1. health and fitness
2. disease
3. cancer

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Clyde 0 . South"",U, M.D., FCCP
Board Certified in I"ulmonoty,
SIo.p" Criti<aI ear. Medici""
Tennessee Comprehensive
Lung & Sleep Center
Welcome 10 Our Practice!
f::rlcT, Vim, M.D.
Boon! Cerli!ied in I'uJ...,...". Medicine
Uniquely qualified to help you breathe eMier and sleep better.
Thousands in Middle Tennessee experience difficulty
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Are you one of them?
CALL 615-822-2214
102 Wessington Place, Hendc£5ORville, TN 37075
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www . tnhe althandwe llness.com
June 2014
6 Prostate Health Update
18 5 Brain Boosters
7 Nashv ille Boat Club
20
Don't Buy A Boat"' Join The Club!
Middle Tennessee Health & Wellnes$ Magazine
is excited t o announce their partn ership w ith
TalkApolis, a social med ia TN Network!
ADHD Symptoms are Not
on Summer BIaak
We'd lit. to Invite your healthy business or medlul practice
8 When Is Test ing Right for
YourCtlild?
to be I part ot the wNashvllle Health and Wallnen Show"1
2 1 Make Sense of Yoo.
Short-Term Therapy
9 Summer Fun in the Sun
and Safety
22 Guidelines for Cancer SuNivors
This is a stlort , interview-based show that is pushed to over
300 ,000 Middle Tennesseans In their FB and
Twitter news streams,
Call 615-714-305t for more details!
Be sure to like us on ( ) to receive fanbstic local health articles
and to view the " Nashville Health & Wellness Show"!
1a Keep Pets Sale in the Heat
24 Hospic<lVolunteering
12 Hip Pain
26 Understanding More About
13 ToxOc Stress: A Child's
28 Pain With Lifting Your Shoulder
Sexual Addiction
Invisible Fight
29 OangefS of Gastroesophageal
14 Blepharoplasty
ReHux
yOU" Eyes - Your Paradise
15 Oients Get Amazing Resu~s
30
June Running Events
31
$prilual Wellness
with Zerona Treatment
What Makes a Great Father?
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6
June 201.; . M,ddle Tennessee
Prostate Health Update
By Raoul S. Concepcion, M.D., F.A.C.S.
Director of Advanced Therapeutics, Urology Associates
Throughout their lifetime, some men may experience issues
directly related to the prostate gland, necessitating a visit to
their local urologist or primary care physician. What is the
function of the prostate and what are the symptoms that
men should be aware ofto maintain proper health?
I
n essence, the prostate ;s an accessory sex
gland. It is a walnu(sizcQrgan lhat silS below
the urinary bladder, in front of the rectum and
surrounds the urethra. lis prime function is 10
supply the majority of the fluid for the male
ejaculation and aid in the transportation of spero
matozoo, There are 3 vcry CQrnrnon maladies that
"ith prostaIC caoo:r 00 NOT HAVE SYMPTOMS.
Early detC<.:tion of the disease can be easily
accomplished with a digital rectal exam (DRE)
and a simple blood test, prostate specific antigen
(PSA). Despile Ibe United Stales Preventive
Serviccs Task Force (USPSTF) recommendation in 2012 nOt to have PSA's chec ked routinely. it is has been proven that judicious uSC of
Ihe test. especially tho!;C at higher risk. does
result in an increased survival for men with
prostate cancer caught early. As a SPI"'iahy. the
urology community recommends discussing the
benefi ts of annual PSA testing and DRE with
your physician staning al age 50 and possibly
earlier in those men with an increased risk
profile. Fonunalely. early diagnosed prostale
CanCer is very treatable and. in select cases ,
active sU"'cillance may be aU that is required .
For funher questions. pleasc eomact your
primary care physician or loeal urologist.
all men, and their loved ones. should be aware.
Prostatitis
Prostatitis. or inflammation of the prostate gland,
is more oflen diagnosed in the younger male
population. It il often Categori~ed a>; chronic or
acute. bacterial or non,baCterial. There are a
myriad of symptoms thaI men may experience:
W>\:ontrolled or continuoul urge to urinate,
pelvic or reclal discomfon. burning while urinalion. pain in the lower abdomen, groin or
scrotum, fevCT, blood in the ejaculation
(hematospermia) and difficulty urinating to
name a few. It can often times be brought on by
exccssive amounts of caffeine, stress and over
Ihe counter decongestants. It is nOI thought 10 be
sexually transmitted and treatment is aimed at
reducing the offending agents, antibiotics when
indicated. anti-inflammatory agents such a>; ibuprofen and warm tub baths.
8enlgn prost,Uk hyp*rplasi .. (8PHI
Benign prostalic hyperplasia (BPH) or enlargement of the prostate is probably the most
common entity that will amict many men . For
Ihe most pan, BPH is a function of aging and will
occur in most men, although the rate is variable.
The most common symptoms thaI men will
cxperience are difficulty or straining to urinatc ,
reduction in the foree oftheir urinary Slrcam, the
fecling of incomplCie emptying of their bladder,
getting up at night to go to the bathroom. blood in
the urine. incontinence of urine and. in seven:
Raoul Concepcion
M.D., F.A.C.S
•
cases, a complete inability to urinate, requiring a
Irip to the emergency room. In past years. treat_
ment was always surgical. Over the past 3
decades. however, medical therapy is the recOmmended first line of choice. There are 2 basic
classes of drugs Ihat may be beneficial. one that
relaxes the proSlate and the other that will physically shrink the prostate. Approximately 70% of
men will initially respond to institution of
medical therapy. Howcver. SOme may still require
surgical intervention and many advances have
been made in thai area and often times can be
performed as an outpatient.
Prostlte tanter
Prostate cancer is the most common solid twoor in
men over the age of SO. There wi)! be approximately
240.000 ncw cases diagnosed this year. It is also the
second leading cause of cancer specifIC death behind
carcinoma of the lung. Men who are at an increased
two-fold risk of developing prostate cancc-r arc those
with a family history on their father's side and
African American men. Unfo" unately. most men
"f""<~~"u..-.I99(J
(:/..-rlor« "' ...... "If' "
Gro"'ing up ill Marion. OH. Dr. ConC<!pcian
has bee" IJround Ur%g)' hi.! enli~ life. as hi.!
fother was the fim Urology resldenl at tne
Lahey Clinic in Boston. Ife ...., an flonars
Scholar at The Uni,,,,rsiry of Toledo and
rt'Cel,,,,d his medl~a/ degree from The Medica/
College a/Ohio. In /984. he mulriculmcd 10
YlJlwerbiit Unl,,,,rsiry ...here he camp/Cled 2
yeurs afGenerol S~'l:ery Iraining ~nd 4 years
of Urology residency. During Inattlme/rame.
I,e was a reseorch/ellow and sen'<'li as Chief
Residenl In 1990.
Dr. Concepcion i.! the/ather a/two teenagers.
Nicholas ami habel. and the proud dog-O"'ner
ofJoja - a Jack Russell Tcm·er. lie Is on a"ld
l'Xerci.!e buff, and enjoys playing goI/ and
SnoW skiing,
Specialties;
Uro/agic oncology
Lo"'eT reconstructl'''' UrO/Og)'
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.\nheal\handwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Middle Tennessee - June 2:014
~
7
Nashville Boat Club
Don't Buy A Boat® Join The Club!
T
he Nashville Boal Club is a privale,
members-only Boaling O ;>unlry Club"'.
For nearly 1(3 Ihe COSI of owning a single
boal. you can enjoy a flee! of neW upscale boals.
These meliculously maintained boals arc for Ihe
EXCLUS[VE use of our members. Members have
UNUMITED use of Ihe boalS; PLUS We provide
complimenlary wakeboards, skis. kneeboards,
lUbes. and more for you and your family 10 enjoy!
More Convenient Than Owning!
Enjoy a variely of boalS al a number of locations.
withoutlhe hassle of ownership! We lake care of all
maimenance and upkeep. and you gel unlimiled
boat usage and guaranteed reservalions plus com_
plimentary use of Ihe dub's waler 10Ys. Following
are JUSt a few of the boals we have 10 otTer:
Fishing Boats
2013 Chaparral H2O 19 Ski & Fish: We've ail
Pontoon Boats
Harris Solslice 250 Ponloon: This brand new
Solstice is up for anything you can dish out A
unique fence design and brilliant graphics
paekage shOwcase ils style. An extended Tear
deck otTers easy aCcess 10 Ihe water. and a 150hp
outboard engine powers every kind of waterspons acti{m . For lhose wanling 10 simply relax
Ihe day away, the Transformer LoungCTli COme
with an array ofadjus!menls for comfol1 as well
as eonvenicnt underseal storage drawers Ihat pull
OUI so you don '1 have 10 get up 10 remove your
slored items. [1 also fealures luxurious caplains
chairs in Ihe fronl Port Side along with a real
granile tOP coffee table.
seen Ihe vintage Ski Fish boats of yesteryear. Fasl
forward to 2013 and it's cryslal elear Ihat
Chaparral's new 19 Ski Fish is anything but your
Grandpa's boal wilh new graphics. Chaparral
innovalion is al ils besl in lhe 19 SF. The 2013
[120 19 Ski & Fish could easily win awards as a
firsl-rate fishing machine or a po ..... er packed
wakeboard lOw boat. Siorage spaec defies the
centerline length. So docs the ride quality.
Water Toys
The Nashville Doat Club provides a variety of
high qualily ..... aler toys from manUfaclurers such
as Liquid Foree, O'Brien, Hydroslide, Body
Glove. Sevylor. HO, Connelly. and more Our
seleclion is always changing based on inpul and
requests from Our members and currenlly
includes the following:
• Wakcboards (Adull & Junior)
• Surfboards
• Wake Skale-Like skateboarding on the waler!
• Combo Skis (Adult & Junior) plus Compelition Slalom Ski and Trainer Skis for all ages.
- Kneeboards
Wakeboard Boats
Moomba LSV has been designed 10 offer even
more incredible wake performance, a deep wake
surf intcrior. fiberglass floor with snap-out carpel
and a new graphic exterior design. At 21 feel 6
inches, Ihe LSV is literally the perfe<;t size, Big
enough to fil all your friends and hdp them excel in
Iheir favorite wake spons. bUl small enough 10
handle wilh ease. This Moomba is loaded with the
wake riding lools you need so take a minule on Ihe
new looled-in lransom seal 10 prepare for your next
personal best,
• Tubes in a variety of sizes and shapes for all
ages including single and double riders,
and more.
Ski Boats
Compare The Costs and Savings!
Joining Ihe dub COSIS much less than buying a boat.
Club dues stan at JUSt $223 per month for unlimiled
boat usage and ONE-TIME membership fees stan
at $1395. The only olher COSI is replacing Ihe fuel
that is used during your ouling. Donar for dollar.
boat clubs an: simply a better deal----and a much
more IrOUble-frce way 10 cnjoy the Water.
Ebblide 220 Dcckboal: This 22-footcr has the
space ofa pontoon boat. amcnities galore and Ihe
power 10 pull skiers and wakeboardcrs. Seating
Your Choke of Lot:atlons!
Call the Nashville Boat Club at
for 12. a changing room, pressurized fresh waler
Now with three localions in lhe Nashville area and
61 5-232-91 00 to schedule a club lour todayJ
syslem.
sink.
hand-held
sho
....
·ers
and
more.
This
II's the perfect father's day gJftlll
OIhers nationwide. members can boat on Percy
is a deckboal lhal caters 10 the skiers and wakePriest, Old Hickory, or Ccnter Hill lakes, plus other
www.nashvilleboatclub..net
boarders with amenities and power
lakes nationwide.
________________________
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www.lnhe~lth~ndwe l lness.com
8
June 2014 - Middle Tennessee
WHEN IS TESTING RIGHT
FOR YOUR CHILD?
By Allison Bender, PhD, Clinic Oirector,
The Diagnostic Center al Currey Ingram Academy
I
s your child struggling in school and not
making expected progress? Is he having
trouble completing work accurately and on
time' Is she exhibiting anxiety {)1" school refusal?
Is he disrupting the class Or getting in trouble'! Is
4. Ellalualion of aa.demicfunctioning 10 I11CasW'C
Ihe educational skills a child has learned so far.
This will includc assessment of different aspects
of reading. math and wriling.
she having difficuhy relating \0 peers? Is he having
5. Investigation of sucial-em IJtilmal and
trouble sustaining attention?
""hOlwral funco'oning 10 undcnIand !he whole
child and how these characteristics affoct a child and
If you answered yes 10 any oflhese questions Or
if other aspects of your child's school success or
behavior concern you. a psychoeducalional
evaluation may be a positive step IOWan:! identifying
SCTVicCl; and s\Tatcgies that can help your child
sue<:eed in school and olher imjX>rtanl1ife activities.
interacl with cognitive and academic functioning.
6. A "'rillen reparl that details results and
interpretalions of scores and provides horneand school-based recommendations. The
recommendations may include referrals to other
specialists. such as a speech-language pathologisl
Or occupational Iherapist.
A psychoeducalional evaluation consists of an
Other limes, parenls or teachers may note some
"red nags"' buI not yet be sure if these issues
could be resolved with extra anention and effon.
