and fluid cannot drain out of the eye. As a result, intraocular pressure rises and damages the optic nerve, which is responsible for transmitting signals from the eye to the brain. People with a family history of glaucoma, African Americans over age 40 and Hispanics over the age of 60 have an increased risk, says

the AOA. Those with thin corneas, which is the outer layer of the eye, also are at an elevated risk of developing glaucoma. A less common type of glaucoma is called acute-closure glaucoma, which occurs due to an abrupt and rapid increase of eye pressure. This is an emergency situation that requires prompt care to prevent vision loss. An eye doctor will conduct various tests to determine if a patient is at risk for glaucoma. The Mayo Clinic says tonometry is commonly used to measure intraocular pressure. During this test, the eye surface will be anesthetized with special drops. A tonometer will be applied lightly to the cornea, indenting it slightly. The resistance will be measured and calculated to determine if pressure is present. Other tests include the following: • imaging tests that look for optic nerve damage that involve a dilated eye examination; • visual field tests to check for areas of vision loss; • pachymetry, which measures corneal thickness; and • an inspection of the drainage angle of the eye. The effects of glaucoma cannot be reversed, but glaucoma can be caught early. Medications and lifestyle changes, like more frequent eye exams, can improve symptoms. Prescription eye drops can reduce the production of aqueous humor (fluid) in the eye and improve outflow of that fluid. Oral medications and surgery are other options as well.

TIPS FROM THE EXPERTS Matthew Duggan, M.D. Carolina Ophthalmology Ophthalmologist & Glaucoma Specialist Once vision is lost to glaucoma, it can’t be regained. That’s why regular screening, especially among those at higher risk for glaucoma, is absolutely vital. When caught early, glaucoma can be treated with eye drops or an in-office laser treatment. But in advanced cases, surgery may be required to slow the vision loss and prevent further damage. “People are often aware of their family medical history including cancers, strokes, and diabetes, but they should also know about any diseases of the eye including glaucoma,” said Matthew Duggan, M.D., glaucoma specialist at Carolina Ophthalmology. “These conditions have a large impact on quality of life, and early detection can preserve sight. I encourage everyone to ask their loved ones about any history of glaucoma (and those with known glaucoma to tell their children and relatives to be screened).”

1701 Old Village Rd., Hendersonville • Vanderbilt Park Dr., Suite 150, Asheville (800) 624-6575 • www.carolinaeyemd.com

TRANSYLVANIA TIMES, FEBRURY 15, 2021

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Dental Hygiene Is About More Than Just Your Teeth their blood sugar, making dental hygiene an especially vital component of routine healthcare for people with diabetes. Heart Disease The AAP notes that research indicates periodontal disease increases a person’s risk for heart disease, with the inflammation caused by the former leading to the latter. People with existing heart conditions also may find that periodontal disease exacerbates those conditions. The Mayo Clinic notes that the link between heart disease and periodontal disease is not fully understood, but enough studies have been conducted for scientists to support the notion that the two are connected. Can periodontal disease be prevented? Periodontal disease is preventable. A daily dental hygiene regimen that includes brushing after meals, flossing at least once per day and swishing with mouthwash are some simple, healthy habits that can prevent periodontal disease. In addition, the AAP recommends that people at increased risk for periodontal disease, including the elderly and smokers, should discuss their risk with their dental professionals. Dental hygiene can do more for individuals than produce a mouthful of pearly white teeth. In fact, people who prioritize dental hygiene may lower their risks for various diseases. Individuals tend to learn about dental hygiene at an early age. On the recommendation of their children’s pediatricians, parents may begin brushing their youngsters’ teeth the moment the first tooth breaks through the gums. While proper dental hygiene is vital to oral health, it also can have a profound effect on the rest of the body. According to the Mayo Clinic, poor oral health might contribute to various diseases and conditions. Periodontitis is a severe yet preventable gum infection that can lead to tooth loss if left untreated. But the threat of periodontitis doesn’t end in the mouth. The American Academy of Periodontology notes there’s a connection between periodontitis and several other diseases. While bacteria was long suspected to be the link between periodontitis and other diseases in the body, the AAP notes that recent research points to inflammation as the culprit that connects periodontitis with diseases such as diabetes and heart disease. Diabetes The AAP notes that people with diabetes are at increased risk for periodontal disease, speculating that diabetes patients’ risk is higher because people with diabetes are more vulnerable to infections than those without diabetes. While that suggests periodontal disease is a byproduct of diabetes, the AAP notes that research points to the relationship being a two-way street. Periodontal disease may make it more difficult for people with diabetes to control

