2010 Consumer How To Guide A special supplement to The Carroll News 2 2010 HOW TO GUIDE SEPTEMBER 29, 2010 Sleep Medicine Teleneurology Wellness Center Women’s Health & Birthing Center & Many Other Services 00338446 SEPTEMBER 29, 2010 2010 HOW TO GUIDE 3 4 2010 HOW TO GUIDE SEPTEMBER 29, 2010 Your Hometown Hospice How Hospice Can Help Yo ou: s #OMPASSION AND CARE FOR THOSE WITH LIFELIMITING ILLNESSES s 0AIN SYMPTOM MANAGEMENT s )NFORMATION s #OMFORT AND SUPPORT FOR YOU AND YOUR FAMILY DURING YOUR ILLNESS Twin County Hospice Stafff )F YOU HAVE ONE OF THESE ILLNESSES YOU MIGHT QUALIFY FOR HOSPICE SER VICES Jeanne Thompson, RN, CMT provides massage therapy services for patients Twin win County Hospice H #ANCER ,IVER DISEASE !LZHEIMERS DISEASE 0ULMONAR Y DISEASE !,3MUSCULAR DISORDER (EART DISEASE $EMENTIA +IDNEY DISEASE 3TROKE !)$3 Joint Commission Accredited Since 1995 Serving ng the Twin Twin w Counties Co Alison Blevins, T Twin County Volunteer win w Co ounty Hospice V o olunteer olu o unteerr, Michele Hamm Coordinator with V Volunteer, s s www.tcrh.org www w.tcrh.org .tc . 00338450 SEPTEMBER 29, 2010 2010 HOW TO GUIDE 5 6 2010 HOW TO GUIDE SEPTEMBER 29, 2010 SEPTEMBER 29, 2010 2010 HOW TO GUIDE Where Your Family is Our Family 7 Hospital-quality medical services at your doorstep: • Professional, caring staff with numerous years of home care experience • Skilled nursing • Full-service therapy staff (Physical, Occupational and Speech Therapy) • Certified wound, ostomy and continence nurse • Aide services • Medical social services • Family focused care • 24-hour coverage Serving the Twin Counties Since 1985 Joint Commission Accredited (276) 728-9068 • 1-800-514-4156 www.tcrh.org 8 2010 HOW TO GUIDE SEPTEMBER 29, 2010 We understand the need for services which preserve the memory and dignity of your loved one, whether it’s traditional services, cremation or veteran’s services. Since 1913...Our family has been serving your family in your time of need. We are locally owned and operated and offer many options for pre-planning. Pre-Plan may include information only, pre-payment or at your request we will handle the transfer of any pre-arranged, pre-paid funeral contract or life insurance. Vaughan-Guynn Funeral Home Vaughan-Guynn-McGrady Chapel 201 West Center Street • Galax, Virginia 24333 276-236-2442 • www.vaughanguynn.com 1035 North Main Street, Hillsville • Virginia 24343 276-728-2041 • www.vaughanguynnandmcgrady.com SEPTEMBER 29, 2010 CONSUMER 2010 HOW TO GUIDE HOW-TO Questions to ask when pre-paying: • What are you paying for? Does your purchase include merchandise such as a casket, vault or urn, services only, or both? • What happens to the money you have prepaid? What are the laws that govern how the money can be handled in the state you are making your pre-arrangements in? • Is the funeral pre-arrangement transferable to another funeral home and to what extent? • Can you cancel the pre-financed contract and if so, for how long? • What happens if the funeral home you choose goes out of business? • How will this affect your eligibility for Medicaid or SSI? 9 PRE-PLAN A MEANINGFUL FUNERAL SERVICE Grieving family members and friends often have to make many decisions at a time when they are experiencing many emotions. There can also be confusion and indecision when trying to arrange final details when a loved one has passed away. Because of this, many people now choose to pre-plan or pre-arrange their own funeral. Following are many questions and answers regarding pre-planning What is pre-arrangement? Pre-arrangement is basically the planning of a funeral/memorial services before the need arises. This is often done years before death occurs but can be done at anytime. It usually involves meeting with a funeral director who will record your wishes of what type of service you desire, whether it be a traditional service or a cremation service; the details of the service from music and flowers to the choice of a cemetery; as well as casket, vault or urn choices. The funeral director will keep a copy for their records and you and your family will be given a copy as well. These records should be kept in a place where surviving family members will have access. Some funeral homes also have pamphlets available that allow you to record information that will be helpful to your family when the need arises. You should check with the funeral home of your choice to see what options are available and what information they can provide. Why should I pre-arrange? There are many reasons why people choose to prearrange. It