1. health and fitness
2. disease
3. cancer

Winter 2012
Advice you can
take to heart
life after
breast cancer
how to live
well longer
Inside
Candid advice for
women: pages 4–7
4. Life After Breast Cancer
5. Bring Intimacy Back
into Your Life
6. Overcoming Urinary
Incontinence
7. 4 Tall Tales About
Women’s Health
Frank talk for men:
pages 8–11
8. How to Live Well Longer
10. What You Need to Know
About Your Reproductive
Health
11. Pop Quiz: Myth or Fact?
YOU’VE GOT QUESTIONS.
WE’VE GOT ANSWERS:
pages 12–15
You’ve Got Questions.
We’ve Got Answers.
At times, taking care of yourself and your
family may seem like a daunting task. We
want to make it as easy as a conversation
with someone you trust. This issue of
inspire is meant to help start that dialogue
with a foundation of reliable information.
On the next page, a Memorial physician
sets the stage by offering guidance on
how to build and maintain an effective
partnership with your physician—one
where you’re comfortable discussing
even the most sensitive health issues,
so you get the care and relief you need.
Throughout the remaining pages,
Memorial physicians and other experts
will answer questions on the top of our
community members’ minds. Take note
of these special features:
Candid advice for women: Pages 4–7
focus on sensitive topics of special concern
to you, ladies. Topics range from breast
cancer and urinary incontinence to intimacy
and how fashion can impact your health.
Frank talk for men: Guys, we have answers
to your questions, too. On pages 8–11, you’ll
find advice on how to live well longer and
gain a better understanding of how your
reproductive health may change at different
stages in life.
Memorial physicians answer your
questions: We’ve doubled the size of this
popular section in order to respond to more
of your queries, including those submitted
through email, Facebook and Twitter. Topics
range from addressing headaches to baking
a healthier pumpkin pie.
12. Teach Kids to Sip Smart
13. No ‘Buts’ About It: Adult
Vaccines Are Vital
14. Advice You Can Take to
Heart
15. If It’s Broken, Fix It
in every issue:
pages 16–23
16. Answers to Your
Financial Questions
18. Memorial's Headline
News
19. Memorial's Calendar of
Events
20. Memorial Physicians
Answer Your Questions
On the cover: English Rockholt, M.D.,
(left) answers your questions about
breastfeeding on page 20. Ross Cohn, M.D.,
(right) discusses men’s reproductive health
problems and ways to stay well on page 10.
inspire
PRESIDENT/CEO
EXECUTIVE EDITOR
EDITOR-IN-CHIEF
PHOTOGRAPHY
Memorial’s Guide to Embracing Health
James M. Hobson, FACHE
inspire is published as a service of
Lisa McCluskey, M.B.A.
Memorial Health Care System,
Lauren Lawson
2525 de Sales Avenue,
John Bamber
Chattanooga, TN 37404. © 2012
This publication in no way seeks to diagnose
or treat illness or to serve as a substitute for
professional medical care. Please see your
physician if you have a health problem.
The contents of this publication may
not be reproduced in whole or in part
without permission from the publisher.
Our Mission
The mission of Memorial Health Care System and Catholic Health Initiatives is to nurture
the healing ministry of the Church by bringing it new life, energy and viability in the 21st
century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as
we move toward the creation of healthier communities.
Core Values
These are our guiding principles, the roots
or anchors from which all activities,
decisions and behaviors follow.
Reverence – Profound respect and awe for
all of creation, the foundation that shapes
spirituality, our relationships with others
and our journey to God.
Integrity – Moral wholeness, soundness,
uprightness, honesty and sincerity as the
basis of trustworthiness.
Compassion – Solidarity with one another,
capacity to enter into another’s joy and sorrow.
Excellence – Preeminent performance,
becoming the benchmark, putting forth
our personal and professional best.
Rx for Better Health:
Build a Relationship with Your Physician
Talking about your health concerns isn’t always easy. But taking steps to improve
communication and work as a team with your physician is well worth the effort.
R
Research shows that patients who have a good relationship
with their physicians tend to be more satisfied with their care
and have better outcomes. “As physicians, we really want to
partner with our patients. We don’t want to just hand out
instructions,” says Steven Dowlen, M.D., a board-certified
internal medicine physician with Memorial. He shares these
relationship-building tips:
Write it down. When you clearly communicate your questions
and concerns to your physician, you can make the most of your
visits. “Before your visit, write down your most immediate
concerns and bring them with you,” Dr. Dowlen says. “If you’re ill,
describe your symptoms and how long they’ve lasted.” New
patients should bring reports of major tests performed within the
last three years, lab work done within
the past year and medications
currently being taken. Bring
medications in their
original containers.
Speak openly. “Your physician wants to know who you are,
not just your medical issues,” Dr. Dowlen shares. “I want to
know about what is important to you—your family, your job,
your faith. Share with your physician whatever you think is
important and be sure to ask questions. There’s no need to
be afraid or embarrassed.”
Follow up. During follow-up visits, your physician can address
current health issues and monitor chronic health problems.
“Always call your physician if you’re unsure about advice given
as part of your treatment plan,” Dr. Dowlen says. “It’s best to
call during office hours. A nurse can retrieve your medical chart,
and appropriate action can be taken.”
➤ CHEMISTRY MATTERS. SO DOES EXPERTISE.
You can find a primary care physician that meets your
needs. Click “find a physician” at www.memorial.org or
call us at (423) 495-CARE (2273) to get started.
“As physicians, we really want to partner
with our patients. We don’t want to just
hand out instructions.”
Steven Dowlen, M.D.
 What’s a Hospitalist?
This physician specializes in the general medical care
of patients who have been admitted to a hospital.
Your hospitalist keeps your primary care physician
apprised of all major decisions and sends complete
information to your physician when you’re released
from the hospital.
inspire | Memorial Health Care System
3
candid advice
for women
Life After Breast Cancer
Some might think that after surviving breast cancer, the road ahead is obstacle-free.
Unfortunately, women can face unexpected challenges that go beyond just fighting—
and beating—cancer.
“Cancer involves loss,” explains Debrah
Hagen, L.C.S.W., a social worker with Memorial
Health Care System who provides counseling for
women after breast cancer. “And that loss doesn’t
go away when the final treatment is complete.
Although breast cancer is a physical disease, it
affects women in so many other ways.”
