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2. medicine
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Volume 5, No. 2
Getting Old is Not
for Sissies
Page 5
A publication of the Mid-Tennessee Bone & Joint Clinic, P.C.
Total Ankle
Replacement
Page 9
MRMC . . . Why
Go Anywhere Else?
Page 10
Welcome
is a publication from
Mid-Tennessee Bone & Joint Clinic
www.mtbj.net
See our website for additional locations.
1050 N. James Campbell Blvd.
Suite 200
Columbia, TN 38401
800.552.BONE (2663)
931.381.BONE (2663)
is an educational and informative
resource for physicians, health
care professionals, employer
groups, and the general public.
This magazine/newsletter
provides a forum for communicating
news and trends involving
orthopedic-related diseases,
injuries, and treatments, as well as
other health-related topics of interest.
The information contained in this
publication is not intended to replace a
physician’s professional consultation
and assessment. Please consult your
physician on matters related to
your personal health.
is published through
LA Associates Advertising Agency,
103 Kensington Place, Columbia, TN 38401,
931.446.6004 and
email at [email protected]
Ad composition is the liability of the
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an ad in this publication.
Ad placement is at the discretion of
LA Associates in conjunction with MTBJ.
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It’s time to admit something: I’m getting old.
Actually, we’re all getting old. Some of us are further along the way
than others, but our bodies (and minds) don’t last forever and at
some point begin to show their age. My indications were parts of me
hurting that didn’t used to hurt, needing to go to bed earlier, and the
day a young boy, after passing me in a hallway, saying to his mother,
“That man was really old!” I resisted the urge to turn around and
correct him as the dagger pierced my heart.
So now I have another choice in a life full of choices. Do I want to
surrender to the inevitable physiology of aging, or do I want to be as
active and healthy and energetic as possible? It’s the same choice we
face all through life, but when we start to age it gets more urgent.
I really think this isn’t much of a choice. Who doesn’t want to feel
better and actually be better? We can enjoy being active, and we can
actually benefit from something we enjoy. For me, it’s turned out to
be cycling. I bought a bike a few years ago and have rediscovered a
joy from childhood. I live near the Natchez Trace Parkway and have
carved out the time to regularly pedal up and down its beautiful and
rolling pathway. I’ve hung out at the bike shop and made some new
friends.
So let’s encourage each other to keep our bodies and minds in good
condition. Act today on that thought that keeps crossing your mind,
“I really should start _______.” Get a friend to join you and make
it even more fun! It really does matter, and you really can do it.
Sincerely yours,
Fred Drews , CEO
Trust your eyes to experience
Columbia Eye Associates
Charles Atnip, MD
Comprehensive Diagnostic & Therapeutic Eye Care
1050 N. James Campbell Blvd. / Suite 100 / Columbia, Tennessee 38401
931.375.1050 / 1.800.656.2503 / www.columbiaeye.net
Timothy Gordon, MD
Located in the Medical Plaza at Creekside Place, Columbia Eye Associates
feature complete vision services from eye care physicians that are boardcertified ophthalmologists that combined have over 80 years of experience.
These physicians can treat an entire range of eye diseases using state-of-theart technology and specialize in diagnosing eye diseases, evaluating the
need for cataract surgery and the insertion of the increasingly popular
Ralph Hamilton, MD
premium lenses. Premium lenses greatly decrease the need for glasses
after cataract surgery. Eye surgery can be performed on site by our physicians
at the Surgery Center of Middle Tennessee, also located in the Medical Plaza.
James King, MD
Tennessee Retina
Carl Awh, MD
Kenneth Moffat, MD
Trent Wallace, MD
To further provide exceptional service to the Columbia area
residents, physicians from Tennessee Retina, the largest retina
practice in Middle Tennessee, are now seeing patients in our
offices. Doctors Carl Awh, Kenneth Moffat and Trent Wallace
have regular office hours in Columbia. These fellowship-trained
ophthalmologists now perform examinations and treatment in
Columbia that previously required a drive to Nashville. For more
information about Tennessee Retina, please visit their website at
www.tnretina.com or schedule an appointment, 615.983.6000.