In cases such as Ihese. parenlS may have concerns
ahoul Iheir child being "labeled." being pressured
to pUI their child on medicati.m, or dealing with
the Sligma associated with par1icular diagnoses.
When making this decision, it is often helpful to
consider that learning and other disorders do not
usually appear suddenly or affect a child in jusl
one class or environment. These difficulties can
often be !r.n:d back $Cvera!~. Wlx:n irncrvmti!.n;
to address thescconcerns have been implemented
without sufficient success. this can help with
making Ihe dc<:ision.
Que5tion5 to A5k
The good news is that if done well, a psychoeduca!iooal evaluation can't hurt. When choosing
a private practitioner. questions parents may want
10 posc include:
I. Wllo will be doing Ihe IC$ting?
individually administered ballcry of tests Ihal Ilelps
identify personal strengths and weaknesses in !he areas
of cognilion, learning style, and social-<:mOlional
funclioning; de!cnnioc diagnoses (when approprialc
and nccessary); and guide effcclive intervenlion.
7. A faee-Io-face /eedbacA session during which
Key Componenu
The decision to pursue a psyeho-cdueational
evaluation can be a diffieuh one and may
invoke SOme combinalion of relief and fear for
parents. When there arc clear indications of a
child's slruggles. the decision to pursue a
psychoeducational evaluation can be an easy
one. Under these cireumstances. parents may
feci a SenSe of rciief that Ihcy will soon be
gelling anSwerS to Iheir queslions ahoul Iheir
child's difficulties.
resuhs and recommendalions are provided 10
parcms and parents ltave the opponunity to ask
queslions.
PsychoOOucatiOttal evaluations may be completed
by clinical, school. and neurO psychologists.
Some practitioners use psychological associates
10 adminislCT thc lests andlor wrile rcpons. so be
sure 10 determine who wiU be doing the evalualion.
The DeciSion
A comprehensive p:rychoeducationol evaluation will
usually consisl of Ihe follo ...ing componenlS.
l. Galhering of backgroand informalion Ihrough
intcrvicv.'S "ilh partTrtS, !CaChers, and others involved
in tile child's life and a review of school and other
releyam records. This is critical for inlerpreting test
infonnation wilhin Ihe COntexl of a child's life.
2. Assessment of rogniti.'f! (1lI1e1lectual)junctioning
10 obIain infom;alion about an individual's potential
for learning, problem-solving skills, and information
processing stylc.
J. Will the nalulltio n enco mpll ss IlII the
comp,,,,enls lisled abo.'f!?
J. U711 you observe Illy child in Ihe school
en"ironm~nt if necessllry ?
4. 1I0w long "'iIIlh~ eWl/ualiun tllke?
Comprehensive t(S;ng usually tal.:cs a minimum of
four hours for young chiltln::n ;wi may take as many
as 10 hours for older chiltln::n or in <.:WJPlcx cases.
5. What lests "'iII be adnrini5lued?
If Ihis queslion can be answered before the
psychologisl has informal ion about your child,
they are unlikely to personalize the test bauery.
6. 1I0w long ,,·iII it take 10 gel the results?
3. Administration of addilional f1I"'JU5Sing measurr.;
10 supplemenl cognitive l(Sing and better understand an
7. Are , "ou a,wi/aMe fa' Ildditional consultation
after the feedluJ ck session if "ecess" ,)'?
individual's possession of underlying skills that
Whcn complcted as a collaborative efron
support academic success. D ifferent areas of
belween a psychologist. parents, leachers, and
processing, such as auditory skills, visual skills,
other individuals involved in a child's life, a
visual-molor inlegralion. memory. cx«utiv"
psychocducational evaluation can provide
functioning. phonological processing, and speed of
valuable infonnalion about slrenglhs and
weaknesses and help with the development of
informalion processing may be adminislered 10
plans 10 foster success and fulfillmenl of potential.
pinpoinl areas of strenglh and wcakncss.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.tnhealthilndwe ltness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9
Middle Tennessee· June 2014
SUMMER FUN IN THE SUN AND SAFETY
N
Ow that the sun sets later in the day and children get to playoutside
longer, il'S time to get out the sunscreen and bug spray to protect
your child. Sunscreen IS essen1talto reduce your chlld's risk of
sunburn and skin cancer. Try to apply the sunscrc<:n 15-30 minutes before
they go out to play. and reapply every 2 hours. Even if your sunscreen says it
is waterproof. il needs to be reapplied after swimming.
Choosing II SUnstTftn
When choosing a sunscreen. look for a "broad spectrum" SunSCreen si nce it
will protect against both ultraviolet A (UVA) and ultraviolet (UVB) sunrays.
Sunscrc<:ns with SPF (Sun-Prolective Faclor) of 30 block 97% of the UVB
radiation and are great for long days of outdoor play. For infants under 6
months whom sunscrc<:n isn't rc<:ommendcd, keeping them in the shade and
covered is Ihe general rule. If the ~un can 'I be avoided, small amounts of sunSCreen Can be applied to the face Or back of hands ifneccssary. Whatever you
do wben OUI in the sun, don't forget the sunglasses to protect your ,hild's eyes
from the damaging effects of the sunlight.
Protection from Ticks
Wilh the wanner weather. bugs begin 10 crawl about. Ticks become a problem
when walking in tall grasses Or wooded areaS. Long pants and shirts, in combination with insect spray. can reduce tick at1achmenl. Insect sprays with 20%
DEET applied to the skin has been ~hown to prevenl tick al1achment.
Spraying your children's clothes also acts as a repellent. Once indoors from
play, remove your child's clothes and check himlher carefully for ticks - especially in the groin, wai~l, armpil, and hairline. Tkks generally need 48-72
hours to transmit disease. Removal before thaI time reduces your child's risk.
If you find a tick anached on your child. grab it with a pair of clean tweezers
as closc to the body as possible and pull upward with steady pressure. With
luck, the tick will discngage but sometimes the tick breaks off and you are left
holding pieces! Don't dig out the pieces since they will di~solve eventually.
No need to worry ifover thc next 1-2 weeks a small read itchy bump develops
over the site of the bite. That is triggered by tbe tick's saliva and may remain
for a week. Call your pediatrician if your child develops fevcr, headache or a
rash 1-3 weeks after a tick bite since these can all be signs of a serious tick
borne illness
Topical hydrocortisone along with some oral diphenhydramine can hclp dramatically. Be sure to check with your pediatrician for your child's COTTCCt
dose. As the season progresses, the degree of reaction to Ihe bites should
"calm" down. If the bite becomes angry looking. vcry painful or pus-filled,
call your pediatrician righl away.
With proper protection, the summer can be lots of fun. Just malr.e sure to
protect your child's skin with sunscreen and bug spray whenever they are
outside playing.
To learn more, please call Pediatric AssociatC"S of Franklin at 615-790-3200
or visit our websile at ""-'"W.PediatricsofFranklin.com.
Protection from Mosquitos
Mosquitos are atlQther warm weather pest. Eliminate standing water on your
property to decrease breeding areas. If your child will be out playing in the
early morning Or at dusk, makc sure you spray them with insect repellent.
DEET is the standard insect repellent to which all others arc compared with
concentration~ between 10-75%. Newer agents such as Picardin appear to be
as effective as 20"/" DEET but have a shorter duration of action. Studies show
thaI all are safe to usc in children down 10 age 2 months . Beware of combina_
lion sunscreen/insect repellent products since reapplication required to
mainlain sunscreen protection may result in excessive DEET exposure.
If your child gels binen by a mosquilo, they may develop a red, ~wollen,
itchy bump. If your child is young and hasn't been biuen before, the
Our Boord Certified physicians;
\.(011 8<Ooh, M.D.• JoI1n W. (h.!m~ k, M.D.
lhomlS Himl (an, M.D. '
Ph~is lowrtSOOd.
M.D.
Idhl()n (~, MO ' Molly flood, M.D.
I.IltfI fIojOOd)', M.D.• !.tanna O\J9.In, CP.H.P.
Itnnifrl Stubbl~. CP.M.P.
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615..790.3200
570 Boker's Bridge Ave . • Frank li n
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www.tnhealthandwe
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10
•
June Z01 4 - Middle T enneuee
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1"" .h. de and tarps .'" W..I Dcc.ul< Ihoy don',
obs,l\IC' 01, Aow. A doghou~ doe! not p.""ide ",lief
f",m hea,_ in f>c<. i, moka it wo"..
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WhIp up. bo",h nf quidt and ...., DIY pcantI, bu" ..
p<lp'klts lOr dnp. You an .... ]I<2IIU' bu"" or
."",he. f.vori", food. And alwaY' p"",ide
wh .. her your f"'" on: in,ide Of nu, wi,h you. Keep
yo ... pet f.om """,h..,ing Indoo •• o. ou, with.
coullng body w"'p. ""'•• ". mo, (ouch u , h. Keep
Cool M ..). So.a.k these prod..e" in cool ....'er. and
,hey'll "", cool (bu, usually dry) for up ,hru days.
If you. dog dno:sn', find bod" Mr<$ll"ul. .... If belthe
...,joys. cooI,"& ....1<.
Wll,...
.0
7. Watc.h for .11'" ofha..,,,,k.e.
r.., .."",
T
htK .~ daY' when fO/ttC <lop . ppred.« •
both-a cool ......
Is. 1he SlImmel
mond.. can b.: uncom(o,,~ble---tven d ... _
,Iu,
gnow-for pcb and poopIt. h', d,lI>tuh ~
limply ' 0 cop< wi,h rising 'nnpn>l ...... In .Ione: , hkk
humidi,y. h ... 'hings I<2Ily gn 'ouy, in "'00 th..t an:
hit with ,h. double blow of !nlcn~ h... , . nd ""'m'
ca .. oed 1"""" ""'''!P. >om..,i",,, wj,h ''''siC' .es..It•.
IX'. can
holp you 1=1' you. pcb .. f" and cool thi<
you.
r.mily ouy healdt)' and comfortable when ,he hea, Is
on (and 0¥nI if W 1'O"'ft Isn·t).
... m""". Follow ou, "pS lOr helping neryone in
nps lor hsk Summer Sotlllty:
I. Neve. kav" you. pnt In _ p".ked a u.
NO! rven fo." minu,•. NO! nen ... i,h ,he ca •• unning
2. W.,c.h dt. bumidil)',
" II', ImJlClfWl' ' " mncrnbtt w, i,', "'" j .... the
...,bien. 'emp""...,," bu. oho the humidil)l ..... an
all"«l )"OU. pot: "Y' Dr. 8,,,,y Kdlog. VMD, of the
HOI ........ Socirty Vneri .... ry Medial Associa,ion:
""'1"'''''''
Anlm:w PIn, '"
mol" .. ", from ,heir lung>,
",hich ,.k.. h.., aw. y from ,h.i. body. If ,he humidil)l
i. 100 high. th.,. an: un. bl. '" root ,herruclvn.• nd
,heir I.mpe ..... '" will.kyrockn '" d"nl"''''''levdovery quickly: ',>kjng a <10&', tempe""u", will quickly
,.11 J'IIIII' ,here Is • .mow p<obIcm Drop' '<mpcr:a_
,ura dIould "'" b.: allowod 10 F' O'tef 104 depea.1f
you. dos', «mpcr:a,ure dneo. .... Iow ,he inmUCIinns
lOr ,«.dng hea, .."'k.e.
hau,,,,"".
tempe'"'u,,, can a u""
Some
.ign. or h.. ",,,,k. . .. hnry ... ndng.
.Y"", a
"'pid he."be>,. difficull)l b ...,hing. rxceIo/.i ... 'hi ....
1cI.....SY. f........ dUzin .... 1ack or coordin.o,ion. proline
sali""tlon. """,i. in" • deq> red or purple ,onsue,
oduo",. Ind ~ Anlm:ols an II pan .... 1M risk kw .........,k.: if obey:an: ...., old, vtry young.
...."' ..gh,. "'" condi,ioncd .0 proInnsod ancisc, Of
...."" hns, or rapi""ot)' dileOK", Some breeds of
boxc ... pug>. ,bih ....... nd ",h•• dogs
.nd a" wi,h.ho" muzzles-will h. ... " much h.rd••
,I",. b••• thlng in exUem. h..,. To "e~' "pe' ... ff..·
Ing f.om h",,,,,,okc, """'" you. pel InlO ,he ,Ndc 0.
... II.-condi,iontd ...... Apply ice p>C1a or cold
wu.N
dop-I,""
,......no ' 0
IwJher h<ad. ned. .nd ehest IN IlIn cool
'a ..... himlher. t... himlher drink
of cool ........ or Ikk ice cubeo. Take
("'" cold) .....
.moIl
""""""IS
hlmlhe. dn-.aly '0 ...... erin>rian.
3, Umlt ""e.d .. on boo dl)'l.
8, Pn:p.~ fo, power ou"g".
• nd . Ir condition., On . On • w.,n, d.y. ,.mpn>tura
T.k" a •• when ."".ciung you, pot. Adlu" in .. n.i,y
Bcfo", • IUmrne. ""'m likes out ,he ~. In you •
Ind
du""ion
of
.,..,doe
in
o«<>rdancr
wi,h
,he
,.m_
irukk 0 ... hicle an . ise "I'idly '0 d. nl"""" Jc...-d .. On
I>ome. ern,. " d .... ,.. pUn k.rp you. peIS ..k from
... 8) .J.g.r"" .by. for cnmpk. the , ......... , .... , ...ide.