Common Postcancer Obstacles
Ms. Hagen says that it’s common for breast
cancer survivors to experience anxiety
or depression due to:
• Self-esteem or identity struggles as a result
of physical changes
• Fear of cancer reoccurrence
• Problems with relationships or intimacy
• Financial insecurity due to job or
career changes to accommodate
cancer treatment
Debrah Hagen,
L.C.S.W.
“Every woman is unique and deals with
different issues,” says Ms. Hagen. “It’s
important for women to know that
there are many different resources
available, whether it’s in a group
setting, a one-on-one conversation
or even an online support group.”
Taking Steps Toward Emotional
Wellness
Although Ms. Hagen cares for breast cancer
survivors based on their individual needs,
she offers the following suggestions to all
survivors:
• Support groups can help. These groups
are filled with compassionate, supportive
and understanding women who’ve gone
through similar experiences. If talking in a
group isn’t for you, there are many online
resources that can provide the support and
answers you need. Cancercare.org is a
great place to start.
• Don’t ignore your fears. Fear after
cancer is a normal response. Consider
talking with a counselor who can help you
find ways to cope effectively.
• Take care of the total you—body, mind
and spirit. Eat plenty of fruits and vegetables, exercise 30 to 60 minutes on most
days and try new ways to manage stress
such as meditation, yoga or massage.
• Think about your priorities. For many
survivors, priorities change after cancer.
Listen to your intuition and explore new
things that interest and inspire you!
 What’s a Nurse Navigator?
This nurse specializes in guiding patients and their families through the
complexities of cancer treatment and the health care system. Memorial’s nurse
navigators work one-on-one to explain services and treatments and how to
access them, coordinate care among multiple providers and can even help
with insurance forms or joining a clinical trial. Learn more about the support
you’ll receive at Memorial’s Cancer Institute and the MaryEllen Locher Breast
Center of Excellence at www.memorial.org. Select “cancer institute” under
“our services.”
4
www.memorial.org | Winter 2012
Bring Intimacy Back into
Your Life
So says Andrew Jones, M.D., a boardcertified OB/GYN at Memorial. “The good
news is that once we identify the cause, we
can almost always help increase sexual desire
needed in healthy relationships.”
Dr. Jones notes that losing interest in sex
can happen at any age. “Your libido can be
affected by any number of factors. This could
include illness, medication, stress and poor
communication with your partner,” he
explains. “But a decreased sex drive is
particularly common after childbirth and in
women transitioning to menopause.”
It’s Not Just You
Any new mother can tell you that nothing
interferes with desire more quickly than outright
exhaustion. What’s more, breastfeeding curbs
ovulation, keeping estrogen levels lower. And
less estrogen can decrease sexual interest.
During menopause, hormonal changes can
cause vaginal tissue to become drier, thinner
and less elastic. This can lead to vaginal
infections, painful intercourse and a lower libido.
Feel Like Yourself Again
It’s important to find time to de-stress by taking
a walk, reading a book or having lunch with a
friend. When you feel rested both emotionally
and physically, most women experience
Andrew Jones,
M.D.
Q: I’m in my early 40s and experiencing some
menopause symptoms. Can I still get pregnant?
A:
Yes. Until you go through menopause, you could still get pregnant,
even if it isn’t as likely. The time leading up to a woman’s last period is called
perimenopause. To learn more, visit www.memorial.org. Under “your health
resources,” search for “perimenopause.”
increased desire as well. For new moms,
getting in the mood may be as easy as finding
some quiet time to reconnect with your partner.
If you’re older, your physician may order a
blood test to check your hormone levels.
“Hormone therapy comes in many forms,
including pills, patches, sprays and injections,”
Dr. Jones says. “Hormone therapy with
estrogen and testosterone can effectively treat
menopausal symptoms—such as hot flashes,
joint pain and sleep problems—while
rekindling a woman’s desire for intimacy.”
If you’re bothered by your low desire for sex,
talk with your physician about the risks and
benefits of treatment and what’s right for you.
Your time for wellness
In one half-day visit, Memorial’s Women's Center can provide your well-woman visit, key screenings
and a range of health activities—all in a comforting, energizing environment. Details about the Your
Time for Wellness program are available at www.memorial.org. Under “our services,” click on
“additional services,” and then select “women’s center.”
inspire | Memorial Health Care System
5
candid advice
for women
Overcoming Urinary Incontinence
M
Maybe you’re embarrassed, or you assume
it’s just a part of getting older. Maybe you
think nothing can be done. Women have lots
of reasons for not telling their physician about
their bladder-control problems. But it’s time
to reconsider discussing this very common
problem with your physician.
is often caused by changes in body function
that may result from illness or some
medications. Sometimes it is the first and only
symptom of a urinary tract infection. Women
are most likely to develop incontinence during
pregnancy and childbirth—due to weakened
pelvic muscles—or after menopause.
“Urinary incontinence is not an inevitable part
of aging,” says Jessie Brown, N.P.-C., a nurse
practitioner at the Memorial Continence
Center. “It’s a medical condition that in most
cases can be treated effectively.”
“If you suffer from an incontinence problem
that’s interfering with your ability to
enjoy life, seek help,” says Tracy
Gose, P.T., D.P.T., C.M.P.,
C.S.C.S., a Memorial physical
therapist who treats UI
“Urinary
patients at the Memorial
incontinence is
Ooltewah Women’s
Center.
not an inevitable
Understand the Problem
There are two main types of urinary incontinence (UI): urge and stress. Women with urge
incontinence have frequent, sudden urges to
urinate and are unable to hold their urine long
enough to reach a restroom. Their bladder
often feels full when it is not. Those with stress
incontinence leak urine while exercising,
coughing, sneezing, laughing, lifting heavy
objects or doing other movements that put
pressure on the bladder.
UI does not necessarily come with age, but it is
more common in older people. The condition
Memorial Ooltewah Women’s Center: (423) 495-5951
Memorial Continence Center: (423) 495-2555 or toll-free (866) 780-2555
+7
million=
The number of visits
made to physicians’
offices each year due to
urinary tract infections.
Symptoms may include urinating more often than usual; pain or burning during
urination; pressure in the lower abdomen; or reddish, cloudy or smelly urine.
www.memorial.org | Winter 2012
part of aging.”
Find a Solution
—Jessie Brown, N.P.-C.
Fortunately, there are many
treatment options for women
with UI. Memorial’s specially
trained physical therapists work
with patients to strengthen their
pelvic muscles to improve, and sometimes
eliminate, UI. Other treatments include
medications, dietary changes and vaginal
devices that support the bladder.
