1. health and fitness
2. disease
3. cancer

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4 Health & Wellness March
201 S - Middle Tennessee
Heal the Nerves in Your Feet.
Don't Just Mask the Pain.
By Gretchen Campbell, M.D.
T
here are lots of reasons for foot pa in.
Sometimes il is due 10 structural issues
such as fallen arches, it could be due 10
poor Circulation. or it cou ld be due 10 a cond ition
referred to ilS Peripheral Neuropathy.
NefVe pain can be very difficult to manage , e,pe·
cial ly if the diagoosi. is de layed. If it is identified and
treated early, outcomes can be very different. Left
untreated, neuropathy can progress to cause per·
manent numbness. weakness and even difficu lty
with balance
What are the Cause·51
There are many, many potential causes. The most
COmmOn causes in the United States are d iabetes
and alcohol dependence. Other causes include
vitamin deficiencies, certain medications, kidney
problems and many others. Certain types Ciln also
be hered itary.
What flse Could It lie?
There are other condition. that can have Ihe same
symptoms as r>europathy. Pinched nerws in the back,
narrowing of the sp;nal column (spinal stenosis), poor
circulation, as well as certain v~amin and mineral
de&iencies or tOJ(icities. It is important to see a neurologist to determine the root cause of your
symptoms. The treatment of these conditions i, very
different, and sometime s one person can have both
peripheral neuropathy a, well as other cond ition,
that cause foot pain. If the conditions are oot
managed properly, they usua lly eventua lly progress.
I'm diabetic and I've been told I have neuropathy.
What If I lenore the p"ln. It', n.ot th"t b"d.
Peripheral neuroP'lthy affect, 70% of diabetics. ""
many as one in four people with diabetes will have
a foot uker - an open so", - in their lifetime.
Nearly 80% of all non-traumatic amputations occur
in people with diabete s. Half of patients who have
foot "mputati-on, die within five years.
Gel Tested. Get Treated. Get Better.
KCA Neurology has a 0% limb loss rate . If you have
diabetes (or your feet hurt), and you have never
What i. P1!riphef31 Neuropathy?
Periphernl NeurOllathy i•• imply a condition whereby
the nerve have been damaged. It is a term that
loosely refers to neM! damage of all types, but, in the
medial world, we typically use this term to define
neM! damage that starts in the feet and eventually
spreads to the hands if left untreated.
The typical symptoms (and you don't have to have
all of these symptoms) are numbness, tingling,
burning, aching Or stabb ing pain. The pa in is SOme·
times worse at night. Usually, the s kin is very hyper·
sensitive to touch (so bed linens on your feet may be
bothersome). Initially, the pilln may come and go.
Later, as the cond ition progresses. discomfort may
become constant.
t"'~tment with medication aimed at increasing
your neNe fiber density which can stabilize the
process and decrease the risk of limb loss .
seen a neurologist, call today (even if your diabetes
is · controlled"). Saving a limb could save your life.
Did You Know?
Peripheral Neuropathy is the NUMBER ONE CAUSE
OF LI M B LOSS in the Un ited States. Most neuropathy
goes untreated until pain is severe. The more severe
the nefVe damage, Ihe more difficult ~ i, to tre at.
Early diagnosis and treatment are very important.
What Is the Treatment?
First, your neurologist ,hould examine you and try to
dete rmine the cause of your symptoms. If it Is determined that neuropathy is the cause of you r foot
pain, your neurologist will then need to find out why
you have the ne uropathy in the first place. Don't
accept mere pain medications alone as your treatment. The re is treatment directed toward, increa,·
Ing the number of nerve fibers which can stab ilize
the condition and decrease Ihe risk of progression.
TVPical medications used to treat the pain associated with neuropathy indude Bapentin, Lynea,
CVmbalta and others. These medications work to
decrease pain, but do not improve the underlying
condition. The best treatment involves identification
of the cause of neuropathy Uf possible), treatme nt
of the underlying cause. treatment of the pain (with
one or a combination of the above medications) and
Dr. Campbell is boa rd certified in neu rola nd t reats all neu~ogica l illne sses
induding migraine s, e pilepsy, back pain,
nec k pain, neuropathy, pinche d nerves,
carpal t unnel synd rome, m ultiple scle rosis and a host of ot her conditions. She
offe~ multiple procedures to de termine
and treat the root ca use o f sym ptoms
prior t o treat ment. KCA Me dica l Grou p is
also an accredite d ce nter for Tysa bri infuSions (an intravenous treatment fo r
Multi ple Scle rosis).
Ogy,
To schedule an appointment, please call
KCA NEUROLOGY.COM
"5.55 0 .1100 • frlln klln" Cluksvill e. TN
KCA Medical Group at:
615.550.1800· FRANKLIN
931.647.2828 - CLARKSVILLE, or
visit us online at _.kcadocs.com .
________________________ www.tnhe a lth .. ndwe llness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
6 Health & Wellness March
201 S - Middle Tennessee
March is Colon Cancer Awareness Month
c
By William Norris, M.D., FACG
olorectal cancer develop~ in the colon or
rtttum. The colon (large intestine) and
rectum arc pan of the digestive s)'Stem.
Colon cancer is the second Icading ca~se of canccr
death in the United States . It is the third most
common cancer diagnosed in the United Stales.
behind proslate and lung cancer in mcn. and breast
cancer and lung cancer in women. Five 10 six
percent of Americans will develop colon carw;er. It
is cslimaled that ovcr 40,000 people will die of
colon cancer in 2015. Most colon cancel'S develop
from polyps, or growths on the inside lining of the
large intestine. When discovered early, colon
cancer is highly trealllble. However, screening
greatly reduces Ihe chance of developing colon
cancer and decreases colon canccr mortality.
Ri5k F"etoT5 for Colon "'neer
Based upon researeh studics, Ihc most common
risks for developing colon cancer are:
• SO years orolder - A~one ages. the risk of developing or being diagnosed with colon cancer
increaSC"$.
• Personal bi story of COIOD polyps _ Approxi_
malely 30 % of peoplc have polyps. which are
growths on the colon wall. MO$t polypS are not cancerous: however. a subset of polyps called
adenomas may dcvelop into cancer. The time framc
for an adenoma 10 develop into cancer can be
between 5 and IS years. When these polyps are discovered at colonoscopy and removed, the risk of
developing colon cancer is greatly reduced.
• Family history of COIOD cancer - First degree
relalivcs (parents. siblings. and children) of a
person with colon cancer have an increased likelihood of developing colon cancer. This risk is
fun her increased if the family member was diagnosed at a young age.
• Inflammatory Bowel Disease _ A person who
suffers from Crohn', disease or ulcerative colitis
has an increased risk of developing colon cancer.
• High Fat Diet _ Diets in red meat and with high
animal fat conient may increase Ihe risk of colon
cancer.
SCJttJling wilh a colonoscopy at agc SO. HO\>'evcr,
the recorrunendcd screening age for AfricanAmerican~ ;s age 45. If a person has family history
of oolon cancer, it is nxommcnded for screening 10
start at an earlier age. Screening iot""'als may be
reduced based on risk factors as well.
To get screcned for colon cancer, you should
contact a gastroenterologist for a screening colonoscopy. Remcmber. prevention is bener than
detection.
• Genelics - Some fonns of colon cancer can be
inherited. Familial alterations in the SC<Juencc of
cer\lIin genes can result in the devclopmenl of
colon cancer in families. These colon cancers
typically arc detected at an earlier age than the
sporadic oolon cancer.
Screening colonoscopy detccts polyps, which
may be cancerous. At the time of the colonoscopy, the polyps arc removed . Screening also
helps detect colon cancer in the earliest sllIgcs.
Symptoms mColon Cancer
Symptom!; of colon cancer can vary. It is possible
to be asymptomatic prior 10 being diagnosed wilh
colon cancer. The most common symptoms
include change!; in bowd habits, blood in slOOl or
weight loss.
How and When Should 1Get Screened?
T1>e reoommended screening modality for colon
cancer is a eolonosoopy. A eolonoscopy inwilves
the insenion of a flexible ru!.>c with a camcrn
attached to il into the rectum and advancing it
through the oolon. A bcm'cl prep to rid Ihe colon
of waste products is nccessary to optimize visua]izalion of the colon wall 10 detect polyps. During
the procedure, conscious sedalion or ancslhcsia
is given 10 prevent discomfon. Ifa polyp is seen,
it;s removed during the examination.
Dr. Norr/J i, a ~a'ive of Ddray BeacA. PI... If"
reui>wi his undugraduale de!:IU from MoreAous" College and gradualed from Mdarry
Medical College in 1999. His inlernal medicine
residency was comple'ed at tAe University of
Tenne:uu.MempAis.
ife SpeM nine years in Ihe UnilM Sial'" Army.
His medical ca",e' began aI Pori Campbel/.
"'here he served as Ihe CAief of Medicine during
'he lasl yea' of his tour. He subsequenlly compielM his ga,'ro<!n'erology fel/o ...·ship al Woller
«eeJ Army MMical Cemer; and became board
certifiM in GaslrQenluolo/(Y ofter his 'raining
" .... complele. lIe " .... selecled for and comple'ed
On Ad."Onud Therapeutic £~dascopy Training
{'rogram al Ihe Uni>..,rsity of Mar·yland. Tlte
remainder of his military Ca"",r ,..00, s~rved at
Itill'er «ud Army Medical Centu. "'here he ""Os
,h~ Director of Endoscopy. lie Acid s,off ap{JQin'_
menlS al Georgeto"'n University School of
Medicine and a"he Uniformed Sen·ice. Uni>..,,_
siry of Ihe Heallh Scienc .... Dr. Norris is an
Ope""ion Iraqi PlUdom ,we",n. senoing a
combal lour ,,'i,A lSI Co ....lty DM,ion in 2009.
and is a 8ronze S'Il' MMlli recipient.
After hi, mililary ClllUr; Dr. Norris relocaled 10
Middle Tennus ..... IIi. office is I""a",d On Ihe
Skyline MMicll1 Cenler Campus. and he i. on
staff 01 Sk)"line. lIenderson"ille and Cenlenniol
Mediclli Centers.
The recommended ages and intervals for
To learn more or to sebedu]e an appoint_
screening vary depending on risk factors and
• Cigan:ttc smoking - People who ~moke have an
ment, please call Norris Gastroenterology
age. The American College of Gastrocnlcrolincreased risk of developing precancerous polyps
G roup 116 15-612-4998.
ogy recommends avcrnge risk indiWluals to begin
and colon cancer.
________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
www.tnhe~lth~ndwe l tness.com
MIddle T e nnessee
March 2015 Health &
W~
7
5 BRAIN BOOSTERS
getting 100 much ..........3. ~ ItIO$I <Ji us ..., not
getting mough. Unless you an: latina antKoogulam
drup, or
blood coagulatioo problcmt, it is unlikely
1
VITAM IN 0: THE SUNS H INE VITAMIN
By Chris TaIeghani, M.D., M,B.A.
ever 10 uke care: of your bniin!
Inc",uing your inuke of thc:$c 5Ilbsw.ccs can
seriously boost your bniin po"'.."..
1"1 eas.ier than
CAFFEINE & THEAN INE:
THE DYNAMIC DUO
What ;. it? Caffeine is I natUllllly occurring chemical
stimulant Theanine is an amino acid typically used
for trcaling an ~ iety.
Whal don it do? Thcanine helpS ~it nerve
impulses in the brain and helpS MtUJlllly calm and
focus ,"" Inin. Caffeine is a scimulanl that illCfC3.SCS
Iknnesa. Wbc:n you combine these two chemicals.
the calming effccts of the Theanine eountc-ract the
"imulilting effccts of Ihc: u/Tdnc. resulting in I
ballU>l'ed alert-yel·focused broin. This magic combination of chemicals has been used as a non-phallTlaceuticaltreatment for ADIID.
Where can I get ;I? Caffeine is ibundant in what ,,'C
eal and drink. But. as. I MeIItioncd before, it·s this duo
thai benefi .. US lII0$I. You ' re: in luck. bccau$c these
chemicals natUllllly occur toge1her in both black and
grttI\ variclics of tea
How much should I hive? Up to 4OOm.g of caffeine
per day is safe for mOSt adults. This amount equates to
4 cups of cofTee, 10 cans of soda, or 2 CIlCf8Y drinks.
