1. health and fitness
2. disease

ORTHWEST TENNESSEE
MAGAZINE
________________________ www . tnhealthandwellness.com ________________________
Northwest Tennessee
Nove mber is Alzheimer's Awareness Month
10 Warning Signs of Alzheimer's
Did you know that memory loss that
disrupts daily life may be a symptom
of Alzheimer's or dementia?
Alzhcimer's is a brain disease \hal causes • slow
decline in m=of)'. thinking and reasoning skills.
Aeoording 10 the AIzhcimer's~tion.lhcre are
10 warning signs and symporns\hal you should be
.....'are of. We ha,~ liSled them below. Please keep
in mind that C"\'ay individual rna.y e~pcrirncc one
or more of the$c signs in diffcfl:"ll! degrees. If)'O\l
OOIice any ofthcm. please SOC a doclor.
1. Memory loss that disrupts d.ny life
One: of the
mosI common signs of
Alzheimer's is memory loss. especially f~ing m:enlly ll:"amcd
information . OIllen include f~l1ing
imponant dates or evenls; asking for the same
information Over and ovcr; increasingly needing
10 rely on memory aids (e.g., reminder notes or
ellXlronic devices) Of family m<:mbcrs for things
they used 10 handle on their o ....·n.
Wh",'"" 1t}-piClli IgM"t'i",ed rlrl"'g~"!
~imo:s forgetting
names
Of
appointments.
but remembering them later.
2. Challenges in pl.nning or solving
problems
Some pe<.>ple may e~perience changes
in thei r abilily 10 develop and follow •
plan or ....·ark ..... ith numbers. They may
have trouble follo ..... ing a famili.r
m:ipe or keeping track of monlhly bills. ~y
may have difficulty oooccnlJating and tHe much
longer 10 0:10 things than they did before.
Wlrll/'J II t)"piclll llg~_'tlllttd elrlmKt ?
M aking oe<.:asional errors ..... hen balancing a
checkbook.
1. Difficulty com plet ing fa mill.. tasks at
home. at work or at leisure
People with Alzheimer's often find it
hard 10 complete daily tasks. ""~_
times. people may have trouble driving
to 8 familiar location, manBging a
budget al work or remembering the rules of a
favorite game.
II'hll, 'J .t}-piClli "gM"t'i" u d (lrll"gr ~
Oecasionally needing help to use the SCllings on a
microv."lI'·C or to m:ord a television show.
4. Confusion with time or place
People with Alzheimer's tan lose
track of dates, :;casons and
pa$~ge of tim<:. They may
In)Uble undcrscanding something if it
i$ 001 happening iTlUTlCdiately. SomeIimcs they
may forget when: they an: Of how they 1101 Iherc.
W"~t'l
"
November 2014 Health & W~
8. Dt'( re.sed or poor Judgment
3
People with Alzheimer's lTLIy experience chang'" in judgmenl
decision_making. For e~ample.
may usc poor judgment when dealing
wilh money. giving II.'~""":':~~"~"""'""~'ct:
ers. l1Iey may pay less attention 10 grooming or
keeping themselves dean.
Wh41 ', IlIJ-pin / . ge_ulllted ch."g'?
Making I bad &eision once in I while.
g_ Withdrawal from wortt or sodal activities
t}"piclli.g~reltlled (Ir~"g,?
Gening confu:;cd about the day of the wcck but
figuring it out later.
5. Trouble understanding visual Images
and spatial relationships
For some people, having vision
problems is • sign of Alzheimer's.
They may ha~ diffICulty reading.
judging distance and determining color
or contrast. which may calIS(: problems with driving.
A pe<SOIl with Alzheimcts may stan to
remove tllcmscl,"C!i from hobbies. social
IIICtiviliC$, ....·ark projects or sports. They
may have trouble keeping up with a
favorite sports team or remembering how to
complete I fl\oo", hobby. They may also avoid
beina: social l>«ausc of the ehanac:s they ha~
e~p!::rienced.
Wlflu's lllJ"J*ui tJge-N'l4ltt1 t Ir4"ge?
Sometimes feding weary of wark, falRily and social
obligal1ons.
II'h.1'11l t)"pictli llgt-l"t lQled chll"g~~
Vision changes related to eataraetl.
10. Changes In mood and personality
6. New problems with words In speaking
or wrtting
The mood and pmonalities of propIc
with Alzhcimcl's can chanse. They can
bt:o:one confused. 5USpicious. o1:pC$SCd,
fearful or uu:ious. They lTLIy be easily " '- upset at home. at ",ro. with friends or In places
when: they are out of their eomfon zone.
People ....itb Alzbeirner's may
h;o,~
.!:ts
IrOUble following or joining a COO''CfSIItion. TIH:y may Slop in the middle of. ~ ...
conversation and ha, ·e nO idea how to
..
continue or they may repeat thcntso;:lvcs. TIH:y may
wuggk: with vocabulary, have: problems fIDding the
right won! or <;all things by the wronglllllTlf: (e.g..
catlin, a ....'lIICh. a "IIanoklcx:k").
",".,', .
I)J*II Il~ tI"",ge"!
Sometimes havillll trouble flDding the right word.
7. Misplacing things and losing the
ability to retrace steps
A ~TSCln wilh Alzheimer's disease
may put things in unusual places.
They may lose things and be unable
to go bllck O\·er their SlCpS to find
them ag.in . Sometimes, they may aceuse others
of stealing . This may occur more frequently
over time.
" ·1<....'$ 11 I)"PiNl llfft-rt:l4tttl d'Il"ge~
Dc\'elopina; \'CO")' specific wa)'S of doina tb.ings and
beoomina; irritable when a routine is ~
s.cn.dule a Tour or Join Us for Lund!
AI Park Tc:nacc Assisted Living. we know the 5igns
of Al:r.hc:imer·s and are prepared to hdp)'OW" loved
one through ca.ch pha:;c of the disease. Stop by or
give us a call to learn more aboultllc kr.l' and care ....l'
can provide )'0\1 Of)'OW" lO\-ed onc: at Pan.: Terrace.
Call1l1-479-1321 to IiCheduJe a personal appoint_
ment and lOUT with our 0\0.'IlCI", Scott Slubblcfield.
AnoIbcr opportunity 10 experienec our oommwtity is
by joini", U$ for lunch. We ....llUkllike 10 in,itc you
to oome SCI: ",tly our rcsidatts are so happy hen: at
The Park Tc:nacc Ass;sted Living!
~
11'''.1 's • lJ-picQi llge-rt illted (h."gt?
Misplacing things from time to time and retracing
steps to find chern.
--------------------- www.lnheatll'~ndwellneU.eom
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~
. . . . . "0.....-.0 · - . . . . . . , .
712 e.o..t...y Sired. South fullOlL, TN JS2H
731-419-132 1
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with Screenings
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Devoted 10 Excellence in Medical Treatment Using
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www.ucgastro.com
(731) 884-0600
Kofi W. Nuako, MD and L1ura W. Russell, CFNP
1109 East Reelfoot Avenue - Union City, TN 38261
_ ..... ""'",
The Next Gene ration in Heart Attack
and Stroke Prevention, General Health,
Welln ess, Weight Loss, Diabetes Manageme nt,
Rem ission Program, and Primary Care Services.
www.preventevents.com
731-300-0044 • 162 Murray Guard Dr. Suite B
www .tnhe alt hilndwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
nt nt
This Month's American Heart Association
Heart Healthy Tip
November 2014
b,ought to I'QU compliments of We" Te""""e. H•• " '" Vnculu Cent.,
3 ' 0 Warning Signs of Alzheimer's 20 November is Epilepsy
6 Adults: A Flu Shot is Not the
Only Shot You Need
Diabetic Complications and
7 Amputation
Prevention
8 What is a Fool or Ankle Sprain
or Fracture?
~
,.. _.
Awareness Month
-
--
Hal lmar\<. of a Quality
21 The
Hospice Program
Fruits and Vegetables: It's a Family Affair
23 Understand ing Fibromyalgia
Up!
24 Listen
How to Protect Your Hearing
NationAl Eati"K lI~altby Day is
Wednesd.y, November 5, .nd
,he Ameriean Heart A$$oci .. ion
w,onTS people to Ii"en
,he
.d,icc of genu:uions of mothe ..,
Ea, your .-egcrabl", (.nd f,ui,).
Here .rt some 'ips to help your
family g'" .,a'Ted!
9 What is Peripheral Net.ropathy?
Become a Statistic!
26 Don't
Lake Haven Behavioral Health
10 Encourages
Preventive Care is the Way
Mental Health
Wel lness and Seeking Treatment
II Overwhelmed
12
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More Common Then You Think:
Treatment Options lor
13 Dentistry lrom the Heart
Medicine
16 He<bal
IS Right lor You?
toGo!
27 Hol iday SUNivall0 t
28 Stomach Cancer
29 Great American
Our New
30 Introducing
Hybrid Operating Room
Make it easy to grab. Aft., you buy groce,i"" P"'P"'" a week's wofth of
'cggie $1icksor
up . mdon in bite-,i..,chunks. 1\" ,hem in da,conlainen so they'", easy to 'f">! in ,he fridge when you'", m.king lunch .. or your
kid,.re looking for snacks.
ru,
Smok~
~
National Diabetes Month
18 The
Effects 01 Diabetes on
the Elderty
'0
Give you rself shortcuts. W",,1rnigh, dinners can be hectic wi,h wo,k,
.. hooland kids' ac,ivi,i",. Give yourself a b.-cak by buying fto..,n Or canned
,cg<:t.bl"" you Cln 'OSS in ,he mic,ow,ov<:. F,,,,,h, fto..,n and canned Cln all be
he.hhy choices. Com!",,,, food I.bel, .nd choose item. without "uces .nd
'00 much sodium.
Wenness:
31 Spiritual
Pilgrims with a Purpose
Make fruit and vegetabl e shopping fun. Viii, your local f.,mell'
morkc, 'If gfOCCry STOf(: with YOUT kids. Show thcm how '0 ..1<:.;, ripe f,uitS
.nd fresh '-eg",.bl",. I.e, Them pick ou, new on"" 'ry.
'0
Be II roie model. Try '0 " .. 'ogether as a family. If you'f(: ""'ing (.t><! cnjoying!)
• wide range of fruits and "W"bies. they'll be more likely '0 'ry 'Mm.
",,!"
Offer healthy options. In,'cad of asking "Wha' would you like '0
off.. hahhy,hoic"" I.." ,hem choose betw«n a ban. na 0' ,,,,,wbe,,i,,, wi,h
cereal, or ask ,hem if They w,onl curolS or broccoli wi,h dinner.
in hundre<lS ot
NOrthwfl, feme,," me<lieaI ta<::ilitie •. inchllling: IlO$pilaIS. _ . , . ChifOpfaclor·,
an(l denli..•• Offic.s. Find a copy ot you, FREE Hunh & Wall na" Magazine in
Madison. 0)'11" Gi~son. Hende.-son. Carrol. Obion. Weakley aM Henry Counlies.
N orth_I t f ."""I._ H N Ith & w.lln . .. M' I/nln. eIIn b& tOUnd
To get your article publi s hed a n d for ad rate s, call 731.335.2536
Rach el@tnhealthandwell ness.com
oeq. .. .G ". NORT_EST TE ~N E SSEE
My...