Memorial offers pelvic-muscle rehabilitation at two locations:
6
Jessie Brown, N.P.-C.
4
Tall Tales
Myth: You’re an
adult, which means
you can’t get acne.
Fact: Hormone changes
during pregnancy and menopause improve
acne in some women, but for others they
make acne worse. Certain medicines can
also trigger breakouts.
Myth: High heels may hurt occasionally,
but they don’t pose any health risks.
Fact: High-fashion, high-heeled shoes can
cause a heap of problems. Shoes with pointed toes
and tall stiletto heels can squeeze toes together and
increase pressure, potentially causing calluses, corns
and bunions. One study in the Journal of Experimental
Biology found that regularly wearing shoes with a
2-inch or higher heel can shorten the calf muscle and
create a thicker, stiffer Achilles tendon. That can
cause reduced ankle flexibility and pain.
Myth: If a woman wears tight
jeans, she’s bound to develop a
yeast infection.
Fact: Although avoiding tight clothing
may help prevent yeast infection, the primary
cause of the infection is a change in the acidic
balance of your vagina. Yeast infection is caused by
a fungus called Candida that’s found in small
numbers in the vagina. A change in the acidic
balance of the vagina can cause an overgrowth of
yeast. This balance can be disrupted by many
factors, including pregnancy, menstruation, diabetes
and some antibiotics.
Myth: I don’t need to
take folic acid until I’m pregnant.
Fact: Folic acid is important both before and during
pregnancy. When a woman has enough folic acid in her body
before pregnancy and while she carries the baby, she can reduce
the risk for serious birth defects. If you are able to get pregnant,
you need 400 to 800 mg of folic acid every day—even if you aren’t
planning to get pregnant.
Memorial’s online library. You can access it at www.memorial.org. Click on “your health resources.”
inspire | Memorial Health Care System
7
frank talk
for men
How to Live
Well Longer
We’ve all heard the stories.
A coworker was diagnosed with
cancer. Someone at the gym had
a stroke. A neighbor suffered a
heart attack. It may seem like
health problems are inevitable
as we age. But there’s actually
a lot you can do to live well—
and live longer. And it may
not be as difficult as
you think.
8
www.memorial.org | Winter 2012
Jack Price, D.O.
S
Some of the biggest health issues men face
today, such as heart disease and cancer, share
many of the same risk factors. These include
obesity, high blood pressure, high cholesterol,
diabetes and low physical activity. Although
genetics play a part, most of these risk
factors can be prevented or managed with
simple lifestyle changes.
“In addition to seeing your physician
regularly for preventive screenings and
exams, taking steps to live a healthier
lifestyle is vital for long-term quality of life,”
explains Jack Price, D.O., a family medicine
physician on staff with Memorial Health Care
System. “Every effort adds up, no matter
how small.”
Eat Well
Focusing on good nutrition is key to staying
healthy. Experts suggest filling at least half
your plate with fruits and vegetables. Protein,
like fish or lean meat, and whole grains, like
brown rice, should make up the other half.
Whenever possible, limit processed or
prepared foods like canned soups, boxed
dinners and drive-through meals. They tend
to lack nutrition and contain ingredients
that can harm our health. One of the
biggest culprits? Sodium. Items like some
breads, cold cuts and cured meats, and pizza
top the charts when it comes to sodium content.
“Many people only think about the saltshaker when
trying to limit sodium. But most sodium comes from
processed foods,” says Dr. Price. “When in doubt, read
food labels. Try to keep sodium intake at
2,300 mg or less per day to help prevent high
blood pressure, which is a risk factor for many
health problems.”
Drink Responsibly
Research suggests that moderate alcohol
intake may bring health benefits. But
drinking more than the recommended limits
can negatively affect your health. “Heavy
drinking can have toxic effects on the heart,
liver, stomach, brain and peripheral nerves,”
Dr. Price says.
The National Institutes of Health recommends
that men limit their alcohol consumption to
two or fewer drinks a day. If you have a hard
time sticking to this limit, talk with your
physician.
Ease Stress
Stress can sometimes be beneficial. It can help you
prepare for action—whether asking your boss for a
promotion or running a 10K. But too much stress
can cause significant health problems such as
heart disease, trouble sleeping, depression
and obesity.
To soothe stress, experts suggest taking a
walk, meditating or listening to music. Dr. Price
recommends limiting your to-do list. “As
Americans, we already cram too much into each
day. Instead of scheduling time or activities to help
you reduce stress, start by taking things off your
calendar,” Dr. Price says. “It’s healthy for our minds and
bodies to have free time.”
get advice TAILORED SPECIFICALLY TO YOU. Your primary care physician can help you assess your
current health and suggest changes that offer the most benefit to you. For help finding a primary care
physician, call (423) 495-CARE (2273) or visit www.memorial.org and click on “find a physician.”
inspire | Memorial Health Care System
9
frank talk
for men
Ross Cohn, M.D.
What You Need
to Know About
Your Reproductive
Health
It’s normal for men’s reproductive health to
change at different stages in life, but the changes
can sometimes be cause for concern.
R
Ross Cohn, M.D., urologist on staff at
Memorial discusses problems and ways
to help you stay healthy and informed.
Enlarged Prostate
When men are in their 40s or 50s, they may
begin to experience signs of an enlarged
prostate. Symptoms include a weak urine
stream and frequent urination at night. “The
prostate naturally enlarges due to prolonged
exposure to testosterone,” Dr. Cohn says.
“It’s usually not a medical issue, but it can
affect your lifestyle. If you have symptoms,
see your physician. Medications can help.”
Prostate Cancer
Prostate cancer is the second leading cause
of cancer death among men. But it has a
100 percent five-year survival rate if caught
early. Because there are no symptoms in the
early stages, Dr. Cohn advocates following
the American Urological Association guidelines, which recommend getting a baseline
prostate-specific antigen (PSA) test around
age 40 to identify your risk for the cancer.
Then, talk with your physician about how
often you should be tested.
10
www.memorial.org | Winter 2012
Erectile Dysfunction
Millions of men experience erectile dysfunction (ED), which includes problems achieving
or maintaining an erection. Although it’s not
a natural part of aging, the condition is more
common in older men. It’s often caused by
poor blood flow to the penis. Talk with your
physician—medications are available to treat
ED. Healthy lifestyle changes can help, too.
“To reduce erectile problems and improve
vascular health, incorporate healthy
activities into your routine,” Dr. Cohn
advises. “Perform regular cardiovascular
exercise like walking on most days of the
week and eat a diet high in fiber and low in
fat to help maintain a healthy weight.”