Christopher Optical
Christopher Optical has been providing exceptional eyewear services since 1989 in
the Cool Springs area. Columbia Eye Associates is pleased to have Chris McWhorter
and his staff operating their eyewear shop in our facility. Christopher Optical has a
large variety of designer frames as well as quality affordable frames. Christopher
Optical specializes in many lens design such as polarized sunglasses, the latest in
thin and lite lenses and special non-glare, anti reflective lenses. They are also one
of the largest Varilux no-line progressive lens dealers in Middle Tennessee.
4
The first thing is to understand
the aging process affect on your
body. The bones lose their
mineral content and the crosslinks that provide strength
shrink. Peak bone mass occurs
at age 28, from that point forward you lose bone. Women
particularly lose bone faster
after menopause when estrogen levels fall. Muscles age by
decreasing the number of fibers
and lose mass. This is accelerated by a sedentary lifestyle.
If you don’t use it, you lose it.
Tendons and ligaments lose
their water content making
them stiffer and more susceptible to injury. The cartilage in
joints also gets stiffer and can
degenerate leading to arthritis.
Obesity and previous injury can
accelerate the progression of
arthritis. If you are bow legged
or knock kneed, the mal-alignment can also cause arthritis
since the load across the joint
is asymmetrical increasing wear.
Jeffrey T. Adams, MD
Surgery of the Shoulder/
Sports Medicine
The aging process noted
above cannot be reversed,
but there are ways to slow
down the effects making
our senior years more
enjoyable. The most
obvious step is taking
care of our bodies when
we are younger so we do
not have to feel the
effects when we do get
older. Achieving peak mass
must be accomplished in our
teens and twenties. Avoiding
smoking and alcohol abuse,
getting adequate calcium and
Vitamin D, and exercise are the
key to peak bone mass; preach
this to your children and grandchildren. As we age, studies
demonstrate that weight-bearing exercises and weight lifting
can help maintain bone mass.
Everyone should take calcium
and vitamin D supplementation
because it is so difficult to get
through your diet alone.
Muscles and tendon aging can
be countered by strengthening,
hydrating, and flexibility exercises. It has been shown that
lifting weights by even nursing
home patients in wheelchairs
can increase strength in their
muscles improving their quality
of life. The stronger your muscontinued on page 6
“ What makes old age
hard to bear is not
the failing of one's
faculties, mental and
physical, but the
burden of one's
“
Fight the battle against aging
with fierce determination. Getting old is not for sissies, as my
father used to tell me. The
aging process is inevitable, but
there are things that can be
done to prevent many of the
complications such as osteoporosis, arthritis and falls.
Patient
Education
Getting Old is Not
for Sissies
memories.
W. Somerset Maugham
continued from page 5
Getting Old is Not for Sissies
cles, especially the abdomen
and hips known as your core, the
less problems with back pain
and less risk of falling. You must
keep your muscles and tendons
hydrated by drinking water.
Eight glasses of water is recommended per day. Stretching is
key for injury prevention as we
age. Stiffness sets up our tendons for injury if we overload
them before they can handle a
load. Weekend warriors especially need to incorporate stretching prior to any sporting activity
including dancing or working in
the yard. Yoga and Pilates are
excellent options.
Dealing with the pain from
6
arthritis is the hardest part of
aging. Controlling your body
weight is very important because
the force going across a joint
accelerates wear and causes
pain. Exercise is important but
different alternatives are sometimes required. Swimming, water
aerobics, and biking are less
impact activities that can keep
you exercising.
Before starting an exercise program, always check with your
primary care doctor to get
clearance. 30 minutes a day
of moderate activity is what is
recommended as a mininum.
It is a cumulative affect so doing
10 to15 minutes several times a
day all adds up. Everything
you can do aids in the fight
against aging. Parking at the
end of the parking lot, climbing stairs instead of elevators, and walking up escalators are all small activities
that improve your overall
fitness. People who exercise
deal with stress better, feel
better about themselves,
and have a more positive
outlook which make the
senior years more enjoyable.
November is
Diabetes Awareness Month
MTBJ Welcomes
Emily K. Kyle, PA-C
Some sobering information . . .
Approx. 26 million children/adults in the U.S. have diabetes.
1 in 3 American adults will have diabetes by 2050 unless it is
stopped.
● 2 out of 3 people with diabetes die from heart disease or stroke.
● Diabetes is the leading cause of kidney failure.
● Diabetes is the leading cause of new cases of blindness among
adults.
● About 60-70% of people with diabetes have nerve damage.
● The American Diabetes Association estimates the total national
cost of diagnosed diabetes in the U.S. is $174 billion.