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HE.LTH , WELLNESS M. g ... '''' 2(> " . AM
. . . . - ' " " .. _ " ' .. ""' _
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5ne ak It In. Fonify you' family', favo,i,. ,<:.;ipcs wi,h f,uil$ 0' vq;elabl",.
Add grated or f'urced "uroTS or zucchini 10 muffin., rasla and f'iv.> "uces,
.nd ..... rol ...
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HE""-THIWHU£SS_. _mwESTT"ENESSEEHE""-rnlWEU}lESS _
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"' ... _ . . , . _ _ .. __ """""""'ST TENNESSEE HE""-rn &
WEUNESS_ ... ... _ _ ...... . _ ........... .. _
. ..... _
.. """""""'S1 TE"NUSEE HE""-rn I WELU£" _
Have f u n . Spcar some fruit chunks on a kabob or "eate fun ,hap'" wi,h
cookie cuue ...
" ' _" .. _
........... _
ThO
.. .
Be patient. Kids' ' as'''' change over 'ime. Kccf' offering f.uiu and .-eg_
e!>bl",and don·, gi,. up! Many kid, nct:d '0 SIX and 'aste a new food. do""n
,im"" befon: ,hey know wh",heT ,hey "uly like i,.
~ ~w:.:,:":.:,:'~':o:m:' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '~
www.tnh e It h .. n d.
6 Health & Wellness November
2014 - Northwest Tennessee
ADULTS: A FLU SHOT IS NOT
THE ONLY SHOT You NEED
By Scott M. Sadler, M. D.
A
sk someone here in West Tennessee
what season it is, and you cou ld get a lot
of answers - Autumn. Fall. Deer. Duck.
FOO1bali. But doctors and nurses know wcll by
November - it's FLU season. So get to your
doctor. the Health Department. even your
phannacy and get your flu shot - every year. Flu
shots II«! the best prevention we have against the
flu. and the flu kills several thousand Americans
eve!)' year. But flu shots are not the only vaccines
that adults need to stay healthy.
VlItdnes Depending on Your Age
Depending on your age . there are several vaccinations you should get from your dOClor. Ifyou'rc
under 26. you could get vaccines against mcningitis. tetanus/diphtheria/pertussis. chickenpox, Hepa·
titis A and S, and a measles/mumps/rubella
combo. Also, we have a vaccine against IIPV
(Human Papilloma Virus) - a virus that can cause
warts on your private paris and can even cause
cervical cancer.lbat's right> we have a vaccine that
can reduce your chances of having cervical cancer!
Ifyou're over 60, you can get a shingles vaccine.
If you' VI' never had shingles - they can bum. itch.
and hurt even after the blisters are gone. Jf you had
the chickenpox when you wCre a child (virtually
eve!)'one OVer 30 had them as a child). then you
carry Ihe shingles virus in your body. The vaccine
helps prevent it from coming up and expressing
itself. Also, pneumonia vaccination is indicated
for everyone over 65.
Pregnancy is a time for big benefits from the ftu
shot as well as the tetanus/diphlheria/pertussis
shot. Pertussis causes whooping cough. and thc
vaccine helps prevem you paSSing it to your new
baby - before they are old enough to gel the shots
themselves. Also. other adult family members of
new babies can be vaccinated against pertussis. A
one-time replacement of your usual tetanus shot
booster should help prevent that nasty cough.
you are immunocompromiscd due to HJV. taking
prednisone or similar medications. or on chemotherapy for cancer. tal k to your doctor about
vaccines that you should Or shouldn't receive.
Other health conditions. li ke kidney failure.
asthma. capo. diabetes. chronic liver disease.
sickle cell disease. Or having your splcen removed
all havc special =ommendations for vaccines.
~pltWho
So trust your doctor. Typically, We wenl into Ihis
Presel"Yt! Your GrNtest Treasure - Your Heahh!
Should Avoid Ctrtllin Vlleel".,
There are some people who should n01 get
certain vaccines. If you had anaphylaxis to a shot
in the past. Ihen don 't get that same shot in the
future. That's a truly life-threatening allergic
reaction. not just a little soreness and rash ncar
the shot site. Severe
egg allergy also means
you shouldn't get a
Measles/Mumps/Rube
FAMILY MEDICINE CENTER lIa Sh01 or Yellow
HEALTH SCIENCE CENTER
Fever (only for certain
imemalionallravelers)
The F URE of Health Care Today"
vaccine. Pregnant wo'w.....• 1W:Io iododitc 1Jdio<ri<o...t NMoto Cot< mCn shouldn't get any
A~ IWIh Cot<
live virus vaccines. but
· Goriotria · _;" A_ear.
SHOULD gel flu and
.G,at ...... ,c-~~
pcr\USIlis - those are
·~IoIon"",'"'"
NOT live viruses in
294 Summar Dr. • Jackson. TN
the vaccines. And, if
rn,UN IVERSITYof
job to HELP people. We didn't §ign up for a con·
spiracy to alter your mind Or body by giving you
shots. Shots keep you healthy and prevenl several
debilitating, sometimes even fatal diseasc§. So
sec your doctor. get your flu shot, and ask him Or
her if you need any other vaccines 10 preserve
your greatest treasure - your health!
TENN ESSEE ur
'...... ,.....(»:1
731.423.1932 I 800.640.7589
The Univers ity of Tennessee
Family Medieine Center
294 Summar Drive, Jackson , TN 38301
731-423 - 1932
www.uthsc.edulutfamjac
~::::~~~~:::::::::::::::w:w=w.tnhe~lth~ndwellness.com ________________________
Northwest Tennessee· November 2:014 Health & Wellness
7
November is Diabetes Awareness Month
Diabetic Complications and Amputation Prevention
By Teresa Caruso, CFOM
P
eopie with diabetes are prone to having foot problems. often
because oflwo complications of diabetes: nervc damage. known as
neuropathy. and poor circulation. Neuropathy causes loss of feeling
in the feet. taking away the ability to feel pain and discomfOl1, so an injul)' or
irritation may not be detected. Poor circulation in the feet reduces the ability
to heal. making it hard for even a tiny cut to resist infe<:tion.
Having diabetcs increases thc risk of developing a wide range of foot
problems. Small foot problems for diabelic. can tum into serious complications if oot cared for properly.
Footand Leg Problems
-Injections and ulcers (sons) th ..t dan't he"', An uker is a sore in the skin
that may goall tbe way to the bone. Because of poor circulation and neuropathy in the feet. cuts or blisters can easily tum inlO ulcers that become infected
and won't heal. This is a common - and scrious - complication of diabetes
and can lcad to a loss of the foot, leg or life.
Diabett$-~Iated
• Corm and ca/Just:S. When neuropathy is present, improper fit shoes could
cause pressure and produce corns or canuses without knowledge. Corns and
calluses must be properly treated or they can develop into ukers.
• Dr,., "ack~ skin. Poor drculation and neuropathy can make the skin dl)'_
Dry skin can result in cracks that may become sores and can kad to infe<:tion.
• Nail disorders. Ingrown tocnails (which curve into the skin on the sides of
the nail) and fungal infe<:tions can go unnoticed becausc of loss of fe<:ling. If
they arc not properly treated. they can lead to infection.
Footwtarfor people with diabetes s hould
achl.". the following objectl"es:
• Relie,,,, Ilreas qj ucessi.", p"'nur~. Any
area where there is e~ccssive pressure on !he
foot Can lead to s kin breakdown Or ulcers.
Footwear should help to relieve these high.
pressure areas and therefore reducc the occurrenCe of related problems.
• Reduce shock alld shear. A reduction in the overall amount of venical
pressure, or shock. on the bouom of the foot is desirable, as well as a reduction
of horizontal movcmem o f the foot within the shoe, or shear.
• Act:"mm"d(l/~, sfabHi;:,e and support dej"rmilies. Defonnities resulting from
conditions such as Charcot involvement. loss of fatty tissue, hammer tocs and
amputations must be accommodated. Many dcfonnities need 10 be stabilized to
relieve pain and avoid further destruction. In addition, SOme defonnities may
need to be controlled or supponed to decrease progression of the defonnity_
• Lim;1 mtJIi,," "jj,,;nts.. Limiting the motion of certain joints in the foot can
oflen decrease inflammation. relieve pain, and result in a more stable and functional foot.
If a diabetic has already los\ a limb ......earing a proper fit, comfonable prosthesis
is vel)' imponant for preventing further issues involving the skin while giving
functional outcomes. New advanced computer prosthetic lcgs and anns arc
available for the right candidatcs.
Human Technology, Inc. Prosthetics and onhotics
offers oomplimental)' cvaluations and assessments at
alltheif locations by American Board Certified practitioners for neW devices, shoes or changes. repairs
and upgrades to e~isting prosthesis and orthoses.
• Ifammertaes ..nd bunian5. Nerve damage affecting muscles can cause
musele weakness and loss of tone in the feet, resulling in hammenoes and
bunions. If left untreated. these defonnitics can cause ulcers ,
• Cha",qljqqf. Th is is a oomple~ foot dcfonnity_ It develops as a result o f
loss of sensation and an undetected broken bone that leads to destruction of
the soft tissue of the fool. ~ecause of neuropathy. the pain of the fracture goes
unnoticed and the patient ~ontinues 10 walk on the broken bone. making it
.....orse , This disabling oompli~ation is SO SCVCTC that surgeI)'. and occasionally amputation, may become necessal)'.
An untreated Diabetic Foot Ulcer could lead to .... .8
leg amputation.
SOlutions for Life,
Technology for Living
• Poor blood flow. In diabetes, the blood vesscls below thc knec often
become narrow and restrict blood flow. This prevents wounds from healing
and may cause tissue death,
• SERVING BIRTH TO GEIUATJUC
• MfOICARf AHO MOST llISUAANCf .lCCffITfO
GcUing regular fOOl ch'''~Ili's and seeking immediate help when you notice
F.. P",.1I>Otic c..-. ro. ~ _ CUOIbm Ort/Iopoodic
something can keep small problems from worseni ng. Human Te<:hnology.
C$( Human
_
ro. o" _
CohdilloJo.
Inc. Prosthetics and O rthotics works together with other hcahh care provid·
Technology
c".""" ..... ~~ ..... ~
1#' liM iii
en 10 prevent and treat complications from diabetes involving the limbs
ZI "_~_
to .... 01 out 100_
and wound care by utilizing proper onho!ies. custom made diabetic shoes
- . TN3$305
_
: 131M(>
1-800-922-1584
andlor boots and partial foot fillers to replace missing toes. Usually, insurF ",, 13 '~10
ance will assist in coverage of shocs, orthosis and prosthetic devices for
diabelics to assist in prevcm ion. intcrvcmion and improvement of life
JACKSON. Tht· PARIS, Tht· UNION CITY, Tht· GERMANTOWN, TN' SOIITHA"EN, HS
quality with doctor·s prescriptions.
________________________ www.\nhe a l\ ha nd we llness.com ________________________
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11<>"."._'." , ......,". ,...".. _._
.. . oe_..... __ _
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8 Health & Wellness November
2014 - Northwest Tennessee
What is a Foot or Ankle Sprain or Fracture?
By Raines Foot Clinic
T
he feet and ank les work together to provide suppon and mobility to
the body. A foot or ankle ~prain is a !'Oft tissue injury. Most often, a
sprain OCCurS when an injury pulls, stretches, Or tears the ligaments that conneet bone 10 bone. A fracture is actually a break in the bone.