Blood in Urine or Semen
While alarming, blood in urine or semen
is usually not a sign of something serious.
“There are many causes, such as
inflammation, urinary tract infections or
kidney stones,” Dr. Cohn explains. “It’s
always best to have it checked by your
physician. Never be afraid to discuss any
health concerns.”
do men go through
menopause?
Men’s testosterone levels
typically decrease as part of the
aging process. This is often
informally referred to as “male
menopause.” A more accurate
term is andropause. Learn
more about this topic online at
www.memorial.org. Under
“your health resources,” search
for “male menopause.”
Myth or Fact?
1. Urinary incontinence
(UI) is a normal part
of getting older.
Myth or fact?
1. Myth. While it’s true that UI is more common in older adults, it’s not an inevitable
part of aging. UI is often caused by a treatable medical problem, such as an enlarged
prostate. In some cases, treatment is as easy as using the bathroom at regular intervals or
limiting fluids at certain times. Other treatments include pelvic exercises, medicines and
surgery. Talk with your physician about which treatment options are right for you.
2. Fact. Although women are much more likely to have breast cancer, men can develop
it, too. It’s most common in men ages 60 to 70. Other risk factors include:
2. Men can have
breast cancer.
Myth or fact?
• Family history of breast cancer
• Radiation exposure, such as for treatment of a cancer in the chest
• Liver disease
• Heavy drinking
• Obesity
Possible signs of breast cancer include breast lumps or nipple discharge. See your
physician if you notice these signs.
3. No pain,
no gain.
3. Myth. You don’t need to feel pain to have a good workout. In fact, pushing yourself too
hard during exercise can lead to injury, including sprains and fractures. Start any new exercise
slowly and gradually build intensity. Stop exercising right away if you have:
Myth or fact?
• Pain or pressure in your chest, neck, jaw, arm or shoulder
• Joint pain
• Severe shortness of breath
• Trouble seeing or talking
• Muscle cramps
➤ TAKE STEPS TO STAY WELL. Do you
know which screening tests and vaccines
you need? To review prevention guidelines
specific to your gender and age, visit
www.memorial.org. Under “your health
resources,” select “library” and click on
“prevention guidelines.” Discuss the
results with your physician.
inspire | Memorial Health Care System
11
?
you’ve got questions
Teach Kids to
S
we’ve got answers
Sip Smart
Sugary, caffeine-laden drinks are all around us—on TV
screens, Internet ads and even in some celebrities’ hands.
What’s more, these drinks are increasingly marketed
toward young people. How much is too much for teens
and tweens when it comes to the caffeine and sugar found
in colas, energy drinks and other beverages?
According to Dr. Cox, it’s best to limit kids’ intake of soda,
energy and sports drinks and offer healthier choices when
they’re thirsty. “The best options are always water and
low-fat milk,” advises Dr. Cox. “Juice should be 100 percent
fruit and limited to 4 ounces per day for kids younger than
age 6 and 8 ounces per day for older children.”
Tonia Cox, M.D., board-certified pediatrician on staff at
Memorial, shares the nitty-gritty on these drinks to help you
decide when to let kids indulge and which beverages to
leave on grocery store shelves.
When you reach for water instead of a soda, it sends the
right message to your kids that making smarter choices will
lead to a longer, happier and healthier life. They’ll be sure to
follow your lead!
The Caffeine Question
Caffeine can increase heart rate and blood pressure. Kids
who consume too much caffeine can become agitated,
nervous or irritable. It may also cause headaches and
interfere with sleep—and too little sleep can negatively affect
kids’ ability to concentrate and perform well in school.
➤ THEY’LL ALWAYS BE YOUR BABIES. While it may not
feel that way, your children learn and grow continuously. For
reliable information about parenting and health matters, visit
www.memorial.org. Select “your health resources” and click
on “your family” to get started.
An 8-ounce soda contains about 24 mg of caffeine. Energy
drinks, however, often pack much more caffeine than sodas.
For instance, one of the most popular energy drinks on the
market contains 77 mg of caffeine per 8-ounce serving. The
exact amount of caffeine is also missing from nutrition labels
on some energy drinks, leaving you guessing about the true
caffeine content.
“Like soda, there are no nutritional benefits to energy
drinks,” says Dr. Cox. “Research is inconclusive on the
additives in these drinks, such as guarana. We don’t really
know how these substances could affect children’s
development or how a specific child
might react to them.”
Sugar High
Sodas, energy drinks and sports
drinks can be tempting, no matter
your age. But the high sugar
content can contribute to obesity,
and citric acid in some sports and
energy drinks, and even excessive
fruit juice intake, can lead to early
dental decay.
12
www.memorial.org | Winter 2012
the amount of Caffeine in
each of these 8-oz. drinks:
24
77
95
mg
mg
mg
soda
red bull
energy
drink
brewed
coffee
“But I already had that one.”
“But I feel fine.”
“But I hate shots.”
“But won’t my physician tell
me if I need a vaccine?”
No 'Buts' About It:
Adult Vaccines Are Vital
If you think vaccines are just for kids, think again.
Recent outbreaks of mumps and pertussis, also known as “whooping
cough,” are prompting revisions to adult vaccination guidelines.
Memorial Health Care System family physician Michael Orquia, M.D.,
explains away common “buts” when it comes to adult vaccines and
shares tips to help you stay healthy.
“But I feel fine.” Immunization isn’t just about how you feel, says
Dr. Orquia; it’s about the community, too. “We call it ‘herd immunity.’
The more people in a community that are immunized, the fewer
outbreaks of that disease we tend to see.”
“Immunization
isn’t just about how
you feel; it’s about
the community, too.”
—Michael Orquia, M.D.
“But won’t my physician tell me if I need a vaccine?” Not necessarily. “If you only
come in when you’re sick, and not for full annual physicals, your physician is going
to be focused on getting you well,” says Dr. Orquia. “He or she may not review
your vaccination history with you unless you ask.”
“But I already had that one.” Booster vaccines help protect you from illness for
the long term. Plus, vaccine recommendations can change. “A Td—tetanus and
diphtheria—booster every 10 years used to be considered enough for adults. But
since whooping cough is making a comeback, we’re administering the full Tdap—
tetanus, diphtheria and pertussis—shot, especially for persons older than age 60
who are around infants,” says Dr. Orquia.
“But I hate shots.” Fortunately, not all vaccines are injections. “The flu vaccine,
which all adults should receive annually, can be given to many people as a liquid
that is administered as a nasal spray,” Dr. Orquia says.