could be a person has definite ideas about the service they want and they want their family to know what their wishes are. Others want to save their survivors the pain and uncertainty of having to make decisions at a time when they are already upset and confused. Often, the person has already had to make final arrangements for a loved one and wants to spare their family from having to go through the same emotions associated with funeral planning. Still other instances arise where there may be no one in the family capable of making the decisions required to plan a funeral service. If a person chooses to pre-pay for their funeral expenses, this can alleviate a lot of financial burden for surviving family members. At any rate, funeral pre-planning is often very helpful to loved ones and should be considered as an element of estate planning. Do I have to pre-pay? You do not have to pre-pay, however; there are many reasons why you may choose to do so. Pre-financing ensures that funds are available when needed and it eliminates the family’s financial concerns and burden at a time of loss. Also, pre-financing can help offset inflation by allowing you to pay today’s prices for a service that will be needed at a later date and could cost more later. Often this is called a guaranteed funeral and means that your family is guaranteed not to have to pay additional cost associated with the service you have chosen. Additionally, some choose to pre-pay as a way to ensure continued eligibility for Medicaid or Supplemental Security Income (SSI). Whether you pre-finance or not, any pre-planning you do will be a great comfort to your loved ones. What are my pre-financing options? When pre-financing a funeral service most options include either a trust or life insurance. A trust can be either revocable or irrevocable with revocable meaning that funds can be withdrawn at any time. The funds for a trust are set aside and can with paid directly to the funeral home at the time of death. Trusts are used to protect an individual’s assets, especially for those that are in nursing homes or those trying to continue their eligibility for Medicaid or SSI. Life insurance is another way to pre-finance a funeral service. Coverage often begins the day you apply and you may not be required to maintain the policy for a specific amount of time before you receive full benefits. Funding with life insurance can assure that your funeral is paid for when death occurs. A benefit to funding with life insurance is that earnings from life insurance are not taxed like earnings from a trust. Also, flexible payments may be available. What if my plans change? Sometimes it may be necessary to make new or alternate plans with a funeral home other than the one you made prearrangements with. In those cases, a record of your choices can be transferred to the alternate funeral home. Also, any funds held in a trust or any insurance maintained for final arrangements can most likely be transferred to the funeral home providing the service; however, it may not cover the entire cost of services. How do you begin? While you are not required by law to use a funeral home for a funeral or memorial service, the experience and knowledge of details a funeral home can provide may be very comforting and beneficial. To start pre-planning your funeral you should first contact the funeral home of your choice. The things that influence your decision of which funeral home might include the location of the funeral home, whether they have provided services for your family in the past, recommendations from family and friends, and the cost of services and merchandise they provide. When you contact a funeral home, keep in mind that they are required by law to give you a general price list as well as a list of the cost of merchandise available they offer. Once you select the funeral home you want to use, you should contact a funeral director to set up an appointment. During this appointment it may be beneficial to take a family member or close friend to provide support or make suggestions. While there, you may provide information and details of your wishes, you may make a selection as to the type of service and merchandise you prefer, or you may pre-finance your entire funeral cost. If you choose not to use a funeral home, make sure to put all of your wishes in writing. A will is not a good place to record these wishes because the will is often not read or even found until after the funeral ceremony. Also make sure that your loved ones have copies of your request or know where to find