hickory daily record and morganton news herald spotlight on health 2013 winter edition

7/23/2019 Hickory Daily Record and Morganton News Herald Spotlight on Health 2013 Winter Edition

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spotlight on

HealthHealthealthHealthphysicians directory+ physicians directoryHickory Daily Record

For You. About You. Everyday.

HDR

FEBRUARY 2013PALLIATIVEPALLIATIVEWHATWHAT??THE HEALTH CARE BENEFITSTHE HEALTH CARE BENEFITSYOU NEED TO KNOW ABOUTYOU NEED TO KNOW ABOUTpg. 32pg. 32

HEART DISEASEHEART DISEASEPREVENTION!PREVENTION!pg. 7pg. 7CHOOSING THECHOOSING THEHOSPICEHOSPICETHATS RIGHTTHATS RIGHTFOR YOUFOR YOUpg. 11pg. 11CLEARERCLEARERVISIONVISIONFOR AGING EYESFOR AGING EYESpg. 22pg. 22


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FRYE REGIONAL

MEDICAL CENTER:

The areasFIRST HOSPITAL

recognized as a

BREAST CENTER

OF EXCELLENCE

FOR A PHYSICIAN REFERRAL, CALL 828-315-3391 OR VISIT FRYEMEDCTR.COM.


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4 Hickory Morganton SPOTLIGHT ON HEALTH

check outwhats inside

Hickory Daily Record

For You. About You. Everyday.

HDR

www.morganton.com

www.hickoryrecord.com

Finding Relief for Hip Arthritis5

Heart Disease Prevention7

Are You at Risk?Colorectal Cancer: The Silent Killer

8

Southeast Pain Care Offers

Unique Alternative to TreatChronic Migraine Pain

10

Choosing the HospiceThats Right for You

11

PACE@Home: Senior Care GetsStrong Advocate

13

Race: Regional Approach toCardiac Emergencies

14

Opting Out of VaccinationsPotentially Dangerous

15

Women in Business:Trish Hickling Beckman17

Clearer Vision for Aging Eyes22

PACE@Home Helps SeniorsThrive at Home24

Diagnosing Lung Cancer26

Why Do I Still Have Pain, IThought it was Just Whiplash?

29

Aging In Place31

Palliative What? The Health CareBenefi ts You Need to Know About

32

Can Diet Soda Cause Weight Gain?33

How to Get Going With Grazing35

New Guidelines Indicate AnnualPap Tests Unnecessary

39

Healthy Ways to Speed UpYour Metabolism

42

Be Proactive in Germ Hotspots45

The Five Most Deadly Cancers49

Successfully Fend OffWorkplace Fatigue

52

Make Your Favorite Recipes Healthier56

Easy Way to Improve Memory58

How to Reduce Your Riskfor Alzheimers Disease

61


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5SPOTLIGHT ON HEALTH Hickory Morganton

DR. INGLEFIELD

1. Do you have hip pain?

Is your quality of life limited bythat pain?

Is walking to your front door andexperiencing the world outsidebecoming a monumental task?

If the answer to any of thesequestions is yesyou mayhave hip arthritis. There are

a number of non-surgical, or

conservative, treatment optionsfor osteoarthritis and otherforms of arthritis. Typically, non-surgical options start with gentleexercise and physical therapy.As the arthritis becomesmore painful and limiting,

surgery (hip replacement) isgenerally recommended afterconservative treatment optionsfail to provide relief.

Hip replacement surgery involvesreplacing a damaged joint witha new one called a prosthesis.These new joints usually aremade of special metals, such asstainless steel or titanium, anddurable, wear-resistance plastic.Prostheses are designed to be

accepted by the body and resistcorrosion, degradation andwear so they can last 15 yearsor more. Hips and knees are thejoints replaced most often, but

shoulders, fingers, ankles and

FINDING RELIEF

FOR HIP ARTHRITIS

Continued on Pg. 6 Dr. Brian Krenz


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adultinternalmedicine.net

elbows can be replaced as

well.

3. Many options exist

for hip replacement.

Minimally invasive

total hip replacement

techniques are becoming

very popular. One of

the most talked about

orthopedic advancements

is the ASI (Anterior

Supine Intermuscular) hip

replacement technique.

Minimally invasive hip

replacement involves

more than just a shorter

incision. Modern minimallyinvasive techniques

also focus on the way

surgeons gain access to

the hip joint. The goal is

to minimize muscle and

tendon disruption, making

surgery less traumatic

for patients, allowing for

shorter hospital stays and

quicker recoveries.

Before surgery, the surgeon

evaluates the patients range

of motion and joint strength,

takes a medical history

and reviews medications

currently being taken. Blood

tests and X-rays also can be

ordered. The doctor may

put a small, lighted tube

called an arthoscope into the

joint to check for damage.

In some cases, only thedamaged parts would be

replaced, not the entire joint.

During a hip replacement

surgery, diseased or

damaged bone and tissue is

removed and a metal stem

and attached ball is then

inserted into healthy bone

and tissue that are left intact.

New joints can be cementedinto place to hold the new

joint to the bone, or the

prosthesis can be placed

without cement so bone

can grow and attach to it.

A prosthesis is designed to

duplicate the mechanical

properties of the joint being

replaced. A prosthetic knee,

for example, will be flexible

enough to bend without

breaking and strong enough

to bear weight.

Most hip and knee

replacement patients

are discharged from the

hospital the following

day, stated Dr. Krenzel,

orthopedic surgeon. Patients

will be encouraged to stand

and start walking soon after

surgery with a walker or

crutches. Pain from sore

muscles or surgery can be

helped with medication and

usually disappears in a few

weeks or months. Physical

therapy exercises will helpregain motion in the joint.

More than 90 percent of

joint replacement surgeries

are successful. However,

if problems do arise, most

can be treated. Possible

complications from joint

replacement surgery include

infections, blood clots,

loosening, dislocation or

wear of the new joint, ornerve and blood vessel

injury. Hip replacement

patients also may experience

a change in leg length or

joint stiffening. Following

hip replacement surgery,

most patients eventually will

be able to swim, play golf

or bike ride comfortably,

but high-impact sports such

as basketball and runningwould not be possible,

added Dr. Krenzel.

Joint replacement surgery

is becoming more common

in the United States,

with more than 773,000

Americans having a hip or

knee replaced annually. For

more information about joint

replacement, check with your

doctor or call 1-800-339-

8758 for a free referral to a

physician near you.

Frye Regional Medical

Center is an acute care facility

that has been serving the

medical and health care needs

of Catawba County and central

western North Carolina since

1911.

The hospitals main campus

includes a comprehensive

heart center, accredited

cancer center and bariatric

surgery program, orthopedics

a designated spine unit,inpatient and outpatient

rehabilitation, neurosciences,

a womens center with level II

nursery and pediatrics.

FryeCare Physicians, LLC

provide hospitalists and

critical care coverage.

Frye has several extended

campuses to serve families

throughout the area, including

FryeCare Outpatient ImagingCenter, Cardiopulmonary

Rehabilitation, FryeCare

Heart Diagnostics, Infusion

Care, Vein and Wound

Center, Piedmont Therapy,

offering sports and industrial

rehabilitation; South Campus

for psychiatric services; the

Frye Wellness and Education

Center houses an accredited

Center for Diabetes Self-Management Care, perinatal

education and community

wellness classes; Tate Surger

Center; Unifour Pain Treatmen

Center; and FryeCare

Urgent Care in Conover. For

employers, Frye provides

industrial health services

through Hart Industrial Clinic.

Frye Regional Medical Center

is accredited by the Joint

Commission, the nations

oldest and largest hospital

accreditation agency. To learn

more about the hospital, visit

www.fryemedctr.com, for a

physician referral call

828-315-3391 or

1-800-339-8758.

Continued from Pg. 5

Frye Regional Medical Cente


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HOURS OF OPERATION: Monday-Friday 8am-5pm

DeSantis Family Practice

PREVENTATIVEMEDICINE:

ACUTECARE:

DIAGNOSTICSERVICES:

OFFICEPROCEDURES:

Hypertension Cholesterol Diabetes Cancer screenings PSA More...

Fractureevaluations

Laceration repairs IV fluids Oxygen on site More...

Digital X-Ray EKG Lab Pulmonary More...

Minor in-officesurgery

Wart removal Skin cancer

excision More...

In spite of dramatic reductions in theburden of heart disease and stroke,cardiovascular disease remains theprevalent illness and leading causeof death in the United States. Asreported in a recent study published inCirculation, prevention of 63 percent ofheart attacks and 31 percent of strokescould be accomplished by adhering toappropriate lifestyles and drug therapy.The American Heart Associationestimates that 78 percent of U.S. adultsare eligible for one or more preventiveinterventions.

One of our goals as cardiologists isto devise a prevention strategy afterassessing our patients risk for heartdisease and stroke.