The take-away? Don’t delay—ask your physician about your vaccination history at
your next visit to protect yourself and those around you from potentially dangerous
and preventable diseases.
take note:
➤ A SHOT IN THE ARM. According to the Centers for Disease Control and
Prevention, pregnant women, people with asthma and certain other conditions,
adults ages 50 and older and those who have a severe allergy to chicken eggs
shouldn’t be vaccinated with the flu nasal spray vaccine.
inspire | Memorial Health Care System
13
?
you’ve got questions
we’ve got answers
Advice You Can Take to Heart
A
A heart attack is a traumatic, life-changing event. “This
experience is often the first time that a person faces the
frailty of life,” says Robert Berglund, M.D., a cardiologist
with The Chattanooga Heart Institute at Memorial. “There’s
the fear of a second heart attack, the anxiety about what
activities are safe and the reaction of family members who
have faced the fear of losing someone they love.”
Resuming Activities
Fear of another heart attack keeps many patients from
resuming normal activities. “Always check with your
cardiologist about any limitations you may have
due to your specific condition, but in
general, most people are able to get
back to normal activities within a few
weeks,” says Dr. Berglund. “As long
as you’ve discussed any concerns
you have with your physician,
many physical activities,
including intimacy, should be
safe.” In fact, resuming normal
sexual activity can help lessen
depression and other emotional issues. If your physician
has said it's safe, don’t worry about having a heart attack
during sex. This is extremely rare—occurring in less than
one percent of patients.
Exercise is also beneficial after a heart attack. Walking
20 to 30 minutes a day is often recommended. Memorial’s
Cardiac Rehabilitation Program offers a medically supervised program of exercise and education at both Glenwood
and Hixson locations. Some levels of the rehabilitation
program are covered completely or partially by insurance,
and financial assistance is available for those who qualify.
For further information, call (423) 495-7764.
Healthy habits
Dr. Berglund also recommends that everyone—not just
those who have had a heart attack—cut back on sodium and
quit smoking. “Americans consume 10 times the amount of
salt they should,” Dr. Berglund notes. “So skip the chips and
fries, or at least limit how much and how often you eat
them.” He also cautions, “Don’t wait until you’ve had a heart
attack or stroke to give up tobacco. Nicotine increases blood
pressure and damages your arteries."
➤ GET BACK TO THE LIFE YOU LOVE. Memorial’s Heart and Vascular Center
provides unsurpassed care for your heart—from diagnosis through recovery. Find
out about our expertise and services online at www.memorial.org. Select “heart
and vascular center” under “our services.”
Potential signs of heart attack:
• Pain or discomfort in chest
• Pain or discomfort in one or both arms
or shoulders, neck, back, or jaw
• Difficulty breathing
• Feeling light-headed, weak or faint
• Cold sweats
• Nausea or vomiting
“Americans
consume 10x the
amount of salt humans
should be exposed to.”
—Robert Berglund, M.D.
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www.memorial.org | Winter 2012
The most common signs of
women’s heart attack:
• Unusual fatigue—more than 70 percent
of women reported this symptom
• Sleep disturbances
• Shortness of breath
• Indigestion
• Anxiety
Jason Robertson, M.D.
If It’s Broken, Fix It
Sore joints. Back pain.
Muscle tenderness.
Aches, pains and
injuries come with
everyday life.
 It’s easy to think that pain
will go away on its own,
“Limping can throw off your body’s
natural balance,” Dr. Robertson says.
“Not only can you aggravate the first
injury, you can start to develop pain in
other areas.”
part of the bone that continues
expanding throughout adolescence and
is a weak link in the bone,” he explains.
For adults, if there’s not an obvious break
or deformity, it’s usually OK to wait a
couple of days before visiting a
physician. Try “PRICE,” or protection,
rest, ice, compression and elevation. If
pain and swelling don’t improve, get
checked out. “Some orthopedic injuries
don’t heal properly without medical
attention,” Dr. Robertson says.
When to See a Physician
Young people who experience pain,
swelling or bruising or cannot bear
weight should see a physician right away.
“You want to make sure they haven’t
injured their growth plate, which is the
Treating Pain and Injury
If minor pains turn into major problems,
Memorial Health Care System offers
effective treatments for orthopedic pain
and injury. Options include knee, hip and
shoulder replacement, hand and sports-
but doing nothing or relying on a “quick
fix” could make matters worse, says
Jason Robertson, M.D., sports medicine
orthopedist on staff at Memorial.
related surgeries, foot and ankle
reconstructions, and minimally invasive
spine procedures. Nonsurgical options
include corticosteroid and platelet-rich
plasma injections.
The good news is that in many cases,
advanced measures aren’t needed.
“Often, all healthy healing requires is
medication to help relieve pain along
with focused physical therapy or homebased exercises,” Dr. Robertson says.
➤ STAY ON YOUR FEET. Memorial
offers the area’s leading Orthopedic
Center of Excellence. We can help
you keep moving more comfortably.
Find out about our expertise and
services online at www.memorial.org.
Select “orthopedic center” under “our
services.”
“Limping can throw off your body’s natural balance,”
Dr. Robertson says.
“Not only can you aggravate the first injury, you can start to develop pain in other areas.”
inspire | Memorial Health Care System
15
The Watson family
Q| I want to make a
meaningful gift to Memorial,
but I am on a very limited
income. What can I do?
A Party.
A Passion. A Purpose.
Dance the night away and support a great cause at the same time.
The eighth annual Pink! Gala is only a few months away. The event will
feature delicious food, silent and live auctions and music from the
much-requested Party on the Moon band.
But this celebration of life is more than just a party. It furthers Memorial
Health Care System’s mission to improve breast cancer services and
care. It also honors the many women in our community who’ve survived
breast cancer—a feat worth celebrating.
Longtime supporters of Pink!, this year’s chair-couple, Clay and April
Watson, are excited to be hosting because breast cancer has personally
impacted their family.
“Both of our grandmothers were diagnosed with breast cancer, and
we have twin daughters that we hope will never have to go through
that experience,” explains Mrs. Watson. “But if they do, we want the
very best cancer treatments and facilities available close to home.”
“We feel strongly that this event is a very worthwhile cause because it
raises awareness about breast cancer and furthers the enhancement of
Memorial’s facilities to better treat this disease,” says Mr. Watson.
“Funds raised are local and they stay local, making an impact right here
in Chattanooga.”