one when the need arises. The main thing to remember in pre-planning is the choice is yours and you should never feel pressured to do anything you do not feel comfortable with. 10 2010 HOW TO GUIDE SEPTEMBER 29, 2010 Serving Hillsville and surrounding areas for 30 years and going strong • • • • • • Home Health Renters Automobile Motorcycle 4-wheeler • • • • • • Boat Owner Mobile Home Flood Life Annuities Business • • • • • Farm Commercial Auto Worker’s Compensation Bonds RV’s Jackson Insurance Agency 208 N. Main St., Hillsville 276-728-4212 www.jacksoninsagency.com SEPTEMBER 29, 2010 2010 HOW TO GUIDE 11 12 2010 HOW TO GUIDE SEPTEMBER 29, 2010 00338831 SEPTEMBER 29, 2010 2010 HOW TO GUIDE CONSUMER HOW-TO Back Pain Myths... MYTH: “If you think it hurts now, wait until you get older.” FACT: According to the National Institutes of Health, the incidence of back pain is highest between the ages of 35 and 55. After age 55, people actually have less pain. MYTH: “I’m in pretty good shape, so I shouldn’t get back pain.” FACT: Guess what? 80 percent of Americans who experience back pain includes millions who exercise regularly. MYTH: “Rest is the key to recovery.” FACT: Not always. While a short period of rest will probably reduce acute pain, the two main reasons bed rest may be recommended are to reduce pressure on the discs in the spine and to stop the mechanical stresses that are irritating pain receptors. MYTH: “Heat and massage feel good, so they must be helping. FACT: Heat and massage are best used to manage pain during your treatment and recovery, allowing you to complete your rehabilitation program and participate in daily activities. MYTH: “Grandpa had back problems too. It must run in the family.” FACT: There is no genetic predisposition for the vast majority of back and neck conditions. FACT: Consult with your doctor before practicing any home treatments. 13 CHOOSE A CHIROPRACTOR ous privacy forms. Then you should have a private interview with WHAT IS A CHIROPRACTOR? Chiropractors are well-trained doctors specializing in the structure the doctor to discuss your particular problem in detail. This should and function of the spine and joints. Chiropractors receive a doctor be followed by a problem-focused examination that includes a range of chiropractic degree and their training involves intensive studies of of orthopedic and neurological tests, and an analysis of the structure and function of your musculoskeletal system. spinal manipulation techniques and advanced radiology. Chiropractic is among the safest of the healing arts. Doctors of Chi- If your chiropractor says that X-rays or laboratory tests are necesropractic represent the nation’s largest drugless, non-surgical health sary, ask why they are necessary in your particular case. An x-ray is a tool a doctor may use to confirm your diagnosis but is not always care profession. required to start treatment. QUESTIONS TO ASK AND TOPICS TO DISCUSS First, just like choosing any type of doctor, this is a personal choice. After the history and examination are complete, you should receive a You may wish to start your search by asking friends, coworkers and complete report of findings. The doctor should be able to explain relatives for recommendations. Next, set up an interview with the your problem to you in clear and understandable terms, discuss options for treatment, and outline a doctor to make sure you are comfortcustomized treatment plan inable. There are many questions you PITFALLS TO AVOID cluding specific therapeutic may wish to ask at this interview: goals and an estimate of the fre•Did the chiropractor go to an ac- •Avoid offices or doctors that don’t seem legitimate because: - They work alone with no support staff. quency and number of visits credited school? This is important as -They aren’t listed as a business in the phone directory. your condition will require bethese schools must meet certain stan- -They don’t use government compliant paperwork. fore you can expect to feel betdards with specific curricula being -They never use x-rays or advanced testing. ter. taught. Also, does the doctor regular- -They don’t keep charts or notes on patients. THE TREATMENT ly attend continuing education semi- -They only accept cash and don’t generate receipts. nars? By doing so, the chiropractor •Avoid doctors that guarantee results and don’t have proof of Most patients who seek chirotheir abilities (such as prior x-ray results). practic care have conditions rewill be current on the latest methods •Avoid expensive “up-front” payment plans. (No one knows