TRANSYLVANIA TIMES, FEBRURY 15, 2021

TIPS FROM THE EXPERTS Carolina Smiles Family Dentistry The Benefits Of Mouthwash When you use mouthwash, it is important to be sure that it is sugar-free. We also recommend using mouthwash that contains fluoride since this will help to kill any lingering bacteria while strengthening your teeth. Carry a bottle of mouthwash with you and rinse your mouth with it after meals, drinking a soda, or consuming coffee. It can be difficult to brush more than a couple of times per day. Rinsing your mouth, however, is relatively easy, and everyone has time for it. Taking this simple step can help to reduce your risk of cavities and gum disease.

4 Market St. #4202, Brevard (828) 884-3702 • www.carolinasmilesdentist.com

Start Your Year Off With A Great Smile

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TIPS FROM THE EXPERTS

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A.J. Nicopoulos, DDS Cozart Dental Dentist In these trying times, it is more important than ever to remember your oral health! Many patients are finding that their routines have changed during the pandemic. For many, that means working from home. Remember to keep up with your oral home care routine, even if you do not have to leave the house in the mornings! Brushing twice, daily, with fluoride toothpaste is still very important, even for those of us working from home. If more frequent snacking occurs at home, consider helping prevent cavities by brushing or using a fluoride mouthwash afterwards.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

TIPS FROM THE EXPERTS Dr. Meghan Valdes, DDS Water Oak Dental Group General Dentist During these unprecedented times, it is important to continue receiving regular dental check ups and feeling safe while doing so. As dental care providers, we have always taken infection control seriously and continue to do so now more than ever. We are taking all recommended and necessary precautions advised by the CDC and the American Dental Association when providing dental care, as your health and comfort are our priority.

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Accepting New Patients Call today: (828) 884-4433 344 Gallimore Rd., Brevard, NC

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

TIPS FROM THE EXPERTS Larry Galloway

FOR THE LON F NG HAUL AND T THE LIT TLE MOMENTS. M T THE MICHELIN® DEFENDER® TIR RE

Charlie’s Tire & Auto Service Owner

Keep your car in good running shape. Taking care of your car can help you avoid breakdowns and other potential accidents. Regular maintenance should include: •Oil changes and tune-ups. •Checking tire pressure – don’t forget the spare. You’d be surprised how many people have to get towed because their spare is flat. •Regular tire rotation – your tires will wear more evenly and last longer. •Checking brake fluid and coolant levels. •Filling up the gas tank before it hovers too close to “E”– you don’t want to get stranded in bad weather.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

How To Stay Fit When Social Distancing Many people consider their gyms much more than a place to exercise. A gym can be a great place to socialize while trying to stay healthy. Having friends or fellow fitness enthusiasts around also can provide the motivation many people need to stay the course and achieve their fitness goals. The International Health, Racquet & Sportsclub Association says more than 70 million consumers visited health clubs in 2017. That marked a record high since IHRSA began tracking data in 1987. Fitness centers were among the many non-essential businesses forced to shutter as a result of COVID-19, forcing fitness enthusiasts to find new ways to stay mentally and physically fit. Many creative ideas have surfaced. • Online classes: An Internet connection is all that’s necessary to find a number of workouts that can be streamed from the comfort of home. The streaming website YouTube can be a gold mine for free workouts. Some cable service providers also may have On Demand fitness channels or rentals that can mirror some of the classes taken at the gym. • Social apps: Gym-goers can inquire whether their gyms are offering alternative programs. For example, Jersey Strong, a fitness chain in New Jersey, began live-streaming many of its popular group fitness classes via a special Facebook page. Class instructors guide classes from their own homes or from empty gyms. Other gyms may provide links to subscriber-based gym training workouts free of charge. • The great outdoors: Even though some parks, beaches and trails have been closed, workouts can take place in and around the neighborhood. Jogging or walking can be excellent cardiovascular exercises, as can taking a bicycle ride for a few miles down neighborhood streets. People who live in rural areas can run through forested land or even farmland. Pushups, sit-ups, planks, and other body weight exercises can be done right in the backyard. Before making a decision about whether or not to be active outside, be sure to check the latest guidance from your local health department and community or state leaders. • Remote sports: Videos of city dwellers playing tennis across rooftops for much-needed air and exercise have emerged during the pandemic. Similar benefits can be achieved with a game of catch, volleyball or racquet sports over fences with neighbors, provided limits on participants are placed and social distancing is maintained. Staying fit during COVID-19 restrictions takes some ingenuity, but it’s certainly possible to maintain your overall health. In fact, some people have found they now have more time to exercise than they did before.