Saturday, February 2, 2013
Chattanooga Convention Center
per patron
Tickets: $200 per person, $350
ion of surg ical serv ices
Proceeds will benefit the expans
orial. For details, call
for breast cancer patients at Mem
emorial.org/pink.
(423) 495-Pink or visit www.m
16
www.memorial.org | Winter 2012
I encourage you to consider making a bequest
to Memorial Foundation. You can make an
addition to your existing will, known as a
codicil, naming Memorial as one of your
beneficiaries. Your attorney will help, but the
wording could look like this:
“I give _______ (insert dollar amount or
percentage of the estate) to Memorial Health
Care System Foundation of Chattanooga, TN
(Tax ID 62-1839548), to be used to advance the
mission of Memorial Health Care System.”
You’ve worked hard your entire life to build
your assets. It’s important that you take that
same care to plan for the end of your life.
Think carefully about what you want to leave
for your loved ones. Also consider leaving a
legacy to organizations you cared about
deeply during your lifetime. Be sure to let us
know your plans so that we can say “thank
you” now and talk to you about how that gift
may be used when the time comes.
To request a complimentary booklet that can
help in your planning, call the Memorial
Foundation Office at (423) 495-4141.
Jennifer W. Nicely, C.F.R.E., Foundation
President and Chief Development Officer
Answers to Your Financial Questions
Mike Webb, Registered Representative,**
Webb Financial Consultants and Member of
the Memorial Foundation Board of Directors
Q| Are there issues clients need to be
particularly aware of at the end of calendar
year 2012? Are there tax law changes for
2013 people should take into consideration?
If Congress doesn’t agree on new tax laws, there will be four
broad categories of tax increases beginning January 1, 2013*:
Q| What advice would you
give a client who wants to make
a charitable gift with highly
appreciated stock?
If you have highly appreciated assets where the
market value of an asset (such as a stock or a
mutual fund) is significantly higher than its cost
basis, there are three benefits to you using the
asset to complete your charitable gifting. First,
you will receive a charitable tax deduction for
the fair market value of the asset utilized.
Second, by gifting the highly appreciated asset
to a qualified charity and the charity selling the
asset, you avoid the capital gain taxation you
would have had to pay if you sold the asset and
gave the proceeds to the charity.
Finally, if you’re concerned about cash flow,
using highly appreciated securities allows you to
conserve current cash flow while completing
your charitable donation. Certain restrictions do
apply to this gifting technique.
1. The tax cuts passed under the Bush Administration will
sunset, resulting in tax increases for almost all taxpayers. In
2012, there are six tax brackets ranging from 10 to 35 percent.
These brackets will change back to five brackets starting at
15 percent and increasing to 39 percent. Long-term capital
gains tax rates will increase. Qualified dividend tax rates will
again be considered as ordinary income.
2. More individuals could be paying the Alternative Minimum
Tax (or AMT) due to the income level exempt from taxation
being lowered from $50,600 to $33,750 for individuals and
$78,750 to $45,000 for married couples.
3. Estate taxes will revert back to pre-2001 levels with the
exemption level falling to $1,000,000 from $5,120,000 currently
and the top tax rate on taxable estates rising from 35 percent
currently to 55 percent.
4. A new 3.8 percent Medicare surtax will take effect January 1,
2013, affecting taxpayers with certain levels of Adjusted Gross
Income or investment income amounts.
It is anticipated that the end of 2012 and the beginning of 2013
will be a period of great uncertainty for federal tax legislation.
It’s important for you to remain in contact with your tax or
financial advisor, especially after the November elections, to
stay informed and understand what is best for your situation.
*Source: www.irs.gov
**Securities and investment advisory services offered through FSC Securities Corporation, member FINRA/SIPC and a registered investment advisor.
Certain insurance products are offered through Webb Financial Consultants, which is not affiliated with FSC Securities Corporation or registered as
a broker-dealer or investment advisor. The views expressed in this document are not necessarily the opinion of FSC Securities Corporation and
should not be construed directly or indirectly as an offer to buy or sell any securities or investments. Webb Financial Consultants, 804 Krystal
Bldg., One Union Square, Chattanooga, TN 37402, (423) 266-2036.
inspire | Memorial Health Care System
17
H e ad li n e News
Memorial Hospital Hixson Welcomes Board-Certified
Surgical Oncologist
Charles Portera, Jr., M.D.
Memorial Hospital Hixson and the MaryEllen
Locher Breast Center are excited to welcome
Charles Portera, Jr., M.D. and Marcie Beasley,
R.N., M.S.N., F.N.P.-C. to the Hixson community.
Dr. Portera is a respected surgical oncologist in
the Chattanooga region whose areas of
expertise include surgical treatment of cancers
of the breast, skin and soft tissue, colon, rectum,
pancreas, liver, esophagus and stomach.
Along with Dr. Portera, family nurse practitioner
Marcie Beasley will now be seeing patients at the MaryEllen Locher Breast Center
on the Memorial Hospital Hixson
campus. Her primary focus is
breast care and melanoma.
“We are thrilled to expand our
breast services and access to the
best breast cancer care right here
in Hixson,” says Deb Moore,
senior vice president and
administrator at Memorial Hixson.
“The addition of Dr. Portera
means patients will have greater
access to specialized care.”
Marcie Beasley,
R.N., M.S.N., F.N.P.-C.
The MaryEllen Locher Breast Center is known for providing coordinated care when
you need it most, reducing the time from breast cancer diagnosis to treatment.
➤ For more information or to schedule an appointment, call the MaryEllen
Locher Breast Center at (423) 495-4040.
heart.memorial.org
Wins Award
The Chattanooga Heart Institute
website heart.memorial.org won an
award in an international marketing
competition. The website won the
coveted Silver W³ Award in the
microsite category, honoring creative
excellence on the Web.
The W³ is sanctioned and judged by
the International Academy of the
Visual Arts (IAVA), an invitation-only
body consisting of top-tier professionals including executives from
organizations such as AvatarLabs, Big
Spaceship, Block Media, Conde Nast,
Coach, Disney, The Ellen Degeneres
Show, Estee Lauder, Fry Hammond
Barr, Microsoft, MTV Networks, Polo
Ralph Lauren, Sotheby's Institute of
Art, Victoria's Secret, Wired, Yahoo!
and many others.
➤ To learn more about
Memorial’s cardiac services,
visit heart.memorial.org.