Causes
Injuries are the most common causes of fOOl and ankle sprains and fractures.
Many frnctuJeS and sprnins occur during sports. Football players are particu ·
larly vulnerable to foot and ankle sprains and fractures. Basketball players
are prone to ankle sprains. and runners may develop stress fractures of the
ankle Or fool. Gymnasts and dancers may also develop StreSS frnctures.
Tripping or stumbling on uneven ground is another common cause of fOOl
and ankle sprains and fractures.
Symptoms
Pain, swelling, bruising, and difficulty walking on Ihe affected fOOl or ankle
are the most common symploms ofa sprnined or fractured foot Or ankle.
Home Care
If you've hun your foot or ankle, the acronym RICE can help you remember
what to do:
Rest- Rest the affected area. Stay off the injured foot Or ankle until it can be
fully evaluated. Walki ng, running, or playing spons on an injured foot or
ankle may make the injury worse.
Ice-Apply ice to the affected area as soon as possible, and reapply it for
15- 20 minules every three or four hours for the first 48 hours after injury. Icc
can decrease inflammation.
Compression- Wrap an elaslic bandage (such as an Aee@ wrap)aroundthe
affecled foot or ankle. The wrnpping should be snug, bul nol SO tight as 10 cUI
off cireulation.
lil~V<llion-Elcvale
the affecled extrcmity On a couple of pillows; ideally,
your foot or ankl e should be higher than your hean. Keeping your foot or
ankle elevated also dccreases swelling.
When to Visit a Podiatris t
Podiatrists an: docto~ wbospeciali~ in
lhe care and lrealmcnt of the lower
extremities. If you'vc injured your fOOl
or ankle, sec a podiatrist. He or she can
dclennine Ihe extent of Ihe injury and
devclop a plan of care to get you back in
the game (or back to your everyday life)
as soon as possible.
Increasc<;l pain, s",,11ing. bruising,
redness, or difficulty walking after an
injury are definite ~igns that its time to
Diagnosis and Treatment
A podialrist will carefully examine your feet and an kles and take a
complete medical history. He or she will also order tests, including an
X_ray, ultrasound. or MRI, to delermine the extent of your injury. If you
have a fraclure thaI's clearly visible on X. ray, you may 1101 need additional
lesling. Ullrasounds and MRls are useful for finding soft issue injuries
(including lorn ligaments) and Slress fraelures.
Trealment will depend On your injury. If you hav~ a broken bone, your
podiatrist may altempllO "reduce" the fraclure. which means linin g up Ihc
ends oflhe bones so they can heal properly. (You'll be given a local anesthetic to numb Ihc area fi~l.) If the fracture is "unstable," meaning that thc
ends of the bonc do not slay in place afler a reduction, surgery may be
nceded. Podiatrists can use metal plates and screws to fix broken bones.
Stress fractures are treated with rest and imrnobili~tion. You will be
inslructed to Slay off the affected area unlil hcaling is completc. Crutches
andlor a special "boot" or cast may be used to immobilize the area.
Sprains are also lrealed wilh a period of immobili~lion. Depending on the
extent of your sprain, you may be able to resume activity fairly quickly. or
you may need 10 wear a soft casl or special "boot" and usc crutches for a
period of weeks.
Oral anti-inOammatory medication, ~uch
decrease pain, swelling, and inOammation.
a~
ibuprofen. can be used to
Prevention
Wanning up prior to physical activity can pre"cnl an kl e sprains and frac_
lurcs. So can wearing proper shoes. If you're an alhletc, lalk 10 your
podialrisl to delenninc which shoes arc best for your sport . Athletic shoes
should be replaced yearly; running shoes should be rcplaced every
300-400 miles or so .
If you arc suffering from any of these symploms, take the first stcp in
ending your pain and call to schedulc your appoinlment today.
Medical ond SUgicall'oolmenl
oIlhe Fool ond MIOO
Paul Hutchison, DPM • Todd Divan, DPM
UNION CITY
1415 E Reelfoot Ave,
Call for an
Appointment.
DYERSBURG
1901 Cook Street
,-:-;;;~'~3~'~.88S
:~.""
:=============='=3=,=.,..
==.2='="===
_______________
sec
_a_podiatrist
_ _ _ _ _ __ www.tnhealthandwe llness.com
Northwest Tennessee - November 2:014 Health &. Welh1ess
9
What is Peripheral Neuropathy?
By Barry L. Cole, DC, FAOP
D
o you suffer fmm strange sensations in
your fect. legs. hands. or fingers? Do
you have pain while walking?
Neumpathy affects every pan of your life walking. sining. sleeping. socializing. your
ability to enjoy relationships, and SO much mOre.
If you have tried "everything" li ke Anodyne
therapy, physical therapy. OT other medications
and you are nOt getting the results you want. then
this may be the most imponant informatkm you
have ever read!
Most treatments fail because they only cover up
your sym ptom s and do not heal the damaged
nerveS.
Peripheral Neuropathy is a common condition
caused by the damage to the peripheral nerveS of
the nervous syste m. The peripheral nerves spread
Out from the brain and spinal cord. The peripheral nerves relay nerve impulses and sensory
informatiQn from the body to the spinal I:ord.
whcTI: thcy are thcn carried to the brain .
Neuropathy I:an result from pinched nerves or
diabetes. Diet and exereise is very imponant in
controlling diabetes.
What lire the Risk Fildors of Neuropllthyl
A number of factors increase the risk for Peripheral Neuropathy. Risk factors include:
• Alcoholism and alcohol abuse
• Certain diseases. such as diabetes. cancer, lupus.
Charcot_Marie-Tooth disease. rheumatoid anhri_
tis. hepatitis. vasculitis. hypothyroidism. and
HI VfAIDS
• Certain medications, including chemotherapy
• bposure to cenain to~ins. such as insel:licides.
lead. mereury. glues, solvents. and arsenic
• Long tCTnt pressure on a ncrvcduc to such conditions as a tight cast. long surgical procedures. Or
carpal tunnel syndmme
• Nerve trauma
• Poor eireulation
Trelltment Options
The neuropathy treatrnents stirnulate dead or
damaged nerves to become functional again.
The treatments include the use of our sp«ializcd equipment and daily supplements which
will help restore healthy nerves.
A recent patient has had Peripheral Arterial
Disease for over 15 years. He had anerial
blood flow but a minirnum amount of venous
blood flow back to 1he body. This has resulted
in diSl:oloration and swelling Wi1h some
nurnbness present. Four weeks of treatments
at Cole Farnily Practice, consisting of Direct
Current modality and supplements. has had
amazing results.
Call Cole Farnily Practice of Dyersburg at
731-285-2696 now fOT a no cost consultation to
de1ermine your condition and qualify for a 1
point leg and foot neuropathy evaluation.
Cole Chiropnc tic Clinic
Dr. Barry Cole
417 T roy l\venue
D yersburg, TN 38024
(800) 558-2696
731-285-2696
• Vitamin B and Vitamin E deficiency
WW\l,·.colechiroprnctieclinic.eom
________________________
.. ndwe llness.com ________________________
www .tnhe ~lth
10 Kea!th & Wellness November
2014 - Northwest Tennessee
LAKE HAVEN BEHAVIORAL HEALTH
ENCOURAGES MENTAL HEALTH
WELLNESS AND SEEKING
TREATMENT IF OVERWHELMED
A
fler the I'I!C\!1lt death of actor Robin
Williams, awareness of mental health
issues, especially depression, is on the top
of all our thoughts . Depression is a serious illness
and can stem from mess.
Meeting a deadline at the Qfrice, cleaning Q\lt the
garage, fami ly responsibilities ... we all have that
ever'growing kH:Io list. Let's face it... SQmetimes
our lives stress liS Qut' HCMC Lake Ilaven SehaviQral Health is a place to help you address stress,
deprCSllion, and other mental health illnesses and
takes them very seriously.
"StresSQfS can trigger negative reactions on our
bodies, our m<>Od and Qur behavi{)l" with effects
including stQmach issues, irritability Qr anger and
under Or overeating," says Cathy Gniewek,
Direct{)l" Qf Lake Haven . "I\'s imponant to reoognizc: when we're stressed and take the necessary
SlepS to manage Ihe situalion as best we're able so
we can find the light at the end ohhe !unneL"
S!ress Can somctimes lead 10 serious mental
problems such as depression . Clinical depression
doesn'! diseriminate - it affe<:ts men and women of
all ages, races, and socioeconomic status. One in
fQur women and one in 10 men will suffer from
depression al some point in their lives. Some ohhe
key symptoms are persistent feelings of emptiness,
extreme faTigue and loss of interesT in activiTies.
Many who suffer from depression do not seck
Treatment. Screenings are often The first STep in
gel1ing help and Lake Haven is here \Q assist with
that screening if you need it. Currently, Lake
Ilaven offers Ihe skills Qf 1JQnald GQld, MD, Psychiatry, but in September, Ihe unil and the medical
slaff expanded with the addition of Robert Hamm,
MD, Psychiatry.
ElIpllndlng Our CIIP/lelty of Ore
~ "e lire plellsed 10 be IIble 10 exp,,,,d 011'
cUpilcil)' of clI'e of 011' menlul heullh pillients III
IICM C, ~ suid Gniewei:, "There is II trlle need
und we lire hllppy 10 udd lin Ilddilional prfwide.
10011' mediclll l'llIjJ. ~
Additionally, Lake Haven Behavioral Center
now has two therapists to assist in Ihe mental
health needs of our patients: Neysa Clayton,
LCSW and Christie Cross, MFT [ntem. We are
also pleased to welcome Fran k Ho1cQmb, RN,
MSN to our team. He comes from our emergency
department where he excelled in caring for
behavioral health patients.
________________________
www.tnhe~lth~ndwe l lness.com
________________________
Northwest Tennessee· November 2:014 Health & Wellness
Key Symptoms of Depression
Stress0r5 Can Trigger II Variety of Health Problems
Over time these stres~ can trigger a variety of
health problems:
Those suffering from depression often experi.
ence some of these key symptoms:
• High blood pressure
• A pcysistent sad. anxious Or "empty" mood
• Hem discasc and stroke
• Sleeping too little, early moming awakening
or sle<:ping too much
• Decreased immune defenses
• Cancer
• Stoma.:h problems
• Reduced appetite and weight loss. or increased
appetite and weight gain
• Diminished brain functioning
• Loss of interest or pleasure in a<;tivities
once enjoyed
Stress Manage ment Strategies
• Restlcssness or irritability
There are Stress management strategies you can
explore to help reduce your tensions.
• Difficulty concentrating, remembering or
making decisions
• Connect with others - spend time with family
and friends.
• f atigue Or loss of energy
• Stay positive - give yoursclfa pep talk.
• Thoughts of death or suicide
• Get physically aetive ---take a walk or a bike ride.
• Help others - volunteer.
• Get enough Zzzzz - 7 to 9 hours is Tttommended.
• Eat welt - don't forget your fruits and veggies.
• Take care of your spirit - meditate or try yoga.
• Seek professional help if you need it.
Depression Is a Serious Condition
Depression is more than just a rough patch that you
can snap out of. Also known as major depression,
major depressive disorder and clinical depression,
it's a serious condition that impacts every fa<;et of
your world - social life. relationships, career,
physical and overall sclf·wonh and pulpOsc.
Screenings are often the first step in gening help
and should be a routine pan of your heahhcare.