TIPS FROM THE EXPERTS Wes Dickson Sycamore Cycles Owner

Stay motivated by setting a goal, either a personal objective, or sign up for an event. That helps me stay focused; if I have a goal, I’ll go after it. Keep a training log, something like Strava, or just a notebook, to track progress. Create a training group that includes multiple people. Even if you don’t ride or run with them daily, but maybe just once a week, it’ll keep you honest because you want to stay on the same level. Do your exercise in the morning; most people bail in the evening.

112 New Hendersonville Hwy, Pisgah Forest (828) 877-5790 • www.sycamorecycles.com/

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Cold Weather Skincare Tips Just as skin requires certain protection from the sun and heat in the summer, skin has special needs in the colder months of the year. Fall and winter are often characterized by cold, dry weather, which can make these times of year particularly challenging for people with dry or sensitive skin. These tips can help people maintain their skin’s appearance and health. • Don’t skip the sunscreen. Sunscreen is not a summer-only requirement. UV rays can damage the skin any time of year, even if the rays are

not as strong as during the summer. UV radiation accelerates and increases the risk of skin cancer. It also can lead to premature aging. Utilize a sunscreen with an SPF of 30 or higher every day. • Invest in a humidifier. Dry, cold temperatures can rob the skin of essential moisture, even indoors. Dermatologists suggest using a humidifier at home to boost the amount of moisture in the air. This can make skin more comfortable and can have other health benefits as well.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

TIPS FROM THE EXPERTS TIPS FROM THE EXPERTS Gretchen M Hogan, 500YT

Valerie Hedger

Elements Wellness Spa Co-Owner

La Petite Spa and Wellness Licensed Massage Therapist

Self-care is not an escape from the self. That’s called avoidance. Self-care is an alignment with your heart. I recommend daily frequent microdoses of self-care and wellness right now. This could be as simple as going for a walk, sipping a cup of tea, or as luscious as an afternoon spa retreat. What is essential is that you show up and care for yourself. If you want to live a more beautiful life, start by healing your heart.

During this time of social distancing, many may think massage is one of those services you can skip. However, with the proper precautions, the benefits of massage may outweigh that decision. Massage is proven to lessen pain, improve lung function, lower blood sugar levels, reduce stress, anxiety and depression, reduce pain and muscle tension, and treat digestive disorders, headaches, stressrelated insomnia, strains and injuries. Physical contact from another person can cause us to release oxytocin, a hormone that helps us better deal with stress. We hold our emotions and feelings inside of us, in our muscles and minds. Take the

29 W. French Broad St., Suite 104, Brevard (828) 884-2701 • www.elementsspashop.com

time to release those tensions through the human touch of massage. We are limiting the number of clients in the Spa, wearing masks and/or shields, sanitizing before and after client appointments and requiring a signed disclosure regarding COVID-19 exposure before

• Skip hot showers. It can be tempting to sit under a hot stream of water to warm up. However, hot water dries out the skin by depleting its stores of natural oils, says Glacier Med Spa. Take warm showers instead and don’t stay in for longer than 15 minutes. • Limit exfoliation. While exfoliation can remove dead skin, overdoing it can make already sensitive skin more raw. Increase the time between exfoliation treatments. Consult with a dermatologist for more advice

about dealing with flaky skin. • Don’t forget your lips. Using a thicker moisturizer on the body and face can help add and retain moisture. But pay attention to your lips and eyes as well. Something as simple as petroleum jelly on the lips can help prevent chapping. Invest in a quality eye cream to help the delicate skin around the eyes as well. Modifications must be made to skincare routines in anticipation of seasonal weather changes.