sulting from stiff or tight joints of care. exactly how long it will take you to heal.) •What are the chiropractors feelings •Avoid doctors who never re-check or re-x-ray you to show and muscles that are tight and in spasm. During the examination, about when chiropractic fits in with your condition is better. the doctor should have deterother health professions, what he •Avoid offices that you have heard many bad things about. sees as his responsibilities in per- •Avoid offices that frequently change doctors. (You need stan- mined and discussed with you which joints aren’t moving forming a competent diagnosis of pa- dardized care.) properly. The chiropractor may tients, and what kind of experience he has with patients who have similar problems as you. Avoid any choose to use spinal manipulations to treat these joints or may chiropractor who sees the chiropractic profession as being opposed choose to use physical modalities such as ice, heat, electrical muscle to the medical profession or who denies his responsibility to diag- stimulation, ultrasound, traction, or massage. Spinal manipulation consists of the chiropractor using his hands to nose and refer appropriately. •Ask about the hours the office holds. Many conditions require a se- gently but quickly introduce a specific impulse to “unlock” the reries of visits, so compare your schedule against the office schedule, stricted joints. Sometimes, the manipulation is accompanied by a and location to make sure it will be possible for you to receive ap- “popping” sound. This sound occurs when tiny bubbles of gas are released from the fluid that surrounds the joint surfaces. The therapeupropriate care. •Discuss the financial aspect of chiropractic care. The best chiro- tic benefits of the adjustment come from quickly separating the surpractic offices will go over their fees and be able to help you under- faces of the tight joint. The bubbles are released from the joint fluid stand the financial costs by evaluating your insurance coverage and when the high pressure in the abnormally tight capsule surrounding out-of-pocket expenses. Any doctor whose fees are substantially the joint is suddenly reduced. The bubbles are eventually reabsorbed into the joint fluid. Some people find the “popping” sound disconhigher or lower than other chiropractors should raise a warning flag. •Ask about their treatments. Most chiropractors use adjustment/ma- certing, but the sudden release of pressure from the “locked” joints nipulative treatment. This is used to restore normal joint function. to can result in immediate relief from pain and stiffness. decrease pain, swelling, and muscle spasms, as well as to improve For more conditions you should see significant progress after only a range of motion. Avoid a chiropractor who answers your questions few visits, although patients with more chronic or severe conditions by sticking you in a room with a video or whose attitude is more may require more extensive treatment before they can expect progress. A doctor should periodically re-evaluate your progress and sales pitch than discussion. After interviewing the chiropractor(s) you should be able to deter- openly share this information with you. A re-evaluation is an accumine who has good communication skills, who you feel comfortable rate assessment of how you are actually improving while under the talking with, and who seems eager to answer your questions. In ad- doctor’s care. dition, ask to meet the other staff you will encounter on your visits to It is important in any recovery that you are actively involved in your treatment and rehabilitation. You should expect to be given instrucmake sure you will be treated with courtesy and professionalism. tion and education on the proper exercises needed to improve your YOUR CHIROPRACTIC EVALUATION Before beginning your evaluation, you should be asked to fill out a problem. Additionally, it may be recommended that you use ice, few forms focusing on your problem and past history as well as vari- heat, or other home-based treatments. 