.....'u~. 0.. vtry ho, .bys. I,mi, .,..,6« .0 early
heat.
:and O<htr ,empnatu","..wcd ,rouble,
a. ",idt ,he windows opened tlighdy an read! IOl
mornIng or ...... ing ho..... :and br ap<"CWly coref"ul
~ wilhin 10 minuto. Aft .. .!oO ""nut<S. ,he
wi,h I'<" wflh wbi.c-c:nInm:I ear$, who 1« ~ ......
..... 'u'" ...til .ad! 120 dqn:eo. y"", pot may ... ffer
ceptible '" wn cancer. and .hort..-..d pcu. whn rypi.
i •..,.....ible organ dam.g< 0. die. If""' ...........nul
cally ....... difficull)l h<n..hi"l' Aoplul' gn> Y<f)' hot
in di"","" in I P',ked a •• OOn '>O .1>< tin"'" ...im>l
.nd con bu,n)"OU. f""', p"ws. JII walk YOU' dogon the
.h.I, •• 0. politt. Sp.cad dt. wo.d .bou, ,he d.nS"" of
K':W If I"""lblr. AI ..... ys a.f)' .....,'" ... ilh you '" k.cp
1...lng pe" In ho, a .. by .. Iklng 10 Ihem . nd by
you, dog from d.h,,, ... ing.
pdn. lng 0'" OUr H", Ga. Are. {PDF}. J>O"ing i. in
publ ic plxes • • nd sha.ing it Wllh "",. fr;'nds. family.
~ , {)oft',.dy""'&",
.nd wwn ....... I, migh. help con';ncc JOme prople if
Pm rnpond dlffercndy ro hea, dun humaN do. Dogs.
r<'" poin' OUt
"'ving. pot In • cor Is an in';, •• ion
lOr lruallct, lWeI' prinwily ,hroup ,heir ka, And
'0
the cor, the 1'<'. or boot.--c.pn:ia1ly if the
ro... don', cool off pcb "" df«tMl, .. ,hey do p<'OJ'i<.
WIndows an cnclocd.
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Middle T,nnISS"
13
T:le ):: or r elati.on
TGX~C
o etween ed~cati.on.
pove r ty. and
mental n ealt n
STRESS:
A CH~LD'S
l,s lloden\aole .
dlIld's ability to concenttMe ~ ~ernna their anenvon span.
chronk WHS also Im~1n their ability to inU!t«t sociaolly.JOd
make good Judgf'rMrltS In social srtUltJOnS.lt 1s.1$O ~nktd to (M!f
half of
5ChooI ~H MId incteaws /Ifl ~ dlild's
6kelihood to SUffff from Ikpression. Erk,lensen Wfitn, "Res.!'arm
shows t~ ~rty Is ;lI ITl;!ljor pndlClor of t~e depnssiofLPoverty Is ;lI condition !Nt cominuously tolls on ;lI mild ;lind ;lIffect"i
their merul he;lll\h f;llr Into the IUlure. Chronic suess increases
;lI perso«s tj~eI!hood to e~peroence problems wnh sleeping.
lhe digestIVe system. c;lIrdioYHCul;llr disease. hypertension,;lI
we;llkened Immune s)'Stem. skin dlse/lw. body pain. di;llbeles.
and infertility. And;ll$ supported by Ihe,lOurn;llt of Applied Social
~y<holo8Y. 'Indlvidu;llis with IoweI' IncorM. ;lind thow WIth less
education reported more Slrtu.· So, 1'101 only dotS ~rty ofte n
beget;lln impairment In le/lrnmg. but both breed poor health.
which In turn only eucerbatn the condition of low Income
families.
iI.
~NV~$~i1E.
F
~
corn!l.1lion between f'dlKiltlon, poverty and mental
health Is und~nlable. In Tennessee, as In ~.Ieen other
Stilte5. half of public school students fall below the poverty
line. In fact. one In three TenrIHsee children ilre dependent on
food st.Jmps. while oni! In three children In Davidson County live
In poverty. Unfortunately th is number Is on the rise. In 2(110,
Tennessef! saw II 7.8'" Increue In the n"mber of its children living
In poverty. This Is not a problem that preys on children filr away
T
Jun, 201"
In New York City. but one thill lives rlllht here beneilth Nashvillian
noses.
According to studies featured In Teaching With Poverty In Mind.
by Eric Jensen. 20'lI0 of Impoverished children are under up to
four different sources of df\lasUltl"l duress. compared to the
5.. of their more affluent countffparts. The Stress to whic.h
im~rlshed children are subjected heiNIly hlndefS their ability to
succeed In Ie;llrnlng environments by dually Impa<\lng lhell' ability
to learn. sociaUze, ilnd behave _N. Childre-n deal,", With 1M ~md
of SlttsS are much more II~ely to be mlsla~ as mISCreants,
while lhetr.actlons Stem from mort dHpIy·rooted stressors at
home. StudltS show lhilt Im~ children 'rom twO to
four ye;lll'S old are 'lJl'ess.ove WIth their peers
more often
and ~ In chlldeare 2~ more often tNn chiklren from
families of "chef" ;tnd more stable Incomes.
'"*
In addition to ImPKtinl' child's ,bitlty to behave. the chronic
stress reslllu"l 'rom the poverty dirtclly afftctS a chlld's ability
10 learn. According to , 5t¥lford Un~1ty publicalion called
Stressl", Out the Poor. •... a RiItIOI\iII Study of tlementary scl'lool
children sh0W5lhat children Itlthe poorest qu,lfter of American
houwholds begin kln6erprten nearly 10 ptf'cent behind thell'
middle-income ilnd illflueni c!.lsSmatH In milth ...Slx years Laler.
as they are about to enter mkldle school, the poorest qUilrter of
American children hiI~e fillitn f\len further behind. With the gap
between themselves and thelf most affluent classmates nearly
doubling:
Although S()(16 ofTenneswan publiC students 1/111below the
poverty line. the eflects of poverty and chronic stress In education
Is a real concern for I~ of Tennesseans. It Is no coincidence that
this slatiStic was once closely related to lhot high school dropout
rate 01 TennfSSH, which was ~ In 2004;l1nd has r!wn to 75%
In 2014. Al:cordina to Gary E\I;lIns, /In ;!I\Ilhortty on the childhood
effects of ~rty. ~ livt with such StffSSOfS;lIS pollution.
ooise. crowding. poor hous!f1&. tn..ciequate school buildings.
schools aod neighborhoods with hI&h IUfn_r. f;llmily conflict,
l;lIml/y separatlon.;!IO(I upowre 10 YIOIfl'Kt and crime. These
condlllOl\S can produce tOXJC stress capable of damaging afeas of
the bl"a!ll asSO([email protected];llndlanguagethat
lorm the fourw;l;!itlon for acadtmIt: success: Thew strtssors I'lOl
only conuibutt to dtSrUpwt ,nd '88rtsStW behaw:w in school
and htnders a child's cognttM! .blliuts, but could also negauvely
imp«t their health for the remaindef of their life. The trifecta of
poYffIy. htaIth.. '"" tduatlon Is one that Is cnpplin& both future
TtnntSW;lIn a:lults ,nd ,rowln& Tenneswan children.
No t only does chronic St ress and poverty Impact a chlld's future
and ability to learn. but also Ihelr health. According to Olher
studies recorded In Teaching With Poverty In Mind. the chronic
stress from which one In three children Is likely 10 suffer reduces
memory. crtalMty, mot Nation. effort. determination. and the
brilln'S ilbll,ty to produce new cells (neur08enesis). Hindering a
_ _ _ _ _ _ _ __ _ _ __ _ _ _ _ _ _ .. w ...
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tnhul t h ~ nd w ellnen.com
14
June 2014 - Middle Tennessee
BLEPHAROPLASTY
Your Eyes-Your Paradise
By Char1es f. Fatseas, M.O.
Y
Our cy<$ arc ,he fin •• hing people no,ie •
• bou! )'tIu. They .re the most ",,,,,,bbl.
~
and dyn.mica= of the human face. Our
<how • ""'t .rr.ly of emotion. \VIIen o.hcn look
., you. do they "'"
cy<$
th., look puffy and ,i=! or
..dn .... OJld lacking vigo.! Is ,h.re ,h. 'I",kle of
.",n';on and ;hle .....? As we .ge. ,h. tOne .nd ,h.pe
of our eyelids con loo .. n and $:Ig; .,,,,,,ing the
.ppnnna of r.!igue and making u, appear much
old~r
d.... n we :lCtuany arc. Bleph:>mpl...,. i.onen
the mOlt dram.tic .urgicol procedure on. can do 10
imp"",e 'igns of .ging.
A Simple Procedure
Fonunudy, rydid 'Urger)' (Blcpharopl..'Y) i> •
• implc prr:ocdurc ,hot ~ ....10'" ,hot )'Outhful
.ppa.rana to 0""" oycs. I\lcp .... ropI .. ty is on. of ,h.
old.., dcscrib..d
of 1M >ging faa, <iuing
bock 10 1000 A.D. Although then: h,,'C bc<:n many
CHARlES F. FATSEAS, M.D.
''''',"'.hlS
,h.
Clwks F. M.t.<OS, M.D. ;". 1981
graduate of Temple Univmity
School of M«iicinc:. Phil>ddphi.1 .
PA. Aha a y=- of gcncr.ol $Urgcry
'nining during his imem,hip. M
,h.
.... ria.i,m. of the pro«<iu.."
[,;,sic premise of
•u~ry is 10 rnno>Ve < = ,kin and fot of ,he eyelids
,hO! h... incrnscd over ,ime due '0 aging, ,hereby
ra,oring ,he: you,hful apl't"nnce of one', cya.
BI<pharopIM'yan be pertOlm«i on rhe upper lids.
I""",. lid< Or both twod on ach person. individu.o.l
needs. O,her probleflU of ,he: eyelid<, .uch M uym·
me"y and lid lag (p,os;,,), an ilia be eo.rec,td
during bkpharopl ...ty.
After
How It Works
lhis pl"<lol:cdu,", dO<:! not require gener.tl oodrhdia.
The p',i(nt is given a mild scdo,i,"" followed by an<$,h<"lle eye drops and local .nd,hdia to ,he eyelid
:mas.lh~qttlid:mas in n=l of .".mion art mark«i
with asp«ial marker while the p'tient is,"'* SO Dr.
Fa,seao an 'CCUrately visu.li .. eyelid function and
rh~ n .. ur.tl cretSt:< of ,h~ eyelid •. F.x.::c... ilin .nd r..
that may be prcsc:n, which will ""luire removal is
carerully measured.
r'Or the upper eyelid<. ""'<$I skin and f.u =: rtmo>.w
,hrough an incis"'n tha, i, hidden in ,he n.. ur.tl
eyelid <=<e. Mr 'M lower eyelid<. rhe fot can be
rtmoved and ,he skin tightened ,hrough an intern;>!
0. cxrem.1 incision ,h .. i, hidden ju" below ,he eyelMh<:<. If rh.", is
skin in !he \ov.'er lid" .mall
incision is mad. jus, below the lash<$. r... t an be
rtmoved 'hrough ,his inci,ion, .nd rhe
,kin
ilia rem.....M. 'lhe ind.ion i. rhen ~ wirh very
fine: $Uturd. On<:<o h<::iled. the><: lower eyelid incisions
=
=
moved '" 60lton to do hi. fe.i.
.nd Neck. F.ci.1 I'IM'ic .nd
Rc.::onmuctive ,urgcry. His prOS .... m included
'nlnins .. 6oSlon Un"'crsily - ,he Ii", prOSnm
in ,he coun,,)' '0 UK I..., .. lOr the " .. ,men, of
p.tients with comple. i.. ues, ,he M ....ochuK,,,
General Hospital, Tuf" Universit)' H"'pi ..1 .nd
Boston Childrtn', Hospital. Dr. Fat.., ... is also
Bo.ord C.nihcd in Emergency Medicine. He hM
Ovcr 25 year, of experience in medi.inc and eon·
,inud to exp.nd hi. im...", in bio-id.mical
hormone repl.cement ,h ..... py.:I.S "",II ...... te·of·
,h.· . rt, minim.lly inv.,ive eo,melle procedures.
H. enjo)", .pending ,ime wi,h hi. wik 2 grown
children, hi, dog l.ouie, .nd
i •• n .yid ,ki" and cyd;st.
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-
M,ddle Tennen..
15
Jun. 201 4
Clients Get Amazing Results
with
Zerona
Treatment
sr.on
By Or.
RoCh. Roth ......
& OWquctic:
cbtrc:rmcc ..1Ih !he
suppIa......ts. I ~ Ibota Zcrunt.. Apm.. !he
$l:Ift" " . Cl(imndy ImowkdWohk -.I prO\"ldo:d
IIlS1gbt fiom their pc:rSCXmI ~ ,,1uch '". . '"CfY
helpful. I ..... I link hc:siIa'Il inuially, due 10 my pasl
disappointments and the IXI5I of the proccduro-had
... 1\0;0- elIjICI"" ...ing a noticc:ahk:
;1 bo:<:n anyv.+.crc c:~. I ""OUid not ""'1' uio:d
Zeronl bul I decided 10 give it I shot.