entering the Spa.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Opening A Digital Door To Health Care Rounding out our first year of life with a global pandemic, we are entering the new year with a totally different approach to keeping ourselves healthy. Beyond the steps to avoid contracting COVID-19, people still need to manage their other health and wellness care. For patients at AdventHealth that includes walking through a new digital door to receive the wholeperson care – body, mind and spirit they have come to expect and trust. As the pandemic hit our country, AdventHealth took its plan for launching telehealth care options in 2020 and ramped it up to go live within a matter of weeks from the first confirmed cases in the U.S. “Our service standards begin with ‘Keep Me Safe,’ and we knew that speeding up the launch of the telehealth platform for our patients was vital to keeping them safe through the shutdowns and quarantines while also keeping them on track with their health care,” said AdventHealth Hendersonville Vice President of Physician Services Christy Sneller, MBA. AdventHealth has always wanted to build a consumer-centered experience, and that goal had been shaping its work long before COVID-19 struck. So, the team took the tools and tech it already had in place and put them into practice. Providers at AdventHealth Medical Group offices across western North Carolina, including Brevard, implemented virtual visits, which now make up 10 percent to 12 percent of daily primary and specialty care appointments. Sneller is quick to point out that this is just the beginning of the effort to swing the digital doorway to care wide open. “Some of our physician offices served as part of a pilot program for AdventHealth’s new Care Advocacy program in December, and we took it live across all of our AdventHealth Medical Group offices in western North Carolina in January,” she said.

Offered through the AdventHealth app, Care Advocacy allows patients to message with an assigned care advocate and develop a trusted relationship with someone who can help coordinate their care. Jordan Vargas is one of those Care Advocates connecting with patients every day. For Vargas, being part of Care Advocacy isn’t just a job; it’s a passion. “The biggest thing with Care Advocacy is building the connection,” he said. “I really don’t think there is anything like this in the health care world.” And for Vargas, he’s happy to make personal connections with each one of the patients he supports. Patients with an AdventHealth primary care physician are assigned to a care advocate who not only assists with scheduling appointments, helping with prescription refills but becomes a trusted friend in the health care industry whose mission is to help each patient feel whole. Vargas is a former high school teacher with a heart for helping others. The network of patients he supports has grown to more than 1,200 and he’s found ways to support weight loss, assist during panic attacks and even be the first contact for a patient in an emergency. “(The patient) was 20 years old and away from home, and she reached out to me and said she was in a lot of pain and didn’t know what to do,” he said. Vargas worked with the team’s nurse to provide the best recommendation for the patient. “We advised her to go to an ED or Urgent Care,” he said. But as a care advocate, Vargas didn’t stop there. He jumped in to help get her medications, followed up on Urgent Care recommendations and even transferred her medical information from her visit to her primary care provider.

The role of a Care Advocate is to go above and beyond, providing empathy at all times and thinking about those little moments that patients might often forget. Vargas’ quick thinking and follow-through allowed the patient’s primary doctor to be informed about her Urgent Care visit without even talking to the patient. “Later that day (the patient) thanked us,” Vargas said, “The patients are comfortable with me; they unload their cares on me.” To learn more about Care Advocacy, or to enroll, download the AdventHealth app on the Apple App or Google Play Store.