14 2010 HOW TO GUIDE SEPTEMBER 29, 2010 SEPTEMBER 29, 2010 2010 HOW TO GUIDE CONSUMER HOW-TO Key points to consider: 1. Location 2. Technology 3. Customer Service 4. Checking 5. Loans 6. Community Involvement 15 PICK A COMMUNITY BANK Selecting a bank seems like an easy assignment. Many times the bank we select is chosen because it's closer to where we live or work. Convenience of location has always been the number one reason customers select a bank. Convenience is important and should be considered when making a banking decision on where to bank. Some banks today offer seven-day a week banking with expanded hours and are open most holidays. This gives you flexibility to do your banking when it is convenient to you. But, you should expect more from a bank than a good location and hours. Banks today are technologically superior and offer products that are key elements in selecting a financial institution. What do you need from your bank and what do you expect your bank to provide should be questions asked when making decisions to select a bank. Suddenly the "free" checking account with no services or options is not as important as being able to access an account and whether you feel comfortable and welcome when you enter or telephone your bank. Are you greeted with a familiar, smiling face? Do they call you by name, do you genuinely feel that the staff cares about you? Checking products and how they are marketed to customers is another important difference to compare when selecting a bank. Most banks offer checking products that range from "free" checking to club accounts. These two types of accounts are the extreme examples of relatively no service or features from a bank with a "free" account and an account with many features that are paid for on a monthly basis. Overdraft fees and protection vary from bank to bank as well. No customer wants to be overdrawn, but it happens from time to time and a bank may charge from $15 to $30 dollars per item for an overdraft fee. Know what you're getting into before you open the account. You may also want to know how to visit with a customer service or bookkeeping person to answer a question or solve a problem. Most community banks have local people handling your problems such as a lost or missing check or even help balance your checking account. If the customer service is available only through a 1-800 number, you might think twice before selecting this bank. Lending is another product that customers expect and need from banks. Most people need a loan for a car, business or home and rely on their bank to provide this service. All banks make loans, but their process of approving an application may differ. How they handle a customer may differ, if they keep the loan or sell it to another financial institution. These questions may not seem important when you open an account at a bank but when you need a loan it will matter. Most local banks make decisions locally and have continuity in their lending staff as officers move up through the ranks in the same bank. This allows you to keep the same loan officer as you grow with the bank. In a regional bank the decisions many times are made in the lending centers where applications are sent. They use formulas and credit scores to approve loans. The loan officer for a regional bank may work in the community for a few years and move to another community for a few years and move to another community as they are promoted within the bank's system. Comparing interest rates and fees are also important in deciding on a bank as banks may differ. This would include document preparation fees, late fees, extension fees, and other fees that might relate to the type of loan you are requesting. Rates and fees are disclosed and can be compared before designing a loan application. It's good policy to always ask what the fees and rates on a loan are before applying. Bankers do like customers who are concerned about lower rates and fees as they feel the customer will pay the loan back. The location(s) of your bank is important. But also be sure to consider the technology the bank has installed and the products you might use such as banking with your personal computer, checking services, researching a problem, or just working with a loan officer to get a fair loan at a competitive interest rate with reasonable fees. These factors will help you to know your money is secure, and have access to it when it counts. Last, but not least, is community involvement. In today's hectic and sometimes seemingly uncaring world, it is refreshing to see and know that a bank and its staff are involved in your community and care. Also it is good to know that your money is being invested in your community. Community reinvestment and support are crucial to most areas. Is the bank involved in your community; are they not only giving financial support, but seen actively working for and in the community? 16 2010 HOW TO GUIDE SEPTEMBER 29, 2010 CONSUMER HOW-TO Top 10 Reasons to Advertise in Newspaper 1. Newspapers reach the majority of adults daily and on Sundays. 