Memorial is a Consumer Choice Award Winner
Memorial has been named a 2012-2013 Consumer Choice
Award winner by the National Research Corporation (NRC),
an organization dedicated to improving the quality of care
provided in the health care industry. The NRC awards the
most-preferred hospitals in over 300 U.S. Markets.
18
www.memorial.org | Winter 2012
Winners, named in Modern Healthcare magazine, are
selected by consumers as having the best quality and
image, based on the nationally syndicated Market Insights/
TICKER study of more than 250,000 consumers.
Thank you for choosing Memorial!
Calendar of E ve nts
Breast Cancer Support Group
Provides Hope and Help
The Breast Cancer Support Group is
for all women who have experienced
breast cancer—from the newly
diagnosed to those who have
completed treatment. Facilitated by a
licensed clinical social worker, the
group is open-ended to provide the
opportunity for women to attend and
not be excluded due to physician
appointments, treatment and everyday
responsibilities.
All women diagnosed with breast cancer are
encouraged to seek out a support group and attend
at least one session to assess if this therapy should
be included in her integrative plan of care. Research
supports the positive effect of group participation
on an individual’s ability to cope with change and
one’s perception of quality of life.
CANCER SUPPORT GROUP
For all cancer patients, their families and friends.
For more information, call (423) 495-7778.
Main campus: Meets every Tuesday at 10 a.m. in the Memorial
Center for Cancer Support, Memorial Plaza, Suite 307.
Memorial Hixson campus: Meets every Wednesday at 10 a.m.
in the Memorial Hospital Hixson Center for Cancer Support,
Professional Office Building, Suite 402.
COLON CANCER SUPPORT GROUP
For any person who has been affected by colorectal cancer
and their caregivers. Meetings are held the second Thursday
of every month at 3 p.m. in the Memorial Center for Cancer
Support, Memorial Plaza, Suite 307. For information, call
(423) 495-7827.
GRIEF SUPPORT GROUP
For those who have lost a loved one. Join the group on the
second Wednesday of every month at 11:30 a.m. in the Memorial
Hospital Hixson Center for Cancer Support, Professional Office
Building, Suite 402. For information, call (423) 495-7778.
These meetings do not have a set agenda; members
discuss whatever topics arise. This encourages
spontaneity and exploration of various issues
including meaning and emotional impact of the
illness, symptoms of treatment, role changes,
identity, relationships and healthy
behaviors. The facilitator and
individual group members may
offer articles about areas
of interest.
The Breast Cancer
Support Group meets
every Wednesday
from 10 a.m. to 11:30
a.m. at the Center for
Cancer Support at
Memorial Hospital. For more
information, call
(423) 495-7778.
➤ Check out all our support groups, classes
and events online! Visit www.memorial.org and
select “for patients and visitors,” then “patient
programs.”
MEMORIAL’S MOBILE
MAMMOGRAPHY Coach
will be available for annual mammogram screenings at
the following locations. To schedule an appointment, call
(423) 495-4040.
Bradley County Health Department
Monday, December 10, 9 a.m. to 4 p.m.
Primary Health Care of Rossville
Tuesday, December 18, 9 a.m. to 4 p.m.
McMinn County Health Department
Wednesday, January 9, 9 a.m. to 4 p.m.
Memorial West Side Clinic
Wednesday, January 23, 9:30 a.m. to 3:30 p.m.
inspire | Memorial Health Care System
19
Q
&A
English Rockholt, M.D.
memorial physicians
answer your
questions
Question: I’m pregnant and planning to
breastfeed. My best friend said I should
switch to organic foods and fragrance-free
soap and other products. Is this true?
Answer: You may consider adjusting your diet and personal
care routine, but these changes largely depend on your
preferences—not because of risks to your baby.
Organic fruits and vegetables are grown without chemicals and
may contain slightly more vitamins, minerals and antioxidants than
conventionally grown produce. Going for organic can be pricey—
and some people can’t afford it on a regular basis. What’s most
important is to make sure you’re getting a variety of fresh fruits and
vegetables, even if they’re not organic.
If you’re concerned about pesticide residue, wash fruits and
veggies well and remove the skin. Some experts say this is most
important for produce that tends to be more exposed to
pesticides, such as apples.
Here’s the bottom line: Don’t let fear of pesticide residue keep
you away from nonorganic fruits and vegetables. Fill your diet with
an array of fruits and vegetables to benefit your—and your
baby’s—health.
When it comes to fragrances, I’m primarily concerned with Mom’s
well-being. Many women prefer to skip strong-smelling soaps,
lotions and perfumes during pregnancy. These products may bring
on nausea. It’s best to go fragrance-free until you know how certain
smells are going to affect you. Once you start breastfeeding, wash
with soap and warm water and let skin air-dry for at least 10
minutes before you get dressed to help prevent uncomfortable
bacteria or yeast buildup.
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www.memorial.org | Winter 2012
Bruce Johnson, M.D.
Question: I sweat all the time. My
hands stay wet even when I’m cold.
Why do I do this, and can it be
treated?
Answer: Excessive sweating usually occurs for
one of three reasons: diabetes, thyroid disorders or
hyperhidrosis. Hyperhidrosis is usually the cause of
excessive sweating in focal areas like the hands,
armpits and feet. It occurs in two to three percent
of the general population and can be physically and
socially hindering.
Question: I’ve been experiencing more
headaches lately. Both sides of my head
hurt, like I’m wearing a hat that’s too
tight. What’s going on?
Many times hyperhidrosis is written off as anxiety,
stress or part of “growing up.” However, this
condition is caused by an unknown stimulation of
a reflexive nerve.
Answer: There are many different types of
With treatment in the appropriate steps, this
condition can be effectively managed. Treatment is
available and should start with topical prescription
antiperspirants, oral medications or a combination of
the two. If both of these are ineffective or not
tolerated well, more invasive and longer-lasting
treatments with iontophoresis, botox injections or an
outpatient surgical procedure can be performed.
Iontophoresis uses a small electric charge to deliver
medication through the skin. These treatments
should be reserved as a last resort and may not be
recommended for all patients.
These headaches result from tension in head and neck
muscles. These tension headaches may last an hour or
two, or all day; pain often occurs in late afternoon or
evening as daily stresses add up. Exposure to noise,
glare or a stuffy environment makes them worse.
headaches. Mild or moderate pain or pressure in the
scalp, temples or back of the neck probably means it’s
a tension headache. This is the most common type.
In addition to stress, triggers include depression and
lack of sleep. Certain postures can also prompt these
headaches, such as holding a telephone between the
ear and shoulder or keeping your neck bent downward
while reading. Avoiding these triggers may prevent your
tension headaches.