By focusing on certain lifestyles anddrug therapies, we can begin tomake an impact on the number ofheart attack and stroke cases in thecountry. Patients with a poor diet can

decrease the intake of saturated fat andcholesterol by cutting the total caloriesfrom fat to less than 7 percent per dayand reducing cholesterol to less than200 mg per day.

Physical inactivity contributes to the riskfor heart disease and stroke. Increasedactivity and exercise, along withbetter weight control, can help reduceblood pressure, decrease cholesterollevels, lessen insulin resistance andhave an overall favorable influence oncardiovascular function.

High cholesterol can be treated onan individual basis, and goals arebased on risk assessment. High bloodpressure is the most common primarydiagnosis in America. Treatment of highblood pressure is associated with areduction in heart attacks, strokes andheart failure.

For more information on heart

disease prevention or to meet one ofthe cardiologists at Catawba ValleyCardiology (3521 Graystone Place SE,Suite 202, Conover), come to the openhouse Tuesday, March 5 from 4 p.m. to

7 p.m., or call 828/326-2354.

Catawba Valley Medical Center inHickory, N.C., is the regions largestnot-for-profit, public healthcaresystem and serves the communitywithout direct funding from taxes.CVMC has received three Magnetdesignations from the AmericanNurses Credentialing Center and has

been recognized with two WomensChoice Awards, being named oneof Americas Best 100 Hospitals forPatient Experience and a 2013 BestHospital for Patient Experience inObstetrics by WomenCertified. Formore information, please visit www.catawbavalleymedical.org.

By Luke Byrnes, M.D.,

Catawba Valley Cardiology

Catawba Valley Medical Cente


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MEDICAL CENTER PHARMACY INC

OF HICKORYServing The Area Since 1953

Hours: Mon.-Fri 8:30am-8:00pm Sat 8:30am-7:00pm

Sun Noon-7:00pm

322-7717

126 North Center Street Hickory Easy Parking

Crutches

Walkers Commodes

Ostomy Supplies

Blood Glucose Monitors

Incontinent Supplies

Largest Selection Of Hospital/Medical Supplies InThe Area at The Best Prices!

Impotency Aids

Lift Chairs Bathroom Safety Supplies

Senior Citizens Discounts

On Prescriptions Not

Covered by Insurance

Local Delivery Service

ARE YOU AT

RISK?COLORECTAL CANCERThe Silent Killer

If you are 50 or over,talk to your doctor aboutcolon cancer screening.

Colorectal cancer isthe #3 cause of cancerdeath among men and

women in the UnitedStates. Each year,more than 140,000people are diagnosedwith colorectal cancerin the U.S. and over50,000 people die fromit. Colorectal cancer isconsidered a silent killerbecause often thereare no symptoms untilit is too late to treat, so

prevention is key.

Preventable.Treatable.

Beatable.

The good news is that80-90% of colorectalcancers can beprevented by regularscreening. The majorityof colorectal cancersarise from precancerousgrowths in the coloncalled polyps, whichcan be found during ascreening exam andremoved before they turninto cancer. Colorectalcancer screening shouldbe a part of routinehealthcare for people 50years of age and over.

Over 50?

Family History?Get Screened.

Age is the single mostimportant risk factorfor the disease. Evenpeople who lead ahealthy lifestyle can stilldevelop polyps andcancer. Both men and

women are affectedby colorectal cancerequally. Once you are

over 50, your lifetimechance of developingcolon cancer is one intwenty. In individuals witha family history of coloncancer and some otherconditions, screeningshould begin at age 40.Research has shownthat African-Americansshould begin screeningat age 45.

Colonoscopyis the Preferred

Prevention Test

Colonoscopy isconsidered thepreferred colorectalcancer screening testbecause it is the onlytest that both finds andremoves precancerouspolyps during thesame sedated exam.Recent studies showconvincing evidence thatcolonoscopy drasticallyreduces the risk of deathfrom colon cancer. Aperson at average riskwith normal colonoscopyresults wont needanother exam for 10years. Should a polyp orcancer be found, follow-

up intervals may bemore frequent.

The colonoscopyprocedure is safe andeffective, well-tolerated,and can potentially saveyour life.

Continued on Pg. 9


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1. Get regular colorectal cancerscreenings beginning at age 50.If you have a personal or familyhistory of colorectal cancer orcolorectal polyps, or a personalhistory of another cancer orinflammatory bowel disease, talk toyour doctor about earlier screening.

2. Eat a low-fat diet.

3. Tobacco use increases yourrisk of colorectal cancer. If

you use tobacco, quit. If you

dont use tobacco, dont start.

4. Exercise for at least 30 minutesthree to four days each week.

Even moderate exercise such as

walking, gardening, or climbing

steps may help reduce your risk.

5. Reduce weight. Obesity isnow a well-established risk factorfor colon cancer and many otherchronic diseases.

If you are over 50 or have a familyhistory of colorectal cancer, talkto your healthcare provider aboutgetting screened today. Find outwhat kind of screening procedure isright for you. It could save your life.

Gastroenterology Associates

to Lower Your Riskof Colorectal Cancer5STEPS

828.466.0466CatawbaRegionalHospice.org

Catawba Valley Hospice House3975 Robinson Rd

Newton, NC

Hospice medical care

Patient and family support

COPD and CHF programs

Expert symptom control and

pain management

Bereavement services

Sherrills Ford Hospice House7473 Sherrills Ford Rd

Sherrills Ford, NC


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Jerry K. FroedgeMD, FAAP

Kelly B. BridgemanMD, FAAP

Kiran C. HarrillMD, FAAP

Joy S. LowryMD, FAAP

W. Mark BarrettMD, FAAP

Barbara BarringerRN, CPNP

Unifour Medical Commons

240 18TH Street Circle SE

Hickory, NC 28602

828.322 .2550FAX 828 . 322 .7748

catawbapediatrics.net

3 rooms of

CARPET

CLEANEDFREE

when you have yourair ducts cleaned at

regular price

DanielsCarpet Care

584-1674Voted Best of

Burke

2007-2008

2009-2010-2012

BEFORE AFTER

Southeast Pain Care (SEPC),at Blue Ridge HealthCarehas two locations in Valdeseand Hickory that are seeinggreat results in alleviatingchronic migraine pain withBOTOX

BOTOX is the first clinicallystudied prophylactictreatment to be approvedby the FDA specificallyfor this debilitated patientpopulation. When injectedat labeled doses and in therecommended locations inthe head and neck, BOTOXis expected to produce

results lasting up to threemonths depending on theindividual patient.

Dr. Martin Evans, the medicaldirector at SEPC, has seensignificant pain relief up tothree months long in manyof his patients. The numberof injections a personwill receive for treatmentdepends in the severity andlocation of the migrainepain. Some patients feelimmediate relief, but mostfeel changes in a day or two.

Regardless of your

type of pain, I provide acomprehensive approachto managing pain that doesnot solely rely on injectiontherapy or medicationmanagement. Our staffprovides an environmentwhere patients dont feeljudged and we do our bestto improve their function andmake a real difference in thepatients life, explains Dr.Evans.

Focused PainRelief. Individual

Patient Care.

Founded in Charlotte, NCin 1997, Southeast PainCare treats a wide varietyof patients pain needs,from acute back pain

to diabetic neuropathy,using interventional paintechniques. The goal isto provide patients withnon-surgical options, whilesimultaneously decreasingand/or eliminating theamount of pain medicationnecessary to control theirpain. Some examplesof interventional paintechniques include:

injections, nerve blocks,radiofrequency and spinalcord stimulators.

All SEPC physicians arefellowship trained in painmanagement as well asdouble board certified inanesthesiology/neurologyand pain management.SEPC accepts new patientswho suffer from the followingtypes of pain: neck, back,

arm, leg, sciatica, nerve,headaches, and migraines,CRPS (or RSD), arthritis,

post-surgical, fibromyalgiaand shingles. Patientssuffering from otherconditions may need to bereferred by a physician.SEPC at Blue Ridge HealthCare, Valdese and SEPC atHickory are both acceptingnew patients.

To schedule an appointmenfor Hickory, call toll-free(877) 957-7117.

For Valdese, call toll-free(877) 956-7117. Or, visitsepaincare.com for moreinformation.

Southeast Pain Care

has the comprehensivexpertise needed to

help those suffering t

imagine life again...

life beyond pain.

Southeast Pain CareOffers Unique Alternative toTreat Chronic Migraine Pain

Southeast Pain Car

W. Martin Evans, M.D.

Board Certified - Anesthesiology

& Pain Management


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TOTAL FAMILY DENTAL CAREComplete, Professional Dental Services for Adults & Children!

Scott W. Murphy, D.M.D., P.A.Andrew D. Lyons, D.D.S

433-1223

Care

Credit

Oral Cancer Screening

EXPERIENCE

New Patients Always Welcome!