2. Higher-income-earning adults are more avid newspaper readers. 3. People with higher education are more likely to read newspapers. 4. People in higherresponsibility professional positions read newspapers more frequently than the average person. 5. Newspaper advertising can be targeted by section — and reader. 6. Newspaper advertising can target specific geographic locations. 7.You can select advertising alternatives from preprint inserts to full- or partial-page ads. 8.With short deadlines, newspaper advertising can be tailored for immediacy. 9. Newspapers are portable and convenient. 10. Newspaper advertising builds business credibility and momentum. CHOOSE NEWSPAPER ADVERTISING Why Newspapers? Targeting customers in a media-fragmented marketplace is a continual challenge for many advertisers. The abundance of advertising sources has overwhelmed and divided consumer attention. This means media planners and buyers need the right tools to help them decide on the best allocation of advertising dollars. As advertisers strive for an effective media mix, they should know there is one medium that can deliver strength to advertising and marketing strategies. The newspaper continues to be a powerful medium for reaching shoppers in the market for a broad range of products and services. It is a portable and convenient source of advertising information — helping consumers decide where to shop and what to buy. The newspaper delivers customers unlike any other medium each and every day, reaching an array of traditional and emerging markets with unsurpassed advertising impact. Universal coverage, utility and power are the driving forces behind newspapers. And that is why they add value for advertisers! Newspapers offer advertisers alternatives to reach customers — new and potential — with effective messages for long-term awareness or immediate call-to-action responses. Whether it’s a preprint insert or run-of-paper (ROP) advertising adjacent to select editorial content, newspapers deliver the right message to the right people at the right time. If we combine frequency measures for ROP and newspaper preprints, we have 90 percent of adults who use one or the other or in combination — a powerful pairing. Opportunities in Newspapers ROP: Run of Press advertising means an ad placed on the pages of a newspaper. This best-known newspaper advertising option offers short deadlines and proximity of editorial that enhances visibility. Preprints: Preprinted inserts offer advertisers the flexibility and control of creating and printing advertising that the newspaper distributes. Commercial Printing: N e w s p a p e r s o ffer customers who need major printing the opportunity and cost efficiency of using their presses to print catalogs, inserts and other commercial print needs. Niche products/special sections: Newspapers offer a myriad of opportunities where a special marketplace is created to help in targeting an advertiser’s best prospects. These products may be inserted into the newspaper or may be distributed in other ways needed to best attract the niche audience. Highlights The compelling facts below underscore the strength of newspapers: — The majority of adults (54 percent) read a newspaper on an average weekday. — More than six out of 10 adults (64 percent) read a newspaper on an average Sunday. — More than seven out of 10 adults (73 percent) read a daily newspaper in the past five days. — More than three-quarters of adults (77 percent) read a Sunday newspaper in the past month. — Newspaper usage is strong among emerging markets — teens and Hispanics. — Customers for many products and services are also the heaviest newspaper readers. — The newspaper provides advertisers with unique targeting opportunities. — The newspaper is the most-used advertising source for various store categories. — Newspaper Web sites are highly rated for being useful and informative. SOURCE: National Newspaper Association SEPTEMBER 29, 2010 2010 HOW TO GUIDE Carroll County Is In Your Hands RIGHT NOW you are holding one of the most powerful tools in Carroll County – KNOWLEDGE. AND RIGHT NOW you can get this amazing tool delivered every Wednesday for one year for only $ 00 31 Local Area Call today & subscribe to The Carroll News 276-728-7311 17 18 2010 HOW TO GUIDE SEPTEMBER 29, 2010 4XDOLW\6HUYLFH 4XDOLW\ 3URGXFWV &RPSHWLWLYH3ULFHV Anderson Audiology is committed to bringing total hearing healthcare to the people in our hometown. We provide “Old Fashion Service With Modern Technology”. With years of experience, we’re not just changing hearing, we’re