... tlet!t Testimonliol
I"m pmt)' Ialthy and lell"" by lIIIure: hcw,a"er J
struggled w;lh I1uctuations til Weight and problem
Ire.
!hal meanl • lot in lerms of IeJr oonftdmc:c.
No mailer what I uicd, I could not act over the
hump LO "'ath my body imAJ:II' 80111. I had
sotllCwhal of I guinea pill approach wl!c:n il CalIX LO
",·eight loss: meaninll 1 would Iry juSI lboul
anythin. once--spec:ial dieU. juicina/cicanscs.
IICG crops. B 12 injections. VUlOUII cupfling·5I}'1e
body COI1lOt1nnalh", ¥i!:l I 111,1' lnaally uicd il
III. Willie: I IIO'IIIOmC raull5. I .... ulllttllicly left
with disappoin1ment and buyer ', rm1OnC: so I
decided "'- , "'"MII'I aoilll 10 fall lOr anyth'"l cbe.
~nly IAcr. I found Roth WcllnHI and hegan
KCIIII Dr. Sharon Roth for chiropnc~ic c.re.
lbc,r hoH'bo; and wc:lIncu o;cnlCftd approach,
alona Wllh • Jmo..·loiJcablc and fnmdty leam.
.... '"I:Iy ..·ckomi .... Dr. ROllI Mlieves lOachie>·c
• lInal health, you must bIalantt !deal num,ion
.,..lIh IqIIIIr body cktoJLlflQlKm; III Idea thai
mack ICft5C 10 me rillu I"-,y To ttart. sht: rccommendW a few !lUpplcmmll for spec,fIC derICien.
cia and 10JCicilia in my body. She upla.ned how
she ...., able ,0 idenlify .he lrell of nutri.ional
,,'Wncsl. and whatthc 5Upplcmenu ,,·ould do 10
00ITc:(I lhe imINolanc:cs. I could IC.'e 1hI~ Dr. Roth
and her team not only MIH:\"C In the roIICcplS and
produeu!hey reoommcnd. bul allO use them per.
SOIIIlIy. "J"hcy., ,,-as no $lies p'l(:h, or f~hlll of III
up 5CII, and !hat 1"1' me comfon.
The procc:durc: was super easy, and In just one
.."Cdc, I IOl amazing RSUI~..,.. _
than the
6-12 InChes ach-misc:d! I MIH:\"C the protedurc:
combined with the lICkii.ional deIo.tifltl'ion
methods offcrc:d by ROllI Wclino:ss (vihra,ion
.hcrlpy, ionic fOOlbaihs. and body wraps) Ire .... 1111
allowed me to finally ",ao;h my goals. I continued
10 ~ wcighLlinch loss for sc,·cra\ wceQ after the
procedure. and ha,·c mIIimaincd .he results wilhoul
any (iiUlppointmcrll or frustralion.
I would dclinitcly 1t...... ,tII .... 1CI ZmxIa; " .ho;thcr it's
10 act O\"CI" the hump "'- you ha'"CII'1 bo:<:n able 10
",th dlCl and oacisc: alonc-. or 10 kx:k SLaI1 •
hcalthlCf lit<:slyle. Do !he ~ in COI1Junction
with I dctoJo rtgimrn. and drink plcnry of Wiler, fur
the IxsI rc:su11S.
htlent Testimonliol
I rtl$l n:ad about Zcmna on the inImM:I and ""aI
"CfY C\IIlOUi IbouI the pnX>:durc: " I " .. Iook",&
for help
c:o;ua ,,"right and inchc:$ rn, pmed •
r"" pm older. After )-.:an of bana • SI1JC 6. I
roomd mywlf MnIJ&Iing "ilh .."rip pm. ~
tlltly around the middle. E,"ftI !hough I c:o;m:isc
rqullriy and walth my diet c"*ly, t had been
unable 10 "* the extra weight and .nches which
WIJ "CfY drprasing. I IoaIled ROllI WciLncss and
decKkd 10 gi'''' Zcrona • By since II ""aI nonin,'iS've, didn·1 mjIIire any do\o,1I IIn"It md the
~.;c;.."1 I hid n:ad ,,",,", c:x.tn:mcly poIoIlh..,. Dr.
ROIh P'O'·1ded compktc and detailed IDformouon
on the proct'SS. ,,"111110 c:x.pea dun ... and.fter the
treatmentS, and her Slatf "'"ere ~nely h<:lPNI
and KCommodaling. I wa$ veT)' f;OOlfonable wilh
1M prQ«duro: and am SO glad 1 made the dc<;l,ion '0
give il a try. Aller 9 rrcatments, r loti scvcml inches
my ~Iothcs fil 50 much beller and r no longer foci
dcpreucd aboot the way 1i00i< in my jc!ll1S.. J would
~!hit; 1TCa1men' 10 anyone expc,icno:inll
IHUeS or looking for help wi!h exua ",-eight
and ino:he:$.
'"Cry pleasanl c:x.pc,io.'I1C( and I
",iii
5.m.""
11_.
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leSS
Jun e 2014 . Middle Tennessee
Leading Hair Restoration
Clinic in Brentwood
By Michael Ramsey, MBAA-lCM, PAl Medical Clinic [);rector
H
air Iossaffcctsmillionsofnlcnand women
,.:orIdwidc but !here an:: moo:: hair trealmem and !'C$I0f8tion prtlC<:durc:s available
than evcr before. Whether a pcrson has carly onset
hair loss or rnorl: advanced hair loss. there arc new
options 10 help restore their hair and self CSlccrn.
Robotic Laser Therapy
WcGrowHair.com , PAl Medical now otTers
mOOTic assisted laser therapy to help men and
women suffering from hair loss . The robotic COmponent of the trealment periodically changes the
light spc<:lrom to more prttiscly Ircallhc areas of
thinning. Older, stal;c lasers didn"' have this benefit
and didn't cOvCr the areas of hair loss as well. By
robotically changing the distance o f the light to the
scalp. you effectively double the effectiveness of
the lasers.
Low Level Light Therapy (LLLD has been clinically proven to impro\'e hair cell repair and hair
cell metabolism. This action is called photobiostimulation. By improving the overall health of
the hair and scalp. patients notice more density and
better coverage of their thinning areas. Results arc
often noticed in as linle as 8 to 12 wecks.
Women with stressed. thinning hair. ,,·ho arc sometimes not good candidates for hair transplant
surgeI)', often find dramatic impl"Qvements in hair
quality, thickness and styleability. When wOmen
lose hair density, they have morc difficulty styling
their hair. This can be vcI)' frustmting and. in some
cases. cause clinical depression if left untreated.
PRP (Platelet Rich Plasma) Therapy
PRP therapy is a new fonn of regenerative
medicine that has been shown to help patients
wi th hair loss. The process utilizes the patient'.
own blood platelet rich plasma combined with
A-cel1s or the paticn!"s own stem cells to promote
hair growth .
The concentrated platelets in PRP contain tremendous amounts of bioactive proteins, which
include the growth factors POOF (platetet
derived growth factor) and VEGF (vascular
endothelial growth faclor). The growth factors.
when released, promote tissue repair, angiogenesis (capinal)' fonnation). collagen production.
and encourage nonnalization oflhe hair follicular
unit. Most imponantly. evidence suggests PRP
can reverse the miniaturization process of hair
follides (3 resuh of dihydrotestoslcronc. DHn.
when injected into the balding areas of the scalp.
________________________
www.tnheatth~ndwe l lness.com
PRP eonlains many growth factors that stimulate
the hair follicle·. growth and can be U$Cd pre-
operatively, intm-<J0PCT3tivcly. or posI-<J0PCT3tiveiy.
Mlc:ro-plgmentatlon
Looking to have yourhairrcstorcd but don·t Want
a hair transplant or hair piece? TI)' Micropigmentation. also known as ViJ1ual Hair. Originally developed by a Minneapolis clinic. this
innovative, non_surgical technique simulates the
look of shon hairs ofa closely shaved stalp.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
June 2014 - MIddle Tennessee
5 BRAIN BOOSTERS
By eMs Taleghani, M,D., M.B.A.
1
1'1 easi.". lIIan "'..". t(l Clke cln: (If your brain!
Incn:asing your intake (If t""'" $Ilbstanccs can
scrio:Jusly boc>5I your bnull ]XI"''C'!'.
CAFFEINE &THEAN INE:
THE DYNAMIC DUO
Whll i. it? C.ffeine is. IIIturall y CKcUrring chemical
"imulan1. Theanirn: is an amino Kid Iypically used
f{ll" I ~ .. in~ an;o:;e\y.
Whal due, it d(l? Theanirn: helps tnmmil nerve
Impulse. in the tnill and belps IIIluralty <;aIm and
f«us .be Inin. Clffeine is I stimlllani thai increases
llertness. When you combine these two cbc:mic&ls.
the ulming effects (If the Thcanme counteract the
stimulating effecls (If the uffeine, n:sulling in I
balanl:ed .Iert-yet·focu.ed bnin, This magic combinatiQn (If cbemieal! has been used n I OOn-pMnTIaccutie.l treatment f(lr ADHD.
Where can I gel il? Caffeine i. lbundanl in what " ...
"' and drink. Bul, as I mmlioMd before, it's this doo
that bmc:fits US II1(I$I, You'~ III luck, because these
chemicals IIIluraUy I>CCUl" Iugcthn- in bcKh black and
grttI\ varieties (If tea.
H(lW much should I hiVe? Up l(l4OOmS (lfcaffcinc
per day is Sl.fc for m(lSI adults. This .moun. equates 1(1
-4 cups of coffcc. 10 cam (lf~, or 2 energy drinks.
Aboo.n tbe same is n:oommcnded fOf ~imum
The.nino:: wnsumprioo. fl igh do$C:S (If eilhu (lftheK
chemKlI. can <;aU$C you 10 f«1 ",.....-alen, or "''C'!'relutd. so finding I balance is important.
POLYPHENOLS: BRAIN DEFENSE
Whl l;' iO PuIYJIhC1l(}I. are anti(lx idan~ Iblt help lIIe
bn;n lilay healthy by redrn;;ng I(lxicily, aboormal
Inin (unc'i(ln. and innammllli(l1l,
What duel it 001 PulypMno:..ls belp prolllCl the
bnJn ·s neurons .pinst injury and prOIItoCU imPf"'-ro
mcllll)ly, ~aming, and (I'"Ct1Itl roanili,... function.
Where C&lt I get it? Polyp/>etlc>ls 1InTt'. 100 difficult
t(l get in you. diet. In floCt, you may "'Illy enj(lY C(l1I5umillflthcsc: anti(lxidants! P(llypllcnol' can be found
in dark ch«(liatc (wilh al leaJ' 60% cacao), ~d wines
(li ke pinoc noi., merl()\, and cabemel uuvisnon), leaS
(incl ooioll decaffeinalCd '·";Clics), and many fruilS
and V<'gctabks.
pins toO much 0IIICp-3, ............ ""* of .. ...., not
gcrung enough. Unlc:ss )'lllI an: lIkina attk:oIgulzm
drugs, or h;a,'t blood roaguJatioo ptoble:o l'" iI iii unlikdy
that )'lllI an: getting 100 much """'81""3,
V ITAM IN· D: THE SUNSHINE VITAMI N
How much l hould I hive? Ai we all know,
Ihc~
is $UCb ub;ng aSlOO much (lh &OOd lIIiog. II is dirf",uh 10 ovcrdo5e OIl antio~idanlS ill fruito; and '"Cgmhlcs. bul it is [IOlSibie ,,·hen
1Upp1CT\1C1l~
" 'ith high o:oroccnuali<>lls. Tati", anhoxidants in
uces. can O\"Cf\Oo·belm the r"", radical$lhal cells
use t(l lalk 1(1 " " " anoihc:r and fUl\\:lion properly.
wm,
CREATINE: THE TURBO BOOST
What i. i.1 C",aline is an Imino K id lIIat
nalurilly in.he: body, mc)Slly in muscles.
OC<:UfS
Wb .. ckIes il d(l? Crealine improves Inin efficiency mod boosts manory and 'lIenlion ~ I. is
~icularly .-ful for !bon·'erm manory.
Where c.&D I get i,? lbc: body mIlkes (rulil\\:, but
il can ,I$(> be ubtained from cenain foods and
liuppkmcnlJ. Creatine is f(lund almosl exclusively
in meal and flSh.
H(I'" mlll:b lhould I have? Un\esrs you ~ a "eg_
~. you probably don', need I(l We crelline
supplements. Sl;clcul muscle will only hold •
CCf1aln amO)urn (If creatine, so addinS mun: w your
diet won'l raise your en:aline IC\·o15 beyond •
certain ]XIinl. E:o:cess crea,ine is A:fI\(Ived from Ihc
body by the: kidneys: $(> prolonged cXPOSUIl' to
eXcess cn:atine can cause kidney damage.
OMEGA· 3: BRAIN FOOD
Whal is ;11 0mega·3, are f.tty acids. ~ are
IhKc major types. each ",;111 distinct health
benelilf_ ALA. EPA. and DHA.
Whal due. il del1 DflA is the omep.J that benefilS
Ihc brain the mosl. It occounlS r", up 10 97% (If Ihc
omcSI.J fatty Kids in the bntin, and it cnslU"tS thaI
0\If brain cdls dC\·elop and functi(ln properly.