● Average medical expenditure among people with diabetes is 2.3
times higher than those without the disease.
● Indirect costs amount to $58 billion (disability, work loss,
premature death).
● The cost of caring for someone with diabetes is $1 out of every $5
in total healthcare costs.
●
●
931.540.0062
866.331.0062
This past summer, Mid-Tennessee Bone
& Joint Clinic
welcomed
Emily K. Kyle
to the staff.
Emily is a
Physician Assistant and will be
working in our OrthoQuick clinic
and assisting the physicians when
needed.
Skilled Nursing | Physical Therapy
Occupational Therapy
Speech Therapy | Social Worker | Personal Care
Private Duty (hourly nurses or CNA’s)
for Pediatrics, Adolescents & Adults
Hourly Homemaker and Personal Care services
are provided through the CHOICES Program,
VA or Private Pay
MTBJ Now Offers Total Ankle
Replacement Surgery
Orthopaedic surgeon Randall L.
Davidson, Jr , MD, recently attended a meeting of the American Academy of Orthopedic Surgeons on total ankle arthroplasty.
Although ankle replacement surgery has been done in some form
or the other for many years, only
recently has the long term data
made this an option for patients
seeking long term ankle pain
relief. Recent studies have suggested ankle replacement may be
a better solution for patients with
severe ankle arthritis than the
traditional ankle fusion. Ankle
replacement not only relieves
pain but preserves motion.
After earning his medical degree
from the University of Tennessee
Medical School in the top ten of
his class, Dr. Davidson completed
his residency in orthopaedic
surgery at the world renowned
Campbell Clinic in Memphis. His
clinical interests include surgery
of the foot and ankle as well as
sports medicine. Dr. Davidson is
board certified by the American
Academy of Orthopedic Surgeons
and is an active member of various state and national medical
societies and associations.
Randall L. Davidson, Jr., MD
Maury Regional Medical Center:
Why Go Anywhere Else?
Photo of MRMC
“ As a former
chief of staff for the
medical center and
a member of the
orthopedic services
council, I know
first-hand the
quality of care . . .
at MRMC.
“
Dr. Jeffrey Adams
For further information,
about Maury Regional
Medical Center, visit their
website at:
www.mauryregional.com
10
The practice of medicine has
changed immensely over the
years, much of it for the benefit
of the patient. Maury Regional
Medical Center (MRMC) has
been a leader in doing the right
thing for the right reason, utilizing teams of physicians and
staff to implement strategies to
deliver excellent patient care.
From utilizing best practice
treatment methods resulting in
positive outcomes for patients
to initiating protocols to enhance patient safety, MRMC has
made tremendous advancements. This commitment to
clinical quality and patient
satisfaction has produced
results and propelled the medical center to be recognized
nationally as a leader in health
care.
■ “A” Hospital Safety Score –
2012 (The Leapfrog Group)
■ 50 Top Cardiovascular Hospital
– 2011 (Thomson Reuters)
■ Award for High Value Health
Care – 2011 (QUEST)
Most recently, the medical
center was one of only five
health care organizations in the
nation to be considered for the
Malcolm Baldrige National
Quality Award, receiving a site
visit in October with a decision
anticipated in November.
As a former chief of staff for the
medical center and a member
of the orthopedic services
council, I know first-hand the
quality of care that my patients
receive at MRMC. I am proud to
be a member of the medical
Over the past few years, the
staff and play a role in improvmedical center has been coming patient care for our compared to prestigious institutions munity. With a nationally
such as Mayo Clinic and thourecognized hospital in your own
sands of other providers based
back yard, why would you go
on publicly reported data. As a
anywhere else?
result, MRMC has received the
following awards:
■ Top Health System – 2011 &
2012 (Thomson Reuters)
MTBJ Staff Share and Celebrate
Milestones
2012 has been full of blessings for the
Staff, take a look . . .