Very few people think

about hospice care untilcircumstances demand it.But as with most difficultdecisions, the anxietycaused by agonizingover it is often worse thansimply tackling the taskheadlong. And once a fewnecessary choices aredetermined beforehand,patients and families canfocus on acquiring excellentcare when the time comesrather than dealing withthe pressure of figuring outthe right thing at the lastminute.

When youre evaluatinghospices, keep the followingconsiderations in mind tohelp with your decision:

HOSPICE IS NOTA PLACEWhile hospice houses arethe most public feature ofhospice, hospice is moreaccurately a program ofmedical care and services.For certain patients, beingcared for at a hospice houseis appropriate. For themajority, however, hospicecare is provided where thepatient is most comfortable at home, in a communityfacility, or wherever homemight be.

THE CHOICE OFA HOSPICE IS

YOURSAll hospices are not the

same, and they dont

answer to a single governingbody. Hospices are also notrestricted geographically likeschools or voting districts,so youre free to choosethe one that best fits yourneeds. And just because ahospice operates from yourcounty of residence doesntmean youre obligated touse it. Instead, do yourresearch and choose theorganization that offers thebest care for a patientsindividual needs.

SIZE COUNTSOf course, you want ahospice that makes youfeel comfortable and whosestaff treats both patient and

family with care and respec

But, just as youd opt for asurgeon who gains expertisfrom repeatedly performingsurgeries, you want ahospice thats experiencedin end-of-life care. In arecent New York Timesarticle by Susan Seliger, Dr.R. Sean Morrison, directorof the National PalliativeCare Research Center atthe Mount Sinai Schoolof Medicine in New York,advises, The larger thehospice, usually the moreservices for the patientand the caregiver. Ask fortheir daily patient census several hundred patients peday is a good size.

CHOOSING THEHOSPICE THATSRIGHT FOR YOU

Continued on Pg.1


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Drs. Darab & Richardson

Your Preferred ProvidersFor Wisdom Teeth& Dental Implants

(828) 322-1667www.omsdrs.com

TheWisdomTeeth &Dental Implant Experts

No matter where you work, youre close to one of our

Visit our website for a complete listing of participating

MAKE APERSONAL VISITIts unlikely that youd buy ahouse or rent an apartment

without gaining somefirsthand knowledge. Its thesame with a hospice. Stopby unannounced to seehow visitors are greeted,patients are cared for, roomsare kept, and facilities aremaintained. Cleanliness,competency, and clinicalproficiency are criticalfactors in ensuring that youobtain exceptional careat home or wherever yourloved one resides. Plus,getting an unplanned feelfrom a hospice organizationcan give you an instinctualadvantage when youremaking a decision.


Catawba Regional Hospice

For more informationon hospice care, visitthe Carolinas Center for

Hospice and End-of-LifeCare (www.cchospice.orgor the National Hospice anPalliative Care Organization(www. www.nhpco.org/).


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In Network Preferred Provider

RaymondPate, DMD

(828) 327-7283

More

than cute kitten videos.

Catawba Valley Dental

catawbavalleydental.com

2315 Catawba Valley Blvd

Hickory, NC 28602

HANDI-CARE, INC.Delivering Care in the Comfort of your home

Accept Medicaid, VA, Private Pay& Long Term Care Insurance

437-84291-800-435-9251

Serving The Unifour AreaSince 1986

All Employeesare Background Checked.

State Licensed & Insured

www.handi-careinc.com

304 S. Main St.

Drexel, NC 28619

Serving Burke, Catawba, Caldwell, McDowell Counties

PACE@Home, southwestern

North Carolinas Program

of All-Inclusive Care for

the Elderly, welcomed Dr.

Janette Lee as its Medical

Director in March, 2012.

Born in Upstate New York,

Dr. Lee graduated magna

cum laude from Cornell

University and received her

medical degree from George

Washington University

School of Medicine.

She completed her

residency training in internal

medicine at St. Vincents

Hospital in Manhattan,

NY, and then joined the

faculty. She took care of a

broad range of patients atthe hospitals West Village

practice and also taught

medical students and

residents and lectured on

primary care topics. Dr. Lee

was honored with a teaching

award and tapped to be the

assistant program director

for the residency program.

Following a move to North

Carolina, Dr. Lee found a

great fit at PACE@Home.

The programs unique

model of care allows her to

approach each participant

holistically. It also grants

her the ability to spend

ample time with healthy

participants so that she can

provide more thoughtful,

informed care when the

participants require more

extensive medical attention

Dr. Lees husband, Dr. Luke

Byrnes, is an interventionalcardiologist with Catawba

Valley Cardiology. The

couple are the proud

parents of two children.

PACE@Hom

Senior Care Gets Strong Advocate in

Medical Director

Dr. Janette Lee, PACE@Home Medical Director


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When it comes to surviving

a heart attack, every minute

counts. In fact 15 minutes

can mean the difference

between life and death.

Thats why Frye Regional

Medical Center chose

to be part of a network

that speeds care to heart

attack patients. Regional

Approach to Cardiac

Emergencies, or RACE,

for short, was pioneered

by cardiologists at Duke

Medical Center because

they saw a need to

streamline cardiac care.

RACE is a state-wide

program which involvesemergency services

personnel, physicians,

nurses and administrators

working together to reduce

the time between the

occurrence of a heart attack

and initial treatment.

RACE has since been

named one of the top

research advances by the

American Heart Association.

It is now being adopted

not only throughout North

Carolina but across the

nation in a project called

Mission: Lifeline lead by the

American Heart Association.

RACE coordinator for Frye

Regional Medical Center,

April Traxler, RN, BSN, says

its a team approach that

resulted in Fryes Heart

Center being accredited

by the American Heart

Associations Mission:

Lifeline program as a

Mission: Lifeline

Heart Attack

Receiving Center in

2012.

Collaboration with

paramedics, physicians,

nurses, and other

providers is the key to

improved response times

and establishing smarter

protocols for responding to

heart attack patients, adds

Traxler. The RACE program

empowers paramedics to

make smart decisions on

where to transfer patients

when they have a patient

with a STEMI, bypass

hospitals with smaller

emergency departments,

call ahead to a designated

RACE facility and prepare

the hospitals RACE team

that a patient is in transit.

Door to balloon time is

under 90 minutes at RACE

hospitals, and Frye is the

only hospital in a six county

radius that participates

in the RACE program as

a Primary Percutaneous

Coronary Intervention

facility.

In addition to being a RACE

hospital, Frye is the

only hospital within48 minutes of Hickory

to have full service

cardiology with on-site

heart surgery back-up,

24 hours a day, seven

days a week.

What does that mean for

you? In the even that your

heart condition needs

advanced treatment, our

team is standing by to treat

you instead of transferring

you to a distant facility,

saving you precious time

and possibly your life.

Frye is proud to be your

regionsAccredited

Chest Pain Center,

with Percutaneous

Cardiac Intervention

(PCI) by the Society

of Chest Pain Centers

(SCPC), and was recently

named a Cigna Center

of Excellence in

Angioplasty, with

and without Stent,

Cardiac Defibrillator

Implant, Coronary

Artery Bypass Surgery

Elective CardiacMedical, and Irregular

Heartbeat.

For more information

on Fryes Heart Center,

call 828-315-3278. For a

physician referral, call 828-

315-3391.

REGIONAL

APPROACHTO CARDIAC

EMERGENCIES

hen it comes to surviv

heart attack, every mi

unts. In fact 15 minut

n mean the differenc

tween life and death.

ats why Frye Regi

edical Center chos

be part of a network

at speeds care to hea

tack patients. Region

R

AC

E

Frye Regional Medical Cente


15/100


LIFETRANSITIONS

treating the person, not just an illness

We help

manage

chronic

illnesses

that limit

daily

activities.

Call for a consultation today.

828.464.9459

YourLifeTransitions.org

Life Transitions cares for patients with

heart disease, COPD, pneumonia, and

other acute medical issues.

Childhood vaccinationsare issued to help prevent

children from gettingsick by building theirimmunity to diseases thatwere once prolific. Butin the wake of confusinginformation regarding thesafety of vaccinations,particularly the concernthat some may be linkedto the onset of autism,more and more parentsare opting out of havingtheir children vaccinated --sometimes with unfortunateconsequences.

Many diseases that areeffectively prevented bysimple vaccines havecropped up once more.This can be attributed tochildren simply not gettingfully vaccinated. Nearly80 percent of parents areuncomfortable about having

their children vaccinated,

according to a surveyanalyzed by researchers

at the CDC. Pain from theneedle itself and uncertaintabout the safety of vaccineis leading many parentsto forego shots or delaycertain vaccinations untiltheir children are older. Itis estimated that roughly8 percent of Americanchildren are now not gettinregular vaccinations ordoing alternate schedules,and 2 percent are notgetting shots at all.