You may also find over-the-counter medication, hot
showers, massage and gentle neck exercises helpful. A
physician’s care is rarely required; however, if you’re having
headaches daily or almost daily, they’re considered to be
chronic. Talk with your physician. There could be an
underlying problem, such as arthritis or sleep apnea.
Rob Headrick, M.D.
memorial physicians
answer your questions (con’t.)
inspire | Memorial Health Care System
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Serve healthier versions of your holiday favorites. Simple
changes reduce fat and calories, not your enjoyment. 
Question: I always seem to gain weight
during the holidays. There are more
goodies at work and parties every
weekend, not to mention family meals.
What can I do to avoid all the extra
calories and maintain my weight?
Answer: It is possible to enjoy the holidays without
DeAnn Champion, M.D.
Question: We’re hosting the holidays
at our house this year. Our first
grandchild—a toddler—will be with
us! Should we do anything special
to prepare?
Answer: There are a number of ways you can
help keep the holidays safe and pleasant for even
your littlest loved ones. I recommend buying
shatter-proof ornaments instead of glass ones. You
should also hang them a little higher on your
tree—even unbreakable ornaments have hooks and
other small parts that can be swallowed.
Hang stockings carefully. Kids who pull at stockings can
easily cause decorative hangers to come down on their
heads, resulting in injury. And if you place candles
around your home, strategically place them out of
reach so that kids can’t pull or knock them down.
You can also avoid accidents year-round by keeping
button batteries and small round magnets out of
little ones’ hands. Button batteries can be deadly if
ingested and must be removed with a surgical
procedure. Magnets may be fun to play with, but if
swallowed, they can connect with each other through
the intestinal wall and cause internal injury.
the traditional weight gain by following a few sensible
seasonal eating tips.
• Eat before you party! Food will be less tempting.
Skipping meals to allow you to eat more later often results
in overeating. Imagine trying to drive on empty with the
plans to overfill your gas tank later! It doesn’t work. Your
car doesn’t run on empty, and neither should you.
• Survey the buffet. Look at all your options before filling
your plate because your favorite food might be at the end
of the table. Compare eating to packing for a trip. We all
put a few extras in the suitcase. But would you pack a
dozen pair of socks and not leave room for a swimsuit if
you’re going to the beach?
• Eat from a plate but don’t use a platter. Making
healthful food choices from a serving tray is difficult,
even for savvy eaters—because it’s hard to accurately
judge calories. Six small cubes of cheese total more
than 300 calories. Instead, use a small plate and fill it
once. If after 20 minutes you are still hungry, try to
nibble on veggies. These items will be satisfying and
provide essential vitamins.
The holidays are a time to celebrate! Your eating may not
be ideal during this time of the year, but use common
sense. When you ring in the New Year, will you have
regrets, a few extra pounds or no need for resolutions?
Once your visitors arrive, be sure stairs are blocked
and don’t leave toddlers unattended by the tree. You
should also dispose of ribbons and wrapping paper
promptly when opening gifts so that they don’t land
in tots’ tiny hands or mouths. Even if you try to keep
kids out of the kitchen, be sure pots, pans and trays
of cookies straight out of the oven aren’t within their
reach, just in case they wander in.
Robin Darling, R.D., C.D.E.
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www.memorial.org | Winter 2012
A Healthier Spinach Dip
Dips can pile on extra fat and calories to your
already-expanding holiday fare, but this dip recipe
adds healthy fat and a little fiber, too!
Besides using low-fat or fat-free sour cream or
mayonnaise, try adding avocado to make a dreamy
substitution. Avocado also provides a source of
monounsaturated fat, fiber and vitamin E.
A traditional spinach
dip recipe provides
170 calories, 16 g total
fat, 5.2 g saturated fat
and only 0.4 g of fiber.
Ingredients:
10 oz. box frozen spinach
1 cup
water chestnuts
2 ripeavocados
juice
from ½ lemon
16 oz. "lite" sour cream
1
package dry vegetable soup mix
This healthier
version provides
88 calories, 5.6 g total
fat, 2.2 g saturated
fat and 1.6 g of fiber.
Directions
1. Thaw frozen spinach and drain well. Squeeze excess water from spinach.
2. Chop spinach and water chestnuts; set to the side.
3. Peel avocados and remove the pit. Place avocados in a bowl, add lemon
juice and smash with a fork until creamy. The lemon juice is not for flavor,
but to prevent the avocado from turning brown.
4. Combine all ingredients. Stir until well-blended.
5. Cover and place in refrigerator overnight. Flavors need time to blend
for best results.
6. Serve with crackers, chips or bread. Some hosts may even place ¼ cup
into individual cups to assist partygoers with portion control.
Crunchy Pumpkin Pie
This pie uses only a small amount of oil in the crust
and skim milk in the filling to make it heart-healthy.
For the Pie Crust:
1 cup
quick-cooking oats
¼ cup whole wheat flour
¼ cup ground almonds
2 tbsp. brown sugar
¼ tsp.salt
3 tbsp. vegetable oil
1 tbsp.water
For the Pie Filling:
¼ cup packed brown sugar
½ tsp. ground cinnamon
¼ tsp. ground nutmeg
¼ tsp.salt
1 eggbeaten
4 tsp.vanilla
1 cup
canned pumpkin
½ cup evaporated skim milk
Directions
1. Preheat oven to 425
degrees.
2. Mix oats, flour, almonds,
sugar and salt together in a small mixing bowl.
3. Blend oil and water together in a measuring cup
with a fork or small whisk until emulsified.
4. Add oil mixture to dry ingredients and mix well. If needed,
add a small amount of water to hold mixture together.
5. Press into a 9-inch pie pan and bake for eight to 10 minutes,
or until light brown.
6. Turn down oven to 350 degrees.
7. Mix sugar, cinnamon, nutmeg and salt together in a bowl.
8. Add egg and vanilla. Mix to blend ingredients.
9. Add pumpkin and milk. Stir to combine.
10. Pour into the prepared pie shell.
11. Bake for 45 minutes or until a knife inserted near the center
comes out clean.
Serves 9
Each serving provides:
177 calories, 8 g total
fat, 1 g saturated fat,
24 mg cholesterol and
153 mg sodium.
Source: National Heart, Lung, and Blood Institute; National Institutes of Health
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Non-Profit
Organization
U.S. Postage
PAID
Memorial Hospital
2525 de Sales Avenue Chattanooga, Tennessee 37404
10477M