About the same is reoommc:ndcd for mu:imum
Theanine ronsumplion. Higlt doses of citbcr of these
ehemic:aJ. can <:&use you 10 feel "'..".... Ien, or "'.."._
relued. so finding. balance is imponanL
POLYPHENOLS: BRAIN DEFENSE
What i. it? Pulyphl:1lOls an: antioxidants thaI help the
broin stay healthy by reducing toxicity. abnollTlal
broin function, and inflammation.
WhIt does il do? Polyphcnol. help protect lhe
brain', neurons apinst injury and promoIe imp<O\-ro
memory, ~aming.. and ""nall copitive function.
Where elJl I get it? PoIyp/>crlols lIfm'IIOO dilflcul1
to get in your diel. [n fact, you may ",ally enjoy eon_
sumina these anlioxidants! Polypl>cnols Can be: found
in dark chocolate (with al leaJI 60% cacao). red wines
(like pinoc noif. merlot, and cabc:met uuvignon). tcas
(inel,..jing dccaffeinalcd v";elies), and many fruits
and ''''gctables.
Ho .... mucb lhould I hive? AI We all know, there
iuuch • !hing as 100 mach or. (lOOd thing. II is diffkuit 10 ""crdosc on antioxidants in froi .. and veg_
etables, bul it is possible " 'hm IIkint supplements
witl! high conccnlnltlon$. T.d:ing anllOxidants in
execu can overwhelm the free radic:.1s that cells
use to talk 10 one anotbcr and function properly.
CRIATINE: T H E TURBO BOOST
Wb.at i, it1 Creatine is an lImino acid that occurs
naturally in lhe body,lI>OJlly in muscles.
WhIt docs it do? C"'""ti"" impro'"CI bnin efficiency and boosts memory and l11enlian lipan, It is
particu .... ly ....,ful for shon_tC"llTl memory.
Where can I get it? The body makes crealine, hut
it ean liso be obtained from tenain foods and
supplement•. Creatine is found limost exclu.;,"CIy
in "",.1 and fish.
HOw mllCb should I have? Unle$l you arc I "eg_
take ""'""tinc
suppIcmen1s. Si;(kul muscle .... ill only hold a
ccnain """'nl of creatine, SO adding more 10 your
diel won'l raise your creatine levels be:yond a
ccrtain point. Excess c"'"line is rtmOved from Ihc:
body by the kidney.: so prolonged exposure to
excess creatine can couse kidney damage.
~an, you probably don't ncc<IlO
OMEGA· 3: BRAIN FOOD
What ~ il? 0mega·3s arc: fany acids. ThM arc:
Iypcs, each with distinct bc:aI!h
bcncfilf-ALA, EPA, and DHA.
1hrtt major
What does il do? DHA is the OO1C",.J that benefits
the brain the most. It ocoounts for up to 97% of Ihc:
OO1CSI-J fIlly acids in the brain, and it CflSUrcs that
our bniin cdls de"eiop and function properly.
Where can I get it? Nuts, tlusceds. cltia seeds. and
fany f~ like salmon. IUI"II. or mackcrel ore. good
soon:c of omcga-ls. Kcq> in mind that fart1Ol:d flSl!
hive muo;h ""'..". DBA j,e,.·cls !han ocean f~ do.
Man)' vegetables. like spinach and broccoli. an: 100
rich in omega-l5- You can aoo take "upplcmcnt if
you arc: noc gelling cnouglt in your daily diet.
How mucb Ibould I hive? The Institute of Medicine
([OM) has not )'e1. c:stablished I n:comn><nOOd intake
for omcga--k Moot people do IlOl hI'~ 10 ""'"'Y ahou.
ha,,,,
that you an: scning 100 much orncp-3.
What i. it? Vitamin 0 is . fll~..ble chcmlcoJ rcspon_
Jiblc for mhancing the body'. ahsorp6on of calcium. lIS
"~1I as mIjJICSium. iron. p/losphak, and rinc.
What does it do1 VItamin 0 plays a ,; l1li role in the
body', immune S)ISICm I!Id ncun:trl"UCUlar system.
Some srudics show thai adequate b~1s of vitamin 0
may be: fUlUircd for the brain 10 produce JCroIOnin (a
ncurotr8n$mincr that a/kcts mood. sleep, memory. and
I>chavior), Vitamin D deficiency has been linked to
ttrtain CInOCI""S. heart disease. and Alzheimer's disease.
Where can I get it? Many oIhcr 'itamins aJmO tmm
the foods you tall or """,*1Ik11b )'OU lite. but )'<lUI"
body can mate il""""11 vitamin O! The bc:$I and easiest
WIly 10 incrasc )tIUr Vnamin 0 is 10 get IOITIl'SWlligbc.
How much lilouid I have? Vitamin D (aloog with
vitamins K, A. E) is noc water-soluble, SO !he body
C1Ul/lOl e~eretc e~eess of this vitamin- it is possible to
gCl too much. Vitamin D "''el"Use lllTIOlIt always
occurs from ""cruse of suppIcn1o:nts: excessive sun
exposure doQn·I ...... 'dl>(llIly ~use viwnin D poison_
ina bcitillst the body limiu the amounl of this vitamin
it produces.
ChriJ Ta/eghan;, MD. , M.B.A ,
Boord C~rrifl~d NewrmwrgeDfl
Dr. Takgltani is a board
ccnificd IlCUI'tlSWJCOIl
who spocializes In mini_
mally invasi,'C surgery.
including the EndoscopIC
Endonasal Approach. He
received his Medic.1
Degree at Gt'Ofgetown
University School of
MediCIne and completed his Neurosurgery
Residency training 1.1 PennsylvanIa Slate
MIIIOI1 S. Hashcy Medical Center.
PINNACLE
Surgical Partners
Phone: (615) 88 5·2778
Fax: (615) 986-60 52
www.PinnadeSurgical.net
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8 Health & Wellnes$ March
ZO 15
Mid dle Te n nesse e
Are Stem Cells the Next Penicillin?
By David Ebner, Stan Writer
C
han<:~ are ~t you ha~ heard about
stem cells-t~ have ~ In the news
for ~ars. BUI did you know Ihl! Slem
c~1s are bo!-ing used ri911f now in the Uniled Stat~
to trHI debilitating lung diwasn? s...ff~ of
disNws ~i«o COPO, pulmonary fibrosis. flnpny.
serna and Intenlitial lung diwase are r«eiving life
changing stem (~I trealments thllt jusl a few short
yoears 1190 had not yet ~ thought of as possiblfl.
With further ~a nc:emenlS In the study of stem
cells, the question Is posed: are Stem (~Is the ne~t
pen icillin? Stem cells and penicillin both come
from humble ~innlngs and a«idental discov'
e ry. They are both used to treat life threatening
conditions and dlsea~, and Just like pen icillin,
stem ce ll biojoglSlS have won Nobel Pflzes due to
the PfaCllcal uses of their dl sc~rll'$.
Consider the hlstooy of penicillin. In 1939, while
Poland was surrende<ing to Hltlel's Blltzkrl@g
German offensl~. a Scottish bioIo9lst by the ~me
of Sir Alfox.llnder Fleming was on his 10th year of
studying his accidef1tal dlscowry ~med penicillin.
While on vacation with his family to< the summer.
Fleming left the cultures he was worlUng on out on
his lab wori<station. Upon returning, he notked
that a fungus had started to grow on one of the
cultures and commenled,"1"hII'J funny: After
furthe< stucly of the fungus. fleming obsefwd that
the mold produced a subst.tnce lhat killed many
diseit5e-uusing bacteria. Sir Alexand« flemin9
did not know the magnitude that his mold e!rperimenlS would have in 1945 when the II1tibiol:lc
would save thousands of I~ on the French
bea<;;hfront on o-~. It wasn't until that )'01. that
Sir Alexand« fleming was acknowIedoed for his
servk:e to lhe medial ~ by being iJWarded the
Nobel Prize. In the 1950's, a synthetic form of penicillin was firsl designed .nd mass production
~an to create the antibiotic at an amazing pace
and for a relatively small e xpense. Since then. penl·
cillin has been used In vast quantities around the
world and has sa~ million s of li~.
Today, one dinic.the lung Institute. is
usi"'iJ .cIult Slen! cells harvested from
me P<'tie-nt's own fat. blood and bone
marrow 10 provide similar healing
resulu to< people with lung disNses.
Their website. wwwJunginstitule.com.
states that they have treated ~r SOO
P<'tlenlS to date. The physician gives
the P<'tient a IIrowth factor that mul·
tlplieS the Item cells inlO millions of
healthy (ells before extracting the
stem cells from the po>tient, then they
sepo>,ate the (ells and reinlroduce
them Into the po>tient's body. The
result Is that the healthy cells replace
the damaged ones found in Ihe lungs.
Not only can this slow the progreso
slon of the d isease, but it also works
to restore lung function.
The lung Institute's Medical Director.
Dr. Burton Feinerman. who has been
trulln9 P<'tients with stem cells
since the 1960's, said. ·Stem cells are
very Important because they offer a
different apPfQach. Instead of just
Ireatln9 symptoms and making the
P<'tient a .inle more comfortable.
stem
(ells lar9l'tlhe disease and can
lIMo ~.KOftrJ of penicillin _. an "fly .....,.. .1 II'OUIMI !lAaklne
repair
the damaged tissue. II is a whole
MClleal ..mnc-u dallJlIIC tIM COUIW 01 MCI..... -..Ilel....
new ball game and gives people
rulis1ic hope !hi! we CII1 chillenge !he Incurable:
that warranted the 2012 Nobel Prize in Medicine,
are adult stem cellI-. This 1ype of stem c~1 k found
.lust as people _ e wMY about how penicillin
in fully developed individuals and flourish in all
might help fight in~s when first developed,
people regardl~s of I9E' or health.
there is ~ hesitalion that stem cell technol·
ogy can help treat diseases. ~, just li ke
Most cells found in the body ha~ developed Into
penicillin was recognized by the scientific com·
a specific type of cell, like a sltin (I'll or a brain cell.
munlty. so have stem c~1 developments. If the
At the turn of the 20th century, biologists discov·
number o f people successfully treated with stem
ered that some cells (stem cells) hiM! not ~t been
cells alre.cly Is any Indication, then il will
assigned as a certain type of cell. They are simply
undoubtedly be heralded, like penicillin, as the
blank (ells standing by to meet your body's
IIround breaking medical technology of its time.
needs. Stem cells being used to Ifeat diseases can
be tracO!d back to 1968 when the first bone
If you or a loved one suffers trom a chron iC
marrow
transplant was used to treat a patient suf.
Stem cells have also been sl udied extensively ~r
lung d isea se. the specialists at t he lung
fering from leukemia. Placing healthy stem cells
time and have crept Into the nallonal dla~ue as a
Institute may ~ ab le 10 help. You tan contact
InlO a sick Individual's body results in the creallon
buzz word for certain political agendu, po>rlk u·
the
lung Institute I! (855) 914-3212 or visit
of only healthy ce lls that are not infected w ith the
larly the stem cells found In fetu~. However, the
lunginslitute.(omlhHllh 10 find out if these new
d isease. In turn, these cells replace the dlseasO!d
actual stem cells that are now being used to trelt
treatments
are right for you.
d isea ses In the United States, and the same cells
ones and start to heal the patient.
- - - - -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .tnhe a lthlln dw ellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Middle Tennessee - March lOIS Health & Wellness
9
Kyphon Balloon
Kyphoplasty
S
pine fractures cause a lot of pain for
many people. Some believe that they
have to simply live through the pain, or
perhaps undergo major surgery in order to get
some relief. There is now a treatment option
called Kyphon Balloon Kyphoplasty that takes as
lillie as 15 minutes to pcrfonn. is a minimally
invasive outpatient procedure that can reducc or
eliminate back pain, and even increase a person's
overall mobility and quality of life
Osteoporosis causes loss of bone strength and stability and is the underlying disease in most
patients suffering from spinal fractures. In
addition to osteoporosis. bone loss can occur as a
side effect of medicat ions sueh as cOl1icostcroids.
cel1ain cancer treatments. and lifestyle choices
including smoking, inactivity, and low calcium
intakc_
Repol1 any new or unusual baek pain to your
doctor promptly. Early diagnosis can lead to more
treatment options. A physical exam, together with
an ~-ray. can help detcnnine whether you have a
spinal fracture or not.
Why People Choose Balloon Kyphoplasty
• Angular correction of defonnity
• Restoration ofvel1cbral body height
• Improved quality oflife
• Significant reduction in back pain
Balloon Kyphoplasty is a minimally invasive, 15
minute procedure. The recovery time is minimal,
and normal activities ean be resumed almost
immediately. Patients are often able to do more
activities than they were able to do before the
procedure.