Some parents would liketo have their childrenvaccinated but havepostponed routine visitsdue to unemploymentand subsequent loss ofhealth insurance. Someareas have even fell

OPTING

OUT OFVACCINATIONSPOTENTIALLYDANGEROUS

Continued on Pg. 1


16/100


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Metro Creativ


victim to budget cuts thathave led to shortages ofnecessary vaccines.In 2008, the Centers forDisease Control and

Prevention issued an alertregarding Haemophilusinfluenza type b, commonlyreferred to as Hib. Fivechildren in Minnesotacontracted the disease,three of whom who werenot vaccinated.

The CDC also reported thatthere were 17 outbreaksand 222 cases of measlesreported in 2011. A diseasethat was essentially wipedout in North America isnow showing up againand the numbers arerising. Dr. Jason Bowling,an infectious disease

specialist, said that in 2011the United States had thehighest number of measlescases of any country in thelast 15 years. Although it is

likely that most of the caseswere contracted outsideof the country, kids whohaven't been vaccinatedare highly susceptibleto measles onset as aresult, potentially leadingto a greater number ofoutbreaks in the UnitedStates and Canada.

Whooping cough, orpertussis, is a highlyinfectious respiratorydisease that was onceconsidered eradicatedbut has also made aresurgence. Various statesacross the country have

reported many whoppingcough outbreaks, to thepoint that it has beenlabeled an epidemic oncemore. Health officials in

Washington state havesaid that the number ofoutbreaks from spring 2012are the highest since the1940s. While whoopingcough is usually not fatalamong older children andyoung adults, it can be verydangerous for infants.

Most health professionalsagree that vaccinationsare important to the well-being of the child andthe community, providingthe safest way to preventcertain diseases or reducetheir severity. There areseveral recommended

vaccinations that childrenshould receive:

DtaP: Diphtheria, tetanusand pertussis

Hepatitis A

Hepatitis B Hib

Influenza

MMR: Measles, mumpsand rubella

Pneumococcal

Polio

Varicella: Chickenpox

Smallpox

Parents who haveany concerns about

vaccinations shouldspeak to a physician toweigh the pros and consof each vaccination.


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WHAT IS YOUR DAY LIKE?

I get up at 6 a.m. with my2-year-old son and spendthe next 60 to 90 minutesgetting ready for our days. Ileave the house between 7a.m. and 7:30 a.m. and driveto work. I always stop for alarge coffee at Starbucksand then listen to the newsor to an audible book on theway. Currently, I am listeningto The Twelve Tribes of

Hattie by Anayna Mathis

Every morning, I startmy workday at 8:45 a.m.with hospital leadershipin what we call ourmorning huddle. This isa meeting where we hearabout house wide patientvolumes, project goalsand completions, safetyinformation and other

updates. Then, the dayreally begins.

I am responsible for TheCenter for Women andChildren, a large divisionof the hospital with manydepartments. I spendsome time in various areastalking to staff, patients andleadership in an attempt tostay in touch with the issuesthat affect them daily.

During the last 18 months,a huge part of my daily

work has been managingmany large and smalldetails in the planning andorganizing processes forthe opening of the newPavilion, which houses mostof the departments withinThe Center for Womenand Children. Over thistime, I have learned to readarchitectural plans, metwith many vendors and

consultants, and workedwith most departments in thehospital to ensure a smoothtransition of services. Wehave started the movingprocess and deliveriesbegan in the Birthing Centeron February 4, 2013.

The many teams andcommittees that havebeen formed to coordinate

our efforts have done atremendous job; and I amproud to say that the BirthingCenter has opened forbusiness in our new facility.We will move the Level IIINeonatal Intensive Care Unit(NICU) on February 21, 2013.

WHAT DO YOU LOOK

FORWARD TO WHEN YOU

TO GO TO WORK EACH DAY?

I look forward to the energyand enthusiasm my team

and staff has for improvingpatient experiences andexceeding expectations.I eagerly anticipate oursuccesses from workingtogether to positivelyimpact women, childrenand families. By offeringexceptional evidenced-based care with truekindness and compassion,and by facilitating a family

centered model of care,we set the standard forexcellence in obstetric,newborn and pediatric care.

Everyday, I get excitedabout putting the finishingtouches on the details for theupcoming move of theLevel III NICU to the newPavillion. Families will haveprivate rooms to stay with

their babies housed in ourLevel III NICU, promotingfamily bonding in a quiethealing setting. Womenwho are ready for deliveryhave access to amenitiesin the new BirthingCenter, including wirelessmonitoring, and each roomis equipped with a deeptub for relaxation, a privaterefrigerator, an incrediblycomfortable rocker glider,

and a specially selectedsofa offering comfort for

her partner in each room.The goal is to make herlabor experience the bestavailable in the region.

HOW DO YOU BALANCYOUR BUSINESS ANDFAMILY/SOCIAL LIFE?

Life is all aboutcompromise. I try to give110 percent to all of my

endeavors, includingwork, my family andother personal interests.I prioritize constantly andunderstand the limitationsinherent in our busy lives.I believe that being fullypresent in what you aredoing allows your impact tobe far greater than if you ardistracted. To that end, I tryto bring a strong focus to

my priorities.

I also get help when I needit. At the hospital, thatmeans working with teamsand constantly sharing theburden, along with helpingto reduce the chance oftotally overwhelming oneperson. When I am at homeI get a baby-sitter if neededa housekeeper occasionally

Continued on Pg. 1

Women

In BusinessTrish Hickling BeckmanAdministrator, The Center for Women and Children

Trish Hickling Beckman


18/100

Could Your SurgeryBe More Affordable?

Viewmont Surgery Center


19/100


SOSSOMAN FUNERAL HOME & CREMATORY CENTER

L to R: Calvin and Mary Lou Sossoman,Rick Hood, Lisa Hood,

Jimmy Kirksey, Dotty Kirksey

828-437-32111011 S. Sterling, Morganton

www.SossomanFuneralService.com

FUNERAL

PREARRANGEMENT

A Wise Financial and

Emotional Decision

WHAT IS FUNERAL

PREARRANGEMENT?

Funeral prearrangement is

planning and preparing in

advance for the one inevitable

thing in life. As the saying

goes, there are two things that

are certain in life...death and

taxes. Though some people

have found ways to avoid their

taxes, it goes without saying

that we have not as yet found

a way to avoid death.

We know, too, that one of

the most difficult times our

families will ever face is thedeath of a loved one. Doesnt

it make sense to prepare as

much as possible in advance

so the we make this an easier

time for them?

WHATARETHE

BENEFITSOF

PREARRANGEMENT?

Planning out funeral details

in advance with the assistance

of a professional is a complete

free service we offer our

community members. Many

consumer groups highly

recommend advance funeral

planning because you are

able to

Plan together as a

amily, rather that alone

(ater the death).

Spare your loved ones

rom having to make

difcult decisions.

Ensure you wishes arewell-documented and

carried out.

Help control costs

and reduce emotional

overspending

Personalize your plan

to reect your unique

personality.

PREARRANGEMENT... A

PRICELESSGIFT

Families who have had

loved one prearrange don

reallytendto say, Iwish Mom

hadnt done this. Instead, the

are grateful for the care an

concern a parent or spous

showed. They are thankful tha

they didnt have to make thos

difficult decisions alone. The

are comforted in knowing tha

they are following the wishe

of their loved one.

This is a gift only you ca

give, a final act of love fothose you care about th

most. There are many reason

why funeral prearrangemen

is wis e de cision , b ot

emotionally and financiall

but perhaps most important o

all, prearrangement gives yo

and your loved ones peace o

mind knowing everything wi

be taken care of... and that is

priceless gift.

and I even have someonecome every few monthsto cook and freeze lots ofmeals. So, if we dont havetime to cook, we always

have something healthy andwholesome to eat.

WHATS LEFT ON THEBUCKET LIST?

Well, my first priority is tosee my services transitioninto the new Pavilion. Then,I cant wait to get startedon the renovation projectto completely rebuildthe pediatric wing of the

hospital. Next on my list isto find a permanent homefor the hospitals outpatientprenatal care office, whichis temporarily locatedinside Catawba CountyPublic Health (CCPH). Inthe coming years, I want tobe heavily involved in theprocess of documentingour excellence for our fourthMagnet designation in 2014.

My personal bucket listincludes watching my songrow from toddler-hood intochildhood, and becominga confident, optimistic,healthy, well-behaved andrespectful young man. Ihope to foster in him hisself-chosen interests andtalents, which currentlyinclude learning to swim,riding a bike and playingthe drums. I hope to exposehim to many cultures,languages and diversitythrough the arts and travel.

I hope to keep myrelationship with myspouse strong and healthyby maintaining weeklydate nights, excellentcommunication and shareddecision-making.