changing lives. +HDULQJ7HVW+HDULQJ$LG(YDOXDWLRQ'D\7ULDO3HULRG 'HPRQVWUDWLRQRID'LJLWDO+HDULQJ$LG9LGHR2WRVFRSH ANDERSON AUDIOLOGY HEARING AID SALES & SERVICE, INC. Locally Owned and Operated Since 1963 DR. JANICE ANDERSON, AUDIOLOGIST DR.TINA PROFFIT,AUDIOLOGIST DARRELL ANDERSON, *BC-HIS (*Board Certified In Hearing Instrument Sciences) 680 West Lee Highway Wytheville, VA 24382 (276) 228-0866 8052 Carrollton Pike Galax, VA 24333 (276) 236-0778 ZZZKHDULQGXEOLQFRP 85 Cleburne Blvd. Dublin, VA 24084 (540) 674-4889 00338470 SEPTEMBER 29, 2010 2010 HOW TO GUIDE CONSUMER HOW-TO Choose A Hearing Aid Loss of hearing is one of the major health concerns of today. Things You Should Know: • Most problems gradually. hearing develop • Most people with hearing difficulties can benefit from hearing aids. • Hearing keeps us in contact with life. • Nerve deafness can also be helped. • Hearing aids work as personal amplification systems. 19 Hearing is one of the basic ways we communicate. From early infancy, we begin to distinguish sounds and attach meanings. We learn our first words from hearing other people speak. There’s hardly any aspect of our lives that doesn’t have sound associations. Through our ears, we share the closeness of a loved one’s words, the joy of beautiful music, the peacefulness of nature. Our sense of hearing can also serve as a warning device — alerting us to heed a siren or horn. Hearing keeps us in contact with life, with people, with the sounds of the world around us. As important as hearing is to our daily lives, it is also one of our major health concerns. More than 27 million people in the U.S. and Canada have hearing problems. These are people of all ages and from all walks of life. Most hearing problems develop gradually, often causing the hearing impaired person to slowly withdraw from normal social and business situations. Fortunately, the vast majority of people with hearing difficulties can benefit from either medical treatment, hearing aids, or both. Even people who have been told they have “nerve deafness” can be helped by the advanced technology of today’s hearing aids. No two hearing losses are exactly the same. The exact pattern of frequencies you may be missing are as individual as you are. Although each loss is different, all hearing problems can be divided into two general groups: Conductive and Sensorineural. Conductive hearing loss affects the outer or middle ear structures. Causes include a buildup of wax or fluid, a punctuated eardrum or abnormal bone growth in the middle ear. This kind of hearing loss can often be improved by medical or surgical methods. Sensorineural hearing loss is the most common type of hearing loss, accounting for more than 90 percent of all losses. It involves the deterioration of the delicate “hair cells” of the inner ear and may be referred to as “nerve deafness.” Most causes are caused by prolonged exposure to loud noises or the aging process, but also may result from infections, head injuries and certain medications. While there is no cure, in most cases, hearing aids will help. A person with this type of loss frequently hears low-pitched tones better than high ones and may have trouble understanding letters like f, s, th, p and ch. They may complain that a person mumbles — not because the sounds are so soft — but because the words sound jumbled and confusing. The higher pitched voices of women and children may also be more difficult to hear. There are three parts to the human ear: The outer ear, middle ear and inner ear (also called the cochlea). Although the outer ear is the most visible, the two main organs of hearing are really the middle ear and the cochlea. These complex organs of hearing are hidden in a space about as big as the end of your thumb. the middle ear includes the eardrum and three tiny bones that conduct sound. The snail-shaped cochlea contains thousands of tiny sensory cells. For you to hear, sound waves enter the outer ear, pass through the ear canal and strike the eardrum. The eardrum vibrates and sends the sound waves through the middle ear to the cochlea, where sensory cells generate electrical impulses that send the sound messages up the auditory nerve to the brain, where they are interpreted as sound. A hearing instrument works as a personal amplification system. Sound enters the hearing instrument through a microphone. A tiny amplifier makes the sound louder. The amplified sound is transmitted through the receiver or speaker into the ear canal. This provides increased stimulation through the middle ear to the inner ear, making sounds easier to hear. Today, there are four basic hearing aid shell styles to choose from. Completely-in-the-canal (CIC) and in-the-canal (ITC) instruments are small and custom-made to match the individual contours of your ear. In-the-ear (ITE) instruments fit better within the outer portion of the ear and may be a better choice for those with limited dexterity. Behind the ear (BTE) instruments have a plastic housing for components, which rests behind the ear. These models can be more durable and provide more amplification than other types. There are 10 warning signs of hearing loss: 1. People seem to mumble more frequently. 