What the Procedure Entails
The first step of the procedure involves creating
a space within the spine where the balloon can
be inSCl1ed. The surgcon uses a hollow instro_
ment to make a path into the fractured venebra.
Once in place. the ba lloon is inflated in order to
get the collapsed bone back into the right
position. When the bone is in place. the balloon
is deflated and removed. Before the bone can
collapse, the space is filled with orthopedie
cement which sets to form an internal cast.
Dedicated to Pain Management From
AU Sources
At Comprehensive Pain Spcrialists. we are
dedicated to reducing or eliminating pain from
several different sourees. not just spine pain.
Pain from auto immune disorders such as lupus
or fibromyalgia, carpal tunnel syndrome. headaches, cancer related pain. spons injuries, and
pain experienced after an acc ident are all
things that we include in our individualized
assessments.
With over 60 locations throughout thc Southeast. find out why Comprehensive Pain Specialists is best suited for aU of your pain
management needs.
.$!.~
CPS
COMPREHENSIVE
PAIN SPECIALISTS
________________________
www.tnhe~lth
855-61 5-PAJN {7246l
www.cpspain.com
.. ndwe llness.com ________________________
Improve your odds
with stem cell
therapy.
Treatments at the Lung
Institute use stem cells
from the patient's own body
to regenerate new, healthy
tissue that improves lung
function and quality of life.
Call (855) 914·3212 or visit
lungi nstitute.com/health
....
~
!
ill
Lung Institute
1I<N!1lI' EMi«.
Got Hemorrhoids?
Don't keep treating them.
Remove them!
1luting )'OUr >yrnp!""" with mf<>y , _
on<! ok>t ...... t> ()t'Iy p«Mdn 'tmpOI"¥)' 'ellef.
Sodonl ~ttNtinoJ
~ ~Ih<rn.
~'. , .... ,.,.. a.I)'OUr bes( ogWI.
The CRH O'Regan System ~ utilizes
a non-surgical, patented device.
o Quick, effe<:l~ & painless
CRH O~Regan System'
Ij No prep.
NOr>SurgocoI HenXJrrr.xt ~
ei Return 10 woflc lhe same day
---
"" sedali""
William Norris, M.D. FACG
Boord Ce<1i1ie<l Go.troenteroiogi"
Call 61 5.612.4998 to schedule an appointmen t.
=================~W~W~W~.~"~"~'~"~th . ndwellness.com--_______________
12 Keatth & Wellness March
2015 - Middle Tennessee
Great Life,
Great Look and Great Hair!
By Michael 5 Ramsey, MBMiCM
+ Hair Loss
+ Style
Ilair today is as much about style as anything else.
Whetha men wear their hair short, spiked, or just a
stubble look - hair speaks to others about that person.
Justin Bieber is known almost as much for his hair
and style as his music. Hair as a part of a pcrwn's
style has long been the style stnement fo.- women.
but now many men use their hair to tell a story about
themselves. The imaginations of stylist around the
world impact style like never before. Yean ago, men
gencrnlly would wear hair a ,ensin length as a part of
their style - today, there are as many fashionable long
hair styles as shOJI and medium. The wonderful thing
about hair is it changes constantly. naturally. It grows,
curls, lightens in the sun - it is always in a state of
change. When you consider coloring. permanents.
and other stylized options for hair, the choi= are
almost endless.
Women rnrely keep a hair stylc for long. They are
IIair loss for men and women can even be a style.
Many men who lose their hair will simply sha"e
it all otT. This becomes their style. Others, who
lose their hair will begin to take preventive stcps
to Stop the loss by using hair loss therapies such
as Rogaine, EXT Hair Treatments OJ Laser Hair
Treatments. Whilc these won't grow a full head
of hair. fOJ most people these therapies are pretty
effective at stopping hair loss and encouraging an
ideal growing environment for all the hair.
IIair transplants and hair restoration surgery are synonymous and there are a variety of ICChniqucs
employed today. In Our clinic, we customize each
and every procedure to fit the face and look the
patient is looking for. Some men want a very light
covering of hair so they are 001 bald while others
want fullness. Many of our female patients want to
fill in thin spots - they don't usually bald like men
SO we customizc the procedure \0 suit their individual nocds.
+ Hair Restoration
So today, whether you want hair you can style.
color. grow longer or simply shave off - yw have
options neva before available. Hair. or lack of it.
makes a statement about the person. Sometimes it
says. "I'm carefree and
busy" while other
times it says. 'Tm sc~y
and I take pride in my
appearance." In any
case. your hair is as
much about your style
today as the clothes
you wear. the car you
drivc or the lifCSlyle
you livc.
For those men and women who want more hair.
there are a variety of options. Hair coverings such
as hair systems are good for many men, especially men with advanced hair loss. These hair
systems are typically CUStom made fOJ each individual and then cut and blended into the person's
own hair on the sides. IIair extensions work
much the same way but are more targeted and are
used to add "olume to thin fine hair mostly.
Fashion wigs ha,'c become the rage thanks to
Lady Gaga and many other celebrities. "These are
fun fOJ many wOmen who want a sudden and
drastic change.
+ Most Advanced Hair Restoration
Procedures
At PAJ Medical Group / WeGrowHair.com, weotTer
the most advanced hair restoration procedures
anywhere in the world. For more information about
hair transplantation or laser hair treatments, please
call 615-376-6010 or 800-496-7215. Or. visit US
online at ...ww. WcGrowHair.com.
~ PAl
eominually looking for the latest most flattering
Hair restoration surgery is one of the most
MEDlCALGROUP
style for their lifestyle. A mOm offour is more likely
popular options for many men and women with
to have a style that works for her hurried lifestyle
mild to moderate hair loss. This option has been
while a female executive might make a statement
refined to the degree almost unimaginable only
with her hair that she is serious and determined.
30 years ago when Hair Plugs were the standard.
PAl MecIc:itI Grtq:I NashWie
Granted. certain looks can be associated with
Today, the procedure ;s so refined that once the
Michael Ramsey, MBAMCM
periods of time - remember the Farrah Fawcen hair
hair grows in from the procedure, it looks as
PAl
~~ ow.ctor
natural as the hair that ...·as there before.
style - today. styles are less confined and more open.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .tnhe althandwe ltness.eom _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
WeGrowHair.com
Mtddle Tennessee - March 2015 Keal\h & Wel lness
13
Nashville Boat Club
Don't Buy A Boat® Join The Club!
T
he Nashville Boat Club is a private,
members-only Boating O ;>unlry Club"'.
For nearly 1(3 the cost of owning a single
boat. you can enjoy a fleet of new upscale boats.
These meticulously maintained boats are for the
EXCLUSIVE use of our members. Members have
UNUMITED use of the boats; PLUS we provide
complimentary wakeboards, skis. kneeboards,
tubes. and more for you and your family to enjoy!
Fishing Boats
More Convenient Than Owning!
Enjoy a variety of boats at a number of locations.
without tOO hassle of ownership! We take care of all
maintenance and upkeep. and you get unlimited
boat usage and guaranteed reservations plus com_
plimentary use of the dub's water toys. Following
are JUSt a few of the boats we have to ofTer:
Pontoon Boats
Harris Solstice 250 Pontoon: This brand new
Solstice is up for anything you can dish OUI. A
unique fence oksign and brilliant graphics
package showcase its style. An extended rear
deck offers easy access to the water. and a 150hp
outboard engine powers every kind of WBterspons action . For Ihose wanting to simply relax
the day away, the Transformer Loungen come
with an array of adjuStments for comfort as well
as convenient underseat storage drawers that pull
OUI so you don'l have to get up 10 remove your
stored items. [I also features luxurious caplains
chairs in the front Port Side along with a real
granile top coffee table.
2013 Chaparral H20 19 Ski & Fish: We've all
seen the vintage Ski Fish boalS of yesteryear. Fast
forward to 2013 and it's crystal clear that
Chaparral's new 19 Ski Fish is anything but your
Grandpa's boat with new graphics. Chaparral
innovation is at its best in the 19 SF. The 2013
1120 19 Ski & Fish could easily win awards as a
first-rate fishing machine or a po ..... er packed
wakeboard tow boat. Storage spaec defies the
centerline length_ So does the ride quality_
Water Toys
The Nashville Doat Club pl'Qvides a variety of
high quality waler toys from manufacturers such
as Liquid Foree, O'Brien, Hydroslide, Body
Glove. Sevy!or. HO, Connelly. and more Our
selection is always changing based on input and
requests from Our members and currently
includes the following:
• Wakcboards (Adult & Junior)
• Surfboards
• Wake Skate-Like skateboarding On the water!
• Combo Skis (Adult & Junior) plus Competition Slalom Ski and Trainer Skis for all ages.
• Knecboards
Wakeboard Boats
Moomba LSV has been oksigned to ofTer even
more incredible wake performance, a deep wake
surf interior. fiberglass floor with snap-out earpel
and a new graphic exterior design. At 21 feet 6
inches, the LSV is literally the perfe<:t size, Big
enough to fit all your friends and hdp them excd in
their favorite wake spons. bUI small enough to
IuIndle with case. This Moomba is loaded with the
wake riding 100ls you need so take a minute on the
new tooled-in transom scat to prepare for your next
personal best,
• Tubes in a variety of sizes and shapes for all
ages including single and double riders,
and more.
Compare The Cous and Savings!
Ski Boats
Joining the club costs much less than buying a boa\.
Club dues stan at JUSt S223 per month for unlimited
boat usage and ONE-TIME membership fees stan
at S1395. The only other OO5t is replacing the fuel
that is used during your outing. DoUar for dollar.
boat clubs an: simply a better deal-----and a much
I110Te IrOUble-frce way to enjoy the water.
Ebbtide 220 Dcckboat: This 22-footer has the
space ofa pontoon boat. amenities galore and Ihe
power to pull skicrs and wakeboardcrs_ Seating
Your Choke of Lot:atlon$!
Call the Nashville Boat Club at
for
12.
a
changing
room,
pressurized
fresh
water
Now with three locations in lhe Nashville area and
61 5-232-91 00 to schedule
system.
sink.
hand-held
sho
....
·crs
and
more.
This
others nationwide. members can boat on Percy
a club tour today!
is a deckboat tlull caters to the skiers and wakePriest, Old Hickory, or Center Hill lakes, plus other
www.na.hvilleboat(lub..net
boarders with amenities and power
lakes nationwide.
________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
www.lnhe~tth~ndwe l tness.com
14
Hea~h
& Wellness March 2015 - Middle Tennessee
PRODUCT LIABILITY INJURIES
(WHAT TO DO ?)
By David E. High, Attorney-At-Law
M
any individuals are seriously injured
by defective Or unreasonably dangerous products . If you have an injury
due to a defective Or dangerous product, il is very
irnponant that you first get prQmpl and thorough
medical care. Thereaner, you need 10 make sure
the product is prcscrved (kept in a safe place) and
that photographs are taken Qf the product. the
accident scene and your injuries. PUI together a
list of witnesses and COntaCt information. II is
imperative that you seek legal counsel
e~peri­
tnecd in handling product liability claims. If you
do not prescrve the defective product, you cannot
prosecute your claim. Your case will IIWSI likely
be dismissed.
Prompt Ugil Counsel is Key
Time is of the csscnce. UndcrTennessec law,
the seller. if the seller is nOI also Ihe manufacturer. Man~ manufacturers arc located in foreign
countries. There are cumbersome procedures in
obtaining service of process on foreign corporations so. again, ~ou nccd to emplo~ an attome~
who is experienced in pursuing products liabilit~ claims.
~ou
must give notice of the injury and potential claim
to the manufacturer and seller o f the product in
order to preserve some of ~our legal theories,
such as breach of implied wamlnt~. Therefore, it
is very imponant that ~ou obtain prompt legal
counscl and that the~ provide legal notice to thc
potential defendants. Failure to do so will result in
you losing some of ~our legal rights and could
jeopardize ~our ease. In Tcnnessee. We have a
one·~ear statute of limitations. Counsel has to
give timel~ notice to the potential defendants.
investigate the matler. have the case reviewed b~
pol<:ntial experts, and decide how to proceed well
within the ~ear from ~our injury. Tennessee also
has a tcn-~ear statute ofrcpose. A cause of action
muSt be brought within ten years of the time the
product is first sold for use and consumption
Thcrefore. it is imperative that ~ou act diligentl~
in obtaining counsel if ~ou are going to consider
pursuing a products liabilit~ claim. Thus. a
products liability action cannOI be brought on a
product in use Over ten ~ears. even within the
one-~ear statute of limitations.