11
Women are about twice as likely as men to suffer
from depression. This two-to-one difference
persists across racial. ethnic and economic
divides. Th is gender difference in rates of
depression is found in most countries around the
world. There arc also biological, hormonal and
psychological causes of depression that are
spttilic to women:
• Pregnancy and fertility
• Postpartum depression
• Perimenopause and menopause
• Focusing on and rehashing negative feelings
• Body image issues
________________________
www.tnhe~lth~ndwe l lness.eom
With a few simple lifestyle changes. such as the
support of friends and family, avoiding the urge
to isolate yoursel( exercising. getting in some
sun time, eating healthy and relaxation tech·
niques, you Can help lessen your feelings of
depression. If your symptoms persist. you may
want to discuss medication. psychological eoun·
seling Or other treatment options with your
doctor. Or. you may want to call the HCMC
Lake Haven Behavioral Center for a free consul·
tation at 73 1·644·&420 Or 1·800-489·1203.
HIC
Lake Haven
MCBehavioral Center
• Premenstrual problems
• Stress
Tips to Help lessen Your Feelings
of Depreuion
731-644-8420
www.hcmc-tn.org
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
12 Health & Wellnes5 November
2014 - Northwest Tenne5see
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Northwest Tennessee - November 201 4 Kealth & Wei lneS5
13
Dentistry from the Heart
D
entist')' from the IIean is a world·
wide nonprofit organization that
provides free dental care in hometowns near you to those in need. Each year,
thousands of dentisl offices hostlhis event in
cities all over the world. Dentists. stalT
workers, VQlumccrs, and individuals from their
hometowns come together 10 donate their time
and resourees to provide these services to
pc<Jple in need off"", dental care.
dentistr.v
from ttieheart
,,~
07
e Jloolfool Ave. unlo/l City. 7~ $8~'
731_885_2277
Nww.8umvandentIStry.ni:Septembe r 5. 2014
Fourteen years ago. Dr. Vmcent Monticciolo
DentiStry from the Hean. Dr,
fQUJKied
Monticciolo·s giving spirit has since reached out
to the world of dentistry and spread worldwide.
Over 300 events arc hosred each year giving
millions Qf oollars in free dentistry. Three services
arc olTered at the event: a filling, an extraction. or
a cleaning. Palients arc seen on a first--c<)ffiC,
first·served basis. Many people arrive early and
even camp out in !he parking lot to ensure being
seen by the dentisl \(I receive !he free dental care
offered. It is offered to anyooc in or around the
comnnmity who is 18 years old or older. Dental
offices all Qver the world host !he events. Patients
can g<:> online al www.dentistryfrotntheheart.org
to fmel a local dental office providing free dental
care in a 1Qwn ncar}'QU.
Dr. Gabe Sullivan lirst heard about the program
at a dental "Qnference. When he prescmed the
idea 10 the stalT. they accepled and we!comed
the idea with eagerness to take part in such a
wonderful giving event, Each year we ha"e
been a part QfhOSling Dentistry from the Hean.
it's been a huge success and grown. At our first
hOSlingQfDentistry from Ihe Heart in 2012. we saw
100 patients and provided more than 520.000 in
dental SCT\·ices for free , Last year, we treated around
86 patients for 528.000 of free dental worl<. The first
patients last year arrived in the parl<ing lot at 3am.
they came all the way from Illinois, This year, our
firsl palienl arrived at Spm the afternoon before the
day of Dentistry from the Hcan. She camped out in
her car overnight. By 7:45am !he next morning, she
was discussing her dental needs with Dr. Grant Dill.
ingham. There were 4S·50 people lined up around
the building when we opened !he doors to olTer the
free dental wQrl: this year.
There arc so many dilTerent people in need
who come to Dentistry from the Heart. Some
people have never had dental insurance or
any chance 10 have dental work at all in lheir
life. Others may have losl jobs Or lost their
dcntal insurance and are just seeking dental
care help. Dr. Gabe Sullivan said the dental
Qffice offers a chQice of three services and
tries 10 do what they can to meet the needs of
the patients_ If more wQrk is needed that
cannot be done that day. we Iry to help by
cQntacting other resources who can.
Contact us by phone to schedule an
appointment today.
We look forward to meeting you.
"We hare a 101 offun doing Ihi.~, " Dr,
Cabe Su/li"an said. "It make~· for a
good da}~ Getting to help people by
doing whal we 'I'e been Irained to do;s
a greal experience."
(731 )-885-2277
www.sullivandentistry.net
_____________________
www.tnhe ~ lth ~ ndwe l tness _ com
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Robert W. Hamm, MD
Psychiatry
As a regional community hospital, we are committed to providing the
best in ca re to our neighbors, Dr. Hamm, our newest neighbor, ha s j oi ned
the medi cal team at Henry Co unty Medical Center, servi ng as ou r newest
Psychiatrist at l ake Haven Behavioral Center and opening his own practi ce,
Paris Mental Health, to serve outpatient psychiatric needs.
Dr. Hamm received hi s undergraduate degree from the University at
Buffalo in Buffa lo, NY, studyi ng Biology and Psychology. He received his
medica l degree from Ross University School of Medicine in the Dominica and
then com pl eted hi s residencey at East Tennessee State University Quill en
College of Medicine in Psychiatry_ He has worked in Panama City Beac h, FL
as well as Knoxvi ll e, TN. He is currently accepti ng new patients. To make an
appointment, contact Paris Mental Health at 731 -644-844 1.
Medical Arts Building
~
M
I
Lake ~aven
BehaVIoral Center
Suite 202
Paris, TN 38242
731.644.8441
www.hcmc-tn.org
www .tnheal t hand wellness.com
CLIN I C
I
16 Health & weUness November
Her
2014
Northwest Tenn e ssee
Medicine
Is it Right for You?
By Catherine R. Stallworth. MO
A
,,'II
s a young child. I grew up "'atching my
~rather. a family doctor. taking =-e
of many people in
Our
community. He
!he Slerootypical physician of yesteryear••
pillarofthe community. belo"ed by .l~ who took
can: of his patientS from <;n>dk to ~'·e. Back
!hen. physiei-..s ~ in charge of health can:. lle
spent time with his patients. He knew !heir
families. Doing "nothing" other than offering
solace and allowing time for healing WM perfectly
natural. 011. how things haye changed.
Currenlly. the average physician-patient encoun_
ter is 20 minutes or less. More and more of that
time is heing taken up by mandated elcc1ronic
medical re<:ord documentat ion. As reimbursement
Iw; declined and documentation requimnents
IUl\'e increa!icd, physicians an: caring for up to 1
times man:: patients than they didjUSl a few y~
ago. This is not something physicians an:
ehoosing to do. It is KMTIClhing they must do in
order to Sl.y in busincs.s. Physicians an: innate
healers. The: majority cnter the profession ~.use
they ha,'c a natural inclination 10 hdp people feel
better, My e~pcricnce IS a physician for 24 years
has led me to helieve that relatiooship-<.:entered
care is vitally important for optimal healing.
Sometimes, problems are complicated and people
need to he heard. to tell their story, to be educated
and supported. This takes time. When doctors and
patienu don't have time together. the ~t hest
alternative is to ofTer a quick fix. This nllen comc:s
in the fonn of. ~ption medication.
I ~rihe medicines all the time and absolutely
helievc in them for acute illness and man:: SC"o'cre
disease; ho"·cvcr. [ am "cry eonc:emcd about the
overose of pharmaceuticals in this country. For
this n:ason. I have spent the past decade of my
Career pursuing additional lraining in integrative
medicine, As a pan of that training. I have developed a deep rcspoct and appre<:iation for the
healing power of plants.
o well
Talk to moot physicians and they'll tell you that
herbal medicine is ."not n:gulated," that herbs and
supplements Can interact with medicines. thai
herbs Ire not "FDA appro\'Cd." There is tome:
truth in all ofthcsc statCll1Cnts; boIo·cver. 1 believc
thaI mosI physicians shy away from herbal
medici"" ~ause they are unfamiliar wilh it and
have not had the formal training required 10
develop a romfOft level with the benefits and
ris ks of herbal medici"".
I ha"c learned how to grow healing herbs in my
prden and ~""ate medicine using these plants.
The mo"" [ do this. the more I question the conventional wisdom that "plants arc: bad" and
"drugs are good" when it comn 10 our health .
How do Americans com par. to the rest of the
world when It comes to praKrlpt]on drugs?
In 2008, author Melody Peterson wrole Our
/)(Jily MedJ - How f/r~ P/rarmtJ«'ulicDl Compofliu TronsfonnM T1ocmul'-a ;1110 Slid Markling MadillCJ OM 1l00Ud 1M Nalion on
Ptucriplion Dn.gJ.. In this book, she rcporu that.
in 2005. Americans spent 5250 billion on prescription drugs. She states. '"The: American pn:scription drug market is so Iucn.tivc thai many
foreign drug companies have moved in and now
depend on Americans for moSI of their profits.
Americans spend mOlY On mc,/idncs Ihun do all
Ihe people of Jap<Jn. Germany. France. Italy.
Spain, Ihe Uniled Kingdom. A,mralia. New
ualand. Canada. MexiC(}. Brazil anJ Argenlifla
- - - - - - - - - - - - - - - - - - - - - www.tnhca1!hant!wellnus.eom _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Northwest Tennessee
population of the U.S. is approxi .
matciy S% of tile world population. yet Amcri<:ans
a<;o;ount for 50% of the money $f!C'nt on pharma·
cwticals worldwide. We an:. cuhun:: th.at expects
instant gratification of our desires and a quick fix
for whate'o'o:r bothC1'1 .... As. result, the • .,trage
Amcri<:an collttted moll: than 12 pn::5(:riplions
from his pharmacy in 2006, up from eight in 1994.
combiM d.
~Thc
But ptflCtlptlons ... good for us right?
Yesand no. There is no doubt that the uscofmroi.
tation to unt or avoid the sequclae of chronic
disease makes 5C11SC. IIO"'e'o'cr, it is the obvious
overuse that causes me signifICant concCTn.
E..:pcrt5 estimate that a hundred thou$&nd Ameri·
cans die each year, ~ from illness but prescriptiOO$ drugs. On a daily basis. prescription pins an:
estim.ned to kill more that 270 Americans, moll:
that twice as many as are killed in automobile
accidents.
What common drugs should cause me the
most concern?
We should be cautious witb all prescription drugs:
however, there are a couple of catcgories of
commonly used drugs that should cause concern.
Opioid Pilidillen· According to the Centers for
Disease Control, Ihe quantity of prcscriplion pilin.
killcrs wid 10 pharmacies, hospitals and doctors'
offices quadrupled from 1999 to 2010, Not sur·
prisingly, the number of deaths attributed to these
drugs has quadrupled 11$ well. It is estimated that
annually man: than 16,000 Americans die from
O\'o:r dosage of pn::5(:riplion pain meditations.