Where C&It I set il? Nua, Ilauceds. chluecds, and
fatty ftJlo like salmon. tuna,« mKkm:l arc. good
50UfCC of omega-] •. Koop in mind that fanned fISh
h,,,,,, III\ICh ftr,t,'C'!' DHA ],e,.'cls than IICCII\ fISh 00.
Many ''l'gctabl.... like spinach mod broc:colt, ~ 11m
rich in omcga-JJ.. You can .ISI) take I i1Upplcment if
you an: 001 II"ninsenough in yourdaily diet.
H(lw much &bould I have? The lns1itulc C>f Medicine
(10M) has not yet established. lOOOOI.""nded intd:e
tor lIITItp-3s. M"", pcopII: do not ha,'t lei "'On}' aIxIIII
What il il? Viwnin 0 lsa fJt·sulubk: chemical n:spon1Ibk: fur enhancing the body'l JbwrptIoo uf calcium. as
"'til as ~ in:m. pOOspIwe. and:o:in<..
What does it del? Vwomin 0 plays. mal role in !he
body's immune S)ISICm InII IIC\II'IlII1USaIar S)'5I<:m.
Soooc WIIic$ show that odcquaK= lC\'t1s of vitamin 0
may be required for !he brain '(1 produce 5I:fOIOnin (a
ncurotnUiSntinc'l" that 3/fe<:1S mood, slcq>, multOf)', and
bMaviOf). Vitamin D deficiency Iw been linked \(l
ccnain.:anctT$, bean disease, and Alzheimer'. disease.
"tIrrUnJ..,.,..,
Whm: C&It I get it? Many other
Ii'om
!he foods )'lllI . . « ,,"*,"LiIlS )'lllI like. but )'OW
body an mak~ iI" ""... vitImin D! Tho: bc:$Imd casi$
"'",y i(l increase your Vitamin D iii i(l get some sunlight
How much .hcJuld I bave? Vilam;n D (along wilh
vitamins K, A, E) is noc walcr-lOluble, 10 Ihc OOdy
cannot eXC"'tc eXCCSI (lflllili ,·ilamin-i' is ]XISSiblc 1(1
Bel too much. Vitamin D "''t'rUSC almosl 11".. ys
DOCur1 from cn'l'nlSC (If 1i1IppIc:mcn1f; exccssi,.., sun
ex~ ~·I ..... ,IIIIOOly cause .iwnin 0 pOOon.... because !he body limits the _ I oflhis ,itamin
.-
Cllr;J Ta /eghilni, M.D., M.B .... ,
81KJfd Ccrt/flrd N~lI¥OJurBtf!~
Dr. Taltgltani is a 00ard
certified IlCUI'OSIUJCO't
wll<> ~jalizt'S III mini·
mally IIIVlllil\'t SUlJtTY,
including tbe Endc>soopic
EnOOnasalA~h . fle
nx:clvcd hi, Medic. 1
Degree al Gc:orgctown
:;;;;';;;;;;;;;;;',p;U;";;;ivcrsll Y School of
:'
I I
I
hi s Ncurtl$Urg<TY
Residency uaining II Pennsylvania Stale
Milton S. Ifnshey Medical CentC!'.
G ~~g~;';'~g
Phone: (615) 885 ·2778
Fax: (615) 986-6052
www.PinnacieSurgical.net
' or ht.~ h rip<. updolft. &
........,
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20
June 2014 - Middle Tennessee
ADHD Symptoms are Not on Summer Break
Summer is here and kids are out of school, so what do you do with an ADHD ch ild during the break?
By Jason B. Bour, CLC
D
uring the 5ummcr break, pal'l'nts may
lend to fcclthcir child docs not need
[0 manage their ADHD since classroom
behavior and grades arC not an issue during the
SUmmer, But even though the child is on break,
ADHD symptoms an: not. The eXIra free lime
and less aduh supervision arC actually reasonS to
continue your present [rcalmcn! plan, It is also a
good lime to explore additional opporlUnilics
such as ADHD Coaching to prepare for the next
school year,
Sometimes parentS wan! to take a drug holiday
during the summer since lheirchild is nOI working
on homC'o"ork and docs not need to ronccn1ralC on
learning. Thcy fccllhc medication ;s not nceded.
or they are helping the child by allowing them to
ukc a break from mcdicalions. Medications for
ADHD do not just help the patient concentrate and
focus. they aiM> help oontrol impulsiveness.
behavior. and emotions. Untreated ADHD patients
are mOre likely to take risks and engage in risky
behavior. Instead of taking a "medication
vacation." talk to your doctor about your concerns
and other options that might be available. Never
d«ide on your own to discontinue medication
therapy. Talk to your prescribing physician first.
and if you still want to discontinue medication. do
it under the doctor's supervision,
Maintain Structure and a Schedule
It is important 10 maintain a level of strocture
and stick to a schedule. Have a chore list for the
child to complete during the day and fun activities
planned. Make sure chores and activities are
M>mething the child can do and will help build
self.esteem. While it is good to have some free
time. too much free time can lead to boredom
and the child looking for ways to entenain
themselves. Plan the week out in advance and
try to include the child in the planning. Do nOt
try to plan out the entire day. lca>'e some
blocks of free time for the child to enjoy. Plan
activities the family Can do together as well as
activities your child can do independently. Try
to inelude outdoor activities and activities that
encourage cxereise. Volunteer activities are a
great way to allow your child to give back to
the community and build self·esteem. Do limit
the amount of time spent on the comp uter.
watching TV. Or playing video games.
The Importance of a Sleep Schedule
During the summer, parents tend to let their kids
sleep in and go 10 bed late. It is imponam that a
proper sleep schedulc is maintained and Ihc
child gets 7 - 9 hours of sleep per night. Proper
sleep is imponant for brain developmem, brain
function. and mood. Proper sleep improves
focus and conecnlrlltion as well. A 2009 study
published in the journal Pediatrics found that
children who did not gct at least 8 hours of sle<:p
per night exhibiled signs and symptoms of
AOIIO, Now think about a child with AOIIO
nOt getting proper sleep and trying to manage
their ADHO symptoms. Mainlaining a sleep
sehedule will also help when the child returns
back to schooL
l-\uHD eoa
~e l axat i ol
The
BE Gl~*GS
COACHING & RElAXA nON SERVICES
Now Offering Rekki and Raindrop Technique!
Summ&f' Camp
Is a Great
Summer Act ivity
Summer camp teachc$
independencc. helps
the child work on
social skills away
from homc. learn
new skills, and build
rranorics. If ~ibIC,
look for a camp that
refleets the child's
imcn:sts or has acti>fu
planned your child will enjoy. Talk to the camp
organizers about your child's needs. iflhey are able
to deal with emotional or behaviornl issues of an
AOHD·cr. and how they will manage the child's
prescription. Insure the camp keeps all medications
under lock and key and will dispense medications
as directed.
ACHC Coachi ng Can Help
While summer bll'ak is a time for rC'St and Il'lax·
ation. it is aiM> a time to look at other ADHD Ireat·
mcnts. Exploring other treatment options during
the summer will allow you to explore opponunities
without affeeting the ehild's school pcrfonnanee.
and can help the child prepare for the upcoming
year. ADHD Coaching can help your child build
structure. manage time. accomplish tasks. and
work on health and wellness goals to improve brnin
function. ADHDcoaching works beSI when used in
conjunction with medication therapy.
To learn more about ADHO Coaching. Life
Coaching. or Health & Welln= Coaching. please
oontact Coach Jason Bour of New Beginning
Coaching SCl"ices at 615·534·2500.
Have a safe and happy summer.
.Au"" B. IJ"",. CLC Is n Cmi/ieJ Mfo C".d ,hnxqh ,A, Lif<
C"""h 'os,.",,. sp«i<>Ii:lwg in Af)//{J C_hing. P"'j,ssw..,,1
...."''''''MpS i..clW< 'OIenwli""", Co"d F.Jt"";,,.., NAM/.
N",;"",,/ Ass",,;o';"" <ifC<JP;'i'~ /1..-"""",/ n.""pU' ,.,.,.
"",i"",,1 CIons~'"" C"""hing Ass"";",i",,, a,..t ,he:
A"""""w. o/C/irislio.
c"""../",..
,1,."""'0.
~6~'=5=-=5~34=-~2~5~O~O================~~~~, .::::::~~~~~~~~~~~~~~
-
www.\nhealthandwe llness.com
Middle Tennessee· June 2014
21
Make Sense of Your Short-Tenn Therapy
ByTneaPayne
O
ne wrongSlcp, onewrongtumorasudden
medical emergency is all il takes to tum
your life upside-down. An accident or
health problem ~an put your life on hold - sometimes long after yOll 'vc sought medical attern;on.
Fortunately. short-term rehabilitation is a widely
used option designed to help you ",bound and
move On with your life. However, many people
blow very linle about this next step in making a
fun recovery.
While rest and recovery are vital after a sudden
medical issue or accident, it's also important 10
know the ways shO"-lcrm tho:rapy can help you
make a smooth transit;{)1l IQ the ""live. hcahhy life_
style you once enjoyed.
3 Unlr\lths lIb<:>ut Short-Term Ther.py
Short-tenn rehabilitation is worth ils weight in
gQld when it wmes to gelling YQU back on Ihe
right foot But some mYlhs suggest that yQu'd be
better off recovering at home than paying your
PT a visit three days a week. So Ihat YQU do not
risk a trip back tQ the hospital. know the many
benefits of having a truSted therapy team safely
guiding you through your recovery plan:
Myth: 1 can get stronger on my own, Physical
and occupatiooal therapy can help you safely
prevent falls and fractures Ihat can happen when
you haven't completely healed, Therapists can
alro help you return IQ YQur desired aclivity level
and will work wilh you to set pel'SQnalized goals
toward success.
o
Myth: Rehab is JUSt too slow, Did you know
that short-tenn therapy Can help you recover
faster Ihan on YQur QWn? In mQSt cases. pc<>ple
return home from inpalicnltherapy in as lillie as
30 days - results Ihat aren'l usually possible
with rest and relaxation alQne.
o
G~ttin9
to Know Short-Term Cllrt
When choosing an after_surgery "'re provide., take
time 10 know what each therapy entails and why
these specific therapies can create a customized
care plan Ihal pUIS you back in mOl ion.
Physicallherapy plVvides intensive, fitness_style
recovery routines designed to help stimulate and
treat injuries. surgical sites and areas amieted by
limited mobility. Physical therapists oflcn use
state_of_thc_an technology, su,h as aquatic therapy
and anti-gravity therapy, to assist patients with safe.
excreise with less pain.
o
Occupational therapy. often the next step after
physical therapy, is designed tQ help palients return
to their activities of daily living (ADL). such as
gQing up a flight Qf stairs and gelling Out ofbed to
preparing meals and cleaning one's home, Some
facilities even offer an "ADL" suile - a unit thaI
often includes a kitchen. bathroom and living room
where patients can practice returning 10 the home
environment.
o
Myth: Therapy is 100 c hallenging. Therapy is
nQI designed tQ be difficult. In fact, therapists are
skilled al ".orking effectively and efficiently all al Ihe patient's pace. In addition, therapy can
be fun; these care centers are oflen full of unique
"Ioys" and slalc-()f-Ihe-art technology Ihat you
may not find al your local gym.
Making the Right Choke forthe Right C.rt
Before you enroll in short-tenn care recommended by YQur hospital Qr physician. be your
own advocate with these tips:
o
Know yQur options.lJQyou know if the fa,ilily
recommended by your care provider is reputable
Or will meet your personalized needs? When il
comes 10 your care. it's OK tQ "shop around" IQ
find the place that's righl for you. Visil the care
provider's website or. ifyou're able, show up in
pel'SQn and ask for a IQur to sec for yourself.
o
• Gel a b ird 's-eye view. Many posl ·acute and
shon-tenn therapy cenlers offer free 1<Iurs for
future patients.. A "try before you buy" approach,
take this time to test out stale--<lf-the-art equiP'"
ment and enjoy Ihe amenities while geUing a feel
for the environment.
o Talk about it. Word oftnQuth is a great way 1<1
find Ihe righl fit for posl-surgery therapy. Family
and friends whQ have had lherapy are great
SOUrees who can =Qmmcnd a place Ihat
provides both qualily comfort and excellenl care.
Vou can alro read online reviews to compare
facilities. You'll feel more confident knowing Ihat
you've made an infonned decision in finding a
short_tenn therapy cenler thaI'S right for you.
Speceh therapy, also called speech_language
Life C...., C enter o f Ilickory Woods
palhology. is widely used by individuals recovering
615.501.3500
from a neurological condition, such as a slroke.
.4100 Murfree.ooro Pike
ParkinSQll's disease and other cooditions that
Antioch, TN )7013
impair speech. cognition eVen the ability to
LCCA.comlhickorywoods
swallow food. Speech therapists Create a compreLife C are C e nter of O ld Hickory Village
hensive plan using computerized games. electrical
615.847.1502
stimulation and Qlher state-()f-thc-art therapies.
With healthy and aClive adults in mind, this is an
1150 Robinson Rd.
while tracking progress to help patients reach their
anicle
sponrored by Life Care Centers Qf
Old H ickory. TN )7138
cognitive and communication goals,
America.