Products liability law has been the subject of
extensive tort reform in the state of Tennessee. In
addition 10 caps on non-economic damages, Ihere
arc procedural "hoops· that muSt be jumped
turou6" an rasllC ,m'tallons on \o,e "", 'ty to sue
In Tennessee, the manufacturer of a product is
strictl~ liable if Ihe~ manufactured a produClthat
was defective or unn:asonabl~ dangerous. If ~ou
or ~our loved ones have been significantl~
injured b~ a producl that ~ou feci was either
defective or unreasonabl~ dangcrous, ~ou should
have the claim reviewed b~ experienced counsel.
Significant awards ofmone~ can be recovered.
Successful Reso lution of Many Products
Liability C la im s
At High Law Office, PLLC, We have successfully resolved products liability claims involving
defective medical devices such as defective heart
valves, defectivc hernia patches and defcctive hip
prostheses. We have handled products liability
claims involving defective clothing. defective
''' " . ,"
Best Lawyers-
~'::~"'~:~~d::::·~:·::·~:·::::::'::"::'·:·~::::~~::·:":·:·~·~"~'~'~';"~'~'~"~'~'~';':'~"~'~
www .tnhe ~tth~ndwe l tness .com
construclion machinery and dangerous manufacturing equipment. We have also suceessfull~
handled vaccine injury claims. If ~ou or your
loved one is injured due 10 ccnain required vaccinations, there is a special fund administered b~
The United States Court of Federal Claims. David
E. High is admitled to practice in the United
States Court of Federal Claims and has SUCCeSSfull~ resolved and tried vaccine injury compensation claims. Again. there are short statutes of
limitation of 36 months for injury claims, 24
months for death claims or 48 months from the
onset OfS~mplOmS thaI caused the dealh, whichever is earlier for these vaccine claims.
FREE CONSULTATION
We would be happy to review ~ourdaim on a
contingenl fcc or pereentage fcc basis. No
recovery, No fee. Schedule a free consultation
with High Law Office. PLlC, at 615-256- 1000.
or visit uS online at www.Highla ..... O ffiee.com.
David E. B1&h.Attoroey-At-Law
D(wid E. High gradualed 01 Ihe top of his
class 01 Nashville School of Law in 1980.
gruduoled ....ith lligh flonor.~ fro m the Uni_
versity of Tennessee. Knoxville. ami has o>-er
34 years oflrial experience. Ill' is a member
of Ihe M,dtimillion /)Q/lar Advocates Forum
and has been includ<-d in 1101' Best Lawyers in
America for o,-er 20 years, Mid-Soulh Super
La,.,'Ct"$. ond the Bur Register of Preeminent
La,.,'Ct"$. M~ High will ",>'i<"" )v"r personal
injury case ....ithout charge and handle ) vur
case on a ~No Recm'Cry. No Fee" basi!.
.,n . r. lu
MwON OOUM-"""OeATU fOJuo1
MuI.~ OOUM-"""OeATU F<*.OH
Tho Top T.... L.awywo 10 - . . ~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Middle Tennessee· March 2015 Kealth & Wel lness
15
GOING SOLO: THERAPEUTIC HEALTH
& WELLNESS IN A CHARMING NEWWAY
By Casey Durrett, lJcensed Esthebcian
T
raditionally, Iherapeulic heallh and
"'Cllness professionals have practiced Iheir
professions in facility-based environmenlS
where mulliplc practitioners and cuStOmers are all
prcscnl in Ihe same space, at the same time. In
conlrast to facility-ccnterc<! businesses. there is an
exciting IJ'Cnd that is qui<~ly becoming a favorite
amongst both practitioners and patrons: the solo
business model.
Wh ~t
Is ~ Solo pre ne url
As more "'Cllness professionals begin measuring
their dreams and goals against th<:>sc of their employ_
ers, many IU'C shifting into ·wlopreneurship." ·'Solopreneur'· is a tl'Cfldy new tenn 10 deseribe an
entrepreneur who works in, and operates, his Or her
business alone. While ,,'Cl lness service providcrs find
Ihis model attractive for reasons inch>ding flexibility
of schedule and complete control of the dire<;tion of
their businesses, palmns are gaining an appetite for
services rendered by solo-professionals because of
the enticing atmosphere that comes with an extraordinary degree nf privacy and penonalizcd care.
Consumers who find themselves in the comfY spacc
of an established solopreneur will find that the
uniquely private environment and personalized al1ention are unparalleled. Our time is precious. So, when
a practilioner is able 10 provide your services free of
distraclion and inlcrruptions and wilh the freedom 10
cUSlomiu your experience, you are far more li kely 10
Ica''C your aJ)lXlintment kl\Owing your time and
money wcre ,,-ell invested. Whether it is B nutritional
or life-coaching consultation. a therapeutic acupuncture treatment. or stress-reliC'ling reflexology
session. your needs are al",oays best met when your
provider is funy able to focus on you and you alone.
Be The l ea de r Of Your Own Future
For the "'·eHneS! provider. taking lhe leap into the
solo world , the potential is endless. The solopreneur
business-model olTers a rieh and exlcnsive list of
per1cs, 1\01 the least ofwhich is being the leader of
your ow,., future ;
• Flexiblc working hours of your choosing
• No umbrellas O'ICr creativity or eamings
• Create the c~act Blmosphere you wanl for
your business
• Choose thc specific service, you want to provide
• Sct your own ratc"s and policies
• Provide a guesH:entered environmenl that
focuses on private, personalized CIU'C
Solopreneuers Are On The Rise
Studies show that lhe number of solopreneurs in the
U.S. wor1cplace is on the rise. Likewise. the number
of consumers who se<:k out private praclilioner5 is
on Ihe rise. If you ha,·e yet to experience the luxury
of rtteiving service. from a pro-gOrle-solo. consider
treating yourselflO the experience. The quaint envi ronmenl. privalc atmosphere and personalized
service are likely to win you over for good.
Are you an estllblished therapeutic
heilith orwell ness practitione r who has
been dreami ng of:
~Wnlng a bUSiness where you clln
loeatioos kldude:
Nashville & Murfreesboro
CaM today!
615-804-9661
In the therapeutic health and w.nness world, patrons
p rovide the ultimate guest e~per ience
often encounter three or more people to complete a
www.salon-suites.com
single appointment. Appointments may be booked
y'Living your own vision
with one employee. while services are rendered by
; ; ' Bei ng you r own boss
another. and yet a third may be responsible for
cheding OUt guests as they depart. This is not parII you said "yes" to t hose quest;on ~ are in
ticularly problematic for all peoplc, as some indi_
the NashVille Or Murfre.esboro IIrus. and
,·iduals lo,·c the hustle and bustle of a busy location.
lIre interested in g oing ~Io - give Doug
But there i. something calming and fulfilling about
Patrtck a call at 61 S.804.966 \ to diSCUSS
dealing with one person who handles C'lery"lhing,
how to get stilrted! I mllde Ih"l <"II
from slart 10 finish. and sends you On your way
mysell several yell" IIgo and have never
f«ling important and appre<:iated. This is
looked back!
conlrol gl its finNI.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .t nhealthandwe llness .com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
.,,,gUt,,
16 Health & wetness March
2015 - Middle Tennessee
EyeBall Was a Success!
Finding host families for blind orphans is focus
of Wang Foundation 's recent annual charity event
ver 700 peoplc attended EyeBall
20 14, the annual charity event of
Wang Foundation for Sight Restoration (www.wangfou ndation.eom) on Saturday IOf l l f14 at Massey Perfonning Art
Center at Belmont University. and met Mari o.
who was a blind orphan from the poor
country of Moldova until only one year ago,
at the brink of subjcction to a life of human
trafficking and prostitution. Now. she is a
happy teen ager who has gone from darkness
to light and ean see! Maria is loved, lives in
Franklin. T N, and gocs to school there. Maria
was at the EyeBall, told her story and sang a
song for everyone in auendance!
O
11le Eye Dall is the annual event of the SO Ic(3)
non·profit eharity-Wang Foundation for Sight
Restoration (www.Wangfoundation.eom).
~
1ennessee house speakei'
Hlr.oeI and Or. MiIIg
(jtBall 2014. the Innual d'Iarity IMnt of the
501(:(3) Wana: Fooodalion lor SWU Restoration. 'IIhit:II to
date his helped patiefllS from OYer 40 states in the u.s.
and 55 eountries with an sigJ1t restoration $Utgtries per.
Iormed free..of-charge.
wane.t
This year marked lhe 9th Eye lJall for the sight
foundation. whi ch to date has hclped patients
from over 40 states in the U.S. and S$ countries. wi th all sight restoration surgeries per_
formed frcc-<lf-chargc.
Marla , the Iormerty blind IS·jtar Old Moido-an orpllan who was rescued rrom human \r3lfieldng Ind prostitution
and WI$ brought to the U.s. &1Id whose 'lgJ1t was restored by tM foundation and who SlrW Itle wof1d and herse~
lor the nrst time. and Dr. Mlng Wang.
Th' Goal of Eyeball 2014
'The goal of EyeBall 2014--whieh was a
free event--is to find more host families
for the bl ind orphans whom ou r foundation i$ trying to help." said Dr. Ming
Wa ng, MD, PhD, founder and ehainnan of
the found ation. "Our foundation's focus
has been trying to help blind orph an s, sueh
as Kajal (a 4-year-<l ld blind orphan from
India), Margarette (a 10-year-<lld bl ind
orphan from Ha iti) and Maria (a I !)-yearold blind orphan from Moldova). We ha\·e
realized over the past decade that the most
effcctive way to help these blind orphans
is to identify host families. Wh ile medical
and surgica l core is donated by the foundation doctors, these patients have so many
other needs- i.e., housing. clothing, transportation, schooling, Ctc.--whieh host
fami lies would be in the beSt po$i tion 10
fulfill." added Dr. Wang.
------------------- www . nhe~llh~ndwelln eu.com
Marla's Journey from O.rkneu to Sight
There is 1"10 better c.o;ample of the vital role host
families play in helping these bliod orphans
than Steve and Lynn l icodrich, • Franklin
couplc woo sponsored and hosted Maria
Moran , a I!)-year-<lld fonnerly bliod orphan
from Moldova. Maria had been blind sioce
birth Dnd was abandoned in 1111 orphanage in
Moldova, but the Hendriclles took her on the
long and arduous jOW'llc:y around the globe to
the U.S. 10 seek the help of Dr. Ming Wang and
the foundation, and 10 gi\·c her a chance 10
ha\·c restored sight and the hope of a better life.
II story that is remarkable and inspiring. Maria
underwent a very diffieult lIod complex 4-hour
sight restoration surgery in November of last
year. The surgery was a success, Maria·s sight
was restored. and she saw the world and
herself fOf the \.ery fim time! When she
looked io the mirror, she c.o;c1aimed, "Sunt
Frumoasa·· ('I'm so pretty ' in Romanian)!
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Mrddle Tennessee - March 2015 Kealth & WellneS5
Ms. Marjorie Mullen. tile artist who created tile signature
fetus-in·tIle·ejtball painting for EI"BaIl 201 4 which
describes tile amn iotic membi'ane contact lens irwented
by tile foondiWon doctors for ""'ich th'" have obtained
U.s. palents and Dr. Ming Wang.
The success of Maria's journey from darkness
to sight has drawn publ ic ancntion to thc necd
to help more blind orphans, and according 10
Dr. Wang. "one oflhe vila] steps ofthis process
is finding more host families like the Hendriehes. That is why it was free to anend this
year's EyeBall. I wanled as many people to
attend EyeBall 2014 as possible, so Ihat we
would have the greatest chance offinding more
host families. and, as a result, we can help
more Marias!" Dr. Wang added.
17
EyeBall 2014 was a beauliful concert featuring Dr. Ming Wang (on the Chinese "cr-hu"
violin), Carlos Enrique, M. Mus.lcomposcr
(guitar), De idre Em erson. M. Mus. (cello),
David Fischer, JD (vocal), Mary Katherine
(vocal) and Jim Labriola (comedian).
Videos of the foundation's blind orphan
patients were also shown, and the foundation appealed to the audience to hc]p to
identify more host families.