That is cqUi"aienl to 32 jumbo jets filled with passengers falling OUI oflhe lky evo:ry year. NO! only
are thc$c medications pOIentially deadly, their
long·1enn USC can IoClU.IlIy increase inflammation
of the nervous 1)'Slem and worsen pain by a
plOCl:$$ known as "opioid induced hyperalgesia.-
Pr%" P"mp /,,/tibi/ors · Common drugs in this
category
include Nexium (esomcprawle),
l'roIoni~ (pantopnmle), PriIO$CC (Iansoprazole),
and Aciphe~ (rabcprawlc), This clus of drugs
reduces acid in the stomach and is USC<! in lhe
treatment of gUlric n::nux, esophagitis, and
stomach ulcC1'S. In 2011, thc riM issued a drug
safety communication that long·tenn use of these
drugs is alw associated with low magne!lium
levels. Low magnesium levels can n::sult in
muscle spasm, iTTCgular heartbeat, and sci7.Ures. In
2012, the f DA issued a second $Ifely communi·
cation that this class of drugs is lUO(:iRted with an
increased risk of devcioping a very serious fonn
of diarThe. tailed Closeridium diffiCiit diarrhea.
November l014 Health &
W~lnes.s
17
These drugs can be "cry beneftcial when prescribed appropriately; IIoWCVCT, they need to be
used with caution.
wtu,t ate my.ltematlvesl
Tho:re an:: many diffen::nt ho:rbal .Iternatives to
managing pain and gut issues. YOII can learn
mon:: about thcm by coming in for I consulta·
tion or signing up for our newskno:r .t
www.bc...·ellrevolution.oom.
What aurtly Is herbal madkine?
Herbal mroicine is also refem:d to as boI.anical
medicine or phytothcnpy. It is the science of
using ho:rbal n::mcdies to promote he.oling. In thi,
stn!IC, an hcrll is any plant used for flavoring,
food. medicine, or perfume.
Is using herbal medicine Hfe?
Generally, yes. Most herbs arc "ery safe. They
tend to be both less potent and less to~ic than
pharmaceutical medications. HO"'cvcr, ccnain
herbal medicines can interact with pharmaceuti·
cals. For this reason, I always n::<.:ommend dis·
cussing any use of herbal mcdicine with a lieenscd
health c= provider. It is also important to recog·
nize Ihal wme herbal medicines can cause hann if
used long tenn. This is another reason to seek out
expert advice.
Can he~1 medicine Uluseharm Ifused In.ppropriately?
Absolutely. This is why I n::<.:ommcnd Sttking out
the advicc of a medical profl:$$ionaJ ,,'110 is
trained in herbal medicine. Can you do it
youtwlt? You can: however, as you bc:gin 10
WIdcrstand tbat planlS arc medicine in I nalural
fonn, that, just as pn::$CIiplion medications, they
ha"e lhe pOIentiallo both ~lp and harm, il makes
scmc: to seck OUt expert advice before using them.
o well
How do I know If h.~1 medicines are Hfe?
The best way to know ifherbal medicines are safe
is to work with a lrusted healtheare professional
who has formal training in herbal medicine. You
can also look for products thaI have been certified
b~ ConsUn>Cr labs, the U.S. Pharmacopoeia
(USP), or the National Sanitation foundation
(NSF). These organizations monitor and ensure
that supplement companies an: l15ing good manufacturing practices. SupplemcnlS moniton::d by
such companies will then indicale on t~ir label
that t~ir prod\lC1S have: been certified. All
products sold at our offICe or online through our
wcb$;te e;thcrmect formal erilma for good manu·
facturing prOC:l:$!ICS or are personally fonnulated
by our mff. Our DE Well fonnulatiOfl5I1Je <=ated
with either locally lOUfl:ed plants or from sourees
thaI are organic:, sustainable, and closely mooi·
tom! for quality.
To learn more or to schedule an appointment,
pltase COntacl Dr. C.lherine R. Stall ....onh,MD,
at 6 15-377-0773 or visit us online at
WWW.dO(:IOrstal lwo rtb .com.
cat............ s.. • a,.."MD
Dr. SudIwordt U G bcJtud C#I1IfW ·fJdIcni ti««N. SM U _ ofdNfow plrysl·
ekllu '" llrIIIIasH wAG U foIw-"~Md jll ,,,tqrlftlw Mtttlk/Iw. 1_
U ,,,. prtICllu of IfNdk'- tItat Is IIoIiItIc,
~~, ¥VlMelCtd-b4mL -'htcltutwofbod! 1I'tIIiUIoNU-'
_-l1'tIIiUIONU 9J' ,-.,1Icr 10 ~. Hu proctI«. BE ~I CliI/k - '
~ry, ,,~ "IIIBrmtwood, TN. 'YotIctIlIjlNlfivtJwrlllfor-'IoIfGI
grtllIw Mtdk'-
. . . . .
5
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www . tnhealth~ndwellne$S.com
18 Health & Wellness November
2014 - Northwest Tennessee
National Diabetes Month
The Effects of Diabetes on the Elderly
By Martin Health Care Facility
T
her<: arc two types of Diabetes. In Type I. the body produces linle or
no insulin. In Type Il. the body produces insulin but doesn't use it correedy. Most people have heard ofDiabetcs and have a general understanding of what it means. but what many fail to understand is the diffcrcnt
effects it has on the elderly.
High Blood Sugar Symptoms
Hyperglycemic evenlS (high blood sugar) could
be caused by too much food. reduced activity. or
missed insulin and may develop over a period of
days. Symptoms mighl include:
• Increased thirsl and urination
Thc incidcllCc of Diabetes incrcascs with age until after approximately agc 65.
Older adults with Diabetes have higher rates of lower extrcmity amputations,
hean attack. visual impairment. end stage rcnal disease. and monality.
• Sweet odor on the breath
Fatigue
• Agitation
Diabetes affects 20 to 25% (and rising) of individuals over the agc of 65. The
estimated cost countrywide is appro~imately Sl74 billion. with a yearly
avcrage ofSI2.000 per person. The symptOmS can be more difficult to identify
and trcatmen! can be morc complicated. Warning signs like incrcased thirst,
frequent urination. and impaired vision could be overlooked and be considered
"common" cffects of aging in thc body. Although thcse are the usual
symptoms, change in mental status, <:Qnfusion. and incontinence arc morc
often thc presenting symptoms.
Low Blood Sugar Symptoms
Hypoglycemic eVents (low blood sugar) often occur when a senior person
misses a meal or snack. Symptoms might include:
• Weight loss
Challenges for Seniors
Depression. dementia. mental illness. or other cognitive impairment can
cause someone to be forgetful which could cause missed meals. forgening
10 chock their blood levels. Or to properly take Iheir medical ion.
Financial limitations are also a challenge. as many are on limited incomes.
The high price of medications and supplies could contribule 10 noncompli ance . Some skip or split pills in order to onake their supplies last longer_
Transp0n3t;on may also be an issue. It may be difficult to get to the
physician's office for a checkup Or the pharmacy 10 fill prescriptions.
Cold. clammy skin
Diabetes can also prove to be more detrimental beeause seniors are more
likely to suffer from inadequate nutrilion and lack of e~er<:ise.
Trembling
Lack of coordination or fatigue
Peripheral neuropathy often oc<:urs with diabetics. It is most often
described as tingling Or bW1ling in Ihc hands Or feet. It is presenl in up to
700'{' of older adults with diabetes. which increases their risk for instability
wilh their posture. balance problems. limited mobility, and falls.
Irritabilily or confusion
Blurred vision. headache
Nausea
Fainling
Assisting Seniors with Diabetes
Some possible pointers to assist a senior in your life with Diabetes:
158 Mount Pelia Road
Martin, Tennessee 38231
Care Facility
Phone: (731) 587-0503
• Help maintain proper nutrition
• Ensure medication is taken as prescribed
• Remind them to check their glucose levels as recommended
• Assist them understanding their insurance and what is covered 10 help
save money where possible
• Take time to check feel regularly for sores, blisters. and proper
fining footwear
Call']o Schedule a Visit
Imp",,,, rwry lift UK (bUm ' /'rovw ,xupriOlulf INa/11K-a" '
As with any age. education is a key. Self management training should be indi_
vidualized to their medical. cognitive. and social situation. Additional information is available with American Diabetes Association. National Diabetes
Education Pmgrnm. or National Institute onAging lnfonnation Center.
On the Web
On focebook
'_I'IOndW_
!<x:_.comJ
On Twitter
In Your Inbox
OWIO''''_CM"I/
--~
_'Of.
T~
sy. ..... - ,
Providing information
Qj'
that wi ll p romote living a healthy. we ll -balanced lifestyle _
Norlhwest Tennessee Heolth e. Wellness Magazine is the most effective
or"ld offordobte woy to reoch customers . More than 12.0Cl0 copies ole
j istributed every month ot hospitols. doctors' offices. hea lth & wellness
centers. shoppir.g plows. grocery stores ond mony olher iocotk>ns
Living aI Par!
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20 Health & Weiness November
ZO\ 4 - Northwest Tennessee
November is Epilepsy Awareness Month
Wh" Is Epilepsy?
Epilepsy is a neurological disorder that causes
people to have recu~nt seizure,. A seizure is a
brief disruption of electrical Ktivity in the brain .
Epilepsy is IlOl rofIllIgil.>u$. IlOl a mental ill,,", and
IlOl mental ~tion.
Typ. ' of S. I:r.uros
Seizures can take many different forms, often
not ~sembling the convulsions that most
people associate with epilepsy. Common
types of seizures include:
o
Wh.ltt C.use, Epilepsy?
Mon: than half thc time. til<: cause is unkoown.
Where a cause can be dctcnnined. it is !1lO$t often
one of these: head injury, infections that affect the
lmIin, stroke , brain tumor. Alzheimer's disease, or
genc1ic factOf$.
o
o
Who hilS Epilepsy?
Approximately 3 million Ameriuns !lave epilepsy,
and O\'er 200,000 cases are diagnosed in til<: United
State! e&eh year. One in 10 people will ha,'e a
seizure.t some point in their lives.
How Is EpllepsyTrflOtecU
Mel/ic,uitJIt. Most people IChi~ good sciZlft
rofItrol on one or more of the variety of medica.lions cul'Tt'lltly appro''W for the treatment of
epilepsy.
EpileP'lY doesn't discriminate. It affects children
and adults. men and women, and people of all
nw;:es, religions. ethnic backgrounds, and social
classes. While epilepsy is most ollen diagnosed
eitllcr in childhood or after !he lIe of 65. it can
occur II any 1ge.
SU.-gcry. Sevcraltypts ofsurg~ry may be used
for patients whose seizures do not respond to
medication. The masl common a~ lobectomy
and cortical resection. These may be used when
a scizun: focus can be detennined and mnoval
of II I or pan ofthc affecled lobo:: of the: brain can
be performed without dama~ 10 vilal func:tioos.
o
o
How Is Epilepsy Di.gnosed1
Patient history, neurological examination, blood
work and other clinical tests are all imponant in
Eyewitness acCOUntS of
diagnosing epilepsy.
patienlS' seizures may also be imponam in helping
the physician dclcnnine !he type of seizura
invol,·cd. The clectroencephalopph (EEG) is the
most commonly used tt'Sl in diagnosing epilepsy.
An EEG provides a conlinuous recording of electrical klivity in !he brain during the: test. Some
patterns o f a<;livity arc unique to particular fonns of
seizures. In some situations, physicians may also
use CT scans, MRIs. and PC1 liCans to look at the
internal structure and function of the brain. These
tests may help pinpoint c.uses of seizures.
o
Absence (Petit Mal): Blanlr. stare luting
only a few seconds, sometimes accompanied by blinking OT chewing motions.
Complex PMial (PsychomotorfTemporal
Lobe): Random activity where the person
is out of touch with his surroundings.
Simple Panial: Jerking in one or more
pam of the body or seasory distortions tbat
m.y or mly not be obvious to onlookers.