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________________________ www.tnhealthandwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
o
22
ttt oS. We
ll'
June 2014 - Middle Tennessee
Guidelines for
Cancer Survivors
ByAICR
R.comm.nd.tlons to RHuC. Your tel'K'r Risk
1. Be as lean as possible without becoming
undcrv.cight.
2. Be physically active for at leas1 30 minutes
every day.
J. Avoid sugary drinks. and limil consumption of
energy-dense foods (particularly processed
foods high in added sugar, I"w in fiber Qr high
in fal).
4 . Eat more of a variety ofvegelables. fruits. whole
grains and legumes such as beans.
S. Lim;! consumption of red meals (such as beef,
pork and lamb) and avoid processed meats.
6. If consumed at all, limit alcoholic drinks IQ lWO
for men and one for wQtt1cn a day.
7. Limil consumption of !;ally foods and foods
proo:=d with salt (sodium).
8. Do nol rely on supplements 10 project
against cancer.
And always remember - do not smoke or chew
iQbacco.
And in a recommendation specifically for new
mothe~, A[CR concluded in its repon that it is best
for mothe~ in the general population 10 breastfeed
exclusively for up to six months and then add other
liquids and foods. Note, however, that new mothe~
receiving chemotherapy should not breastfeed.
Hea[thy Eat[ng
Researeh has shown that the choices you make
about food, physical activity and weight management can reduce your chance of developing cancer.
Until relatively recently, research had focused on
reducing this risk of getting cancer in the fi~t
place. AJCR has wor1<ed steadi ly for more than a
decade to promOte the study of these same lifestyle
facto~ in cancer survivo~. Though this is a relatively new area of investigation, SO far the science
suggests that the same simple guidelines that help
prevent cancer also help guard against its return.
What's more, these lifestyle adjUStments can help
protect against additional serious illnesses like
hean discase, stroke and diabetes.
While many questions remain about the best diet
for canCer survivo~, available science on diet
and survivo~hip has led AICR expcns to
conclude: Following a few simple dietary guidelines that help prevent cancer may also help
guard against its return. Among the most important dietary goals:
- lIJ Plant Foods. Make sure that foods like vegetables. fruits, whole grains and beans always
take up at least 213 of yOllr plate. To maximize the
variety of vitamins. minerals and prottttive
"phylochemicals" (protective compounds found
natural in plants) in your diet. choose colorful
produce such as darlr. leafy greens. tomatoes.
strawberries, blueberries, carrots and cantaloupe.
-IIJAnim ..1 Protein. If you eat fish. poultry, lean
red meat, cheese and other animal foods, make
sure they take up only 113 or less of the space on
your plate. (As much as possible, avoid eating pr0cessed meats like cold cuts, bacon, sausage and
ham.) And try to go meatless several times a week,
opting for a meal such as a veggie stir-fry or black
bean burritos. You don't have to become a vegetarian or give up the foods you love. though: it's your
overall pallem of eating that counts.
For more infonnation about making meals
that fit this model, visit A[CR's New
American Plate. In addition to focusing on
eating mostly plant foods and less nxI meat.
the following recommendations are also
imponanl:
Salt (Sodium)
Most ofus get far more sodium than we need.
mo~t of it from processed foods. Reading
food labels will help you identify low-sodiwn
processed foods. You can add flavor and pI'Qtective phytochemicals to your food by substituting hcrbs and spices such as basil,
turmeric, paprika, thyme and dilL
Alcohol
Despite SOme evidence linking moderate
alcohol consumption to lower risk for hean
discase. this protective effect docs not apply
to Cancer. AICR recommends avoiding even
small amounts of alcohol. If you do choose
to drink, limit to one drink a day for women
and t",·o for men.
Smoking
Tobacco in any fonn is a major cause of
cancer and ~hould be entirely a'·oided. If
you currently smoke or usc tobacco in any
form. ask your health professional about
ways to quit.
GettIng and Staying Active
Being physically active delivers great
rewards. Whether it's your fi~t time
becoming active Or your fitness routine took
a back seat while you received treatment for
cancer, aim to gCl at least 30 minutes of
moderate activity daily.
Along with eating a healthy diet, being
active reduces your risk of not only cancer,
but also diabetes, hean disease. stroke and
other serious health problems. Physical
activity can help control hormone levels.
reduce inflammation in the body and boost
immune function. which cnhaoces your
cells' ability to fight off disease. Much of the
researeh into physical activity and canCer
has focused on prevention. A growing
number of studies suggest that physical
activity may also help pre"ent recurrence of
eenain cancers.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.tnheatthilndwe ltness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Middle Tennessee - June 2014
E~eryone's
risk for cardiovascular disease
increases as they age, but Cancer survivors are at a
higher risk than other people, due to cardiac
damage (cardiotoxicity) that can occur during
cancer therapy, The good news from Current
studies is that regular cardiovascular exercise can
help keep therapy-induced heart damage from
happening in the first place, But even years aller
cardiac injury has occurred, exercise can help Survivors recOVer hean health.
Other potential long-term effects of cancer
therapy include weight gain, high blood pressure,
high cholesterol and type II diabetes. Getting and
staying physically activc also helps reducc the risk
and severity of these effects and can even help
reverse many ofthes<: conditions once they occur.
Your health carc team can offer specific advice on
physical activity that's tailored to your situation:
follow their guidance.
These Tips May Help:
- Before you stan eXereising, discuss with your
oncologist any medications that may have affected
your cardiac health and devisc a tolerable and
healthy exercise plan.
The federal 2008 Physical Activity Guidelines for
Americans recommend at least 150 minutes of
moderate_intensity cardiovascular activity per
weck. They also recommend perfonning musclestrengthening exercises at least 2 days per week.
o
diagnosis and abilities. By working with yoor
health professionals and goals, yoo can design a
personalized exercise program to give yoo the
greatest benefits while avoiding injury.
Physical activity need no! be overwhelming,
even when you're just gcning back in the
groove. It's not about running marathons Or
enduring grueling exercise sessions. You will
gain health benefits and llelp 10",'Cf your risk of
cancer by making activity an cveryday part of
your life.
Remember •••
- Physical activity can be low-cost or frtt. Yoo
don't have to join a gym or buy equipment. A pair
of supportive rubber-iOlcd shoes from a discount
shoe store or an exercise DVD can do fine.
Break it up. Research suggcsts that breaking
up the recommended 30 daily minutes into lOtI) IS-minutes sessions of brisk walking or
another activity provides the same health
benefits. Give yourself 8 break from sedentary
tasks every hour or twO with a brisk walk.
o
o Be attive by )'Qurself I)r with I)thers . You may
prcfer to use exercisc as your time alone or you
may get more motivated fromjl)ining a elass or
having an activity buddy.
o
o Go at )'QIIr own pace. Stan where )'QU are.
Some physical activity is bener than none, so
even if you rewlve tl) exercise for 30 minutes
each day and then miss a day, don't give up.
Just forgive yourself and get back to it, maybe
trying wmething different or a different time of
day that works better for you.
An expen panel oonvened by the American College
ofSpons Medicine (ACSM) concluded that exercise
tmining is safe and beneficial for cancer surviVQrs
after - and even during - treaDnenL They no!ed that
exercise programs should be taill)red tl) a person's
The Rl)le I)fWelght
Like healthy eating patterns and rcgular
physital activity, reccnt research shows that
maintaining a hcalthy weight is key in kcc-ping
canter (rom returning. The research is clear that
tarrying extra body fat, especially arl)und the
abdl)mcn, incrcases cancer risk. This seems to
be related tl) an increase in cenain hOTTllQnes
and Substances that can encourage cancer
development. By combining a healthy, varied
diet with regular physical activity, you Can
mOre easily achieve a healthy weight. Your
doctor can heip y<lu determine what is a healthy
weight for you. let him or her know if you
recently gained unwanted wcight.
- Remember to mix it up by varying both the length
and intensity of your workout.
After 4-6 weeks, try staning to i"""ase the number
of exercise sessions per week (move from 3 or 4 to 4
or 5) as well as the length and intensity I)f each
session . BUI pay careful anentil)n 11) Yl)ur energy
levels and be sure 11) take days I)ff when appropriate,
panicularly fl)lIl)wing a harder exercise day. Days
off t l) rtOOver an: just as imponant as exercise days.
A trainer cenified tl) work with cancer patients can
offer specific adviC<' to keep your physical activity
session fun and interesting.
________________________
www.tnhe~lth
w.
23
Overwelght7
The bottom line for losing extra pounds: Choose
foods that arc low in calories.
Plant·based foods are naturally low in calories and
rich in nutrients. By choosing vegetables, fruits.
whole gnins and beans as the focus ofyonr meals
rather than animal foods and sweets, you'll be
eating fewer calories. This is beneficial for many
reaiOns and will likely make it easier to achieve Or
maintain a healthy weight. For One thing, y<lu'li
be able to cat mOre to feel full, but you'll actually
take in fewer calories. Building meals around
plant foods also helps calorie-packed foods like
meat and full· fat dairy products take up less room
On the plate. Include chips, fries, cookies and
other low-fiber, high-fat produets rarely.
Snacking wisely is a key element of successful
weight control. Betwccn meals, choose healthy
snacks. Try interesting, unfamiliar fruits such as
kiwi and papaya to add variety and satisfy your
sweet tooth. Monitor your ponions to kcc-p
calories under control.
To quench your thirst, head to the water cooler
instead of the vending machine. Sugary drinks
such as sodas, fruit punches and specialty coffee
drinks loaded with whipped cream and syrups
have a high number of calories without much
nutrition.
Underweight7
A registered dietitian can help you with strategies
for consuming high-calorie, yet healthy, foods.
Two strategies that work for SOme people are:
I. IncOrp<:>rating blenderizcd milkshakes and
smoothies or a liquid commercial nutritil)nal
product into the diet, and
2. Eating small, frequent meals throughoot the
day ifit is difficult to cat a large meal all at I)nce.
TENNESSEEONCOLOGY
To learn more about the services offered by Tennes·
see Oncology, please call 615-329·0510, or viSit
us online at www.lnoneofoey.com .
.. ndwe ltness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
24
Jun e 20 1 4 . Middle Tennessee
Hospice Volunteering
By Dan Smith. Manager of Volunteer Services
H
ospice volunteering offers a unique opponunity to make 8 diffc",n~e in the
live§ Oflhos( wilh life-threatening ill-
nc~scs.
Volunteering at Gentiva Hospice is not limited
to pallent vtsmng Some individuals enjoy
helping out in the office. preparing mailings.
infonnation packets. and bereavement follow-up.
Filing and using their computer skills contributes greatly to the efficiency of the hospice
office. as volunteers prove daily. Some volun·
teel""$ divide their time between helping in the
office and visiting patients.
Since the modem hospice movement
emerged in the 19605. and was Dilen run by allvolunteer staffs. the role of caring individuals has
proven 10 be integral to providing the human
clemenl to patient c3r<:.
Uospicc volunt~cornc from many different backgrounds. Some are relired individuals with extra
lime to share, with talents to share, and smiles 10
shan:. Others are individuals in the worl: force who
perhaps cxpcricm:cd hospice ....·jth a family member
Or friend and want 10 help others as a way of giving
ba<.:k. Slill others are rnoIivatcd by the desi", 10
connect with other generations. olher cuhures. OIlier
life Stories. Volunteers bring such talents as music,
poetry. fa"';gn language cxpcnisc, a(:!;n' !i~tening
skills. and scrap booking to enhance the livts ofthcir
patients. Somc1imes knowing when to listen or offer
the gift of presence brings strength and courag<: to
patients and caregivers.
At Gentiva Hospice, voluntc<:rs contribute greatly
to the holistic approach to quality hospice care. As
part of an interdisciplinary team composed of
doctors. nurses. dieticians. hospice aides. chaplains. social worlcers. and bereavement spc<:ialists,
volunteers become friends to pltients and family
membcn. They may read to patients. prepare a
light meal. run errands. or take the dog OUt for a
walk. They could record an oral history of the
patient's life. a gift that familiC'l would appreciate
after the person passcs away. O ffering comfort and
emotional suppon during the period of bereave·
ment helps bring dosurc for volunteers as well as
family members of the patients they have served.
process. pain assessment. and how to have
enjoyable visits with patients. Commitment to
patients is necessary for volunteers to function
effectively. and Gentiva Hospice rttognizes
volunteers who excel in this spc<:ial calling.
Continuing education eVents not only afford
volunteers an opponunity for fellowship. but
also the time to learn aoout such topics as
Alzheimer's Disease. use of humor• living wills
and advance directives. and Parlcinson 's disease.
GENTIVA
Hospice
1-877-637-9432 I gentiva.com
Hospice Is a Philosophy, Not a Place.
Hospice belicves that death is a nonnal part of
the cycle of life . Hospice ncither hastens nor
impedes the dying process and believes that
individuals should have as much control over
thcir final days as possible. Having hospice
scrvices often mcans that individuals can die at
homc. surrounded by lheir loved ones in a
familiar selling. and the aid of volunleers is so
valuable at Ihi. time.
Volunteers Needed
Pcrhapl! you arc looking for an opponunity 10
volunteer in your community. Gentiva Hospice
has need of com mill cd. reliable volunteers in the
six counties we scrve in Middle Tennesscc:
Wilson. Davidson. Robenson. Williamson.