Births
Avery Loren Jackson
Born in April
Jessica & Alex Jackson
Brantley Allen Brady
Born in August
Kayla & Darrell Brady
Cameron Kim
Born in July
Dr. Charles & Julie Kim
Graci Marie Woodard
Born in August
Dana & Joseph Woodard
Graduations
Will Taylor Allen
Central High School
Amy & Mike Allen
James Maxwell Clemmer
Born in October
Caitlin & Wyatt Clemmer
Braden Davidson
Columbia Academy
Dr. Randy &
Jeannie Davidson
Heather Jean Faulkner
Santa Fe High School
Tina & Ernest Faulkner
continued on page 12
11
continued from page 11
Celebrating Milestones
Graduations
Engagements
Sam Wade
Battleground Academy
Megan Purdom
Engaged to Grayson Proctor
Wedding – October, 2013
Vanéssa & Kenneth Purdom
Recipient of the Pinkerton watch
for the best all-around student
Dr. Freddie & Stacey Wade
Logan Purdom
Middle Tennessee State University
Vanéssa & Kenneth Purdom
continued on page 13
12
continued from page 12
Celebrating Milestones
Engagements
Marriages
Logan Purdom
Engaged to Alexis Mann
Wedding - January 2013
Vanéssa & Kenneth Purdom
Matthew & Erin Chesnut
Married May, 2012
Ginger & Randall Chesnut
Austin & Molly Davidson
Married July, 2012
Dr. Randy & Jeannie Davidson
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Orthopedic Surgeons
C. Douglas Wilburn, MD
Surgery of the Spine/
Sports Medicine
Randall L. Davidson, Jr., MD
Surgery of the Foot/
Sports Medicine
Jeffrey T. Adams, MD
Surgery of the Shoulder/
Sports Medicine
Continuing to Service Middle Tennessee After 13 Years!
J. Fredrick Wade, MD
Total Joint & Reconstruction of the Hip
and Knee and Surgery
of the Spine
A. Lee Hunter, Jr., MD
Surgery of the Hand
For Your Information . . .
For the convenience of patients, Mid-Tennessee Bone & Joint Clinic
has four locations throughout Maury, Marshall, Lewis,
and Giles counties with the main office located in Columbia.
Columbia (Main Office)
1050 N. James Campbell Blvd.
Suite 200
931.381.BONE (2663)
1.800.552.BONE (2663)
Lewisburg
1080 Elington Parkway
1.800.552.2663
Office Hours
Monday-Friday
8:00 AM - 5:00 PM
Pulaski
215 South Cedar Lane
1.800.552.2663
Hohenwald
617 West Main
1.800.552.2663
Monday-Friday, 8:00 AM - 4:30 PM
Saturday, 9:00 AM - Noon
Scott W. McCall, MD
General Orthopedics/
Knee Replacements/
Sports Medicine
Jonathan R. Pettit, MD
Sports Medicine
Physical Medicine
and Rehabilitation
Charles S. Kim, MD
Physical Medicine and
Rehabilitation
Physician
Spotlight
Charles S. Kim, MD
Physical Medicine and Rehabilitation
Dr. Kim graduated from Duke
University with a double major
in Biomedical and Electrical
engineering. He worked as an
engineer prior to returning to
medical school in his home
state of Arkansas. He graduated
from the University of Arkansas
College of Medicine in 2002. Dr.
Kim completed his residency in
Physical Medicine and Rehabilitation at Emory University in
Atlanta, with training at the
Shepherd Center and musculoskeletal and electrodiagnostic
training at Emory Orthopaedics
& Spine Center before moving
to Columbia in 2006.
niques in addition to a comprehensive approach that can include medications, therapy, and
physical modalities. Dr. Kim is
proud to have been asked and
to serve as medical director for
the Shepherd Center’s, Beyond
Therapy facility in Franklin since
it’s opening in 2010.
The Columbia area and MTBJ
seemed like a great opportunity
for Dr. Kim with a well-established and respected practice
with room to grow. At that time,
plans were in progress for the
modern building that the clinic
is in today.
The biggest change in the practice of orthopedics has been the
ever increasing changes in technology. These technological
changes have helped to improve
patient outcomes.
Professionally the opportunity
to touch so many lives in diagnosing, improving, and/or
maintaining function without
surgery is something that Dr.
Kim takes great pride in. He
utilizes minimally invasive tech-
Dr. Kim and his family enjoy
giving back to the community,
whether it be by providing free
sports physicals to Middle TN or
by donating time and/or resources to causes close to the
heart like the Komen Race for
the Cure.
When not practicing medicine,
Dr. Kim follows Duke basketball
and the Arkansas Razorbacks.
He has since adopted the Tennessee Titans as well. As an avid
fisherman with an appreciation
for the outdoors, he has become
a neophyte hunter with an interest in wildlife land management.
15
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