Atonic (Drop Attacks): Sudden collapse
with recovery with in a minute.
Myoclonic: Sudden, brief, massive jerk!
involving all or part of the body.
How to H.ndle iI Selaure
o Don't plnic!
o
' ''gU$ l\'cn "t Stimulll/io" . A small paccmaker-like device is implanted in the left ehest wall
with a lcad attached to the VigilS ncrve. The
device is then programmed 10 delivCT elcctrical
SlimulatHJn to the brain at regular inlervals. Up
10 tWOo-thirds of palients "'hose $cizurcs do IlOl
rnpond adequately to medication see improvement with thi, method.
Generalized Tonic Clinic (Grand Mal):
Convulsions, muscle rigidity, jerking.
o
o
o
NOle time wben seizure staru.
Direct the person away from hazards or
remove objects that may present a danger.
If the person is having a convu15ive seizure,
tum bim on his side and cushion bis head.
Remove glasses and loosen tight clothing.
• Do NOT put anything in the mouth.
• Do NOT give liquids or medieation.
Kttllge" ic Diet. Used primarily in children, this
medically supervised high fat, low carbohy.
dratc,lowprotein diet has been shown 10 bencfit
as many as tWOo-thirds of the children who can
maintain it.
o
Do NOT restrnin.
• Remain present until the person regains
conscious aWllrenes, of his surround ings.
When to CilU91 1
• The seizure lasts longer than 5 minutes or
one seizu~ immediately follnws another.
• The perlOn does nnt resume nonnal
breathing after the seizure ends.
• There is no medical 10 Ind no known
bistory of seizures.
• There is an obvious injury.
• The person is
p~gnant
or bas diabetes.
• The seizure bappenll in water.
• The person requests an ambulance.
_____
--=~~~~~~~~~~:~~:..:~.www.tnheiOlthiOndwenneu.com _ _ _ _ _ _ _- - - - - - - - - - - - - -
Northwest Tennessee· November 20 I 4 Health & Wellness
21
The Hallmark of a Quality Hospice Program
H
ospice of West Tennessee is a non-profit
service prQvided by Kirkland Can,cr
Center. otTenng a lOtal support system to
patients and families dealing with life_limiting
illness , Hospice is about building relationships and
support for families. Duringa vcry mcaningful and
critical time. when people need to make crucial
endoOf_life decisions. Hospice of West Tennessee
becomes an important piece in the delivery of
quality. compassionate care. At Hospice of West
Tennessee, we assist in managing the medical
delivery of palliative care. implementing the psy_
chological skills of a counselQT; plus facilitating
family relationship--this is the hallmark of a
quality hospice program.
heellent Leadership and Committed
TQ The CQmmunity
Dr. Clyde Smith, oncologistlhematologist, serveS
as the Medical DirectQT fQT lI<>spice Qf Wcst Tennessee. He was the first physician in West Tcnnessee to obtain board certification in H<>spice and
Palliative Medicine , His passion is evident as he
actively pursues symptom management for his
hospice and palliative patients. "We as a nation
havc not done a goodjob during the lasl3S ycars in
treating endoOf-life symptoms for Ihe terminally ill.
lI<>spice care is an excellent <:>pportunity to appropriately address these needs in a personalized
manncr." says Dr. Smith.
Ilospice of West Tennessee is affiliated with
Jac kson-Madison (Qunty General Hospital and
servcs 14 counties. It has been serving our community sinee 1987, offering ovcr 25 yeaJS of high
quality. cndoOf-life can,: 10 West Tennessee_ Hospice
of West Tcnnessee is thc only ooc-for-profit hospicc
in Jacksoo, TenllCSSCC and commined 10 serving all
hospice patients regardless of race, age, sex .
rdigiQll. or ability to pay_ "Our hospice is commu_
nity owned - by thc people. for the proplc:' says
Shclly Rowlett. RN. Director of Hospice of Wcst
Tenncssee. Rowle" has been in management for
several years. first serving as Clinical CoordinalQr
and ""was Di=ror fQT H<>spice of Wcst Tennessee.
haoplionallyTrained Slaff
II<>spice Qf West Tennessee employs highly qualified individuals. In addition IQ our medical director.
more than 70 pereent of our nurses and nursing
assistants are nationally certified in Hospice and
Palliative Care . Patients and their families can be
confident that Ihe care they receive is based on
the most current up-tCKIate practices. These practices indude not only physical and medical can:,
but emotional and spiritual care as well. Compassionate Care is high On the list of priorities with
the hospice statT. Gloria Wal ker. a 24 year
employee
with Jackson-Madison
County
Hospital. wilh the lasl ]0 yeaJS wilh Hospice as a
na!iQnally certified nursing assistant says. "Upon
first starting with Hospice, I experienced such
warmth from the staff that I knew I had COme to
the right place_ Compassionate care is easily
delivered from compassionate prople ," The
Hospice Team consists of Registered Nurses,
Certified Nursing Assistants. Social Workers,
Chaplains. Bcreavement Coordinator, Volunteers. Dietitian. Pharmacist and a Medical
Director_ HQSpice;s just a phQne call away_ Registered nurses are on-call 24 hours a day. scven
days a week so that patients Or caregi"er never
have IQ f«llike Ihey an: alone_
We Will Come To You
The Hospice Team will visit you wherever yQU
call homc - a skilled nursing facility. a hospital, or
your actual home. The learn is specifically trained
in the management of endoOf_life symptoms_The
medical director and elinical tcam are there to
make sure that your quality oflife OC\'er suffers as
a result d your terminal illness_ l'l<>spice of West
________________________
www . tnhe ~ lth ~ ndwe l tness.com
Tennessee maintains a Volunteer Physician group
to conduct home visits for patients who need to
see a dOl:tQT but are unable to leave Iheir homes
Honors
II<>spice Qf WCSI Tennessee was 3 2014 Hospice
Honors Rcdpient awarded by Deyta. LLC for
providing the best patient care as rated by the
patient'S caregive-T_ Being acknowledged by yQUr
peers and those who you provide services to is yet
another hallmark ofa quality hospice program.
Dr, Clyde Smith. Onc(}I(}gistlHematologist
Medical Director for Hospice of West Tennessee
r.,
'E
...-... K jALICE AND CARl
RKLAND
§' CANCER
'~_''''
_ _C ENTE R
'''''''''''M'''_~
For qUHUon. 0 .... ferrals, plNse call 73 1-.664-01220
www.klrklandCllncerce.uet.org
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Relic
••• there is hope.
Meeting your chiropractic needs
across Northwest Tennessee.
Find Lasting Relief
From What Ails You!
1-800-558-2696
We Have Your Backl
Your Hometown Leaders for Chiropractic Services & Care
Cole Chiropnctic Clinic
Paris Family Chiropractic
D r. Barr)' Cole
4 17 Troy A"cnue
D)'crsburg. TN 38024
D r. Elizaocth Craig
1203 E \X'ood Street
Paris, TN 38242
(800) 558-2696
731 -285-2696
www.colechiropracticdinic.com
~:::::::::::::::::::w:w:w~.t.nhe~lth
73\ -642-3761
wv.", '. {Xl ri sfa mil ych i rop rae lic.c0 m
. ndw
ellness.com---________________
Northwest Tennessee
UNDERSTAND NG
FIBROMYALGIA
By Richard Muench, MD
F
ibromyalgia is one of the most oommon
chronic pain oonditions as it affects mOre
than 5 million people in the United States.
Most people feci the symptoms of fibromyalgia
when they are middle aged. Typically, fibromyalgia
affects more women than men. Like mOSt pain conditions, many people experience the pain long
before il is diagnosed. Routine lab tests do not
dete<:t the widesprcad pain of fibromyalgia. As a
!"<:Sull, treating this pain has become a challenge for
patients and their caregivers.
Fibromyalgia is a common syndrome in which a
person has 1000g_tenn, widespread pain and tenderness in the joints, muscles, tendons, and Other soft
tissues. Fibromyalgia has also been linked to fatigue,
sleep problems, headaches. depression, and anxiCly.
Fibromyalgia is not a psychological condition.
While the exact cause is still not known, it is
believed to have a biological cause, Recent
",scareh suggests that changes in the central
nervous system (brain, spinal cord, and nerves)
may be responsible.
Factors That May Work Together
It is believed that there may be a number offactors
working together:
Trauma_ physical and emotional trauma have
been linked to fibromyalgia
Fibromyaigia Facta
• Affects 3 to 5 percent of the general population
• Occurs in people of all ages, even children
• Men develop fibromyalgia too, although more
womcn arc diagnosed with it
• Symptoms are chronic but may (luctuate
throughout the day
• Roughly One-quar1er of people with fibmmyalgia are work-disabled
• Three drugs are FDA-approved for fihromyalgia treatment
Fibromyaigia Symptoma
•
•
•
•
•
•
•
•
Pain all over
Deep muscle pain and soreness
Muscle knots, cramping, weakness
Sensitivity to touch
Fatigue
Stress and an~iety
Sleep difficulties
Brain fog
Morning stiffness
Digestivc disorders
Headachc$lmigraincs
Balance problems
ltchylbuming skin
November 2014 Health & Wei lneS5
23
Based on these guidelines, your doctor may
pcrfonn a tender points e xam. Your doctor will do
lhis by applying pressure 10 thcse 18 points and
counting how many you find lender.
In 2010, the American College of Rheumatology
published a new set of preliminary guidelines.
These guidelines include a widespread pain index
that assesses the number of painful body regions,
and a scale that assesses the SC,-erily of symptoms
such as fatigue, sleep problems, comprehension
problems, and others in the body.
Flbromyalgla Treatment
Researeh consistently shows that a multi-disciplinary approach to fibromyalgia is the most prodllC-
live for the physician and patient. Treaunent may
include ahcmative treatment approaches to manage
this painful condition. Tn:atmcnt options may include'
• Compounded topical creams
• Oral medications
• Injections
• Overall Heahh and Well ness Plan (nutrition,
cxc",isc, physical therapy, yoga, hydrotherapy, sleep lhcrapy)
Your physician should work with you to provide
a holistic approach in treating and helping you
manage the many debilitating symptoms of
fibromyalgia.
RICHARD MUENCH, M.D,
Dr. \lucoch """'i"ed hi' medical degree from
Diagnosing Fibromyalgia
11>= arc guidc!irx"l that can be very helpful in the diagnosisoffibromyalgia In 1990, tlIeAmencanCoilegeof
Rheumatology published the following criteria:
Fllmily hi;t'/ory--------lhe genes you inherit from your
parents may increase the likelihood of developing
fibromyalgia
Injec/ions- thcre is some evidence to suggest that
cenain illnesses can act as a trigger
C"'igllton lJniH."""ty 10 Omaha, l\cbm.>ka. Dr.
Mueoch completed his internal medicine internship
at State lJni,'ersity of ~cw York and an ane.the.;iol.
ogy resid"""y at the Uni,·ersity of South Carolina
and Uni,·"",ty of Alabama al Birmingham. Dr.
Mueneh completed J p3in management fcllo""hip at
the Un,ve",;t}' of ,\Iabama al B'rmmgham, Dr.
Muench has "''''ed as President of the Grell'"
Atlanta Society of A"",thcsiolog;'ts and "a member
of the Nonh ,\merican ,",.uromodulation Society. Dr.