Cannon. and Rutherford. Volunteers must be at
least 18 years old, haye tntJlspoMation, be able 10
pass a background ched and TB test. and panicipate in orientation. For mon:: infonnation.
contact Dan Smith, Manager of Volunteer
Services. at 615-365-1009. You can benefit
someone in your own neighborhood.
Comprehensive Training and Education
Comprehensive training and ongoing education
ensure that volunteers are well equipped at Gentiva
Ilospicc. Since voluntccrs are often with frail
patients. meticulous sereening and interviewing are
necessary for individuals interested in joining the
Uospicc Volunt= Team. Some of the topics
covered during oricnl.ation includc the volunteer
role in the hospice team. communication s kills. the
dying process. boundaries. the stages o f the grief
________________________ www.tnheatthandwe llness.com ________________________
Nurse Assistant
Training
Am erican Red Cross
Our growing practice allows us to offer
2201 Charlott e A.venue
OUr J>olliems c nharn:ed services a nd
Nashville, TN 37203
• Sc holars hips ava ilable for a
limi ted lime only
additional resources. [\ is our goollo
understand what is happening. edm:ale
our palients , and offer the best
~almenl options-all while providing
a positive experience for patients
during a sln:ssful lime . Our mu lti discipl inary approach will e xhaust all
possibl e ~"'l i ve . IlOn-openl1i ve. and
alternative treatme nt optio ns .
Regi s tration Open Now!
Chris Taleghani , MoO .. M.B.A.
• Mandatory informati on sessi ons
every week on Tuesday at lOam
• No appointment necessary
800rd Cl!nijitd N~IlTQ$llr8UIII
American
Red Cross
SAVE THE DATE!
2014 Tennessee Men's Health Report Card
Please j oin us forthe launch of the 20 14 Men's Health ReportCard!
Tuesday, June 10th, 2014
Ed Jones Auditorium, Ellington Agricultural Center, Nashville TN
Meet and Greet: 10-10:30 AM CST
Presentation of Report Card: 10:30 AM CST
NOle: LlIUnc:h .. ~Iowed by tile opening of the t ()th Annual Tennew:e C.n<;e< Coalition Summ~
For more information about this and other events across the state and to RSVP,
please visi t our website at: http:Htnmenshealthreportcard .vanderbilt.edu
V
www . tnhe althandwe llness.com
VA N DE ROl lT
U NIV ER S I TY
26
Jun e 2014 - Middle Tennesse e
ing More
About Sexual Addiction'
By lisa Webb, D,Psy. MPH and Kenith L Robins, PhD
I
na culture obsessed with sex. il might seem
surprising th.1 we don"t hcar more about sex
addiction. While (here is plenty of information
for people addicted 10 alcohol. drugs and
gambling, those addicted 10 sex are likely to find
help and information more difficult!o come by.
Pan of Ihe ",aron for this is thai sex addiction, a
disorder characterized by compulsive sexual
thoughts and behavior, is poorly und=l00d and
difficult to diagnose. And, in a cullUre where sex.
like alcohol. is socially acceptable and enCOur-
aged, and sexual images and provocation abound.
it becomes mOre challenging to distinguish
belweC11 normal sexuality and excessive, or
abnormal. sexual behaviur.' By applying ",'hat
Ihey have IC3ml'd aboUl other addictions.
ho"·"v,,., cxpcns arc becoming beneT able to
understand and Ueat this sexual disorder.
Inconsisl<:ncy in the way sex addiction is diagnosed makes it hard to determine prevalence. Best
estimates indicate that between 3 percent and 6
pereelll of Americans suITer from some form of
sex addiction. aecording to the National Association of Sexual Addiction and Cornpulsivity.
Addiction to sex alTects both men and women.
heterosexual and homosexual. It appears to be
more common among people who also have other
addictive disorder!!. similar to other substance
abuse issues. Like otheT addictions. sex addiction
also is treatable.
What Causes Sexual Addiction?)
Why some people. and not others, develop an
addiction to sex is poorly understood. Possibl y
some biochemical or other brain changC$ increase
risk. The fact that antidepressants and other medications have proven cffective in treating somc
proplc with sex addiction suggests that this might
be Ihe case.
Studies indicate that food. abused drugs and
sexual interests share a common p<lthway within
our brains' survivai and reward systems , This
p.3thway leads into !he area of the brain responsible for our higher thinking. rational thoughl
and judgment.
The bmin lel1s the sex addiCI Ihat having illicit
sex is good the same way it tells others that food
is good when they arc hungry. These brain
changC$ translate into a sex addict's preoccupation with scx and exclusion of other interests.
compulsive sexual behavior despite negative
oonSe<Juenccs and failed anempts to limit or ter_
minate sexual behavior.
This biochemical model helps e;<plain why
competent. intelligent. goal-dirccted people can
be so casily sidetracked by drugs and sex. The
c_"'" . .
:"""'*""
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~
"",to: II"< taI;"" Io<ovily _
idea that. on a daily basis. a successful mother 0,
father. doctor or businessperson can drop everything to think about sex. scheme about sex. identify
sexual opportunities and take advanlage of them
~ms unbelievable . How can this be?
The addicted bmin fools the body by producing
intensc biochemical ,,,",,"'Mds for this self-destructive behavior, People addicted to sex get a sense of
eupburia from it that seems to go beyond that
reported by most people. The se;<ual experience is
not aboul intimacy. Addicts USC se~ual activity to
~k pleasure. avoid unpleasant feclingsor respond
to outside stressors. such as wor\: difficulties or
interpersonal problems. This is not unlike how an
alcoholic uses alcohol. In both in'lances, any
reward gained from the experience soon gives way
to guilt. remor~e and promise-s to change.
11_. M, (l(06), WlIoo Cou><> Snoot Addict",,?
P.y<h~ .
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________________________ www.tnheatthandwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Middle Tennessee - June 2014
~
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27
Symptom s of Sexua l Addic tion'
Some healthcare professionals do not feel that sex
"addiction" is the appropriate tenninology for this
disorder, but most agree that the syndrome is a
real onc_
While there is no official diagnosis for sex add iction, clinicians and researeheTS have attem pted to
define the disorder using crileria based on
chemical dependency literature. They include :
• Frequemly engaging in morc sex and with mOre
panners than intended.
• Being preoccupied ,,:ith or persistently craving
sex; wanting to cUI down and unsuccessfully
al1empting to limit sexual activity.
• Thinking of sex to the detriment of other activities or continually cngaging in excessive sexual
practices despite a desire to stop.
• Spending considerable time in activities related
to sex, such as cruising for panners or spending
hoUf$ online visiting pornographic Web sites.
• Neglceting obligations such a. work , school or
family in pursuit of sex.
• Continually engaging in the sexual behavior
despite negative consequences, such as broken
relationsh ips Or potential health risks.
• Escalating scope Or frequency of sexual activity
to achieve thc desired effe<:t, such as more
frequem visits to prO'ltitutes Or more Sex partners.
• Feeling irritable when unable to engage in the
desired behavior.
You may havc a scx addiction problem if you
identify with three or more of the above criteria_
More generally, sex addicts tend 10 organize their
world around sex in the same way that cocaine
addicts organize theirs around cocaine. Their goal
in interacting with people and in social simations
is obtaining sexual pleasure.
<:0_
Getting Help'
Sex addicts generally don't seck help on their
own. More often than IIQI, they arc forced imo
getting help by a coon, or when tbe Ihreat of
divoree or some other loss is imminent It isn't
that sex addicts don't know they have a problem
-they do. Theyhave told themselves repealedly
that they will stop, but they can 't Some seck help
when they can no longer reconcile the conflicts
wilh their values and moral beliefs, such as lying
to loved ones and scxual promiscuity.
As with other addictions, suppon and accountability from family and friends are critical to
treatmem" h's ironic that the individuals hun
most by the addict's behavior mUSt step forv:aTd
to playa critical role in the recovery process .
This works two ways. First, thc>c significam
others can offer themselves as evidence that sex
addiction has had a devastating impact On their
lives_ Second, they can acknowledge how they
have covered up for the abuser and, in essence,
pCTJlCtuated the addiction. When family members
recognize the addiction
as an illnessandundcrstand Ihcir role in the
troaunem proc<:SS, Ihc
chances for rerovery
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.....1 U.. _irie> Preto. pp.lll-lJ.I. ISBN 97141l-.J06
________________________
Consuhing A.sociates G roup has joined wilh
LifeStar to bring a new approach to sexual addiction to the Middle Tennessee area . For over 20
years, U feStar has been helping individuals,
spouses, and fami lies heal from the devastating
effects of pornography addiction and other
sexually compulsive behaviors. Through an innovative and proven three phase treatment program ,
this intensive outpatient group therapy approach
gives panicipants the resources, suppon, and
structure needed to experience a successful
recovery from the damaging e ffects of pornogra_
phy and sexual addiction.
Consu lting A ssociates is enrolling JHlrtieipants fo,
the PI"'5e 1 LifeSrar prog, um , (mll'd pared to slart
in Augusl 1014. TtJ fin d oul mtJu aboUI LifeSID.'
or IU enroll, See hllp://w"'..,.lif esuunelli'Ork..eomi
0, (Ym/D.e/
offices ,,/ 615-J I 0- /491, Ree.wery
fro m sexllal addicrion is ptJssible!
_.;"g
Dr. Kenith Robins
Or. R _
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61 5 -3 10-1491 OJU our
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www.tnhe ~ lt h~ nd w e l tness.com
tocny - stall av,,;tabl(t 2411 for scheduling .
""'opt'"
28
June 2014 - Middle Tennessee
Pain With Lifting Your Shoulder
By Jason Wlk:ler, PT, Dip. MDT,
Regional Education Coordinator for AesuRs Physiotherapy - Morristown, TN
J
ason Wilder, Lead Physkal Thel3pist at
Re5ults Physiother.opy in Morristown, TN
has <;een ~ountless patients wit h shoulder
pain overlhe years that benefit immensely from
physical therapy. One of the most common presentations is a shoulder with 3 painful an:, when the
arm is being raised O\Ie, their head.
Recenttv a M-ye.roOld auto parts worker came to
PT aft", a 6-w~k history of shoulder pain follOWing
a snowtloarding accident lison used an indwldu.1
approach of hands-on manual therapy and exercise
to spe<:ifically address the problems thai this
patient presented with.
The pain was on and off, but quite severe when he
<;<Ime to physical therapy· he rated his pain a 7/10
wilh reaching overhead, behind his back or with
lifting even light objectl. As an auto parts manufacturing worker, it was also making his job quite
painful and difficult to perform. At this point he
had ~en a primarv care physician and had an x-ray
which showed no abnormalities, and it was deter·
mined that no other imaging was neces:sarv.
On eX<lmination from the physical therapist he was
able to move his shoulder through a full range,
however it was verv painful in the middle of the
motion and 3t the top of the motion. His Slrength
was decrea~d and liftin& was painful and limited.
It was determined thaI he had sustained an injurv
to the tendons of the rotator cuff. The rotator cuff
is responsible for stabilizin& the shoulder and
assisting the other larger muscles with movement
and function .
Treatment at Results Physiotherapy co"sisted of"
"hands-on" Pro8ram to improve &e"eral mobility
around the shoulder joint and the thoracic spine.
The hands-on treatment techniques redu-ced stress
on the painful rotator cuff, allowi"8 a gradual
exerci~ program to be implemented. Agradual
loadi"s on the rotator cuff allowed thew terodo"s
to progressively improve.
By the 4th visit the pai" in the mid
range moveme!llS was reduced by
7Sl'6 and only had pai" at the end of
the range of motioro with OIIerhead
reachi"g. By three weeks. his pai"
was relieved and he was able to
focus 00 fur>ctiooal stre"gthe"i"8.
After 5 weeks of treatment, this
gentleman had no pain during
reaching in any direction and was
able to lift w ithout pain. He wn able to perform
his job and return to regular workouts for
general fitness without pain as well .
At Results Physiotherapy we beHeve that noone
should have to lilli! with pain. We commit to
you that you will see a physical therapist at eitCh
visit and receive this same type of individual.
ized, " hands-on" care. If you Or a friend/loved
one are experiencing pain or limited function
in any area of your body, contact your nearest
www.lnhealthandwellness.com
Results location. Patients can go directly to
physical therapy without a referral from a
physici"" in most cases. Ca ll us today to
schedule your appointment.
For a comp lete list of locations and information
tegard ing Results Physiotherapy Centers. visit
1'fWW.I1!5U Ilsphysiothera 1'I'.C!1 m.
_.f.ceboo~ .C!Im/ resultsphyslotheriPJ.
or cal l (&00)888·0531
If you would like ind ividual questions
answered by a senior cliniCian visit
www.resultsphysiotherapy.com/
ask-a-physl ot herapl st.
Mtddle Tennessee - June 2014
29
DANGERS OF GASTROESOPHAGEAL REFLUX
ByW'liam Noms. M.D., FACG
Endoscopy plays an important rolc in the trcaUYlCnt
of Barrell's esophagus. Early recognition of this premalignant condition allows for the opportunity to
prevent esophageal adcnocan;inoma or inc~ the
possibility of an early diagnosis. Various rndoscopic
therapies used to eradieate Barrett's esophagus
include radiofrcquency ablation. pholoo)'Il3TIlic
therapy and endoscopic mucosal resection.