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

The Many Ways Walking Beneﬁts Your Body TIPS FROM THE EXPERTS Life changed dramatically in 2020. When the World Health Organization declared a COVID-19 pandemic in March 2020, hundreds of millions of people across the globe were forced to change how they go about their daily lives, including how they exercise. Health-conscious adults accustomed to exercising at local gyms had to find new ways to exercise in the wake of the pandemic. Many gyms were forced to close in areas hit hard by COVID-19, and that left many people without access to fitness equipment like weights and cardiovascular machines. Resilient men and women soon found ways to exercise, and many of them embraced walking. Though walking might not provide the same level of intensity that fitness enthusiasts are accustomed to, the Arthritis Foundation® notes the various ways walking benefits the body. • Walking protects against heart disease and stroke. Walking strengthens the heart and protects it against heart disease. The AF also notes that walking lowers blood pressure. In fact, post-menopausal women who walk just one to two miles per day can lower their blood pressure by nearly 11 points in 24 weeks, while women who walk for 30 minutes a day can reduce their risk of stroke by 20 percent. • Walking strengthens the bones. New York-based Plancher Orthopedics and Sports Medicine notes that walking can stop the loss of bone mass for people with osteoporosis. In addition, post-menopausal women who incorporate 30 minutes of walking into their daily fitness regimens can reduce their risk of hip fractures by 40 percent. • Walking can extend your life. The AF notes that one study linked walking to longer life expectancy, finding that people who exercise regularly in their fifties and sixties were 35 percent less likely to die over the next eight years than people who never walked. • Walking can improve mood. One study from researchers at California State University, Long Beach, found that the more steps people take during the day, the better their moods were. • Walking can lower risk for cognitive decline. Walking also has been linked to a lower risk for age-related cognitive decline. A study from the University of Virginia Health System found that men between the ages of 71 and 93 who walked more than a quarter of a mile per day had half the incidence of dementia and Alzheimer’s disease compared to men who walked less. In addition, a study from researchers

Caroline Eller Tryon Estates, An Acts Retirement-Life Community Fitness Instructor

Get Moving To Shake Off The Winter Blues Getting moving, even a little every day, can increase your endorphins, decrease your stress levels and give you a chance to get some fresh air. Here are some tips: •Grab your partner, spouse, neighbor or friend so you can keep each other accountable. Check in daily or every other day to report on what kind of exercise you’ve tried. Make a plan for the next week. •Keep it social. Set up a video workout with a friend or family member, far away or right next door. Working out together makes things more fun. •Make it a habit. If you are just starting out, you can break up your workouts into 10- to 15-minute sessions each day. •Have fun! Laugh, dance, try something new, enjoy. Everyone is good at movement, so take your time and enjoy doing it.

617 Laurel Lake Dr., Columbus, N.C. (828) 351-7544 • www.actsretirement.org

at the University of California, San Francisco, found that agerelated memory decline was lower among women ages 65 and older who walked 2.5 miles per day than it was among women who walked less than half a mile per week. Foot traffic increased as people were forced to find new ways to exercise during the COVID-19 pandemic. Walking is a great way to stay in shape and even provides some lesserknown benefits for people who walk each day.

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Choices For Long Term Care Being able to care for oneself independently can be a source of pride. However, illness or age can affect people in ways that require them to seek assistance with medical needs or daily activities for an extended period of time. In such instances, long-term care services can fill a need. Long-term care assists people in their homes, in the community or in various types of facilities with various daily and medical requirements. According to WebMD, research shows that many people are unaware of long-term care options or may be misinformed about what’s out there. Home Care Various services can be utilized in the comfort of home. According to the Knoxville-Knox County Community Action Committee Office on Aging, services can include home-delivered meals, minor home modifications, or visiting nurses and health aides. Other benefits may include shopping or physical therapy. Community Care Community services can include adult day care centers, meal programs, senior centers, community transportation, and others. Community services enable people to continue to live in the community with some support. They also may help family or friends serving as caregivers enjoy a break from the assistance they have been providing. Care Facilities Long-term care may be mistaken as strictly nursing homes, but facilities extend to places that provide other services. Here’s a look at the care facilities. • Independent senior living: Independent living facilities may provide assistance only when needed. Amenities are designed to make things easier and more convenient for residents. Fitness centers, pools, dining venues, and transportation may be included. These facilities tend to

provide the most independent form of senior living. Some independent living facilities are part of larger continuing care retirement communities that have staged care that goes from independent to skilled nursing. • Assisted living: These homes provide 24-hour supervision, meals, healthcare services, and other forms of assistance in a home-like setting. Types of services include laundry, housekeeping, medication dispersal and dressing. • Skilled nursing homes: Nursing homes provide care for those who cannot care for themselves at home or in the community. These facilities offer many services all under one roof, like rehabilitative services, meals, activities, and around-theclock care. Some skilled nursing homes offer temporary care after an injury or illness and are used in lieu of an extended hospital stay. It is never too early to begin planning for elder care that may include longterm care possibilities. Individuals are urged to work with an elder care lawyer to help navigate the complexities of planning for medical care and their potential financial needs.