8ecomlng a Host Family
"The best part of EyeBall 20]4 was that
Maria herself was there. She and her host
family--Steve and Lynn Hendrieh-- were the
featured guests. Thc Hcndriches told us how
they became a host family, and Maria shared
thc joy shc fclt about going from darkness to
sight, and her gratitude for being given the
opportunity to avoid the devastating fate of
human trafficking and prostitution, and,
instead, being able to live a wonderfu l life
as a happy American teenager, with the
Hcndrichcs in Franklin, TN. It is stories like
this that make all the hard work and effort
worth it!" beamed Dr. Wang.
Maria and Dr. Wang
_____________________
www.tnhe~lth~ndwe l lness.com
For m ore information about the Wang
Foundation andlor Eye8alll0l4, contact:
Dr. Ming Wang, Wang Foundation for Sight
Restoration. ]801 West End Ave, Suite
1150, Nashville. TN. 37203, 615-321-8881
(Office), [email protected];
www.wangfoundation.eom
_____________________
18 Health & Weiness March
2:015 - MIddle Tennessee
DENTURES vs. IMPLANTS
Restore Your Smile with Modern Dental Technology
ByJameA Romero,Jr., D.D.S.
Whi t Dati Getting OenUt llmpianu Involve?
The process of getting implants requires a few
visits over several months. X-I"lIYs and imp<eSslons (molds) an: taken of the jaw and tcctb to
dctcnninc bone. gum tissue , and s pacing avail_
able for an implant. While th~ area is numb. the
implanl will be surgically placed inl0 lhe bone
and allowed to heal and integrale itself for up to
six months. Depending on the lype o f imp Ian 1, a
second surgery may be required in order to place
the ·'posl~ thaI will hold the artir..:ial lOO1h in
pIli«. Wilh other implants. ,he po$l and anchor
arc already attached and placed at lhe same lim<:.
U
lIS«umi dcnmrt"S are an old·fashionw
wlulion for people ..·100 ha~ lost all of
,heir teeth. Unforlunatcly. you may find
,hat wearing unsccured demures can be painful.
inconvenient and awkward. Such dentures make
i, difficult to chew a varicly of foods, which can
stop you from ealing many of 1he foods you
Oll(:e enjoyw. Wtaring dentures may also affcct
how )'0<1 pronounce words. Ind therefore Ihe
way yOtl speak.
Missing leeth can cause bone loss. Significant
bonc loss can shrink the contours of the jawbone.
causing wrinkled lips and a s unken mouth and
chin . When your jaw line shrinks, il Can cause
denturt"S to lose their fil. They of\en slip. cause
pain. or even become embarrassing.
AIII"lIClive, healthy teeth play an imponanl role in
our genenl health and well·being. You look and
feel confidenl, free to laugh with friends and
family _ anytime and anywhere.
O. nta llmpl l nt Solut ions
Dental implants are a great way to replace
missing teeth and also provide. fixw solutiQllto
having removable panial or complete dentures.
A variely of modem dental implanl-based tooth
replacemenl solutions are available. Any of these
so lu1ions can dramatically improve your quality
of life; such as enabling proper chewing and
speaking, increaSing comfort and self_
confidence.
Dent.l implants ~ anir..:i.l roots and teeth
(usually lilanium) tllat are SU'iically placed into
the upper Of lower jaw bone by your Oral
SU'icon. The teeth anachw 10 ;mplan1!i are very
nalul'lll looking and oftcn enhance or restore a
palient's smile. Dental implants arc strong and
durable and wi!! last many years. On occasion.
they will have to be re-lightened or replaced due
to normal wear.
RuIOftS fof o.tIhlllmp(an,,:
• Replace one Or mOre miSSing teeth without
affecting adjacent teeth.
• Resohejoint pain or bil~ problems caused
by 1~,h shIftIng mto miSSing looth space.
• Reslore a patient·s confident smIle.
• Res,ore chewing. speech. and dlgesuon.
, Restore or enlLance facialllssucs.
• SUPPOrl a bridge or denture, makmg it more
secure and comforlable.
Ailer several weeks of healing. the anificial
teelh are made and fi llcd 10 thc PO" ponion of
Ihe anchor. Because severnl fittings may be
n:qui~ Ihis step may take one 10 IWO months to
complete. After a healing period, the artificial
\ee1h arc securely attached 10 the implant, pr0viding excellent stabilily and comfon \0 the
palient You will receive can: instructions when
yOtlr trealment is compleled. Good oral hygiene
and cating habits, alongside regular denIal visits.
will aid in lhe life of your n~w implanl.
IXntallmplants are
professIonals for o ...,r
years as I
successful and trusted m<:thod oflOOlh
replacemenl used loday.
t·.",ltke your naturall00,h TOOt. You do not
feellhe difference.
I·A", m"d."f b••oc.,mp",bI,
re~uh,
materials. As a
lhey are accepted by your body.
Your implant will nonnally lasl a hfetime
with propc:r care and good 0<11.1 hygiene.
Mainlain natural~. and m,mmize funher
~ loss due 10 bone sumubllon one of
lheir most Imponant advantages
, »r(Ivide stabilily and comfon, for a WIde
'nriety of replac~ment teelh sol utions.
• Implants acl 1ike your natural tooth roots.
and support your individu.ally made ceramic
crown. bridge or full proslhesis.
www .tnheiOlthand wellneu.com
Solace Orol Surgery
• I Surgery & DenIal
I mplont~
To learn more or to schedule an
a ppointment, please contact
Solace Oral SU'Iery at 615-320-1392 .
Tennessee Comprehensive
Lung & Sleep Center
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20
Health '" Wetness Milrc h 2:01 S - Middle Tennessee
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22 Keatth & Wellness March
2015 • Middle Tennessee
Progressive Technology
Helps Seniors Ambulate Again
I
ndividuals have found new hope when it comes to ambulating and per_
fonning assisted daily living tasks independently. A new pro~ive
technology is On the market called the Alter G Bionic Leg which is a
banery-powered, wearable robotic training device activated by a patient's initiated movement, 11 is a modality used by physical therapists for patients with
impaired walking ar>d functional mobility. The Altcr G Bionic Leg strength_
ens musclcs, improves gait, and facilitatcs active motor learning while promoting improved amhulation and transfer skills. Currently, it is a crucial
component for stroke reltabilitation and physical therapy for patients with
chronic, degenerative neurological gait impainnents including Parkinson's
disease and Multiple Sclerosis (MS).
Seniors Plus More, Inc" a Medicare Certified Home Health Agency is the first
and only home care company to launch the hionic leg. It will he used by
physical therapy staff to improve participation in sit-to-stand activities.
walking and stair climbing exercises that are critical to thc rttovery of gait
and balance, When a patient hegins to stand up, step forward or ascend a step,
the bionic leg's fOOlpad sensors calculate the shifting weight and the posilion
of the lower leg, ar>dthen calculate how much assisti"e foree is needed for
knee movement to move the foot and leg in a coordinated panem, one nonnal
to transfers, gait and stair stepping,
"Alter G Bionic teehnology can he life changing for someone. We've seen
stroke and post_polio patients, people who haven't been able to walk in years
who had lost all hope, walk again," exclaimed Josh Smithson, Executive
Dirtttor, "We are excited to he bringing this progressive technology to the
communities we serve. We will he tracking and measuring long tenn patient
outcomes and participating in research studies with. our PT staff," Smithson
said, "This is cuning edge, slat<>-of-the-art rehabilitation therapy and we're
thrilled to be providing it!"
~
..
The Bionic leg has been used on numerous palients with very successful Outcomes, A patient's mother wrote a le1\cr of appreciation Slating. "He started
walking at 9 months of age and by the age of 2 started deteriorating and diagnosed with CP althe age of 4. For the paSt 3 years he has been wheelchair
bound ar>d only able to transfer from chair with assist. We brought him to
many neurologists who didn't wanl to work with him.
Finally somcone rttommer>ded Ihe Altcr G Bionic Leg. I can't describe 10 you
what a blcssing this has been for my son, It's made such adifference. The look
On his face was amazement on his first treatment. After 6--7 visits he came
walking out from his bedroom to the living room, by himself. This is a miracle
and I'm SO grateful." - Mrs, Damato
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Middle Tennessee - March 2015 Kealth & Wei lneS5
23
TENNESSEE PROBATE
P
robale in Tennessee is a coun supervised
legal proceeding thai may he required
when someone dies owning propeny.
Probate will he required if a person has a will.
Probate of a will is required even if the deceased
owed no property that requires court supervision.
It is a criminal offense in Tennessee not to
probate a will in your possession. Probate may he
required even if a person docs nOi have a will if
Ihey have property Ihat requires coun supervision
10 pass to heirs.
If a will or an estate is probated, somcone is
appointed with a legal aUlhority to galher Ihe
de<:eased person's asselS. pay debts and taxes. and
evenlUally transfer assets to the deceased's heirs. If
the person is named in a will. this individual is
called Ihc e~ccutor and the will detennines who
will serve as e~«utor.lflhcre was no will. then the
person appointed to administrator of the estate is
called the administrator and is appointed by the
court. 11 is recommended that everyone should have
a will so thai they may detenninc who is responsible for administrating their estate.
Probate in Tennessee commonly takes six months
to a year, depending On the amount and complexity
of the assetS owned by the dcceaocd. Certain assetS
such as a business can make probate a more eompliealed malter. 11 is recommended Ihat everyone
tal k to an anomey before probating a will or
opening an estate. If there are large assets or if
somrone decides to challenge the will, then the
probate process can take longer than a year.
Generally. the asSCIs of the deceased go through
probate. The legal representative (the executor or
administrator) is required to marshal Ihe assets
(collect the asscts). This consists of closing bank
accounts and sclling off personal property that is
not wanled by the heirs. However, there are some
asscts of the deceased that do nOt pass through the
probate estate. One such type of property Can he
real estate which generally passes outside of the
will directly to the bendiciarics named in the will,
or, if there is nO will, to the dc<:eased's heirs at law.
THE PROBATE PROCESS
The probate process begins with the filing of the
petition to probate the will and the filing of the
original will in the appropriate coun. If there is no
will, then an individual rrnly file a petition to be
appointed administrator of the estate. If there is a
will, the will must he proven in coun . To be valid,
the will muSt be signed in front of twO witnesses
and their signatures must he notarized. The will
must contain a sworn affidavit to prove the will . If
there is no affidavit attached to the will, then the
petitioner must obtain appropriate affidavits from
Ihe two witnesses and file them in court or bring
the two witnesses live to the hearing.
O nce appointed, Ihe personal representative, In
addition to marshaling the assets. must notify all
creditors of the estate and pay all of the debts of
Ihe deceased, such as funeral expenses. loans.
mortgages. court cOstS and fees. If a credi tor has
a claim, it must file a sworn claim with the coun.
Ihe personal represenlative must either accept the
615-255-7500
www.plcslaw.com
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claim or file an objection to the claim. In
addition, the personal representative must file a
notice with TennCare and must also file an
inheritance tax return with the S,ate ofTennessee and may be required to file a federal e~tate
tax return. Once the personal representative
has completely marshaled all the assets. paid all
Ihe debts of Ihe estate. including any taxes
owed, and distributed any remaining assets to
Ihe heirs, the estate may he closed .
RELIEVE THE STRESS AND ANX IETY
O F HANDLING YOUR LOVED
ONE'S ESTATE
Hiringa competent probate al10rney to help you
with this process Can usually relieve much of
the Stress and anxiety which accompanies the
loss of a loved one and in having to handle the
loved one's estatc . The administration of an
cstate. including obtaining TcnnCarc releases
and filing tax returns. can he a long and cumbersome task . An e xperienced lawyer can
~treamline the proces~.
Is y our family prepared? If no t. ca llihe
legal experts a t Parker Lawrence Cantrell
& Smith at 615-255-1500, or visit us online
al www.pleslaw.com.
________________________
24 Health & Weiness March
2:015 - Middle Tennessee
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support optimal functioning.
10
FOREYBI PA0810TlC
Tilts the balance o f good and bad baeteria in your
fl"or by increasing the: good. helpful b.Ktma in our
bodies. Thissupponsdigestion and the absorption of
nutrients ontO tile Nutrient Superhighway.
ARCTIC SEA
Provides the: cssen,ial Omega ) fatly acids that are
often missing from our modem diets. including a
uniqucly high 1c\'C1 of DIM - one oCtile most important Omega )'1 ,,'CC ean consume, Maximizing our
intake ofOmeg. 3'$ from cold _,er fish helps to
bring us closer to I~ ideal 1:1 tatio of Omega 3:
Omeg.6 fatly acids. This I>clps 10 sUppOrt tl>c cardiovascular syflem and digestive tract - both essential components oflhe Nuuient Superhillhway.