2. You hear, but have trouble understanding all the words in a conversation. 3. You often ask people to repeat themselves. 4. You find telephone conversations increasingly difficult. 5. Your family complains that you play the radio or television too loudly. 6. You no longer hear normal household sounds, such as the dripping of a faucet or the ringing of a doorbell. 7. You have trouble hearing when your back is turned to the speaker. 8. You have been told you speak too loudly. 9. You experience ringing in your ears. 10. You have difficulty understanding conversation in a large group or crowd. 20 2010 HOW TO GUIDE NUCKOLL’S SEPTEMBER 29, 2010 DRUG Your Hometown Pharmacy Since 1896 Longest Continuous Service Little changes to lose weight Weight control is all about making small changes that you can live with forever. As you incorporate these minor adjustments into your lifestyle, you'll begin to see how they can add up to big calorie savings and weight loss. Here are my top 10 habits to help you turn your dream of weight loss into a reality: 1. Evaluate your eating habits. Are you eating late at night, nibbling while cooking, finishing the kids' meals? Take a look around, and it will be easy to identify a few behaviors you can change that will add up to big calorie savings. Across from the New Carroll County Government Complex 2. If you fail to plan, plan to fail. You need a strategy for your meals and snacks. Pack healthful snacks for the times of day that you know you are typically hungry and can easily stray from your eating plan. 3. Always shop with a full belly. It's a recipe for disaster to go into the grocery store when you are hungry. Shop from a prepared list so impulse buying is kept to a minimum. Eating right starts with stocking healthy food in your pantry and refrigerator. Nuckoll’s Drug Welcomes Justin Jackson To Our Pharmacy Staff 4. Eat regular meals. Figure out the frequency of your meals that works best in your life and stick to it. Regular meals help prevent bingeing. 5. Eat your food sitting down at a table, and from a plate. Food eaten out of packages and while standing is forgettable. You can wind up eating lots more than if you sit down and consciously enjoy your meals. 6. Serve food onto individual plates, and leave the extras back at the stove. Bowls of food on the table beg to be eaten, and it takes incredible will power not to dig in for seconds. Remember, it takes about 20 minutes for your mind to get the signal from your belly that you are full. 7. Eat slowly, chew every bite, and savor the taste of the food. Try resting your fork between bites and drinking plenty of water with your meals. 8. Don't eat after dinner. This is where lots of folks pack on the extra pounds. If you are hungry, try satisfying your urge with a non-caloric beverage or a piece of hard candy. Brushing your teeth after dinner helps reduce the temptation to eat again. 9. If you snack during the day, treat the snack like a mini-meal. The most nutritious snacks contain complex carbohydrates and a small amount of protein and fat. Left to Right: Wanda Vaughan, Don Primm, Angelique Phipps, Crystal Pruitt and Keith Walke Tired of long lines, prescriptions that aren’t ready when promised? Service that ends at the cash register? Tired of feeling you are just another sale? Come see why Nuckoll’s Drug was voted the # 1 Pharmacy by our customers. Don’t you derserve to be treated better? Let us show you why we have been in business since 1896? 100 Carroll Street • Hillsville, VA 24343 276-728-2731 10. Start your day with breakfast. It is the most important meal of the day. After a long night's rest, your body needs the fuel to get your metabolism going and give you energy for the rest of the day. Know Your Pharmacist Know Your Medicine * Support your community * Insurance copays are the same everywhere. Go where you are cared about.
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