TIPS FROM THE EXPERTS Tim Shipman

STAT Mobility Owner

828-489-7509 www.statmobilityinc.com

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Elder Care Resources People want to grow old gracefully and maintain their independence as long as possible. There are many decisions to make as well as information to wade through to ensure needs are met and proper care is received through one’s golden years. Individuals, caregivers and families may find that a few helping hands along the way can be invaluable. Numerous elder care resources are available for those who don’t know where to look. Start by researching the National Council on Aging (www.ncoa.org). This is a national leader and trusted association that helps people age 60 and older. The council works with nonprofit organizations, governments and businesses to organize programs and services at the community level. This is a good place to find senior

programs that can help with healthy aging — emotionally, physically and financially. AARP (www.aarp.org) is yet another organization dedicated to helping seniors. The comprehensive AARP website offers a host of information on everything from senior discounts to products to health and other information specific to seniors. The AARP also has an affiliated charity that works to help low-income seniors procure life’s necessities. At the local level in the United States, the federal government has mandated Area Agency on Aging (www.n4a.org) facilities in every county/city. These agencies can provide information on service programs available to the seniors in the area, as well as financial resources. These facilities give seniors access to volunteers who can

take seniors around by car, and some provide meals-on-wheels services. The Administration for Community Living (www.acl.gov) was established to help older adults and people of all ages with disabilities live where they choose. A network of community-based organizations helps millions of people age in place. Military veterans or those who are/were married to a veteran may be eligible for various benefits through the U.S. Department of Veterans Affairs (www.va.gov). The VA offers health care services, disability compensation, burial benefits, and much more. Seniors have many different resources at their disposal that can help answer questions or provide services when the need arises.

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TRANSYLVANIA TIMES, FEBRUARY 15, 2021

Cozart Dental

TRANSYLVANIA COUNTY 2021 HEALTH & WELLNESS DIRECTORY Water Oak Dental Group

Acupuncture

Eye Care

Traditional Acupuncture

Carolina Ophthalmology 1701 Old Village Road, Hendersonville (828) 693-1773 www.carolinaeyemd.com See ad on pg. 47

Traditional Acupuncture – Paul J. Buchman 455 S. Caldwell St., Brevard Traditional Acupuncture (828) 884-8812 See ad on pg. 24 Automotive Charlie’s Tire Center, Inc. 177 N. Caldwell St., Brevard (828) 883-2815 ChiropracticAlways www.charliestirecenter.com See ad on pg. 51

Gyms 54

Workout Anytime – Brevard 115 Forest Gate Dr., Pisgah Forest (828) 883-9628 www.workoutanytime.com/brevard See ad on pg. 17

ChiropracticAlways

Community Services

Dental

Health and Wellness

Blue Ridge Orthodontics

SAFE, Inc. of Transylvania County 515 N. Broad St. #1, Brevard Blue Ridge Orthodontics (828) 885-7233 www.safetransylvania.org See ad on pg. 27

Blue Zones Project – Brevard 191 W. Main St., Ste. B, Brevard (828) 384-2035 www.brevard.bluezonesproject.com 53 www.facebook.com/bzpbrevard See ad on pg. 12

Dental

52 52

Dental 52

Carolina Smiles Family Dental

Carolina Smiles Family Dental 4 Market St., Ste. 4202, Brevard (828) 884-3702 Carolina Smiles Family Dental www.carolinasmilesdentist.com Cozart Dental See ad on back cover Cozart Dental Carolina Smiles Family Dental

Cozart Dental 344 Gallimore Road, Brevard Water Oak Dental Group (828) 884-4433 Water Oak Dental Group Facebook Cozart Dental See ad on pg. 50

Health Services

CarePartners Health Services

CarePartners Health Services 1266 Asheville Hwy., Ste. 5, Brevard (828) 883-5254 www.missionhealth.org Sven Jonsson, See MD, MS ad on pg. 43 55