ARGI.
Provides Artininc: plus supponive nutriCTlts rich in
fornilricoxide producIion. Nitric oxide
supports the ein;ulatory system.. ,,·hich canics numCTlIIi thr(J<lgh our bodies to the «lis and lissues and
allO tames was,e products from nonnal metabolic
processes to be eliminated by tile body. Ihcreby sup-porting cell function.
antio~idants
To 1~0t711l0 ... Vitol5 con IIt lp you. pl~lUe call
Pel~r Dna AIIII~ Nobl~ 01 6/ 1·951· 2830. ~mail
lIotun lollUJ'[email protected] or!lis!t "", olllille ot
_
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26 Keatth & Wellness March
2015 . Middle Tennessee
National Nutrition Month - March 2015
By T. Taylor Minchey, RN, BSN. MSN. FNP-C -Indian Lake Medical Weight Loss & Weliness
M
juggl~
o,t 01 y,
busy schedules, 50 we .... nt
meal. th.t . re quick .nd easy. As. resul\.
we oft"" ...Iy on convenience food •. Unlottun'lely, many convenience food, Iprodu('\, Ihat
require litt le Or nO preparation .uch as lro.en meal.,
take-ou\. ind la.t lood) ire les. nul rjtlous a nd more
e . ~nsive th.n .imi l ~ r lood. p ... p~red . 1 home, The
good ne .... ;. th.t you can improve nYlrition and reduc"
co.1> by makina yt>\Ir own "/a,t- food •. Also. pre paring
ta.ty and healthy meal ••1 home C3n h...., • ,..,.i~""
imp,act on your family's he. lth.
nps to Simplify Meals at Home
l IS 5:00. lou 're stuck in traffic, you ·re
tired, and you ·re hungry. You want to hUI'1!
a healthy meal when ),011 get home, bUI
you don " ",alit 10 spend much time f IXing
i~ Sou nd/ami/ia r?
Nutrition Facts
Read the Label
WHaTCHa"
Ha ... do you l et >!arte<!? Ma king .mall changes in yoyr
e.ting ha bit> C3n make . big diffe ... nce to ..... d. launch·
ing • h e . l th ~ r life style. H ~ re are some tips .nd tool. to
ge t you st.rted.
Start slo ... a nd m. ke ch. nge, to your ea~ng h.bits over
time. II is not real istic to t ry to m. ke drastic c~nge, to
your diet ow.mighl . Changing e""rything at Onc"
usually lead. 10 slipping and """ntually giving up. Ma ke
. m ~1 1 .Ieps like . witching from butter to o live oil ... hen
cooking or Iry choosing f~t · fre e or 10... ·f.1 version. of
yoyr fa"",ite food •. A. your .mall chlnge. become
habil. you C3n contin ..e to add more hulthy choice. to
yt>\Ir diet.
Shop sm.rt M the grocery , tore. M. ke ... hopping list.
ideally ... ith • v.riety of fruits .nd vegetable •. whole
grains, lean prote in. and low lal dairy products . E.t •
hult hy .nick at home before you go to t he $lore, that
.... y you ... ill .tick to VOOr .hopping Ii.t and be I.. ss likely
10 make impul.i"" pu"h •• e. b•• e<! upon """ing. ,
Eat .mal ler portion •. Eating hulthy food i. important.
But yt>\I .Iso need ta p.y .ttention to how much food
yt>\I .. M. Try putting a .mall . mounl 01 food in •• mal l
bowl or pl.le Instead 01 ... tinS out of .. p.ckage or container. R.... d nutrition I. belsto Hnd out Ihe .ervi", , i'e
.nd ho ... many servings ire in .. pac""ge. The re m;oy be
more t han onel
S. Prep,anng meals M home " a great opportunity to
i"""""" t he ""tI ... family. Children C3n help with simple.
ige-ipproprlale taru such as meawril1/l ingredient$.
Nurse Practitioner Objectivft:
• Help pat>en\$ to ga in control ow.r eating habi\$
and patterns
• Support adults ..... king freedom from poorly
define<! uling f(l<Jtine,
• s..ppon . ignifiC3 nl behavioral, nutrm""aland
psycholoeical chanae. in e2!ing ritual.
• Reduce symptoms I ..oeialed with being """,,,,,eiShl
and obesity and improw. ow.rall quality ollile
• Help patients 10
cop;ng . ki".
GOOD LOOKIn·
COOKIn'?
4. You C3n plan I>;,la""'" meal •• rod control
portion si~.
~iop
.n array 01 da ily
Patient Go.ak :
• E$I.blish i regular and .ustainable eati", pallern
lot trw. e ntl ... f.mily
• Eventually to . top leeling. 01 d ieting and the
feeli"iS 01 deprMltlon
• Decrease binge e.ting ~nd a ny ot her di50rOerty
~p a
food d iary. If VOU .taM record i", everythl", VOU
...1 .nd drin k on a da ily ba .... you will become much
more . .... re of 6K!1y what .... hen.nd ... hy you ~.t.
YOO C3n identify p.ttem •• nd t~ implement
chanse. to help you make he.~hier food choice •.
e.tlngbe~
• Recot!ni'" unhealthy Ihinkin,s paltern. and negative
sell·Uolk; learn $ltills 10 correct them
• Decrease t he importance o f weight and .h.pe as •
determinate 01 sell-worth
•
II's important th.t yt>\I maintain a he.llhy body weight
a nd body fat oe""ntage. get t he recomm~nde<!
a mount of physical a('!iv;1'; and exercise .nd conSIJ me
lhe recomm e nd ~ d nutrie nt, from food. Whe n you and
'fO'Jr fa mily members eat nYlritlou. food •. il helps you
10 maintain yt>\Ir heakh and reduce 'fOOr risk of hean
di",~se. hiSh blood pre .. ~ .... di.bete •• osteoporosis
a nd several ty~. 01 C3r.cer, • • well •• ~ps 10
maimain. hea khybody weight.
To perform at your peak, you have to
eat healthy & live a healthy lifestyle.
Food is fuel for the body.
~
Top S Re.. """ To P~p;lre Me.. " At H_
I . f ood. pre p,ared .t home are afte n ~r in calor"",
sodium .• rod .. turaled fal ... her1 compared 10 wmmer·
ci. '1y prep,ared foods.
2. You' ~ in charge , Add as li ttl ~ or as much spi<: ~ a,
VOUlike. YOO C3n leave the onion. on Or off. You re~ 1 1y
C3n Mve ~ vour .... yl
3. You C3n save money ... hen you make il yourse~.
Inlegrat~ physica l activity inlO d. ily
improve mood and self..... ,eem
I'O'J!in~
.nd
• eev..lop a nd m. int. in . regular and nutritionally
bala""'" eating style
T~'lmenl
Plan,
w eekly nUlrition managemen\. education and
counseli", willi Nurse Practitione r, T, llrV\Or
Minchey. liN. SSN. MSN. FNP-C
• Cogni~ l\ehavioral Ther;>py (CBT]
o
• Nutrition l herapy
o Sl ress management
• Continuou. goal setting
• To move to .... rd • hea~h ie r.
• w eekend meal p lanning
h appl~r life,tyI~
• Gl'OIJp th~r;>py
Medical
& WELLNESS
- - - - - - - - - - - - - - - - - - - - - - - - ......... . tnhe ~ lth~nd ... e llness .com _ _ _- - - - - - - - - - - - - - - - - - - - -
Middle Tennessee· March 2015 Kealth & Wel lness
27
PEDIATRIC OBESITY:
You Are What You Eat!
I
6y Leanna Dugan, RN, CPNP
t is no sc<:ret that obesily is affecting many of our children . As discussed in previous articles, obesilY has serious hcalth consequences
including type 2 diabetes. high hlood pressure,liver prohlems, bone and
joint problems, and psychological consequences. Many experts are blaming
this epidemic on the "wcstcm dict" - which mCans a diet high in refined carbohydrates (white flour), refined sugars (white sugar), and processed food
(anything in packages!). Here are a few lips to guide making food choiees for
your kids:
S+ Fruits and Vegetables:
You've heard the rule before. This might be One oflhe most important rules 10
stick 10! There are multiple studies showing Ihat a diet rich in vegetabics and
fruits reduces tbe risk of dying from ALL of the Wcstern diseases. In countries
where pooplc cat a pound or mOre of fruits and vegetables a day, the rate of
canCer is half what it is in the United States. Ideally, only 2 of these servings
will be fruit, and Ihc rest vegetabics. Serve vegetablcs and fruits with meals
and also as snac ks. Froren vegetables and fruits are nearly as good as fresh,
since they retain most of the nutrients thr{mgh the freezing process. Canned
(without added sauces. salt. Or sugar) ean also be used . Fruit juiees do NOT
have Ihe same bencficial effects as intact fruit because juice has conecnlraled
calories similar to soda beverages and lacks Ihe fiber and other nutrients in
whole fruit
Portion Sizes:
A great resouree for detCTlt1ining age·appropriate serving sizes is
www.mypyramid.gov.whichgi'"Csservingsizesforspecificfoodsandbever_
ages based On age. height, weight. and aetivity level. Although portion control
is important, II)' nOllO be overly restrictive of your child's food intake during
meaWme. The paren!'s responsibility is to provide a well-balanced. nutritious
meal. Kids are remarkably good at self·regulating the quanlity of food Ihey
eal. Allowing kids to eat as much [healthy[ food as they choose has been
shown to reduce unhealthy snacking between meals. However, if your
meal consists ofa lean meat. vegetables, and mashed potatoes - your child
should be encouraged to go back for second servings of the meat Or vegetables first!
Eat Food:
Sounds simple. r know. It can be hard to know what is truly "healthy" for
your children now Ihal every packaged food is making some sort of health
claim! This is part of the reason we encourage you to break out of the
pac kages, and cat foods that arc just that - FOOD. No chemicals. no preservatives. no dyes. no added honnones, no unpronounceable words, none
of the ingredients that arc increasingly being blamed for Our malfunctioning bodies. Examples of regular food are fruits. vegetables. eggs. cheese,
mil k. meal. beans, rice and other grains . Mi lk does nOI mean chocolate
mil k Or strawberry milk, but regular white milk. Meat does not mean
breaded and fried nuggets. but baked or grilled meats. A good rule of
thumb Ihal Ihe author Michael Pollan uses in his book " In Defense of
Food" is "Don't cat anything your great grandmother wouldn't recognize
as food." Squishy squeeze yogurts. cheese that comes out of a squirt can chances are thai your great-grandmother would be bamed by these foods .
Another great rule of thumb is to shop the perimeter of the grocery store,
where a large percentage of things you'lI find there arc real food.
Our Boord Certified physicians;
\.(011 ~ ~ M.D. ' JoI1n W. (h.l m ~ J,., M.D.
lhomas !Tim) (an, M.D. ' Ph~is lowrtSOOd. M.D.
AIII\()O (~, MO • Molly flood, M.D.
Alltn fIo jOOd)', M.D. ' !.taona Oug.In, U N.P.
Itnnifrl Stubbltl\e!(j, CP.M.P.
- .---",,-.....
c •• •
.......615.790.3200
570 Baker's Bridge Ave . • Franklin
T<Klay's society makes il difficult to change Our eating habils, but it Can be
done. Don't hesitate 10 ca ll your health,are provider if you have questions
aboulthe Iypcs offood you and your children should be eating. We are here
to help your family stay as healthy as possible!
To learn more or /0 sch edule all appoillfmell/, call uS a/6 15-790-J ]OO or
~======================::::-;;;;;:;;;;',
visif our ..",I>sife <If "' ..•..·.PediafricsOP ·' allklill.com.
www.tnhe ~ lth~ndwe l lness . com ------------------------
-
28 Health & wetness March
ZOIS - Middl e Tennessee
Adult
Attention
Issues:
Not
Just
A
Childhood
Concern!
Webb, D.Psy, MPH
KeniItl L
PhD
By LiSa
and
L
Robins,
ife can be a balancing llel for any adult __ but
if )'011 find )'OII ..... lf constaItlly late. disorga"iud. fO'1e1ful. and overwhdmed by your
rtSpOI'ISibililies. )'011 may
!ldult .'lention issue!
or C"\'CU ADDI'ADHD. Ancntion deflCil dOOrder
affccts many ldullS, and illl wide variety of frustraling 'ympIOmS can hinder C"\-erything from )'QUI" relalionships 10)'Ollr career.'