Muench i, • D'p!""'atc of the American Board of
Anestl!csio!o£y willi specialty ccniflcations in An<:Sthcs;ology and Pam \tediCIIlC,
A utoimmune diullSes-people with disorders
such as rheumatoid arthritis are more likely to
develop fibromyalgia
People with fibromyalgia often describe their
symptoms as a flu_li ke infection that doesn't go
away. It leaves you exhausted and unable to think
Or find the right words (symptoms of fibro fog).
With fibromyalgia, you have trouble sleeping and
wake up stiff and achy. Your symptoms can be
debilitating and you probably feel as though you
have to push yourselfto get anything done.
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24 Keah:h & Wellness November
2014 - Northwest Tennessee
How to Protect Your Hearing
A
.........
ccording to the Better Hearing Institute.
ten million Americans have already
suffered irreversible hearing damage from
noise and thiny million are e~posed to ha7.ardous
noise levels each day. Examples of potential
e ~ posure that may contribute to noise-induced
hearing losses include firearms. motorcycles. roc k
concens. working with industrial machinery. power
tools, lawnmowers. and even music from a player's
own instrument w pcrwnallistening device.
While it is true that One spc<:ifie evem can cause
immediate hearing damage (such as an explosion Or
gunshot blast), most irreversible losses are related
to noise exposure that is cumulative over time.
That's food for thought for those that hunt, attend
coneens. and those that work or play with large
machinery orpo"'er tools! Some warning signs that
you have been e~posed to ha7.ardous levels of noise
may include:
• Ringing Or buzzing (tinnitus) in the cars after
exposurc to noise.
• Hearing people tal king but having difficulty
understanding their words.
- Experiencing fullness in the ears after leaving a
nQisyarea.
It is imponant to undersland that even though
you might have experienced one or more of
these symptoms temporarily in the past. your
hearing might not always "recover," leaving
you with a permanent hearing IQSs. Wearing
proper hearing prote<:tiQn can prevent this type
of problem.
Hearing prole<:tion should be carcfully selccted
based on the type and volume of the noise; the
amount oftimc spem in the loud environment;
and the Noise Reduction Rating (NRR) Qf the
devices. N RRs arc the amount ofdccibel reduction provided by a hearing prQtcctor. The higher
the NRR; the greater the noise reduction. The
lower the NRR; the less protcction the hearing
protector will provide. For example, a high
NRR WQ\lld be appropriate fQr SQmCQne around
jet airplanes. blocking most all sound . A lo ..... er
NRR would allow a musician to be able to hear
his music,just not at a harmfulleve!. The NR R
is provided by most all hearing protectors .
Types of Hearing ProtectlOf1:
Foam ellr P/"KS arc effective if they lit well and
are insened properly. Foam ear plugs are inexpensive. small, light-weight. disposable, come in a variety of si1.es, and
HQW LQud Is Too LQud?
are an instant fix . This type of
_ _ ~~ "' _ tOdtothO'
hearing protcction blocks out most
<Io.nt.,.., on(!..,uno 01 _
.~
all
SQund. including SQunds that you
_
.. oggoolO tho aa1•• ~_ is
85 _ _
,... 09>t hourS . day.
may Want to hear (such as conVersations and music). Foam car plugs can
be purchased 3t most sporting goods
and hardwarc $torc-s, phannacies,
and audiology practices.
.-_-_
- ....-
. - - -. -... _--,,':';:;,-'"
- -.-
Er.r m"jJs offer protection rcgardless
of the shape or size of your car. Ear
muffs cup around the emire ear and
are suitable for a variety of activities.
--.......-..-....---...
~-
"
!
,•
0
""'-
0
<
:
A
l
•
l!
<
,
l
••
-,
"" ...
••E
•••
Noise level
in decibels
_-_ ........ """
Being larger and more bulky than most other
types of hearing protection. car muffs tend to be
mOre difficult to use with activities that require a
IQt ofmQtiQn . Ear muffs are typically mQre expen_
sive than foam car plugs and are available with a
wide variety ofNRRs .
o..stom-madc hearing protection is the most romfortable to wear. These products are made from a
precise impression of the ear. They vary a lot in price
due to the numberofdiffcrcnt models and features
that can be customized for a particular need.
- - - - - - - - - - - - - - - - - - - - - - - - www.tnhe a lth il ndwe ltness.com - - -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Northwest Tennessee - November 2014 Health & Wel lness
ISO
Some are ordered as solid plugs for the greatest noise
140
130
120
110
100
Ie
i
25
reduction_ Others may be ordered with. spedal filters of
differing degrees so that the quality ofa person's speech is
Danpz Z-
prc~ed
can result In pennanent h8arinS lOSS
but hearing is protected at the same lime.
Musician's earplugs an: particularly p<Jpular with individu_
als in bands, symphonies, ormusi"ians who play their own
music as they are designed to protect hearing wilhouljeopardizing tone.
90
80
$Quod Gear hearing protector represents the latest
advancements in electronic hearing protection for hunters
70
60
and industrial workers. This unique family of 100 percent
digital products enhances environmental awarenesS while
SO
also protecting your hearing from loud noises, such as
loud machinery or gun blasts . The ~ompeting need to
protect your hearing from these damaging sounds creates
a unique noise management challenge. Sound Gear can
solve that challenge!
40
30
20
10
0
!j
!
-~
Moder.te
Peinful
SOurce ot noise
Our pallenls place IhelrTrusl and Confidence In our Professionalism
when II comes 10 maners such as Ihelr hearing heallh. We offer
competillve pricing, which Is supported by our years of educallon
& experllse In hearing heallh sciences. We offer stale-of-Ihe-art
products, a professional & courleous staff, and excellenl service.
Our Professionals will hel p you
choose the right hearing aid for
your needs, lifestyle, & budget.
•
IJ
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~IDEX·
We'll Get You Protected!
[fyou are among the many individuals affected by COmmOn
noises in your daily routine. whether at work or play, contact
THE JACKSON HEARING CENTER at 731-660-5511 or
visit our website at hearingmemphil.com for more information. We'lI get you protected! l.c1 The Jackwn Hearing
Center scrve all of your hearing heahhcarc needs!
,•
Elizabeth Hopkins, Hearing Instrument Specialist;
Dr. Natalie Wratt, Audlologlst; Dr_Kay Tackett, Audlologlsl
Respected by Doctors, Trusted by Patients
172·D W. University Pkwy· Waynesworth Office Park· www.hearingmemphis.com • 731 ·660·5511
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.tnhealthilndwe llness.eom _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
26 Keafth &. Wellness November
2014 • Northwest Tennessee
Don't Become a Statistic!
Preventive Care is the Way to Go!
By Jeffrey W. Young , Jr. MSN, APN, FNp·8C
Heart Facts :
• Heart disease is Ihe n~mber one cause of death for
both men and women in tile United Stales, cla iming
approximately 1 million lives annually.
• Every 33 seC<Jnds someone in the United Siaies dies
from cardiovascular disease which is roughly the
equivalent of a September llth·lil<e tragedy repeating itself every 24 hou~, 365 days a year.
• More die of heart di~ase than of AIOS and all
cancers combined.
• By 2020, heart disease will be the leading cause of
death throughout Ihe world.
• This year more than 920,000 Americans will have a
heart attac~; nearly half of them will occur without
prior symptoms or warning signs.
PreventaGenix: The Ned Generation
in Heart Attack and Stroke Prevention
We at PreventaGenix and Heart Attack and Stroke Prevention Alliance (HASPA) are committed to providing
our patients with the most up to date technologies in
the field of Heart Attack and Stroke Prevention . The
tools we provide our clinics in the way of next generation lab testing and genetics is the wave of the future in
medicine and will actually not only save lives but will
save the United States money over time . Areyou aware
th at America is spending S6 million dollars/hour on cardiovascular disease (evD)? One major evD event, if
su ..... ived, can cost up to one million dollars per patient
over the lifetime of that patient.
Introducing Jackson's and Northwest Tennessl!f!'s own
full se ..... ice preventative and acute ca re medical CliniC.
PreventaGeni~ will offer the next generation in heart
attack and stroke prevention, general health, weliness,
weight loss, diabetes management, remission program,
as well as primary care se ..... ices.
Don't Become a Statistic!
In the time that it took you to read th is article, 12 more
of your fellow Americans have died from a evD re lated
death. DON ·T BECOME A STATISTIC I Call 731-30IHI044
to make an appo intment todayl
Keeping You YOUNG at Heart!
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .tnhe althilndwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Northwest Tennessee - November 2014 Health & Wel lness
27
Holiday urvival 101
By Rachel Robertson
I
t's the beginning of the holiday season and with it comes more than
just visions of sugar plums. For many of us, visions of stress, fatigue,
and anxiety are at the forefront of the season. Here are some tips to
help you avoid the holiday bluesl
• Can't stand the thought of going to the mal l? Between the fights for the
last remaining parking spot, to the crowds of exhauste<:i shoppers, to the
budget slamming bills, shopping can be one of the most stressful parts of
this time of year. It may sound simple, but it's true. Just don't do itl Shop
online or shop locally. Most websites offer coupon codes for free shipping
and comparison shopping is made simple by shopping online. If you
prefer to do your spending out ol the house, then shop locally. Gotoyour
local small shops Or flea markets. You can fi nd great deals, smaller
crowds, and you help your local economy. Make a list of w hat you are
looking for before you leave or log on .
• It never fails . There's always that one person that you forgot to pick
something up for. Suddenly, there you are, hold ing their thoughtfully
wrapped gift in your hands, and you go into paniC mode. " I HAVE
NOTHI NG TO GIVE HER IN RETURN I HElPI· This year, keep a couple of
small ticket items wrapped in a cI~et. A simple candle or a bottle of wine
or even a bas ket of bath soaps, set aside j ust in case, can help ease your
mind if noth ing else. In fact, keeping a small amount of "go to· items yea r
round is a great stress reliever. Whether it's a forgotten birthday or a last
minute holiday emergency, if you know it's there, you can relax.
• Nomatter how much we love our famil ies, sometimes those family gettogethers bring more than j ust overeating and hugs. If you tend to find
yourself feeling stress around your loved ones, try these ideas. Have a lew
responses in mind for those stress-inducing questions that you know are
cominS. Use humor when possib le. And when all else fails, have a few
"get away· options at your disposal. Ta ke a walk. Run an errand. Sometimes just having "an out· if needed can relieve anxiety.
• Anxiety can be at its highest while decid ing w here to spend the
holidays. Trying to please everyone usually leads to pleasing very few.
\ItIomen especially tend to feel the pressure to please . So, if you are
drowning in a sea of invitations and expectations, sit down with the one
or two people who need to make the decisions as soon as possible. Take
a rea listic look at your schedule and what is and is not possible. If needed,
schedule a dinner on an optional date. Many fam ilies have sta rted celebrating the holidays in the weeks prior or following the day itself in an
effort 10 simplify and ease some of the ,,,,nsion of t he hol iday ilself.
• Qelegatel if you are hosting the big family dinner this year. ease the
stress on your plate by hosting 3 potluck. Or, if that's not an option, buy a
few prepared dishes before so that you aren't focused on the coo king
when you could be focused on the fun.
• Take some time for you. Read a book. Watch a movie. Order a pilla one
night. Take some of the pressure off yourself. Think about perspectives.
Look back on your holidays in years past. How many times can you
rememtler any major disappointments tlecause you didn't get the "right·
gift or eat the "perfe<:1 turkey?" It's doubtful that any of your fam;iy
members wil l look back in 10years with disappointment. Breathe. Laugh.