T
e esophagus is the muscular tube that
carries food, liquid, and saliva from the
mouth to the stomach. The pro~imal and
distal pon;"n of the esophagus is bounded by bands
of muscles called sphincters. The sphincter that is
located at the distal end of the esophagus is called
the low'" esophageal sphincter, Nonnally, both
sphinc\crS are closed c ~ ccpt during swallowing.
Gastroesophageal rcflux (GERO) is a chronic digesti", disease that OIXUrs when the lower esophageal
sphincter does noc close properly. This results in
acid that is nonnal1y in the stomach regurgitating
ba<;k or refluxing into the esophagus. Less
conunonly, bile can flow ba<;k into the esophagus
resulting in GER.D. Inflammation and irritation of
the esophageal wall IXc~ from the refluxing of
acid or bile into the esophagus.
Symptoms of Gutroesoph.geal Reflux
The most common symptoms of gastroesophageal
reflux include burning in thc chest (also known as
heanburn) and burning in the throat or stomach.
Other, less common, symptOmS include unellplained cough, sore throat, asthma or difficuhy
swallowing. GERD is diagnosed when these
symptoms IXCur more than twice ill wcck, and interfere with nonnal living activities. PersistCllt
symptoms that occur more than twice a "'cck can
eventually lead to more serious problems such as
ulcers in the esophagus, bleeding Or narrowing of
the esophagus. However, some poople with GERO
have no digest;ve symptoms.
Treatmentof Acid Reflux
Compliu'tions of A(ld Rfnux
Esophageal stricture or narrowing of the esophagus, results from chronic reflux resulting in
scarring of the lining of the esophagus. The
esophagus narrows ..... hieh makes s"'allowing food
difficult An esophageal ulcer results from acid
eroding the lining of the esophagus. This can
cause bleeding or rarely a tear through the esophageal wall . Barren's C'SOphagus is a premalignant
condition that IXCUrs when acid from the stomach
damages the tissue lining the esophagus, changing
this 10 resemble tissue similar to that lining the
intestine. This is called intestinal metaplasia
(metaplasia means change of tissue). Barren's
esophagus affccts about 1% of the population of
the United States, however, it is estimated that up
to 100.4 of individuals who suIT", from chronic
esophageal reflux have Barrell's esophagus.
Bam:tfs esophagus is associated with esophageal
adenocarcinoma,
Ri~k
F.dorsfor Barrett'$ E~ophagu$
MeTl develop Barren's esophagus about twice as
often as women. Caucasian men devclop the con dition more often than men of other races. The
average age when Barrell'S is diagnosed is around
55 years of age. Other risk factors for Barrett'S
esophagus include duration of reflu~ symptoms
for greater than 5 years, obesity and smoking.
If you have recurrent symptoms of heanbum or
reflux symptoms OOt controlled with ovcr the
cOunter medicatiorts, ask your healtheare provider
if you should undergo an evaluation for GERD or
screening for Barretfs esophagus.
Dr. NOFri.t is a nan',,,, of Delray Beac/r. FL lie
rtC<!i,ru his ~Ie d~ from M~1wr4e
College and graJuaU!d fir>m MI'harry Medial!
Ca!kge in 1999. lIis imemol medil:i/!e ~idellC)' '''u
comp/eled allhe Unil'''l'$il)' ofThnnen"",M"",p/t1s
He SP<JnI nine years in the United Stales A""y. His
medical caree~ began al FOI1 Com~ll....hl'n! he
served as tlte CM"fofMedicine Juring the IMt )""r
of hiJ tour. He $uiJse'lueni/y completed his gMtroent~roIogy fellow8hip 01 Woller Reed A""y Medical
Cenler. and became boon! certified ill Gast_lIIer_
olagy afle~ his rrai~ing "'M camp/ere. lie ",as
Selecledfor and romplered an AJwJI.ced Tlterapeu'
lic Endrucopy Training Program at tM Univenit)'
of Ma,,-Iand. Tlte remainder of his ",ililOry career
" ..... sen'&l 01 Woller Reed Army Medical Center.
"'here he " ..... the Director of Endoscopy. fie held
staff oppoilllmelliJ at Ckorgero ..." Uniw,niry
Sdool of MediCine and at Ihe Uniformed Sen'lces
University of Ihe flet/lth Sciences. Dr. Norris u all
Operalian I'aqi Freed"", ""Ieran, n"'ing a
rombol roul' ...ilh Isr Ca,'OIr')' Division in 1M. and
Is a Bron;:e Sror Medal recipient.
Treatment of acid reflwc may include lifes!)'lc and
dietary modifications or ovc,- the counter remedies.
Afler his mililory ca,...,.. Dr. Noms rr>locart'd 10
Antacids such as Maalox, Mylanta, or Alka-Sclt:ccr
Mit/dle TI!fUUruee. flu offICe is located 0/1 the Skylille
are commonly used for individuals wooOlXasionally
~~Ive MNSUTH fOf' bop"',}"1 Orn:e-r
Mediall Center Campus. and he is 0/1 sltlj[at Skyline,
have rcflwc symptoms.
lIeniknom;[{e and Centl!1lnifJl Mediall CelllefS.
TrealmeTlt of acid reflux may reduce the risk of
Other drugs used to
Barrell's esophagus and possibly the associated
relieve reflux symptoms
risk of esophagcal cancer. Individuals with
arc Hydrogen 2 receptOr
Barrell's esophagus may not ha,'e any symptoms.
blockers such as cimetiII is re<:ommeTldcd thai adultS older than 40, who
dillC (Tagamet), ranitihave had reflu~ symptoms for greater than 5
dine
(Zantac)
or
years. undcrgo an endoscopy with biopsies to
famotidinc (Pcpcid). The
scn:<:n for this condition. Screening for Barrell's
To learn more or to schedule an appointstrongest anti-secretory
esophagus will aid in the detection of early
ment, please call Norris Gastroenterology
drugs are the proton
warning signs of esophageal adenocarcinoma.
Group at 6 1 ~-612 -4998,
pump inhibitors.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.tnheatthandwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
30
, •w
June 2014
Middle Tennessee
JUNE Health&Weliness
•
yen
June 5th I Nashville Striders All Comers Youth
and Adult Track Series
5:45 PM I Rose PlWI< Sports COo,tPIeA. 1<XXl ~ Ave.,
5
·...................................................
7
_.TN
June 7th I Barrel Fest 5 Miler
7:00 AM I Coopeo1own City f-iaI, 2525 Burgess Gower Rd .
Spr'ngfieId, TN I Information: Vrd<.y
~owntn.org.
WNW.faoebook.corrv'oarreIfesISmiler
fIE9st(lf: WNW.~.oomfnIc:e,ItnISpringtieIc1tbaest5rTWer
....................................................
June 7th I 2nd Annual Superhero Strides for CF 5K
8:00 AM I Qw1traj ~ School, 701 E Main, Mxfreesboro, TN
June 21st I RC Cola Moon PIe 10 Miler·
7·................................................... 21
.........................................................
.
-12
21
·...................................................
I!1lormation: Jake supeI'heto6trkiesOya'1oo.com.
WNW,tMJntbrite.com
lnIorma\kln:www.~'obeo.oom
O"oao 'opioo dlip Tri1g . Race MiroiIgemenI by
June 12th I Nashville Striders All Comers
Youth and Adult Track Series
5:45 PM I Rose PlWI< Sports ~ 1000 EdJeI. AYe.,
_
14
7:00 AM Bel Budd&, TN
.TN
June 21st 16th Annual Shoney's 5K Family Fun Run
8:00AM 151< FU\ Kleis M..r1 fUllO FoIow, l.P RetI, l.JJI T. tlasl,iIB. TN
.oIoll'oaIioo.; www.shoneys5kn.n.oom
Aaglslra6on: WWW.shoneys5kn.n.com.regosIBf.~
.. ...................................................... ..
June 14th I Fatherhood 5K Trail RunIWalk
and Fatherhood Games
••
7:30AM 15K ~ MalsIon, 4225 'MlitesQaek PIKe.
_
.TN
~: -.w.~
·...................................................
14
•
•
June 14th I Run for 9·1·1
7:00 AM I ~tone Arena, 5th !Wld Broa<:tNay,
•
•
_.TN
Information: ques~doyo!Iu"ltor.oom.
WNW.frieo dsoI9 t t.Otg
....................................................
19
June 19th I Nashville StrIders An Comers
Youth and Adult Tra ck Series
5:45 PMI Rose ParI< Spo.ts Complex. lOCO EOgehI Ave.,
_.TN
_ __ __ __ _ _ _ _ _ _ __ _ __ _
~~==~~::~~
www . tn e ~ftll~ndw elfne$S.com _
_____~~_
MIddle Tennessee - June 2014
31
What Makes a Great Father?
By Rat'lCty Hensley, Executive Director, CoaI~ion for Kids
Nehemiah 6: 1-3, "When word came to Sanbaffat, Tobiah, Geshem Ihe Arab and Ihe reSI
of our enemies that / had rebl/ilt the wal/ and 1101 a gap was left ill it, thol/gh up to that
time I had IlOt set the doors in Ille gales, Sal/bal/at and Gesllem sent me lhis message:
'Collie, leI us lIIeel together ill one of Ih e I'il/ages on the plain of 0110.' But they were
schemillg to harm lII e, so / sent messellgers to them with this reply: '/ am carrying on a
great projecl and canllOI go down, Why sllOlIld Ihe work ~'top while I lea .'e il and go
dOWllto yOI/?'"
I
n June we celebrate Fllher's Day. and ifs a good
time to CQrISidcr the questiQll: What makes a
good father? EVCf)'Qnc leads SQII1ebOOy and has
influence over someone. The question is. is that
influence going to be positive or is it going to be
negative? I will shan: some thoughts from a leader.
ship teaching I n:ad about a guy named Nehcmiah.
All he did was build a wall in 52 days allowing
nothing to stop him.
Great fathers have great focus, not allowing
d ist ractions to kH!p uS from doing what's
most important, There an: many people with a
great stan, but few will finish strong. Halfway
finished is onc of the hardest places to be. Now,
Nchemiah is at the point that he has built the wall
to its full height and the only thing left to do is hang
the gates. lIul/"'ay finished is olle of the hardest
places to be, b,j/ almost finished is "'hell )"U are
the most ... I!,erable. Almost winning is losing. You
didn't almost finish college. yQll q uit.
Great fllthe rs hllve this focul, it gives them II
resolve to ~rsevere through resisun«. Look
at verse four, it is talking about the enemy of Israel:
"Four limes fh e)' sent me the SDme messnge .lnd
eaelt time I g"''t! the lame
Dis/rae/ians
atul opposition ...iII always came "g"inst healthy
eommi/menu. Marriage and raising kids are two
areas we muSt persevere in if we wanl to see Our
world change. Those times when yOll qucstiQll
bow you fed about your spouse or experience
temptations to have fun outSide the covenant of
marriage are all danger ~oncs! Just as '"almo:st
finished"' is QIle of the hardest places to be, raising
kids isn't easy cither. I have six. and just be<:ause
they have gone off to college or married and left
the home doesn't release me of my responsibility
asthe headofmy tribe. I am and will always be thc
head of my tribe. Talk to your kids. pour into them,
they are in han:! places lhat you havc walked
through. They need you to not quit!
"",,..,r."
Grellt fill hers hllVe mil/g in , Margins are those
blank spaces. When we don't have margin in our
lives. we expe/icnce another n:sistant force fatigue. Nehemiah had been at this projccl for
some time and stood against compromise and
tcmplation. YQIl know how it is when you have
been at something a long time . . . bow fatigue can
set in. And now here comes the enemy, "Come on!
lei us ",«I toge/her in One of tht "ill/1.ges On the
pl",'n of Onll. " They were offering that dude a
weo.:k in Vegas, What happens in Vegas. SllIys in
Vegas. you know whall mean. I am discovering in
my life the imponance of margins. Relationships
tuefomwd in the mllrgiJU When you don't have
any margins in yOUi life. people an: going to leave
you alone because you an: always On !he edge. You
can bum the candle on both ends and it will be
twice as bright but it ""ill also bum twice as fast.
God did not erote a nybody for failu ... Jesus
s.aid, "'You didn\ choose me. I ebose you and
called you that you could go QIl! and bear fruit,
fruit that would remain." i don\ know what you are
going through or where you arc-you may lack
resol"e to finish in some area in yOIll life. It might
be in your marriage: it might be that you'n: strug·
gling with your children. It might be that you're a
pastor of a church and you need resol,.., to finish.
Trust the God who has given thaI wife 10 you, trust
the God wbo has given you those children. When
you IruSI the God who loves you most and wants
wbat', best for you, you o;an rlllish strong!
Randy has served as Exceutivc Director of
Coolition For K ids s ince its founding in
1998
The ir mission is to help children
grow in wisdom and stature and in the
favor of God and man ...bascd on l uke
2:52. Primarily serving a population of
low· income, at·risk chi ldren o n a daily
bas is, over 380 chi ldren are presently regis-
C4k
CnlitiM ftJr Kids
tered in Coalition for Kids programming,
For more information regard ing Coalition
For Kids, ca ll 423-434·203 1 or vis it thc ir
websitc at www,coalit ionforkids ,org
~:::::::;::;~~~~:::::::::~~__
_w.coillitionforkids.org
_
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