""'1'
Not For KldsOnly!
Man~peopk'h;nk 'hatleamingdisorders OfIly OCCur
in childhood __ bu, attention deficil disorder often
goes unrewgniud throu&J>out childhood. You may
hive been abk '0 compensate fOO" tbc: symptoms of
ADD/ADHD " 'hen )'011 "'ttl: )'OWl" onl~ to run into
prob ...... as )'QUI" responsibililies incn:asc. Tbt- rno<l:
balls you're trying to kttp in lhe air-pursuing I
el r<:er. "'Sinll a family. running I hou~e
gRat..... lhe demand on your abili,ies to organi:tC.
focus. and ",main calm. This can be challcnlling for
anyone. but if you ha,'C adult attention i.. ues or
Al)[)fAOHO. it can feel monumental al limes.
ean be helpful
think aboul .ttention deficit
disorder III eoilection oftniu that arc both positi,'c
and challengiag-just like any 0Ibcr set of qualities
)'01& might poue5S. AIonj: with the impulsivity and
di""1anizalion of ADD/ADIID may come incredible c",alivity. passion, enellY. out-of-lhe-box
thinking. and I constant flow of original ideas.
figure OUI wha, you'", good II and set up )'Ourenvi·
ronmcnllO suppon tho~ strength,.
It
10
5ignsand 5~mptorn, of Adult ADD/ADHD'
In adults, allenlion defidl disorder oAC1llooks quite
differenl than it does in children- and illl'ymp!Olt1S
arc ,,"iquc: for each individual. Tbt- following ClI_
qories highlighl common symptom. ofldult anen_
lion iss"",, or AOD/Am lD. Do your besl to identify
!he arcu wh ..... )'0\1 experience diffICulty. Once you
pinpoinl your mrn;1 problemalic symp,oms. you can
itan to work on malegies for dealing wi,h them.'
1. Tro",bl.ColKtntrating Ind 5t~"!I focused
Those with !ldul! anC1ltion iu.w:s or AD[){AOHO
oAC1l
diffICUlty stayina focused and '!lending
10 daily, mundane wh. fOO" eumplc. you may be
easily distrIICled by i""levant , iplS and sounds.
quickly bounce from one lletivity to anoIhc<. or
bc:oomc bored quickly, ··zoning out"' withoul realiz·
ing il. even in ,hc middle ofa eonvel"$alion.
""'1'
,_. .
. . _ . . _R
... ..
-----"-,-,.
._
...._, ..""'.--- .,, .
_ l'- _ .~_
,~--~ - ----.
­
,."
--"- -'--
-
",
2. Hyparfocus
While )'OII're probably ....-are thot people ...ith !ldult
al1C'tllion iI$UCS 00" AD[){ADHD have trOUbk focusing
on tasks lhat aren'l intemling 10 tbc:m. you may not
know Iha! !hm:'s another side: llenCkncy 10 be.:omc
Ibsortled in lISb that an: Slimulatina and rewarding,
Hypcrfocus is IICIII3.lly I <;Oping mechanism !"or
distrw;tion--fO way oftunin& out tbc: chaos. It can be SO
Slrona thac you be.:omc oblivious to C\·crything going
on around you. I lyperfocU$ can be an USC! "'hen chan,
nclcd into produc,i,l' aclivilies, bul il Can also lead to
work and relalionship problems if left WIC~kcd.
1. DllOf9anlution and For~tful,,"1
When you
adult 'l1culion iS$UCS, life oAcu
S«11\S chlo!ic and oul of control. SlIying organ;"cd
and on lop of things tan be c:<trenlCly challenJiing-as is ""'ing OUI wha, information is ",Ievanl
for the task at hand. prioritirinllthe thinK" you need
10 do. k«ping track OflaSb and responsibililies. and
managin8 yourtime . Common symptoms of disoq;a.
ni'.... lion and fO'Eelfulncu include :
• poor orpni7.11ional skills (home, offICe. desk. 00"
car is e~tremcly messy and CIUltered)
, tcndcnI;y 10 procrastinale
• trOUble WIning and ftnishing projects
• chronic lateness
- frequently forgetting appointmcnllI. eommitmcnl5,
and deldlincs
• constantly IM;ng or misplacinlilhings
(keys, w.llet. phone. documems, bills)
• undercSlim.ting lhe time il will take yoolO
rompl"t" tasks
""'1'
4, Impulslvlty
If you suffer fTom symploms in this calqory, you
ma~ ha,l' trOUbic inhibi,ina )'QUI" bchIvlors.
comments, and responses. You might oct before
thinking, 00" reacl withoul torISidc:ring eOMSc<!UC1ICCS.
You may find yourself inl"rrupling olhcn, blun;ng
out comments, and rushing lhrough tuks without
reading instructions.
5. Emotlon,,1 Difficulties'
Many .duhs wilh anenlion iss,," or ADD/ADHD
ha,'~ I difflCul! lime managina fecl inp, e$p«iall~
when il comes to emotions lite .nger or f""tnolion . Common emotional symptoms of Idul!
ADD/ADHD include:
• ~nse ofunderachk"emenl
• doesn't deal well with frustrltion ud il easily
flustered and stres~d out
• irrilability or mood .winK"
• ,rouble II.I~ing motivated
• hy~sitivily 10 criticism
• shon, often uplos"l', temper
• low self-esteem and sense ofins«wilY
---------------------------------------------- www. I nh~al
Hy~rKth'lty or Restlessnall
HyperactivilY in adullS with ancnllon issues ~
ADD/ADHD can look tbc: same iii it does in kids. You
may be highly cr>ef'lIClic and pelpCluaily ' "on tbc: go'. as
if dri,"CII by a molOr. For many peopk with
ADDJADIID. how~....... tbc: s)'n1plOlJlS of h~vity
become mon: sub!Je and intcmal .. tbc:y grow older.
Common JymptomS ofhypcrac1ivily in Idullll include:
• f«ling' of inner restlessness •• gi"'lion
• lendency to take risks
• gcning bored euily
- racing lhoughlll
• lrouble sining 5lill: torIStant fldgeling
• enoving f~ ClIcitement
• IIlkina eaC<.'S5i'l'ly
• doing. million things a, once
6.
Ad",ltAOO/ADHD DoHtrtHaveTo HoIdYou s.d<
When you h.ve adult attention diffieul,ies. il's easy 10
end up lhinking 'hal lhere·, something wrong with
you - . dult anenlion issues or ADD/ADHD are!lOl
an indicator of intelligence 00" cap,abi lity-far from il.
In our prIIC,ice ....·c coach • number of highly successful ClI<:CUI" 'es with ADD and ""'c:nl .ncntion ilSl.ICS
to devise SI"1qtic:s to make their lltenlion diffICUlties
'work fOO" tbc:m. and assist tbc:m 10 be: vcry SlICeessful.
C ...... in things may be more difficull for you. bul that
doesn't mean you can'l find yoor niche and achieve
'IICC"". The key is 10 find oul what your streng,,,, an:
and to capillli"" on lhem.
If difficulties wilh .tttn,;on and focus are still
gcnina in 'he "'"lOy of your life. dcspi'e self-help
effons \0 manage lhem, il may be Ii"", \0 seek
outside support. Adulll with .nenlion difficuhi"" or
ADD/A DIID can benefit from I number of treatmenllI. includinll behaviorll coaching. individual
,herap)'o $Clf-help groups. \locational counseling.
educational assistance. and mediC.lion .
Thc good news i. thaI. no maner how it fcc". Ihc
challenges of attention defiei' disorder are be.... bk.
Wilh educ.lion. suppon. and • linle cre'li~i'y. you
Can kim to manage Iduh attention symptoms or
ADDlADHD- cven ruming some of your chal Icnllfi inlO strengt ....
11'1 ne""r 100 laIC to tum the difficulti"" of Idul!
ancntion issues Or ADD/A DHD around and sIan
succeeding on your OWn Icnnl. Please tall our
offic"" al 6 L5·31 0·1 491 10 learn how ...·e tin help or
to schedule. consultation.
' _ ' ...
_.
_L. _. . _. _ . _. ._
:::...::::::::::::.:..::::::==::::::=thandwellness.(om -----~-'::::.::::.:..
. ,~n..
MIddle Tennessee· March 2015 Kealth & Wel lness
29
RESTFUL SLEEP:
THE FOUNDATION OF GOOD HEALTH
By Calherine R. Stallworth, M.D., assisted by Sa rah Bennel!
o
ur bodies need restful sleep to repair and
renew. Sleep disorders can lead to cornpromised immune function and other
serious health concerns. Invest in your health by
prioritizing a healthy sleep cycle . There are a
wide variety of habits. rituals, herbs. and techniques that can be used to promote a restful
sleep . Hypnosis is another proven technique that
helps an individual get a good night's sleep.
Routinn a nd Rilnabare Ke y
Change in routine can significantly impact sleep
trends. Create sustainable habits and rituals that
will carry you to a restful state of slccp. Simply
going to bed and waking up at the same time each
day will make a difference. Create a morning
ritual that includes light exposure and exercise.
Regular exereise has many benefits and is known
to promote restful sleep. Maintain a dark. quiet
room that is moderately cool. Slow down in the
evenings by practicing yoga, taking a wann hath,
drinking tea. or journaling. Use blue light reduction technology when watching television or
using a computer. Blue light suppresses the secretion of melatonin and Can be detrimental to those
who long for a restful nighfs sleep. F.1ux is One
computer app that works well to suppress blue
light. We recommend using this if)'Ou do choose
to read from an electronic device prior to going to
sleep. During the evening, it is also helpful to dim
the lights to simulate dusk; this will allow the body
to produce melatonin, a honnone that is essential
for heahhy sleep. h is also important to begin to
listC'll to your body throughout the day and do not
reach for imitation energies such as eaffeinc and
sugar. Caffeine blocks neurotranSmiHers that
induce sleep and too much sugar can cause a
honnonal roller coaster of sons.
The Be n e fit of He rbs
Herbs such as lemon balm. skullcap. and passionflower are wonderful herbs for treating
insomnia. Enjoy a warm cup of tea featuring
these herbs to relax and prepare for sleep_ Hops.
found in beer. produce a calming, sedative State.
h also helps to reduce hot flashes and night
sweats during menopause . Chamomile is> of
course, a wonderful herbal tea for inducing
relaxation. Lavender essential oil can be placed
on a washcloth and put under the pillow as an
aromatherapy for relaxation. It>s also worth
noting that kava, a
root that is used to
treat
anxiety and
relieve tension, can be
used for those who
have anxiety induced
v
insomnia. For over
2,000 years, Valerian
has been used as a
sedative and sleep
agent.
Note
that
Valerian
must
be
taken for at leas!
weeks before full
benefits
can
b<
Join the Be Well Community
v
v
,.,
achieved.
------------------------ www.tnhe~lth .. ndwe llness.com
____
Clinical Hyp nosis Can Prom ole Sleep
At Be Well, we often recommend the use ofherhs
and behavioral change to facilitate sleep.
Ho""ever, one of our favorite tools for the management of insomnia is clinical hypnosis.
Clinical hypnosis is diffCl"ctlt than ·'Iay'· hypnosis
in that it is dchered by a licensed heahh care
professional who is otherwise competent to treat
a particular problem. [n the hands ofa competent
health professional, hypnosis can be a vcry
powerful tool to enhance healing. [t is regarded as
a safe and effective tool for promoting sleep. We
offer clinical hypnosis and have experienced
incredible results from this treatment.
Invest in yoursclfand use these tools to achieve
optimum health. Make an appointment with Be
Well for hypnosis therapy and additional
support during your journey towards achieving
better sleep habits.
C.dow:. .. R. Stltltwortb. MO
Dr. Sulllwonil u a board certiftN 1Udtc/r1 doctor. SIIe U
0/1" 0/ til" frw pIIysld aM t"
:r.rllllUIH ,..110 u / ,,/Io,..,IIIptral"" d I" ' ''tq ",l1"" M"dl.
a.... ,,,,,,,,,,ti,,,, MNU:/"" u til" practice
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30 Health & Welness Marc h
2015 - Mid d le T en n essee
Treatment Option Unveiled for Foot Drop in
Honor of Brain Injury Awareness Month
with "'"cry SICp. Other benefits of wearin8 a WalkAide include incruscd circulalion. improvement of
musele ""cn8th. reduced edema .nd improved ncuroplasticity.