Cozart Dental

Water Oak Dental Group 123 E. Main St., Ste. 300, Brevard (828) 884-3421 www.wateroakdental.com See ad on pg. 49

Water Oak Dental Group

Hearing

828FIT

Brevard Hearing Center 424 S. Caldwell St., Brevard (828) 966-4327 www.brevardhearingcenter.com See ad on pg. 14

Brevard Health & Racquet Club

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

TRANSYLVANIA COUNTY 2021 HEALTH & WELLNESS DIRECTORY

55 55

Massage and Rolfing

Health Food

Brevard Rolfing and Massage – Chanley Layton 41 N. Rice St., Brevard (828) 421-9554 www.brevardrolfing.com See ad on pg. 44

Transylvania Farmers’ Market 200 E. Main St., Brevard www.transylvaniafarmersmarket.com See ad on pg. 36 Herbal Supplements Gaia Herbs 10 Gaia Herbs Road, Brevard (828) 884-4242 www.gaiaherbs.com See ad on pg. 23

Outdoor Lifestyle/Retail

Hospitals 58

Mercy Urgent Care 22 Trust Lane, Brevard (828) 883-2600 www.mercyurgentcare.org See ad on pg. 9

56 56

Pardee UNC Health Care - Urgent Care (828) 435-8100 45 Hendersonville Hwy Suite A, Pisgah Forest, NC 28768 See ad on pg. Inside front coverr Transylvania Regional Hospital 260 Hospital Dr., Brevard (828) 884-9111 www.missionhealth.org/member-hospitals/ Holistic transylvania/ Holistic See ad on pg. 5

Holistic Holistic

Elk Haven Wellness Center 100 Elks Club Road, Brevard (828) 862-3492 www.elkhavenwellness.com See ad on pg. 25

Path of Massage & Wellness – Bobby Wilson, Massage Therapist 41 N. Rice St., Brevard (828) 384-3869 www.facebook.com/pathofmassageandwellness/ See ad on pg. 44

Sycamore Cycles 112 New Hendersonville Hwy., Pisgah Forest (828) 877-5790 www.sycamorecycles.com See ad on pg. 53 Pediatrics

Pediatrics Pediatrics

Hendersonville Pediatrics, PA 157 Medical Park Dr. #A, Brevard (828) 884-3440 www.hendersonvillepediatrics.com Pediatrics See ad on pg. 23 Physical Therapy Benchmark Physical Therapy 102 College Station Dr., Suite 7, Brevard (828) 966-3129 59 www.benchmarkpt.com See ad on pg. 38 Fyzical Therapy & Balance Centers 59 Oakdale St., Brevard (828) 966-9036 www.fyzical.com/western-carolina See ad on pg. 40

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

TRANSYLVANIA COUNTY 2021 59 HEALTH & WELLNESS DIRECTORY 59

Spas

Physical Therapy Opus Mobile Therapy, PLLC – Jeff Parlier, OT/L (828) 577-9150 www.opusmobiletherapy.com See ad on pg. 40 Retirement Communities

College Walk Retirement Community 100 College Row, Brevard, NC (828) 884-5800 www.collegewalkretirement.com See ad on pg. 63 Four Seasons 571 S. Allen Road, Flat Rock, N.C. (828) 692-6178 https://fourseasons.teleioscn.org See ad on pg. 59 Tryon Estates 617 Laurel Lake Dr., Columbus, N.C. (828) 457-8762 www.aboutacts.com/transylvania See ad on pg. 32-33

Spas

Elements Wellness Spa 29 W. French Broad St., Suite 104, Brevard (828) 884-2701 www.elementsspaandshop.com See ad on pg. 54 La Petite Spa 170 S. Broad St., Brevard (828) 883-2238 www.lapetitespabrevard.com See ad on pg. 55 Transportation STAT Mobility – Tim Shipman, Owner 828-489-7509 www.statmobilityinc.com See ad on pg. 15 Yoga Brevard Yoga Center BrevardYogaCenter.com 219 W. Main St, Brevard (828) 699-YOGA(9642) See ad on pg. 20

TRANSYLVANIA TIMES, FEBRUARY 15, 2021

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