On a concrete basis, I

would like to go on anotherfamily cruise in the next yearor two, go to the theatrein New York and Londonin the next five years, and

eventually travel extensivelyin the US to all the westernNational Parks with our son.

WHAT ADVICE WOULD

YOU GIVE WOMEN

LOOKING TO GET AHEAD?

The biggest advice I wouldgive is to find your passionand find a career in thatfield. Never work at anorganization or choose

a career you dont feelgreat passion for. Work isgoing to take a big part ofyour energy and time, andyou want to make sureyou really believe in whatyou are doing. Alwaysremember, work feeds youas much as you feed it.

WHAT IS THE BESTADVICE YOU RECEIVED?

Remember, it is not aboutyou so dont take thingspersonally.

Adjust course whenneeded.

Be grateful for thelessons.

Keep the big picture. Pause if unsure and let

things reveal themselves.

WHAT MOTIVATES/INSPIRES YOU?

I am motivated byopportunities to changethe world for the better.That might sound lofty,but I firmly believe myresponsibility, as a humanbeing, is to leave this worlda little better than I foundit. I try to do that on adaily basis. I am inspired

by those who succeed at

this goal in creative andinnovative ways.

TELL US ABOUT YOURMOST SUCCESSFUL

BUSINESS DAY.

As much as we developservices and opportunitiesto support health in thecommunity, we need to letthe community know what isavailable at CVMC. My mostsuccessful days includevisiting with physiciancolleagues in neighboringcounties, and letting themknow about the high risk

pregnancy and Level IIINICU services availablein their community. As theonly provider of extremelypremature infant care tofamilies and babies in theUnifour area, it is essential

that providers know theydont have to refer clientswho need these services toWinston-Salem or Charlotte

Other aspects of asuccessful day includetalking to a patient and herfamily about how pleasedshe is with her care andexperience, or reportingto the staff successfulimplementation ofimprovement projects.

TELL US ABOUT APERSONAL GOAL YOUACHIEVED.

Through a lot of teamworkand support from anamazing staff of midwives,I was able to restart CenterinPregnancy, a group prenatal


Continued on Pg. 2


20/100


www.carillonassistedliving.com 828-466-7474

1088 Radio Station Rd

MomsNewLifeStartsThisSpring!CALL TODAY FOR

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A TOUR

care model, for womenreceiving their prenatal care

at CVMC Maternity Services.This model of prenatalcare, where women meettogether monthly in a groupof 10 for their prenatal visitand teaching sessions, isso inspiring and exciting. Itwas in place at the healthdepartment when I firstinterviewed to work at CVMCeight years ago, but when Istarted the job three monthslater it was eliminated. Now,after a significant time lapseand a new partnership withCCPH that has resulted in

CVMC managing the countyprenatal clinic, we havesuccessfully reinstitutedthis model of care that is soempowering and positive for

many women. We had our

first group in 2012, we will

have a new group for every

remaining month of 2013,

and each woman presenting

for care will decide which

model is right for her. It is adream coming true!

TELL ME A STORY FROMYOUR CHILDHOOD

My father was a huge

inspiration to me growing

up. He instilled in each of

his five children the belief

that they could accomplish

anything that was important

to them. He was fearless inhis career as a White House

Correspondent, and also in

his fight with cancer that he

lost when I was 16.

My mother raised me to be

a midwife. She was a labor

nurse, and when I was very

little, she began talking to

me about midwifery. She

encouraged me to pursuethis dream, one that she

was unable to achieve

personally. I followed her

guidance and became a

hospital candy striper, and

eventually a weekend unit

secretary in the labor and

delivery department while I

was in high school. When

I went to college, my focus

was on nursing school. After

several years, I enrolled in

graduate school to become

a midwife, a dream I gladly

and proudly inherited from

my mom.

WHAT DO YOU HOPE TO

BE DOING FIVE YEARS

FROM NOW?

I hope to be deliveringbabies, managing maternity

programs, changing livesand supporting womenand their families. Not tomention, raising a happyand healthy 7-year-old boy.

Family: Wife, Stephanie;Son, Nyzaiah; Dog, Keisha

Age:48

Hobbies: Theater, both watching

and producing Bike riding Swimming Traveling Spending time with

my family


Submitted by Trish Beckma


21/100

We believe in compassionate care. We believe in

industry-leading excellence. And we believe theres

no place like home for healing. Maybe thats why so

many patients and physicians turn to us every day for

skilled nursing, rehabilitation and therapy services.

NURSING AND PHYSICAL THERAPY

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SPEECH THERAPY

MEDICAL SOCIAL SERVICE SUPPORT

HOME HEALTH AIDES

ALL IN THE COMFORT OF YOUR HOME!

www.gentiva.com

You have choices.You can choose home health

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Gentiva accepts patients for care regardless of age, race, color, national origin, religion, sex, disability, being a qualified disabledveteran, being a qualified disabled veteran of the Vietnam era, or any other category protected by law, or decisions regarding

advance directives. 2009 Gentiva Health Services, Inc.

704.559.8121

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22/100


www.newtonfamilyphysicians.com

828-465-3928

While the physicians atGraystone Eye treat allages, individuals overage 50 are at the greatestrisk for developing more

serious eye disorders suchas macular degeneration,diabetic eye disease andcataracts.

Great strides have beenmade in technology inrecent years and GraystoneEye is dedicated to stayingon the cutting-edge of this

new technology for thebenefit of their patients.

For instance, cataractsurgery was once performed

only if the lens was verycloudy and the patient couldbarely see. Technologyis so advanced now, weperform surgery muchearlier leading to substantialimprovement in vision.The newer advanced,multifocal lens implantsavailable correct both

near and distance visionand astigmatism followingcataract surgery, saysGraystone Cornea Specialist,Dr. Richard Chang.

A number of our olderpatients who arentcandidates for iLASIK optfor clear lens exchange,said Refractive Specialist,Dr. Trey Oursler. This isan elective procedure, verysimilar to cataract surgery,that reduces the individualsdependence on glasses.The added benefit is these

patients will never get acataract.

As Baby Boomersreach retirementage, the incidence ofmacular degenerationalso increases. RetinaSpecialists, Dr. ReginaldWilliams and Dr. PatrickKelty, encourage seniors toget a complete eye examannually to head off the

potential for serious andirreversible vision loss.An ounce of preventionis still worth a pound ofcure for this eye disease,

said Dr. Williams. Itsheartbreaking to seepatients come in to ouroffice who have waitedtoo long for treatment thatcould have preserved theirvision, said Dr. Kelty. Iftreated early with Avastinor Lucentis injections,damage can sometimes bereversed. However, earlyintervention is critical.

For more informationregarding advanced lensimplants available orcurrent treatment optionsfor macular degeneration,visit graystone-eye.com.Consultations may bescheduled by calling828-322-2050.

CLEARER VISIONCLEARER VISIONFOR AGING EYESFOR AGING EYES

Graystone Ey


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PACE@iHome

PACE@Home

services include:

Adult day health services

with bathing and dressing)

Prescribed medications

Social services

Respite care

and speech therapy

ransportation to health-relatedappointments and

nursing acility care

WOULDNT IT BE GREAT IF YOU COULD GET ALL YOUR

HEALTH CARE IN ONE NEAT PACKAGE?

homes. Te Program o All-Inclusive Care or theElderly (PACE) utilizes a plan o care that is innovativeand individualized in providing health care and socialservices to qualifed seniors aged 55 and older.PACE@Home is designed to help people with long-term

care needs remain in their own homes while providingand coordinating all health and health care services.

Who is eligible for PACE@Home? Individuals who are:

Aged 55 and older

Determined by the state of North Carolina to

be in need of nursing home care

Able to live safely in the community at the

time of enrollment with PACE@Home services

Reside in the PACE@Home service area

(zip codes 28037, 28092, 28168, 28601,

28602, 28609, 28610, 28612, 28613,

28630, 28637, 28638, 28650, 28658,

28673, 28678, 28681, 28682, 28690)

FOR SOME QUALIFIED INDIVIDUALS, ITS THAT EASY!

1915 Fairgrove Church Road SE

Newton, NC 28658

(828)468-3980

TTY users dial 7-1-1 or 800-735-2962

www.pace-at-home.org

PACE@Homeparticipants may be responsible for covering the cost ofservices that are unauthorized or out of thePACE@Homenetwork.


24/100


1455 25th

Avenue Drive NE Hickory

Now Accepting New PatientsMost Insurance AcceptedIncluding Medicaid

Kenneth V. Summer, MDLaura J. Luckadoo, MD

Angela M. Frierson, MDTatyana V. Golub, MD

Denise E. Niehues, PA-CKathenne A. Church, CPNP

Walk-Ins Welcome School Physicals

Complete Health Checks Vaccinations

thechildhealthcenter.com

When I met Lloyd Ledford,he was playing cardswith two PACE@Homestaff members. The gamewas Go Fish, and he waswinning. Lloyd cant speakbecause of a stroke, but

his victory brought a bigsmile to his face, lighting uphis eyes. It was his fourthvisit to Catawba CountysProgram of All-InclusiveCare for the Elderly (PACE).