Let So of some of th ai self-induced pressure to be perfect. Remember
that it will tie ok, and sometimes being ok is a gift in and of itself.
~:::::::::::::::::::::~::w:w:w:.tnhealthandwellness.com ________________________
28 Keatth & Wellness November
2014 • Northwest Tennessee
Stomach Cancer
By Laura Russell, CFNP
D
id you know that November is Gastric
Cancer Awareness Month? Another term
for gastric cancer is stomach cancer.
Thesc two tenllS most often ....,fer to carn:cr that
begins in the cells lining the inside of your
stomach. These normal cells change into CanCer
cells and gl"()w out of contl"()l. This !cads tQ the mQst
common fonn of stomach cancer called adenocarcinoma of the stomach.
The stomach is a muscular sac located in the upper
middle area of your abdomen, JUSt below the ribs.
YQur stQm8l:h nx:eives and hQlds the food yQU cat
and then helps to break down and digest il.
AlthQugh al"()und the year 1900 stQmach cancer was
the most common type of cancer. it is now relatively unCOmmOn in the United States. The number
Qf p<:()p1c being diagnQScd with the disease dIXlines
each year. Stomach cancer is much mQre common
in other areas of the world, such as China and
Japan. The Qvcrall S year survival rate fQr this type
of cancer has changed very link in the last several
decades and remains atapproximately lO-IS %.
Possible Symptoms
Many individuals who get stom8l:h CanCer have an
infIXtiQn called HeliCQbactcr pylori (II. pyIQri).
This is a type ofbacteria that can infect the lining
of the stomach and intestines. These bacteria may
cause symptQmS such as belly pain, blQating.
nausea. or vomiting. If you have H. pylori infection. you will need to be treated with antibiotics
fw 10_14 days. After romplctiQn Qftreatment. you
will need to be checked to make sure your infection is gone.
You may not have any symptoms in early stages
of the stomach cancer. The symptOmS of
stQmach cancer arc weight IQss. stQmach pain.
trouble swallowing. early fullness when eating,
nausea. vomiting. anemia (a blood condition
when yQU have few red blood cells), fatigue, and
poor appetite. These symptoms may also be
caused by other heahh conditions. You should
promplly repQn any of these symptQmS tQ your
health care provider.
Tests tQ Evaluate ror StQmach Cancer
There are several tests that YQU will need if
stomach cancer is suspected. An upper endoscopy (EGO) is the test mOSt often done to
evaluate fw cancer Qf the stQmach. YQU, doctw
will place a thin tube with a camera and light on
the end into the mouth and down into the
stQmach. This will allow YQur doctor tQ visual_
ize your entire slom8l:h. Your doctor will take a
biopsy during this procedure. This is a sample of
tissue from YQU, stomach lining. YQur biopsy
will be sent to a pathologist (this is a doctor Ihal
specializes in examining tissue samples under a
microscQpe). YQur doctQr may alsQ Qrder additional testing such as CT or ultrasound imaging.
These tests will create pictures of the inside of
YQur body. YQU may alsQ require blood tests.
The doctor will alro check you for H. pylori
infeclion during your procedure.
Ihc tumor. Pan or all of the stomach may be
remQved during surgery. In the United States.
approximately 60*/0 of patients will have nonsurgical disease at that time Qf diagnQSis. The
remaining 40% who have a "curative" rcsoxtion
only have a 25-35% survival rate of 5 years.
Many patients may benefit from chemQlherapy
with medications that kill cancer cells while
Qthers may require radiation.
If YQU feel that YQU are at risk fQr gawic
cancer, you should COntact your healthcarc
prQvidcr. At Advanced GaSlT<xntcrolQgy. we
have facilities to assist in the diagnosis and
management of gastric CanCer. To learn mOre
aoout this disease or to schedule an app<>intmcnt. please call 731-g&4-0600 Or visit uS
Qnline at www.ucgastro .com
Treltment OptiQns
Stomach cancer can sometimes be cured with
treatment . Surgery may be required tQ remQve
________________________ www.tnhealthilndwe llness.com ________________________
Northwest Tennessee - November 201 4 Health & Wel lness
Great American Smokeout®:
29
l~E Ii1IIEAT " .. f:llle...
5tADKEDUr
Join the American Cancer Society to finish the fight against tobacco
Quitting smoking can save your life. Make a plan to quit for good on Nov. 20.
Q
uining tobacco is not easy. but kicking the habit is one
of the best ways to prevent cancer. Whether you're a
smoker Or SOmOOne trying to suppan a friend Or loved
one, the American Cancer Society can help, The Sociely encourages smokers to use the Great American Smokeout on Friday. Nov.
20, 10 make a plan to quit and urges everyone to take action and
help finish the fight once and for all.
Every person who chooses to put down cigarettes does it for their
own unique reasons. That's nQ differem for T,'_C'{lu usld~nI
Cindy L~wis. She dccided 10 quir smQking in March of 1999
because of rhe damage the smoke would do in her house; she
soon fQund QUI thaI the heahh benelilS far QUlweighed her need IQ
light up.
"'This is crazy. bUI I didn't nece.uarily quilfor my hrollh . .. Le»'is
said. .. Ite had mQ'"C(/ inlo Qur ncw hQme a couple of monlhs ear/ier
and I had already decided thaI lI"e had worked t(}() hard on this
hOlUefor me smoke In il. turn e,erything brown and ha,e il smell
bad. I had allempted to quit st.'e raltimes before but I was determined thallhis lime lI"as going IQ be different. I jlUl had IQ make up
my mind Ihat I was quilling and slick with il. And that's "'hal f did.
I quit cold lurkey - no palches, nothing. ..
Lewis explained that quilling was one of lhe hardest things she
had ever dQne - even making hel physically sick - but soon after
she started realizing the positive effecrs of her new freedom from
cigarenes,
"'I never realized whal a nasty habill had, ne,,,,, realized how bad
I smelled along lI"ith my hOlUe and car," she explained. ../ also
never realized hQw short of breath I was and how il Was affecling
my health. In Ihese past 15 years, smoking has become more and
more unoCCt'plable making me .".en more glad f quil. ..
She is also happy that. with belp from tbe American Cancer Society
Cancer AClion NetwQrk, lhere are nQw laws in place tQ limit
SmQking in public places like restaurants,
"'If someone chooses 10 smoke Olhers should not ha,e 10 be su/}.
jeeted to ii, .. Lewis said. .. / nC\'er thoughlI I<'()uld be an advocate
againslsmQking but I am ondll"m CQnllnue 10 be, Iwish I had never
storied bUll am proud ofmyselffor quilling. I hear people say. ·Oh.
I could neve" q"it. I'm 100 stressed Qr I ha"e smoked for too long..
Iff quit, anyone COn quit. It's nOl easy bUI II Sure is worth iI. "'
THE OFFICIAL SPONSOR
OF BIRTHOAYS ~
About the American cancer Society
The American cancer Socitty is a global 03ssroo!S foo:e 01 0l0<e than three million ~unteers saYIng
tiYes and fighting lor e'>'eIY birthday threatened by eo.oery &ance< In eo.oery communilj'. "-s \lie largesl YOIun·
tary health rnganization. the SOOety's efforts hIM! oontribtJted to I 20 percent deClOne m &ancer deatll
rates in \lie Us. since 1991. aod a 50 perteflt dlOll ln smoking rates, Thanks in part to OUr prol1fe$S
nearty 14 million Americans"",o have had cancer and countless more VIIIo I\aYe lII'Oided tt"';l1 celebrate
0l0<e blrthd8)'S tIlis )'II/Ir. "-s we marl< OUr 100tII birthday in 2013, we're deteJTninecl to finO$/l \lie figM
ag,ainst &ancer. We're finding cures as \lie nation's largest priwte, no/·/o(-prolit Investor in &ancer
researth. ensuring people fadng &ance< have the help they need and oontinu ing \lie fight lor access to
quaUty Malth care. lifesaving screenings, dean air, and more, For more Information. to get help. or to join
tile fight call us anytime, day or night at j.llOO·227·2345 or ';sI! _cancer.OIg/fight
________________________ www .tnhealthilndwe llness.com ________________________
Northwest Tennessee· November 20 I <1 Health & Wellness
31
Pilgrims with a Purpose
6y Eric Pot\ef, MO
A
s pilgrims in this lik weernbark upon an
adven1urc filled with great stories. Stories
of breathlessness. stories of laughter.
and stories of woe fill Qur memQries and await
our tomorrows. HQwever. all noo!c journeys.
regardless of their rabbit trails and pit stops. must
be destined for a singular end . Human life is no
exception. The "end" for mankind determines
more than eternity. It also concerns present spiritual wellness. As we alternate betwecn the peaks
and valleys of Ihe journey, today's wellness
depends On Who is Our end, Our own health or Our
heavenly Father.
Upon Ihe peaks of life. the gripping wind may
enchant us with imaginatiQns Qf inner strength.
We may rejoice in vil1ual1y soaring above Ihe
world and forget ourselves. Look at me! Look at
what I acwrnplishcd! We fQrgetthat Qur glQry is
oot the purpose fm which we were placed up<>n
Ihe eal1h. We forget thaI the glory of Another is
our true calling.
Within the depths of life. the valleys of despair.
the stagnancy Qfthe thick darkness may SlX'm to
choke us. We may agQnize over why we were
born orwhy we were "fated" to such a Slale. Woc
is me' I am undone . likewise. we fQTget that Qur
success and victory were never meant to be the
end at which we aimed. We forget that the glory
of Another is Qur calling. This Other docs oot
need our success.
One WQuid hope that we might fan: bener when
neither the heights of success into~icate us nor
the depths of suffering overwhelm us. However.
in the midst Qf everyday life. we strive but Qften
away from Ihe noble purpose of Anolher. As we
consider our state. we see the r.::flection of an
aging mQl1al and ask Qurselves hQW we might
improve what we perceive. We ask how to 10"'er
Our cholesterol so that we might live a few more
years. We ask hQW we might raise Qur hormQne
levels to invigorate our persona. We ask how we
might lessen the pain so we might remain independent just a linle IQnger.
Though we are not wrong in seeking life, vitality,
and relief, may we nOl forget the higher goal
without which all else becomes possibly selfish.
The higher goal. the noole goal. the true goal is to
live for God's glory.
Whaltn'er you do, work al il wilh all your
heart, as working for Ihe Lord, nOlfor ml'n.
(C%Isians 3:13)
So whelher you elll or drink or whalel'er )'ou
do, do il allfor Ihe glory of God.
(I Corinthians 10:31)
This is not only the end tQ which Qur jQumey
should aim, bUI the constant focus of our daily
walk along the path whether On the peaks, in the
valleys, ()1" SQmewhere in between. May QUT years
be filled with this purpose. May our vitality be
harnessed for this purpose. May both Our suffering and QUT healing be turned to such a wOl1hy
goal - the glory of God.
Kecping this goal Qf God's glory constantly in
mind, our spirits can be well whether our bodies
strive through life Or limp along till the end.
Either way. we will look back and give thanks
fm the blessings of our pilgrimage.
________________________ www .tnhe althandwe ltness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
2B63 Highway 45 Bypa.. . Jackson, TN 38305 ' Hou ..... M F Bam· 5pm 731·664 1375 . wwwjack.onciinic.com