T
raumatic Brain Injury (TBI) Survivon: People whose Ii,·cs have been
chan8ed fO!"ever by a blow to the heod or I nc:urolosical event. Gail.
b.lance and "ability are usually severely afTceled by TBI and aher the
lifcstyle ofsurvivon. FOOl drop i. the mosl common symplOm.
Althou&h hi&hly-advanccd, Wallu\ide is surprisin81Y
usc. It oonsiSll of an AA boncryopmoi«l. s~hanncl electrical stimulalor. two deccrodc:s. and elcctnxk: leads.. "'''allu\ide is applied
difttlly 10 the q - _ implanted uncIo:rncath tbc skin
- ..1tic:h means no SUIJCTY ill invo],"Cd. A cuffholds
tbc system comfonably in pIat:e, and it can be wont discn:ctly under most cloth,n&- Willi the WalkAide, no
extra sensors Ifl' needed.
Tnoditioaally, foot drop is !reated with bracin, usina an ankle foot orthosis (AFO).
The passive trutmmt offm:d by AFOs docs _ promote active usc: of nt\If"OR\UScui. systems and abo limilS IIIkIe range: of motion. AfOl can be uncomlOrtablc,
bulky. and. if poorly fined., produce areas of pn'SSUle and tissue brakdo"o>11. A new
ilUlOVllti,~ modical product knovo" as Wallu\ick may replace tbI: uaditiooal AfO
10 re-tIIlPI" a pc:rson's exisling nm"<' ~thways and mll$Cles.
The n<::Nilmall of exislin8 muscles results in reduction of atrophy and wa!kin8
fatipe _ . common side effect off001 brxing. WalkAick users have Ihc: fTecdom
10 walk willi or without fOOlWcu. up and do",,, the SIIin, and eVC1l sidcslcp.
WalkAldoIHelpl Comlult Foot Drop and R.SIO,.. Mobility
Many Tennc:sscans are experiencing. hU8C brcakthrou8h in rehabilitation wben fil
with the technology of WaltAidc, a medical device the si:tC of an iPod and can be
worn on one or boIh lep.. Frank Caruso. Wallu\kk-traincd specialist and
American Board CCT"Iifltd Orthotist of Murphy·, Onhopc:dic$ and fOOl Care a part
or the Human Tcehnology. Inc. Prosthetic;s and Onhotics Group evaluatcs boIh
chikftn and adulu 'NC"ekly wiib ccmplimmlary .sscssrnrnII using a demo uniL
The initial asscamenI will determine if tbc patimt is a aood ~ for
Wallu\ick 1fnImmI. frank is licensed by tbc Board or Podiatry in tbI: Sl3IC or
TtnnCSICC and assisls medical proftsSionols. cuqi'~...J his dienu with new
i~i,"C 1cChnoIo&Y he fonTottly UKd in the Philadelphia area 10 imprm~
people·s li,·c:s and change: their function.aIllIIICOmCS.
The WalkAide i, worn around lhe calf, just ~Iow 1hc kn«, and uiICS elcemeal
stimulltion 10 combat foot drop and restore mobility to people with stroke.
cerebral palsy. lraumatic b",in injury. multiple seh:rotis, and incOmplele spinal
cord inj ury.
Somc1imcs, the first finin8 wilh lhe Wallu\idc device i, very crnotiooal wilh
tears in pa.icnlS andIorpamlt's eyes becausc of1hc amazin, results. Thedc... ice
and proper filltlly ofTer dIC ability.o walt normally for tM first time since a
woke or other type of dcbilitalin, condition. lndividuals ...ho "'"<'at WaJkAi<Ie
murn 10 their normal routilleS sucb as n.... ipting college e~ or wa1tin8
factory !loon and an: able 10 perform tbcir jobs and daily taskl bclter since they
don·1 ttip OVa" ibillj:S or fall. walkAi<Ie can iflc~aK cnCTIY ""'"<'Is and 8d
patients act;,·~ again. 11 may allo... faslCT walkina for lon&er distanCCS willi less
fali"",. In flCt, many people who tty WaltAi ... experience immediate and substanti.1 imPfO'"<'ment in their walkin8 ability, .... hieh inc~ases their mobility.
func'ionality, and ovcnll indcpcndcnce.
small and easy 10
WalkAIdoI ProvIdots the Advantages noIfound In Typk.al Foot Drop TrHIments:
• Easy one-handcd opention and application
• Small. ilClf-wntaiMd unit
• Docs not require onhopc:dic or spcciallhoxs
• May be worn barerOOl or "ith slippcl'S
• Minimal_lICt means minimal discomfOlt with reduced pc1"$piration
• May impn>'o"C tin:ulation, reduce atrophy. improo..., voluntary control and incrtaSe
joint ""'F of tnOIion
A oatifltd onhotiSl cuswmizes the WaJlu\ide 10 each individuals waIkina pancm. II
is _ • one me filS all device. Only specially trained medical professionals should
CU5klmizc Ind fil the WalkAick. Usin8 WaIkAnaJ)"Sl. a multiflCClC<l rompner
IIOftware propVn, Murphy's Onhopodics and Foot Can: a pan oftM Human Technology.lnc . ProstbcIic$ and Onhorics Group can tailor WalkAide 10 lin individuars
walking pattern for optimal effecti,..".... and continue with follow up appointments.
The WalkAidc ha$ an exereise: modo: for horne: lISe. In addition to walking assistance,
Ihc WalkAidc system incl!ldc:s a pre-programmable exereise mode that allows 0 user
10 excrc;iIC hislhcr musclcs while reslin8 for a sct period of .ime as prescribed.
M...-phy·s Onhopc:dics and FOOl CIfl' a pari of eM HlI/TIlI1 TechnolotlY. Inc. f'ros..
thctic$ and 0r\h0Iic$ Group invites refcmols from medical professionals. or paticnl3
may conllCt 1-800-922- 1514 for an appointmenlll one of our numerous Iotations.
Solutions for Life,
Technology for Living
,
• SUVlHG IIRTl1 TO GU.lATRlC
AND MOST lrISUItA.NCI .I\CClPTlD
M[DI~
_..... _.
Murphy'IOrthopedic.
...
---& foot Care
How Dotts W.lkAld. Wortl?
lbc WalkAide applits low level d~lrical currentS stimulatin8 the anterior
Amputeea - CUSIom Orthopedic
libialis nc:rvt which provides dorsiflexion and inversion of the ankle to prevenl
DevIce. for all Medical Conditions
foot drop. lbc funcliQnal eh:C1rical .timulation prom!»' a musele cont""'tion
CUllom and Diabetic
which lifts tM foot al tM appropriate time durin8tM pit cycle.. The device uses
SMeIlOrthotlc. and Supports
an ernbc:ddcd Iottelerornc"ler. which is similar SC1UOI" tcehn%aY to that UKd in
Wii video pmin8 syilems. 10 dctC1"Tl1inc: the appropriaIC timina for stimulation
_ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ w.lnheililhilndwellneu.eom _ _ _ _ _ _ _ _ _- - - - - - - - - - - -
"
Middle Tennessee - March 2015 Health&Weliness
GIVING: Good for the Mind, Body and Soul
By Jamey Campbell, CFRE
T
he early results are in, and it appear1, that
Americans gave $456.7 billion to cha"ty in
20t4. That's a 9 pe<cent ""crease over 201 3.
Giving to everything from religious organizations,
to $OCial service$. to edu",tion, AmI.'rican$ continue
to be the mO$t generous people in the world.
Amerir;;!n$ may give away more money than any
other country in the world, but how mlJ(h is "morer'
You might be $urprised. In lOU, Barna Group condllCted a poll ~bout donor trends in the Un ~ed Statl!$
and found that more than half of Ameriuln$ ~id they
donated money Of items (or both) to a ",use they
",red ~bout in the previou$ )"!ar.
Accord ing to BarM, a person's religious identi~",­
tion ha$ a lotto do w;th whether or not they donate
to causes they believe in. Evangelicals were far more
li kely to donate money, items Of timl.' a$ a volunteer.
A total of 79 pefCeflt of those who identified themselves ~$ evangelical$ donated money, ~em$ or time
in the previous yea .. MO$t people (55 percent) indicated they g~ ~way SSOO or Ie» per )"!ar while
only S percent ~id they g~ve ~way more than
S5,OOOpetyea ..
11'$ eilSY to look at the number1 ~nd do the m~th.
But ~II we get ~re more number$. percentage$. etc.
What I think i$ important is the motivation behind
the giving and the benefit$ of giving- both for the
recipient and the donor.
Hardly a day goes by that I don't receive some kind of
solicitation in the mail or by email. Some corne from
Ofganizations we support and are interested In. but
most are not Being in the fundraising business myself, I
realize I probably rec.me more than the average
person just because I am interested in what othel's are
doing and how they are communicating w;th their
current and potential givefs.
So why do we give? Is it because organizations need
our money? I hope that's not the case. We s.houki give
because the people those organizations serve need
our help. Maybe it's fe-eding the hungry, or p(oviding
diapers for the new baby of a single mother, or providing healthcare to the uninsured. or helping kids In
depressed areas receive a better education. All these
things are ~e causes.
W~h 50 many 'opportun~ies: how do we decide
where to invest our gifts? Here at Christian Medical &
Dental As$OCiation$. we have dozens of efforts requirIng dooor funding-from healthca re mission$. to
student ministry on 280 medical and dental school
campuses, to training national surgeons in places like
Kenya, Egypt and Ethiopia. All of these endeavors
need donor support in order to be successful. But
when I meet Individually with donors, I don' ' sell"
what we are doing. I ask what interests them personally and then seek to find something we are doing
that will help meet their personal giving and ministry
ideology. Then ~ becomes a partnenhip. a relationship; oot Just a transaction.
Giving is oot Just good for the recipient; ~'s al$O good
for the giver. Literally. In 2013, Us. News reported that
consulting · associates
31
having money ~n~ ~~rily "",ke people
happy, but giving it ~w~y-even if you ~re not
rkh- i$ likely to "",ke you feelwe~~hier ~nd, thu$,
happier. In the repor~ it waHited th~t giving ~w~y
S500 ha$ the ~mI.' effea on happi~» a$ earning an
e XIf~ S10,000. So if you want to be h~ppier, give
wwit'j ~ money.
How ~bout your phY$ica1 health! DI.>e$ giving impa<:t
th~t as well! You bet! Rese<IfCh wggl!$ts volunteering m~y redlJ(e the ri$l< of heart disease.
There's ~I$O a $tudy that indkatl!$ people who volunteer, whether it be serving at a commun ity soup
kitchen or visiting nur$ing home$. m~y reduce their
early mortality r~te by 22 petcent compared to
those who don't.
Ultim~tely, giving i$ ~ persoMI choice. Even the
Bible ~y$ we ~re not to give ~s a result of pre$$ure
from ~nyone. "f.ach one mus, give as he 005 dedtkd
in his hearl, II(lI rf!luaanl/y ar under compulsion, for
God /Qves a cheerful gi...r' (2 Corinthi~ns 9:7, ESV). It
$Ound$ like the writer wa$ ~lready doing his own
rese~f(h about giving and h~ppine$$!
encour~ge you to m~ ke giving a
Involve your $pouse ~nd children.
let them see you give and volunteer and they wil l
view it as $Omething impof1~nt , $Omething they
will want to do them$elves. When the benefit$ of
giving ~re applied ~t the family level, the re$ult$
will be enjO)led by ~II involved.
Finally, let me
f~mily ~ct ivity.
Jilmey Cllmpbellls Vice President for Stewilrdship Deve lopment II I Christian M edlclll &
Dentlll Associations. For more In formation
Ilbout supporting CMDA's ministry e fforts
h ere In the U.S. Ilnd Ilround the world, please
visit www.cmdil.org/glvlng.
IT', '."_.IT', W'.IT" - l1li ........."
n .. ...OII.....Ln'. ""," _ ". IT.....
Dr. Kenith Robins . Dr. Lisa Webb
James Tigert. CH
change your behavior. change your life.
ConMIItIng_~ i< . pr..roc.d~~_",octiIionm'"
~ _ ...... .. .... """" joy. M>rotSII ord ........,;.,gin."'"' 0/ j<IU" iii<.
""_ ""'99Iin9-'d'Ion\JO.""""" _or _ , "" \'00 foeing _foroin Ih<rood or
_.-
_thoImoy>ftm~ I Dr. u.._..-.dDr._-"~CIiniuI
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we_j'O<JlOaoIIlOdoylor .<or ....... ,.... r.e.~ 1 l&t S) J1o-1~ 1 or .... "'"
-"'-
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615-804-9661
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