An initiative supportedby both Medicare andstate Medicaid programs,PACE@Home helps seniorswith long-term care needsenjoy their independence.

It also works with them toobtain all necessary healthcare services. The Newton,NC-based organizationoperates in five counties Catawba, Lincoln,Alexander, Caldwell, and

Burke and offers a uniqueopportunity for oldercitizens and their caregiversProgram participants areprovided care at the centeritself, and anything notavailable on the premises iscoordinated by the PACE@Home staff. The benefitsare an incredible help forsomeone like Gloria Travis,Lloyds caregiver.

Helps Seniors

Thrive @ Home

Continued on Pg. 2


25/100


Cosmetic & Refractive

Family Eye Care

Medical & Surgical Care

828-433-1000

Aesthetic Services

Morganton Eye Physicians, PA& Surgery Center

W.G. Orrison, M.D. P.D. Kath, M.D. L.A. Raynor, M.D.J.A. Salisbury, M.D.

W.H. Walton, M.D. J.A. Rheinbolt, M.D.

T.C. McGee, O.D. J.E. Flack, O.D. B.L.Hall, O.D. D.E. Alexander, O.D.

A.C. Davis, M.D. S.S. Scott, M.D.

J.J. Bonkowske, M.D. L.F. Willis, M.D.

828-652-1000

J.C. Lowry, M.D.

PACE@Hom


Glorias brother wasLloyds longtime friend,and the two men onceshared an apartment.Although Glorias brother

died unexpectedly,she had promised himbeforehand that shewould care for Lloyd ifcircumstances demandedit. The complexity of Lloydsmedical problems, however,made that commitmenta huge challenge, evenwith the assistance of asupportive home healthagency.

Attentive to their struggles,the home health agencysoccupational therapist toldGloria and Lloyd aboutthe benefits of the PACEprogram. Once accepted,

participants like Lloyd areable to gather at PACE@Home several times a weekfor social interaction andmedical services. They can

even get help showering orbathing. Therapists, nurses,and a doctor are continuallypresent at the PACE center,and transportation isprovided to and from thefacility a welcome perk.

Immediately after comingto PACE, Lloyd gained amuch-needed six pounds,increased his energy andstamina, and gained extra

mobility with the aid of awalker. Gloria calls PACEa blessing from aboveand an incredible supportsystem to help people whomight otherwise remain

homebound. Cathy Lewis,a nurse at PACE, beamswhen she talks about Lloydand anticipates his furtherprogress. Her commitment

to his care and hissuccess is obvious.

Best of all, Lloyd hassomewhere to go andsomething to look forwardto each week. Gloria sayshes easy to wake up andget dressed on PACE daysand that his attitude is morepositive than shes seen insome time. Shes also toldall her friends and family

about the PACE programand wants everyone toknow that its a fantasticopportunity.

From Lloyds perspective,

his ultimate hope is to beback in his own apartment,strong enough to providemost of his own care.Thanks to PACE@Home,

he now has a team ofcaregivers/cheerleadersencouraging him toward hisgoal!

PACE@Home is acommunity partnershipbetween Catawba RegionaHospice, Lutheran Servicesfor the Aging, and CatawbaValley Medical Center. If yowould like more informationabout PACE@Home, pleas

visit www.pace-at-home.orgor contact Michelle Fisher a828-468-3980.


26/100


You have a cough that wont goaway. Your voice is becoming

hoarse and you are frequently outof breath. You start wheezing andseem to be constantly battlinginfections. So you go to yourdoctor and undergo a physicalexam, give a complete familyhistory, take a blood test and havean X-ray or computed tomography(CT) scan of the chest. PreviouslyX-rays were recommendedfor screening patients for lungcancer but as more researchhas been done the American

Cancer Society has recentlyrecommended low dose CTscans to screen for lung cancer incertain patients instead.

Your doctor suspects lungcancer based on those testresults and orders a biopsy toconfirm the diagnosis. A biopsyinvolves removing a smallamount of tissue and analyzingit for cancer cells. This can be

done several different ways.

Sputum cytology involveschecking samples of phlegm

coughed up from the lungs.

Thoracentesis uses a longneedle to remove fluid betweenthe chest wall and lung.

Bronchoscopy requirespassing a thin, flexible tube intothe air passages of the lungs.

Needle aspiration allowsdoctors to insert a small needle into

a tumor to extract a small sample.

Thoracoscopy calls formaking several small incisionsin the chest wall and inserting athin, lighted tube to look at thelungs and nearby tissues.

Thoracotomy requiresopening the chest to examinethe lungs directly.

LUNG CANCER

SCREENING

PROGRAM

Lung cancer is the leading causeof cancer death for both men and

women in the United States.

Frye Regional Medical Center offersone of the only lung cancer screeningprograms in the region. Our goal is toprovide a program to help those whocould be at risk for developing lung

cancer to receive diagnosis andtreatment earlier, when treatment

and survival outcomes may be better.

Who should be screened for lung cancer?

Current or former smokers aged 55-74 who have

greater than or equal to 30 pack year history of

smoking, and who have no current symptomsand have not had an abnormal chest x-ray.

How can I schedule an appointment?What is the cost?

If you feel you may benefit from this screening, talk

to your physician or call 828-315-3596, option 2.

The cost of this screening is $249 (insurance may

cover).A physicians order is necessary, and the

physician who issues the order must receive the

results for follow up.

CT LUNG SCREENINGS CAN

DETECT TUMORS EARLY AND

REDUCE LUNG CANCERMORTALITY BY UP TO 20%

DiagnosingLung Cancer

Continued on Pg. 28


27/100


28/100


Mediastinoscopy involves

making an incision at the top of

the breastbone to take tissue

or lymph node samples.

A newer procedure that isavailable at Frye Regional

Medical Center is called

Electromagnetic Navigational

Bronchoscopy. This is a

minimally invasive procedure

where a CT screen is done

which creates a virtual map

of the lungs. This way we

can locate, biopsy and even

tag lesions for radiation that

we could not even reach with

traditional bronchoscopy. It

is helping us diagnose lung

cancer at a much earlier and

more treatable phase than

before, said William Erwin, MD

pulmonologist at Frye Regional

Medical Center.

Your doctor also may want

you to have an imaging test

to help locate a suspicious

area or cancer starting point,

determine if or how far the

cancer has spread, and decidethe best course of treatment.

Your options for this procedure

include:

A spiral CT scan that

produces detailed multi-

dimensional images of the

inside of your body with a

special X-ray machine. The

scanner rotates around

the body continuously and

pictures are collected more

quickly than a standard CT.

You do not have to hold your

breath for as long and there is

less chance of blurred images

caused by breathing motion.

Endobronchial ultrasound

that uses a transducer fitted

onto a bronchoscope and then

passed down into the windpipe

to produce sound waves and

pick up echoes as they bounceoff body tissues. Lymph

nodes and the area between

the lungs can be examined

with this imaging test. If a

suspicious area is located,

a biopsy can be performed

by passing a hollow needle

through a bronchoscope.

A positron emissiontomography (PET) scan tocomplement informationgathered from other scans orthrough a physical exam. APET scan involves injectingradioactive sugar. Most lungcancer cells quickly absorb

the sugar and light up during

the scan.

A magnetic resonance

imaging (MRI) scan that uses

radio waves to produce image

of soft tissues in the body. Thitype of scan typically is used

to locate any metastases to th

brain or spinal cord.

A bone scan to help

determine if cancer has sprea

to the bones.

Symptoms of lung cancer

also may be caused by other

conditions. It is important to

see your doctor to determine

the cause of illness and begin

treatment. If you do have lung

cancer, early treatment can

potentially relieve symptoms

and may help you live longer.


Frye Regional Medical Center

Affordable

Senior LivingAlternatives

915 29TH Avenue NEHickory, NC 28601

828-325-4795

pinecrest-retirement.com

Call 828-325-4795 for

details about our Lets Talk

Seniors lecture series and

other events scheduled

throughout the year.

Welcome to Pinecrest. Welcome Home.

Additional Pinecrest All-Inclusive Benefts:

Live-in community managers on-site 24/7 3 nutritious chef-prepared meals daily Emergency response system monitored 24/7 Complimentary scheduled transportation Weekly housekeeping and linen service Full calendar of life-enriching activities and events Pets warmly welcomed And much more!

Are you aware that Pinecrest offers anadditional choice for your senior patients?

Our Independent Retirement Living community is a moreaffordable lifestyle for seniors who may not require 24/7 care. Ifnecessary, scheduled care is available and can be arranged on anas needed basis, allowing your senior patients to age in placewhile maintaining their independence.

Your patients or their families are welcome to contact Pinecrestfor information or to arrange a personal visit of our community.


29/100


Meeting the health needs of

local citizens with YOUR help!All contributions accepted!

828-327-0979

Cooperative Christian Ministry

GreaterHICKORY

Ad sponsored by:

Unity of Hickory Study Group

31st Avenue SE, Hickory

Donations may also be made through our website

at www.ccmhickory.com

Why Do I StillWhy Do I StillHave Pain,Have Pain,

Continued on Pg. 3

I THOUGHT IT WAS JUST WHIPLASHI THOUGHT IT WAS JUST WHIPLASH??These words are spoken todoctors on a daily basis bypatients that have lingeringor recurring pain after beinginvolved in a car crash.Unfortunately, most people

and doctors are unaware ofthe severe ligament injuriesthat can occur with motorvehicle collisions (MVC),even those consideredminor impact.

UNDERSTANDING

THE PROBLEM

Whiplash is a term peoplecommonly use to describea cervical accelerationdeceleration (CAD) injury. Iwill use the word whiplashbecause it is what mostpeople are familiar withwhen speaking about theseinjuries. Whiplash injuriesare estimated to cost theUS $346 billion dollars peryear, close to the cost ofheart disease, the leadingcost of death in the US.Injuries relating to motor

vehicle collisions are a majorpublic health risk, and costinsurers, employers, andmost importantly individuals,significant time and money.The larger problem is thatin many cases the injuredperson loses the ability towork and enjoy life as theyhad in the past.

ARE WHIPLASH

INJURIES REAL?

A common misperceptionis that whiplash injuriesare not real, and that manypeople reporting they havewhiplash are just trying toget a settlement or paymentfrom the insurance company.Fraud has been estimatedat less than 10% of all MVCclaims, and can be spottedby a physician experiencedin treating these types ofinjuries. The threshold forpotential injury in a MVChas been documentedto be under 5mph andis dependent on risk

factors of the person in thecar, (age, body position,presence of other diseasesor conditions, etc.) and onsomething called (deltaV), or change of velocity.Change of velocity dependson the relative masses andstiffness of the cars involved.

LOW SPEED

COLLISIONS

One of the most commonmisperceptions in motorvehicle collisions is thatcar damage is related tooccupant injury. It appearsto be common sense that ifthe car is damaged more,then the occupant is morelikely to be injured, right?Wrong. Every high qualitystudy that has been doneto test the idea that car

damage equals occupantinjury has proved that norelationship exists. Thereason is due to the factthat at lower speeds, carstend to bounce, or spring off

of each other, transferringenergy to the occupants. Inhigher speed collisions, carscrumple, and the crumplingabsorbs energy from thecollision, and decreases thechange of velocity (delta V),

decreasing the probability oinjury. There is not a singleresearch study that showsa relationship between cardamage and occupantinjury, not one. If there was

a relationship, then everyonwhose car is totaled wouldbe more severely injured,and we know that peoplewalk away from serious cardamage collisions wheretheir car is totaled every day


30/100


What about your

insurance agent?

Adult Asthma Pediatric Asthma Exercise-Induced Asthma Allergies Sinus Problems Hay Fever Allergic Reactions to Food

Bronchitis Allergic Reactions to Bee Stings Allergic Reactions to Fire Ants Immunological Illnesses Urticaria (hives) Medication Allergies Eczema

912 Second Street NE Hickory, NC 28601 828.327.0600

NEW PATIENT APPOINTMENTWITHIN A WEEK

OUR SERVICES

M,T,TH,F7:30-5:00

ClosedWed.

INJURIES MORE

THAN WHIPLASH

How many people areinvolved in motor vehicle

collisions that are told,You have a little whiplash,take some Tylenol andyou should be better in afew days? This scenariohappens thousands of timeper day across the country.Granted, in the emergencyroom they are trying to saveyour life if you are dying,so they tell you to follow-up with a physician. Yourprimary care physician willdo everything they can tohelp you, but many peoplespain will go away in theshort-term, only to returnwhen they try to work, clean,play with their children,participate in recreational

sports, or exert themselvesphysically. Why then, doesback pain frequently returnafter the initial soreness froma whiplash injury is gone?

SPINAL

LIGAMENT

INJURIES

A sprain is an injury to aligament that results in adegree of tearing. A spinalligament sprain is the mostcommon diagnosis in aMVC, but spinal ligamentsare not routinely tested and

measured with stress orbending x-rays (gold standardfor diagnosis) due to thetediousness of measuring theposition of every vertebra byhand. Computer technologynow allows physicians to very

accurately (with less than2% error) quickly measurespinal sprain injuries. We

have a board certified medicalradiologist perform all of ourspinal ligament tests. Spinalsprains are permanent injuriesthat can cause spinal joints tobecome loose, and can resultin significant long-term painand spinal arthritis. Spinalsprains can carry a wholeperson impairment ratingaccording the AMA Guidesto Impairment 5th edition ofup to 25%. Assessment of

the degree of spinal ligamentsprain is something everyoneshould demand wheninjured in a MVC, no matterthe amount of car damage.Dont take the chance ofsuffering with pain for alifetime, and get your spinalligaments checked if you are

in a car crash.

Dr. Brad Shook, DC,DAAMLP

Dr. Brad Shooks practicefocus is on treating softtissue injuries of the spinerelated to motor vehiclecollisions. He has extensivtraining in biomechanics,accident reconstruction,injury triage, diagnosisand rehabilitation of softtissue injuries sustained inMVCs. Dr. Shook workswith a team of medical

specialists to make sureinjured patients get thebest care possible. View DrShooks curriculum vitae atHickorySpine.com, or call(828) 324-0800 to schedulean appointment at one ofour two locations in Hickory


Dr. Brad Shoo


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1501 Tate Blvd., Suite102

Hickory, NC 28602

828-324-4630

Not just meeting standards, -

exceeding them.

HICKORYFamily Pharmacy

a member of

PCCA

Compounding Services

Available

12

2012READERS CHOICE

Brandon Watson

The Wheelchair Plac

Certified Aging in Place Specialis

Caring for loved oneswho require assistance

with activities of dailyliving and/or support fora disease or disability,such as oxygen needs ormobility assistance, can beextremely stressful for boththe caregiver and personrequiring assistance.

With the high costsassociated with medicalcare, caregivers can

become overwhelmedquickly, especially whentrying to understandMedicare/Medicaidand other insurancerequirements andreimbursement plans. Onceyou determine the financialaspects of the costs of careneeded, then you must

consider the many optionsavailable within your meansto provide the care.

When considering theoptions for providing thenecessary care, manypeople may think thatmoving into an assistedliving or long term facilityis the best option. It maycost $3000.00 to $5000.00per month to have a lovedone stay in an assistedliving facility. In comparison,home modifications andobtaining appropriateassistive devices for use inthe home may seem costlyto begin with, but will proveto be less costly over time.

The best option for mostpeople, is to remain asindependent as possible,ideally in their own home.Depending on the individualneeds, there are options

for support utilizing homemedical equipment andhome modifications. Thereare numerous medicalequipment providers whocan evaluate and provideitems ranging from oxygensupplies, hospital beds, liftchairs, walkers, wheelchairs,bedside commodes, shower

chairs, etc. to an endlessnumber of assistive deviceslike grabbers, dressing

assistive devices, andcountless others.

For those who are fortunateenough to be able toremain in their own home,there are numerous optionsfor home modificationsto support their individualneeds. Kitchens canbe remodeled to allowincreased accessibility tosinks, ranges, cabinets,etc. Bathrooms are one ofthe most common areasto be modified. Bathroomsafety is a significantconcern for elderly people.Bathroom falls can causedebilitating injuries to manyolder adults. Therefore,adding grab bars, wideningdoors and pathways, andproviding shower chairsand commodes are found

to be very beneficial.Another option available forassistance with bathing is toreplace an existing bathtub/shower with a walk-in tub oraccessible shower. Whenstaying in their own homeis not feasible, caregiverscan consider having theirloved one move into the

caregivers home. Again,home medical equipmentand home modifications

can help.

When searching for a homecare provider, you want tofind an accredited companwith a strong track recordin the community forproviding quality productsand services. An accreditedcompany means that theymust demonstrate to anaccrediting agency thatthey possess the personneresources, training,experience, expertise andregulatory understandingto provide quality medicalequipment and servicesto patients. There are fewcompanies in the area thatare accredited and havethe ability to provide allyour equipment needs, aswell as being competentto address any home

modification needs youmay face. Remember thatit is definitely worth yourefforts to do your homeworto ensure your loved oneexperiences the highestquality of life possible.

AGING IN PLACE


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Medicine is full of wordsand phrases that provedifficult for regular folks.People crave explanationsin laymans terms,especially when both theconcept and name areunfamiliar. Palliative, forexample, can be especiallytroubling. This word whichmeans to soothe or torelieve has traditionallybeen associated withend-of-life care, especially

as it relates to alleviatingpain immediately before apatients death.

In recent years, however,the expanded use ofpalliative care has led toa redefinition of the term.Now, palliative care isutilized with patients whoare treated for curableillnesses as well as those

PALLIATIVE

WHAT?THE HEALTH CARE BENEFITSYOU NEED TO KNOW ABOUT

Continued on Pg. 3

To make an appointment,

call 828-326-9355.Visit us online at

www.graystonehealth.com

Your partners

in good health...

Meet our providers...

Dr. Thomas Laney

Mai Vang, PA-C


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MondayFriday

9AM 6:30PM

Saturday 9AM-5PM

Sunday 1PM 5PM

God Is My Rock

(No Appointment Necessary

PSALMS Urgent CareOpen 7 days a week

828-438-1117

Fax: 828-438-1119

www.psalmsurgentcare.com

200-C College St.Morganton, NC 28655

$39.00Most Visits

Truly AffordableHealth Care for

your Family.

No Insurance,No Problem!

AcceptingNew Patients

828-465-9737

On the square indowntown Newtonabove H&W Drug

Basic visitAdult $65Child $50

Se habla espaol!

For decades, people haveturned to diet soft drinksas a healthier alternativeto regular soft drinks.However, consuming dietsoda on a regular basismay have some serioushealth ramifications,including weight gain.

It may seem counterintuitiveto suggest that diet sodasmay be causing people togain weight, particularly

because these sodas are

commonly consumed bypeople who are trying tolose weight. However,artificial sweeteners foundin some diet sodas mayincrease a person's risk

of obesity. It's not entirelywhat you are eating thatcan cause weight gain butwhat the body thinks it iseating (or drinking) thatplays a role.

CAN DIET

SODA CAUSEWEIGHTGAIN?

with chronic illnesses. As a

result, palliative care makes

sense for a wider variety of

people, particularly those

burdened by repeated

visits to the hospital oremergency room.

In addition, palliative

care has matured into a

distinct sub-specialty of

its own referred to as

palliative medicine and

is becoming better known

alongside more familiar

fields like cardiology and

nephrology. This growthhas helped give rise to

medical services like Life

Transitions, which have

seen the need to serve

a more diverse cross-

section of patients and to

assist them with symptom

management and complex

medical decisions.

Life Transitions, likened to a

traveling medical practice,

doesnt treat patients at a

doctors office. Rather, it

comes to them wherever

they call home, saving

them from the hassles of

a difficult trip out. Its an

excellent option for people

who have trouble dealing

with physical exertion.And, its especially useful

for managing needs

related to heart problems,

pneumonia, chronic

obstructive pulmonary

disease (COPD), and other

acute medical issues.

Initial consultations with a

Life Transitions physician ornurse practitioner are easily

set up with a phone call.

First-time meetings will

gather information to

determine the potential

benefits of an ongoing

regimen. If treatment is

advised, a program of care

will be implemented to

best meet patient needs.

Moreover, Life Transitionsservices are coordinated with

the patients primary doctor

and are designed to enhance

overall care, not replace an

existing relationship.

Payment for Life Transitions

services is covered by

Medicare and Medicaid.

Private insurancecompanies also support

this type of care, although

copays and deductibles do

apply. The Life Transitions

staff can help you navigate

your particular options.

To find out more or to

recommend yourself

or someone you know

for the benefits of LifeTransitions care, please ca

828.464.9459 or visit www.

YourLifeTransitions.org.


Life Transition

Continued on Pg. 34


34/100


Our Services include:

Adult Primary Care

Same Day Urgent Care

Yearly Physicals/Pap

Mole Removal/Minor SkinProcedures

Medically Managed Weightloss

Botox at $8/unit

VI Peel Joint Injections

Management of Diabetes

The experienced team at Foothills Internal Medicineprovides compassionate care focusing on

the prevention and treatment of disease.

Welcoming New Patients

Amy Brooks, DDS, MDPractice Limited to Oral Surgery

DrBrooksNC.com

320 South Green Street - Morganton, NC 28655

Delta Dental In-Network ProviderCertifed by the American Board

o Oral and Maxilloacial Surgery

Specializing in

Extraction o Wisdom Teeth

Placement o Dental Implants828-438-1010


There are two factors at play

with regard to the artificialsweetener conundrum.First, The University ofTexas Health Science

Center in San Antonio hasresearched the potential linkbetween obesity and artificialsweeteners. Researchershave found that something

in the chemical structure ofthese sweeteners alters theway the brain processes theneurotransmitter serotonin. Inaddition to helping with sleep,mood and other functions inthe body, serotonin helps tellthe body when it is full. When

natural foods and sugarsare consumed, serotoninsignals to the brain to turnoff your body's appetite.However, artificial sweetenersmay prolong the release ofserotonin, and your appetite

remains in full force long after

it should have abated.

Another component ofartificial sweeteners,

particularly aspartame, isthat these chemicals cantrick the body into thinking ithas, in fact, consumed sugar.That triggers the pancreas toproduce the insulin neededto regulate blood-glucoselevels. It also causes thebody to store the glucoseas fat. This can lead to lowblood sugar, which maycause you to eata sugary treat in response.

Having diet soda or eatinga sugarless item once in awhile won't create any long-term effects.

But repeatedly relying onartificial sweeteners could

affect appetite and changeblood sugar levels for good.

These aren't the onlyconsequences to diet

soda and other beverages.Drinking diet soda regularlymay affect cardiovascularhealth. According to the

American Heart Association,research presented atthe American Stroke

Association's InternationalStroke Conference foundpeople who drink diet sodaevery day have a 61 percenthigher risk of vascular eventsthan those who reported no

soda consumption.

Regular soda isn't abetter alternative. It can

contribute to weight gainand cardiovascular issuesas well as an increased

risk for diabetes. A 2011review published in the

journal Circulation statedthat a positive association

has been shown between

sugar-sweetened soft drinkconsumption and weight gainin both children and adults.

Nutritionists and doctors haveadvised that instead of addingartificial sweeteners to waterand other beverages, flavor

them with lemon or lime juiceInstead of drinking diet soda,opt for unsweetened tea orplain water.

Although diet soda may seema likely option to help curbcalories and prevent weightgain, such beverages may

actually be having an adverseeffect on a person's weight.

Metro Creative


35/100


828-267-7263 10 Third Avenue NE Suite 200 Hickory

www.BellaDonnaLasers.com

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Continued on Pg. 3

HOW TO GETHOW TO GETGOING WITHGOING WITHGRAZINGGRAZING

A healthy breakfast of oatmeal and

fresh fruit is a good breakfast formen and women adopting grazingas their approach to diet.

Eating healthy is a goal for

many people. For some,

altering what they eat is all

it takes to shed those extra

pounds and improve their

overall health, while others

find changing what they

eat isn't helping them reach

their goals.

One option that has its

share of supporters and

detractors is grazing, which

involves eating five or six

smaller portions throughout

the day instead of the more

widely accepted diet of

eating three square meals

per day. Those who stand

by grazing claim it keeps

a person's metabolismgoing all day, helping to

burn more calories while

encouraging men and

women to eat smaller

portions. Those who

question grazing point to

studies questioning its

efficacy, namely that it does

not have the calorie-burning

effects its supporters

suggest. In fact, researchers

in the United Kingdom have

said eating throughout the

day (a standard grazing

diet has men and women

eating five to six meals per

day, with three to four hour

intervals between meals)

undermines the body's

ability to burn fat.

The debate over grazing

does not figure to go

away anytime soon, as

many people have found

it a successful way to lose

weight and get healthier

while many others have

found it ineffective. For

those who want to give it a

shot, consider the following

advice.

CHOOSEHEALTHYFOODSGrazing can only be

effective if you choose

healthy foods. Snacking

on foods like chocolate or

potato chips every three

to four hours is a recipe

for disaster regardless of

portion size. When grazing,

choose foods that are low

in fat and high in nutrients.

Avoid sugary

foods as well as those that

are high in sodium. Foods

that are strong sourcesof protein and complex

carbohydrates, including

chicken breasts, fish, low-fat

dairy products and whole

grains, will help you feel full

and keep you feeling that

way until the next time to

eat rolls around.

DON'T SKIPBREAKFAST

A healthy breakfast is

an essential element of

successful grazing. If you

skip breakfast, you're more

likely to overeat, which

could establish a dominoeffect of poor eating as

the day goes on. A simple

breakfast, such as a bowl o

cereal with fat-free or low-fa

milk or some oatmeal with

berries mixed in, is all it

takes to start the day off


36/100


605 West 25th Street Newton NC 28658

hickory daily record and morganton news herald spotlight on health 2013 winter edition

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